|
11-desoxycortisol - sendout
|
$27.90 |
$27.90 |
$27.90 |
$84.56
|
|
17-hydroxypregnenolone
|
$40.05 |
$40.05 |
$40.05 |
$85.15
|
|
17-ketosteroids
|
$22.50 |
$22.50 |
$22.50 |
$49.45
|
|
2019-ncov diagnostic p
|
$10.35 |
$10.35 |
$10.35 |
$49.57
|
|
2d tte w or without fol w/con,co
|
$183.75 |
$183.75 |
$183.75 |
$1,137.75
|
|
2nd order venous cath
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,780.00
|
|
3-d radiotherapy plan
|
$1,404.15 |
$1,404.15 |
$1,404.15 |
$4,937.00
|
|
3d recon without postprocess indpndt
|
$559.65 |
$559.65 |
$559.65 |
$469.20
|
|
5' nucleotidase - sendout
|
$19.35 |
$19.35 |
$19.35 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$29.55 |
$29.55 |
$29.55 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$56.85 |
$56.85 |
$56.85 |
$151.20
|
|
99382 initial comp preventive med 1 to 4 years new
|
$58.95 |
$58.95 |
$58.95 |
$143.40
|
|
99383 initial comp preventive med 5 to 11 years new
|
$60.75 |
$60.75 |
$60.75 |
$141.60
|
|
99391 periodic comp preventive med less than 1 year est
|
$56.85 |
$56.85 |
$56.85 |
$135.00
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$56.85 |
$56.85 |
$56.85 |
$129.00
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$60.75 |
$60.75 |
$60.75 |
$145.80
|
|
99397 periodic comp preventive med 65+ years est
|
$66.60 |
$66.60 |
$66.60 |
$167.25
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,441.50 |
$1,441.50 |
$1,441.50 |
$3,410.88
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$21.00 |
$21.00 |
$21.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$813.30 |
$813.30 |
$813.30 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$894.75 |
$894.75 |
$894.75 |
$2,255.84
|
|
Abd/low ext cath 3rd
|
$984.15 |
$984.15 |
$984.15 |
$2,662.40
|
|
Abd/low ext cath addl
|
$393.60 |
$393.60 |
$393.60 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$617.10 |
$617.10 |
$617.10 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$2,010.62
|
|
Abdominal paracentesis w/image guidance
|
$324.60 |
$324.60 |
$324.60 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$96.45 |
$96.45 |
$96.45 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$407.25 |
$407.25 |
$407.25 |
$1,170.40
|
|
Abl1 gene
|
$285.45 |
$285.45 |
$285.45 |
$682.50
|
|
Ablat 1/+thyr ndul addl prq rf
|
$366.15 |
$366.15 |
$366.15 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$513.90 |
$513.90 |
$513.90 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$13,934.40 |
$13,934.40 |
$13,934.40 |
$8,512.80
|
|
Ablate heart dysrhythm focus
|
$3,730.80 |
$3,730.80 |
$3,730.80 |
$9,556.83
|
|
Ablation cryo abd perit om
|
$3,139.50 |
$3,139.50 |
$3,139.50 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$881.55 |
$881.55 |
$881.55 |
$6,904.15
|
|
Ablation cryo retro lymph node
|
$199.65 |
$199.65 |
$199.65 |
$859.50
|
|
Ablation of upper extremity nerves rf
|
$2,473.80 |
$2,473.80 |
$2,473.80 |
$900.00
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$732.45 |
$732.45 |
$732.45 |
$2,974.20
|
|
Abscess drain retroperitoneal surg code
|
$1,161.30 |
$1,161.30 |
$1,161.30 |
$3,051.36
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$67.35 |
$67.35 |
$67.35 |
$2,670.25
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$15.10 |
$15.10 |
$15.10 |
$81.07
|
|
Acetaminophen level
|
$24.00 |
$24.00 |
$24.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$92.77 |
$92.77 |
$92.77 |
$122.55
|
|
Acetone qualitative
|
$7.95 |
$7.95 |
$7.95 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$21.15 |
$21.15 |
$21.15 |
$61.80
|
|
Acetylcholinesterase assay
|
$19.50 |
$19.50 |
$19.50 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$536.58 |
$536.58 |
$536.58 |
$276.33
|
|
Acetylcysteine non-comp unit
|
$7.02 |
$7.02 |
$7.02 |
$29.01
|
|
Acne surgery 10040
|
$83.55 |
$83.55 |
$83.55 |
$265.20
|
|
Aco ccm; at least 20 min 99490aco
|
$38.55 |
$38.55 |
$38.55 |
$108.93
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$19.65 |
$19.65 |
$19.65 |
$62.21
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$39.45 |
$39.45 |
$39.45 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$94.35 |
$94.35 |
$94.35 |
$381.70
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$5.25 |
$5.25 |
$5.25 |
$42.28
|
|
Acoustic immitance testing
|
$15.45 |
$15.45 |
$15.45 |
$158.50
|
|
Acoustic refl threshold tst
|
$10.50 |
$10.50 |
$10.50 |
$102.05
|
|
Acute hepatitis panel
|
$80.70 |
$80.70 |
$80.70 |
$283.47
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$85.59 |
$85.59 |
$85.59 |
$64.45
|
|
#acylcarnitineprfl
|
$28.50 |
$28.50 |
$28.50 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$75.15 |
$75.15 |
$75.15 |
$6,142.50
|
|
Adding walker to prev cast
|
$68.40 |
$68.40 |
$68.40 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$479.28 |
$479.28 |
$479.28 |
$275.73
|
|
Adenovirus ag ia
|
$20.10 |
$20.10 |
$20.10 |
$40.70
|
|
Adenovirus antibody,serum - quest
|
$22.50 |
$22.50 |
$22.50 |
$63.00
|
|
Adh-sendout
|
$30.75 |
$30.75 |
$30.75 |
$109.28
|
|
Adj gastric band via subq port
|
$331.80 |
$331.80 |
$331.80 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$309.82 |
$309.82 |
$309.82 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$58.95 |
$58.95 |
$58.95 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$126.90 |
$126.90 |
$126.90 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$260.40 |
$260.40 |
$260.40 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$184.05 |
$184.05 |
$184.05 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$53.55 |
$53.55 |
$53.55 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$88.05 |
$88.05 |
$88.05 |
$265.50
|
|
Administration immunization 1 vaccine
|
$25.50 |
$25.50 |
$25.50 |
$67.70
|
|
Administration immunization each additional vaccine
|
$14.70 |
$14.70 |
$14.70 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$30.60 |
$30.60 |
$30.60 |
$51.60
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$12.75 |
$12.75 |
$12.75 |
$33.60
|
|
Administration vaccine hepatitis b
|
$13.35 |
$13.35 |
$13.35 |
$54.60
|
|
Administration vaccine influenza virus
|
$15.30 |
$15.30 |
$15.30 |
$48.35
|
|
Administration vaccine pneumococcal
|
$13.35 |
$13.35 |
$13.35 |
$49.40
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$6,229.28 |
$6,229.28 |
$6,229.28 |
$11,350.31
|
|
Advance care planning each additional 30 min 99498
|
$37.80 |
$37.80 |
$37.80 |
$121.68
|
|
Aep hearing status deter i&r
|
$66.30 |
$66.30 |
$66.30 |
$303.05
|
|
Aep neurodiagnostic i&r
|
$125.55 |
$125.55 |
$125.55 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$125.55 |
$125.55 |
$125.55 |
$590.25
|
|
_afb id by dna probe rflx ast
|
$35.10 |
$35.10 |
$35.10 |
$89.70
|
|
#afb mycobacteria suscep. #1
|
$9.45 |
$9.45 |
$9.45 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$201.90 |
$201.90 |
$201.90 |
$289.60
|
|
Afo molded to patient plasti
|
$248.55 |
$248.55 |
$248.55 |
$697.20
|
|
After cataract laser surgery
|
$251.55 |
$251.55 |
$251.55 |
$1,411.20
|
|
Air conduction bilat
|
$15.90 |
$15.90 |
$15.90 |
$138.00
|
|
Airway resistance by impulse oscillometry 94728
|
$42.90 |
$42.90 |
$42.90 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$9.00 |
$9.00 |
$9.00 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$54.19 |
$54.19 |
$54.19 |
$218.40
|
