|
11-desoxycortisol - sendout
|
$105.94 |
$105.94 |
$105.94 |
$91.85
|
|
17-hydroxypregnenolone
|
$82.55 |
$82.55 |
$82.55 |
$92.65
|
|
17-ketosteroids
|
$46.32 |
$46.32 |
$46.32 |
$55.00
|
|
1st psyc collab care mgmt
|
$203.93 |
$203.93 |
$203.93 |
$109.46
|
|
1st/sbsq psyc collab care
|
$87.29 |
$87.29 |
$87.29 |
$107.43
|
|
2019-ncov diagnostic p
|
$100.26 |
$100.26 |
$100.26 |
$54.50
|
|
24 hr ambulatory b/p monitor
|
$335.52 |
$335.52 |
$335.52 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,494.22 |
$1,494.22 |
$1,494.22 |
$1,724.25
|
|
3d ech img cgen car anomal
|
$587.18 |
$587.18 |
$587.18 |
$511.60
|
|
3-d radiotherapy plan
|
$3,221.39 |
$3,221.39 |
$3,221.39 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$312.06 |
$312.06 |
$312.06 |
$508.13
|
|
5' nucleotidase - sendout
|
$40.37 |
$40.37 |
$40.37 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$160.48 |
$160.48 |
$160.48 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$269.62 |
$269.62 |
$269.62 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$282.54 |
$282.54 |
$282.54 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$294.61 |
$294.61 |
$294.61 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$247.12 |
$247.12 |
$247.12 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$259.43 |
$259.43 |
$259.43 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$258.55 |
$258.55 |
$258.55 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$284.42 |
$284.42 |
$284.42 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$333.37 |
$333.37 |
$333.37 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$126.91 |
$126.91 |
$126.91 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$43.44 |
$43.44 |
$43.44 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$390.25 |
$390.25 |
$390.25 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,081.39 |
$1,081.39 |
$1,081.39 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$545.10 |
$545.10 |
$545.10 |
$2,475.45
|
|
Abd/low ext cath addl
|
$295.68 |
$295.68 |
$295.68 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$666.26 |
$666.26 |
$666.26 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$323.71 |
$323.71 |
$323.71 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$799.16 |
$799.16 |
$799.16 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$799.16 |
$799.16 |
$799.16 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$499.36 |
$499.36 |
$499.36 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,510.60 |
$1,510.60 |
$1,510.60 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$956.04 |
$956.04 |
$956.04 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,670.68 |
$1,670.68 |
$1,670.68 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$323.71 |
$323.71 |
$323.71 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$323.71 |
$323.71 |
$323.71 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$275.16 |
$275.16 |
$275.16 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$275.16 |
$275.16 |
$275.16 |
$418.63
|
|
Abdominal X-ray (single view)
|
$201.75 |
$201.75 |
$201.75 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,706.90 |
$1,706.90 |
$1,706.90 |
$1,148.40
|
|
Abl1 gene
|
$879.38 |
$879.38 |
$879.38 |
$683.20
|
|
Ablate bone tumor(s) perq
|
$11,101.16 |
$11,101.16 |
$11,101.16 |
$9,511.44
|
|
Ablation cardiac vagal inputs atrium
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$2,260.30
|
|
Ablation cryo adrenal tumor
|
$11,865.51 |
$11,865.51 |
$11,865.51 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$8,911.31 |
$8,911.31 |
$8,911.31 |
$441.09
|
|
Ablation cryo retro lymph node
|
$798.20 |
$798.20 |
$798.20 |
$857.60
|
|
Ablation cryo thigh/knee
|
$544.83 |
$544.83 |
$544.83 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$691.50 |
$691.50 |
$691.50 |
$832.50
|
|
Abobotulinumtoxina
|
$18.61 |
$18.61 |
$18.61 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$3,486.44 |
$3,486.44 |
$3,486.44 |
$3,050.40
|
|
Access thoracic lymph duct
|
$765.02 |
$765.02 |
$765.02 |
$828.80
|
|
Acetaminophen level
|
$49.56 |
$49.56 |
$49.56 |
$116.80
|
|
Acetone qualitative
|
$16.35 |
$16.35 |
$16.35 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$26.72 |
$26.72 |
$26.72 |
$67.50
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$297.56 |
$297.56 |
$297.56 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.62 |
$37.62 |
$37.62 |
$38.50
|
|
Acute hepatitis panel
|
$172.39 |
$172.39 |
$172.39 |
$284.95
|
|
#acylcarnitineprfl
|
$61.05 |
$61.05 |
$61.05 |
$121.55
|
|
Adenovirus ag ia
|
$28.22 |
$28.22 |
$28.22 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$46.58 |
$46.58 |
$46.58 |
$58.00
|
|
Adh-sendout
|
$122.82 |
$122.82 |
$122.82 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$0.51 |
$0.51 |
$0.51 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$61.08 |
$61.08 |
$61.08 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$61.08 |
$61.08 |
$61.08 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$728.29 |
$728.29 |
$728.29 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$71.31 |
$71.31 |
$71.31 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$61.08 |
$61.08 |
$61.08 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$61.08 |
$61.08 |
$61.08 |
$256.49
|
|
Administration immunization each additional vaccine
|
$77.25 |
$77.25 |
$77.25 |
$47.40
|
|
Administration immunization first component each vaccine
|
$67.74 |
$67.74 |
$67.74 |
$46.40
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$67.74 |
$67.74 |
$67.74 |
$44.80
|
|
Administration vaccine hepatitis b
|
$67.74 |
$67.74 |
$67.74 |
$53.00
|
|
Administration vaccine influenza virus
|
$67.74 |
$67.74 |
$67.74 |
$51.07
|
|
Administration vaccine pneumococcal
|
$67.74 |
$67.74 |
$67.74 |
$49.68
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$67.74 |
$67.74 |
$67.74 |
$41.45
|
|
Aep hearing status deter i&r
|
$366.43 |
$366.43 |
$366.43 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$689.09 |
$689.09 |
$689.09 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$689.09 |
$689.09 |
$689.09 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$72.57 |
$72.57 |
$72.57 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$21.44 |
$21.44 |
$21.44 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$417.47 |
$417.47 |
$417.47 |
$300.00
|
|
Aflibercept injection
|
$1,542.79 |
$1,542.79 |
$1,542.79 |
$2,738.00
|
|
Afo molded ankle gauntlet
|
$872.39 |
$872.39 |
$872.39 |
$765.51
|
|
Afo molded to patient plasti
|
$1,126.12 |
$1,126.12 |
$1,126.12 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$1,899.72 |
$1,899.72 |
$1,899.72 |
$1,843.53
|
|
Afo tib fx cast molded to pt
|
$2,326.17 |
$2,326.17 |
$2,326.17 |
$2,118.14
|
|
Afo tib fx semi-rigid l2114
|
$1,387.25 |
$1,387.25 |
$1,387.25 |
$817.60
|
|
Albumin body fluid quantitative each specimen
|
$22.82 |
$22.82 |
$22.82 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$284.79 |
$284.79 |
$284.79 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$77.11 |
$77.11 |
$77.11 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$20.93 |
$20.93 |
$20.93 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$17.91 |
$17.91 |
$17.91 |
$43.00
|
|
Alkaline phosphatase
|
$18.74 |
$18.74 |
$18.74 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$64.90 |
$64.90 |
$64.90 |
$48.57
|
|
Allergen egg white ige
|
$18.88 |
$18.88 |
$18.88 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$28.85 |
$28.85 |
$28.85 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$101.01 |
$101.01 |
$101.01 |
$45.00
|
|
Allergy injection; single 95115
|
$101.01 |
$101.01 |
$101.01 |
$46.80
|