|
Acup 1/> w/estim ea addl 15
|
$14.96 |
$14.96 |
$14.96 |
$55.60
|
|
Acup 1/> without estim ea add 15
|
$14.74 |
$14.74 |
$14.74 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$19.14 |
$19.14 |
$19.14 |
$52.80
|
|
Acute hepatitis panel
|
$251.16 |
$251.16 |
$251.16 |
$285.35
|
|
Acute venous thrombus image
|
$28.60 |
$28.60 |
$28.60 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$26.95 |
$26.95 |
$26.95 |
$63.48
|
|
#acylcarnitineprfl
|
$88.92 |
$88.92 |
$88.92 |
$120.25
|
|
Acylcarnitines qual
|
$11.00 |
$11.00 |
$11.00 |
$45.60
|
|
Adding walker to prev cast
|
$17.16 |
$17.16 |
$17.16 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$19.23 |
$19.23 |
$19.23 |
$268.50
|
|
Adenovirus ag ia
|
$7.92 |
$7.92 |
$7.92 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$8.36 |
$8.36 |
$8.36 |
$58.00
|
|
Adenovirus assay w/optic
|
$14.52 |
$14.52 |
$14.52 |
$44.00
|
|
Adhesiolysis tube ovary 58740
|
$559.46 |
$559.46 |
$559.46 |
$1,384.32
|
|
Adh-sendout
|
$22.44 |
$22.44 |
$22.44 |
$118.79
|
|
Adjmt/revj ext fixj sys anes
|
$281.16 |
$281.16 |
$281.16 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$470.36 |
$470.36 |
$470.36 |
$3,262.50
|
|
Adjustment gastric band
|
$27.72 |
$27.72 |
$27.72 |
$198.47
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$185.57 |
$185.57 |
$185.57 |
$193.40
|
|
Admin ecg contrast agent
|
$962.52 |
$962.52 |
$962.52 |
$139.44
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$40.92 |
$40.92 |
$40.92 |
$255.98
|
|
Administration immunization each additional component
|
$109.20 |
$109.20 |
$109.20 |
$32.00
|
|
Administration immunization each additional vaccine
|
$109.20 |
$109.20 |
$109.20 |
$47.52
|
|
Administration immunization first component each vaccine
|
$145.86 |
$145.86 |
$145.86 |
$47.20
|
|
Administration vaccine hepatitis b
|
$94.38 |
$94.38 |
$94.38 |
$53.00
|
|
Administration vaccine influenza virus
|
$94.38 |
$94.38 |
$94.38 |
$51.11
|
|
Administration vaccine pneumococcal
|
$94.38 |
$94.38 |
$94.38 |
$50.43
|
|
Adrenal cortex & medulla img
|
$21.78 |
$21.78 |
$21.78 |
$2,015.68
|
|
Adrenalectomy expl w/exc retro tumor 60545
|
$768.68 |
$768.68 |
$768.68 |
$5,441.80
|
|
Adrenalin epinephrine inject
|
$115.50 |
$115.50 |
$115.50 |
$229.69
|
|
Advance care planning each additional 30 min 99498
|
$43.78 |
$43.78 |
$43.78 |
$108.00
|
|
Adv prim care mgmt lvl 1
|
$7.70 |
$7.70 |
$7.70 |
$51.52
|
|
Adv prim care mgmt lvl 2
|
$23.10 |
$23.10 |
$23.10 |
$51.52
|
|
Adv prim care mgmt lvl 3
|
$51.04 |
$51.04 |
$51.04 |
$139.68
|
|
Aep neurodiagnostic i&r
|
$49.50 |
$49.50 |
$49.50 |
$583.80
|
|
_afb id by dna probe rflx ast
|
$13.20 |
$13.20 |
$13.20 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$4.84 |
$4.84 |
$4.84 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$76.12 |
$76.12 |
$76.12 |
$300.22
|
|
Aff2 gen aly detc abnl allel
|
$90.64 |
$90.64 |
$90.64 |
$150.70
|
|
Aff2 gen alys charac alleles
|
$181.28 |
$181.28 |
$181.28 |
$302.31
|
|
Afo, walk boot type, cus fab
|
$880.00 |
$880.00 |
$880.00 |
$2,500.10
|
|
After cataract laser surgery
|
$187.22 |
$187.22 |
$187.22 |
$1,373.11
|
|
Air injection into abdomen 49400
|
$55.22 |
$55.22 |
$55.22 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$7.48 |
$7.48 |
$7.48 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$41.34 |
$41.34 |
$41.34 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$89.09 |
$89.09 |
$89.09 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$106.64 |
$106.64 |
$106.64 |
$252.35
|
|
Albumin ischemia modified
|
$22.44 |
$22.44 |
$22.44 |
$85.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$30.42 |
$30.42 |
$30.42 |
$57.71
|
|
Albumin serum plasma or whole blood
|
$26.52 |
$26.52 |
$26.52 |
$42.84
|
|
Albuterol ipratrop non-comp
|
$0.50 |
$0.50 |
$0.50 |
$5.61
|
|
Albuterol non-comp unit
|
$0.35 |
$0.35 |
$0.35 |
$5.28
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$90.48 |
$90.48 |
$90.48 |
$96.00
|
|
Aldosterone suppression eval
|
$82.72 |
$82.72 |
$82.72 |
$315.20
|
|
Alkaline phosphatase
|
$27.30 |
$27.30 |
$27.30 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$94.38 |
$94.38 |
$94.38 |
$48.60
|
|
Allergen egg white ige
|
$27.30 |
$27.30 |
$27.30 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$5.28 |
$5.28 |
$5.28 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$94.38 |
$94.38 |
$94.38 |
$47.04
|
|
Allergy injection; single 95115
|
$94.38 |
$94.38 |
$94.38 |
$46.80
|
|
Allgrft implnt knee w/scope
|
$794.64 |
$794.64 |
$794.64 |
$6,411.60
|
|
All tstg perq&iq drugs/biol
|
$4.40 |
$4.40 |
$4.40 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$2.20 |
$2.20 |
$2.20 |
$41.34
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$42.68 |
$42.68 |
$42.68 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$11.44 |
$11.44 |
$11.44 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$88.14 |
$88.14 |
$88.14 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$6,776.28 |
$6,776.28 |
$6,776.28 |
$15,857.45
|
|
Alt/sgpt
|
$28.08 |
$28.08 |
$28.08 |
$47.50
|
|
Aluminum - quest
|
$134.16 |
$134.16 |
$134.16 |
$83.21
|
|
Alveoloplasty each quadrant
|
$154.22 |
$154.22 |
$154.22 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$24.42 |
$24.42 |
$24.42 |
$411.45
|
|
Ambl bp mntr w/sw i&r
|
$11.00 |
$11.00 |
$11.00 |
$42.40
|
|
Amines vaginal fluid qual
|
$3.96 |
$3.96 |
$3.96 |
$12.00
|
|
Amino acid screen, urine
|
$9.24 |
$9.24 |
$9.24 |
$76.05
|
|
Amino acid single qual
|
$9.24 |
$9.24 |
$9.24 |
$36.00
|
|
Amino acids quant 2-5
|
$12.76 |
$12.76 |
$12.76 |
$111.06
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$0.88 |
$0.88 |
$0.88 |
$37.33
|
|
Aminolevulinic acid delta
|
$11.00 |
$11.00 |
$11.00 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$15.39 |
$15.39 |
$15.39 |
$46.93
|
|
Amiodarone 50 mg/ml intravenous solution
|
$35.57 |
$35.57 |
$35.57 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$602.94 |
$602.94 |
$602.94 |
$87.50
|
|
Ammonia
|
$76.44 |
$76.44 |
$76.44 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$49.50 |
$49.50 |
$49.50 |
$942.60
|
|
Amniocentesis therapeutic
|
$109.56 |
$109.56 |
$109.56 |
$791.05
|
|
Amniotic fluid scan
|
$6.16 |
$6.16 |
$6.16 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$419.54 |
$419.54 |
$419.54 |
$3,761.00
|
|
Amphetamine confirm urine -sendout
|
$602.94 |
$602.94 |
$602.94 |
$93.61
|
|
Amphetamines 5 or more
|
$602.94 |
$602.94 |
$602.94 |
$91.50
|
|
Ampicillin 1 gram solution for injection
|
$10.32 |
$10.32 |
$10.32 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$11.21 |
$11.21 |
$11.21 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$261.58 |
$261.58 |
$261.58 |
$3,981.50
|
|
Amp thigh through femur re-amp 27596
|
$438.24 |
$438.24 |
$438.24 |
$3,430.64
|
|
Amputate hand at wrist
|
$401.28 |
$401.28 |
$401.28 |
$3,086.40
|
|
Amputate hand at wrist
|
$453.86 |
$453.86 |
$453.86 |
$3,342.87
|
|
Amputate leg at thigh
|
$600.16 |
$600.16 |
$600.16 |
$3,342.87
|
|
Amputate leg at thigh
|
$416.24 |
$416.24 |
$416.24 |
$2,854.80
|
|
Amputate lower leg at knee
|
$429.66 |
$429.66 |
$429.66 |
$3,342.87
|
|
Amputate metacarpal bone 26910
|
$468.16 |
$468.16 |
$468.16 |
$3,839.54
|
|
Amputate thigh through femur 27590
|
$481.36 |
$481.36 |
$481.36 |
$3,342.87
|
