|
11-desoxycortisol - sendout
|
$175.20 |
$175.20 |
$671.40 |
$91.85
|
|
17-hydroxypregnenolone
|
$168.60 |
$243.00 |
$384.00 |
$92.65
|
|
17-ketosteroids
|
$249.60 |
$249.60 |
$963.00 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$137.40 |
$147.00 |
$191.40 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$799.20 |
$2,589.00 |
$4,258.80 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$942.00 |
$2,452.80 |
$2,907.00 |
$1,284.00
|
|
2nd order venous cath
|
$5,122.80 |
$8,350.20 |
$13,378.80 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$139.20 |
$143.40 |
$1,968.00 |
$511.60
|
|
3-d radiotherapy plan
|
$4,423.20 |
$9,234.00 |
$11,433.60 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$543.00 |
$1,492.80 |
$4,528.20 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$58.60 |
$96.60 |
$115.20 |
$48.00
|
|
5% dextrose with potassium
|
$75.80 |
$85.20 |
$104.40 |
$85.20
|
|
5' nucleotidase - sendout
|
$58.80 |
$88.20 |
$455.40 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$71.40 |
$85.80 |
$231.60 |
$100.10
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$590.40 |
$590.40 |
$590.40 |
$137.15
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$83.20 |
$213.00 |
$3,987.00 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$133.20 |
$201.00 |
$282.60 |
$53.95
|
|
Abciximab injection
|
$3,955.80 |
$3,955.80 |
$3,955.80 |
$2,443.52
|
|
Abd aorta w/runoff s&i
|
$2,938.80 |
$3,563.40 |
$12,253.80 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$1,860.60 |
$4,752.00 |
$5,849.40 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$3,433.80 |
$6,016.80 |
$7,748.40 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$2,739.60 |
$6,311.40 |
$8,613.60 |
$2,475.45
|
|
Abd/low ext cath addl
|
$677.40 |
$841.20 |
$1,179.00 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$798.60 |
$1,025.40 |
$1,404.00 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$590.40 |
$873.00 |
$1,246.80 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,953.20 |
$3,394.80 |
$5,112.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,654.40 |
$3,054.00 |
$4,599.60 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,502.00 |
$4,621.20 |
$8,004.00 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,562.00 |
$3,763.20 |
$8,546.40 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,274.40 |
$1,969.80 |
$2,313.60 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$867.00 |
$1,070.40 |
$1,407.00 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$405.00 |
$456.60 |
$686.40 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$666.60 |
$765.60 |
$1,154.40 |
$418.63
|
|
Abdominal X-ray (single view)
|
$405.00 |
$456.60 |
$686.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$2,260.20 |
$2,751.60 |
$7,134.00 |
$1,148.40
|
|
Abl1 gene
|
$2,004.60 |
$3,373.20 |
$3,373.80 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,576.20 |
$1,576.20 |
$1,983.00 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$48,183.60 |
$48,183.60 |
$59,370.00 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$41,445.60 |
$41,445.60 |
$41,445.60 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$41,445.60 |
$41,445.60 |
$41,445.60 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$6,998.40 |
$7,078.20 |
$11,019.60 |
$9,332.05
|
|
Ablate pulm tumor perq rf
|
$22,931.40 |
$22,931.40 |
$22,931.40 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$265.80 |
$265.80 |
$377.40 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$76.20 |
$96.00 |
$6,311.40 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$59,707.20 |
$59,707.20 |
$59,707.20 |
$6,948.75
|
|
Ablation cryo pq liver tumor(s)
|
$36,600.60 |
$36,600.60 |
$36,600.60 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$570.00 |
$570.00 |
$570.00 |
$857.60
|
|
Ablation cryo thigh/knee
|
$336.00 |
$336.00 |
$464.40 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$1,164.00 |
$2,976.60 |
$3,989.40 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,152.40 |
$3,152.40 |
$3,965.40 |
$3,055.20
|
|
Abltj mal prst8 tiss hifu
|
$12,768.00 |
$12,768.00 |
$12,768.00 |
$5,855.00
|
|
Abobotulinumtoxina
|
$51.15 |
$64.60 |
$2,911.20 |
$1,541.21
|
|
Abortion (mpr)
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$587.60
|
|
Abscess drain retroperitoneal surg code
|
$7,281.60 |
$7,281.60 |
$9,792.60 |
$3,050.40
|
|
Absorpt drg >16<=48 in w/bdr
|
$1.80 |
$1.80 |
$2.40 |
$5.99
|
|
Absorpt drg <=16 sq in w/bdr
|
$0.60 |
$0.60 |
$15.00 |
$13.80
|
|
Absorpt drg > 48 sq in without b
|
$3.00 |
$3.00 |
$4.80 |
$7.76
|
|
Access thoracic lymph duct
|
$3,812.40 |
$3,812.40 |
$3,812.40 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.60 |
$0.80 |
$47.40 |
$72.74
|
|
Acetazolamide 500 mg solution for injection
|
$133.60 |
$1,307.40 |
$1,307.40 |
$122.55
|
|
Acetone qualitative
|
$46.20 |
$50.40 |
$440.40 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$83.40 |
$168.60 |
$2,202.60 |
$67.50
|
|
Acetylcholinesterase assay
|
$250.20 |
$250.20 |
$250.20 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$81.60 |
$1,142.40 |
$2,785.80 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$42.80 |
$81.60 |
$469.80 |
$31.21
|
|
Acne surgery 10040
|
$87.60 |
$103.80 |
$284.40 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$464.40 |
$658.80 |
$955.80 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$20.40 |
$25.80 |
$30.00 |
$38.50
|
|
Actigraphy testing
|
$728.40 |
$728.40 |
$728.40 |
$234.00
|
|
Actinotherapy uv light
|
$189.60 |
$189.60 |
$189.60 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$15.00 |
$15.00 |
$15.00 |
$56.16
|
|
Acute hepatitis panel
|
$459.60 |
$496.20 |
$591.00 |
$284.95
|
|
Acute venous thrombus image
|
$1,350.60 |
$1,350.60 |
$1,350.60 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$20.25 |
$427.20 |
$4,042.80 |
$64.45
|
|
#acylcarnitineprfl
|
$163.80 |
$205.80 |
$1,687.20 |
$121.55
|
|
Adalimumab injection
|
$3,013.20 |
$3,013.20 |
$6,687.00 |
$6,853.40
|
|
Adapt behavior tx phys/qhp
|
$114.00 |
$114.00 |
$114.00 |
$244.07
|
|
Adapter b 8 channel 10cm
|
$536.40 |
$1,448.40 |
$17,888.40 |
$5,109.58
|
|
Adaptive behavior tx by tech
|
$114.00 |
$114.00 |
$114.00 |
$139.68
|
|
Adenosine 3 mg/250 ml bag for osm
|
$214.80 |
$2,067.00 |
$3,166.80 |
$271.98
|
|
Adenovirus ag ia
|
$128.40 |
$128.40 |
$128.40 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$93.60 |
$97.20 |
$235.80 |
$58.00
|
|
Adhesive, liquid or equal
|
$1,195.20 |
$1,333.20 |
$2,916.60 |
$14.40
|
|
Adh-sendout
|
$321.00 |
$360.00 |
$3,237.00 |
$118.79
|
|
Adj gastric band via subq port
|
$80.40 |
$2,164.80 |
$2,977.20 |
$1,666.86
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$3,491.40 |
$3,955.80 |
$4,326.00 |
$3,397.11
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$450.00 |
$3,000.00 |
$3,000.00 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$210.00 |
$298.20 |
$684.60 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$322.20 |
$397.80 |
$554.40 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$735.00 |
$790.20 |
$984.60 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$361.80 |
$526.80 |
$652.80 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$154.80 |
$254.40 |
$554.40 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$154.80 |
$254.40 |
$554.40 |
$256.49
|
|
Administration immunization each additional component
|
$86.40 |
$86.40 |
$86.40 |
$29.20
|
|
Administration immunization each additional vaccine
|
$12.00 |
$12.00 |
$12.00 |
$47.40
|
|
Administration immunization first component each vaccine
|
$170.40 |
$170.40 |
$395.40 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$14.40 |
$14.40 |
$14.40 |
$48.00
|
