|
11-desoxycortisol - sendout
|
$32.00 |
$32.00 |
$32.00 |
$84.56
|
|
17-hydroxypregnenolone
|
$30.00 |
$30.00 |
$30.00 |
$87.50
|
|
17-ketosteroids
|
$29.50 |
$29.50 |
$29.50 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$2,521.00 |
$2,521.00 |
$2,521.00 |
$1,707.38
|
|
2d tte w or without fol w/con,co
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,243.20
|
|
2nd order venous cath
|
$2,735.50 |
$2,735.50 |
$2,735.50 |
$1,613.22
|
|
3d ech img cgen car anomal
|
$1,353.50 |
$1,353.50 |
$1,353.50 |
$463.68
|
|
3-d radiotherapy plan
|
$11,856.50 |
$11,856.50 |
$11,856.50 |
$5,005.80
|
|
3d recon without postprocess indpndt
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$500.40
|
|
5' nucleotidase - sendout
|
$14.00 |
$14.00 |
$14.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$41.00 |
$41.00 |
$41.00 |
$96.39
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$39.00 |
$39.00 |
$39.00 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$4,378.50 |
$4,378.50 |
$4,378.50 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$5,420.50 |
$5,420.50 |
$5,420.50 |
$2,055.35
|
|
Abd/low ext cath 3rd
|
$5,573.00 |
$5,573.00 |
$5,573.00 |
$2,577.40
|
|
Abd/low ext cath addl
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,474.00 |
$1,474.00 |
$1,474.00 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$3,004.50
|
|
Abdominal MRI (with contrast)
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$4,936.50 |
$4,936.50 |
$4,936.50 |
$1,650.96
|
|
Abdominal Ultrasound (complete)
|
$2,661.50 |
$2,661.50 |
$2,661.50 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$592.15
|
|
Abd paracentesis/w/o image guide 49082
|
$2,761.50 |
$2,761.50 |
$2,761.50 |
$1,145.40
|
|
Abl1 gene
|
$741.00 |
$741.00 |
$741.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$5,308.50 |
$5,308.50 |
$5,308.50 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$12,807.00 |
$12,807.00 |
$12,807.00 |
$9,238.00
|
|
Ablate bone tumor(s) perq
|
$10,464.00 |
$10,464.00 |
$10,464.00 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$22,462.50 |
$22,462.50 |
$22,462.50 |
$9,523.83
|
|
Ablate pulm tumor perq crybl
|
$11,158.50 |
$11,158.50 |
$11,158.50 |
$9,970.50
|
|
Ablation cardiac vagal inputs atrium
|
$17,115.50 |
$17,115.50 |
$17,115.50 |
$2,127.18
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$16,290.00 |
$16,290.00 |
$16,290.00 |
$17,286.00
|
|
Ablation of upper extremity nerves rf
|
$1,350.50 |
$1,350.50 |
$1,350.50 |
$832.50
|
|
Ablt trurl prst8 tis trnsdcr
|
$22,412.00 |
$22,412.00 |
$22,412.00 |
$16,097.60
|
|
Abscess drain retroperitoneal surg code
|
$6,435.00 |
$6,435.00 |
$6,435.00 |
$2,999.34
|
|
Abscess imaging ltd area
|
$3,111.00 |
$3,111.00 |
$3,111.00 |
$1,098.00
|
|
Acetaminophen level
|
$531.50 |
$531.50 |
$531.50 |
$109.20
|
|
Acetone qualitative
|
$81.50 |
$81.50 |
$81.50 |
$46.86
|
|
Acute hepatitis panel
|
$875.50 |
$875.50 |
$875.50 |
$295.20
|
|
#acylcarnitineprfl
|
$109.00 |
$109.00 |
$109.00 |
$125.00
|
|
Adenovirus antibody,serum - quest
|
$58.00 |
$58.00 |
$58.00 |
$60.00
|
|
Adh-sendout
|
$45.00 |
$45.00 |
$45.00 |
$109.28
|
|
Adjustment gastric band
|
$348.00 |
$348.00 |
$348.00 |
$122.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$426.00 |
$426.00 |
$426.00 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$561.00 |
$561.00 |
$561.00 |
$307.45
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$837.50 |
$837.50 |
$837.50 |
$670.01
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$560.50 |
$560.50 |
$560.50 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$563.00 |
$563.00 |
$563.00 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$534.00 |
$534.00 |
$534.00 |
$257.40
|
|
Administration immunization 1 vaccine
|
$77.50 |
$77.50 |
$77.50 |
$69.60
|
|
Administration immunization each additional vaccine
|
$58.00 |
$58.00 |
$58.00 |
$47.52
|
|
Aep neurodiagnostic i&r
|
$595.00 |
$595.00 |
$595.00 |
$595.00
|
|
_afb id by dna probe rflx ast
|
$355.00 |
$355.00 |
$355.00 |
$97.20
|
|
#afb mycobacteria suscep. #1
|
$107.50 |
$107.50 |
$107.50 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$118.50 |
$118.50 |
$118.50 |
$300.00
|
|
Air injection into abdomen 49400
|
$939.50 |
$939.50 |
$939.50 |
$526.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$132.00 |
$132.00 |
$132.00 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$156.00 |
$156.00 |
$156.00 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$407.00 |
$407.00 |
$407.00 |
$93.60
|
|
Alkaline phosphatase
|
$179.50 |
$179.50 |
$179.50 |
$46.80
|
|
Allergen egg white ige
|
$5.00 |
$5.00 |
$5.00 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$8.50 |
$8.50 |
$8.50 |
$24.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$2,809.00 |
$2,809.00 |
$2,809.00 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$19,902.50 |
$19,902.50 |
$19,902.50 |
$858.66
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$8,876.50 |
$8,876.50 |
$8,876.50 |
$4,744.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,139.50 |
$9,139.50 |
$9,139.50 |
$2,153.25
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$99.00 |
$99.00 |
$99.00 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$304.00 |
$304.00 |
$304.00 |
$106.00
|
|
Alt/sgpt
|
$211.50 |
$211.50 |
$211.50 |
$47.80
|
|
Aluminum - quest
|
$13.50 |
$13.50 |
$13.50 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$363.00 |
$363.00 |
$363.00 |
$173.55
|
|
Ambl bp mntr w/sw a/r
|
$666.50 |
$666.50 |
$666.50 |
$324.38
|
|
Amino acid screen, urine
|
$30.00 |
$30.00 |
$30.00 |
$77.40
|
|
Amino acids quant 2-5
|
$275.00 |
$275.00 |
$275.00 |
$138.03
|
|
Aminolevulinic acid delta
|
$50.00 |
$50.00 |
$50.00 |
$85.15
|
|
Ammonia
|
$314.50 |
$314.50 |
$314.50 |
$120.00
|
|
Amniocentesisdiagnostic 59000
|
$686.50 |
$686.50 |
$686.50 |
$940.10
|
|
Amniocentesis therapeutic
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$791.05
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,279.50 |
$6,279.50 |
$6,279.50 |
$3,761.00
|
|
Amputation toe interphalangeal joint
|
$7,212.00 |
$7,212.00 |
$7,212.00 |
$4,066.20
|
|
Amylase
|
$296.50 |
$296.50 |
$296.50 |
$89.04
|
|
Ana ds-dna
|
$19.50 |
$19.50 |
$19.50 |
$55.24
|
|
Anal pressure record
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$946.24
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$469.00 |
$469.00 |
$469.00 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$3,515.00 |
$3,515.00 |
$3,515.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$2,618.00 |
$2,618.00 |
$2,618.00 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$210.50 |
$210.50 |
$210.50 |
$129.65
|
|
Anca screen with reflex to titer -quest
|
$71.50 |
$71.50 |
$71.50 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$823.00 |
$823.00 |
$823.00 |
$2,494.35
|
|
An fluoro guide for cvp
|
$891.00 |
$891.00 |
$891.00 |
$525.02
|
|
Angio balloon ctrl dialysis seg add-on
|
$11,048.50 |
$11,048.50 |
$11,048.50 |
$5,341.83
|
|
Angiotensin ii
|
$108.50 |
$108.50 |
$108.50 |
$55.44
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,349.50 |
$7,349.50 |
$7,349.50 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$10,103.00 |
$10,103.00 |
$10,103.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$9,911.50 |
$9,911.50 |
$9,911.50 |
$4,438.34
|
|
Angio trnslmnl balloon same vein ini
|
$13,295.00 |
$13,295.00 |
$13,295.00 |
$8,466.00
|
|
Ankle X-ray
|
$736.50 |
$736.50 |
$736.50 |
$356.32
|
