|
11-desoxycortisol - sendout
|
$70.40 |
$70.40 |
$70.40 |
|
|
17-hydroxypregnenolone
|
$52.42 |
$61.15 |
$69.60 |
|
|
24 hr ambulatory b/p monitor
|
$291.20 |
$291.20 |
$291.20 |
|
|
2d tee w or without fol w/con,in
|
$1,073.60 |
$2,886.86 |
$2,886.86 |
|
|
2d tte w or without fol w/con,co
|
$1,239.20 |
$1,239.20 |
$1,239.20 |
|
|
2nd order venous cath
|
$410.03 |
$410.03 |
$2,975.20 |
|
|
3d ech img cgen car anomal
|
$128.16 |
$131.82 |
$131.82 |
|
|
3-d radiotherapy plan
|
$2,239.73 |
$3,912.83 |
$7,427.20 |
|
|
3d recon without postprocess indpndt
|
$640.00 |
$852.00 |
$1,573.32 |
|
|
4-bar link above knee w/swng
|
$2,675.51 |
$3,553.93 |
$3,553.93 |
|
|
5% dextrose and 0.45% saline
|
$14.00 |
$70.79 |
$86.40 |
|
|
88334 ap bill cytologic exam each additional site
|
$38.21 |
$38.53 |
$164.00 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,302.84 |
$2,522.26 |
$2,981.96 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$56.80 |
$56.80 |
$56.80 |
|
|
Abciximab injection
|
$1,960.56 |
$1,960.56 |
$1,960.56 |
|
|
Abd aorta w/runoff s&i
|
$3,629.42 |
$3,629.42 |
$4,911.20 |
|
|
Abd/low ext cath 1st
|
$812.78 |
$812.78 |
$4,575.20 |
|
|
Abd/low ext cath 2nd
|
$1,626.40 |
$2,024.74 |
$2,024.74 |
|
|
Abd/low ext cath 3rd
|
$1,943.20 |
$1,990.85 |
$1,990.85 |
|
|
Abd/low ext cath addl
|
$279.20 |
$436.46 |
$875.62 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$887.81 |
$1,232.00 |
$2,356.31 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$480.91 |
$853.60 |
$1,561.60 |
|
|
Abdominal CT scan (with and without contrast)
|
$863.71 |
$2,673.60 |
$3,484.80 |
|
|
Abdominal CT scan (with contrast)
|
$647.76 |
$2,364.00 |
$3,021.60 |
|
|
Abdominal CT scan (without contrast)
|
$431.81 |
$1,888.80 |
$2,472.80 |
|
|
Abdominal MRI (with and without contrast)
|
$1,368.19 |
$3,704.80 |
$4,335.20 |
|
|
Abdominal MRI (with contrast)
|
$1,231.34 |
$3,118.53 |
$3,473.60 |
|
|
Abdominal MRI (without contrast)
|
$1,094.50 |
$2,772.11 |
$3,114.40 |
|
|
Abdominal pad
|
$131.15 |
$179.14 |
$179.14 |
|
|
Abdominal paracentesis w/image guidance
|
$931.62 |
$1,133.61 |
$2,092.80 |
|
|
Abdominal Ultrasound (complete)
|
$455.28 |
$803.20 |
$1,108.00 |
|
|
Abdominal Ultrasound (limited)
|
$379.44 |
$604.80 |
$824.80 |
|
|
Abdominal X-ray (2 views)
|
$207.79 |
$319.20 |
$437.60 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$138.62 |
$275.20 |
$706.40 |
|
|
Abdominal X-ray (single view)
|
$207.79 |
$313.66 |
$400.80 |
|
|
Abd paracentesis/w/o image guide 49082
|
$401.23 |
$456.90 |
$1,487.20 |
|
|
Abduct control hip semi-flex
|
$334.32 |
$456.74 |
$456.74 |
|
|
Abduction bar jointed adjust
|
$398.38 |
$529.14 |
$529.14 |
|
|
Abduction bar-straight
|
$182.00 |
$248.75 |
$248.75 |
|
|
Abduction rotation bar shoe
|
$140.90 |
$192.47 |
$192.47 |
|
|
Abduct rotation bar without shoe
|
$128.80 |
$176.01 |
$176.01 |
|
|
Ablate arrhythmia add on
|
$10,966.18 |
$10,966.18 |
$12,404.00 |
|
|
Ablate bone tumor(s) perq
|
$3,823.82 |
$3,823.82 |
$8,528.80 |
|
|
Ablate heart dysrhythm focus
|
$6,396.86 |
$8,334.76 |
$13,548.00 |
|
|
Ablate pulm tumor perq crybl
|
$340.48 |
$340.48 |
$377.16 |
|
|
Ablate pulm tumor perq rf
|
$5,383.06 |
$5,383.06 |
$5,383.06 |
|
|
Ablation cardiac vagal inputs atrium
|
$2,545.60 |
$16,939.01 |
$16,939.01 |
|
|
Ablation cryo abd perit om
|
$1,416.91 |
$2,419.82 |
$2,419.82 |
|
|
Ablation cryo adrenal tumor
|
$1,518.53 |
$1,518.53 |
$1,518.53 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$287.95 |
$287.95 |
$4,517.60 |
|
|
Ablation cryo retro lymph node
|
$1,416.91 |
$1,416.91 |
$1,737.60 |
|
|
Ablation cryo thigh/knee
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
|
|
Ablation of upper extremity nerves rf
|
$380.00 |
$1,023.96 |
$4,150.70 |
|
|
Abobotulinumtoxina
|
$862.51 |
$1,403.33 |
$1,403.33 |
|
|
Abortion (mpr)
|
$3,106.08 |
$3,106.08 |
$3,106.08 |
|
|
Above elbow prosth tiss shap
|
$5,352.48 |
$6,934.65 |
$6,934.65 |
|
|
Above knee cushion socket
|
$1,156.57 |
$1,536.30 |
$1,536.30 |
|
|
Above knee flex cover system
|
$1,777.33 |
$2,360.85 |
$2,360.85 |
|
|
Above knee hydracadence
|
$3,987.70 |
$4,994.14 |
$4,994.14 |
|
|
Above knee leather socket
|
$1,076.88 |
$1,430.41 |
$1,430.41 |
|
|
Above knee manual lock
|
$529.70 |
$703.58 |
$703.58 |
|
|
Above knee wood socket
|
$931.06 |
$1,236.76 |
$1,236.76 |
|
|
Abscess drain retroperitoneal surg code
|
$801.47 |
$1,149.23 |
$3,945.60 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,503.41 |
$1,503.41 |
$3,893.60 |
|
|
Access thoracic lymph duct
|
$1,113.79 |
$1,113.79 |
$1,113.79 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.32 |
$41.14 |
$194.01 |
|
|
Acetaminophen level
|
$46.66 |
$54.43 |
$122.40 |
|
|
Acetazolamide 500 mg solution for injection
|
$59.55 |
$89.72 |
$101.49 |
|
|
Acetone qualitative
|
$19.26 |
$27.20 |
$74.40 |
|
|
Acetylcholine receptor modulating antibody
|
$76.32 |
$89.04 |
$96.15 |
|
|
Acetylcholinesterase assay
|
$52.47 |
$52.47 |
$67.98 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$70.96 |
$201.48 |
$444.04 |
|
|
Acetylcysteine non-comp unit
|
$10.76 |
$12.56 |
$59.76 |
|
|
Acid perfusion of esophagus
|
$505.87 |
$755.27 |
$755.27 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$209.10 |
$209.10 |
$487.20 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$11.42 |
$21.62 |
$68.00 |
|
|
Acoustic immitance testing
|
$46.14 |
$46.14 |
$60.48 |
|
|
Acoustic refl threshold tst
|
$51.20 |
$77.45 |
$101.14 |
|
|
Actigraphy testing
|
$135.20 |
$298.14 |
$298.14 |
|
|
Acup 1/> w/estim 1st 15 min
|
$94.98 |
$94.98 |
$95.66 |
|
|
Acup 1/> w/estim ea addl 15
|
$47.54 |
$47.54 |
$47.90 |
|
|
Acup 1/> without estim ea add 15
|
$42.67 |
$42.67 |
$44.26 |
|
|
Acup 1/> wo estim 1st 15 min
|
$85.18 |
$85.18 |
$88.22 |
|
|
Acute hepatitis panel
|
$85.90 |
$93.98 |
$390.40 |
|
|
Acute venous thrombus image
|
$683.38 |
$1,114.68 |
$1,114.68 |
|
|
Acyclovir 400 mg tablet
|
$3.03 |
$6.97 |
$742.65 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$26.80 |
$62.17 |
$91.96 |
|
|
#acylcarnitineprfl
|
$18.70 |
$18.70 |
$57.60 |
|
|
Adapter b 8 channel 10cm
|
$560.00 |
$2,318.40 |
$3,816.00 |
|
|
Additional switch, ext power
|
$652.79 |
$867.10 |
$867.10 |
|
|
Add le poly knee custom kafo
|
$302.06 |
$412.72 |
$412.72 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$27.57 |
$70.67 |
$654.76 |
|
|
Adh-sendout
|
$157.60 |
$189.67 |
$344.00 |
|
|
Adj gastric band via subq port
|
$3,385.01 |
$3,385.01 |
$3,385.01 |
|
|
Adjustment gastric band
|
$207.59 |
$207.59 |
$1,698.40 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$20.00 |
$217.38 |
$2,343.18 |
|
|
Admin ecg contrast agent
|
$162.40 |
$295.20 |
$295.20 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$95.20 |
$177.46 |
$319.20 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$126.17 |
$288.80 |
$383.20 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$306.66 |
$596.80 |
$859.20 |
|
