|
2d tee w or without fol w/con,in
|
$2,315.53 |
$2,315.53 |
$2,315.53 |
$1,771.25
|
|
2nd order venous cath
|
$1,315.54 |
$1,315.54 |
$1,315.54 |
$1,809.60
|
|
3d recon without postprocess indpndt
|
$743.32 |
$743.32 |
$743.32 |
$431.75
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$26.40 |
$26.40 |
$26.40 |
$53.40
|
|
Abd aorta w/runoff s&i
|
$3,623.12 |
$3,623.12 |
$3,623.12 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,479.29 |
$1,479.29 |
$1,479.29 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,738.05 |
$1,738.05 |
$1,738.05 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,045.90 |
$2,045.90 |
$2,045.90 |
$3,050.58
|
|
Abd/low ext cath addl
|
$3,190.22 |
$3,190.22 |
$3,190.22 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$4,496.25 |
$4,496.25 |
$4,496.25 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$3,934.15 |
$3,934.15 |
$3,934.15 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$3,716.90 |
$3,716.90 |
$3,716.90 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,833.97 |
$3,833.97 |
$3,833.97 |
$2,861.10
|
|
Abdominal MRI (with contrast)
|
$2,103.75 |
$2,103.75 |
$2,103.75 |
$2,176.20
|
|
Abdominal MRI (without contrast)
|
$2,060.27 |
$2,060.27 |
$2,060.27 |
$1,902.00
|
|
Abdominal paracentesis w/image guidance
|
$1,562.55 |
$1,562.55 |
$1,562.55 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$773.80
|
|
Abdominal Ultrasound (limited)
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,232.55 |
$1,232.55 |
$1,232.55 |
$1,176.00
|
|
Ablate arrhythmia add on
|
$6,141.55 |
$6,141.55 |
$6,141.55 |
$7,395.60
|
|
Ablate heart dysrhythm focus
|
$11,161.56 |
$11,161.56 |
$11,161.56 |
$10,047.60
|
|
Ablation cardiac vagal inputs atrium
|
$3,876.51 |
$3,876.51 |
$3,876.51 |
$3,812.17
|
|
Ablation cryo thigh/knee
|
$738.65 |
$738.65 |
$738.65 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$400.95 |
$400.95 |
$400.95 |
$1,164.00
|
|
Abscess drain retroperitoneal surg code
|
$2,186.25 |
$2,186.25 |
$2,186.25 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,491.32 |
$1,491.32 |
$1,491.32 |
$3,263.74
|
|
Acetylcholine receptor modulating antibody
|
$11.55 |
$11.55 |
$11.55 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$40.20 |
$40.20 |
$40.20 |
$42.28
|
|
Acute hepatitis panel
|
$1,028.91 |
$1,028.91 |
$1,028.91 |
$286.00
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$86.90 |
$63.00
|
|
Adh-sendout
|
$267.85 |
$267.85 |
$267.85 |
$118.30
|
|
Administration chemotherapy IV infusion each additional hour
|
$190.27 |
$190.27 |
$190.27 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$208.97 |
$208.97 |
$208.97 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$362.31 |
$362.31 |
$362.31 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$305.74 |
$305.74 |
$305.74 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$72.00 |
$72.00 |
$72.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$72.00 |
$72.00 |
$72.00 |
$264.82
|
|
Administration immunization 1 vaccine
|
$123.75 |
$123.75 |
$123.75 |
$69.21
|
|
Administration immunization each additional vaccine
|
$58.30 |
$58.30 |
$58.30 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$95.70 |
$95.70 |
$95.70 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$17.05 |
$17.05 |
$17.05 |
$41.15
|
|
Administration vaccine hepatitis b
|
$177.92 |
$177.92 |
$177.92 |
$45.60
|
|
Administration vaccine influenza virus
|
$203.36 |
$203.36 |
$203.36 |
$46.20
|
|
Administration vaccine pneumococcal
|
$123.75 |
$123.75 |
$123.75 |
$46.80
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$9.35 |
$9.35 |
$9.35 |
$41.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$253.82 |
$253.82 |
$253.82 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$106.84 |
$106.84 |
$106.84 |
$48.95
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$48.95 |
$48.95 |
$48.95 |
$59.80
|
|
Albumin serum plasma or whole blood
|
$83.88 |
$83.88 |
$83.88 |
$43.50
|
|
Alkaline phosphatase
|
$87.72 |
$87.72 |
$87.72 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$64.90 |
$64.90 |
$64.90 |
$59.15
|
|
Allergen egg white ige
|
$88.41 |
$88.41 |
$88.41 |
$42.00
|
|
Allergen specific ige qual multi scrn ea
|
$33.82 |
$33.82 |
$33.82 |
$26.95
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$20,503.48 |
$20,503.48 |
$20,503.48 |
$6,285.56
|
|
Alpha-fetoprotein tumor marker
|
$142.18 |
$142.18 |
$142.18 |
$106.40
|
|
Alt/sgpt
|
$89.79 |
$89.79 |
$89.79 |
$49.80
|
|
Amantadine (symmetrel)-sendout
|
$200.75 |
$200.75 |
$200.75 |
$199.26
|
|
Amitriptyline (elavil) -sendout
|
$121.55 |
$121.55 |
$121.55 |
$102.40
|
|
Ammonia
|
$123.48 |
$123.48 |
$123.48 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$779.79 |
$779.79 |
$779.79 |
$876.60
|
|
Amphetamines 5 or more
|
$118.80 |
$118.80 |
$118.80 |
$101.40
|
|
Amylase
|
$351.45 |
$351.45 |
$351.45 |
$96.60
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$146.85 |
$146.85 |
$146.85 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$450.86 |
$450.86 |
$450.86 |
$223.80
|
|
Analysis gene f5 leiden variant
|
$517.82 |
$517.82 |
$517.82 |
$248.00
|
|
An fluoro guide for cvp
|
$489.47 |
$489.47 |
$489.47 |
$484.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,455.28 |
$4,455.28 |
$4,455.28 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$13,350.40 |
$13,350.40 |
$13,350.40 |
$10,344.88
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,698.38 |
$4,698.38 |
$4,698.38 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,240.71 |
$3,240.71 |
$3,240.71 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$11,689.84 |
$11,689.84 |
$11,689.84 |
$12,672.89
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,139.24 |
$4,139.24 |
$4,139.24 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$5,769.88 |
$5,769.88 |
$5,769.88 |
$9,275.00
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,067.72 |
$4,067.72 |
$4,067.72 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$5,769.88 |
$5,769.88 |
$5,769.88 |
$8,766.15
|
|
Ankle X-ray
|
$601.15 |
$601.15 |
$601.15 |
$351.20
|
|
Antibody elution rbc reference
|
$291.50 |
$291.50 |
$291.50 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$299.75 |
$299.75 |
$299.75 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$311.30 |
$311.30 |
$311.30 |
$225.75
|
|
Antibody id rbc panel
|
$739.34 |
$739.34 |
$739.34 |
$283.20
|
|
Antibody screen rbc
|
$306.76 |
$306.76 |
$306.76 |
$106.88
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$162.80 |
$162.80 |
$162.80 |
$50.88
|
|
Antinuclear antibodies
|
$204.88 |
$204.88 |
$204.88 |
$94.25
|
|
Antinuclear antibodies titer
|
$151.25 |
$151.25 |
$151.25 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$136.12 |
$136.12 |
$136.12 |
$79.20
|
|
Antistreptolysin o titer
|
$123.75 |
$123.75 |
$123.75 |
$57.96
|
|
Antithrombin iii activity
|
$100.38 |
$100.38 |
$100.38 |
$126.25
|
|
Apheresis plasma
|
$3,038.75 |
$3,038.75 |
$3,038.75 |
$3,411.50
|
|
Apheresis rbc
|
$5,419.26 |
$5,419.26 |
$5,419.26 |
$3,348.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,764.55 |
$5,764.55 |
$5,764.55 |
$3,150.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,610.30 |
$2,610.30 |
$2,610.30 |
$508.18
|
|
Application finger splntstatic 29130
|
$281.44 |
$281.44 |
$281.44 |
$219.00
|
|
Application long leg splint 29505
|
$356.70 |
$356.70 |
$356.70 |
$370.00
|
|
Application lower leg splint 29515
|
$275.36 |
$275.36 |
$275.36 |
$363.10
|
|
Application multi layer compression below knee (both sides)
|
$315.56 |
$315.56 |
$315.56 |
$406.40
|
|
Application of paste boot 29580
|
$604.94 |
$604.94 |
$604.94 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,610.30 |
$2,610.30 |
$2,610.30 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,610.30 |
$2,610.30 |
$2,610.30 |
$2,109.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$120.62 |
$120.62 |
$120.62 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$163.16 |
$163.16 |
$163.16 |
$265.00
|