|
11-desoxycortisol - sendout
|
$269.40 |
$269.40 |
$269.40 |
$91.85
|
|
17-hydroxypregnenolone
|
$390.00 |
$390.00 |
$390.00 |
$92.65
|
|
2d tee w or without fol w/con,in
|
$888.00 |
$888.00 |
$888.00 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$811.20 |
$811.20 |
$811.20 |
$1,284.00
|
|
2nd order venous cath
|
$6,946.20 |
$6,946.20 |
$6,946.20 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$511.60
|
|
3d recon without postprocess indpndt
|
$879.00 |
$879.00 |
$879.00 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$100.80 |
$100.80 |
$100.80 |
$48.00
|
|
5% dextrose with potassium
|
$113.60 |
$113.60 |
$113.60 |
$85.20
|
|
5' nucleotidase - sendout
|
$119.40 |
$119.40 |
$119.40 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$130.80 |
$130.80 |
$130.80 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$104.00 |
$104.00 |
$104.00 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$94.20 |
$94.20 |
$94.20 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,226.20 |
$3,226.20 |
$3,226.20 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$3,583.20 |
$3,583.20 |
$3,583.20 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$4,738.80 |
$4,738.80 |
$4,738.80 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$5,269.20 |
$5,269.20 |
$5,269.20 |
$2,475.45
|
|
Abd/low ext cath addl
|
$881.40 |
$881.40 |
$881.40 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,100.40 |
$1,100.40 |
$1,100.40 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$661.20 |
$661.20 |
$661.20 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,290.20 |
$2,290.20 |
$2,290.20 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$651.00 |
$651.00 |
$651.00 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$475.80 |
$475.80 |
$475.80 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$257.40 |
$257.40 |
$257.40 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$335.40 |
$335.40 |
$335.40 |
$418.63
|
|
Abdominal X-ray (single view)
|
$209.40 |
$209.40 |
$209.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,148.40
|
|
Abl1 gene
|
$3,340.80 |
$3,340.80 |
$3,340.80 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$48,916.80 |
$48,916.80 |
$48,916.80 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$42,856.80 |
$42,856.80 |
$42,856.80 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$4,986.00 |
$4,986.00 |
$4,986.00 |
$9,332.05
|
|
Ablation cardiac vagal inputs atrium
|
$454.20 |
$454.20 |
$454.20 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$2,747.40 |
$2,747.40 |
$2,747.40 |
$2,312.80
|
|
Ablation of upper extremity nerves rf
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,974.20 |
$2,974.20 |
$2,974.20 |
$3,055.20
|
|
Abobotulinumtoxina
|
$67.60 |
$67.60 |
$67.60 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$8,322.60 |
$8,322.60 |
$8,322.60 |
$3,050.40
|
|
Absorpt drg >16<=48 in w/bdr
|
$1.80 |
$1.80 |
$1.80 |
$5.99
|
|
Absorpt drg <=16 sq in w/bdr
|
$0.60 |
$0.60 |
$0.60 |
$13.80
|
|
Absorpt drg > 48 sq in without b
|
$3.00 |
$3.00 |
$3.00 |
$7.76
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.80 |
$0.80 |
$0.80 |
$72.74
|
|
Acetazolamide 500 mg solution for injection
|
$222.40 |
$222.40 |
$222.40 |
$122.55
|
|
Acetone qualitative
|
$118.20 |
$118.20 |
$118.20 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$316.20 |
$316.20 |
$316.20 |
$67.50
|
|
Acetylcholinesterase assay
|
$148.20 |
$148.20 |
$148.20 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$645.00 |
$645.00 |
$645.00 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$264.00 |
$264.00 |
$264.00 |
$31.21
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$611.40 |
$611.40 |
$611.40 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$20.40 |
$20.40 |
$20.40 |
$38.50
|
|
Acute hepatitis panel
|
$721.20 |
$721.20 |
$721.20 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$64.45
|
|
#acylcarnitineprfl
|
$315.00 |
$315.00 |
$315.00 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$3,290.40 |
$3,290.40 |
$3,290.40 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$352.80 |
$352.80 |
$352.80 |
$271.98
|
|
Adenovirus ag ia
|
$199.20 |
$199.20 |
$199.20 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$343.80 |
$343.80 |
$343.80 |
$58.00
|
|
Adhesive, liquid or equal
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$14.40
|
|
Adh-sendout
|
$430.80 |
$430.80 |
$430.80 |
$118.79
|
|
Adj gastric band via subq port
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$1,666.86
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$400.00 |
$400.00 |
$400.00 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$271.20 |
$271.20 |
$271.20 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$592.80 |
$592.80 |
$592.80 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,187.40 |
$1,187.40 |
$1,187.40 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$412.80 |
$412.80 |
$412.80 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$139.80 |
$139.80 |
$139.80 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$139.80 |
$139.80 |
$139.80 |
$256.49
|
|
Administration immunization each additional vaccine
|
$12.00 |
$12.00 |
$12.00 |
$47.40
|
|
Administration vaccine hepatitis b
|
$12.00 |
$12.00 |
$12.00 |
$53.00
|
|
Administration vaccine influenza virus
|
$12.00 |
$12.00 |
$12.00 |
$51.07
|
|
Administration vaccine pneumococcal
|
$12.00 |
$12.00 |
$12.00 |
$49.68
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$119.40 |
$119.40 |
$119.40 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$192.00 |
$192.00 |
$192.00 |
$231.47
|
|
Aep hearing status deter i&r
|
$576.00 |
$576.00 |
$576.00 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$898.20 |
$898.20 |
$898.20 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$898.20 |
$898.20 |
$898.20 |
$635.00
|
|
Afamelanotide implant, 1 mg
|
$6,733.80 |
$6,733.80 |
$6,733.80 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$199.80 |
$199.80 |
$199.80 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$94.80 |
$94.80 |
$94.80 |
$34.72
|
|
Agalsidase beta 35 mg intravenous solution
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$14,475.20
|
|
Air conduction bilat
|
$117.00 |
$117.00 |
$117.00 |
$134.00
|
|
Albumin body fluid quantitative each specimen
|
$127.20 |
$127.20 |
$127.20 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$396.00 |
$396.00 |
$396.00 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$144.60 |
$144.60 |
$144.60 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$130.80 |
$130.80 |
$130.80 |
$43.00
|
|
Albuterol ipratrop non-comp
|
$27.80 |
$27.80 |
$27.80 |
$5.67
|
|
Albuterol non-comp con
|
$6.20 |
$6.20 |
$6.20 |
$6.07
|
|
Albuterol non-comp unit
|
$9.60 |
$9.60 |
$9.60 |
$5.40
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$51,339.60 |
$51,339.60 |
$51,339.60 |
$47,974.31
|
|
Alginate dressing <=16 sq in
|
$81.60 |
$81.60 |
$81.60 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$141.00 |
$141.00 |
$141.00 |
$43.72
|
|
Alkaline phosphatase
|
$99.60 |
$99.60 |
$99.60 |
$46.80
|
