|
11-desoxycortisol - sendout
|
$39.06 |
$39.06 |
$39.06 |
$87.50
|
|
17-hydroxypregnenolone
|
$57.12 |
$57.12 |
$57.12 |
$89.25
|
|
17-ketosteroids
|
$270.90 |
$270.90 |
$270.90 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$1,874.04 |
$1,874.04 |
$1,874.04 |
$1,624.70
|
|
2nd order venous cath
|
$1,613.22 |
$1,613.22 |
$1,613.22 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$66.78 |
$66.78 |
$66.78 |
$460.00
|
|
3-d radiotherapy plan
|
$5,593.14 |
$5,593.14 |
$5,593.14 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$238.14 |
$238.14 |
$238.14 |
$485.00
|
|
5' nucleotidase - sendout
|
$48.72 |
$48.72 |
$48.72 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$94.50 |
$94.50 |
$94.50 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,067.45 |
$3,067.45 |
$3,067.45 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$8.40 |
$8.40 |
$8.40 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,702.68 |
$1,702.68 |
$1,702.68 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,151.22 |
$1,151.22 |
$1,151.22 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$867.72 |
$867.72 |
$867.72 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$1,470.42 |
$1,470.42 |
$1,470.42 |
$2,486.97
|
|
Abd/low ext cath addl
|
$323.82 |
$323.82 |
$323.82 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,396.08 |
$1,396.08 |
$1,396.08 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$943.32 |
$943.32 |
$943.32 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,803.06 |
$1,803.06 |
$1,803.06 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$1,604.82 |
$1,604.82 |
$1,604.82 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$1,406.58 |
$1,406.58 |
$1,406.58 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$730.38 |
$730.38 |
$730.38 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$524.58 |
$524.58 |
$524.58 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$320.04 |
$320.04 |
$320.04 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$467.46 |
$467.46 |
$467.46 |
$1,145.40
|
|
Ablate arrhythmia add on
|
$6,898.92 |
$6,898.92 |
$6,898.92 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$2,593.92 |
$2,593.92 |
$2,593.92 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$4,497.36 |
$4,497.36 |
$4,497.36 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$5,320.56 |
$5,320.56 |
$5,320.56 |
$9,522.05
|
|
Ablate pulm tumor perq crybl
|
$5,181.96 |
$5,181.96 |
$5,181.96 |
$9,591.75
|
|
Ablate pulm tumor perq rf
|
$2,874.90 |
$2,874.90 |
$2,874.90 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$12,148.92 |
$12,148.92 |
$12,148.92 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$640.92 |
$640.92 |
$640.92 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$3,846.78 |
$3,846.78 |
$3,846.78 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$4,065.18 |
$4,065.18 |
$4,065.18 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$321.72 |
$321.72 |
$321.72 |
$806.85
|
|
Ablation cryo thigh/knee
|
$196.14 |
$196.14 |
$196.14 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$512.40 |
$512.40 |
$512.40 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$1,632.12 |
$1,632.12 |
$1,632.12 |
$2,957.17
|
|
Abscess imaging ltd area
|
$572.04 |
$572.04 |
$572.04 |
$1,098.00
|
|
Abscess imaging whole body
|
$964.74 |
$964.74 |
$964.74 |
$1,457.72
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$210.00 |
$210.00 |
$210.00 |
$2,314.00
|
|
Access thoracic lymph duct
|
$665.70 |
$665.70 |
$665.70 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$92.82 |
$92.82 |
$92.82 |
$74.96
|
|
Acetaminophen level
|
$219.66 |
$219.66 |
$219.66 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$79.95 |
$79.95 |
$79.95 |
$122.55
|
|
Acetone qualitative
|
$60.90 |
$60.90 |
$60.90 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$89.46 |
$89.46 |
$89.46 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$397.53 |
$397.53 |
$397.53 |
$216.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$144.06 |
$144.06 |
$144.06 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$15.12 |
$15.12 |
$15.12 |
$41.67
|
|
Actigraphy testing
|
$141.54 |
$141.54 |
$141.54 |
$218.05
|
|
Acute hepatitis panel
|
$319.62 |
$319.62 |
$319.62 |
$292.00
|
|
Acyclovir 400 mg tablet
|
$33.77 |
$33.77 |
$33.77 |
$45.06
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$41.79 |
$41.79 |
$41.79 |
$63.48
|
|
Adapter b 8 channel 10cm
|
$2,030.65 |
$2,030.65 |
$2,030.65 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$184.41 |
$184.41 |
$184.41 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$102.90 |
$102.90 |
$102.90 |
$63.00
|
|
Adh-sendout
|
$89.46 |
$89.46 |
$89.46 |
$109.28
|
|
Adj gastric band via subq port
|
$653.94 |
$653.94 |
$653.94 |
$1,609.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$686.89 |
$686.89 |
$686.89 |
$181.12
|
|
Admin ecg contrast agent
|
$139.44 |
$139.44 |
$139.44 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$200.34 |
$200.34 |
$200.34 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$269.64 |
$269.64 |
$269.64 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$419.58 |
$419.58 |
$419.58 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$281.82 |
$281.82 |
$281.82 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$108.36 |
$108.36 |
$108.36 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$96.60 |
$96.60 |
$96.60 |
$257.40
|
|
Administration immunization 1 vaccine
|
$53.76 |
$53.76 |
$53.76 |
$69.21
|
|
Administration immunization each additional vaccine
|
$136.92 |
$136.92 |
$136.92 |
$47.40
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$61.32 |
$61.32 |
$61.32 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$13,076.26 |
$13,076.26 |
$13,076.26 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$1,204.14 |
$1,204.14 |
$1,204.14 |
$1,818.05
|
|
Adrenalin epinephrine inject
|
$41.79 |
$41.79 |
$41.79 |
$229.69
|
|
_afb id by dna probe rflx ast
|
$109.20 |
$109.20 |
$109.20 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$24.36 |
$24.36 |
$24.36 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$514.50 |
$514.50 |
$514.50 |
$315.00
|
|
Afo rig ant tib tcf/= custom
|
$470.36 |
$470.36 |
$470.36 |
$1,877.15
|
|
Agalsidase beta 35 mg intravenous solution
|
$14,475.20 |
$14,475.20 |
$14,475.20 |
$14,475.20
|
|
Air injection into abdomen 49400
|
$778.26 |
$778.26 |
$778.26 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$53.34 |
$53.34 |
$53.34 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$28.56 |
$28.56 |
$28.56 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$135.08 |
$135.08 |
$135.08 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$234.36 |
$234.36 |
$234.36 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$55.02 |
$55.02 |
$55.02 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$34.44 |
$34.44 |
$34.44 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$168.84 |
$168.84 |
$168.84 |
$93.60
|
|
Alginate drsg >16 <=48 sq in
|
$48.30 |
$48.30 |
$48.30 |
$43.72
|
|
Alginate drsg wound filler
|
$17.29 |
$17.29 |
$17.29 |
$15.79
|
|
Alkaline phosphatase
|
$52.50 |
$52.50 |
$52.50 |
$46.40
|
|
Allergen egg white ige
|
$55.44 |
$55.44 |
$55.44 |
$38.00
|
|
Allograft 160mg placental salera mini membrane
|
$17.33 |
$17.33 |
$17.33 |
$6,611.20
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$2,173.50 |
$2,173.50 |
$2,173.50 |
$5,401.92
|
|
Allograft amnioexcel plus 17mm disk
|
$222.60 |
$222.60 |
$222.60 |
$2,250.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$7,299.60 |
$7,299.60 |
$7,299.60 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$5,792.85 |
$5,792.85 |
$5,792.85 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$96.18 |
$96.18 |
$96.18 |
$23,373.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$177.18 |
$177.18 |
$177.18 |
$874.65
|