|
2019-ncov diagnostic p
|
$34.22 |
$34.22 |
$34.22 |
$53.71
|
|
2d tee w or without fol w/con,in
|
$3,527.02 |
$3,527.02 |
$3,527.02 |
$1,624.70
|
|
2nd order venous cath
|
$1,667.93 |
$1,667.93 |
$1,667.93 |
$1,543.85
|
|
3-d radiotherapy plan
|
$7,402.14 |
$7,402.14 |
$7,402.14 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$320.96 |
$320.96 |
$320.96 |
$485.00
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$861.81 |
$861.81 |
$861.81 |
$3,128.29
|
|
Abd aorta w/runoff s&i
|
$2,759.43 |
$2,759.43 |
$2,759.43 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,955.85 |
$1,955.85 |
$1,955.85 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,644.92 |
$1,644.92 |
$1,644.92 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$2,454.99 |
$2,454.99 |
$2,454.99 |
$2,486.97
|
|
Abd/low ext cath addl
|
$687.35 |
$687.35 |
$687.35 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$2,449.68 |
$2,449.68 |
$2,449.68 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,191.85 |
$2,191.85 |
$2,191.85 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,654.36 |
$1,654.36 |
$1,654.36 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,134.08 |
$3,134.08 |
$3,134.08 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$2,570.04 |
$2,570.04 |
$2,570.04 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$2,444.37 |
$2,444.37 |
$2,444.37 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,247.26 |
$1,247.26 |
$1,247.26 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$792.37 |
$792.37 |
$792.37 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$570.53 |
$570.53 |
$570.53 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$648.41 |
$648.41 |
$648.41 |
$1,145.40
|
|
Ablate bone tumor(s) cryo perq 20983
|
$4,279.86 |
$4,279.86 |
$4,279.86 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$7,702.45 |
$7,702.45 |
$7,702.45 |
$9,350.33
|
|
Ablate pulm tumor perq crybl
|
$8,862.98 |
$8,862.98 |
$8,862.98 |
$9,591.75
|
|
Ablation cardiac vagal inputs atrium
|
$10,078.97 |
$10,078.97 |
$10,078.97 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$1,786.52 |
$1,786.52 |
$1,786.52 |
$2,312.80
|
|
Ablation cryo pq liver tumor(s)
|
$5,602.05 |
$5,602.05 |
$5,602.05 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$802.99 |
$802.99 |
$802.99 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$3,216.68 |
$3,216.68 |
$3,216.68 |
$2,957.17
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.08 |
$0.08 |
$0.08 |
$74.96
|
|
Acetaminophen level
|
$288.51 |
$288.51 |
$288.51 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$21.58 |
$21.58 |
$21.58 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$125.67 |
$125.67 |
$125.67 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3.73 |
$3.73 |
$3.73 |
$216.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$30.09 |
$30.09 |
$30.09 |
$41.67
|
|
Actigraphy testing
|
$142.19 |
$142.19 |
$142.19 |
$218.05
|
|
Acute hepatitis panel
|
$315.06 |
$315.06 |
$315.06 |
$292.00
|
|
Acyclovir 400 mg tablet
|
$0.16 |
$0.16 |
$0.16 |
$45.06
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$4.39 |
$4.39 |
$4.39 |
$63.48
|
|
Adapter b 8 channel 10cm
|
$2,852.57 |
$2,852.57 |
$2,852.57 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.99 |
$2.99 |
$2.99 |
$255.41
|
|
Adh-sendout
|
$110.92 |
$110.92 |
$110.92 |
$109.28
|
|
Adjustment gastric band
|
$214.76 |
$214.76 |
$214.76 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$53.95 |
$53.95 |
$53.95 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$251.34 |
$251.34 |
$251.34 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$562.27 |
$562.27 |
$562.27 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,131.03 |
$1,131.03 |
$1,131.03 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$430.70 |
$430.70 |
$430.70 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$260.78 |
$260.78 |
$260.78 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$161.66 |
$161.66 |
$161.66 |
$257.40
|
|
Administration immunization 1 vaccine
|
$93.81 |
$93.81 |
$93.81 |
$69.21
|
|
Administration immunization each additional vaccine
|
$65.49 |
$65.49 |
$65.49 |
$47.40
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$86.14 |
$86.14 |
$86.14 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,673.81 |
$3,673.81 |
$3,673.81 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$1,627.22 |
$1,627.22 |
$1,627.22 |
$1,818.05
|
|
_afb id by dna probe rflx ast
|
$93.81 |
$93.81 |
$93.81 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$284.38 |
$284.38 |
$284.38 |
$315.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$4,066.85 |
$4,066.85 |
$4,066.85 |
$14,475.20
|
|
Air injection into abdomen 49400
|
$1,050.20 |
$1,050.20 |
$1,050.20 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$29.50 |
$29.50 |
$29.50 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$0.51 |
$0.51 |
$0.51 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$0.17 |
$0.17 |
$0.17 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$139.24 |
$139.24 |
$139.24 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$34.81 |
$34.81 |
$34.81 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$61.36 |
$61.36 |
$61.36 |
$93.60
|
|
Alginate drsg >16 <=48 sq in
|
$23.13 |
$23.13 |
$23.13 |
$43.72
|
|
Alginate drsg wound filler
|
$24.28 |
$24.28 |
$24.28 |
$15.79
|
|
Alkaline phosphatase
|
$27.14 |
$27.14 |
$27.14 |
$46.40
|
|
Allergen egg white ige
|
$20.65 |
$20.65 |
$20.65 |
$38.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$3,053.25 |
$3,053.25 |
$3,053.25 |
$5,401.92
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$5,097.60 |
$5,097.60 |
$5,097.60 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$8,137.57 |
$8,137.57 |
$8,137.57 |
$6,414.50
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$6,564.58 |
$6,564.58 |
$6,564.58 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$4,725.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.39 |
$0.39 |
$0.39 |
$12.50
|
|
Alpha-fetoprotein tumor marker
|
$82.01 |
$82.01 |
$82.01 |
$106.00
|
|
Alprostadil for injection
|
$71.00 |
$71.00 |
$71.00 |
$519.93
|
|
Als 1
|
$939.87 |
$939.87 |
$939.87 |
$892.32
|
|
Als1-emergency
|
$1,044.30 |
$1,044.30 |
$1,044.30 |
$929.40
|
|
Als 2
|
$1,493.29 |
$1,493.29 |
$1,493.29 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$5,010.49 |
$5,010.49 |
$5,010.49 |
$15,857.45
|
|
Alt/sgpt
|
$34.22 |
$34.22 |
$34.22 |
$47.45
|
|
Alys cplx sp/pn npgt w/prgrm
|
$185.26 |
$185.26 |
$185.26 |
$434.00
|
|
Amantadine (symmetrel)-sendout
|
$217.12 |
$217.12 |
$217.12 |
$169.80
|
|
Amifostine
|
$589.91 |
$589.91 |
$589.91 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$0.97 |
$0.97 |
$0.97 |
$39.84
|
|
Aminolevulinic acid delta
|
$149.86 |
$149.86 |
$149.86 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$0.76 |
$0.76 |
$0.76 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.19 |
$0.19 |
$0.19 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.66 |
$1.66 |
$1.66 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$67.26 |
$67.26 |
$67.26 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$320.85 |
$320.85 |
$320.85 |
$7,994.03
|
|
Ammonia
|
$113.87 |
$113.87 |
$113.87 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$561.68 |
$561.68 |
$561.68 |
$942.60
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,172.97 |
$2,172.97 |
$2,172.97 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$90.27 |
$90.27 |
$90.27 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$20.48 |
$20.48 |
$20.48 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$171.50 |
$171.50 |
$171.50 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$11.41 |
$11.41 |
$11.41 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$8.61 |
$8.61 |
$8.61 |
$53.86
|