|
2d tee w or without fol w/con,in
|
$1,338.74 |
$1,338.74 |
$1,338.74 |
$1,591.63
|
|
2d tte w or without fol w/con,co
|
$588.38 |
$588.38 |
$588.38 |
$1,085.40
|
|
2nd order venous cath
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$1,548.00
|
|
3-d radiotherapy plan
|
$1,925.82 |
$1,925.82 |
$1,925.82 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$406.90 |
$406.90 |
$406.90 |
$454.23
|
|
5% dextrose and 0.45% saline
|
$41.46 |
$41.46 |
$41.46 |
$58.60
|
|
88334 ap bill cytologic exam each additional site
|
$52.78 |
$52.78 |
$52.78 |
$92.82
|
|
99397 periodic comp preventive med 65+ years est
|
$83.98 |
$83.98 |
$83.98 |
$167.25
|
|
Abd aorta w/runoff s&i
|
$1,233.44 |
$1,233.44 |
$1,233.44 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$800.54 |
$800.54 |
$800.54 |
$2,146.30
|
|
Abd/low ext cath 2nd
|
$941.98 |
$941.98 |
$941.98 |
$2,167.80
|
|
Abd/low ext cath 3rd
|
$941.98 |
$941.98 |
$941.98 |
$2,545.00
|
|
Abd/low ext cath addl
|
$1,202.24 |
$1,202.24 |
$1,202.24 |
$905.00
|
|
Abdominal CT scan (with and without contrast)
|
$489.58 |
$489.58 |
$489.58 |
$1,951.30
|
|
Abdominal CT scan (with contrast)
|
$472.94 |
$472.94 |
$472.94 |
$1,632.95
|
|
Abdominal CT scan (without contrast)
|
$380.90 |
$380.90 |
$380.90 |
$1,318.20
|
|
Abdominal MRI (with and without contrast)
|
$998.14 |
$998.14 |
$998.14 |
$2,929.50
|
|
Abdominal MRI (with contrast)
|
$836.42 |
$836.42 |
$836.42 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$676.52 |
$676.52 |
$676.52 |
$1,925.45
|
|
Abdominal paracentesis w/image guidance
|
$1,459.64 |
$1,459.64 |
$1,459.64 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$661.44 |
$661.44 |
$661.44 |
$756.60
|
|
Abdominal Ultrasound (limited)
|
$369.98 |
$369.98 |
$369.98 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$732.42 |
$732.42 |
$732.42 |
$1,176.00
|
|
Abl1 gene
|
$411.84 |
$411.84 |
$411.84 |
$632.80
|
|
Ablate arrhythmia add on
|
$3,582.54 |
$3,582.54 |
$3,582.54 |
$7,295.70
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,448.12 |
$3,448.12 |
$3,448.12 |
$8,384.20
|
|
Ablate bone tumor(s) perq
|
$3,448.12 |
$3,448.12 |
$3,448.12 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$4,855.50 |
$4,855.50 |
$4,855.50 |
$9,523.83
|
|
Ablate pulm tumor perq rf
|
$4,727.84 |
$4,727.84 |
$4,727.84 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$752.96 |
$752.96 |
$752.96 |
$2,782.92
|
|
Ablation cryo adrenal tumor
|
$3,456.70 |
$3,456.70 |
$3,456.70 |
$6,904.15
|
|
Ablation of upper extremity nerves rf
|
$2,235.74 |
$2,235.74 |
$2,235.74 |
$1,055.60
|
|
Abscess drain retroperitoneal surg code
|
$2,519.14 |
$2,519.14 |
$2,519.14 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$127.68 |
$127.68 |
$127.68 |
$71.09
|
|
Acetaminophen level
|
$53.30 |
$53.30 |
$53.30 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$109.75 |
$109.75 |
$109.75 |
$114.46
|
|
Acetone qualitative
|
$22.88 |
$22.88 |
$22.88 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$177.58 |
$177.58 |
$177.58 |
$61.80
|
|
Acetylcysteine non-comp unit
|
$44.15 |
$44.15 |
$44.15 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$15.34 |
$15.34 |
$15.34 |
$42.28
|
|
Actinotherapy uv light
|
$25.22 |
$25.22 |
$25.22 |
$105.30
|
|
Acute hepatitis panel
|
$46.28 |
$46.28 |
$46.28 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$58.16 |
$58.16 |
$58.16 |
$62.16
|
|
#acylcarnitineprfl
|
$168.22 |
$168.22 |
$168.22 |
$95.94
|
|
Acylcarnitines qual
|
$39.26 |
$39.26 |
$39.26 |
$35.75
|
|
Adenosine 3 mg/250 ml bag for osm
|
$40.89 |
$40.89 |
$40.89 |
$234.26
|
|
Adh-sendout
|
$22.88 |
$22.88 |
$22.88 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$120.78 |
$120.78 |
$120.78 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$167.70 |
$167.70 |
$167.70 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$144.30 |
$144.30 |
$144.30 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$387.40 |
$387.40 |
$387.40 |
$644.28
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$278.46 |
$278.46 |
$278.46 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$110.50 |
$110.50 |
$110.50 |
$207.94
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$77.74 |
$77.74 |
$77.74 |
$260.00
|
|
Administration immunization 1 vaccine
|
$47.01 |
$47.01 |
$47.01 |
$66.51
|
|
Administration immunization each additional vaccine
|
$20.54 |
$20.54 |
$20.54 |
$45.80
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$20.54 |
$20.54 |
$20.54 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$34.06 |
$34.06 |
$34.06 |
$33.60
|
|
Administration vaccine hepatitis b
|
$36.40 |
$36.40 |
$36.40 |
$54.34
|
|
Administration vaccine influenza virus
|
$28.60 |
$28.60 |
$28.60 |
$46.20
|
|
Administration vaccine pneumococcal
|
$27.30 |
$27.30 |
$27.30 |
$46.80
|
|
Adrenal cortex & medulla img
|
$459.94 |
$459.94 |
$459.94 |
$1,818.05
|
|
_afb id by dna probe rflx ast
|
$63.18 |
$63.18 |
$63.18 |
$89.70
|
|
_afb org id by sequencing rflx ast-sendout
|
$142.74 |
$142.74 |
$142.74 |
$289.60
|
|
Airway resistance by impulse oscillometry 94728
|
$184.08 |
$184.08 |
$184.08 |
$269.36
|
|
Albumin body fluid quantitative each specimen
|
$31.72 |
$31.72 |
$31.72 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$1,990.31 |
$1,990.31 |
$1,990.31 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$746.37 |
$746.37 |
$746.37 |
$251.66
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$33.54 |
$33.54 |
$33.54 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$25.74 |
$25.74 |
$25.74 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$12.73 |
$12.73 |
$12.73 |
$6.62
|
|
Albuterol non-comp con
|
$8.72 |
$8.72 |
$8.72 |
$5.61
|
|
Albuterol non-comp unit
|
$3.23 |
$3.23 |
$3.23 |
$5.11
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$112.32 |
$112.32 |
$112.32 |
$95.94
|
|
Alkaline phosphatase
|
$26.00 |
$26.00 |
$26.00 |
$45.75
|
|
Allergen alpha lactalbumin ige
|
$59.54 |
$59.54 |
$59.54 |
$50.00
|
|
Allergen egg white ige
|
$82.94 |
$82.94 |
$82.94 |
$36.82
|
|
Allergen specific ige qual multi scrn ea
|
$55.64 |
$55.64 |
$55.64 |
$24.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,039.66 |
$3,039.66 |
$3,039.66 |
$3,604.00
|
|
Alpha-fetoprotein tumor marker
|
$62.66 |
$62.66 |
$62.66 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,559.30 |
$2,559.30 |
$2,559.30 |
$15,857.45
|
|
Alt/sgpt
|
$23.40 |
$23.40 |
$23.40 |
$49.00
|
|
Aluminum - quest
|
$28.86 |
$28.86 |
$28.86 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$20.79 |
$20.79 |
$20.79 |
$44.00
|
|
Amino acid screen, urine
|
$143.78 |
$143.78 |
$143.78 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.32 |
$37.32 |
$37.32 |
$39.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$119.63 |
$119.63 |
$119.63 |
$151.14
|
|
Amiodarone 50 mg/ml intravenous solution
|
$32.60 |
$32.60 |
$32.60 |
$58.46
|
|
Ammonia
|
$50.18 |
$50.18 |
$50.18 |
$111.69
|
|
Amniocentesisdiagnostic 59000
|
$705.64 |
$705.64 |
$705.64 |
$876.60
|
|
Amphetamine confirm urine -sendout
|
$93.08 |
$93.08 |
$93.08 |
$94.38
|
|
Amphetamines 5 or more
|
$10.92 |
$10.92 |
$10.92 |
$88.00
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$4,399.53 |
$4,399.53 |
$4,399.53 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$48.21 |
$48.21 |
$48.21 |
$62.11
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$57.98 |
$57.98 |
$57.98 |
$54.69
|
|
Amylase
|
$76.18 |
$76.18 |
$76.18 |
$83.20
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$16.12 |
$16.12 |
$16.12 |
$101.20
|
|
Anal pressure record
|
$609.44 |
$609.44 |
$609.44 |
$955.86
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$86.06 |
$86.06 |
$86.06 |
$335.85
|
|
Analysis gene f2 20210g>a variant
|
$199.16 |
$199.16 |
$199.16 |
$210.26
|