|
11-desoxycortisol - sendout
|
$138.05 |
$138.05 |
$183.15 |
$87.50
|
|
17-hydroxypregnenolone
|
$104.50 |
$104.50 |
$195.80 |
$87.50
|
|
17-ketosteroids
|
$53.90 |
$53.90 |
$78.65 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$117.15 |
$117.15 |
$215.93 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$2,545.40 |
$2,545.40 |
$2,942.50 |
$1,589.90
|
|
2d tte w or without fol w/con,co
|
$829.40 |
$829.40 |
$829.40 |
$1,108.76
|
|
2nd order venous cath
|
$1,155.00 |
$1,155.00 |
$1,694.86 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$130.90 |
$130.90 |
$1,066.45 |
$669.00
|
|
3-d radiotherapy plan
|
$4,331.25 |
$4,331.25 |
$6,548.30 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$965.25 |
$965.25 |
$1,005.95 |
$427.34
|
|
5' nucleotidase - sendout
|
$15.40 |
$15.40 |
$59.95 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$53.90 |
$53.90 |
$129.25 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$34.31 |
$34.31 |
$34.31 |
$151.20
|
|
99382 initial comp preventive med 1 to 4 years new
|
$34.31 |
$34.31 |
$34.31 |
$147.49
|
|
99383 initial comp preventive med 5 to 11 years new
|
$34.31 |
$34.31 |
$34.31 |
$162.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$34.31 |
$34.31 |
$34.31 |
$135.00
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$34.31 |
$34.31 |
$34.31 |
$139.32
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$34.31 |
$34.31 |
$34.31 |
$129.00
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$34.31 |
$34.31 |
$34.31 |
$147.92
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$57.75 |
$57.75 |
$139.70 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,042.61 |
$4,042.61 |
$4,776.20 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,813.96 |
$1,813.96 |
$2,848.45 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,430.00 |
$1,430.00 |
$3,016.75 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,202.92 |
$2,202.92 |
$3,351.70 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,236.95 |
$1,236.95 |
$3,016.75 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,595.00 |
$1,595.00 |
$2,002.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,375.00 |
$1,375.00 |
$1,501.50 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$858.00 |
$858.00 |
$1,155.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,849.55 |
$2,849.55 |
$3,192.75 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$1,935.45 |
$1,935.45 |
$2,309.45 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,398.10 |
$1,398.10 |
$1,528.45 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,788.93 |
$1,788.93 |
$2,493.15 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$556.60 |
$556.60 |
$699.05 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$456.50 |
$456.50 |
$558.80 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,873.30 |
$1,873.30 |
$1,967.90 |
$1,170.28
|
|
Abl1 gene
|
$791.45 |
$791.45 |
$2,339.70 |
$609.93
|
|
Ablate arrhythmia add on
|
$1,022.87 |
$1,022.87 |
$11,000.00 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$8,625.04 |
$8,625.04 |
$14,529.35 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$12,365.92 |
$12,365.92 |
$16,467.00 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$18,150.00 |
$18,150.00 |
$18,150.00 |
$10,047.60
|
|
Ablate inf turbinate superf 30801
|
$2,698.41 |
$2,698.41 |
$2,698.41 |
$1,849.50
|
|
Ablate pulm tumor perq crybl
|
$5,705.15 |
$5,705.15 |
$7,362.36 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$4,482.50 |
$4,482.50 |
$5,535.53 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$2,688.40 |
$2,688.40 |
$4,649.70 |
$3,664.63
|
|
Ablation cryo abd perit om
|
$3,594.25 |
$3,594.25 |
$3,594.25 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$5,480.75 |
$5,480.75 |
$5,480.75 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$6,275.50 |
$6,275.50 |
$7,362.36 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$1,095.38 |
$1,095.38 |
$1,095.38 |
$1,645.00
|
|
Ablation cryo thigh/knee
|
$394.68 |
$394.68 |
$394.68 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$400.40 |
$400.40 |
$1,380.66 |
$1,081.00
|
|
Ablt trurl prst8 tis trnsdcr
|
$21,595.20 |
$21,595.20 |
$21,595.20 |
$15,374.71
|
|
Abscess drain retroperitoneal surg code
|
$970.20 |
$970.20 |
$4,370.80 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$166.10 |
$166.10 |
$166.10 |
$3,263.74
|
|
Acetaminophen 120 mg rectal suppository
|
$75.09 |
$75.09 |
$75.09 |
$146.76
|
|
Acetone qualitative
|
$61.60 |
$61.60 |
$61.60 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$7.15 |
$7.15 |
$13.75 |
$67.50
|
|
Acetylcholinesterase assay
|
$128.70 |
$128.70 |
$128.70 |
$106.70
|
|
Acne surgery 10040
|
$358.93 |
$358.93 |
$358.93 |
$235.13
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$285.12 |
$285.12 |
$285.12 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$55.06 |
$55.06 |
$55.06 |
$42.28
|
|
Acoustic immitance testing
|
$192.34 |
$192.34 |
$192.34 |
$158.50
|
|
Acoustic refl threshold tst
|
$149.44 |
$149.44 |
$149.44 |
$83.79
|
|
Actinotherapy uv light
|
$24.42 |
$24.42 |
$24.42 |
$96.20
|
|
Acute hepatitis panel
|
$180.95 |
$180.95 |
$225.50 |
$285.35
|
|
#acylcarnitineprfl
|
$119.35 |
$119.35 |
$152.90 |
$105.60
|
|
Acylcarnitines qual
|
$35.75 |
$35.75 |
$35.75 |
$35.75
|
|
Adapter b 8 channel 10cm
|
$688.97 |
$688.97 |
$688.97 |
$1,638.00
|
|
Adding walker to prev cast
|
$278.85 |
$278.85 |
$278.85 |
$187.33
|
|
Adenovirus ag ia
|
$96.80 |
$96.80 |
$96.80 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$128.70 |
$63.00
|
|
Adh-sendout
|
$69.30 |
$69.30 |
$75.35 |
$109.28
|
|
Adjmt/revj ext fixj sys anes
|
$2,863.30 |
$2,863.30 |
$5,208.06 |
$5,855.00
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$586.37 |
$586.37 |
$3,675.10 |
$2,834.65
|
|
Administration chemotherapy IV infusion each additional hour
|
$173.03 |
$173.03 |
$220.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$212.30 |
$212.30 |
$255.26 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$639.10 |
$639.10 |
$806.30 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$409.20 |
$409.20 |
$439.45 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$130.35 |
$130.35 |
$270.98 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$130.35 |
$130.35 |
$290.95 |
$264.00
|
|
Administration immunization 1 vaccine
|
$31.35 |
$31.35 |
$62.15 |
$70.20
|
|
Administration immunization each additional component
|
$36.65 |
$36.65 |
$36.65 |
$27.20
|
|
Administration immunization each additional vaccine
|
$33.55 |
$33.55 |
$39.14 |
$46.23
|
|
Administration immunization first component each vaccine
|
$49.08 |
$49.08 |
$49.08 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$83.86 |
$83.86 |
$83.86 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$27.96 |
$27.96 |
$27.96 |
$33.60
|
|
Administration vaccine hepatitis b
|
$62.15 |
$62.15 |
$74.55 |
$51.11
|
|
Administration vaccine influenza virus
|
$47.30 |
$47.30 |
$47.85 |
$49.40
|
|
Administration vaccine pneumococcal
|
$24.20 |
$24.20 |
$76.45 |
$51.07
|
|
Aep hearing status deter i&r
|
$79.99 |
$79.99 |
$368.04 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$325.60 |
$325.60 |
$1,250.93 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$325.60 |
$325.60 |
$1,313.75 |
$537.95
|
|
#afb mycobacteria suscep. #1
|
$115.50 |
$115.50 |
$115.50 |
$38.58
|
|
After cataract laser surgery
|
$296.78 |
$296.78 |
$296.78 |
$1,464.80
|
|
Air conduction bilat
|
$46.26 |
$46.26 |
$165.88 |
$106.50
|
|
Air injection into abdomen 49400
|
$592.74 |
$592.74 |
$716.65 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$337.48 |
$337.48 |
$337.48 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$55.00 |
$55.00 |
$66.55 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$33.00 |
$33.00 |
$53.35 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$35.75 |
$35.75 |
$38.50 |
$43.50
|
|
Alcohol/subs interv >30 min
|
$235.95 |
$235.95 |
$235.95 |
$177.84
|
