|
11-desoxycortisol - sendout
|
$65.50 |
$65.50 |
$695.43 |
$91.85
|
|
17-hydroxypregnenolone
|
$51.50 |
$111.45 |
$1,124.62 |
$92.65
|
|
17-ketosteroids
|
$16.00 |
$16.00 |
$1,223.04 |
$55.00
|
|
1pc ost pch drain hgh output
|
$2.97 |
$2.97 |
$2.97 |
$8.40
|
|
1 pc ost pouch w filter
|
$16.37 |
$16.37 |
$16.37 |
$6.72
|
|
1 pc ost pou w built-in conv
|
$10.75 |
$10.75 |
$10.75 |
$11.05
|
|
24 hr ambulatory b/p monitor
|
$131.00 |
$131.00 |
$550.35 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,375.05 |
$1,375.05 |
$7,790.70 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$1,691.40 |
$1,691.40 |
$7,790.70 |
$1,284.00
|
|
2nd order venous cath
|
$1,035.30 |
$1,035.30 |
$2,806.24 |
$1,532.04
|
|
3d anat seg imaging preop
|
$1,067.10 |
$1,067.10 |
$1,067.10 |
$192.08
|
|
3d ech img cgen car anomal
|
$490.50 |
$666.30 |
$1,945.69 |
$511.60
|
|
3-d radiotherapy plan
|
$3,679.50 |
$3,679.50 |
$5,482.48 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$121.28 |
$1,067.10 |
$1,908.50 |
$508.13
|
|
5' nucleotidase - sendout
|
$14.50 |
$45.15 |
$349.53 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$101.78 |
$124.00 |
$955.21 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,827.84 |
$2,827.84 |
$2,827.84 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$57.00 |
$57.00 |
$118.50 |
$53.95
|
|
Abciximab injection
|
$2,443.52 |
$2,443.52 |
$2,443.52 |
$2,443.52
|
|
Abd aorta w/runoff s&i
|
$3,232.20 |
$3,407.32 |
$3,583.00 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$2,015.85 |
$2,015.85 |
$3,724.64 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,015.85 |
$2,015.85 |
$3,539.25 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$3,046.50 |
$3,046.50 |
$4,024.18 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,680.49 |
$1,680.49 |
$3,699.15 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$724.65 |
$1,151.05 |
$2,256.50 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$526.85 |
$719.96 |
$1,509.00 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,569.00 |
$3,061.80 |
$6,421.22 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,273.00 |
$2,612.85 |
$5,356.56 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,977.00 |
$2,177.28 |
$4,888.94 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,967.00 |
$3,264.90 |
$8,373.93 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,823.47 |
$2,625.00 |
$7,224.18 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,197.95 |
$2,282.50 |
$6,541.99 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,178.85 |
$1,178.85 |
$1,627.09 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$783.00 |
$785.55 |
$1,592.02 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$506.50 |
$545.55 |
$1,373.14 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$316.30 |
$391.00 |
$1,275.38 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$339.15 |
$418.63 |
$478.50 |
$418.63
|
|
Abdominal X-ray (single view)
|
$247.64 |
$303.50 |
$772.58 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$980.10 |
$980.10 |
$1,281.73 |
$1,148.40
|
|
Abl1 gene
|
$589.00 |
$589.00 |
$1,111.70 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,944.30 |
$1,944.30 |
$1,944.30 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$1,384.50 |
$7,396.05 |
$34,588.02 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$7,896.23 |
$7,896.23 |
$9,290.70 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$9,290.70 |
$9,290.70 |
$9,350.33 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$4,596.50 |
$4,596.50 |
$13,144.70 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$7,553.70 |
$7,553.70 |
$7,979.85 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$6,479.33 |
$6,479.33 |
$6,479.33 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$9,795.50 |
$9,795.50 |
$34,741.90 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$2,566.58 |
$2,566.58 |
$7,866.90 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$9,290.70 |
$9,290.70 |
$15,083.15 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,885.46 |
$1,885.46 |
$1,885.46 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$7,866.90 |
$7,866.90 |
$8,581.80 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$1,266.90 |
$1,266.90 |
$9,323.42 |
$857.60
|
|
Ablation cryo thigh/knee
|
$269.10 |
$269.10 |
$12,927.60 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$832.50 |
$832.50 |
$8,936.10 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,396.00 |
$3,396.00 |
$3,402.60 |
$3,055.20
|
|
Abltj mal prst8 tiss hifu
|
$5,077.94 |
$5,077.94 |
$5,077.94 |
$5,855.00
|
|
Abscess drain retroperitoneal surg code
|
$3,053.18 |
$3,053.18 |
$3,083.70 |
$3,050.40
|
|
Abscess imaging ltd area
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$1,098.00
|
|
Abscess imaging whole body
|
$1,457.72 |
$1,457.72 |
$1,457.72 |
$1,457.72
|
|
Absorpt drg >16<=48 in w/bdr
|
$115.62 |
$115.62 |
$115.62 |
$5.99
|
|
Absorpt drg >16 <=48 without bdr
|
$260.76 |
$260.76 |
$260.76 |
$6.40
|
|
Absorpt drg <=16 sq in w/bdr
|
$22.77 |
$22.77 |
$22.77 |
$13.80
|
|
Absorpt drg <=16 sq in without b
|
$171.02 |
$171.02 |
$171.02 |
$5.60
|
|
Absorpt drg > 48 sq in without b
|
$528.90 |
$528.90 |
$528.90 |
$7.76
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,386.54 |
$3,386.54 |
$3,793.50 |
$2,314.00
|
|
Access thoracic lymph duct
|
$392.06 |
$392.06 |
$392.06 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.75 |
$39.24 |
$257.06 |
$72.74
|
|
Acetaminophen level
|
$117.01 |
$238.50 |
$638.30 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$39.69 |
$87.50 |
$1,484.48 |
$122.55
|
|
Acetone qualitative
|
$56.47 |
$60.19 |
$72.00 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$96.00 |
$206.00 |
$469.10 |
$67.50
|
|
Acetylcholinesterase assay
|
$131.27 |
$131.27 |
$1,536.05 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$78.75 |
$211.79 |
$558.90 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$31.21 |
$31.21 |
$31.21 |
$31.21
|
|
Aco ccm; at least 20 min 99490aco
|
$71.94 |
$71.94 |
$71.94 |
$102.47
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$51.92 |
$51.92 |
$51.92 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$103.84 |
$103.84 |
$103.84 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$344.10 |
$503.50 |
$503.50 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.35 |
$52.33 |
$193.19 |
$38.50
|
|
Acup 1/> w/estim 1st 15 min
|
$38.94 |
$38.94 |
$38.94 |
$56.16
|
|
Acup 1/> without estim ea add 15
|
$43.00 |
$43.00 |
$43.00 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$38.94 |
$53.50 |
$53.50 |
$53.50
|
|
Acute hepatitis panel
|
$33.00 |
$387.68 |
$2,671.98 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$54.77 |
$54.77 |
$1,121.50 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$85.75 |
$88.20 |
$129.00 |
$64.45
|
|
#acylcarnitineprfl
|
$105.00 |
$300.00 |
$940.68 |
$121.55
|
|
Acylcarnitines qual
|
$1,413.44 |
$1,413.44 |
$1,413.44 |
$45.60
|
|
Adalimumab injection
|
$6,853.40 |
$6,853.40 |
$6,853.40 |
$6,853.40
|
|
Adapter b 8 channel 10cm
|
$1,811.26 |
$1,811.26 |
$8,400.00 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$275.73 |
$332.50 |
$529.18 |
$271.98
|
|
Adenovirus ag ia
|
$940.68 |
$940.68 |
$940.68 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$70.42 |
$70.42 |
$619.58 |
$58.00
|
|
Adhesive, liquid or equal
|
$27.60 |
$27.60 |
$27.60 |
$14.40
|
|
Adh-sendout
|
$34.00 |
$59.10 |
$2,865.60 |
$118.79
|
|
Adj gastric band via subq port
|
$3,002.44 |
$3,002.44 |
$4,116.00 |
$1,666.86
|
|
Adjustment gastric band
|
$207.51 |
$207.51 |
$207.51 |
$207.51
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1,784.40 |
$1,784.40 |
$1,784.40 |
$193.40
|
|
Admin ecg contrast agent
|
$276.61 |
$276.61 |
$276.61 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$68.85 |
$211.00 |
$421.12 |
$230.35
|
