|
11-desoxycortisol - sendout
|
$97.21 |
$97.21 |
$97.21 |
$87.50
|
|
17-hydroxypregnenolone
|
$81.83 |
$81.83 |
$81.83 |
$85.15
|
|
17-ketosteroids
|
$36.21 |
$36.21 |
$36.21 |
$44.00
|
|
2d tee w or without fol w/con,in
|
$628.84 |
$628.84 |
$628.84 |
$1,570.80
|
|
2d tte w or without fol w/con,co
|
$581.24 |
$581.24 |
$581.24 |
$1,088.36
|
|
2nd order venous cath
|
$268.80 |
$268.80 |
$268.80 |
$1,809.60
|
|
3-d radiotherapy plan
|
$1,808.66 |
$1,808.66 |
$1,808.66 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$340.71 |
$340.71 |
$340.71 |
$427.34
|
|
5' nucleotidase - sendout
|
$68.94 |
$68.94 |
$68.94 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$62.99 |
$62.99 |
$62.99 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,551.27 |
$1,551.27 |
$1,551.27 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$197.88 |
$197.88 |
$197.88 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,877.19 |
$3,877.19 |
$3,877.19 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$336.74 |
$336.74 |
$336.74 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$331.29 |
$331.29 |
$331.29 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$394.27 |
$394.27 |
$394.27 |
$3,050.58
|
|
Abd/low ext cath addl
|
$233.09 |
$233.09 |
$233.09 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,267.60 |
$1,267.60 |
$1,267.60 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$861.93 |
$861.93 |
$861.93 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$786.05 |
$786.05 |
$786.05 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,111.68 |
$2,111.68 |
$2,111.68 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$1,900.41 |
$1,900.41 |
$1,900.41 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,203.63 |
$1,203.63 |
$1,203.63 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,432.75 |
$1,432.75 |
$1,432.75 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$539.08 |
$539.08 |
$539.08 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$399.23 |
$399.23 |
$399.23 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$988.39 |
$988.39 |
$988.39 |
$1,170.28
|
|
Abl1 gene
|
$1,167.42 |
$1,167.42 |
$1,167.42 |
$609.93
|
|
Ablate arrhythmia add on
|
$8,362.88 |
$8,362.88 |
$8,362.88 |
$7,417.15
|
|
Ablate bone tumor(s) perq
|
$3,981.83 |
$3,981.83 |
$3,981.83 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$4,967.24 |
$4,967.24 |
$4,967.24 |
$10,008.58
|
|
Ablate pulm tumor perq crybl
|
$3,422.92 |
$3,422.92 |
$3,422.92 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$3,530.53 |
$3,530.53 |
$3,530.53 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$123.49 |
$123.49 |
$123.49 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$1,398.03 |
$1,398.03 |
$1,398.03 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$3,530.53 |
$3,530.53 |
$3,530.53 |
$8,080.50
|
|
Ablation of upper extremity nerves rf
|
$332.28 |
$332.28 |
$332.28 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$2,443.95 |
$2,443.95 |
$2,443.95 |
$3,053.18
|
|
Acetaminophen 120 mg rectal suppository
|
$45.92 |
$45.92 |
$45.92 |
$146.76
|
|
Acetaminophen level
|
$107.62 |
$107.62 |
$107.62 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$36.21 |
$36.21 |
$36.21 |
$133.60
|
|
Acetone qualitative
|
$42.66 |
$42.66 |
$42.66 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$90.26 |
$90.26 |
$90.26 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$23.31 |
$23.31 |
$23.31 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$21.83 |
$21.83 |
$21.83 |
$42.28
|
|
Acoustic refl threshold tst
|
$48.61 |
$48.61 |
$48.61 |
$83.79
|
|
Actigraphy testing
|
$33.23 |
$33.23 |
$33.23 |
$163.80
|
|
Acute hepatitis panel
|
$368.98 |
$368.98 |
$368.98 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$18.85 |
$18.85 |
$18.85 |
$50.70
|
|
#acylcarnitineprfl
|
$284.67 |
$284.67 |
$284.67 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$1,107.91 |
$1,107.91 |
$1,107.91 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$153.74 |
$153.74 |
$153.74 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$129.94 |
$129.94 |
$129.94 |
$63.00
|
|
Adenovirus assay w/optic
|
$91.75 |
$91.75 |
$91.75 |
$30.03
|
|
Adh-sendout
|
$203.34 |
$203.34 |
$203.34 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$35.22 |
$35.22 |
$35.22 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$121.01 |
$121.01 |
$121.01 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$127.46 |
$127.46 |
$127.46 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$670.01 |
$670.01 |
$670.01 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$348.64 |
$348.64 |
$348.64 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$62.00 |
$62.00 |
$62.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$158.21 |
$158.21 |
$158.21 |
$264.00
|
|
Administration immunization 1 vaccine
|
$148.78 |
$148.78 |
$148.78 |
$70.52
|
|
Administration immunization each additional vaccine
|
$74.39 |
$74.39 |
$74.39 |
$46.23
|
|
Administration vaccine hepatitis b
|
$89.27 |
$89.27 |
$89.27 |
$51.35
|
|
Administration vaccine influenza virus
|
$89.27 |
$89.27 |
$89.27 |
$49.50
|
|
Administration vaccine pneumococcal
|
$89.27 |
$89.27 |
$89.27 |
$51.11
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$7,108.17 |
$7,108.17 |
$7,108.17 |
$11,874.55
|
|
Adrenal cortex & medulla img
|
$946.24 |
$946.24 |
$946.24 |
$1,780.19
|
|
Aep hearing status deter i&r
|
$151.76 |
$151.76 |
$151.76 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$198.87 |
$198.87 |
$198.87 |
$509.00
|
|
_afb id by dna probe rflx ast
|
$138.37 |
$138.37 |
$138.37 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$297.56 |
$297.56 |
$297.56 |
$289.60
|
|
Air conduction bilat
|
$63.48 |
$63.48 |
$63.48 |
$106.50
|
|
Air injection into abdomen 49400
|
$182.01 |
$182.01 |
$182.01 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$51.58 |
$51.58 |
$51.58 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$46.62 |
$46.62 |
$46.62 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$50.09 |
$50.09 |
$50.09 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$70.43 |
$70.43 |
$70.43 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$52.57 |
$52.57 |
$52.57 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$4.96 |
$4.96 |
$4.96 |
$22.45
|
|
Albuterol non-comp unit
|
$2.98 |
$2.98 |
$2.98 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$82.83 |
$82.83 |
$82.83 |
$93.60
|
|
Alcohol/subs interv >30 min
|
$60.01 |
$60.01 |
$60.01 |
$177.99
|
|
Alkaline phosphatase
|
$52.57 |
$52.57 |
$52.57 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$34.72 |
$34.72 |
$34.72 |
$56.35
|
|
Allergen egg white ige
|
$476.59 |
$476.59 |
$476.59 |
$41.00
|
|
Allergy injections; 2 or more 95117
|
$44.14 |
$44.14 |
$44.14 |
$51.07
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$10,223.11 |
$10,223.11 |
$10,223.11 |
$6,555.62
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,783.37 |
$1,783.37 |
$1,783.37 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$2,889.29 |
$2,889.29 |
$2,889.29 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$4,511.48 |
$4,511.48 |
$4,511.48 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,769.78 |
$2,769.78 |
$2,769.78 |
$2,513.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$694.80 |
$694.80 |
$694.80 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$183.50 |
$183.50 |
$183.50 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$146.30 |
$146.30 |
$146.30 |
$99.00
|
|
Alprostadil for injection
|
$159.69 |
$159.69 |
$159.69 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$12,949.24 |
$12,949.24 |
$12,949.24 |
$2,600.22
|
|
Alt/sgpt
|
$52.57 |
$52.57 |
$52.57 |
$49.00
|
|
Aluminum - quest
|
$148.29 |
$148.29 |
$148.29 |
$87.00
|
