|
17-hydroxypregnenolone
|
$67.50 |
$67.50 |
$67.50 |
$90.90
|
|
2019-ncov diagnostic p
|
$33.00 |
$33.00 |
$33.00 |
$54.50
|
|
2nd order venous cath
|
$235.00 |
$235.00 |
$235.00 |
$1,497.85
|
|
3d recon without postprocess indpndt
|
$120.50 |
$120.50 |
$120.50 |
$505.05
|
|
88334 ap bill cytologic exam each additional site
|
$45.00 |
$45.00 |
$45.00 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$3,011.50 |
$3,011.50 |
$3,011.50 |
$3,587.50
|
|
Abd/low ext cath 1st
|
$282.50 |
$282.50 |
$282.50 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$370.00 |
$370.00 |
$370.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$895.00 |
$895.00 |
$895.00 |
$2,417.40
|
|
Abd/low ext cath addl
|
$117.00 |
$117.00 |
$117.00 |
$963.76
|
|
Abdominal CT scan (with and without contrast)
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,856.50 |
$1,856.50 |
$1,856.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$703.50 |
$703.50 |
$703.50 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$1,253.50 |
$1,253.50 |
$1,253.50 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,187.50 |
$1,187.50 |
$1,187.50 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$389.50 |
$389.50 |
$389.50 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$334.00 |
$334.00 |
$334.00 |
$581.10
|
|
Abd paracentesis/w/o image guide 49082
|
$823.50 |
$823.50 |
$823.50 |
$1,145.00
|
|
Abl1 gene
|
$835.00 |
$835.00 |
$835.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$10,575.50 |
$10,575.50 |
$10,575.50 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$11,123.00 |
$11,123.00 |
$11,123.00 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$5,080.00 |
$5,080.00 |
$5,080.00 |
$9,476.33
|
|
Ablation cardiac vagal inputs atrium
|
$2,824.00 |
$2,824.00 |
$2,824.00 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$938.50 |
$938.50 |
$938.50 |
$2,312.80
|
|
Ablation cryo retro lymph node
|
$2,740.50 |
$2,740.50 |
$2,740.50 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$199.50 |
$199.50 |
$199.50 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$1,949.00 |
$1,949.00 |
$1,949.00 |
$2,999.34
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$146.50 |
$146.50 |
$146.50 |
$2,338.44
|
|
Acetaminophen level
|
$225.50 |
$225.50 |
$225.50 |
$111.00
|
|
Acetone qualitative
|
$74.50 |
$74.50 |
$74.50 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$100.00 |
$100.00 |
$100.00 |
$66.28
|
|
Acetylcholinesterase assay
|
$76.00 |
$76.00 |
$76.00 |
$108.79
|
|
Acute hepatitis panel
|
$241.00 |
$241.00 |
$241.00 |
$284.70
|
|
#acylcarnitineprfl
|
$190.50 |
$190.50 |
$190.50 |
$118.85
|
|
Adapter b 8 channel 10cm
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$6,142.50
|
|
Adenovirus antibody,serum - quest
|
$55.00 |
$55.00 |
$55.00 |
$58.00
|
|
Adh-sendout
|
$114.50 |
$114.50 |
$114.50 |
$114.50
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$38.50 |
$38.50 |
$38.50 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$110.00 |
$110.00 |
$110.00 |
$647.50
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$86.00 |
$86.00 |
$86.00 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$163.50 |
$163.50 |
$163.50 |
$254.40
|
|
Administration immunization 1 vaccine
|
$148.00 |
$148.00 |
$148.00 |
$67.60
|
|
Administration immunization each additional vaccine
|
$64.50 |
$64.50 |
$64.50 |
$46.89
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$91.00 |
$91.00 |
$91.00 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$20.50 |
$20.50 |
$20.50 |
$42.00
|
|
Administration vaccine hepatitis b
|
$64.50 |
$64.50 |
$64.50 |
$51.80
|
|
Administration vaccine influenza virus
|
$64.50 |
$64.50 |
$64.50 |
$48.73
|
|
Administration vaccine pneumococcal
|
$64.50 |
$64.50 |
$64.50 |
$48.73
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$20.50 |
$20.50 |
$20.50 |
$41.45
|
|
_afb id by dna probe rflx ast
|
$311.50 |
$311.50 |
$311.50 |
$104.50
|
|
Afo supramalleolar custom
|
$1,572.50 |
$1,572.50 |
$1,572.50 |
$1,182.83
|
|
Air injection into abdomen 49400
|
$236.00 |
$236.00 |
$236.00 |
$520.00
|
|
Airway resistance by impulse oscillometry 94728
|
$466.50 |
$466.50 |
$466.50 |
$289.20
|
|
Albumin body fluid quantitative each specimen
|
$99.50 |
$99.50 |
$99.50 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$100.50 |
$100.50 |
$100.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$100.50 |
$100.50 |
$100.50 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$383.00 |
$383.00 |
$383.00 |
$94.90
|
|
Alginate dressing <=16 sq in
|
$59.00 |
$59.00 |
$59.00 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$96.00 |
$96.00 |
$96.00 |
$43.72
|
|
Alkaline phosphatase
|
$98.50 |
$98.50 |
$98.50 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$187.00 |
$187.00 |
$187.00 |
$48.57
|
|
Allergen egg white ige
|
$27.00 |
$27.00 |
$27.00 |
$37.20
|
|
Allograft 160mg placental salera mini membrane
|
$48.50 |
$48.50 |
$48.50 |
$6,022.57
|
|
Allograft amnioexcel plus 17mm disk
|
$463.50 |
$463.50 |
$463.50 |
$507.30
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$12,168.00 |
$12,168.00 |
$12,168.00 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$544.50 |
$544.50 |
$544.50 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$307.00 |
$307.00 |
$307.00 |
$21,790.11
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$736.50 |
$736.50 |
$736.50 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,346.00 |
$1,346.00 |
$1,346.00 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$14,400.00 |
$14,400.00 |
$14,400.00 |
$5,096.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$613.50 |
$613.50 |
$613.50 |
$1,777.39
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$302.00 |
$302.00 |
$302.00 |
$189.15
|
|
Alpha-fetoprotein tumor marker
|
$82.00 |
$82.00 |
$82.00 |
$103.80
|
|
Alt/sgpt
|
$125.00 |
$125.00 |
$125.00 |
$47.40
|
|
Aluminum - quest
|
$67.00 |
$67.00 |
$67.00 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$218.00 |
$218.00 |
$218.00 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$496.50 |
$496.50 |
$496.50 |
$179.70
|
|
Aminolevulinic acid delta
|
$78.00 |
$78.00 |
$78.00 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$93.00 |
$93.00 |
$93.00 |
$84.56
|
|
Ammonia
|
$131.50 |
$131.50 |
$131.50 |
$119.70
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,770.50 |
$2,770.50 |
$2,770.50 |
$3,735.51
|
|
Amphetamine confirm urine -sendout
|
$84.50 |
$84.50 |
$84.50 |
$93.61
|
|
Amphetamines 5 or more
|
$97.50 |
$97.50 |
$97.50 |
$90.48
|
|
Amylase
|
$72.00 |
$72.00 |
$72.00 |
$89.04
|
|
Anal pressure record
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$946.24
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$182.50 |
$182.50 |
$182.50 |
$335.85
|
|
Analysis gene f2 20210g>a variant
|
$326.00 |
$326.00 |
$326.00 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$356.00 |
$356.00 |
$356.00 |
$237.60
|
|
Analysis nerve
|
$130.50 |
$130.50 |
$130.50 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$57.00 |
$57.00 |
$57.00 |
$123.84
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$218.00 |
$218.00 |
$218.00 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$219.00 |
$219.00 |
$219.00 |
$99.00
|
|
An cholangiogram percutaneous compl
|
$590.00 |
$590.00 |
$590.00 |
$2,494.35
|
|
An fluoro guide for cvp
|
$257.50 |
$257.50 |
$257.50 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,721.50 |
$6,721.50 |
$6,721.50 |
$5,500.00
|
|
Angioplasty fem/pop unilat 37224
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$8,835.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$5,950.50
|
