|
11-desoxycortisol - sendout
|
$74.10 |
$74.10 |
$74.10 |
$87.50
|
|
17-hydroxypregnenolone
|
$140.40 |
$140.40 |
$140.40 |
$87.50
|
|
17-ketosteroids
|
$173.55 |
$173.55 |
$173.55 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$240.50 |
$240.50 |
$240.50 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$1,589.90 |
$1,589.90 |
$1,589.90 |
$1,589.90
|
|
2d tte w or without fol w/con,co
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,088.36
|
|
2nd order venous cath
|
$1,288.30 |
$1,288.30 |
$1,288.30 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$209.30 |
$209.30 |
$209.30 |
$669.00
|
|
3-d radiotherapy plan
|
$5,933.85 |
$5,933.85 |
$5,933.85 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$209.30 |
$209.30 |
$209.30 |
$431.75
|
|
5' nucleotidase - sendout
|
$2,490.80 |
$2,490.80 |
$2,490.80 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$234.65 |
$234.65 |
$234.65 |
$98.15
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$83.20 |
$83.20 |
$83.20 |
$151.20
|
|
99397 periodic comp preventive med 65+ years est
|
$83.20 |
$83.20 |
$83.20 |
$176.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$113.10 |
$113.10 |
$113.10 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$2,608.32
|
|
Abd/low ext cath 3rd
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$3,050.58
|
|
Abd/low ext cath addl
|
$851.50 |
$851.50 |
$851.50 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,326.65 |
$1,326.65 |
$1,326.65 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,111.50 |
$1,111.50 |
$1,111.50 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$865.15 |
$865.15 |
$865.15 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,975.35 |
$1,975.35 |
$1,975.35 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$1,979.51
|
|
Abdominal paracentesis w/image guidance
|
$1,853.15 |
$1,853.15 |
$1,853.15 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$453.70 |
$453.70 |
$453.70 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$345.80 |
$345.80 |
$345.80 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,667.90 |
$1,667.90 |
$1,667.90 |
$1,170.40
|
|
Abl1 gene
|
$750.75 |
$750.75 |
$750.75 |
$609.93
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,647.80 |
$3,647.80 |
$3,647.80 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$6,732.70 |
$6,732.70 |
$6,732.70 |
$10,187.00
|
|
Ablate heart dysrhythm focus
|
$10,944.05 |
$10,944.05 |
$10,944.05 |
$10,047.60
|
|
Ablate pulm tumor perq crybl
|
$10,210.20 |
$10,210.20 |
$10,210.20 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$10,210.20 |
$10,210.20 |
$10,210.20 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$3,595.80 |
$3,595.80 |
$3,595.80 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$2,412.15 |
$2,412.15 |
$2,412.15 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$234.65 |
$234.65 |
$234.65 |
$859.50
|
|
Ablation cryo thigh/knee
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$386.10
|
|
Ablation of upper extremity nerves rf
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$998.40
|
|
Abltj mal prst8 tiss hifu
|
$5,105.10 |
$5,105.10 |
$5,105.10 |
$5,077.94
|
|
Abscess drain retroperitoneal surg code
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$7,250.10 |
$7,250.10 |
$7,250.10 |
$3,263.74
|
|
Acetaminophen level
|
$149.50 |
$149.50 |
$149.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$96.78 |
$96.78 |
$96.78 |
$134.17
|
|
Acetone qualitative
|
$39.00 |
$39.00 |
$39.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$146.25 |
$146.25 |
$146.25 |
$65.60
|
|
Acetylcholinesterase assay
|
$245.70 |
$245.70 |
$245.70 |
$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
|
$23.40 |
$23.40 |
$23.40 |
$42.28
|
|
Acute hepatitis panel
|
$298.35 |
$298.35 |
$298.35 |
$284.70
|
|
#acylcarnitineprfl
|
$120.25 |
$120.25 |
$120.25 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$78.16 |
$78.16 |
$78.16 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$50.05 |
$50.05 |
$50.05 |
$63.00
|
|
Adh-sendout
|
$211.90 |
$211.90 |
$211.90 |
$109.28
|
|
Adj gastric band via subq port
|
$2,923.70 |
$2,923.70 |
$2,923.70 |
$1,874.60
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$4,458.80 |
$4,458.80 |
$4,458.80 |
$136.99
|
|
Administration chemotherapy IV infusion each additional hour
|
$682.50 |
$682.50 |
$682.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$591.50 |
$591.50 |
$591.50 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$934.05 |
$934.05 |
$934.05 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$672.75 |
$672.75 |
$672.75 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$263.90 |
$263.90 |
$263.90 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$263.90 |
$263.90 |
$263.90 |
$264.00
|
|
Administration immunization 1 vaccine
|
$32.50 |
$32.50 |
$32.50 |
$70.52
|
|
Administration immunization each additional vaccine
|
$32.50 |
$32.50 |
$32.50 |
$46.80
|
|
Administration vaccine hepatitis b
|
$32.50 |
$32.50 |
$32.50 |
$51.35
|
|
Administration vaccine influenza virus
|
$32.50 |
$32.50 |
$32.50 |
$49.50
|
|
Administration vaccine pneumococcal
|
$32.50 |
$32.50 |
$32.50 |
$51.11
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$20.80 |
$20.80 |
$20.80 |
$41.00
|
|
Adrenal cortex & medulla img
|
$1,499.55 |
$1,499.55 |
$1,499.55 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$77.35 |
$77.35 |
$77.35 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$176.15 |
$176.15 |
$176.15 |
$289.60
|
|
Air conduction bilat
|
$50.70 |
$50.70 |
$50.70 |
$106.50
|
|
Air injection into abdomen 49400
|
$914.55 |
$914.55 |
$914.55 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$112.45 |
$112.45 |
$112.45 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$155.45 |
$155.45 |
$155.45 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$160.10 |
$160.10 |
$160.10 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$54.60 |
$54.60 |
$54.60 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$6.50 |
$6.50 |
$6.50 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$139.10 |
$139.10 |
$139.10 |
$93.60
|
|
Alkaline phosphatase
|
$6.50 |
$6.50 |
$6.50 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$243.75 |
$243.75 |
$243.75 |
$56.35
|
|
Allergen egg white ige
|
$138.45 |
$138.45 |
$138.45 |
$41.00
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$567.03 |
$567.03 |
$567.03 |
$989.09
|
|
All tstg perq&iq drugs/biol
|
$102.70 |
$102.70 |
$102.70 |
$64.80
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$154.05 |
$154.05 |
$154.05 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$101.40 |
$101.40 |
$101.40 |
$83.15
|
|
Alpha-fetoprotein tumor marker
|
$42.90 |
$42.90 |
$42.90 |
$99.71
|
|
Alteplase 100 mg infusion from pyxis vial
|
$23,242.18 |
$23,242.18 |
$23,242.18 |
$2,680.50
|
|
Alt/sgpt
|
$6.50 |
$6.50 |
$6.50 |
$49.00
|
|
Aluminum - quest
|
$71.50 |
$71.50 |
$71.50 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,560.65 |
$1,560.65 |
$1,560.65 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$585.00 |
$585.00 |
$585.00 |
$196.20
|
|
Amino acids quant 2-5
|
$144.95 |
$144.95 |
$144.95 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$45.50 |
$45.50 |
$45.50 |
$43.68
|
|
Aminolevulinic acid delta
|
$128.70 |
$128.70 |
$128.70 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$58.92 |
$58.92 |
$58.92 |
$41.59
|
