|
2d tee w or without fol w/con,in
|
$3,790.54 |
$3,790.54 |
$3,790.54 |
$1,624.70
|
|
2nd order venous cath
|
$1,686.04 |
$1,686.04 |
$1,686.04 |
$1,543.85
|
|
3-d radiotherapy plan
|
$7,576.81 |
$7,576.81 |
$7,576.81 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$325.74 |
$325.74 |
$325.74 |
$485.00
|
|
5' nucleotidase - sendout
|
$82.96 |
$82.96 |
$82.96 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$61.61 |
$61.61 |
$61.61 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$891.03 |
$891.03 |
$891.03 |
$3,128.29
|
|
Abd aorta w/runoff s&i
|
$2,664.48 |
$2,664.48 |
$2,664.48 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,981.89 |
$1,981.89 |
$1,981.89 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,675.06 |
$1,675.06 |
$1,675.06 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$2,486.97 |
$2,486.97 |
$2,486.97 |
$2,486.97
|
|
Abd/low ext cath addl
|
$710.65 |
$710.65 |
$710.65 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$2,466.23 |
$2,466.23 |
$2,466.23 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,221.62 |
$2,221.62 |
$2,221.62 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,666.52 |
$1,666.52 |
$1,666.52 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,175.05 |
$3,175.05 |
$3,175.05 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$2,818.81 |
$2,818.81 |
$2,818.81 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$2,494.90 |
$2,494.90 |
$2,494.90 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,264.53 |
$1,264.53 |
$1,264.53 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$810.69 |
$810.69 |
$810.69 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$516.06 |
$516.06 |
$516.06 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$531.31 |
$531.31 |
$531.31 |
$1,145.40
|
|
Ablate bone tumor(s) cryo perq 20983
|
$4,350.52 |
$4,350.52 |
$4,350.52 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$7,963.55 |
$7,963.55 |
$7,963.55 |
$9,350.33
|
|
Ablate pulm tumor perq crybl
|
$5,497.32 |
$5,497.32 |
$5,497.32 |
$9,591.75
|
|
Ablation cardiac vagal inputs atrium
|
$11,982.84 |
$11,982.84 |
$11,982.84 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$1,847.08 |
$1,847.08 |
$1,847.08 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$3,615.47 |
$3,615.47 |
$3,615.47 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$150.67 |
$150.67 |
$150.67 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$4,763.49 |
$4,763.49 |
$4,763.49 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$443.47 |
$443.47 |
$443.47 |
$806.85
|
|
Ablation cryo thigh/knee
|
$150.67 |
$150.67 |
$150.67 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$830.21 |
$830.21 |
$830.21 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$3,325.72 |
$3,325.72 |
$3,325.72 |
$2,957.17
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.09 |
$0.09 |
$0.09 |
$74.96
|
|
Acetaminophen level
|
$300.73 |
$300.73 |
$300.73 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$22.31 |
$22.31 |
$22.31 |
$122.55
|
|
Acetone qualitative
|
$61.61 |
$61.61 |
$61.61 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$129.93 |
$129.93 |
$129.93 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3.85 |
$3.85 |
$3.85 |
$216.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$56.73 |
$56.73 |
$56.73 |
$41.67
|
|
Acute hepatitis panel
|
$120.78 |
$120.78 |
$120.78 |
$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
|
$4.54 |
$4.54 |
$4.54 |
$63.48
|
|
Adapter b 8 channel 10cm
|
$2,949.27 |
$2,949.27 |
$2,949.27 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$3.09 |
$3.09 |
$3.09 |
$255.41
|
|
Adh-sendout
|
$102.48 |
$102.48 |
$102.48 |
$109.28
|
|
Adjustment gastric band
|
$207.40 |
$207.40 |
$207.40 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$55.78 |
$55.78 |
$55.78 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$161.04 |
$161.04 |
$161.04 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$427.00 |
$427.00 |
$427.00 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,094.95 |
$1,094.95 |
$1,094.95 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$439.20 |
$439.20 |
$439.20 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$157.38 |
$157.38 |
$157.38 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$153.11 |
$153.11 |
$153.11 |
$257.40
|
|
Administration immunization 1 vaccine
|
$111.63 |
$111.63 |
$111.63 |
$69.21
|
|
Administration immunization each additional vaccine
|
$77.47 |
$77.47 |
$77.47 |
$47.40
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$89.06 |
$89.06 |
$89.06 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,798.35 |
$3,798.35 |
$3,798.35 |
$11,350.31
|
|
_afb id by dna probe rflx ast
|
$96.99 |
$96.99 |
$96.99 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$102.48 |
$102.48 |
$102.48 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$425.17 |
$425.17 |
$425.17 |
$315.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$4,204.70 |
$4,204.70 |
$4,204.70 |
$14,475.20
|
|
Air injection into abdomen 49400
|
$1,173.64 |
$1,173.64 |
$1,173.64 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$41.48 |
$41.48 |
$41.48 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$0.53 |
$0.53 |
$0.53 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$0.18 |
$0.18 |
$0.18 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$25.62 |
$25.62 |
$25.62 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$17.69 |
$17.69 |
$17.69 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$73.20 |
$73.20 |
$73.20 |
$93.60
|
|
Alginate drsg >16 <=48 sq in
|
$23.92 |
$23.92 |
$23.92 |
$43.72
|
|
Alginate drsg wound filler
|
$25.11 |
$25.11 |
$25.11 |
$15.79
|
|
Alkaline phosphatase
|
$20.13 |
$20.13 |
$20.13 |
$46.40
|
|
Allergen egg white ige
|
$21.35 |
$21.35 |
$21.35 |
$38.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$3,156.75 |
$3,156.75 |
$3,156.75 |
$5,401.92
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$5,270.40 |
$5,270.40 |
$5,270.40 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$8,413.42 |
$8,413.42 |
$8,413.42 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$1,235.25 |
$1,235.25 |
$1,235.25 |
$23,373.60
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$6,787.11 |
$6,787.11 |
$6,787.11 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$5,764.50 |
$5,764.50 |
$5,764.50 |
$4,725.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,777.39 |
$1,777.39 |
$1,777.39 |
$1,495.63
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.41 |
$0.41 |
$0.41 |
$12.50
|
|
Alpha-fetoprotein tumor marker
|
$75.03 |
$75.03 |
$75.03 |
$106.00
|
|
Alprostadil for injection
|
$73.41 |
$73.41 |
$73.41 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$5,180.34 |
$5,180.34 |
$5,180.34 |
$15,857.45
|
|
Alt/sgpt
|
$29.89 |
$29.89 |
$29.89 |
$47.45
|
|
Aluminum - quest
|
$84.79 |
$84.79 |
$84.79 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$106.75 |
$106.75 |
$106.75 |
$169.80
|
|
Amifostine
|
$609.91 |
$609.91 |
$609.91 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.00 |
$1.00 |
$1.00 |
$39.84
|
|
Aminolevulinic acid delta
|
$139.08 |
$139.08 |
$139.08 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$0.79 |
$0.79 |
$0.79 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.20 |
$0.20 |
$0.20 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.71 |
$1.71 |
$1.71 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$331.73 |
$331.73 |
$331.73 |
$7,994.03
|
|
Ammonia
|
$99.43 |
$99.43 |
$99.43 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$580.72 |
$580.72 |
$580.72 |
$942.60
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,246.63 |
$2,246.63 |
$2,246.63 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$56.12 |
$56.12 |
$56.12 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$21.18 |
$21.18 |
$21.18 |
$117.75
|