|
11-desoxycortisol - sendout
|
$362.19 |
$362.19 |
$420.70 |
$87.50
|
|
17-ketosteroids
|
$14.35 |
$14.35 |
$931.00 |
$44.00
|
|
2019-ncov diagnostic p
|
$0.01 |
$0.01 |
$0.01 |
$39.51
|
|
2d tee w or without fol w/con,in
|
$2,191.35 |
$2,191.35 |
$2,191.35 |
$1,641.60
|
|
2d tte w or without fol w/con,co
|
$526.75 |
$526.75 |
$526.75 |
$1,108.76
|
|
2nd order venous cath
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$1,612.45 |
$1,612.45 |
$1,612.45 |
$669.00
|
|
3-d radiotherapy plan
|
$8,305.15 |
$8,305.15 |
$38,220.00 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$505.05 |
$505.05 |
$505.05 |
$427.34
|
|
5' nucleotidase - sendout
|
$54.60 |
$54.60 |
$564.45 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$97.65 |
$97.65 |
$311.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,615.67 |
$3,615.67 |
$3,615.67 |
$3,615.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$367.00 |
$367.00 |
$708.19 |
$52.25
|
|
Abciximab injection
|
$3,012.98 |
$3,012.98 |
$3,012.98 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$4,435.90 |
$4,435.90 |
$4,435.90 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$2,300.20 |
$2,300.20 |
$2,300.20 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,577.40 |
$2,577.40 |
$2,577.40 |
$3,050.58
|
|
Abd/low ext cath addl
|
$850.85 |
$850.85 |
$850.85 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$2,636.55 |
$2,636.55 |
$2,636.55 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$2,346.75 |
$2,346.75 |
$2,346.75 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,371.30 |
$1,371.30 |
$1,371.30 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,936.05 |
$4,936.05 |
$29,819.30 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$4,442.55 |
$7,694.93 |
$24,081.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$2,863.00 |
$2,863.00 |
$27,608.34 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,356.90 |
$2,356.90 |
$17,380.31 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,812.30 |
$1,812.30 |
$1,812.30 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$730.80 |
$730.80 |
$730.80 |
$1,170.28
|
|
Ablate arrhythmia add on
|
$6,648.25 |
$14,387.00 |
$80,130.69 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$7,513.10 |
$7,513.10 |
$7,513.10 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$5,347.65 |
$5,347.65 |
$13,818.27 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$9,332.05 |
$24,910.00 |
$88,327.79 |
$10,047.60
|
|
Ablate pulm tumor perq rf
|
$3,000.20 |
$3,000.20 |
$3,000.20 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$550.38 |
$5,111.75 |
$5,111.75 |
$3,664.63
|
|
Ablation cryo abd perit om
|
$630.70 |
$630.70 |
$630.70 |
$2,566.58
|
|
Ablation cryo pq liver tumor(s)
|
$3,485.30 |
$3,485.30 |
$3,485.30 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$190.75 |
$190.75 |
$190.75 |
$1,645.00
|
|
Ablation of upper extremity nerves rf
|
$489.30 |
$489.30 |
$489.30 |
$1,081.00
|
|
Abltj mal prst8 tiss hifu
|
$3,654.35 |
$3,654.35 |
$3,654.35 |
$5,077.94
|
|
Ablt trurl prst8 tis trnsdcr
|
$11,368.35 |
$11,368.35 |
$11,368.35 |
$15,374.71
|
|
Abscess drain retroperitoneal surg code
|
$4,118.10 |
$4,118.10 |
$7,955.14 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$122.15 |
$122.15 |
$122.15 |
$3,263.74
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$51.03 |
$51.03 |
$51.03 |
$125.63
|
|
Acetaminophen level
|
$903.00 |
$903.00 |
$903.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$77.80 |
$77.80 |
$1,207.00 |
$133.60
|
|
Acetone qualitative
|
$19.25 |
$19.25 |
$377.17 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$365.00 |
$365.00 |
$854.59 |
$67.50
|
|
Acetylcholinesterase assay
|
$854.59 |
$854.59 |
$991.73 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$298.05 |
$298.05 |
$3,889.36 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$4.62 |
$4.62 |
$4.62 |
$29.01
|
|
Aco ccm; at least 20 min 99490aco
|
$73.50 |
$73.50 |
$73.50 |
$109.46
|
|
Aco ccm; ea addl 20 min 99439aco
|
$70.00 |
$70.00 |
$70.00 |
$70.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$55.65 |
$55.65 |
$55.65 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$131.60 |
$131.60 |
$131.60 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$176.75 |
$176.75 |
$176.75 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.50 |
$17.50 |
$126.00 |
$42.28
|
|
Actigraphy testing
|
$218.05 |
$218.05 |
$218.05 |
$163.80
|
|
Acute hepatitis panel
|
$389.55 |
$389.55 |
$1,330.53 |
$285.35
|
|
Acyclovir 400 mg tablet
|
$654.96 |
$654.96 |
$654.96 |
$654.96
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$25.40 |
$25.40 |
$25.40 |
$50.70
|
|
#acylcarnitineprfl
|
$962.37 |
$962.37 |
$962.37 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$17,103.10 |
$17,103.10 |
$17,103.10 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$672.25 |
$672.25 |
$672.25 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$19.95 |
$561.25 |
$662.00 |
$63.00
|
|
Adh-sendout
|
$59.85 |
$431.03 |
$1,440.00 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$46.09 |
$46.09 |
$46.09 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$196.35 |
$196.35 |
$196.35 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$251.30 |
$251.30 |
$251.30 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$534.45 |
$534.45 |
$534.45 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$534.45 |
$534.45 |
$534.45 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$298.90 |
$298.90 |
$298.90 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$609.35 |
$609.35 |
$609.35 |
$264.00
|
|
Administration immunization 1 vaccine
|
$72.80 |
$72.80 |
$72.80 |
$70.20
|
|
Administration immunization each additional vaccine
|
$23.45 |
$23.45 |
$23.45 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$28.00 |
$28.00 |
$28.00 |
$48.00
|
|
Administration vaccine hepatitis b
|
$36.40 |
$36.40 |
$107.00 |
$51.11
|
|
Administration vaccine influenza virus
|
$46.20 |
$46.20 |
$107.00 |
$49.40
|
|
Administration vaccine pneumococcal
|
$51.80 |
$51.80 |
$107.00 |
$51.07
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$10,135.90 |
$10,135.90 |
$10,135.90 |
$10,135.90
|
|
Adrenal cortex & medulla img
|
$22,737.82 |
$22,737.82 |
$22,737.82 |
$1,780.19
|
|
Aep hearing status deter i&r
|
$123.20 |
$123.20 |
$123.20 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$232.05 |
$232.05 |
$232.05 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$232.05 |
$232.05 |
$232.05 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$52.85 |
$52.85 |
$52.85 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$33.25 |
$33.25 |
$844.13 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$117.30 |
$117.30 |
$2,609.00 |
$289.60
|
|
Air injection into abdomen 49400
|
$422.45 |
$422.45 |
$422.45 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$107.10 |
$107.10 |
$150.00 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$142.90 |
$142.90 |
$142.90 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$589.72 |
$589.72 |
$1,427.67 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$75.60 |
$75.60 |
$260.42 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$65.80 |
$65.80 |
$498.00 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$65.56 |
$69.24 |
$84.00 |
$22.45
|
|
Albuterol non-comp con
|
$5.40 |
$5.40 |
$9.25 |
$15.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$187.00 |
$886.03 |
$1,027.34 |
$93.60
|
|
Aldesleukin injection
|
$9,458.78 |
$9,458.78 |
$9,458.78 |
$6,471.00
|
|
Alkaline phosphatase
|
$45.15 |
$45.15 |
$617.00 |
$46.40
|
|
Allergen egg white ige
|
$3.15 |
$3.15 |
$3.15 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$171.00 |
$171.00 |
$171.00 |
$26.95
|
