|
11-desoxycortisol - sendout
|
$175.50 |
$175.50 |
$175.50 |
$91.85
|
|
17-hydroxypregnenolone
|
$160.50 |
$160.50 |
$160.50 |
$92.65
|
|
24 hr ambulatory b/p monitor
|
$331.50 |
$331.50 |
$331.50 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$2,472.75 |
$2,472.75 |
$2,472.75 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$1,284.00
|
|
2nd order venous cath
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$511.60
|
|
3-d radiotherapy plan
|
$5,679.00 |
$5,679.00 |
$5,679.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$526.50 |
$526.50 |
$526.50 |
$508.13
|
|
5' nucleotidase - sendout
|
$252.75 |
$252.75 |
$252.75 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$260.25 |
$260.25 |
$260.25 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$106.50 |
$106.50 |
$106.50 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$111.00 |
$111.00 |
$111.00 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$111.00 |
$111.00 |
$111.00 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$102.75 |
$102.75 |
$102.75 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$100.50 |
$100.50 |
$100.50 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$111.00 |
$111.00 |
$111.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$121.50 |
$121.50 |
$121.50 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$141.00 |
$141.00 |
$141.00 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$5,313.35 |
$5,313.35 |
$5,313.35 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$157.50 |
$157.50 |
$157.50 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,406.00 |
$5,406.00 |
$5,406.00 |
$3,629.42
|
|
Abd exp/postop hem/throm/infec 35840
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$2,659.14
|
|
Abd/low ext cath 1st
|
$2,871.75 |
$2,871.75 |
$2,871.75 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$3,023.25 |
$3,023.25 |
$3,023.25 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$3,023.25 |
$3,023.25 |
$3,023.25 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$1,046.25 |
$1,046.25 |
$1,046.25 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,925.25 |
$1,925.25 |
$1,925.25 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,689.75 |
$1,689.75 |
$1,689.75 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,929.50 |
$2,929.50 |
$2,929.50 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,548.50 |
$2,548.50 |
$2,548.50 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,485.75 |
$1,485.75 |
$1,485.75 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,114.50 |
$1,114.50 |
$1,114.50 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$752.25 |
$752.25 |
$752.25 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$350.25 |
$350.25 |
$350.25 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$471.75 |
$471.75 |
$471.75 |
$418.63
|
|
Abdominal X-ray (single view)
|
$220.50 |
$220.50 |
$220.50 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$1,148.40
|
|
Abl1 gene
|
$430.50 |
$430.50 |
$430.50 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$10,523.25 |
$10,523.25 |
$10,523.25 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,247.00 |
$5,247.00 |
$5,247.00 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$3,543.75 |
$3,543.75 |
$3,543.75 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$10,785.75 |
$10,785.75 |
$10,785.75 |
$9,332.05
|
|
Ablate inf turbinate superf 30801
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$10,443.00 |
$10,443.00 |
$10,443.00 |
$9,970.50
|
|
Ablation cardiac vagal inputs atrium
|
$19,347.00 |
$19,347.00 |
$19,347.00 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$8,358.75 |
$8,358.75 |
$8,358.75 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$6,948.75 |
$6,948.75 |
$6,948.75 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$280.50 |
$280.50 |
$280.50 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$8,080.50 |
$8,080.50 |
$8,080.50 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$503.25 |
$503.25 |
$503.25 |
$857.60
|
|
Ablation cryo thigh/knee
|
$274.50 |
$274.50 |
$274.50 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$3,726.75 |
$3,726.75 |
$3,726.75 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$1,895.25 |
$1,895.25 |
$1,895.25 |
$3,055.20
|
|
Abobotulinumtoxina
|
$3,255.66 |
$3,255.66 |
$3,255.66 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$3,121.50 |
$3,121.50 |
$3,121.50 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$10,494.00 |
$10,494.00 |
$10,494.00 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$147.54 |
$147.54 |
$147.54 |
$72.74
|
|
Acetaminophen level
|
$67.50 |
$67.50 |
$67.50 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$137.07 |
$137.07 |
$137.07 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$489.00 |
$489.00 |
$489.00 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$406.77 |
$406.77 |
$406.77 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$87.97 |
$87.97 |
$87.97 |
$31.21
|
|
Acne surgery 10040
|
$295.50 |
$295.50 |
$295.50 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$243.00 |
$243.00 |
$243.00 |
$160.69
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$62.25 |
$62.25 |
$62.25 |
$38.50
|
|
Acoustic immitance testing
|
$150.75 |
$150.75 |
$150.75 |
$158.50
|
|
Acoustic refl threshold tst
|
$120.75 |
$120.75 |
$120.75 |
$102.05
|
|
Acth stimulation panel
|
$384.00 |
$384.00 |
$384.00 |
$218.40
|
|
Acth stimulation panel
|
$351.00 |
$351.00 |
$351.00 |
$173.60
|
|
Actinotherapy uv light
|
$114.75 |
$114.75 |
$114.75 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$45.75 |
$45.75 |
$45.75 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$36.00 |
$36.00 |
$36.00 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$36.00 |
$36.00 |
$36.00 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$45.75 |
$45.75 |
$45.75 |
$53.50
|
|
Acute hepatitis panel
|
$480.00 |
$480.00 |
$480.00 |
$284.95
|
|
Acute venous thrombus image
|
$684.00 |
$684.00 |
$684.00 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$100,424.10 |
$100,424.10 |
$100,424.10 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$77.65 |
$77.65 |
$77.65 |
$64.45
|
|
#acylcarnitineprfl
|
$159.00 |
$159.00 |
$159.00 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$29,250.00 |
$29,250.00 |
$29,250.00 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$528.78 |
$528.78 |
$528.78 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$60.00 |
$60.00 |
$60.00 |
$58.00
|
|
Adh-sendout
|
$663.75 |
$663.75 |
$663.75 |
$118.79
|
|
Adj gastric band via subq port
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$1,666.86
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$5,046.43 |
$5,046.43 |
$5,046.43 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$492.75 |
$492.75 |
$492.75 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$877.50 |
$877.50 |
$877.50 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$910.50 |
$910.50 |
$910.50 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$687.75 |
$687.75 |
$687.75 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$687.75 |
$687.75 |
$687.75 |
$256.49
|
|
Administration immunization each additional component
|
$67.50 |
$67.50 |
$67.50 |
$29.20
|
