|
11-desoxycortisol - sendout
|
$104.00 |
$104.00 |
$104.00 |
$92.04
|
|
17-hydroxypregnenolone
|
$85.15 |
$85.15 |
$85.15 |
$98.40
|
|
24 hr ambulatory b/p monitor
|
$319.15 |
$319.15 |
$319.15 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$1,870.05 |
$1,870.05 |
$1,870.05 |
$1,870.05
|
|
2d tte w or without fol w/con,co
|
$2,486.25 |
$2,486.25 |
$2,486.25 |
$1,278.75
|
|
2nd order venous cath
|
$18,837.58 |
$18,837.58 |
$18,837.58 |
$2,537.60
|
|
3-d radiotherapy plan
|
$35,483.71 |
$35,483.71 |
$35,483.71 |
$5,005.80
|
|
3d recon without postprocess indpndt
|
$904.80 |
$904.80 |
$904.80 |
$455.83
|
|
5' nucleotidase - sendout
|
$60.45 |
$60.45 |
$60.45 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$34,751.15 |
$34,751.15 |
$34,751.15 |
$98.15
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,158.52 |
$2,158.52 |
$2,158.52 |
$3,649.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$245.05 |
$245.05 |
$245.05 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,450.20 |
$3,450.20 |
$3,450.20 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$21,135.46 |
$21,135.46 |
$21,135.46 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$11,723.59 |
$11,723.59 |
$11,723.59 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$19,668.45 |
$19,668.45 |
$19,668.45 |
$3,554.85
|
|
Abd/low ext cath addl
|
$21,308.35 |
$21,308.35 |
$21,308.35 |
$976.00
|
|
Abdominal CT scan (with and without contrast)
|
$2,304.25 |
$2,304.25 |
$2,304.25 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,325.35 |
$1,325.35 |
$1,325.35 |
$1,678.00
|
|
Abdominal CT scan (without contrast)
|
$1,070.55 |
$1,070.55 |
$1,070.55 |
$1,290.90
|
|
Abdominal MRI (with and without contrast)
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$2,713.80
|
|
Abdominal MRI (with contrast)
|
$1,666.60 |
$1,666.60 |
$1,666.60 |
$2,077.14
|
|
Abdominal MRI (without contrast)
|
$1,381.90 |
$1,381.90 |
$1,381.90 |
$1,883.70
|
|
Abdominal paracentesis w/image guidance
|
$3,554.67 |
$3,554.67 |
$3,554.67 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$733.85
|
|
Abdominal Ultrasound (limited)
|
$720.85 |
$720.85 |
$720.85 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$594.75 |
$594.75 |
$594.75 |
$1,145.00
|
|
Ablate arrhythmia add on
|
$7,899.45 |
$7,899.45 |
$7,899.45 |
$9,995.45
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,772.60 |
$3,772.60 |
$3,772.60 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$3,801.85 |
$3,801.85 |
$3,801.85 |
$10,187.00
|
|
Ablate heart dysrhythm focus
|
$14,844.70 |
$14,844.70 |
$14,844.70 |
$8,936.20
|
|
Ablate inf turbinate submuc 30802
|
$11,606.87 |
$11,606.87 |
$11,606.87 |
$1,126.32
|
|
Ablate pulm tumor perq crybl
|
$19,550.68 |
$19,550.68 |
$19,550.68 |
$10,443.00
|
|
Ablate pulm tumor perq rf
|
$7,425.60 |
$7,425.60 |
$7,425.60 |
$10,651.33
|
|
Ablation cardiac vagal inputs atrium
|
$4,519.45 |
$4,519.45 |
$4,519.45 |
$6,281.60
|
|
Ablation cryo abd perit om
|
$3,052.40 |
$3,052.40 |
$3,052.40 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$3,201.90 |
$3,201.90 |
$3,201.90 |
$8,312.83
|
|
Ablation cryo pq liver tumor(s)
|
$16,901.28 |
$16,901.28 |
$16,901.28 |
$9,456.20
|
|
Ablation cryo retro lymph node
|
$386.10 |
$386.10 |
$386.10 |
$1,948.83
|
|
Ablation of upper extremity nerves rf
|
$25,922.82 |
$25,922.82 |
$25,922.82 |
$1,408.20
|
|
Abobotulinumtoxina
|
$1,722.70 |
$1,722.70 |
$1,722.70 |
$3,255.66
|
|
Abscess drain retroperitoneal surg code
|
$6,356.12 |
$6,356.12 |
$6,356.12 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$6,991.40 |
$6,991.40 |
$6,991.40 |
$2,786.16
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.64 |
$32.64 |
$32.64 |
$47.25
|
|
Acetaminophen level
|
$207.35 |
$207.35 |
$207.35 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$132.87 |
$132.87 |
$132.87 |
$97.26
|
|
Acetylcholine receptor modulating antibody
|
$245.70 |
$245.70 |
$245.70 |
$93.60
|
|
Acetylcholinesterase assay
|
$620.75 |
$620.75 |
$620.75 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$332.51 |
$332.51 |
$332.51 |
$406.77
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$419.90 |
$419.90 |
$419.90 |
$387.73
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$61.75 |
$61.75 |
$61.75 |
$44.80
|
|
Actinotherapy uv light
|
$123.50 |
$123.50 |
$123.50 |
$111.15
|
|
Acup 1/> w/estim 1st 15 min
|
$94.90 |
$94.90 |
$94.90 |
$45.75
|
|
Acup 1/> wo estim 1st 15 min
|
$67.60 |
$67.60 |
$67.60 |
$42.90
|
|
Acute hepatitis panel
|
$438.75 |
$438.75 |
$438.75 |
$310.20
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$34.01 |
$34.01 |
$34.01 |
$63.47
|
|
#acylcarnitineprfl
|
$105.30 |
$105.30 |
$105.30 |
$110.25
|
|
Acylcarnitines qual
|
$309.40 |
$309.40 |
$309.40 |
$45.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$48.06 |
$48.06 |
$48.06 |
$97.58
|
|
Adh-sendout
|
$107.25 |
$107.25 |
$107.25 |
$152.10
|
|
Adj gastric band via subq port
|
$1,874.60 |
$1,874.60 |
$1,874.60 |
$1,874.60
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$77.10 |
$77.10 |
$77.10 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$451.75 |
$451.75 |
$451.75 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$362.70 |
$362.70 |
$362.70 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$451.75 |
$451.75 |
$451.75 |
$735.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$348.40 |
$348.40 |
$348.40 |
$464.40
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$240.50 |
$240.50 |
$240.50 |
$224.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$240.50 |
$240.50 |
$240.50 |
$267.43
|
|
Administration immunization 1 vaccine
|
$85.15 |
$85.15 |
$85.15 |
$66.51
|
|
Administration immunization each additional component
|
$1.30 |
$1.30 |
$1.30 |
$27.20
|
|
Administration immunization each additional vaccine
|
$46.80 |
$46.80 |
$46.80 |
$46.23
|
|
Administration immunization first component each vaccine
|
$63.05 |
$63.05 |
$63.05 |
$46.00
|
|
Administration vaccine hepatitis b
|
$51.35 |
$51.35 |
$51.35 |
$38.25
|
|
Administration vaccine influenza virus
|
$56.55 |
$56.55 |
$56.55 |
$37.05
|
|
Administration vaccine pneumococcal
|
$51.35 |
$51.35 |
$51.35 |
$38.25
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$14,463.66 |
$14,463.66 |
$14,463.66 |
$59.76
|
|
Adrenal cortex & medulla img
|
$2,867.15 |
$2,867.15 |
$2,867.15 |
$1,703.40
|
|
Advance care planning each additional 30 min 99498
|
$76.70 |
$76.70 |
$76.70 |
$134.40
|
|
Aep hearing status deter i&r
|
$1,045.85 |
$1,045.85 |
$1,045.85 |
$308.40
|
|
Aep neurodiagnostic i&r
|
$245.70 |
$245.70 |
$245.70 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$865.15 |
$865.15 |
$865.15 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$84.50 |
$84.50 |
$84.50 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$389.35 |
$389.35 |
$389.35 |
$330.00
|
|
After cataract laser surgery
|
$1,759.87 |
$1,759.87 |
$1,759.87 |
$1,380.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$15,773.87 |
$15,773.87 |
$15,773.87 |
$27,295.80
|
|
Air conduction bilat
|
$150.80 |
$150.80 |
$150.80 |
$140.87
|
|
Air injection into abdomen 49400
|
$494.65 |
$494.65 |
$494.65 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$53.95 |
$53.95 |
$53.95 |
$42.90
|
|
Albumin (human), 25%, 50ml
|
$141.45 |
$141.45 |
$141.45 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$141.30 |
$141.30 |
$141.30 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$497.96 |
$497.96 |
$497.96 |
$470.97
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$76.70 |
$76.70 |
$76.70 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$84.50 |
$84.50 |
$84.50 |
$41.90
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$128.70 |
$128.70 |
$128.70 |
$78.00
|
|
Alcohol/subs interv >30 min
|
$213.85 |
$213.85 |
$213.85 |
$177.84
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$64,775.89 |
$64,775.89 |
$64,775.89 |
$2,440.70
|
|
Alkaline phosphatase
|
$74.75 |
$74.75 |
$74.75 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$43.55 |
$43.55 |
$43.55 |
$56.35
|
|
Allergen egg white ige
|
$54.60 |
$54.60 |
$54.60 |
$41.38
|
|
Allergen specific ige qual multi scrn ea
|
$39.65 |
$39.65 |
$39.65 |
$39.00
|