|
11-desoxycortisol - sendout
|
$22.60 |
$28.25 |
$127.44 |
|
|
17-hydroxypregnenolone
|
$40.40 |
$72.91 |
$137.28 |
|
|
17-ketosteroids
|
$47.84 |
$52.32 |
$122.00 |
|
|
2019-ncov diagnostic p
|
$26.20 |
$31.44 |
$58.95 |
|
|
24 hr ambulatory b/p monitor
|
$140.76 |
$140.76 |
$140.76 |
|
|
2d tee w or without fol w/con,in
|
$567.80 |
$652.97 |
$709.75 |
|
|
2d tte w or without fol w/con,co
|
$481.60 |
$562.12 |
$574.50 |
|
|
2nd order venous cath
|
$236.50 |
$318.40 |
$384.56 |
|
|
3d ech img cgen car anomal
|
$498.64 |
$498.64 |
$498.64 |
|
|
3-d radiotherapy plan
|
$1,333.20 |
$1,533.18 |
$1,752.50 |
|
|
3d recon without postprocess indpndt
|
$304.75 |
$385.68 |
$498.64 |
|
|
5' nucleotidase - sendout
|
$7.50 |
$10.12 |
$22.50 |
|
|
88334 ap bill cytologic exam each additional site
|
$12.60 |
$12.60 |
$15.12 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$10.58 |
$10.58 |
$13.68 |
|
|
Abd aorta w/runoff s&i
|
$1,793.54 |
$1,820.00 |
$2,047.00 |
|
|
Abd/low ext cath 1st
|
$307.75 |
$433.09 |
$491.80 |
|
|
Abd/low ext cath 2nd
|
$336.75 |
$572.24 |
$584.60 |
|
|
Abd/low ext cath 3rd
|
$400.50 |
$497.60 |
$599.61 |
|
|
Abd/low ext cath addl
|
$400.50 |
$521.40 |
$599.61 |
|
|
Abdominal CT scan (with and without contrast)
|
$856.60 |
$1,024.59 |
$1,217.75 |
|
|
Abdominal CT scan (with contrast)
|
$718.00 |
$924.83 |
$1,117.25 |
|
|
Abdominal CT scan (without contrast)
|
$613.20 |
$778.78 |
$894.48 |
|
|
Abdominal MRI (with and without contrast)
|
$1,207.60 |
$1,465.50 |
$2,131.65 |
|
|
Abdominal MRI (with contrast)
|
$858.40 |
$1,075.25 |
$1,289.00 |
|
|
Abdominal MRI (without contrast)
|
$748.80 |
$1,037.76 |
$1,128.00 |
|
|
Abdominal paracentesis w/image guidance
|
$346.04 |
$653.20 |
$857.00 |
|
|
Abdominal Ultrasound (complete)
|
$267.03 |
$304.60 |
$369.90 |
|
|
Abdominal Ultrasound (limited)
|
$191.13 |
$271.75 |
$401.85 |
|
|
Abd paracentesis/w/o image guide 49082
|
$530.00 |
$636.00 |
$845.10 |
|
|
Abl1 gene
|
$201.25 |
$210.00 |
$218.40 |
|
|
Ablate arrhythmia add on
|
$2,823.80 |
$3,409.75 |
$3,706.25 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
|
|
Ablate bone tumor(s) perq
|
$1,790.80 |
$1,790.80 |
$2,756.75 |
|
|
Ablate heart dysrhythm focus
|
$2,965.00 |
$2,965.00 |
$3,097.18 |
|
|
Ablate pulm tumor perq crybl
|
$1,914.00 |
$2,166.37 |
$2,206.50 |
|
|
Ablate pulm tumor perq rf
|
$2,830.00 |
$2,830.00 |
$2,830.00 |
|
|
Ablation cardiac vagal inputs atrium
|
$306.00 |
$2,662.60 |
$3,061.99 |
|
|
Ablation cryo abd perit om
|
$724.80 |
$869.76 |
$1,568.25 |
|
|
Ablation cryo pq liver tumor(s)
|
$2,218.20 |
$2,496.19 |
$2,628.25 |
|
|
Ablation cryo retro lymph node
|
$177.00 |
$177.00 |
$177.00 |
|
|
Ablation of upper extremity nerves rf
|
$178.80 |
$204.70 |
$354.60 |
|
|
Abscess drain retroperitoneal surg code
|
$733.80 |
$843.87 |
$917.25 |
|
|
Abscess imaging ltd area
|
$348.68 |
$348.68 |
$348.68 |
|
|
Abscess imaging whole body
|
$390.20 |
$499.00 |
$560.51 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,133.50 |
$1,133.50 |
$1,133.50 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$15.00 |
$17.25 |
$18.75 |
|
|
Acetaminophen level
|
$15.40 |
$18.48 |
$34.65 |
|
|
Acetazolamide 500 mg solution for injection
|
$55.48 |
$63.81 |
$69.36 |
|
|
Acetone qualitative
|
$17.52 |
$31.80 |
$50.85 |
|
|
Acetylcholine receptor modulating antibody
|
$7.40 |
$8.88 |
$16.65 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$152.64 |
$175.54 |
$190.80 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$9.20 |
$18.04 |
$19.80 |
|
|
Actigraphy testing
|
$86.25 |
$86.25 |
$86.75 |
|
|
Acute hepatitis panel
|
$109.92 |
$143.52 |
$422.40 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$29.16 |
$33.53 |
$36.45 |
|
|
#acylcarnitineprfl
|
$143.50 |
$153.60 |
$160.00 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$271.98 |
$312.78 |
$339.97 |
|
|
Adenovirus antibody,serum - quest
|
$60.40 |
$60.40 |
$89.25 |
|
|
Adh-sendout
|
$55.35 |
$104.20 |
$322.50 |
|
|
Adj gastric band via subq port
|
$482.00 |
$554.30 |
$578.40 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$13.08 |
$15.05 |
$16.36 |
|
|
Admin ecg contrast agent
|
$38.60 |
$44.39 |
$48.25 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$73.80 |
$92.88 |
$106.20 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$89.01 |
$92.88 |
$97.00 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$303.60 |
$364.32 |
$831.60 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$189.60 |
$218.04 |
$284.50 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$89.01 |
$92.88 |
$97.00 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$79.25 |
$89.01 |
$97.00 |
|
|
Administration immunization 1 vaccine
|
$27.60 |
$34.50 |
$65.55 |
|
|
Administration immunization each additional vaccine
|
$27.60 |
$31.74 |
$34.50 |
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$12.80 |
$15.36 |
$28.80 |
|
|
Administration vaccine hepatitis b
|
$26.22 |
$31.80 |
$56.16 |
|
|
Administration vaccine influenza virus
|
$9.43 |
$22.80 |
$56.16 |
|
|
Administration vaccine pneumococcal
|
$9.43 |
$22.80 |
$56.16 |
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$11.00 |
$13.20 |
$24.75 |
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,830.04 |
$4,596.05 |
$8,617.59 |
|
|
Adrenal cortex & medulla img
|
$635.04 |
$635.04 |
$1,092.50 |
|
|
Adrenalin epinephrine inject
|
$561.93 |
$646.22 |
$702.41 |
|
|
After cataract laser surgery
|
$635.50 |
$635.50 |
$697.50 |
|
|
Air injection into abdomen 49400
|
$85.00 |
$97.75 |
$101.25 |
|
|
Airway resistance by impulse oscillometry 94728
|
$92.75 |
$101.00 |
$158.64 |
|
|
Albumin body fluid quantitative each specimen
|
$4.60 |
$5.52 |
$27.00 |
|
|
Albumin (human), 25%, 50ml
|
$44.28 |
$53.14 |
$99.63 |
|
|
Albumin (human), 5%, 250 ml
|
$44.40 |
$53.28 |
$99.90 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$30.75 |
$44.88 |
$88.65 |
|
|
Albumin serum plasma or whole blood
|
$28.29 |
$36.57 |
$47.75 |
|
|
Alkaline phosphatase
|
$29.93 |
$32.85 |
$116.16 |
|
|
Allergen alpha lactalbumin ige
|
$11.60 |
$13.92 |
$26.10 |
|
|
Allergen egg white ige
|
$5.20 |
$6.25 |
$16.20 |
|
|
Allergen specific ige qual multi scrn ea
|
$6.20 |
$6.67 |
$7.25 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$107.80 |
$107.80 |
$107.80 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$596.40 |
$596.40 |
$596.40 |
|
|
Alloskin
|
$8.20 |
$8.20 |
$8.20 |
|
|
Alpha-fetoprotein amniotic
|
$105.00 |
$105.00 |
$105.00 |
|
|
Alpha-fetoprotein tumor marker
|
$50.43 |
$95.75 |
$180.72 |
|
|
Alprostadil for injection
|
$213.14 |
$255.77 |
$479.57 |
|
|
Als 1
|
$544.64 |
$592.00 |
$596.88 |
|
|
Als1-emergency
|
$627.44 |
$682.00 |
$686.88 |
|
|
Als 2
|
$710.93 |
$772.75 |
$779.04 |
|
|
Alt/sgpt
|
$23.37 |
$36.57 |
$58.80 |
|