|
11-desoxycortisol - sendout
|
$470.80 |
$470.80 |
$470.80 |
$87.50
|
|
17-hydroxypregnenolone
|
$77.00 |
$77.00 |
$77.00 |
$85.15
|
|
17-ketosteroids
|
$27.50 |
$27.50 |
$27.50 |
$44.00
|
|
2nd order venous cath
|
$272.74 |
$272.74 |
$272.74 |
$1,809.60
|
|
3-d radiotherapy plan
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$968.88 |
$968.88 |
$968.88 |
$427.34
|
|
5' nucleotidase - sendout
|
$156.20 |
$156.20 |
$156.20 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$143.00 |
$143.00 |
$143.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$19.80 |
$19.80 |
$19.80 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,666.86 |
$4,666.86 |
$4,666.86 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$2,533.74 |
$2,533.74 |
$2,533.74 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$2,608.32 |
$2,608.32 |
$2,608.32 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,086.26 |
$2,086.26 |
$2,086.26 |
$3,050.58
|
|
Abd/low ext cath addl
|
$432.96 |
$432.96 |
$432.96 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,058.64 |
$1,058.64 |
$1,058.64 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$895.62 |
$895.62 |
$895.62 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,916.21
|
|
Abdominal MRI (without contrast)
|
$1,180.08 |
$1,180.08 |
$1,180.08 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,626.54 |
$1,626.54 |
$1,626.54 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$711.71 |
$711.71 |
$711.71 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$574.04 |
$574.04 |
$574.04 |
$603.33
|
|
Abdominoplasty 15830
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$5,741.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,138.53 |
$1,138.53 |
$1,138.53 |
$1,170.28
|
|
Ablate bone tumor(s) perq
|
$15,200.46 |
$15,200.46 |
$15,200.46 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$2,409.51 |
$2,409.51 |
$2,409.51 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$3,825.74 |
$3,825.74 |
$3,825.74 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$3,983.54 |
$3,983.54 |
$3,983.54 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$6,301.87 |
$6,301.87 |
$6,301.87 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$761.28 |
$761.28 |
$761.28 |
$859.50
|
|
Ablation cryo thigh/knee
|
$126.44 |
$126.44 |
$126.44 |
$386.10
|
|
Ablation of upper extremity nerves rf
|
$507.35 |
$507.35 |
$507.35 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$2,687.22 |
$2,687.22 |
$2,687.22 |
$3,053.18
|
|
Acetone qualitative
|
$54.45 |
$54.45 |
$54.45 |
$47.45
|
|
Acute hepatitis panel
|
$211.20 |
$211.20 |
$211.20 |
$284.70
|
|
#acylcarnitineprfl
|
$210.65 |
$210.65 |
$210.65 |
$105.60
|
|
Adenovirus ag ia
|
$40.70 |
$40.70 |
$40.70 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$98.45 |
$98.45 |
$98.45 |
$63.00
|
|
Adh-sendout
|
$776.60 |
$776.60 |
$776.60 |
$109.28
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$2,786.55
|
|
Administration chemotherapy IV infusion each additional hour
|
$184.80 |
$184.80 |
$184.80 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$414.48 |
$414.48 |
$414.48 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$533.50 |
$533.50 |
$533.50 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$260.70 |
$260.70 |
$260.70 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$236.94 |
$236.94 |
$236.94 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$236.94 |
$236.94 |
$236.94 |
$264.00
|
|
Administration immunization 1 vaccine
|
$25.85 |
$25.85 |
$25.85 |
$70.52
|
|
Administration immunization each additional vaccine
|
$26.95 |
$26.95 |
$26.95 |
$46.23
|
|
Administration immunization first component each vaccine
|
$32.45 |
$32.45 |
$32.45 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$23.10 |
$23.10 |
$23.10 |
$48.00
|
|
Administration vaccine hepatitis b
|
$60.50 |
$60.50 |
$60.50 |
$51.35
|
|
Administration vaccine influenza virus
|
$38.50 |
$38.50 |
$38.50 |
$49.50
|
|
Administration vaccine pneumococcal
|
$33.00 |
$33.00 |
$33.00 |
$51.11
|
|
Advance care planning each additional 30 min 99498
|
$115.50 |
$115.50 |
$115.50 |
$131.21
|
|
_afb id by dna probe rflx ast
|
$106.70 |
$106.70 |
$106.70 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$139.70 |
$139.70 |
$139.70 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$51.70 |
$51.70 |
$51.70 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$38.50 |
$38.50 |
$38.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$38.50 |
$38.50 |
$38.50 |
$43.50
|
|
Alkaline phosphatase
|
$34.10 |
$34.10 |
$34.10 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$43.45 |
$43.45 |
$43.45 |
$56.35
|
|
Allergen egg white ige
|
$52.80 |
$52.80 |
$52.80 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$125.95 |
$125.95 |
$125.95 |
$26.95
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$240.35 |
$240.35 |
$240.35 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$156.20 |
$156.20 |
$156.20 |
$99.00
|
|
Alt/sgpt
|
$46.75 |
$46.75 |
$46.75 |
$49.00
|
|
Aluminum - quest
|
$73.15 |
$73.15 |
$73.15 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$276.10 |
$276.10 |
$276.10 |
$196.20
|
|
Aminolevulinic acid delta
|
$102.30 |
$102.30 |
$102.30 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$355.85 |
$355.85 |
$355.85 |
$101.17
|
|
Ammonia
|
$95.70 |
$95.70 |
$95.70 |
$120.90
|
|
Amniocentesisdiagnostic 59000
|
$600.60 |
$600.60 |
$600.60 |
$942.60
|
|
Amniocentesis therapeutic
|
$660.00 |
$660.00 |
$660.00 |
$778.57
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$9,922.44 |
$9,922.44 |
$9,922.44 |
$3,835.20
|
|
Amphetamine confirm urine -sendout
|
$121.00 |
$121.00 |
$121.00 |
$94.50
|
|
Amphetamines 5 or more
|
$195.25 |
$195.25 |
$195.25 |
$101.40
|
|
Amp metatarsal w/toe single 28810
|
$575.85 |
$575.85 |
$575.85 |
$3,615.94
|
|
Amputate thigh through femur 27590
|
$1,082.95 |
$1,082.95 |
$1,082.95 |
$3,852.55
|
|
Amputation leg thr tib/fib 27880
|
$1,238.60 |
$1,238.60 |
$1,238.60 |
$3,996.20
|
|
Amputation of lower leg
|
$811.80 |
$811.80 |
$811.80 |
$2,916.80
|
|
Amputation toe metatarsophalangeal joint
|
$524.15 |
$524.15 |
$524.15 |
$3,777.93
|
|
Amylase
|
$112.20 |
$112.20 |
$112.20 |
$93.00
|
|
Ana ds-dna
|
$17.60 |
$17.60 |
$17.60 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$205.15 |
$205.15 |
$205.15 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$514.80 |
$514.80 |
$514.80 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$273.35 |
$273.35 |
$273.35 |
$226.60
|
|
Analysis nerve
|
$182.05 |
$182.05 |
$182.05 |
$223.19
|
|
Analysis tumor
|
$275.55 |
$275.55 |
$275.55 |
$240.00
|
|
Anaplsma phgcytophlm amp prb
|
$46.20 |
$46.20 |
$46.20 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$210.65 |
$210.65 |
$210.65 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$1,118.04 |
$1,118.04 |
$1,118.04 |
$2,626.65
|
|
An fluoro guide for cvp
|
$565.62 |
$565.62 |
$565.62 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,395.27 |
$4,395.27 |
$4,395.27 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$4,592.25 |
$4,592.25 |
$4,592.25 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,658.61 |
$4,658.61 |
$4,658.61 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,395.27 |
$4,395.27 |
$4,395.27 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,675.92 |
$5,675.92 |
$5,675.92 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,643.98 |
$4,643.98 |
$4,643.98 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$7,739.79 |
$7,739.79 |
$7,739.79 |
$9,074.63
|
