|
11-desoxycortisol - sendout
|
$51.60 |
$51.60 |
$51.60 |
$84.74
|
|
17-hydroxypregnenolone
|
$52.40 |
$52.40 |
$52.40 |
$87.50
|
|
17-ketosteroids
|
$32.00 |
$32.00 |
$32.00 |
$54.60
|
|
24 hr ambulatory b/p monitor
|
$272.40 |
$272.40 |
$272.40 |
$313.04
|
|
2nd order venous cath
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$675.20 |
$675.20 |
$675.20 |
$532.35
|
|
3-d radiotherapy plan
|
$3,801.60 |
$3,801.60 |
$3,801.60 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$351.60 |
$351.60 |
$351.60 |
$498.64
|
|
5' nucleotidase - sendout
|
$28.00 |
$28.00 |
$28.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$70.40 |
$70.40 |
$70.40 |
$97.20
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$32.40 |
$32.40 |
$32.40 |
$53.68
|
|
Abd aorta w/runoff s&i
|
$3,567.60 |
$3,567.60 |
$3,567.60 |
$3,640.80
|
|
Abd/low ext cath 1st
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,774.00 |
$1,774.00 |
$1,774.00 |
$2,024.74
|
|
Abd/low ext cath 3rd
|
$1,926.00 |
$1,926.00 |
$1,926.00 |
$2,570.00
|
|
Abd/low ext cath addl
|
$510.80 |
$510.80 |
$510.80 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$1,961.40
|
|
Abdominal CT scan (with contrast)
|
$1,231.60 |
$1,231.60 |
$1,231.60 |
$1,642.50
|
|
Abdominal CT scan (without contrast)
|
$828.00 |
$828.00 |
$828.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$2,999.15
|
|
Abdominal MRI (with contrast)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$953.20 |
$953.20 |
$953.20 |
$1,655.36
|
|
Abdominal Ultrasound (complete)
|
$422.00 |
$422.00 |
$422.00 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$359.20 |
$359.20 |
$359.20 |
$586.52
|
|
Abd paracentesis/w/o image guide 49082
|
$551.60 |
$551.60 |
$551.60 |
$1,150.00
|
|
Abduction bar jointed adjust
|
$192.00 |
$192.00 |
$192.00 |
$529.14
|
|
Abduction bar-straight
|
$94.00 |
$94.00 |
$94.00 |
$173.60
|
|
Abduction rotation bar shoe
|
$54.40 |
$54.40 |
$54.40 |
$164.98
|
|
Abduct rotation bar without shoe
|
$49.60 |
$49.60 |
$49.60 |
$176.01
|
|
Abl1 gene
|
$442.00 |
$442.00 |
$442.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$2,378.00 |
$2,378.00 |
$2,378.00 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$10,442.00 |
$10,442.00 |
$10,442.00 |
$9,238.00
|
|
Ablate bone tumor(s) perq
|
$5,210.80 |
$5,210.80 |
$5,210.80 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$9,966.00 |
$9,966.00 |
$9,966.00 |
$9,541.89
|
|
Ablate pulm tumor perq rf
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,535.20 |
$2,535.20 |
$2,535.20 |
$2,177.60
|
|
Ablation cryo abd perit om
|
$2,299.60 |
$2,299.60 |
$2,299.60 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$9,332.00 |
$9,332.00 |
$9,332.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$350.80 |
$350.80 |
$350.80 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$1,807.60 |
$1,807.60 |
$1,807.60 |
$832.50
|
|
Abobotulinumtoxina
|
$20.00 |
$20.00 |
$20.00 |
$1,541.21
|
|
Abrasion lesion single
|
$461.60 |
$461.60 |
$461.60 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$2,999.34
|
|
Absorpt drg <=16 sq in w/bdr
|
$34.00 |
$34.00 |
$34.00 |
$5.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,370.40 |
$2,370.40 |
$2,370.40 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.60 |
$0.60 |
$0.60 |
$73.33
|
|
Acetaminophen level
|
$13.20 |
$13.20 |
$13.20 |
$106.00
|
|
Acetazolamide 500 mg solution for injection
|
$89.16 |
$89.16 |
$89.16 |
$122.55
|
|
Acetone qualitative
|
$11.60 |
$11.60 |
$11.60 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$23.20 |
$23.20 |
$23.20 |
$64.50
|
|
Acetylcholinesterase assay
|
$28.00 |
$28.00 |
$28.00 |
$112.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1.30 |
$1.30 |
$1.30 |
$224.98
|
|
Acne surgery 10040
|
$442.40 |
$442.40 |
$442.40 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$419.60 |
$419.60 |
$419.60 |
$347.26
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$32.00 |
$32.00 |
$32.00 |
$37.62
|
|
Acoustic immitance testing
|
$153.20 |
$153.20 |
$153.20 |
$153.60
|
|
Acoustic refl threshold tst
|
$104.40 |
$104.40 |
$104.40 |
$101.14
|
|
Actigraphy testing
|
$254.40 |
$254.40 |
$254.40 |
$239.20
|
|
Actinotherapy uv light
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$66.00 |
$66.00 |
$66.00 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$55.60 |
$55.60 |
$55.60 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$50.00 |
$50.00 |
$50.00 |
$49.40
|
|
Acup 1/> wo estim 1st 15 min
|
$66.00 |
$66.00 |
$66.00 |
$49.40
|
|
Acute hepatitis panel
|
$103.20 |
$103.20 |
$103.20 |
$289.50
|
|
Acyclovir 400 mg tablet
|
$3,010.68 |
$3,010.68 |
$3,010.68 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$2.44 |
$2.44 |
$2.44 |
$63.48
|
|
#acylcarnitineprfl
|
$19.60 |
$19.60 |
$19.60 |
$124.15
|
|
Adapter b 8 channel 10cm
|
$33,014.00 |
$33,014.00 |
$33,014.00 |
$6,142.50
|
|
Add le poly knee custom kafo
|
$116.00 |
$116.00 |
$116.00 |
$409.30
|
|
Adenosine 3 mg/250 ml bag for osm
|
$30.20 |
$30.20 |
$30.20 |
$266.92
|
|
Adenovirus ag ia
|
$30.40 |
$30.40 |
$30.40 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$32.40 |
$32.40 |
$32.40 |
$58.00
|
|
Adh-sendout
|
$78.40 |
$78.40 |
$78.40 |
$109.28
|
|
Adj gastric band via subq port
|
$2,156.40 |
$2,156.40 |
$2,156.40 |
$1,666.86
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$30.54 |
$30.54 |
$30.54 |
$179.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$162.40 |
$162.40 |
$162.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$692.00 |
$692.00 |
$692.00 |
$307.45
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$816.40 |
$816.40 |
$816.40 |
$671.04
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$594.00 |
$594.00 |
$594.00 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$162.40 |
$162.40 |
$162.40 |
$207.94
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$162.40 |
$162.40 |
$162.40 |
$257.05
|
|
Administration immunization 1 vaccine
|
$55.60 |
$55.60 |
$55.60 |
$69.00
|
|
Administration immunization each additional vaccine
|
$35.60 |
$35.60 |
$35.60 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$46.00 |
$46.00 |
$46.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$46.00 |
$46.00 |
$46.00 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$283.20 |
$283.20 |
$283.20 |
$42.00
|
|
Administration vaccine hepatitis b
|
$38.80 |
$38.80 |
$38.80 |
$54.34
|
|
Administration vaccine influenza virus
|
$24.80 |
$24.80 |
$24.80 |
$49.40
|
|
Administration vaccine pneumococcal
|
$38.80 |
$38.80 |
$38.80 |
$49.50
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$283.20 |
$283.20 |
$283.20 |
$41.45
|
|
Adrenalin epinephrine inject
|
$2.04 |
$2.04 |
$2.04 |
$206.20
|
|
_afb id by dna probe rflx ast
|
$50.40 |
$50.40 |
$50.40 |
$96.80
|
|
#afb mycobacteria suscep. #1
|
$14.40 |
$14.40 |
$14.40 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$292.00 |
$292.00 |
$292.00 |
$297.56
|
|
Afo molded ankle gauntlet
|
$275.60 |
$275.60 |
$275.60 |
$765.51
|
|
Afo molded plas rig ant tib
|
$612.00 |
$612.00 |
$612.00 |
$2,022.34
|
|
Afo molded to patient plasti
|
$311.20 |
$311.20 |
$311.20 |
$757.77
|
|
Afo rig ant tib tcf/= custom
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$1,877.15
|
