|
11-desoxycortisol - sendout
|
$134.75 |
$134.75 |
$134.75 |
$87.50
|
|
17-hydroxypregnenolone
|
$76.45 |
$76.45 |
$76.45 |
$87.50
|
|
17-ketosteroids
|
$41.25 |
$41.25 |
$41.25 |
$44.00
|
|
2d tee w or without fol w/con,in
|
$3,660.25 |
$3,660.25 |
$3,660.25 |
$1,641.60
|
|
2d tte w or without fol w/con,co
|
$1,977.80 |
$1,977.80 |
$1,977.80 |
$1,108.76
|
|
2nd order venous cath
|
$846.45 |
$846.45 |
$846.45 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$200.20 |
$200.20 |
$200.20 |
$669.00
|
|
3-d radiotherapy plan
|
$4,687.10 |
$4,687.10 |
$4,687.10 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$828.85 |
$828.85 |
$828.85 |
$427.34
|
|
5' nucleotidase - sendout
|
$29.15 |
$29.15 |
$29.15 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$39.05 |
$39.05 |
$39.05 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$30.80 |
$30.80 |
$30.80 |
$151.20
|
|
99382 initial comp preventive med 1 to 4 years new
|
$30.80 |
$30.80 |
$30.80 |
$147.49
|
|
99383 initial comp preventive med 5 to 11 years new
|
$30.80 |
$30.80 |
$30.80 |
$162.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$30.80 |
$30.80 |
$30.80 |
$135.00
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$30.80 |
$30.80 |
$30.80 |
$139.32
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$30.80 |
$30.80 |
$30.80 |
$129.00
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$30.80 |
$30.80 |
$30.80 |
$147.92
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$52.25 |
$52.25 |
$52.25 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$2,825.90 |
$2,825.90 |
$2,825.90 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$3,385.80 |
$3,385.80 |
$3,385.80 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,384.80 |
$2,384.80 |
$2,384.80 |
$3,050.58
|
|
Abd/low ext cath addl
|
$964.70 |
$964.70 |
$964.70 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$815.10 |
$815.10 |
$815.10 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,311.10 |
$2,311.10 |
$2,311.10 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$636.35 |
$636.35 |
$636.35 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$567.05 |
$567.05 |
$567.05 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,632.40 |
$1,632.40 |
$1,632.40 |
$1,170.28
|
|
Abl1 gene
|
$777.70 |
$777.70 |
$777.70 |
$609.93
|
|
Ablate arrhythmia add on
|
$1,862.85 |
$1,862.85 |
$1,862.85 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$8,384.20 |
$8,384.20 |
$8,384.20 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$12,366.20 |
$12,366.20 |
$12,366.20 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$6,096.20 |
$6,096.20 |
$6,096.20 |
$10,047.60
|
|
Ablate pulm tumor perq crybl
|
$6,923.95 |
$6,923.95 |
$6,923.95 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$4,746.50 |
$4,746.50 |
$4,746.50 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$4,773.45 |
$4,773.45 |
$4,773.45 |
$3,664.63
|
|
Ablation cryo abd perit om
|
$2,145.55 |
$2,145.55 |
$2,145.55 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$4,741.55 |
$4,741.55 |
$4,741.55 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$6,253.50 |
$6,253.50 |
$6,253.50 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$806.85 |
$806.85 |
$806.85 |
$1,645.00
|
|
Ablation cryo thigh/knee
|
$386.10 |
$386.10 |
$386.10 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$598.40 |
$598.40 |
$598.40 |
$1,081.00
|
|
Abscess drain retroperitoneal surg code
|
$2,903.45 |
$2,903.45 |
$2,903.45 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,670.25 |
$2,670.25 |
$2,670.25 |
$3,263.74
|
|
Acetaminophen 120 mg rectal suppository
|
$75.09 |
$75.09 |
$75.09 |
$146.76
|
|
Acetone qualitative
|
$45.65 |
$45.65 |
$45.65 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$47.30 |
$47.30 |
$47.30 |
$67.50
|
|
Acetylcholinesterase assay
|
$94.05 |
$94.05 |
$94.05 |
$106.70
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$200.75 |
$200.75 |
$200.75 |
$362.45
|
|
Aco depression screen annual medicare g0444aco
|
$15.84 |
$15.84 |
$15.84 |
$33.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$35.20 |
$35.20 |
$35.20 |
$42.28
|
|
Acute hepatitis panel
|
$144.10 |
$144.10 |
$144.10 |
$285.35
|
|
#acylcarnitineprfl
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$208.80 |
$208.80 |
$208.80 |
$1,638.00
|
|
Adenovirus ag ia
|
$112.20 |
$112.20 |
$112.20 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$86.90 |
$63.00
|
|
Adh-sendout
|
$66.55 |
$66.55 |
$66.55 |
$109.28
|
|
Adj gastric band via subq port
|
$1,162.70 |
$1,162.70 |
$1,162.70 |
$1,894.71
|
|
Administration chemotherapy IV infusion each additional hour
|
$400.40 |
$400.40 |
$400.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$363.00 |
$363.00 |
$363.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$581.35 |
$581.35 |
$581.35 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$439.45 |
$439.45 |
$439.45 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$243.10 |
$243.10 |
$243.10 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$270.05 |
$270.05 |
$270.05 |
$264.00
|
|
Administration immunization 1 vaccine
|
$83.05 |
$83.05 |
$83.05 |
$70.20
|
|
Administration immunization each additional component
|
$44.55 |
$44.55 |
$44.55 |
$27.20
|
|
Administration immunization each additional vaccine
|
$50.60 |
$50.60 |
$50.60 |
$46.23
|
|
Administration immunization first component each vaccine
|
$39.60 |
$39.60 |
$39.60 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$83.05 |
$83.05 |
$83.05 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$26.40 |
$26.40 |
$26.40 |
$33.60
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$72.05 |
$72.05 |
$72.05 |
$41.15
|
|
Administration vaccine hepatitis b
|
$83.05 |
$83.05 |
$83.05 |
$51.11
|
|
Administration vaccine influenza virus
|
$76.45 |
$76.45 |
$76.45 |
$49.40
|
|
Administration vaccine pneumococcal
|
$76.45 |
$76.45 |
$76.45 |
$51.07
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$54.45 |
$54.45 |
$54.45 |
$41.00
|
|
Adrenal cortex & medulla img
|
$1,286.45 |
$1,286.45 |
$1,286.45 |
$1,780.19
|
|
Aep neurodiagnostic i&r
|
$271.70 |
$271.70 |
$271.70 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$271.70 |
$271.70 |
$271.70 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$161.70 |
$161.70 |
$161.70 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$126.50 |
$126.50 |
$126.50 |
$38.58
|
|
Air injection into abdomen 49400
|
$546.70 |
$546.70 |
$546.70 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$354.20 |
$354.20 |
$354.20 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$70.40 |
$70.40 |
$70.40 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$24.20 |
$24.20 |
$24.20 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$28.05 |
$28.05 |
$28.05 |
$43.50
|
|
Alkaline phosphatase
|
$68.75 |
$68.75 |
$68.75 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$10.45 |
$10.45 |
$10.45 |
$56.35
|
|
Allergen egg white ige
|
$31.35 |
$31.35 |
$31.35 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$26.95 |
$26.95 |
$26.95 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$3,104.06 |
$3,104.06 |
$3,104.06 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$3,380.36 |
$3,380.36 |
$3,380.36 |
$2,959.72
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$2,139.09 |
$2,139.09 |
$2,139.09 |
$6,555.62
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$2,101.96 |
$2,101.96 |
$2,101.96 |
$5,913.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$3,934.79 |
$3,934.79 |
$3,934.79 |
$1,021.78
|
