|
11-desoxycortisol - sendout
|
$148.20 |
$148.20 |
$148.20 |
$91.85
|
|
17-hydroxypregnenolone
|
$49.20 |
$49.20 |
$49.20 |
$92.65
|
|
17-ketosteroids
|
$46.20 |
$46.20 |
$46.20 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$258.60 |
$258.60 |
$258.60 |
$313.04
|
|
2nd order venous cath
|
$5,530.80 |
$5,530.80 |
$5,530.80 |
$1,532.04
|
|
3d recon without postprocess indpndt
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$508.13
|
|
5' nucleotidase - sendout
|
$56.40 |
$56.40 |
$56.40 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$86.40 |
$86.40 |
$86.40 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$856.80 |
$856.80 |
$856.80 |
$3,138.72
|
|
Abd/low ext cath 1st
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$2,475.45
|
|
Abd/low ext cath addl
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$819.60 |
$819.60 |
$819.60 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$394.20 |
$394.20 |
$394.20 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$876.00 |
$876.00 |
$876.00 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$394.20 |
$394.20 |
$394.20 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$394.20 |
$394.20 |
$394.20 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$262.80 |
$262.80 |
$262.80 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$262.80 |
$262.80 |
$262.80 |
$418.63
|
|
Abdominal X-ray (single view)
|
$188.40 |
$188.40 |
$188.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,148.40
|
|
Ablate arrhythmia add on
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$18,135.00 |
$18,135.00 |
$18,135.00 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$12,743.40 |
$12,743.40 |
$12,743.40 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$8,922.00 |
$8,922.00 |
$8,922.00 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$9,977.40 |
$9,977.40 |
$9,977.40 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$14,655.00 |
$14,655.00 |
$14,655.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,312.80
|
|
Ablation cryo pq liver tumor(s)
|
$14,653.80 |
$14,653.80 |
$14,653.80 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$961.20 |
$961.20 |
$961.20 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$5,737.80 |
$5,737.80 |
$5,737.80 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$3.00 |
$3.00 |
$3.00 |
$72.74
|
|
Acetaminophen level
|
$159.60 |
$159.60 |
$159.60 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$25.80 |
$25.80 |
$25.80 |
$122.55
|
|
Acetone qualitative
|
$17.40 |
$17.40 |
$17.40 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$93.60 |
$93.60 |
$93.60 |
$67.50
|
|
Acetylcholinesterase assay
|
$44.40 |
$44.40 |
$44.40 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$12.60 |
$12.60 |
$12.60 |
$218.79
|
|
Acne surgery 10040
|
$265.20 |
$265.20 |
$265.20 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$390.00 |
$390.00 |
$390.00 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$52.80 |
$52.80 |
$52.80 |
$38.50
|
|
Actigraphy testing
|
$245.40 |
$245.40 |
$245.40 |
$234.00
|
|
Actinotherapy uv light
|
$194.40 |
$194.40 |
$194.40 |
$105.60
|
|
Acute hepatitis panel
|
$310.20 |
$310.20 |
$310.20 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.60 |
$0.60 |
$0.60 |
$64.45
|
|
#acylcarnitineprfl
|
$36.00 |
$36.00 |
$36.00 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$6.00 |
$6.00 |
$6.00 |
$271.98
|
|
Adenovirus ag ia
|
$24.00 |
$24.00 |
$24.00 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$46.20 |
$46.20 |
$46.20 |
$58.00
|
|
Adhesive, liquid or equal
|
$11.40 |
$11.40 |
$11.40 |
$14.40
|
|
Adh-sendout
|
$123.00 |
$123.00 |
$123.00 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$44.40 |
$44.40 |
$44.40 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$197.40 |
$197.40 |
$197.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$197.40 |
$197.40 |
$197.40 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$608.40 |
$608.40 |
$608.40 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$526.20 |
$526.20 |
$526.20 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$568.20 |
$568.20 |
$568.20 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$285.00 |
$285.00 |
$285.00 |
$256.49
|
|
Administration immunization each additional component
|
$40.20 |
$40.20 |
$40.20 |
$29.20
|
|
Administration immunization each additional vaccine
|
$67.80 |
$67.80 |
$67.80 |
$47.40
|
|
Administration immunization first component each vaccine
|
$115.20 |
$115.20 |
$115.20 |
$46.40
|
|
Administration vaccine hepatitis b
|
$99.00 |
$99.00 |
$99.00 |
$53.00
|
|
Administration vaccine influenza virus
|
$12.60 |
$12.60 |
$12.60 |
$51.07
|
|
Administration vaccine pneumococcal
|
$72.60 |
$72.60 |
$72.60 |
$49.68
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,735.60 |
$3,735.60 |
$3,735.60 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$1,987.70
|
|
Aep neurodiagnostic i&r
|
$583.80 |
$583.80 |
$583.80 |
$583.80
|
|
_afb id by dna probe rflx ast
|
$112.20 |
$112.20 |
$112.20 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$41.40 |
$41.40 |
$41.40 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$642.60 |
$642.60 |
$642.60 |
$300.00
|
|
Air injection into abdomen 49400
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$40.20 |
$40.20 |
$40.20 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$99.00 |
$99.00 |
$99.00 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$29.40 |
$29.40 |
$29.40 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$25.20 |
$25.20 |
$25.20 |
$43.00
|
|
Albuterol non-comp con
|
$28.80 |
$28.80 |
$28.80 |
$6.07
|
|
Aldesleukin injection
|
$3,330.60 |
$3,330.60 |
$3,330.60 |
$9,030.11
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$14,398.80 |
$14,398.80 |
$14,398.80 |
$47,974.31
|
|
Alkaline phosphatase
|
$25.80 |
$25.80 |
$25.80 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$100.20 |
$100.20 |
$100.20 |
$48.57
|
|
Allergen egg white ige
|
$30.00 |
$30.00 |
$30.00 |
$38.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$378.00 |
$378.00 |
$378.00 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$326.40 |
$326.40 |
$326.40 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$62.40 |
$62.40 |
$62.40 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$85.20 |
$85.20 |
$85.20 |
$106.00
|
|
Alprostadil for injection
|
$151.80 |
$151.80 |
$151.80 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$15,857.45
|
|
Alt/sgpt
|
$27.00 |
$27.00 |
$27.00 |
$47.50
|
|
Aluminum - quest
|
$128.40 |
$128.40 |
$128.40 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$369.60 |
$369.60 |
$369.60 |
$411.45
|
|
Ambl bp mntr w/sw a/r
|
$258.60 |
$258.60 |
$258.60 |
$320.45
|
