|
11-desoxycortisol - sendout
|
$131.30 |
$131.30 |
$131.30 |
$92.04
|
|
17-hydroxypregnenolone
|
$185.25 |
$185.25 |
$185.25 |
$96.25
|
|
2d tee w or without fol w/con,in
|
$3,615.30 |
$3,615.30 |
$3,615.30 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$2,029.30 |
$2,029.30 |
$2,029.30 |
$1,137.75
|
|
2nd order venous cath
|
$3,962.04 |
$3,962.04 |
$3,962.04 |
$2,537.60
|
|
3-d radiotherapy plan
|
$33,184.45 |
$33,184.45 |
$33,184.45 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$629.85 |
$629.85 |
$629.85 |
$455.83
|
|
5' nucleotidase - sendout
|
$119.60 |
$119.60 |
$119.60 |
$64.28
|
|
88334 ap bill cytologic exam each additional site
|
$98.15 |
$98.15 |
$98.15 |
$94.00
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$5,224.24 |
$5,224.24 |
$5,224.24 |
$213.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$63.05 |
$63.05 |
$63.05 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,073.25 |
$5,073.25 |
$5,073.25 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$21,703.72 |
$21,703.72 |
$21,703.72 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$34,761.04 |
$34,761.04 |
$34,761.04 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$33,588.48 |
$33,588.48 |
$33,588.48 |
$3,522.75
|
|
Abd/low ext cath addl
|
$33,588.48 |
$33,588.48 |
$33,588.48 |
$976.00
|
|
Abdominal CT scan (with and without contrast)
|
$2,188.55 |
$2,188.55 |
$2,188.55 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,871.35 |
$1,871.35 |
$1,871.35 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,923.05 |
$2,923.05 |
$2,923.05 |
$2,713.80
|
|
Abdominal MRI (with contrast)
|
$2,960.10 |
$2,960.10 |
$2,960.10 |
$2,077.14
|
|
Abdominal MRI (without contrast)
|
$2,073.50 |
$2,073.50 |
$2,073.50 |
$1,883.70
|
|
Abdominal paracentesis w/image guidance
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$756.60 |
$756.60 |
$756.60 |
$740.00
|
|
Abdominal Ultrasound (limited)
|
$901.55 |
$901.55 |
$901.55 |
$604.43
|
|
Abl1 gene
|
$741.65 |
$741.65 |
$741.65 |
$668.85
|
|
Ablate arrhythmia add on
|
$14,482.00 |
$14,482.00 |
$14,482.00 |
$9,995.45
|
|
Ablate bone tumor(s) cryo perq 20983
|
$9,717.50 |
$9,717.50 |
$9,717.50 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$8,631.35 |
$8,631.35 |
$8,631.35 |
$10,452.00
|
|
Ablate heart dysrhythm focus
|
$9,183.20 |
$9,183.20 |
$9,183.20 |
$8,936.20
|
|
Ablate inf turbinate submuc 30802
|
$5,160.92 |
$5,160.92 |
$5,160.92 |
$1,126.32
|
|
Ablation cryo adrenal tumor
|
$7,861.11 |
$7,861.11 |
$7,861.11 |
$8,312.83
|
|
Ablation cryo pq liver tumor(s)
|
$9,456.20 |
$9,456.20 |
$9,456.20 |
$9,456.20
|
|
Ablation of upper extremity nerves rf
|
$9,553.21 |
$9,553.21 |
$9,553.21 |
$1,364.52
|
|
Abscess drain retroperitoneal surg code
|
$4,433.66 |
$4,433.66 |
$4,433.66 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$47.25 |
$47.25 |
$47.25 |
$47.25
|
|
Acetaminophen level
|
$265.20 |
$265.20 |
$265.20 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$137.80 |
$137.80 |
$137.80 |
$130.00
|
|
Acetone qualitative
|
$50.70 |
$50.70 |
$50.70 |
$48.10
|
|
Acetylcholine receptor modulating antibody
|
$184.60 |
$184.60 |
$184.60 |
$93.60
|
|
Acetylcholinesterase assay
|
$427.05 |
$427.05 |
$427.05 |
$92.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$232.95 |
$232.95 |
$232.95 |
$406.77
|
|
Aco ccm; at least 20 min 99490aco
|
$159.90 |
$159.90 |
$159.90 |
$115.20
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$222.95 |
$222.95 |
$222.95 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$712.40 |
$712.40 |
$712.40 |
$387.73
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$150.80 |
$150.80 |
$150.80 |
$44.40
|
|
Actinotherapy uv light
|
$160.55 |
$160.55 |
$160.55 |
$110.50
|
|
Acute hepatitis panel
|
$247.00 |
$247.00 |
$247.00 |
$306.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$91.86 |
$91.86 |
$91.86 |
$63.47
|
|
#acylcarnitineprfl
|
$158.60 |
$158.60 |
$158.60 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$7,560.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$13.12 |
$13.12 |
$13.12 |
$116.84
|
|
Adh-sendout
|
$152.75 |
$152.75 |
$152.75 |
$152.10
|
|
Adj gastric band via subq port
|
$13,772.39 |
$13,772.39 |
$13,772.39 |
$2,057.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$347.76 |
$347.76 |
$347.76 |
$146.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$292.50 |
$292.50 |
$292.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$292.50 |
$292.50 |
$292.50 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$292.50 |
$292.50 |
$292.50 |
$728.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$252.20 |
$252.20 |
$252.20 |
$455.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$174.20 |
$174.20 |
$174.20 |
$223.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$189.15 |
$189.15 |
$189.15 |
$267.43
|
|
Administration immunization 1 vaccine
|
$179.40 |
$179.40 |
$179.40 |
$66.51
|
|
Administration immunization each additional component
|
$15.60 |
$15.60 |
$15.60 |
$27.20
|
|
Administration immunization each additional vaccine
|
$87.10 |
$87.10 |
$87.10 |
$46.23
|
|
Administration immunization first component each vaccine
|
$36.40 |
$36.40 |
$36.40 |
$46.00
|
|
Administration vaccine hepatitis b
|
$82.55 |
$82.55 |
$82.55 |
$38.25
|
|
Administration vaccine influenza virus
|
$43.55 |
$43.55 |
$43.55 |
$38.25
|
|
Administration vaccine pneumococcal
|
$98.80 |
$98.80 |
$98.80 |
$38.25
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$24,287.07 |
$24,287.07 |
$24,287.07 |
$59.76
|
|
Aep hearing status deter i&r
|
$999.05 |
$999.05 |
$999.05 |
$304.00
|
|
Aep neurodiagnostic i&r
|
$789.10 |
$789.10 |
$789.10 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$774.80 |
$774.80 |
$774.80 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$115.70 |
$115.70 |
$115.70 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$510.25 |
$510.25 |
$510.25 |
$330.00
|
|
Albumin body fluid quantitative each specimen
|
$15.60 |
$15.60 |
$15.60 |
$42.25
|
|
Albumin (human), 25%, 50ml
|
$204.73 |
$204.73 |
$204.73 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$204.51 |
$204.51 |
$204.51 |
$292.58
|
|
Albumin, human 5 % intravenous solution
|
$720.70 |
$720.70 |
$720.70 |
$470.97
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$79.95 |
$79.95 |
$79.95 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$17.55 |
$17.55 |
$17.55 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$336.70 |
$336.70 |
$336.70 |
$78.00
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$108,691.47 |
$108,691.47 |
$108,691.47 |
$2,440.70
|
|
Alkaline phosphatase
|
$85.15 |
$85.15 |
$85.15 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$76.05 |
$76.05 |
$76.05 |
$56.35
|
|
Allergen egg white ige
|
$57.85 |
$57.85 |
$57.85 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$91.00 |
$91.00 |
$91.00 |
$39.00
|
|
Allgrft implnt knee w/scope
|
$31,958.38 |
$31,958.38 |
$31,958.38 |
$6,286.40
|
|
Allograft amnioexcel plus 17mm disk
|
$523.25 |
$523.25 |
$523.25 |
$8,064.89
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$432.25 |
$432.25 |
$432.25 |
$4,343.78
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$1,887.75
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$370.50 |
$370.50 |
$370.50 |
$6,075.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,149.29 |
$2,149.29 |
$2,149.29 |
$29.80
|
|
Alpha-fetoprotein amniotic
|
$109.20 |
$109.20 |
$109.20 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$223.60 |
$223.60 |
$223.60 |
$116.35
|
|
Alprostadil for injection
|
$740.80 |
$740.80 |
$740.80 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$28,658.38 |
$28,658.38 |
$28,658.38 |
$630.01
|
|
Alt/sgpt
|
$14.30 |
$14.30 |
$14.30 |
$44.40
|
|
Aluminum - quest
|
$109.20 |
$109.20 |
$109.20 |
$121.25
|
|
Amantadine (symmetrel)-sendout
|
$175.50 |
$175.50 |
$175.50 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$62.56 |
$62.56 |
$62.56 |
$44.00
|