|
17-hydroxypregnenolone
|
$92.65 |
$92.65 |
$92.65 |
$87.00
|
|
17-ketosteroids
|
$51.85 |
$51.85 |
$51.85 |
$49.45
|
|
2019-ncov diagnostic p
|
$145.35 |
$145.35 |
$145.35 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,591.63
|
|
2d tte w or without fol w/con,co
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,137.75
|
|
2nd order venous cath
|
$3,353.25 |
$3,353.25 |
$3,353.25 |
$1,758.90
|
|
3-d radiotherapy plan
|
$7,746.05 |
$7,746.05 |
$7,746.05 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$657.90 |
$657.90 |
$657.90 |
$469.20
|
|
5' nucleotidase - sendout
|
$45.90 |
$45.90 |
$45.90 |
$47.72
|
|
88334 ap bill cytologic exam each additional site
|
$117.30 |
$117.30 |
$117.30 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,114.85 |
$4,114.85 |
$4,114.85 |
$3,232.57
|
|
Abd aorta w/runoff s&i
|
$15,025.45 |
$15,025.45 |
$15,025.45 |
$3,594.60
|
|
Abd exp/postop hem/throm/infec 35840
|
$35,259.70 |
$35,259.70 |
$35,259.70 |
$2,938.40
|
|
Abd/low ext cath 1st
|
$4,741.30 |
$4,741.30 |
$4,741.30 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$4,471.00 |
$4,471.00 |
$4,471.00 |
$2,218.24
|
|
Abd/low ext cath 3rd
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
$2,662.40
|
|
Abd/low ext cath addl
|
$913.75 |
$913.75 |
$913.75 |
$981.95
|
|
Abdominal CT scan (with and without contrast)
|
$1,960.95 |
$1,960.95 |
$1,960.95 |
$2,010.00
|
|
Abdominal CT scan (with contrast)
|
$1,478.15 |
$1,478.15 |
$1,478.15 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$685.95 |
$685.95 |
$685.95 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$3,564.05 |
$3,564.05 |
$3,564.05 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$2,146.25 |
$2,146.25 |
$2,146.25 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,538.95 |
$2,538.95 |
$2,538.95 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$602.65 |
$602.65 |
$602.65 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$532.95 |
$532.95 |
$532.95 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$2,538.95 |
$2,538.95 |
$2,538.95 |
$1,153.54
|
|
Abl1 gene
|
$1,110.95 |
$1,110.95 |
$1,110.95 |
$682.50
|
|
Ablate arrhythmia add on
|
$5,579.40 |
$5,579.40 |
$5,579.40 |
$6,913.20
|
|
Ablate bone tumor(s) perq
|
$32,279.60 |
$32,279.60 |
$32,279.60 |
$9,707.60
|
|
Ablate heart dysrhythm focus
|
$11,702.80 |
$11,702.80 |
$11,702.80 |
$9,523.83
|
|
Ablation cryo pq liver tumor(s)
|
$25,246.70 |
$25,246.70 |
$25,246.70 |
$8,581.80
|
|
Ablation cryo thigh/knee
|
$6,766.60 |
$6,766.60 |
$6,766.60 |
$1,920.00
|
|
Ablation of upper extremity nerves rf
|
$1,982.20 |
$1,982.20 |
$1,982.20 |
$842.40
|
|
Abobotulinumtoxina
|
$2,339.34 |
$2,339.34 |
$2,339.34 |
$1,541.21
|
|
Abortion
|
$4,328.20 |
$4,328.20 |
$4,328.20 |
$935.20
|
|
Abscess drain retroperitoneal surg code
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$3,051.36
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,660.05 |
$1,660.05 |
$1,660.05 |
$2,786.16
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$54.83 |
$54.83 |
$54.83 |
$81.07
|
|
Acetaminophen level
|
$76.50 |
$76.50 |
$76.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$403.33 |
$403.33 |
$403.33 |
$120.00
|
|
Acetone qualitative
|
$17.85 |
$17.85 |
$17.85 |
$45.65
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$94.16 |
$94.16 |
$94.16 |
$253.17
|
|
Acne surgery 10040
|
$491.30 |
$491.30 |
$491.30 |
$265.20
|
|
Acup 1/> w/estim 1st 15 min
|
$85.00 |
$85.00 |
$85.00 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$72.25 |
$72.25 |
$72.25 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$65.45 |
$65.45 |
$65.45 |
$56.16
|
|
Acup 1/> wo estim 1st 15 min
|
$80.75 |
$80.75 |
$80.75 |
$49.40
|
|
Acute hepatitis panel
|
$192.10 |
$192.10 |
$192.10 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$745.79 |
$745.79 |
$745.79 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$125.63 |
$125.63 |
$125.63 |
$67.50
|
|
#acylcarnitineprfl
|
$68.00 |
$68.00 |
$68.00 |
$117.15
|
|
Adapter b 8 channel 10cm
|
$25,500.00 |
$25,500.00 |
$25,500.00 |
$6,142.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$445.55 |
$445.55 |
$445.55 |
$275.73
|
|
Adh-sendout
|
$137.70 |
$137.70 |
$137.70 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$3,947.78 |
$3,947.78 |
$3,947.78 |
$183.76
|
|
Admin ecg contrast agent
|
$382.50 |
$382.50 |
$382.50 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$201.45 |
$201.45 |
$201.45 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$201.45 |
$201.45 |
$201.45 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$920.55 |
$920.55 |
$920.55 |
$673.60
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$920.55 |
$920.55 |
$920.55 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$201.45 |
$201.45 |
$201.45 |
$222.14
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$201.45 |
$201.45 |
$201.45 |
$265.50
|
|
Administration immunization 1 vaccine
|
$107.95 |
$107.95 |
$107.95 |
$67.70
|
|
Administration immunization each additional vaccine
|
$68.85 |
$68.85 |
$68.85 |
$46.92
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$165.75 |
$165.75 |
$165.75 |
$51.60
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$103.70 |
$103.70 |
$103.70 |
$33.60
|
|
Administration vaccine hepatitis b
|
$129.20 |
$129.20 |
$129.20 |
$54.60
|
|
Administration vaccine influenza virus
|
$129.20 |
$129.20 |
$129.20 |
$48.35
|
|
Administration vaccine pneumococcal
|
$129.20 |
$129.20 |
$129.20 |
$49.40
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$16,967.03 |
$16,967.03 |
$16,967.03 |
$11,350.31
|
|
Afamelanotide implant, 1 mg
|
$51,425.85 |
$51,425.85 |
$51,425.85 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$80.75 |
$80.75 |
$80.75 |
$92.23
|
|
Aflibercept injection
|
$5,155.31 |
$5,155.31 |
$5,155.31 |
$3,153.84
|
|
Agalsidase beta 35 mg intravenous solution
|
$20,762.71 |
$20,762.71 |
$20,762.71 |
$14,760.37
|
|
Air injection into abdomen 49400
|
$360.40 |
$360.40 |
$360.40 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$31.45 |
$31.45 |
$31.45 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$319.72 |
$319.72 |
$319.72 |
$218.40
|
|
Albumin, human 25 % intravenous solution
|
$384.03 |
$384.03 |
$384.03 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$90.10 |
$90.10 |
$90.10 |
$242.23
|
|
Albumin, human 5 % intravenous solution
|
$449.78 |
$449.78 |
$449.78 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$22.95 |
$22.95 |
$22.95 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$19.55 |
$19.55 |
$19.55 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$69.70 |
$69.70 |
$69.70 |
$94.90
|
|
Aldesleukin injection
|
$14,760.76 |
$14,760.76 |
$14,760.76 |
$9,030.11
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$78,885.98 |
$78,885.98 |
$78,885.98 |
$44,547.57
|
|
Alkaline phosphatase
|
$21.25 |
$21.25 |
$21.25 |
$46.65
|
|
Allergen egg white ige
|
$21.25 |
$21.25 |
$21.25 |
$36.66
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$8,161.91 |
$8,161.91 |
$8,161.91 |
$5,399.16
|
|
Allograft amnioexcel plus 17mm disk
|
$1,314.46 |
$1,314.46 |
$1,314.46 |
$2,677.80
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$3,488.40 |
$3,488.40 |
$3,488.40 |
$5,213.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$13,133.32 |
$13,133.32 |
$13,133.32 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$2,067.20 |
$2,067.20 |
$2,067.20 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,543.76 |
$4,543.76 |
$4,543.76 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,604.00 |
$3,604.00 |
$3,604.00 |
$3,604.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$6.51 |
$6.51 |
$6.51 |
$9.62
|
|
Alpha-fetoprotein tumor marker
|
$68.00 |
$68.00 |
$68.00 |
$106.00
|
|
Alprostadil for injection
|
$371.62 |
$371.62 |
$371.62 |
$519.93
|
|
Alprostadil urethral suppos
|
$245.26 |
$245.26 |
$245.26 |
$150.04
|
|
Alteplase 100 mg infusion from pyxis vial
|
$23,342.81 |
$23,342.81 |
$23,342.81 |
$15,616.81
|
