|
11-desoxycortisol - sendout
|
$93.15 |
$103.32 |
$252.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$119.16 |
$119.16 |
$439.60 |
$85.15
|
|
17-ketosteroids
|
$110.70 |
$123.03 |
$215.25 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$287.19 |
$287.19 |
$582.93 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$1,436.67 |
$1,436.67 |
$1,570.80 |
$1,570.80
|
|
2d tte w or without fol w/con,co
|
$2,495.79 |
$2,495.79 |
$2,638.65 |
$1,088.36
|
|
2nd order venous cath
|
$354.90 |
$928.71 |
$928.71 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$0.72 |
$0.72 |
$1.05 |
$669.00
|
|
3-d radiotherapy plan
|
$2,071.89 |
$2,071.89 |
$2,071.89 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$98.55 |
$98.55 |
$340.20 |
$427.34
|
|
5' nucleotidase - sendout
|
$593.73 |
$593.73 |
$1,154.48 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$111.51 |
$111.51 |
$216.83 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$27.99 |
$27.99 |
$66.33 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$36.54 |
$40.68 |
$94.15 |
$52.25
|
|
Abciximab injection
|
$702.72 |
$702.72 |
$1,366.40 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$2,380.32 |
$2,380.32 |
$5,897.33 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$378.70 |
$1,106.55 |
$1,106.55 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$375.38 |
$1,073.70 |
$1,073.70 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$496.65 |
$822.24 |
$822.24 |
$3,050.58
|
|
Abd/low ext cath addl
|
$677.25 |
$763.56 |
$763.56 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,524.24 |
$1,524.24 |
$2,963.80 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,397.88 |
$1,397.88 |
$2,718.10 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,203.12 |
$1,203.12 |
$2,339.40 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,015.01 |
$2,015.01 |
$4,871.83 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$1,845.72 |
$1,845.72 |
$3,588.90 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,702.71 |
$1,702.71 |
$3,310.83 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$969.84 |
$969.84 |
$1,885.80 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$292.23 |
$292.23 |
$808.33 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$250.11 |
$250.11 |
$486.33 |
$603.33
|
|
Ablate arrhythmia add on
|
$3,994.38 |
$3,994.38 |
$4,441.15 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$9,556.83 |
$9,556.83 |
$10,975.13 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$100.28 |
$383.13 |
$383.13 |
$3,587.65
|
|
Ablation of upper extremity nerves rf
|
$9,943.74 |
$9,943.74 |
$12,653.20 |
$987.60
|
|
Abobotulinumtoxina
|
$406.62 |
$406.62 |
$790.65 |
$602.06
|
|
Abscess drain retroperitoneal surg code
|
$1,279.80 |
$1,279.80 |
$2,488.50 |
$3,053.18
|
|
Acetaminophen level
|
$29.52 |
$29.52 |
$57.40 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$74.34 |
$74.34 |
$144.55 |
$133.60
|
|
Acetone qualitative
|
$38.16 |
$38.16 |
$74.20 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$89.37 |
$263.97 |
$376.60 |
$65.60
|
|
Acetylcholinesterase assay
|
$80.73 |
$89.73 |
$156.98 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$142.11 |
$142.11 |
$276.33 |
$323.77
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$212.94 |
$212.94 |
$212.94 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$58.50 |
$58.50 |
$81.03 |
$42.28
|
|
Acoustic immitance testing
|
$71.10 |
$71.10 |
$147.00 |
$158.50
|
|
Acoustic refl threshold tst
|
$17.64 |
$17.64 |
$90.13 |
$83.79
|
|
Acute hepatitis panel
|
$229.86 |
$229.86 |
$705.25 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$10.80 |
$10.80 |
$21.00 |
$50.70
|
|
#acylcarnitineprfl
|
$50.49 |
$55.98 |
$1,985.90 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$30,406.14 |
$30,406.14 |
$30,406.14 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$107.10 |
$207.73 |
$277.38 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$12.24 |
$12.24 |
$257.95 |
$63.00
|
|
Adenovirus assay w/optic
|
$134.46 |
$134.46 |
$405.48 |
$30.03
|
|
Adh-sendout
|
$71.82 |
$71.82 |
$624.40 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1,011.85 |
$1,011.85 |
$1,011.85 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$52.92 |
$52.92 |
$280.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$60.12 |
$60.12 |
$495.25 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$147.96 |
$147.96 |
$560.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$114.12 |
$114.12 |
$490.00 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$63.09 |
$63.09 |
$334.78 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$63.09 |
$63.09 |
$247.63 |
$264.00
|
|
Administration immunization 1 vaccine
|
$34.47 |
$34.47 |
$67.03 |
$70.52
|
|
Administration immunization each additional component
|
$10.53 |
$10.53 |
$14.00 |
$27.20
|
|
Administration immunization each additional vaccine
|
$22.86 |
$22.86 |
$66.50 |
$46.23
|
|
Administration immunization first component each vaccine
|
$28.18 |
$49.95 |
$49.95 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$21.87 |
$21.87 |
$37.45 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$40.95 |
$40.95 |
$75.95 |
$33.60
|
|
Administration vaccine influenza virus
|
$67.05 |
$67.05 |
$130.38 |
$49.50
|
|
Administration vaccine pneumococcal
|
$67.05 |
$67.05 |
$138.78 |
$51.11
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$6,118.02 |
$6,118.02 |
$11,896.15 |
$11,874.55
|
|
Adrenal cortex & medulla img
|
$2,570.93 |
$2,570.93 |
$2,570.93 |
$1,780.19
|
|
Aep hearing status deter i&r
|
$349.30 |
$349.30 |
$349.30 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$255.15 |
$255.15 |
$255.15 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$255.15 |
$255.15 |
$255.15 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$159.57 |
$159.57 |
$310.28 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$44.10 |
$44.10 |
$85.75 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$228.87 |
$228.87 |
$337.75 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$474.84 |
$474.84 |
$1,082.55 |
$1,116.55
|
|
Agalsidase beta 35 mg intravenous solution
|
$7,759.89 |
$7,759.89 |
$15,088.68 |
$13,696.68
|
|
Airway resistance by impulse oscillometry 94728
|
$147.78 |
$147.78 |
$185.33 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$33.30 |
$36.90 |
$132.48 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$137.61 |
$137.61 |
$280.88 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$71.37 |
$137.61 |
$267.58 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$169.11 |
$169.11 |
$328.83 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$71.37 |
$71.37 |
$196.74 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.83 |
$34.83 |
$67.73 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$24.39 |
$24.39 |
$47.43 |
$43.50
|
|
Alcohol/subs interv >30 min
|
$109.62 |
$109.62 |
$109.62 |
$177.99
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$33,626.43 |
$33,626.43 |
$65,384.73 |
$8,173.80
|
|
Alkaline phosphatase
|
$8.73 |
$9.54 |
$61.95 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$70.00 |
$134.82 |
$134.82 |
$56.35
|
|
Allergen egg white ige
|
$26.46 |
$29.07 |
$51.45 |
$41.00
|
|
Allergy injection; single 95115
|
$19.60 |
$19.60 |
$19.60 |
$42.75
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$449.82 |
$874.65 |
$4,918.32 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$178.68 |
$200.97 |
$4,618.98 |
$2,513.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$12,976.20 |
$12,976.20 |
$12,976.20 |
$2,198.85
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$13.50 |
$13.50 |
$26.25 |
$13.14
|
|
Alpha-fetoprotein amniotic
|
$88.74 |
$88.74 |
$172.55 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$82.26 |
$91.44 |
$247.80 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$35.19 |
$35.19 |
$5,967.50 |
$2,600.22
|
|
Alt/sgpt
|
$8.73 |
$8.73 |
$58.45 |
$49.00
|