|
2d tee w or without fol w/con,in
|
$3,601.29 |
$3,601.29 |
$3,601.29 |
$1,591.63
|
|
2nd order venous cath
|
$713.46 |
$713.46 |
$713.46 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$762.30 |
$762.30 |
$762.30 |
$463.68
|
|
3d recon without postprocess indpndt
|
$523.05 |
$523.05 |
$523.05 |
$446.49
|
|
5% dextrose and 0.45% saline
|
$48.39 |
$48.39 |
$48.39 |
$58.60
|
|
88334 ap bill cytologic exam each additional site
|
$39.93 |
$39.93 |
$39.93 |
$94.00
|
|
Abd aorta w/runoff s&i
|
$3,719.10 |
$3,719.10 |
$3,719.10 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$621.72 |
$621.72 |
$621.72 |
$2,235.00
|
|
Abd/low ext cath 2nd
|
$613.14 |
$613.14 |
$613.14 |
$2,178.55
|
|
Abd/low ext cath 3rd
|
$699.27 |
$699.27 |
$699.27 |
$2,577.40
|
|
Abd/low ext cath addl
|
$770.88 |
$770.88 |
$770.88 |
$940.10
|
|
Abdominal CT scan (with and without contrast)
|
$603.57 |
$603.57 |
$603.57 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$498.96 |
$498.96 |
$498.96 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$402.27 |
$402.27 |
$402.27 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,787.08 |
$3,787.08 |
$3,787.08 |
$2,999.67
|
|
Abdominal MRI (with contrast)
|
$2,033.79 |
$2,033.79 |
$2,033.79 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,156.22 |
$2,156.22 |
$2,156.22 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$1,309.77 |
$1,309.77 |
$1,309.77 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$1,815.33 |
$1,815.33 |
$1,815.33 |
$780.00
|
|
Abdominal Ultrasound (limited)
|
$1,778.37 |
$1,778.37 |
$1,778.37 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$546.81 |
$546.81 |
$546.81 |
$1,212.48
|
|
Ablate arrhythmia add on
|
$2,424.84 |
$2,424.84 |
$2,424.84 |
$7,417.48
|
|
Ablate bone tumor(s) perq
|
$10,231.65 |
$10,231.65 |
$10,231.65 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$3,647.49 |
$3,647.49 |
$3,647.49 |
$9,556.83
|
|
Ablate pulm tumor perq rf
|
$5,396.49 |
$5,396.49 |
$5,396.49 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$1,484.67 |
$1,484.67 |
$1,484.67 |
$2,795.73
|
|
Ablation cryo adrenal tumor
|
$5,634.75 |
$5,634.75 |
$5,634.75 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$4,151.73 |
$4,151.73 |
$4,151.73 |
$8,156.83
|
|
Ablation of upper extremity nerves rf
|
$186.12 |
$186.12 |
$186.12 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$986.04 |
$986.04 |
$986.04 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$515.13 |
$515.13 |
$515.13 |
$2,786.16
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$164.98 |
$164.98 |
$164.98 |
$71.09
|
|
Acetaminophen level
|
$220.11 |
$220.11 |
$220.11 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$175.98 |
$175.98 |
$175.98 |
$122.55
|
|
Acetone qualitative
|
$52.80 |
$52.80 |
$52.80 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$28.38 |
$28.38 |
$28.38 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$423.86 |
$423.86 |
$423.86 |
$298.05
|
|
Acetylcysteine non-comp unit
|
$70.26 |
$70.26 |
$70.26 |
$31.21
|
|
Actinotherapy uv light
|
$61.05 |
$61.05 |
$61.05 |
$105.30
|
|
Acute hepatitis panel
|
$203.61 |
$203.61 |
$203.61 |
$286.00
|
|
Acyclovir 400 mg tablet
|
$21.50 |
$21.50 |
$21.50 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$113.40 |
$113.40 |
$113.40 |
$62.16
|
|
#acylcarnitineprfl
|
$224.73 |
$224.73 |
$224.73 |
$101.40
|
|
Acylcarnitines qual
|
$25.41 |
$25.41 |
$25.41 |
$35.75
|
|
Adenosine 3 mg/250 ml bag for osm
|
$86.58 |
$86.58 |
$86.58 |
$234.26
|
|
Adh-sendout
|
$241.56 |
$241.56 |
$241.56 |
$109.71
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,995.08 |
$2,995.08 |
$2,995.08 |
$2,837.09
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$277.03 |
$277.03 |
$277.03 |
$166.56
|
|
Administration chemotherapy IV infusion each additional hour
|
$110.22 |
$110.22 |
$110.22 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$250.14 |
$250.14 |
$250.14 |
$307.50
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$381.48 |
$381.48 |
$381.48 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$256.74 |
$256.74 |
$256.74 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$144.54 |
$144.54 |
$144.54 |
$218.16
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$189.75 |
$189.75 |
$189.75 |
$264.00
|
|
Administration immunization 1 vaccine
|
$88.44 |
$88.44 |
$88.44 |
$67.60
|
|
Administration immunization each additional vaccine
|
$32.67 |
$32.67 |
$32.67 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$43.23 |
$43.23 |
$43.23 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$43.23 |
$43.23 |
$43.23 |
$33.60
|
|
Administration vaccine hepatitis b
|
$49.17 |
$49.17 |
$49.17 |
$54.60
|
|
Administration vaccine influenza virus
|
$49.17 |
$49.17 |
$49.17 |
$47.85
|
|
Administration vaccine pneumococcal
|
$49.17 |
$49.17 |
$49.17 |
$49.17
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$49.17 |
$49.17 |
$49.17 |
$39.10
|
|
_afb org id by sequencing rflx ast-sendout
|
$182.49 |
$182.49 |
$182.49 |
$289.60
|
|
Air injection into abdomen 49400
|
$1,800.48 |
$1,800.48 |
$1,800.48 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$117.15 |
$117.15 |
$117.15 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$3,167.68 |
$3,167.68 |
$3,167.68 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$915.66 |
$915.66 |
$915.66 |
$254.44
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$137.28 |
$137.28 |
$137.28 |
$59.04
|
|
Albumin serum plasma or whole blood
|
$59.40 |
$59.40 |
$59.40 |
$40.29
|
|
Albuterol non-comp con
|
$9.90 |
$9.90 |
$9.90 |
$5.96
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$278.52 |
$278.52 |
$278.52 |
$99.45
|
|
Alkaline phosphatase
|
$135.63 |
$135.63 |
$135.63 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$27.06 |
$27.06 |
$27.06 |
$51.00
|
|
Allergen egg white ige
|
$29.04 |
$29.04 |
$29.04 |
$37.05
|
|
Allergen specific ige qual multi scrn ea
|
$30.36 |
$30.36 |
$30.36 |
$24.60
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,674.12 |
$4,674.12 |
$4,674.12 |
$3,604.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$344.85 |
$344.85 |
$344.85 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$144.87 |
$144.87 |
$144.87 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$4,073.26 |
$4,073.26 |
$4,073.26 |
$15,857.45
|
|
Alt/sgpt
|
$84.48 |
$84.48 |
$84.48 |
$49.20
|
|
Amino acid screen, urine
|
$22.77 |
$22.77 |
$22.77 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$47.41 |
$47.41 |
$47.41 |
$39.15
|
|
Aminolevulinic acid delta
|
$120.12 |
$120.12 |
$120.12 |
$74.10
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$203.12 |
$203.12 |
$203.12 |
$151.14
|
|
Amiodarone 50 mg/ml intravenous solution
|
$32.61 |
$32.61 |
$32.61 |
$56.70
|
|
Amitriptyline (elavil) -sendout
|
$48.84 |
$48.84 |
$48.84 |
$92.50
|
|
Ammonia
|
$158.40 |
$158.40 |
$158.40 |
$114.40
|
|
Amniocentesisdiagnostic 59000
|
$423.39 |
$423.39 |
$423.39 |
$876.60
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$439.96 |
$439.96 |
$439.96 |
$130.08
|
|
Ampicillin 1 gram solution for injection
|
$72.83 |
$72.83 |
$72.83 |
$62.03
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$73.65 |
$73.65 |
$73.65 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$117.81 |
$117.81 |
$117.81 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$1,944.36 |
$1,944.36 |
$1,944.36 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$4,852.98 |
$4,852.98 |
$4,852.98 |
$3,875.13
|
|
Amputation toe metatarsophalangeal joint
|
$4,852.98 |
$4,852.98 |
$4,852.98 |
$3,777.93
|
|
Amylase
|
$239.91 |
$239.91 |
$239.91 |
$85.65
|
|
Analysis gene f2 20210g>a variant
|
$102.30 |
$102.30 |
$102.30 |
$217.20
|
|
Analysis gene f5 leiden variant
|
$133.32 |
$133.32 |
$133.32 |
$219.13
|
|
Anca screen with reflex to titer -quest
|
$33.99 |
$33.99 |
$33.99 |
$104.79
|
|
An cholangiogram percutaneous compl
|
$1,388.64 |
$1,388.64 |
$1,388.64 |
$2,417.63
|
