|
Acup 1/> w/estim 1st 15 min
|
$27.30 |
$27.30 |
$27.30 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$17.68 |
$17.68 |
$17.68 |
$55.60
|
|
Acup 1/> without estim ea add 15
|
$17.42 |
$17.42 |
$17.42 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$22.62 |
$22.62 |
$22.62 |
$52.80
|
|
Acute hepatitis panel
|
$301.92 |
$301.92 |
$301.92 |
$285.35
|
|
Acute venous thrombus image
|
$33.80 |
$33.80 |
$33.80 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$31.85 |
$31.85 |
$31.85 |
$63.48
|
|
#acylcarnitineprfl
|
$106.56 |
$106.56 |
$106.56 |
$120.25
|
|
Acylcarnitines qual
|
$13.00 |
$13.00 |
$13.00 |
$45.60
|
|
Adding walker to prev cast
|
$20.28 |
$20.28 |
$20.28 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$178.35 |
$178.35 |
$178.35 |
$268.50
|
|
Adenovirus ag ia
|
$9.36 |
$9.36 |
$9.36 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$81.40 |
$81.40 |
$81.40 |
$58.00
|
|
Adenovirus assay w/optic
|
$17.16 |
$17.16 |
$17.16 |
$44.00
|
|
Adhesiolysis tube ovary 58740
|
$661.18 |
$661.18 |
$661.18 |
$1,384.32
|
|
Adh-sendout
|
$214.60 |
$214.60 |
$214.60 |
$118.79
|
|
Adjmt/revj ext fixj sys anes
|
$332.28 |
$332.28 |
$332.28 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$555.88 |
$555.88 |
$555.88 |
$3,262.50
|
|
Adjustment gastric band
|
$32.76 |
$32.76 |
$32.76 |
$198.47
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1,353.17 |
$1,353.17 |
$1,353.17 |
$193.40
|
|
Admin ecg contrast agent
|
$1,156.62 |
$1,156.62 |
$1,156.62 |
$139.44
|
|
Administration chemotherapy IV infusion each additional hour
|
$224.96 |
$224.96 |
$224.96 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$224.96 |
$224.96 |
$224.96 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,049.32 |
$1,049.32 |
$1,049.32 |
$670.01
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,049.32 |
$1,049.32 |
$1,049.32 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$224.96 |
$224.96 |
$224.96 |
$255.98
|
|
Administration immunization each additional component
|
$131.72 |
$131.72 |
$131.72 |
$32.00
|
|
Administration immunization each additional vaccine
|
$131.72 |
$131.72 |
$131.72 |
$47.52
|
|
Administration immunization first component each vaccine
|
$175.38 |
$175.38 |
$175.38 |
$47.20
|
|
Administration vaccine hepatitis b
|
$113.22 |
$113.22 |
$113.22 |
$53.00
|
|
Administration vaccine influenza virus
|
$113.22 |
$113.22 |
$113.22 |
$51.11
|
|
Administration vaccine pneumococcal
|
$113.22 |
$113.22 |
$113.22 |
$50.43
|
|
Adrenal cortex & medulla img
|
$3,212.34 |
$3,212.34 |
$3,212.34 |
$2,015.68
|
|
Adrenalectomy expl w/exc retro tumor 60545
|
$908.44 |
$908.44 |
$908.44 |
$5,441.80
|
|
Adrenalin epinephrine inject
|
$204.75 |
$204.75 |
$204.75 |
$229.69
|
|
Advance care planning each additional 30 min 99498
|
$51.74 |
$51.74 |
$51.74 |
$108.00
|
|
Adv prim care mgmt lvl 1
|
$9.10 |
$9.10 |
$9.10 |
$51.52
|
|
Adv prim care mgmt lvl 2
|
$27.30 |
$27.30 |
$27.30 |
$51.52
|
|
Adv prim care mgmt lvl 3
|
$60.32 |
$60.32 |
$60.32 |
$139.68
|
|
Aep neurodiagnostic i&r
|
$58.50 |
$58.50 |
$58.50 |
$583.80
|
|
_afb id by dna probe rflx ast
|
$126.54 |
$126.54 |
$126.54 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$5.72 |
$5.72 |
$5.72 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$729.64 |
$729.64 |
$729.64 |
$300.22
|
|
Aff2 gen aly detc abnl allel
|
$107.12 |
$107.12 |
$107.12 |
$150.70
|
|
Aff2 gen alys charac alleles
|
$214.24 |
$214.24 |
$214.24 |
$302.31
|
|
Afo, walk boot type, cus fab
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,500.10
|
|
After cataract laser surgery
|
$221.26 |
$221.26 |
$221.26 |
$1,373.11
|
|
Air injection into abdomen 49400
|
$65.26 |
$65.26 |
$65.26 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$8.84 |
$8.84 |
$8.84 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$49.58 |
$49.58 |
$49.58 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$52.64 |
$52.64 |
$52.64 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$63.02 |
$63.02 |
$63.02 |
$252.35
|
|
Albumin ischemia modified
|
$26.52 |
$26.52 |
$26.52 |
$85.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$36.26 |
$36.26 |
$36.26 |
$57.71
|
|
Albumin serum plasma or whole blood
|
$31.82 |
$31.82 |
$31.82 |
$42.84
|
|
Albuterol ipratrop non-comp
|
$0.59 |
$0.59 |
$0.59 |
$5.61
|
|
Albuterol non-comp unit
|
$0.33 |
$0.33 |
$0.33 |
$5.28
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$108.78 |
$108.78 |
$108.78 |
$96.00
|
|
Aldosterone suppression eval
|
$97.76 |
$97.76 |
$97.76 |
$315.20
|
|
Alkaline phosphatase
|
$33.30 |
$33.30 |
$33.30 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$113.22 |
$113.22 |
$113.22 |
$48.60
|
|
Allergen egg white ige
|
$33.30 |
$33.30 |
$33.30 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$50.32 |
$50.32 |
$50.32 |
$24.00
|
|
Allgrft implnt knee w/scope
|
$939.12 |
$939.12 |
$939.12 |
$6,411.60
|
|
All tstg perq&iq drugs/biol
|
$5.20 |
$5.20 |
$5.20 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$2.60 |
$2.60 |
$2.60 |
$41.34
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$407.74 |
$407.74 |
$407.74 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$107.30 |
$107.30 |
$107.30 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$105.82 |
$105.82 |
$105.82 |
$106.00
|
|
Alprostadil for injection
|
$212.50 |
$212.50 |
$212.50 |
$505.39
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,008.33 |
$8,008.33 |
$8,008.33 |
$15,857.45
|
|
Alt/sgpt
|
$34.04 |
$34.04 |
$34.04 |
$47.50
|
|
Aluminum - quest
|
$161.32 |
$161.32 |
$161.32 |
$83.21
|
|
Alveoloplasty each quadrant
|
$182.26 |
$182.26 |
$182.26 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$28.86 |
$28.86 |
$28.86 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$724.46 |
$724.46 |
$724.46 |
$179.70
|
|
Ambl bp mntr w/sw i&r
|
$13.00 |
$13.00 |
$13.00 |
$42.40
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$11.43 |
$11.43 |
$11.43 |
$39.84
|
|
Amines vaginal fluid qual
|
$4.68 |
$4.68 |
$4.68 |
$12.00
|
|
Amino acid screen, urine
|
$88.06 |
$88.06 |
$88.06 |
$76.05
|
|
Amino acid single qual
|
$10.92 |
$10.92 |
$10.92 |
$36.00
|
|
Amino acids quant 2-5
|
$15.08 |
$15.08 |
$15.08 |
$111.06
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$1.04 |
$1.04 |
$1.04 |
$37.33
|
|
Aminolevulinic acid delta
|
$104.34 |
$104.34 |
$104.34 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$11.70 |
$11.70 |
$11.70 |
$46.93
|
|
Amiodarone 50 mg/ml intravenous solution
|
$42.04 |
$42.04 |
$42.04 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$724.46 |
$724.46 |
$724.46 |
$87.50
|
|
Ammonia
|
$91.76 |
$91.76 |
$91.76 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$2,448.66 |
$2,448.66 |
$2,448.66 |
$942.60
|
|
Amniocentesis therapeutic
|
$855.44 |
$855.44 |
$855.44 |
$791.05
|
|
Amniotic fluid scan
|
$59.20 |
$59.20 |
$59.20 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$495.82 |
$495.82 |
$495.82 |
$3,761.00
|
|
Amphetamine confirm urine -sendout
|
$724.46 |
$724.46 |
$724.46 |
$93.61
|
|
Amphetamines 5 or more
|
$724.46 |
$724.46 |
$724.46 |
$91.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$43.68 |
$43.68 |
$43.68 |
$122.91
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$289.66 |
$289.66 |
$289.66 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$12.75 |
$12.75 |
$12.75 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$14.52 |
$14.52 |
$14.52 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,664.26 |
$1,664.26 |
$1,664.26 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$309.14 |
$309.14 |
$309.14 |
$3,981.50
|
