|
11-desoxycortisol - sendout
|
$29.52 |
$32.69 |
$42.42 |
|
|
17-hydroxypregnenolone
|
$29.52 |
$32.69 |
$41.19 |
|
|
17-ketosteroids
|
$20.30 |
$22.48 |
$38.56 |
|
|
2nd order venous cath
|
$985.85 |
$985.85 |
$1,091.65 |
|
|
3-d radiotherapy plan
|
$640.22 |
$640.22 |
$893.18 |
|
|
3d recon without postprocess indpndt
|
$171.01 |
$410.21 |
$572.29 |
|
|
5' nucleotidase - sendout
|
$7.79 |
$8.63 |
$47.72 |
|
|
88334 ap bill cytologic exam each additional site
|
$42.85 |
$47.45 |
$59.78 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$27.06 |
$29.97 |
$40.90 |
|
|
Abd aorta w/runoff s&i
|
$3,415.92 |
$3,415.92 |
$3,782.51 |
|
|
Abd/low ext cath 1st
|
$1,183.88 |
$1,183.88 |
$1,310.93 |
|
|
Abd/low ext cath 2nd
|
$1,528.07 |
$1,528.07 |
$1,692.06 |
|
|
Abd/low ext cath 3rd
|
$1,819.17 |
$1,819.17 |
$2,014.40 |
|
|
Abd/low ext cath addl
|
$1,073.38 |
$1,073.38 |
$1,188.58 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$569.02 |
$734.31 |
$1,024.46 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$187.11 |
$425.99 |
$594.31 |
|
|
Abdominal CT scan (with and without contrast)
|
$1,675.80 |
$2,473.74 |
$3,451.17 |
|
|
Abdominal CT scan (with contrast)
|
$1,396.50 |
$1,828.40 |
$2,550.84 |
|
|
Abdominal CT scan (without contrast)
|
$989.54 |
$1,095.73 |
$1,380.53 |
|
|
Abdominal MRI (with and without contrast)
|
$2,145.55 |
$2,494.44 |
$2,762.14 |
|
|
Abdominal MRI (with contrast)
|
$1,788.12 |
$2,199.24 |
$2,435.26 |
|
|
Abdominal MRI (without contrast)
|
$1,430.20 |
$1,476.00 |
$1,634.40 |
|
|
Abdominal paracentesis w/image guidance
|
$281.01 |
$855.06 |
$1,192.91 |
|
|
Abdominal Ultrasound (complete)
|
$739.88 |
$870.64 |
$1,214.65 |
|
|
Abdominal Ultrasound (limited)
|
$557.70 |
$713.81 |
$995.86 |
|
|
Abdominal X-ray (2 views)
|
$143.65 |
$505.53 |
$705.28 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$225.12 |
$608.65 |
$849.14 |
|
|
Abdominal X-ray (single view)
|
$99.16 |
$322.06 |
$449.31 |
|
|
Abd paracentesis/w/o image guide 49082
|
$726.73 |
$804.72 |
$1,013.87 |
|
|
Abl1 gene
|
$437.40 |
$465.56 |
$649.51 |
|
|
Ablate arrhythmia add on
|
$7,555.07 |
$7,555.07 |
$8,365.86 |
|
|
Ablate heart dysrhythm focus
|
$8,805.57 |
$8,805.57 |
$9,750.56 |
|
|
Ablate pulm tumor perq crybl
|
$6,890.05 |
$7,629.47 |
$9,612.46 |
|
|
Ablate pulm tumor perq rf
|
$3,048.56 |
$3,375.72 |
$4,253.11 |
|
|
Ablation cardiac vagal inputs atrium
|
$8,310.70 |
$8,310.70 |
$9,202.58 |
|
|
Ablation cryo abd perit om
|
$536.49 |
$536.49 |
$536.49 |
|
|
Ablation cryo pq liver tumor(s)
|
$3,101.45 |
$3,434.29 |
$4,326.90 |
|
|
Ablation of upper extremity nerves rf
|
$161.13 |
$161.13 |
$224.80 |
|
|
Abscess drain retroperitoneal surg code
|
$980.31 |
$1,158.87 |
$1,616.76 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$10.66 |
$10.66 |
$43.36 |
|
|
Acetaminophen 120 mg rectal suppository
|
$14.76 |
$14.76 |
$14.76 |
|
|
Acetazolamide 500 mg solution for injection
|
$6.30 |
$45.92 |
$50.85 |
|
|
Acetone qualitative
|
$87.74 |
$97.16 |
$122.41 |
|
|
Acetylcholine receptor modulating antibody
|
$22.14 |
$24.52 |
$44.93 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$207.67 |
$229.96 |
$289.72 |
|
|
Acid perfusion of esophagus
|
$297.87 |
$297.87 |
$415.56 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$82.63 |
$82.63 |
$82.63 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$10.90 |
$10.90 |
$31.54 |
|
|
Acute hepatitis panel
|
$120.98 |
$235.75 |
$328.90 |
|
|
Acute venous thrombus image
|
$662.15 |
$662.15 |
$662.15 |
|
|
Acyclovir 400 mg tablet
|
$3.91 |
$3.91 |
$3.91 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$44.28 |
$48.62 |
$49.04 |
|
|
#acylcarnitineprfl
|
$55.43 |
$95.94 |
$133.85 |
|
|
Adapter b 8 channel 10cm
|
$1,116.55 |
$3,877.17 |
$4,293.26 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$16.88 |
$462.28 |
$511.89 |
|
|
Adenovirus antibody,serum - quest
|
$35.14 |
$35.14 |
$35.14 |
|
|
Adh-sendout
|
$49.16 |
$52.07 |
$72.65 |
|
|
Adj gastric band via subq port
|
$1,256.45 |
$1,391.29 |
$1,752.90 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$124.70 |
$146.99 |
$162.76 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$21.92 |
$102.09 |
$124.85 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$49.18 |
$165.64 |
$183.42 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$100.32 |
$493.23 |
$600.87 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$122.38 |
$158.47 |
$195.00 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$108.65 |
$120.31 |
$151.58 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$108.65 |
$120.31 |
$209.38 |
|
|
Administration immunization each additional vaccine
|
$20.17 |
$35.26 |
$49.20 |
|
|
Administration vaccine hepatitis b
|
$57.23 |
$57.23 |
$57.23 |
|
|
Administration vaccine influenza virus
|
$57.23 |
$57.23 |
$57.23 |
|
|
Administration vaccine pneumococcal
|
$57.23 |
$57.23 |
$57.23 |
|
|
Adrenal cortex & medulla img
|
$1,202.94 |
$1,202.94 |
$1,332.04 |
|
|
Adrenalin epinephrine inject
|
$257.89 |
$285.57 |
$359.79 |
|
|
Aep neurodiagnostic i&r
|
$200.49 |
$200.49 |
$279.71 |
|
|
Aep thrshld est mlt freq i&r
|
$200.49 |
$200.49 |
$279.71 |
|
|
_afb id by dna probe rflx ast
|
$24.60 |
$27.24 |
$34.32 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$86.72 |
$96.03 |
$184.26 |
|
|
Afo molded to patient plasti
|
$890.52 |
$986.09 |
$1,242.39 |
|
|
Afo rig ant tib tcf/= custom
|
$1,158.25 |
$1,282.55 |
$1,615.90 |
|
|
Afo sing upright with adjust s
|
$471.91 |
$522.56 |
$658.38 |
|
|
Afo tib fx semi-rigid l2114
|
$800.32 |
$886.21 |
$1,116.55 |
|
|
Afo tibial fracture soft
|
$800.32 |
$886.21 |
$1,116.55 |
|
|
Afo w/ankle joint, prefab
|
$614.59 |
$680.55 |
$857.43 |
|
|
Air injection into abdomen 49400
|
$317.34 |
$317.34 |
$317.34 |
|
|
Airway resistance by impulse oscillometry 94728
|
$104.90 |
$142.89 |
$199.35 |
|
|
Albumin body fluid quantitative each specimen
|
$27.96 |
$68.68 |
$95.81 |
|
|
Albumin (human), 25%, 50ml
|
$118.90 |
$131.66 |
$165.88 |
|
|
Albumin (human), 5%, 250 ml
|
$140.72 |
$198.03 |
$219.29 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$32.78 |
$49.61 |
$69.22 |
|
|
Albumin serum plasma or whole blood
|
$30.37 |
$69.09 |
$96.39 |
|
|
Aldesleukin injection
|
$2,048.57 |
$2,048.57 |
$2,268.42 |
|
|
Alkaline phosphatase
|
$27.47 |
$83.64 |
$116.69 |
|
|
Allergen alpha lactalbumin ige
|
$8.61 |
$9.54 |
$46.08 |
|
|
Allergen egg white ige
|
$12.92 |
$14.31 |
$32.26 |
|
|
Allergen specific ige qual multi scrn ea
|
$33.98 |
$33.98 |
$33.98 |
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$2,981.93 |
$2,981.93 |
$3,301.95 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$483.58 |
$8,519.80 |
$9,434.12 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$3,877.17 |
$3,877.17 |
$4,293.26 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$13,460.10 |
$13,460.10 |
$14,904.60 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$11,123.92 |
$11,123.92 |
$12,317.71 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$8,519.80 |
$8,519.80 |
$9,434.12 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$890.52 |
$986.09 |
$2,215.48 |
|
