|
11-desoxycortisol - sendout
|
$78.00 |
$78.00 |
$78.00 |
$92.04
|
|
17-hydroxypregnenolone
|
$44.20 |
$44.20 |
$44.20 |
$98.40
|
|
2d tee w or without fol w/con,in
|
$1,435.85 |
$1,435.85 |
$1,435.85 |
$1,870.05
|
|
2nd order venous cath
|
$10,858.01 |
$10,858.01 |
$10,858.01 |
$2,537.60
|
|
3d ech img cgen car anomal
|
$47.45 |
$47.45 |
$47.45 |
$695.69
|
|
3-d radiotherapy plan
|
$31,252.00 |
$31,252.00 |
$31,252.00 |
$5,005.80
|
|
88334 ap bill cytologic exam each additional site
|
$25,698.89 |
$25,698.89 |
$25,698.89 |
$98.15
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,128.29 |
$3,128.29 |
$3,128.29 |
$3,649.67
|
|
Abd aorta w/runoff s&i
|
$2,503.15 |
$2,503.15 |
$2,503.15 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$43,665.35 |
$43,665.35 |
$43,665.35 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$25,262.32 |
$25,262.32 |
$25,262.32 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$55,583.02 |
$55,583.02 |
$55,583.02 |
$3,554.85
|
|
Abd/low ext cath addl
|
$54,881.35 |
$54,881.35 |
$54,881.35 |
$976.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$984.75 |
$984.75 |
$984.75 |
$1,678.00
|
|
Abdominal CT scan (without contrast)
|
$984.75 |
$984.75 |
$984.75 |
$1,290.90
|
|
Abdominal MRI (with and without contrast)
|
$3,729.70 |
$3,729.70 |
$3,729.70 |
$2,713.80
|
|
Abdominal MRI (with contrast)
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$2,077.14
|
|
Abdominal MRI (without contrast)
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$1,883.70
|
|
Abdominal paracentesis w/image guidance
|
$3,337.75 |
$3,337.75 |
$3,337.75 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$733.85
|
|
Abdominal Ultrasound (limited)
|
$1,060.15 |
$1,060.15 |
$1,060.15 |
$603.33
|
|
Ablate heart dysrhythm focus
|
$14,461.20 |
$14,461.20 |
$14,461.20 |
$8,936.20
|
|
Ablation cardiac vagal inputs atrium
|
$23,396.75 |
$23,396.75 |
$23,396.75 |
$6,281.60
|
|
Ablation cryo retro lymph node
|
$18,690.79 |
$18,690.79 |
$18,690.79 |
$1,948.83
|
|
Abscess drain retroperitoneal surg code
|
$6,822.47 |
$6,822.47 |
$6,822.47 |
$3,053.18
|
|
Acetaminophen level
|
$162.50 |
$162.50 |
$162.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$129.02 |
$129.02 |
$129.02 |
$97.26
|
|
Acetone qualitative
|
$50.05 |
$50.05 |
$50.05 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$39.65 |
$39.65 |
$39.65 |
$93.60
|
|
Acetylcholinesterase assay
|
$42.90 |
$42.90 |
$42.90 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$162.53 |
$162.53 |
$162.53 |
$406.77
|
|
Acne surgery 10040
|
$40.95 |
$40.95 |
$40.95 |
$234.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$248.30 |
$248.30 |
$248.30 |
$387.73
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$26.65 |
$26.65 |
$26.65 |
$44.80
|
|
Actinotherapy uv light
|
$147.55 |
$147.55 |
$147.55 |
$111.15
|
|
Acute hepatitis panel
|
$386.75 |
$386.75 |
$386.75 |
$310.20
|
|
#acylcarnitineprfl
|
$201.50 |
$201.50 |
$201.50 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$212.32 |
$212.32 |
$212.32 |
$97.58
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$146.59 |
$146.59 |
$146.59 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$161.20 |
$161.20 |
$161.20 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$113.10 |
$113.10 |
$113.10 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,000.35 |
$1,000.35 |
$1,000.35 |
$735.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$484.90 |
$484.90 |
$484.90 |
$464.40
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$147.55 |
$147.55 |
$147.55 |
$224.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$707.20 |
$707.20 |
$707.20 |
$267.43
|
|
Administration immunization 1 vaccine
|
$108.55 |
$108.55 |
$108.55 |
$66.51
|
|
Administration immunization each additional component
|
$25.35 |
$25.35 |
$25.35 |
$27.20
|
|
Administration immunization each additional vaccine
|
$70.85 |
$70.85 |
$70.85 |
$46.23
|
|
Administration immunization first component each vaccine
|
$36.40 |
$36.40 |
$36.40 |
$46.00
|
|
Administration vaccine influenza virus
|
$70.85 |
$70.85 |
$70.85 |
$37.05
|
|
Administration vaccine pneumococcal
|
$70.85 |
$70.85 |
$70.85 |
$38.25
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$6,750.28 |
$6,750.28 |
$6,750.28 |
$59.76
|
|
Adrenal cortex & medulla img
|
$2,639.65 |
$2,639.65 |
$2,639.65 |
$1,703.40
|
|
Advance care planning each additional 30 min 99498
|
$74.10 |
$74.10 |
$74.10 |
$134.40
|
|
Aep neurodiagnostic i&r
|
$904.80 |
$904.80 |
$904.80 |
$571.55
|
|
_afb id by dna probe rflx ast
|
$164.45 |
$164.45 |
$164.45 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$347.75 |
$347.75 |
$347.75 |
$330.00
|
|
Albumin body fluid quantitative each specimen
|
$88.40 |
$88.40 |
$88.40 |
$42.90
|
|
Albumin (human), 25%, 50ml
|
$292.50 |
$292.50 |
$292.50 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$292.50 |
$292.50 |
$292.50 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$100.10 |
$100.10 |
$100.10 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$67.60 |
$67.60 |
$67.60 |
$41.90
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$183.95 |
$183.95 |
$183.95 |
$78.00
|
|
Alkaline phosphatase
|
$92.30 |
$92.30 |
$92.30 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$48.75 |
$48.75 |
$48.75 |
$56.35
|
|
Allergen egg white ige
|
$91.65 |
$91.65 |
$91.65 |
$41.38
|
|
Allergen specific ige qual multi scrn ea
|
$14.30 |
$14.30 |
$14.30 |
$39.00
|
|
Allograft amnioexcel plus 17mm disk
|
$715.00 |
$715.00 |
$715.00 |
$6,637.80
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$9.36
|
|
Alpha-fetoprotein amniotic
|
$39.65 |
$39.65 |
$39.65 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$191.10 |
$191.10 |
$191.10 |
$124.20
|
|
Alprostadil for injection
|
$550.37 |
$550.37 |
$550.37 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$17,160.70 |
$17,160.70 |
$17,160.70 |
$285.00
|
|
Alt/sgpt
|
$100.10 |
$100.10 |
$100.10 |
$44.68
|
|
Aluminum - quest
|
$33.15 |
$33.15 |
$33.15 |
$121.25
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$25.19 |
$25.19 |
$25.19 |
$44.55
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$29.25 |
$29.25 |
$29.25 |
$32.77
|
|
Aminolevulinic acid delta
|
$37.70 |
$37.70 |
$37.70 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$46.02 |
$46.02 |
$46.02 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$150.15 |
$150.15 |
$150.15 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$55.81 |
$55.81 |
$55.81 |
$42.92
|
|
Ammonia
|
$176.15 |
$176.15 |
$176.15 |
$96.53
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$156.00 |
$156.00 |
$156.00 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,065.54 |
$1,065.54 |
$1,065.54 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$23.09 |
$23.09 |
$23.09 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$13.65 |
$13.65 |
$13.65 |
$45.34
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$554.45 |
$554.45 |
$554.45 |
$362.93
|
|
Amylase
|
$166.40 |
$166.40 |
$166.40 |
$83.20
|
|
Anal/urinary muscle study
|
$646.75 |
$646.75 |
$646.75 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$87.10 |
$87.10 |
$87.10 |
$373.23
|
|
Analysis gene f2 20210g>a variant
|
$425.10 |
$425.10 |
$425.10 |
$249.03
|
|
Analysis gene f5 leiden variant
|
$223.60 |
$223.60 |
$223.60 |
$263.90
|
|
Analysis nerve
|
$2,531.10 |
$2,531.10 |
$2,531.10 |
$274.49
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$51.35 |
$51.35 |
$51.35 |
$166.00
|
|
Anaplsma phgcytophlm amp prb
|
$51.35 |
$51.35 |
$51.35 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$37.70 |
$37.70 |
$37.70 |
$112.45
|
|
An cholangiogram percutaneous compl
|
$1,802.19 |
$1,802.19 |
$1,802.19 |
$2,417.63
|
|
An fluoro guide for cvp
|
$627.25 |
$627.25 |
$627.25 |
$510.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$21,415.92 |
$21,415.92 |
$21,415.92 |
$5,536.00
|