|
11-desoxycortisol - sendout
|
$23.98 |
$23.98 |
$43.60 |
$87.50
|
|
17-hydroxypregnenolone
|
$31.90 |
$31.90 |
$58.00 |
$89.25
|
|
2019-ncov diagnostic p
|
$28.82 |
$28.82 |
$52.40 |
$53.71
|
|
3-d radiotherapy plan
|
$921.80 |
$921.80 |
$1,676.00 |
$5,002.69
|
|
5' nucleotidase - sendout
|
$19.80 |
$19.80 |
$36.00 |
$50.40
|
|
Abd aorta w/runoff s&i
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$801.46 |
$801.46 |
$1,457.20 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$801.46 |
$801.46 |
$1,457.20 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$801.46 |
$801.46 |
$1,457.20 |
$2,486.97
|
|
Abd/low ext cath addl
|
$801.46 |
$801.46 |
$1,457.20 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$358.82 |
$358.82 |
$652.40 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$286.88 |
$286.88 |
$521.60 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$239.14 |
$239.14 |
$434.80 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$444.18 |
$444.18 |
$807.60 |
$3,015.94
|
|
Abdominal MRI (without contrast)
|
$313.50 |
$313.50 |
$570.00 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$393.14 |
$393.14 |
$714.80 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$178.64 |
$178.64 |
$324.80 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$130.02 |
$130.02 |
$236.40 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$304.92 |
$304.92 |
$554.40 |
$1,145.40
|
|
Abl1 gene
|
$126.94 |
$126.94 |
$230.80 |
$682.50
|
|
Ablate bone tumor(s) perq
|
$4,800.62 |
$4,800.62 |
$8,728.40 |
$9,350.33
|
|
Ablation cryo pq liver tumor(s)
|
$2,797.52 |
$2,797.52 |
$5,086.40 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$381.48 |
$381.48 |
$693.60 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$2,957.17
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$801.46 |
$801.46 |
$1,457.20 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$33.00 |
$33.00 |
$60.00 |
$74.96
|
|
Acetazolamide 500 mg solution for injection
|
$122.07 |
$122.07 |
$221.94 |
$122.55
|
|
Acetone qualitative
|
$30.36 |
$30.36 |
$55.20 |
$45.65
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$335.81 |
$335.81 |
$610.56 |
$216.00
|
|
Aco ccm; at least 20 min 99490aco
|
$19.80 |
$19.80 |
$36.00 |
$102.38
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$115.72 |
$115.72 |
$210.40 |
$345.15
|
|
Aco depression screen annual medicare g0444aco
|
$9.90 |
$9.90 |
$18.00 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$9.68 |
$9.68 |
$17.60 |
$41.67
|
|
Acute hepatitis panel
|
$13.64 |
$13.64 |
$24.80 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$64.15 |
$64.15 |
$116.64 |
$63.48
|
|
Adenosine 3 mg/250 ml bag for osm
|
$598.36 |
$598.36 |
$1,087.92 |
$255.41
|
|
Adh-sendout
|
$75.24 |
$75.24 |
$136.80 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$14.39 |
$14.39 |
$26.17 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$58.30 |
$58.30 |
$106.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$72.16 |
$72.16 |
$131.20 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$155.32 |
$155.32 |
$282.40 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$195.58 |
$195.58 |
$355.60 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$141.24 |
$141.24 |
$256.80 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$77.88 |
$77.88 |
$141.60 |
$257.40
|
|
Administration immunization 1 vaccine
|
$29.92 |
$29.92 |
$54.40 |
$69.21
|
|
Administration immunization each additional vaccine
|
$29.92 |
$29.92 |
$54.40 |
$47.40
|
|
Administration vaccine hepatitis b
|
$29.92 |
$29.92 |
$54.40 |
$54.40
|
|
Administration vaccine influenza virus
|
$29.92 |
$29.92 |
$54.40 |
$50.43
|
|
Administration vaccine pneumococcal
|
$29.92 |
$29.92 |
$54.40 |
$50.43
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$8,426.09 |
$8,426.09 |
$15,320.16 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$1,236.25 |
$1,236.25 |
$2,247.72 |
$229.69
|
|
Albumin body fluid quantitative each specimen
|
$7.04 |
$7.04 |
$12.80 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$97.42 |
$97.42 |
$177.12 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$97.68 |
$97.68 |
$177.60 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.16 |
$6.16 |
$11.20 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$7.04 |
$7.04 |
$12.80 |
$40.80
|
|
Alkaline phosphatase
|
$9.46 |
$9.46 |
$17.20 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$18.70 |
$18.70 |
$34.00 |
$48.00
|
|
Allergen egg white ige
|
$64.90 |
$64.90 |
$118.00 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$67.98 |
$67.98 |
$123.60 |
$106.00
|
|
Alprostadil for injection
|
$468.91 |
$468.91 |
$852.57 |
$519.93
|
|
Alt/sgpt
|
$4.40 |
$4.40 |
$8.00 |
$47.45
|
|
Aluminum - quest
|
$21.56 |
$21.56 |
$39.20 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$67.98 |
$67.98 |
$123.60 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$71.11 |
$71.11 |
$129.29 |
$39.84
|
|
Amino acids quant 2-5
|
$53.90 |
$53.90 |
$98.00 |
$104.00
|
|
Aminolevulinic acid delta
|
$24.42 |
$24.42 |
$44.40 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$37.98 |
$37.98 |
$69.06 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$117.97 |
$117.97 |
$214.50 |
$55.86
|
|
Ammonia
|
$28.60 |
$28.60 |
$52.00 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$321.42 |
$321.42 |
$584.40 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$7.26 |
$7.26 |
$13.20 |
$92.61
|
|
Amphetamines 5 or more
|
$70.62 |
$70.62 |
$128.40 |
$82.96
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$115.86 |
$115.86 |
$210.66 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$619.74 |
$619.74 |
$1,126.80 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$210.57 |
$210.57 |
$382.85 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$170.97 |
$170.97 |
$310.86 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$173.58 |
$173.58 |
$315.60 |
$262.99
|
|
Amylase
|
$5.94 |
$5.94 |
$10.80 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$70.62 |
$70.62 |
$128.40 |
$80.08
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$67.98 |
$67.98 |
$123.60 |
$117.01
|
|
Anal pressure record
|
$136.40 |
$136.40 |
$248.00 |
$834.90
|
|
Anal/urinary muscle study
|
$59.40 |
$59.40 |
$108.00 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$73.04 |
$73.04 |
$132.80 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$110.66 |
$110.66 |
$201.20 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$79.42 |
$79.42 |
$144.40 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$23.32 |
$23.32 |
$42.40 |
$122.20
|
|
An cholangiogram percutaneous compl
|
$1,560.02 |
$1,560.02 |
$2,836.40 |
$2,626.65
|
|
An fluoro guide for cvp
|
$103.62 |
$103.62 |
$188.40 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,725.02 |
$1,725.02 |
$3,136.40 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$2,499.20 |
$2,499.20 |
$4,544.00 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$2,490.84 |
$2,490.84 |
$4,528.80 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,677.28 |
$1,677.28 |
$3,049.60 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ini
|
$1,782.66 |
$1,782.66 |
$3,241.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$2,490.84 |
$2,490.84 |
$4,528.80 |
$8,466.00
|
|
Ankle X-ray
|
$75.68 |
$75.68 |
$137.60 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$125.18 |
$125.18 |
$227.60 |
$627.94
|
|
Annual alcohol screen 15 min
|
$9.90 |
$9.90 |
$18.00 |
$40.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$61.60 |
$61.60 |
$112.00 |
$158.76
|
