|
11-desoxycortisol - sendout
|
$32.21 |
$32.21 |
$32.21 |
$92.04
|
|
17-hydroxypregnenolone
|
$25.09 |
$25.09 |
$25.09 |
$92.30
|
|
17-ketosteroids
|
$14.08 |
$14.08 |
$14.08 |
$55.00
|
|
2019-ncov diagnostic p
|
$39.51 |
$39.51 |
$39.51 |
$39.51
|
|
2nd order venous cath
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,537.60
|
|
3-d radiotherapy plan
|
$2,423.58 |
$2,423.58 |
$2,423.58 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$137.83 |
$137.83 |
$137.83 |
$422.00
|
|
5' nucleotidase - sendout
|
$12.27 |
$12.27 |
$12.27 |
$64.28
|
|
88334 ap bill cytologic exam each additional site
|
$14.25 |
$14.25 |
$14.25 |
$94.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$13.21 |
$13.21 |
$13.21 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,057.64 |
$1,057.64 |
$1,057.64 |
$3,439.84
|
|
Abd/low ext cath 1st
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,114.60
|
|
Abd/low ext cath 2nd
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,023.25
|
|
Abd/low ext cath 3rd
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,554.85
|
|
Abd/low ext cath addl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$537.42 |
$537.42 |
$537.42 |
$1,888.77
|
|
Abdominal CT scan (with contrast)
|
$453.34 |
$453.34 |
$453.34 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$310.59 |
$310.59 |
$310.59 |
$1,203.12
|
|
Abdominal MRI (with and without contrast)
|
$1,076.49 |
$1,076.49 |
$1,076.49 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$1,014.86 |
$1,014.86 |
$1,014.86 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$694.60 |
$694.60 |
$694.60 |
$1,765.28
|
|
Abdominal paracentesis w/image guidance
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$178.81 |
$178.81 |
$178.81 |
$723.75
|
|
Abdominal Ultrasound (limited)
|
$154.39 |
$154.39 |
$154.39 |
$556.40
|
|
Abdominoplasty 15830
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,093.44
|
|
Abd paracentesis/w/o image guide 49082
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,145.00
|
|
Abl1 gene
|
$330.00 |
$330.00 |
$330.00 |
$600.00
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,867.20
|
|
Ablate bone tumor(s) perq
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$9,527.28
|
|
Ablate inf turbinate submuc 30802
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,639.57
|
|
Ablate inf turbinate superf 30801
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,849.50
|
|
Ablate pulm tumor perq crybl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,084.20
|
|
Ablate pulm tumor perq rf
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,312.83
|
|
Ablation cardiac vagal inputs atrium
|
$1,071.74 |
$1,071.74 |
$1,071.74 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,747.40
|
|
Ablation cryo adrenal tumor
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,114.45
|
|
Ablation cryo thigh/knee
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,100.00
|
|
Abltj mal prst8 tiss hifu
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,077.94
|
|
Abortion (mpr)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$571.80
|
|
Abrasion lesion single
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,263.74
|
|
Acetaminophen level
|
$20.50 |
$20.50 |
$20.50 |
$117.01
|
|
Acetone qualitative
|
$4.97 |
$4.97 |
$4.97 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$13.26 |
$13.26 |
$13.26 |
$93.00
|
|
Acetylcholinesterase assay
|
$13.52 |
$13.52 |
$13.52 |
$92.50
|
|
Acid perfusion of esophagus
|
$135.87 |
$135.87 |
$135.87 |
$304.00
|
|
Acne surgery 10040
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$234.00
|
|
Acromp/acromionectomy prtl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,786.00
|
|
Actinotherapy uv light
|
$13.27 |
$13.27 |
$13.27 |
$104.65
|
|
Acute hepatitis panel
|
$52.39 |
$52.39 |
$52.39 |
$291.00
|
|
#acylcarnitineprfl
|
$18.56 |
$18.56 |
$18.56 |
$110.25
|
|
Acylcarnitines qual
|
$18.14 |
$18.14 |
$18.14 |
$30.80
|
|
Adding walker to prev cast
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$187.33
|
|
Adenovirus ag ia
|
$13.18 |
$13.18 |
$13.18 |
$30.40
|
|
Adenovirus antibody,serum - quest
|
$14.16 |
$14.16 |
$14.16 |
$60.00
|
|
Adenovirus assay w/optic
|
$23.94 |
$23.94 |
$23.94 |
$44.00
|
|
Adh-sendout
|
$37.33 |
$37.33 |
$37.33 |
$151.45
|
|
Adj gastric band via subq port
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,977.20
|
|
Adjmt/revj ext fixj sys anes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,419.00
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,837.09
|
|
Administration chemotherapy IV infusion each additional hour
|
$184.22 |
$184.22 |
$184.22 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$187.66 |
$187.66 |
$187.66 |
$308.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$413.84 |
$413.84 |
$413.84 |
$690.21
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$209.46 |
$209.46 |
$209.46 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$132.43 |
$132.43 |
$132.43 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$158.49 |
$158.49 |
$158.49 |
$264.00
|
|
Administration immunization 1 vaccine
|
$28.51 |
$28.51 |
$28.51 |
$62.79
|
|
Administration immunization each additional vaccine
|
$16.22 |
$16.22 |
$16.22 |
$43.89
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$16.22 |
$16.22 |
$16.22 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$12.94 |
$12.94 |
$12.94 |
$33.60
|
|
Administration vaccine hepatitis b
|
$28.51 |
$28.51 |
$28.51 |
$38.25
|
|
Administration vaccine influenza virus
|
$28.51 |
$28.51 |
$28.51 |
$38.36
|
|
Administration vaccine pneumococcal
|
$28.51 |
$28.51 |
$28.51 |
$38.44
|
|
_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 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$126.90 |
$126.90 |
$126.90 |
$330.00
|
|
After cataract laser surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,499.25
|
|
Albumin body fluid quantitative each specimen
|
$8.56 |
$8.56 |
$8.56 |
$42.25
|
|
Albumin ischemia modified
|
$37.33 |
$37.33 |
$37.33 |
$46.84
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.36 |
$6.36 |
$6.36 |
$60.00
|
|
Albumin serum plasma or whole blood
|
$5.45 |
$5.45 |
$5.45 |
$39.60
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$19.00 |
$19.00 |
$19.00 |
$78.00
|
|
Alkaline phosphatase
|
$5.70 |
$5.70 |
$5.70 |
$43.00
|
|
Allergen alpha lactalbumin ige
|
$19.72 |
$19.72 |
$19.72 |
$56.35
|
|
Allergen egg white ige
|
$5.74 |
$5.74 |
$5.74 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$8.77 |
$8.77 |
$8.77 |
$35.75
|
|
Allgrft implnt knee w/scope
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,286.40
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$180.64 |
$180.64 |
$180.64 |
$180.64
|
|
Allograft amnioexcel plus 17mm disk
|
$76.25 |
$76.25 |
$76.25 |
$311.14
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$18.04 |
$18.04 |
$18.04 |
$30,615.48
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$148.38 |
$148.38 |
$148.38 |
$319.80
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$243.24 |
$243.24 |
$243.24 |
$2,217.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$65.08 |
$65.08 |
$65.08 |
$6,075.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$70.85 |
$70.85 |
$70.85 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$18.70 |
$18.70 |
$18.70 |
$79.30
|
