|
17-hydroxypregnenolone
|
$89.00 |
$89.00 |
$89.00 |
$90.90
|
|
2nd order venous cath
|
$725.50 |
$725.50 |
$725.50 |
$1,497.85
|
|
3d recon without postprocess indpndt
|
$437.00 |
$437.00 |
$437.00 |
$505.05
|
|
88334 ap bill cytologic exam each additional site
|
$74.50 |
$74.50 |
$74.50 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$4,493.00 |
$4,493.00 |
$4,493.00 |
$3,587.50
|
|
Abd/low ext cath 1st
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,487.00 |
$1,487.00 |
$1,487.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$2,417.40
|
|
Abd/low ext cath addl
|
$652.50 |
$652.50 |
$652.50 |
$963.76
|
|
Abdominal CT scan (with and without contrast)
|
$1,941.50 |
$1,941.50 |
$1,941.50 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,532.50 |
$1,532.50 |
$1,532.50 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,444.50 |
$2,444.50 |
$2,444.50 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$1,863.50 |
$1,863.50 |
$1,863.50 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,730.50 |
$1,730.50 |
$1,730.50 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$873.00 |
$873.00 |
$873.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$657.00 |
$657.00 |
$657.00 |
$581.10
|
|
Abd paracentesis/w/o image guide 49082
|
$897.50 |
$897.50 |
$897.50 |
$1,145.00
|
|
Abl1 gene
|
$911.50 |
$911.50 |
$911.50 |
$683.20
|
|
Ablation cryo abd perit om
|
$1,356.50 |
$1,356.50 |
$1,356.50 |
$2,312.80
|
|
Abscess drain retroperitoneal surg code
|
$2,631.00 |
$2,631.00 |
$2,631.00 |
$2,999.34
|
|
Acetaminophen level
|
$212.50 |
$212.50 |
$212.50 |
$111.00
|
|
Acetylcholine receptor modulating antibody
|
$92.00 |
$92.00 |
$92.00 |
$66.28
|
|
Acetylcholinesterase assay
|
$70.00 |
$70.00 |
$70.00 |
$108.79
|
|
Acute hepatitis panel
|
$366.00 |
$366.00 |
$366.00 |
$284.70
|
|
#acylcarnitineprfl
|
$115.50 |
$115.50 |
$115.50 |
$118.85
|
|
Adapter b 8 channel 10cm
|
$4,977.50 |
$4,977.50 |
$4,977.50 |
$6,142.50
|
|
Adh-sendout
|
$191.50 |
$191.50 |
$191.50 |
$114.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$215.50 |
$215.50 |
$215.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$247.50 |
$247.50 |
$247.50 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$565.50 |
$565.50 |
$565.50 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$359.00 |
$359.00 |
$359.00 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$149.00 |
$149.00 |
$149.00 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$359.00 |
$359.00 |
$359.00 |
$254.40
|
|
Administration immunization 1 vaccine
|
$84.50 |
$84.50 |
$84.50 |
$67.60
|
|
Administration immunization each additional vaccine
|
$84.50 |
$84.50 |
$84.50 |
$46.89
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$23.00 |
$23.00 |
$23.00 |
$42.00
|
|
Administration vaccine hepatitis b
|
$84.50 |
$84.50 |
$84.50 |
$51.80
|
|
Administration vaccine influenza virus
|
$84.50 |
$84.50 |
$84.50 |
$48.73
|
|
Administration vaccine pneumococcal
|
$84.50 |
$84.50 |
$84.50 |
$48.73
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$23.00 |
$23.00 |
$23.00 |
$41.45
|
|
_afb id by dna probe rflx ast
|
$191.00 |
$191.00 |
$191.00 |
$104.50
|
|
Afo rig ant tib tcf/= custom
|
$852.00 |
$852.00 |
$852.00 |
$1,875.66
|
|
Afo supramalleolar custom
|
$704.50 |
$704.50 |
$704.50 |
$1,182.83
|
|
Albumin body fluid quantitative each specimen
|
$63.00 |
$63.00 |
$63.00 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$72.50 |
$72.50 |
$72.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$63.00 |
$63.00 |
$63.00 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$189.00 |
$189.00 |
$189.00 |
$94.90
|
|
Alginate dressing <=16 sq in
|
$37.00 |
$37.00 |
$37.00 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$58.00 |
$58.00 |
$58.00 |
$43.72
|
|
Alkaline phosphatase
|
$63.00 |
$63.00 |
$63.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$187.00 |
$187.00 |
$187.00 |
$48.57
|
|
Allergen egg white ige
|
$43.50 |
$43.50 |
$43.50 |
$37.20
|
|
Allograft 160mg placental salera mini membrane
|
$41.00 |
$41.00 |
$41.00 |
$6,022.57
|
|
Allograft amnioexcel plus 17mm disk
|
$391.50 |
$391.50 |
$391.50 |
$507.30
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$9,781.00 |
$9,781.00 |
$9,781.00 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$438.00 |
$438.00 |
$438.00 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$259.00 |
$259.00 |
$259.00 |
$21,790.11
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$622.00 |
$622.00 |
$622.00 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$11,575.00 |
$11,575.00 |
$11,575.00 |
$5,096.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$517.50 |
$517.50 |
$517.50 |
$1,777.39
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$278.00 |
$278.00 |
$278.00 |
$189.15
|
|
Alpha-fetoprotein tumor marker
|
$128.50 |
$128.50 |
$128.50 |
$103.80
|
|
Alt/sgpt
|
$63.00 |
$63.00 |
$63.00 |
$47.40
|
|
Aluminum - quest
|
$173.00 |
$173.00 |
$173.00 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$205.00 |
$205.00 |
$205.00 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$179.50 |
$179.50 |
$179.50 |
$179.70
|
|
Aminolevulinic acid delta
|
$141.00 |
$141.00 |
$141.00 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$135.50 |
$135.50 |
$135.50 |
$84.56
|
|
Ammonia
|
$126.00 |
$126.00 |
$126.00 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$552.50 |
$552.50 |
$552.50 |
$923.50
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$3,735.51
|
|
Amphetamine confirm urine -sendout
|
$142.50 |
$142.50 |
$142.50 |
$93.61
|
|
Amphetamines 5 or more
|
$91.50 |
$91.50 |
$91.50 |
$90.48
|
|
Amylase
|
$104.00 |
$104.00 |
$104.00 |
$89.04
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$488.50 |
$488.50 |
$488.50 |
$335.85
|
|
Analysis gene f2 20210g>a variant
|
$483.00 |
$483.00 |
$483.00 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$483.00 |
$483.00 |
$483.00 |
$237.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$407.00 |
$407.00 |
$407.00 |
$123.84
|
|
Anca screen with reflex to titer -quest
|
$366.50 |
$366.50 |
$366.50 |
$99.00
|
|
An cholangiogram percutaneous compl
|
$881.50 |
$881.50 |
$881.50 |
$2,494.35
|
|
An fluoro guide for cvp
|
$581.00 |
$581.00 |
$581.00 |
$515.00
|
|
Ankle X-ray
|
$313.50 |
$313.50 |
$313.50 |
$352.80
|
|
Anterior thoracic extension
|
$294.50 |
$294.50 |
$294.50 |
$496.80
|
|
Antibody elution rbc reference
|
$121.00 |
$121.00 |
$121.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$240.50 |
$240.50 |
$240.50 |
$131.28
|
|
Antibody htlv-i
|
$72.50 |
$72.50 |
$72.50 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$348.50 |
$348.50 |
$348.50 |
$219.30
|
|
Antibody id rbc panel
|
$189.00 |
$189.00 |
$189.00 |
$290.21
|
|
Antibody screen rbc
|
$84.00 |
$84.00 |
$84.00 |
$106.88
|
|
Antidepressant not specified
|
$170.50 |
$170.50 |
$170.50 |
$72.14
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$380.50 |
$380.50 |
$380.50 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$47.50 |
$47.50 |
$47.50 |
$42.00
|
|
Antinuclear antibodies
|
$129.00 |
$129.00 |
$129.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$84.00 |
$84.00 |
$84.00 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$97.50 |
$97.50 |
$97.50 |
$64.50
|
|
Antipsychotics nos 1-3
|
$177.00 |
$177.00 |
$177.00 |
$137.80
|
|
Antistreptolysin o titer
|
$88.00 |
$88.00 |
$88.00 |
$52.50
|
