|
11-desoxycortisol - sendout
|
$66.00 |
$66.00 |
$66.00 |
$84.56
|
|
17-hydroxypregnenolone
|
$73.20 |
$73.20 |
$73.20 |
$85.15
|
|
17-ketosteroids
|
$29.40 |
$29.40 |
$29.40 |
$49.45
|
|
2d tte w or without fol w/con,co
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$1,137.75
|
|
2nd order venous cath
|
$391.80 |
$391.80 |
$391.80 |
$1,780.00
|
|
3d ech img cgen car anomal
|
$664.80 |
$664.80 |
$664.80 |
$460.00
|
|
3d recon without postprocess indpndt
|
$930.00 |
$930.00 |
$930.00 |
$469.20
|
|
5' nucleotidase - sendout
|
$39.00 |
$39.00 |
$39.00 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$49.20 |
$49.20 |
$49.20 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,557.00 |
$4,557.00 |
$4,557.00 |
$3,410.88
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$37.80 |
$37.80 |
$37.80 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,713.00 |
$4,713.00 |
$4,713.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$2,134.20 |
$2,134.20 |
$2,134.20 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$790.20 |
$790.20 |
$790.20 |
$2,255.84
|
|
Abd/low ext cath 3rd
|
$18,084.84 |
$18,084.84 |
$18,084.84 |
$2,662.40
|
|
Abd/low ext cath addl
|
$643.20 |
$643.20 |
$643.20 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,927.20 |
$1,927.20 |
$1,927.20 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,301.80 |
$3,301.80 |
$3,301.80 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$2,841.60 |
$2,841.60 |
$2,841.60 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$2,273.40 |
$2,273.40 |
$2,273.40 |
$2,010.62
|
|
Abdominal pad
|
$134.84 |
$134.84 |
$134.84 |
$151.32
|
|
Abdominal paracentesis w/image guidance
|
$5,220.60 |
$5,220.60 |
$5,220.60 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$688.80 |
$688.80 |
$688.80 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$591.60 |
$591.60 |
$591.60 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$962.40 |
$962.40 |
$962.40 |
$1,170.40
|
|
Abduct control hip semi-flex
|
$219.29 |
$219.29 |
$219.29 |
$358.29
|
|
Abduction bar jointed adjust
|
$241.19 |
$241.19 |
$241.19 |
$426.96
|
|
Abduction rotation bar shoe
|
$138.16 |
$138.16 |
$138.16 |
$150.99
|
|
Abduct rotation bar without shoe
|
$134.04 |
$134.04 |
$134.04 |
$138.07
|
|
Abl1 gene
|
$775.80 |
$775.80 |
$775.80 |
$682.50
|
|
Ablate arrhythmia add on
|
$7,834.20 |
$7,834.20 |
$7,834.20 |
$6,913.20
|
|
Ablate heart dysrhythm focus
|
$9,139.80 |
$9,139.80 |
$9,139.80 |
$9,556.83
|
|
Ablate inf turbinate submuc 30802
|
$11,719.26 |
$11,719.26 |
$11,719.26 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$5,337.24 |
$5,337.24 |
$5,337.24 |
$1,955.10
|
|
Ablation cardiac vagal inputs atrium
|
$9,495.60 |
$9,495.60 |
$9,495.60 |
$2,183.34
|
|
Ablation of upper extremity nerves rf
|
$672.00 |
$672.00 |
$672.00 |
$900.00
|
|
Abobotulinumtoxina
|
$2,588.70 |
$2,588.70 |
$2,588.70 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$4,257.00 |
$4,257.00 |
$4,257.00 |
$3,051.36
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$836.40 |
$836.40 |
$836.40 |
$2,670.25
|
|
Acetaminophen level
|
$137.40 |
$137.40 |
$137.40 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$154.98 |
$154.98 |
$154.98 |
$122.55
|
|
Acetone qualitative
|
$64.80 |
$64.80 |
$64.80 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$61.80 |
$61.80 |
$61.80 |
$61.80
|
|
Acetylcholinesterase assay
|
$91.80 |
$91.80 |
$91.80 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$16.68 |
$16.68 |
$16.68 |
$276.33
|
|
Acetylcysteine non-comp unit
|
$39.78 |
$39.78 |
$39.78 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$68.40 |
$68.40 |
$68.40 |
$42.28
|
|
Acute hepatitis panel
|
$315.00 |
$315.00 |
$315.00 |
$283.47
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$21.18 |
$21.18 |
$21.18 |
$64.45
|
|
#acylcarnitineprfl
|
$180.60 |
$180.60 |
$180.60 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$12,122.82 |
$12,122.82 |
$12,122.82 |
$6,142.50
|
|
Add le poly knee custom kafo
|
$208.27 |
$208.27 |
$208.27 |
$323.75
|
|
Adenosine 3 mg/250 ml bag for osm
|
$31.98 |
$31.98 |
$31.98 |
$275.73
|
|
Adenovirus antibody,serum - quest
|
$82.80 |
$82.80 |
$82.80 |
$63.00
|
|
Adh-sendout
|
$197.40 |
$197.40 |
$197.40 |
$109.28
|
|
Adj gastric band via subq port
|
$1,570.20 |
$1,570.20 |
$1,570.20 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$473.76 |
$473.76 |
$473.76 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$200.40 |
$200.40 |
$200.40 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$387.00 |
$387.00 |
$387.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$639.00 |
$639.00 |
$639.00 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$356.40 |
$356.40 |
$356.40 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$483.60 |
$483.60 |
$483.60 |
$265.50
|
|
Administration immunization 1 vaccine
|
$84.60 |
$84.60 |
$84.60 |
$67.70
|
|
Administration immunization each additional vaccine
|
$73.80 |
$73.80 |
$73.80 |
$46.23
|
|
Administration vaccine hepatitis b
|
$153.60 |
$153.60 |
$153.60 |
$54.60
|
|
Administration vaccine influenza virus
|
$84.60 |
$84.60 |
$84.60 |
$48.35
|
|
Administration vaccine pneumococcal
|
$84.60 |
$84.60 |
$84.60 |
$49.40
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$20,260.92 |
$20,260.92 |
$20,260.92 |
$11,350.31
|
|
Aep hearing status deter i&r
|
$235.80 |
$235.80 |
$235.80 |
$303.05
|
|
Aep neurodiagnostic i&r
|
$452.40 |
$452.40 |
$452.40 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$452.40 |
$452.40 |
$452.40 |
$590.25
|
|
_afb id by dna probe rflx ast
|
$69.60 |
$69.60 |
$69.60 |
$89.70
|
|
#afb mycobacteria suscep. #1
|
$86.40 |
$86.40 |
$86.40 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$334.80 |
$334.80 |
$334.80 |
$289.60
|
|
Afo molded ankle gauntlet
|
$724.73 |
$724.73 |
$724.73 |
$724.73
|
|
Afo molded plas rig ant tib
|
$1,654.38 |
$1,654.38 |
$1,654.38 |
$1,903.70
|
|
Afo molded to patient plasti
|
$691.99 |
$691.99 |
$691.99 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$1,432.76 |
$1,432.76 |
$1,432.76 |
$1,421.28
|
|
Afo sing bar clasp attach sh
|
$450.29 |
$450.29 |
$450.29 |
$475.62
|
|
Afo sing solid stirrup calf
|
$648.30 |
$648.30 |
$648.30 |
$684.77
|
|
Afo sing upright with adjust s
|
$659.61 |
$659.61 |
$659.61 |
$576.41
|
|
Afo spiral molded to pt plas
|
$1,234.82 |
$1,234.82 |
$1,234.82 |
$1,450.86
|
|
Afo sprng wir drsflx calf bd
|
$458.09 |
$458.09 |
$458.09 |
$458.09
|
|
Afo supramalleolar custom
|
$903.50 |
$903.50 |
$903.50 |
$954.34
|
|
Afo tib fx cast plaster mold
|
$1,265.58 |
$1,265.58 |
$1,265.58 |
$1,336.78
|
|
Afo tibial fracture rigid
|
$1,237.55 |
$1,237.55 |
$1,237.55 |
$1,464.20
|
|
Afo tibial fracture soft
|
$810.05 |
$810.05 |
$810.05 |
$1,052.00
|
|
Afo, walk boot type, cus fab
|
$2,547.90 |
$2,547.90 |
$2,547.90 |
$2,288.00
|
|
Afo w/ankle joint, prefab
|
$1,025.74 |
$1,025.74 |
$1,025.74 |
$567.00
|
|
Air injection into abdomen 49400
|
$461.40 |
$461.40 |
$461.40 |
$531.49
|
|
Ak/knee disartic pelvic band
|
$132.43 |
$132.43 |
$132.43 |
$158.05
|
|
Ak/knee disartic silesian ba
|
$142.76 |
$142.76 |
$142.76 |
$156.80
|
|
Ak sleeve susp neoprene/equa
|
$200.59 |
$200.59 |
$200.59 |
$246.40
|
|
Albumin body fluid quantitative each specimen
|
$109.80 |
$109.80 |
$109.80 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$229.08 |
$229.08 |
$229.08 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$228.78 |
$228.78 |
$228.78 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$64.20 |
$64.20 |
$64.20 |
$57.20
|
