|
11-desoxycortisol - sendout
|
$24.11 |
$24.11 |
$30.22 |
$87.74
|
|
17-hydroxypregnenolone
|
$87.97 |
$87.97 |
$110.30 |
$87.50
|
|
17-ketosteroids
|
$59.85 |
$59.85 |
$70.20 |
$46.20
|
|
2d tee w or without fol w/con,in
|
$1,138.35 |
$1,138.35 |
$1,411.37 |
$1,771.25
|
|
2d tte w or without fol w/con,co
|
$510.53 |
$510.53 |
$1,002.00 |
$1,165.05
|
|
2nd order venous cath
|
$73.11 |
$73.11 |
$94.69 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$250.25 |
$250.25 |
$293.49 |
$669.00
|
|
3-d radiotherapy plan
|
$2,214.10 |
$2,214.10 |
$3,775.75 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$461.13 |
$461.13 |
$540.81 |
$427.34
|
|
5' nucleotidase - sendout
|
$43.79 |
$43.79 |
$51.35 |
$51.03
|
|
88334 ap bill cytologic exam each additional site
|
$34.15 |
$34.15 |
$40.05 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,398.10 |
$3,398.10 |
$4,260.52 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$125.33 |
$125.33 |
$146.98 |
$52.47
|
|
Abd aorta w/runoff s&i
|
$1,696.28 |
$1,696.28 |
$1,989.39 |
$3,594.60
|
|
Abd/low ext cath 1st
|
$95.60 |
$95.60 |
$119.87 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$75.92 |
$75.92 |
$128.43 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$99.22 |
$99.22 |
$120.13 |
$3,050.58
|
|
Abd/low ext cath addl
|
$144.21 |
$144.21 |
$169.12 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,144.78 |
$1,144.78 |
$1,342.59 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$789.70 |
$789.70 |
$1,000.11 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$742.30 |
$742.30 |
$870.57 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,154.82 |
$1,154.82 |
$1,232.83 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,085.73 |
$1,085.73 |
$1,151.33 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$762.38 |
$762.38 |
$812.62 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$419.76 |
$419.76 |
$785.15 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$759.57 |
$759.57 |
$890.82 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$737.48 |
$737.48 |
$864.91 |
$604.43
|
|
Abdominoplasty 15830
|
$1,660.10 |
$1,660.10 |
$1,660.10 |
$5,216.25
|
|
Abd paracentesis/w/o image guide 49082
|
$1,070.87 |
$1,070.87 |
$1,388.29 |
$1,176.00
|
|
Abl1 gene
|
$409.31 |
$409.31 |
$513.19 |
$614.25
|
|
Ablate arrhythmia add on
|
$1,383.58 |
$1,383.58 |
$1,383.58 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$3,376.48 |
$3,376.48 |
$3,959.93 |
$10,724.84
|
|
Ablation cardiac vagal inputs atrium
|
$146.62 |
$146.62 |
$171.95 |
$3,812.17
|
|
Ablation cryo abd perit om
|
$1,385.93 |
$1,385.93 |
$1,385.93 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$324.16 |
$324.16 |
$406.42 |
$1,164.00
|
|
Abscess drain retroperitoneal surg code
|
$416.54 |
$416.54 |
$488.52 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$88.37 |
$88.37 |
$103.64 |
$3,263.74
|
|
Acetaminophen level
|
$20.89 |
$20.89 |
$24.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$82.52 |
$82.52 |
$103.46 |
$133.60
|
|
Acetone qualitative
|
$12.46 |
$12.46 |
$14.61 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$12.06 |
$12.06 |
$15.11 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$80.50 |
$80.50 |
$100.94 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$3.45 |
$3.45 |
$4.32 |
$29.01
|
|
Acne surgery 10040
|
$155.45 |
$155.45 |
$194.91 |
$260.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$114.08 |
$114.08 |
$133.79 |
$370.55
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$11.25 |
$11.25 |
$13.20 |
$42.75
|
|
Actinotherapy uv light
|
$116.49 |
$116.49 |
$116.49 |
$103.85
|
|
Acute hepatitis panel
|
$204.86 |
$204.86 |
$256.85 |
$287.10
|
|
Acute venous thrombus image
|
$1,061.35 |
$1,061.35 |
$1,061.35 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$26.86 |
$26.86 |
$33.68 |
$50.70
|
|
#acylcarnitineprfl
|
$82.75 |
$82.75 |
$97.05 |
$105.60
|
|
Acylcarnitines qual
|
$18.48 |
$18.48 |
$21.67 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$200.84 |
$200.84 |
$251.81 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$427.27 |
$427.27 |
$535.71 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$31.74 |
$31.74 |
$39.79 |
$63.00
|
|
Adh-sendout
|
$42.98 |
$42.98 |
$53.89 |
$109.71
|
|
Adj gastric band via subq port
|
$863.20 |
$863.20 |
$1,082.28 |
$2,057.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$48.68 |
$48.68 |
$61.03 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$62.26 |
$62.26 |
$73.02 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$62.26 |
$62.26 |
$73.02 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$344.24 |
$344.24 |
$403.72 |
$688.88
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$189.60 |
$189.60 |
$222.36 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$94.00 |
$94.00 |
$110.24 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$105.65 |
$105.65 |
$123.90 |
$267.43
|
|
Administration immunization 1 vaccine
|
$39.37 |
$39.37 |
$54.40 |
$69.21
|
|
Administration immunization each additional vaccine
|
$29.33 |
$29.33 |
$41.30 |
$46.23
|
|
Administration vaccine influenza virus
|
$34.15 |
$34.15 |
$40.05 |
$46.80
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$18.08 |
$18.08 |
$22.67 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$14,986.72 |
$14,986.72 |
$18,790.29 |
$11,874.55
|
|
Aep hearing status deter i&r
|
$209.68 |
$209.68 |
$209.68 |
$303.05
|
|
Aep thrshld est mlt freq i&r
|
$539.05 |
$539.05 |
$632.20 |
$564.20
|
|
_afb id by dna probe rflx ast
|
$233.78 |
$233.78 |
$293.11 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$112.47 |
$112.47 |
$141.02 |
$38.75
|
|
_afb org id by sequencing rflx ast-sendout
|
$272.34 |
$272.34 |
$319.40 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$13,696.68 |
$13,696.68 |
$17,172.84 |
$13,696.68
|
|
Air injection into abdomen 49400
|
$322.55 |
$322.55 |
$378.28 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$101.23 |
$101.23 |
$118.72 |
$320.43
|
|
Albumin body fluid quantitative each specimen
|
$24.51 |
$24.51 |
$30.73 |
$48.95
|
|
Albumin (human), 25%, 50ml
|
$149.57 |
$149.57 |
$187.53 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$131.50 |
$131.50 |
$164.87 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$18.88 |
$18.88 |
$22.67 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$29.33 |
$29.33 |
$34.39 |
$43.50
|
|
Alkaline phosphatase
|
$23.70 |
$23.70 |
$27.80 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$24.51 |
$24.51 |
$28.74 |
$59.00
|
|
Allergen egg white ige
|
$96.01 |
$96.01 |
$112.59 |
$41.60
|
|
Allergen specific ige qual multi scrn ea
|
$28.93 |
$28.93 |
$36.27 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$35.75 |
$35.75 |
$44.83 |
$6,555.62
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$95.05 |
$95.05 |
$119.18 |
$2,674.32
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$125.84 |
$125.84 |
$157.78 |
$14.76
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$248.24 |
$248.24 |
$291.13 |
$189.15
|
|
Alpha-fetoprotein tumor marker
|
$113.28 |
$113.28 |
$132.85 |
$106.40
|
|
Alprostadil for injection
|
$175.74 |
$175.74 |
$220.34 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$21,001.43 |
$21,001.43 |
$26,331.51 |
$3,627.63
|
|
Alt/sgpt
|
$47.80 |
$47.80 |
$56.06 |
$49.00
|
|
Aluminum - quest
|
$9.65 |
$9.65 |
$12.09 |
$91.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$434.62 |
$434.62 |
$509.72 |
$442.04
|
|
Amantadine (symmetrel)-sendout
|
$320.14 |
$320.14 |
$401.39 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$57.63 |
$57.63 |
$72.25 |
$36.30
|
|
Amino acid screen, urine
|
$148.22 |
$148.22 |
$173.83 |
$64.28
|
|
Amino acids quant 2-5
|
$219.32 |
$219.32 |
$257.22 |
$141.00
|