|
11-desoxycortisol - sendout
|
$174.63 |
$174.63 |
$174.63 |
$87.50
|
|
17-hydroxypregnenolone
|
$190.20 |
$190.20 |
$190.20 |
$85.15
|
|
17-ketosteroids
|
$126.27 |
$126.27 |
$126.27 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$858.90 |
$858.90 |
$858.90 |
$319.15
|
|
2d tte w or without fol w/con,co
|
$7,528.72 |
$7,528.72 |
$7,528.72 |
$1,088.36
|
|
2nd order venous cath
|
$2,885.40 |
$2,885.40 |
$2,885.40 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$426.85 |
$426.85 |
$426.85 |
$669.00
|
|
3-d radiotherapy plan
|
$4,864.98 |
$4,864.98 |
$4,864.98 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$1,685.68 |
$1,685.68 |
$1,685.68 |
$427.34
|
|
5' nucleotidase - sendout
|
$135.70 |
$135.70 |
$135.70 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$176.77 |
$176.77 |
$176.77 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$111.35 |
$111.35 |
$111.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,913.34 |
$3,913.34 |
$3,913.34 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,591.03 |
$1,591.03 |
$1,591.03 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,653.22 |
$1,653.22 |
$1,653.22 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$1,731.94 |
$1,731.94 |
$1,731.94 |
$3,050.58
|
|
Abd/low ext cath addl
|
$166.64 |
$166.64 |
$166.64 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$6,280.00 |
$6,280.00 |
$6,280.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,711.13 |
$5,711.13 |
$5,711.13 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,947.21 |
$4,947.21 |
$4,947.21 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,661.42 |
$5,661.42 |
$5,661.42 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$4,622.06 |
$4,622.06 |
$4,622.06 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$3,587.63 |
$3,587.63 |
$3,587.63 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,170.05 |
$2,170.05 |
$2,170.05 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,617.97 |
$1,617.97 |
$1,617.97 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,361.02 |
$1,361.02 |
$1,361.02 |
$603.33
|
|
Abdominoplasty 15830
|
$37,455.28 |
$37,455.28 |
$37,455.28 |
$5,741.00
|
|
Abd paracentesis/w/o image guide 49082
|
$5,559.08 |
$5,559.08 |
$5,559.08 |
$1,170.28
|
|
Abl1 gene
|
$1,536.66 |
$1,536.66 |
$1,536.66 |
$609.93
|
|
Ablate arrhythmia add on
|
$19,340.09 |
$19,340.09 |
$19,340.09 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$31,732.77 |
$31,732.77 |
$31,732.77 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$23,658.23 |
$23,658.23 |
$23,658.23 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$20,307.09 |
$20,307.09 |
$20,307.09 |
$10,008.58
|
|
Ablate inf turbinate submuc 30802
|
$6,732.51 |
$6,732.51 |
$6,732.51 |
$1,747.81
|
|
Ablate inf turbinate superf 30801
|
$6,846.33 |
$6,846.33 |
$6,846.33 |
$1,849.50
|
|
Ablate pulm tumor perq rf
|
$26,526.24 |
$26,526.24 |
$26,526.24 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$1,393.08 |
$1,393.08 |
$1,393.08 |
$3,587.65
|
|
Ablation cryo adrenal tumor
|
$9,897.02 |
$9,897.02 |
$9,897.02 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$29,691.18 |
$29,691.18 |
$29,691.18 |
$8,080.50
|
|
Ablation of upper extremity nerves rf
|
$1,399.79 |
$1,399.79 |
$1,399.79 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$2,872.78 |
$2,872.78 |
$2,872.78 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$8,339.56 |
$8,339.56 |
$8,339.56 |
$3,263.74
|
|
Access thoracic lymph duct
|
$5,532.75 |
$5,532.75 |
$5,532.75 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$90.38 |
$90.38 |
$90.38 |
$125.63
|
|
Acetaminophen level
|
$296.37 |
$296.37 |
$296.37 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$195.89 |
$195.89 |
$195.89 |
$133.60
|
|
Acetone qualitative
|
$102.74 |
$102.74 |
$102.74 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$109.20 |
$109.20 |
$109.20 |
$65.60
|
|
Acetylcholinesterase assay
|
$140.91 |
$140.91 |
$140.91 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$88.79 |
$88.79 |
$88.79 |
$323.77
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$1,243.76 |
$1,243.76 |
$1,243.76 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$78.98 |
$78.98 |
$78.98 |
$42.28
|
|
Acoustic immitance testing
|
$957.16 |
$957.16 |
$957.16 |
$158.50
|
|
Acup 1/> w/estim 1st 15 min
|
$260.67 |
$260.67 |
$260.67 |
$45.75
|
|
Acup 1/> wo estim 1st 15 min
|
$226.06 |
$226.06 |
$226.06 |
$42.90
|
|
Acute hepatitis panel
|
$1,458.74 |
$1,458.74 |
$1,458.74 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$46.88 |
$46.88 |
$46.88 |
$50.70
|
|
#acylcarnitineprfl
|
$720.01 |
$720.01 |
$720.01 |
$105.60
|
|
Acylcarnitines qual
|
$189.06 |
$189.06 |
$189.06 |
$35.75
|
|
Adapt behavior tx phys/qhp
|
$642.77 |
$642.77 |
$642.77 |
$190.13
|
|
Adenosine 3 mg/250 ml bag for osm
|
$601.63 |
$601.63 |
$601.63 |
$219.86
|
|
Adenovirus ag ia
|
$144.15 |
$144.15 |
$144.15 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$195.93 |
$195.93 |
$195.93 |
$63.00
|
|
Adh-sendout
|
$583.35 |
$583.35 |
$583.35 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$39.65 |
$39.65 |
$39.65 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$333.84 |
$333.84 |
$333.84 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$786.39 |
$786.39 |
$786.39 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,118.21 |
$1,118.21 |
$1,118.21 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$1,118.21 |
$1,118.21 |
$1,118.21 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$1,118.21 |
$1,118.21 |
$1,118.21 |
$264.00
|
|
Administration immunization 1 vaccine
|
$205.00 |
$205.00 |
$205.00 |
$70.52
|
|
Administration immunization each additional vaccine
|
$41.64 |
$41.64 |
$41.64 |
$46.23
|
|
Administration immunization first component each vaccine
|
$79.29 |
$79.29 |
$79.29 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$105.02 |
$105.02 |
$105.02 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$105.02 |
$105.02 |
$105.02 |
$33.60
|
|
Administration vaccine hepatitis b
|
$391.84 |
$391.84 |
$391.84 |
$51.35
|
|
Administration vaccine influenza virus
|
$447.17 |
$447.17 |
$447.17 |
$49.50
|
|
Aep hearing status deter i&r
|
$1,200.52 |
$1,200.52 |
$1,200.52 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$1,963.86 |
$1,963.86 |
$1,963.86 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$2,332.70 |
$2,332.70 |
$2,332.70 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$241.26 |
$241.26 |
$241.26 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$299.69 |
$299.69 |
$299.69 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$917.39 |
$917.39 |
$917.39 |
$289.60
|
|
Air conduction bilat
|
$659.02 |
$659.02 |
$659.02 |
$106.50
|
|
Albumin body fluid quantitative each specimen
|
$157.86 |
$157.86 |
$157.86 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$836.78 |
$836.78 |
$836.78 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$628.07 |
$628.07 |
$628.07 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,007.84 |
$1,007.84 |
$1,007.84 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$185.40 |
$185.40 |
$185.40 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$128.52 |
$128.52 |
$128.52 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$19.73 |
$19.73 |
$19.73 |
$22.45
|
|
Albuterol non-comp unit
|
$6.06 |
$6.06 |
$6.06 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$503.48 |
$503.48 |
$503.48 |
$93.60
|
|
Alkaline phosphatase
|
$116.89 |
$116.89 |
$116.89 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$223.03 |
$223.03 |
$223.03 |
$56.35
|
|
Allergen egg white ige
|
$142.98 |
$142.98 |
$142.98 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$91.38 |
$91.38 |
$91.38 |
$26.95
|
|
Allergy injections; 2 or more 95117
|
$323.07 |
$323.07 |
$323.07 |
$51.07
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,920.31 |
$1,920.31 |
$1,920.31 |
$905.18
|