|
11-desoxycortisol - sendout
|
$109.00 |
$109.00 |
$109.00 |
$87.50
|
|
17-ketosteroids
|
$78.00 |
$78.00 |
$78.00 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$1,435.20 |
$1,435.20 |
$1,572.00 |
$1,624.70
|
|
2nd order venous cath
|
$946.68 |
$946.68 |
$1,031.00 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$74.06 |
$74.06 |
$74.06 |
$460.00
|
|
3-d radiotherapy plan
|
$5,529.50 |
$5,529.50 |
$5,529.50 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$244.00 |
$244.00 |
$278.76 |
$485.00
|
|
5' nucleotidase - sendout
|
$21.00 |
$21.00 |
$21.00 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$50.50 |
$50.50 |
$50.50 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$671.92 |
$671.92 |
$730.35 |
$3,128.29
|
|
Abd aorta w/runoff s&i
|
$1,529.00 |
$1,529.00 |
$1,930.16 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,018.44 |
$1,018.44 |
$1,079.50 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$907.58 |
$907.58 |
$935.50 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$1,352.40 |
$1,352.40 |
$1,396.50 |
$2,486.97
|
|
Abd/low ext cath addl
|
$391.00 |
$391.00 |
$508.30 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,476.60 |
$1,476.60 |
$1,666.50 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,344.12 |
$1,344.12 |
$1,501.50 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,123.32 |
$1,123.32 |
$1,141.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,304.50 |
$2,304.50 |
$2,304.50 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$2,051.00 |
$2,051.00 |
$2,051.00 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$1,797.50 |
$1,797.50 |
$1,797.50 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$536.82 |
$536.82 |
$726.50 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$262.00 |
$262.00 |
$265.42 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$194.00 |
$194.00 |
$196.42 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$536.82 |
$536.82 |
$726.50 |
$1,145.40
|
|
Ablate arrhythmia add on
|
$5,910.08 |
$5,910.08 |
$5,910.08 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,178.50 |
$5,178.50 |
$5,178.50 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$4,925.68 |
$4,925.68 |
$4,925.68 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$5,101.00 |
$5,101.00 |
$5,534.72 |
$9,522.05
|
|
Ablate inf turbinate superf 30801
|
$598.00 |
$598.00 |
$598.00 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$5,148.32 |
$5,148.32 |
$5,148.32 |
$9,591.75
|
|
Ablation cardiac vagal inputs atrium
|
$463.00 |
$463.00 |
$14,792.22 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$2,312.80
|
|
Ablation cryo pq liver tumor(s)
|
$4,661.50 |
$4,661.50 |
$4,661.50 |
$8,581.80
|
|
Ablation cryo thigh/knee
|
$236.00 |
$236.00 |
$236.00 |
$531.95
|
|
Abscess drain retroperitoneal surg code
|
$2,726.00 |
$2,726.00 |
$2,726.00 |
$2,957.17
|
|
Abscess imaging ltd area
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$1,098.00
|
|
Abscess imaging whole body
|
$801.78 |
$801.78 |
$1,254.00 |
$1,457.72
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,114.12 |
$1,114.12 |
$1,114.12 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.07 |
$0.07 |
$0.07 |
$74.96
|
|
Acetaminophen level
|
$228.62 |
$228.62 |
$252.00 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$16.83 |
$16.83 |
$18.29 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$106.50 |
$106.50 |
$107.64 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2.91 |
$2.91 |
$3.16 |
$216.00
|
|
Acne surgery 10040
|
$140.50 |
$140.50 |
$140.50 |
$260.49
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$261.00 |
$261.00 |
$261.00 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$25.50 |
$25.50 |
$25.50 |
$41.67
|
|
Actigraphy testing
|
$25.30 |
$25.30 |
$27.50 |
$218.05
|
|
Acute hepatitis panel
|
$81.42 |
$81.42 |
$366.50 |
$292.00
|
|
Acyclovir 400 mg tablet
|
$0.12 |
$0.12 |
$0.13 |
$45.06
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$3.42 |
$3.42 |
$3.72 |
$63.48
|
|
Adapter b 8 channel 10cm
|
$2,224.04 |
$2,224.04 |
$2,417.43 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.33 |
$2.33 |
$2.54 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$52.44 |
$52.44 |
$52.44 |
$63.00
|
|
Adjustment gastric band
|
$106.50 |
$106.50 |
$106.50 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$42.06 |
$42.06 |
$45.72 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$88.78 |
$88.78 |
$796.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$114.54 |
$114.54 |
$328.50 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$252.08 |
$252.08 |
$565.00 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$195.50 |
$195.50 |
$336.50 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$50.14 |
$50.14 |
$123.00 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$127.42 |
$127.42 |
$240.50 |
$257.40
|
|
Administration immunization 1 vaccine
|
$55.66 |
$55.66 |
$80.00 |
$69.21
|
|
Administration immunization each additional vaccine
|
$63.50 |
$63.50 |
$63.50 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$43.70 |
$43.70 |
$52.50 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$73.00 |
$73.00 |
$73.00 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$2,864.33 |
$2,864.33 |
$3,113.40 |
$11,350.31
|
|
_afb id by dna probe rflx ast
|
$71.30 |
$71.30 |
$143.00 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$293.02 |
$293.02 |
$303.00 |
$315.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$3,170.76 |
$3,170.76 |
$3,446.48 |
$14,475.20
|
|
Air injection into abdomen 49400
|
$934.50 |
$934.50 |
$934.50 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$63.00 |
$63.00 |
$63.48 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$16.56 |
$16.56 |
$30.50 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$0.40 |
$0.40 |
$0.43 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$0.13 |
$0.13 |
$0.14 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$59.50 |
$59.50 |
$84.18 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$14.26 |
$14.26 |
$37.00 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$184.92 |
$184.92 |
$193.50 |
$93.60
|
|
Alginate drsg >16 <=48 sq in
|
$19.60 |
$19.60 |
$52.90 |
$43.72
|
|
Alginate drsg wound filler
|
$18.93 |
$18.93 |
$20.58 |
$15.79
|
|
Alkaline phosphatase
|
$16.10 |
$16.10 |
$60.00 |
$46.40
|
|
Allergen egg white ige
|
$24.38 |
$24.38 |
$64.00 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$61.50 |
$61.50 |
$61.50 |
$43.75
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$2,380.50 |
$2,380.50 |
$2,587.50 |
$5,401.92
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$3,974.40 |
$3,974.40 |
$4,320.00 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$6,344.55 |
$6,344.55 |
$6,896.25 |
$6,414.50
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,118.15 |
$5,118.15 |
$5,563.20 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,347.00 |
$4,347.00 |
$4,725.00 |
$4,725.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.31 |
$0.31 |
$0.33 |
$12.50
|
|
Alpha-fetoprotein tumor marker
|
$40.02 |
$40.02 |
$112.00 |
$106.00
|
|
Alprostadil for injection
|
$55.36 |
$55.36 |
$60.17 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$3,906.49 |
$3,906.49 |
$4,246.18 |
$15,857.45
|
|
Alt/sgpt
|
$16.10 |
$16.10 |
$65.50 |
$47.45
|
|
Aluminum - quest
|
$15.00 |
$15.00 |
$15.00 |
$83.05
|
|
Amifostine
|
$459.93 |
$459.93 |
$499.92 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$0.76 |
$0.76 |
$0.82 |
$39.84
|
|
Aminolevulinic acid delta
|
$114.00 |
$114.00 |
$114.00 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$0.60 |
$0.60 |
$0.65 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.15 |
$0.15 |
$0.16 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.29 |
$1.29 |
$1.40 |
$55.86
|