|
11-desoxycortisol - sendout
|
$76.70 |
$76.70 |
$76.70 |
$87.50
|
|
17-hydroxypregnenolone
|
$144.30 |
$144.30 |
$144.30 |
$85.15
|
|
17-ketosteroids
|
$146.90 |
$146.90 |
$146.90 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$386.10 |
$386.10 |
$386.10 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$1,570.80
|
|
2d tte w or without fol w/con,co
|
$2,235.35 |
$2,235.35 |
$2,235.35 |
$1,088.36
|
|
2nd order venous cath
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$480.35 |
$480.35 |
$480.35 |
$669.00
|
|
3-d radiotherapy plan
|
$5,120.05 |
$5,120.05 |
$5,120.05 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$416.00 |
$416.00 |
$416.00 |
$427.34
|
|
5' nucleotidase - sendout
|
$2,115.10 |
$2,115.10 |
$2,115.10 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$138.45 |
$138.45 |
$138.45 |
$97.65
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$61.10 |
$61.10 |
$61.10 |
$147.92
|
|
99397 periodic comp preventive med 65+ years est
|
$61.10 |
$61.10 |
$61.10 |
$176.03
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,934.18 |
$4,934.18 |
$4,934.18 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$82.55 |
$82.55 |
$82.55 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$12,774.45 |
$12,774.45 |
$12,774.45 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$2,146.30 |
$2,146.30 |
$2,146.30 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$2,122.90 |
$2,122.90 |
$2,122.90 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,929.85 |
$1,929.85 |
$1,929.85 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,752.10 |
$2,752.10 |
$2,752.10 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$2,501.85 |
$2,501.85 |
$2,501.85 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$2,273.70 |
$2,273.70 |
$2,273.70 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,107.30 |
$2,107.30 |
$2,107.30 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$724.75 |
$724.75 |
$724.75 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$581.10 |
$581.10 |
$581.10 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
$1,170.28
|
|
Abl1 gene
|
$900.25 |
$900.25 |
$900.25 |
$609.93
|
|
Ablate arrhythmia add on
|
$3,941.60 |
$3,941.60 |
$3,941.60 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$7,027.80 |
$7,027.80 |
$7,027.80 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$12,971.40 |
$12,971.40 |
$12,971.40 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$16,042.65 |
$16,042.65 |
$16,042.65 |
$10,008.58
|
|
Ablate pulm tumor perq crybl
|
$11,715.60 |
$11,715.60 |
$11,715.60 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$11,715.60 |
$11,715.60 |
$11,715.60 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$981.50 |
$981.50 |
$981.50 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$3,311.10 |
$3,311.10 |
$3,311.10 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$240.50 |
$240.50 |
$240.50 |
$859.50
|
|
Ablation cryo thigh/knee
|
$3,628.30 |
$3,628.30 |
$3,628.30 |
$386.10
|
|
Ablation of upper extremity nerves rf
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$987.60
|
|
Abltj mal prst8 tiss hifu
|
$5,226.00 |
$5,226.00 |
$5,226.00 |
$5,077.94
|
|
Abscess drain retroperitoneal surg code
|
$4,782.70 |
$4,782.70 |
$4,782.70 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$10,626.85 |
$10,626.85 |
$10,626.85 |
$3,263.74
|
|
Acetaminophen level
|
$117.65 |
$117.65 |
$117.65 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$81.70 |
$81.70 |
$81.70 |
$133.60
|
|
Acetylcholine receptor modulating antibody
|
$182.65 |
$182.65 |
$182.65 |
$65.60
|
|
Acetylcholinesterase assay
|
$208.65 |
$208.65 |
$208.65 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$27.66 |
$27.66 |
$27.66 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$33.15 |
$33.15 |
$33.15 |
$42.28
|
|
Acute hepatitis panel
|
$145.60 |
$145.60 |
$145.60 |
$284.70
|
|
#acylcarnitineprfl
|
$101.40 |
$101.40 |
$101.40 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$514.46 |
$514.46 |
$514.46 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$78.16 |
$78.16 |
$78.16 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$74.75 |
$74.75 |
$74.75 |
$63.00
|
|
Adh-sendout
|
$219.70 |
$219.70 |
$219.70 |
$109.28
|
|
Adj gastric band via subq port
|
$1,030.90 |
$1,030.90 |
$1,030.90 |
$1,874.60
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$4,458.80 |
$4,458.80 |
$4,458.80 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$734.08 |
$734.08 |
$734.08 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$684.45 |
$684.45 |
$684.45 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$778.05 |
$778.05 |
$778.05 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$292.50 |
$292.50 |
$292.50 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$455.00 |
$455.00 |
$455.00 |
$264.00
|
|
Administration immunization 1 vaccine
|
$31.20 |
$31.20 |
$31.20 |
$70.52
|
|
Administration immunization each additional vaccine
|
$31.20 |
$31.20 |
$31.20 |
$46.23
|
|
Administration vaccine hepatitis b
|
$31.20 |
$31.20 |
$31.20 |
$51.35
|
|
Administration vaccine influenza virus
|
$31.20 |
$31.20 |
$31.20 |
$49.50
|
|
Administration vaccine pneumococcal
|
$31.20 |
$31.20 |
$31.20 |
$51.11
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$22.75 |
$22.75 |
$22.75 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$17,264.68 |
$17,264.68 |
$17,264.68 |
$11,874.55
|
|
Adrenal cortex & medulla img
|
$2,596.10 |
$2,596.10 |
$2,596.10 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$162.50 |
$162.50 |
$162.50 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$247.65 |
$247.65 |
$247.65 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$25,664.18 |
$25,664.18 |
$25,664.18 |
$13,696.68
|
|
Air conduction bilat
|
$82.55 |
$82.55 |
$82.55 |
$106.50
|
|
Air injection into abdomen 49400
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$71.50 |
$71.50 |
$71.50 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$119.08 |
$119.08 |
$119.08 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$122.62 |
$122.62 |
$122.62 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$45.50 |
$45.50 |
$45.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$5.20 |
$5.20 |
$5.20 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$115.70 |
$115.70 |
$115.70 |
$93.60
|
|
Alkaline phosphatase
|
$5.20 |
$5.20 |
$5.20 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$243.75 |
$243.75 |
$243.75 |
$56.35
|
|
Allergen egg white ige
|
$127.40 |
$127.40 |
$127.40 |
$41.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$302.15 |
$302.15 |
$302.15 |
$3,104.06
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$136.44 |
$136.44 |
$136.44 |
$6,285.56
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$567.03 |
$567.03 |
$567.03 |
$905.18
|
|
All tstg perq&iq drugs/biol
|
$164.45 |
$164.45 |
$164.45 |
$64.80
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$187.20 |
$187.20 |
$187.20 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$104.65 |
$104.65 |
$104.65 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$39.00 |
$39.00 |
$39.00 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$23,242.18 |
$23,242.18 |
$23,242.18 |
$2,600.22
|
|
Alt/sgpt
|
$5.20 |
$5.20 |
$5.20 |
$49.00
|
|
Aluminum - quest
|
$59.15 |
$59.15 |
$59.15 |
$87.00
|
