|
11-desoxycortisol - sendout
|
$540.74 |
$540.74 |
$540.74 |
$84.56
|
|
17-hydroxypregnenolone
|
$268.09 |
$268.09 |
$268.09 |
$87.50
|
|
17-ketosteroids
|
$180.59 |
$180.59 |
$180.59 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$451.63 |
$451.63 |
$451.63 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$3,318.45 |
$3,318.45 |
$3,318.45 |
$1,707.38
|
|
2d tte w or without fol w/con,co
|
$2,850.34 |
$2,850.34 |
$2,850.34 |
$1,243.20
|
|
2nd order venous cath
|
$3,684.92 |
$3,684.92 |
$3,684.92 |
$1,613.22
|
|
3d ech img cgen car anomal
|
$1,640.37 |
$1,640.37 |
$1,640.37 |
$463.68
|
|
3-d radiotherapy plan
|
$15,732.58 |
$15,732.58 |
$15,732.58 |
$5,005.80
|
|
3d recon without postprocess indpndt
|
$1,640.37 |
$1,640.37 |
$1,640.37 |
$500.40
|
|
5' nucleotidase - sendout
|
$113.03 |
$113.03 |
$113.03 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$224.55 |
$224.55 |
$224.55 |
$96.39
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$15,359.37 |
$15,359.37 |
$15,359.37 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$498.82 |
$498.82 |
$498.82 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$10,183.63 |
$10,183.63 |
$10,183.63 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$3,374.87 |
$3,374.87 |
$3,374.87 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$3,529.29 |
$3,529.29 |
$3,529.29 |
$2,055.35
|
|
Abd/low ext cath 3rd
|
$3,684.92 |
$3,684.92 |
$3,684.92 |
$2,577.40
|
|
Abd/low ext cath addl
|
$2,226.11 |
$2,226.11 |
$2,226.11 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$3,899.80 |
$3,899.80 |
$3,899.80 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$2,895.12 |
$2,895.12 |
$2,895.12 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,774.59 |
$3,774.59 |
$3,774.59 |
$3,004.50
|
|
Abdominal MRI (with contrast)
|
$3,679.81 |
$3,679.81 |
$3,679.81 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,679.81 |
$3,679.81 |
$3,679.81 |
$2,050.14
|
|
Abdominal Ultrasound (complete)
|
$942.66 |
$942.66 |
$942.66 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$942.66 |
$942.66 |
$942.66 |
$592.15
|
|
Abl1 gene
|
$1,627.97 |
$1,627.97 |
$1,627.97 |
$683.20
|
|
Ablate arrhythmia add on
|
$51,255.50 |
$51,255.50 |
$51,255.50 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$36,660.97 |
$36,660.97 |
$36,660.97 |
$9,238.00
|
|
Ablate bone tumor(s) perq
|
$36,660.97 |
$36,660.97 |
$36,660.97 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$25,344.64 |
$25,344.64 |
$25,344.64 |
$9,523.83
|
|
Ablation cardiac vagal inputs atrium
|
$72,986.84 |
$72,986.84 |
$72,986.84 |
$2,127.18
|
|
Ablation cryo abd perit om
|
$4,465.28 |
$4,465.28 |
$4,465.28 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$29,615.60 |
$29,615.60 |
$29,615.60 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$46,710.20 |
$46,710.20 |
$46,710.20 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$5,375.79 |
$5,375.79 |
$5,375.79 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$12,522.16 |
$12,522.16 |
$12,522.16 |
$832.50
|
|
Abobotulinumtoxina
|
$91.43 |
$91.43 |
$91.43 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$5,139.77 |
$5,139.77 |
$5,139.77 |
$2,999.34
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$454.64 |
$454.64 |
$454.64 |
$74.50
|
|
Acetaminophen level
|
$254.03 |
$254.03 |
$254.03 |
$109.20
|
|
Acetazolamide 500 mg solution for injection
|
$525.44 |
$525.44 |
$525.44 |
$122.55
|
|
Acetone qualitative
|
$55.98 |
$55.98 |
$55.98 |
$46.86
|
|
Acetylcholine receptor modulating antibody
|
$982.40 |
$982.40 |
$982.40 |
$65.16
|
|
Acetylcholinesterase assay
|
$170.17 |
$170.17 |
$170.17 |
$112.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$412.92 |
$412.92 |
$412.92 |
$224.98
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$18.90 |
$18.90 |
$18.90 |
$37.60
|
|
Actigraphy testing
|
$837.53 |
$837.53 |
$837.53 |
$239.20
|
|
Acute hepatitis panel
|
$571.06 |
$571.06 |
$571.06 |
$295.20
|
|
Acute venous thrombus image
|
$5,067.86 |
$5,067.86 |
$5,067.86 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$60.83 |
$60.83 |
$60.83 |
$64.15
|
|
#acylcarnitineprfl
|
$664.30 |
$664.30 |
$664.30 |
$125.00
|
|
Acylcarnitines qual
|
$39.60 |
$39.60 |
$39.60 |
$47.30
|
|
Adapter b 8 channel 10cm
|
$8,391.05 |
$8,391.05 |
$8,391.05 |
$6,142.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2,481.86 |
$2,481.86 |
$2,481.86 |
$268.50
|
|
Adenovirus ag ia
|
$90.89 |
$90.89 |
$90.89 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$163.16 |
$163.16 |
$163.16 |
$60.00
|
|
Adh-sendout
|
$1,240.02 |
$1,240.02 |
$1,240.02 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$881.48 |
$881.48 |
$881.48 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$881.48 |
$881.48 |
$881.48 |
$307.45
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$2,906.91 |
$2,906.91 |
$2,906.91 |
$670.01
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,931.93 |
$1,931.93 |
$1,931.93 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$1,917.28 |
$1,917.28 |
$1,917.28 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$1,274.18 |
$1,274.18 |
$1,274.18 |
$257.40
|
|
Administration immunization 1 vaccine
|
$161.29 |
$161.29 |
$161.29 |
$69.60
|
|
Administration immunization each additional component
|
$246.45 |
$246.45 |
$246.45 |
$29.00
|
|
Administration immunization each additional vaccine
|
$198.77 |
$198.77 |
$198.77 |
$47.52
|
|
Administration immunization first component each vaccine
|
$247.76 |
$247.76 |
$247.76 |
$46.40
|
|
Administration vaccine hepatitis b
|
$287.73 |
$287.73 |
$287.73 |
$54.34
|
|
Administration vaccine influenza virus
|
$138.05 |
$138.05 |
$138.05 |
$49.50
|
|
Administration vaccine pneumococcal
|
$138.05 |
$138.05 |
$138.05 |
$49.50
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$388.21 |
$388.21 |
$388.21 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$7,925.44 |
$7,925.44 |
$7,925.44 |
$1,818.05
|
|
Aep neurodiagnostic i&r
|
$1,630.93 |
$1,630.93 |
$1,630.93 |
$595.00
|
|
_afb id by dna probe rflx ast
|
$247.01 |
$247.01 |
$247.01 |
$97.20
|
|
#afb mycobacteria suscep. #1
|
$46.04 |
$46.04 |
$46.04 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$438.14 |
$438.14 |
$438.14 |
$300.00
|
|
Afo sing solid stirrup calf
|
$342.85 |
$342.85 |
$342.85 |
$728.50
|
|
Afo tib fx semi-rigid l2114
|
$3,638.31 |
$3,638.31 |
$3,638.31 |
$817.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$2,349.66 |
$2,349.66 |
$2,349.66 |
$13,696.68
|
|
Air conduction bilat
|
$434.37 |
$434.37 |
$434.37 |
$137.90
|
|
Air injection into abdomen 49400
|
$166.58 |
$166.58 |
$166.58 |
$526.80
|
|
Airway resistance by impulse oscillometry 94728
|
$491.21 |
$491.21 |
$491.21 |
$284.70
|
|
Albumin body fluid quantitative each specimen
|
$65.24 |
$65.24 |
$65.24 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$694.43 |
$694.43 |
$694.43 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$450.46 |
$450.46 |
$450.46 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$965.34 |
$965.34 |
$965.34 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$73.43 |
$73.43 |
$73.43 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$62.89 |
$62.89 |
$62.89 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$135.17 |
$135.17 |
$135.17 |
$93.60
|
|
Aldesleukin injection
|
$47,400.38 |
$47,400.38 |
$47,400.38 |
$9,030.11
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$157,560.18 |
$157,560.18 |
$157,560.18 |
$47,974.31
|
|
Alglucosidase alfa injection
|
$10,517.33 |
$10,517.33 |
$10,517.33 |
$2,010.58
|
|
Alkaline phosphatase
|
$65.24 |
$65.24 |
$65.24 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$393.53 |
$393.53 |
$393.53 |
$48.57
|
|
Allergen egg white ige
|
$235.41 |
$235.41 |
$235.41 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$94.41 |
$94.41 |
$94.41 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$68,375.58 |
$68,375.58 |
$68,375.58 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$9,677.25 |
$9,677.25 |
$9,677.25 |
$6,773.79
|
