|
11-desoxycortisol - sendout
|
$32.21 |
$32.21 |
$32.21 |
$87.50
|
|
17-hydroxypregnenolone
|
$25.09 |
$25.09 |
$25.09 |
$87.50
|
|
17-ketosteroids
|
$14.08 |
$14.08 |
$14.08 |
$46.20
|
|
2019-ncov diagnostic p
|
$39.51 |
$39.51 |
$39.51 |
$39.51
|
|
24 hr ambulatory b/p monitor
|
$235.93 |
$235.93 |
$235.93 |
$320.45
|
|
3-d radiotherapy plan
|
$2,223.11 |
$2,223.11 |
$2,223.11 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$110.55 |
$110.55 |
$110.55 |
$431.75
|
|
5' nucleotidase - sendout
|
$12.27 |
$12.27 |
$12.27 |
$51.19
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$13.21 |
$13.21 |
$13.21 |
$52.47
|
|
Abd aorta w/runoff s&i
|
$1,490.33 |
$1,490.33 |
$1,490.33 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,050.58
|
|
Abd/low ext cath addl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$701.81 |
$701.81 |
$701.81 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$561.22 |
$561.22 |
$561.22 |
$1,704.75
|
|
Abdominal CT scan (without contrast)
|
$375.58 |
$375.58 |
$375.58 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$852.53 |
$852.53 |
$852.53 |
$2,923.05
|
|
Abdominal MRI (with contrast)
|
$850.65 |
$850.65 |
$850.65 |
$2,195.70
|
|
Abdominal MRI (without contrast)
|
$581.49 |
$581.49 |
$581.49 |
$1,979.51
|
|
Abdominal paracentesis w/image guidance
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$204.78 |
$204.78 |
$204.78 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$176.81 |
$176.81 |
$176.81 |
$604.43
|
|
Abdominoplasty 15830
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,216.25
|
|
Abd paracentesis/w/o image guide 49082
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,176.00
|
|
Abl1 gene
|
$330.00 |
$330.00 |
$330.00 |
$614.25
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,773.01
|
|
Ablate inf turbinate submuc 30802
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,640.99
|
|
Ablate inf turbinate superf 30801
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,133.48
|
|
Ablate pulm tumor perq crybl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,617.20
|
|
Ablate pulm tumor perq rf
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,468.02
|
|
Ablation cardiac vagal inputs atrium
|
$677.22 |
$677.22 |
$677.22 |
$3,812.17
|
|
Ablation cryo abd perit om
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,463.42
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,948.83
|
|
Ablation cryo thigh/knee
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,164.00
|
|
Abltj mal prst8 tiss hifu
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,077.94
|
|
Abortion (mpr)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$576.80
|
|
Abrasion lesion single
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,053.18
|
|
Acetaminophen level
|
$20.50 |
$20.50 |
$20.50 |
$117.01
|
|
Acetone qualitative
|
$4.97 |
$4.97 |
$4.97 |
$50.70
|
|
Acetylcholine receptor modulating antibody
|
$13.26 |
$13.26 |
$13.26 |
$67.50
|
|
Acetylcholinesterase assay
|
$13.52 |
$13.52 |
$13.52 |
$112.00
|
|
Acid perfusion of esophagus
|
$155.60 |
$155.60 |
$155.60 |
$304.00
|
|
Acne surgery 10040
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$260.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$29.09 |
$29.09 |
$29.09 |
$42.75
|
|
Acromp/acromionectomy prtl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,786.00
|
|
Acute hepatitis panel
|
$52.39 |
$52.39 |
$52.39 |
$286.05
|
|
#acylcarnitineprfl
|
$18.56 |
$18.56 |
$18.56 |
$106.24
|
|
Acylcarnitines qual
|
$18.14 |
$18.14 |
$18.14 |
$45.60
|
|
Adding walker to prev cast
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$187.33
|
|
Adenovirus ag ia
|
$13.18 |
$13.18 |
$13.18 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$14.16 |
$14.16 |
$14.16 |
$63.00
|
|
Adenovirus assay w/optic
|
$23.94 |
$23.94 |
$23.94 |
$44.00
|
|
Adh-sendout
|
$37.33 |
$37.33 |
$37.33 |
$109.71
|
|
Adj gastric band via subq port
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,057.40
|
|
Adjmt/revj ext fixj sys anes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,837.09
|
|
Administration chemotherapy IV infusion each additional hour
|
$210.97 |
$210.97 |
$210.97 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$214.91 |
$214.91 |
$214.91 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$437.71 |
$437.71 |
$437.71 |
$677.05
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$291.31 |
$291.31 |
$291.31 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$120.12 |
$120.12 |
$120.12 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$175.68 |
$175.68 |
$175.68 |
$267.43
|
|
Administration immunization 1 vaccine
|
$34.72 |
$34.72 |
$34.72 |
$69.21
|
|
Administration immunization each additional vaccine
|
$18.39 |
$18.39 |
$18.39 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$17.45 |
$17.45 |
$17.45 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$11.63 |
$11.63 |
$11.63 |
$33.60
|
|
Administration vaccine hepatitis b
|
$34.72 |
$34.72 |
$34.72 |
$45.60
|
|
Administration vaccine influenza virus
|
$34.72 |
$34.72 |
$34.72 |
$46.80
|
|
Administration vaccine pneumococcal
|
$34.72 |
$34.72 |
$34.72 |
$49.40
|
|
_afb id by dna probe rflx ast
|
$22.06 |
$22.06 |
$22.06 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$8.04 |
$8.04 |
$8.04 |
$38.75
|
|
_afb org id by sequencing rflx ast-sendout
|
$126.90 |
$126.90 |
$126.90 |
$289.60
|
|
After cataract laser surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,499.25
|
|
Albumin body fluid quantitative each specimen
|
$8.56 |
$8.56 |
$8.56 |
$49.00
|
|
Albumin ischemia modified
|
$37.33 |
$37.33 |
$37.33 |
$46.84
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.36 |
$6.36 |
$6.36 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$5.45 |
$5.45 |
$5.45 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$19.00 |
$19.00 |
$19.00 |
$94.90
|
|
Alkaline phosphatase
|
$5.70 |
$5.70 |
$5.70 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$19.72 |
$19.72 |
$19.72 |
$59.12
|
|
Allergen egg white ige
|
$5.74 |
$5.74 |
$5.74 |
$41.60
|
|
Allergen specific ige qual multi scrn ea
|
$8.77 |
$8.77 |
$8.77 |
$28.05
|
|
Allergy injections; 2 or more 95117
|
$15.01 |
$15.01 |
$15.01 |
$44.14
|
|
Allergy injection; single 95115
|
$11.44 |
$11.44 |
$11.44 |
$42.75
|
|
Allgrft implnt knee w/scope
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,286.40
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$206.87 |
$206.87 |
$206.87 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$87.33 |
$87.33 |
$87.33 |
$2,981.51
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$20.66 |
$20.66 |
$20.66 |
$17,910.07
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$169.93 |
$169.93 |
$169.93 |
$1,028.25
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$278.57 |
$278.57 |
$278.57 |
$2,674.32
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$74.53 |
$74.53 |
$74.53 |
$4,170.10
|
|
All tstg perq&iq drugs/biol
|
$28.15 |
$28.15 |
$28.15 |
$64.80
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$70.85 |
$70.85 |
$70.85 |
$189.15
|
