|
11-desoxycortisol - sendout
|
$210.00 |
$210.00 |
$210.00 |
$88.89
|
|
17-hydroxypregnenolone
|
$233.20 |
$233.20 |
$233.20 |
$90.90
|
|
2d tee w or without fol w/con,in
|
$922.80 |
$922.80 |
$922.80 |
$1,665.35
|
|
2d tte w or without fol w/con,co
|
$1,574.80 |
$1,574.80 |
$1,574.80 |
$1,278.75
|
|
2nd order venous cath
|
$931.60 |
$931.60 |
$931.60 |
$1,497.85
|
|
3d ech img cgen car anomal
|
$511.60 |
$511.60 |
$511.60 |
$490.50
|
|
3-d radiotherapy plan
|
$4,965.20 |
$4,965.20 |
$4,965.20 |
$4,965.20
|
|
3d recon without postprocess indpndt
|
$511.60 |
$511.60 |
$511.60 |
$505.05
|
|
5' nucleotidase - sendout
|
$22.00 |
$22.00 |
$22.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$144.80 |
$144.80 |
$144.80 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$2,026.80 |
$2,026.80 |
$2,026.80 |
$3,587.50
|
|
Abd/low ext cath 1st
|
$1,185.20 |
$1,185.20 |
$1,185.20 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$986.00 |
$986.00 |
$986.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$2,417.40
|
|
Abd/low ext cath addl
|
$512.40 |
$512.40 |
$512.40 |
$963.76
|
|
Abdominal CT scan (with and without contrast)
|
$1,137.20 |
$1,137.20 |
$1,137.20 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$791.60 |
$791.60 |
$791.60 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$674.00 |
$674.00 |
$674.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$552.00 |
$552.00 |
$552.00 |
$581.10
|
|
Abd paracentesis/w/o image guide 49082
|
$372.40 |
$372.40 |
$372.40 |
$1,145.00
|
|
Abl1 gene
|
$541.00 |
$541.00 |
$541.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$2,962.00 |
$2,962.00 |
$2,962.00 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$13,721.20 |
$13,721.20 |
$13,721.20 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$3,717.60 |
$3,717.60 |
$3,717.60 |
$9,476.33
|
|
Ablate pulm tumor perq crybl
|
$7,564.40 |
$7,564.40 |
$7,564.40 |
$9,612.46
|
|
Ablate pulm tumor perq rf
|
$7,565.20 |
$7,565.20 |
$7,565.20 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$223.60 |
$223.60 |
$223.60 |
$2,260.30
|
|
Ablation cryo adrenal tumor
|
$8,541.60 |
$8,541.60 |
$8,541.60 |
$6,948.75
|
|
Ablation of upper extremity nerves rf
|
$420.40 |
$420.40 |
$420.40 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$2,999.34
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$2,338.44
|
|
Acetylcholine receptor modulating antibody
|
$340.00 |
$340.00 |
$340.00 |
$66.28
|
|
Acid perfusion of esophagus
|
$204.80 |
$204.80 |
$204.80 |
$587.30
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$166.80 |
$166.80 |
$166.80 |
$344.10
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$80.80 |
$80.80 |
$80.80 |
$37.70
|
|
Actigraphy testing
|
$258.00 |
$258.00 |
$258.00 |
$239.20
|
|
Acute hepatitis panel
|
$213.60 |
$213.60 |
$213.60 |
$284.70
|
|
Adapter b 8 channel 10cm
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$6,142.50
|
|
Adenovirus antibody,serum - quest
|
$52.40 |
$52.40 |
$52.40 |
$58.00
|
|
Adh-sendout
|
$280.40 |
$280.40 |
$280.40 |
$114.50
|
|
Adj gastric band via subq port
|
$373.60 |
$373.60 |
$373.60 |
$1,609.80
|
|
Administration chemotherapy IV infusion each additional hour
|
$205.60 |
$205.60 |
$205.60 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$302.40 |
$302.40 |
$302.40 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$443.60 |
$443.60 |
$443.60 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$222.80 |
$222.80 |
$222.80 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$202.40 |
$202.40 |
$202.40 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$202.40 |
$202.40 |
$202.40 |
$254.40
|
|
Administration immunization 1 vaccine
|
$55.20 |
$55.20 |
$55.20 |
$67.60
|
|
Administration immunization each additional component
|
$29.20 |
$29.20 |
$29.20 |
$29.20
|
|
Administration immunization each additional vaccine
|
$34.80 |
$34.80 |
$34.80 |
$46.89
|
|
Administration immunization first component each vaccine
|
$29.20 |
$29.20 |
$29.20 |
$46.40
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$34.80 |
$34.80 |
$34.80 |
$30.24
|
|
Administration vaccine hepatitis b
|
$27.20 |
$27.20 |
$27.20 |
$51.80
|
|
Administration vaccine influenza virus
|
$35.60 |
$35.60 |
$35.60 |
$48.73
|
|
Administration vaccine pneumococcal
|
$35.60 |
$35.60 |
$35.60 |
$48.73
|
|
Adrenal cortex & medulla img
|
$1,869.20 |
$1,869.20 |
$1,869.20 |
$1,951.60
|
|
Aep neurodiagnostic i&r
|
$423.20 |
$423.20 |
$423.20 |
$583.80
|
|
_afb id by dna probe rflx ast
|
$549.20 |
$549.20 |
$549.20 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$162.00 |
$162.00 |
$162.00 |
$34.74
|
|
_afb org id by sequencing rflx ast-sendout
|
$224.40 |
$224.40 |
$224.40 |
$293.02
|
|
After cataract laser surgery
|
$585.20 |
$585.20 |
$585.20 |
$1,373.11
|
|
Airway resistance by impulse oscillometry 94728
|
$113.60 |
$113.60 |
$113.60 |
$289.20
|
|
Albumin body fluid quantitative each specimen
|
$41.20 |
$41.20 |
$41.20 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$62.40 |
$62.40 |
$62.40 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$35.20 |
$35.20 |
$35.20 |
$42.40
|
|
Alkaline phosphatase
|
$54.00 |
$54.00 |
$54.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$15.20 |
$15.20 |
$15.20 |
$48.57
|
|
Allergen egg white ige
|
$20.00 |
$20.00 |
$20.00 |
$37.20
|
|
Allergen specific ige qual multi scrn ea
|
$16.00 |
$16.00 |
$16.00 |
$24.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$324.00 |
$324.00 |
$324.00 |
$189.15
|
|
Alpha-fetoprotein tumor marker
|
$94.80 |
$94.80 |
$94.80 |
$103.80
|
|
Alt/sgpt
|
$35.60 |
$35.60 |
$35.60 |
$47.40
|
|
Aluminum - quest
|
$57.20 |
$57.20 |
$57.20 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$220.40 |
$220.40 |
$220.40 |
$411.45
|
|
Aminolevulinic acid delta
|
$112.00 |
$112.00 |
$112.00 |
$85.15
|
|
Ammonia
|
$60.00 |
$60.00 |
$60.00 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$995.60 |
$995.60 |
$995.60 |
$923.50
|
|
Amniocentesis therapeutic
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$791.05
|
|
Amylase
|
$133.20 |
$133.20 |
$133.20 |
$89.04
|
|
Ana ds-dna
|
$76.80 |
$76.80 |
$76.80 |
$55.25
|
|
Anal pressure record
|
$435.20 |
$435.20 |
$435.20 |
$946.24
|
|
Anal/urinary muscle study
|
$810.40 |
$810.40 |
$810.40 |
$587.40
|
|
Analysis gene f2 20210g>a variant
|
$333.20 |
$333.20 |
$333.20 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$273.60 |
$273.60 |
$273.60 |
$237.60
|
|
Analysis nerve
|
$262.40 |
$262.40 |
$262.40 |
$262.40
|
|
An cholangiogram percutaneous compl
|
$1,337.20 |
$1,337.20 |
$1,337.20 |
$2,494.35
|
|
An fluoro guide for cvp
|
$308.80 |
$308.80 |
$308.80 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$8,084.00 |
$8,084.00 |
$8,084.00 |
$5,500.00
|
|
Angioplasty fem/pop unilat 37224
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$8,835.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,640.00 |
$6,640.00 |
$6,640.00 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,048.40 |
$5,048.40 |
$5,048.40 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,444.80 |
$7,444.80 |
$7,444.80 |
$10,513.36
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,854.40 |
$3,854.40 |
$3,854.40 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$7,709.20 |
$7,709.20 |
$7,709.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,854.40 |
$3,854.40 |
$3,854.40 |
$4,390.75
|
