|
17-hydroxypregnenolone
|
$46.75 |
$46.75 |
$46.75 |
$87.50
|
|
2d tee w or without fol w/con,in
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$1,453.50
|
|
2nd order venous cath
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$1,758.90
|
|
3d ech img cgen car anomal
|
$360.25 |
$360.25 |
$360.25 |
$632.45
|
|
3-d radiotherapy plan
|
$3,637.70 |
$3,637.70 |
$3,637.70 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$431.75 |
$431.75 |
$431.75 |
$425.10
|
|
5' nucleotidase - sendout
|
$19.80 |
$19.80 |
$19.80 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$100.10 |
$100.10 |
$100.10 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$40.70 |
$40.70 |
$40.70 |
$52.20
|
|
Abd aorta w/runoff s&i
|
$2,954.60 |
$2,954.60 |
$2,954.60 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$1,469.05 |
$1,469.05 |
$1,469.05 |
$2,303.64
|
|
Abd/low ext cath 2nd
|
$2,038.85 |
$2,038.85 |
$2,038.85 |
$2,286.70
|
|
Abd/low ext cath 3rd
|
$2,318.80 |
$2,318.80 |
$2,318.80 |
$2,727.40
|
|
Abd/low ext cath addl
|
$3,237.85 |
$3,237.85 |
$3,237.85 |
$989.42
|
|
Abdominal CT scan (with and without contrast)
|
$1,714.35 |
$1,714.35 |
$1,714.35 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,632.95 |
$1,632.95 |
$1,632.95 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,554.85 |
$1,554.85 |
$1,554.85 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,310.55 |
$2,310.55 |
$2,310.55 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,200.55 |
$2,200.55 |
$2,200.55 |
$2,199.24
|
|
Abdominal MRI (without contrast)
|
$2,095.50 |
$2,095.50 |
$2,095.50 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,349.15 |
$1,349.15 |
$1,349.15 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$674.30 |
$674.30 |
$674.30 |
$773.80
|
|
Abdominal Ultrasound (limited)
|
$616.00 |
$616.00 |
$616.00 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,051.05 |
$1,051.05 |
$1,051.05 |
$1,212.48
|
|
Ablate arrhythmia add on
|
$324.50 |
$324.50 |
$324.50 |
$7,417.48
|
|
Ablate bone tumor(s) perq
|
$8,878.10 |
$8,878.10 |
$8,878.10 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$7,418.95 |
$7,418.95 |
$7,418.95 |
$10,047.60
|
|
Ablate pulm tumor perq crybl
|
$6,283.75 |
$6,283.75 |
$6,283.75 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$9,006.80 |
$9,006.80 |
$9,006.80 |
$7,425.60
|
|
Ablation cardiac vagal inputs atrium
|
$3,587.65 |
$3,587.65 |
$3,587.65 |
$3,549.65
|
|
Ablation cryo abd perit om
|
$2,335.30 |
$2,335.30 |
$2,335.30 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$9,528.75 |
$9,528.75 |
$9,528.75 |
$8,156.83
|
|
Ablation of upper extremity nerves rf
|
$1,692.90 |
$1,692.90 |
$1,692.90 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$3,294.50 |
$3,294.50 |
$3,294.50 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$877.25 |
$877.25 |
$877.25 |
$3,287.87
|
|
Acetaminophen level
|
$30.80 |
$30.80 |
$30.80 |
$117.01
|
|
Acetylcholine receptor modulating antibody
|
$49.50 |
$49.50 |
$49.50 |
$64.50
|
|
Acne surgery 10040
|
$413.05 |
$413.05 |
$413.05 |
$260.49
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$435.05 |
$435.05 |
$435.05 |
$370.55
|
|
Actigraphy testing
|
$205.70 |
$205.70 |
$205.70 |
$163.80
|
|
Acute hepatitis panel
|
$314.05 |
$314.05 |
$314.05 |
$283.47
|
|
#acylcarnitineprfl
|
$129.25 |
$129.25 |
$129.25 |
$92.00
|
|
Adapter b 8 channel 10cm
|
$747.93 |
$747.93 |
$747.93 |
$3,121.73
|
|
Adenovirus antibody,serum - quest
|
$22.00 |
$22.00 |
$22.00 |
$60.00
|
|
Adh-sendout
|
$162.80 |
$162.80 |
$162.80 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$213.40 |
$213.40 |
$213.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$185.35 |
$185.35 |
$185.35 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$499.40 |
$499.40 |
$499.40 |
$691.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$309.65 |
$309.65 |
$309.65 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$141.35 |
$141.35 |
$141.35 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$139.70 |
$139.70 |
$139.70 |
$264.82
|
|
Administration immunization 1 vaccine
|
$49.50 |
$49.50 |
$49.50 |
$69.21
|
|
Administration immunization each additional vaccine
|
$43.45 |
$43.45 |
$43.45 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$51.70 |
$51.70 |
$51.70 |
$41.45
|
|
Administration vaccine hepatitis b
|
$35.20 |
$35.20 |
$35.20 |
$51.11
|
|
Administration vaccine influenza virus
|
$49.50 |
$49.50 |
$49.50 |
$49.50
|
|
Administration vaccine pneumococcal
|
$49.50 |
$49.50 |
$49.50 |
$51.07
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$48.95 |
$48.95 |
$48.95 |
$41.00
|
|
_afb id by dna probe rflx ast
|
$96.80 |
$96.80 |
$96.80 |
$100.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$564.85 |
$564.85 |
$564.85 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$33.00 |
$33.00 |
$33.00 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$46.20 |
$46.20 |
$46.20 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$47.85 |
$47.85 |
$47.85 |
$43.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$31.35 |
$31.35 |
$31.35 |
$94.90
|
|
Alkaline phosphatase
|
$45.65 |
$45.65 |
$45.65 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$29.70 |
$29.70 |
$29.70 |
$56.35
|
|
Allergen egg white ige
|
$26.40 |
$26.40 |
$26.40 |
$39.10
|
|
Allergen specific ige qual multi scrn ea
|
$64.35 |
$64.35 |
$64.35 |
$26.95
|
|
Allergy injections; 2 or more 95117
|
$30.25 |
$30.25 |
$30.25 |
$50.43
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$3,317.32 |
$3,317.32 |
$3,317.32 |
$7,529.45
|
|
Alpha-fetoprotein tumor marker
|
$147.95 |
$147.95 |
$147.95 |
$93.60
|
|
Alt/sgpt
|
$50.05 |
$50.05 |
$50.05 |
$49.00
|
|
Aluminum - quest
|
$386.65 |
$386.65 |
$386.65 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$188.65 |
$188.65 |
$188.65 |
$189.45
|
|
Aminolevulinic acid delta
|
$145.20 |
$145.20 |
$145.20 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$194.70 |
$194.70 |
$194.70 |
$100.10
|
|
Ammonia
|
$126.50 |
$126.50 |
$126.50 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$188.65 |
$188.65 |
$188.65 |
$94.50
|
|
Amphetamines 5 or more
|
$188.65 |
$188.65 |
$188.65 |
$88.00
|
|
Amylase
|
$62.70 |
$62.70 |
$62.70 |
$91.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$34.65 |
$34.65 |
$34.65 |
$117.01
|
|
Anal/urinary muscle study
|
$464.97 |
$464.97 |
$464.97 |
$407.00
|
|
Anal/urinary muscle study
|
$602.80 |
$602.80 |
$602.80 |
$507.26
|
|
Analysis gene f2 20210g>a variant
|
$315.70 |
$315.70 |
$315.70 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$434.50 |
$434.50 |
$434.50 |
$221.13
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$216.48 |
$216.48 |
$216.48 |
$122.20
|
|
Anaplsma phgcytophlm amp prb
|
$64.90 |
$64.90 |
$64.90 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$24.75 |
$24.75 |
$24.75 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,426.60 |
$2,426.60 |
$2,426.60 |
$2,624.13
|
|
An fluoro guide for cvp
|
$365.20 |
$365.20 |
$365.20 |
$504.46
|
|
Angio balloon ctrl dialysis seg add-on
|
$326.15 |
$326.15 |
$326.15 |
$5,500.00
|
|
Angioplasty fem/pop unilat 37224
|
$7,081.80 |
$7,081.80 |
$7,081.80 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$7,102.15 |
$7,102.15 |
$7,102.15 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,981.25 |
$5,981.25 |
$5,981.25 |
$6,420.18
|
|
Angio tib/peroneal/init ves/unila 37228
|
$8,132.85 |
$8,132.85 |
$8,132.85 |
$13,054.80
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,987.50 |
$3,987.50 |
$3,987.50 |
$5,419.00
|
|
Angio trnslmnl balloon same artery ini
|
$8,050.90 |
$8,050.90 |
$8,050.90 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$7,935.95 |
$7,935.95 |
$7,935.95 |
$8,630.79
|
|
Ankle X-ray
|
$304.15 |
$304.15 |
$304.15 |
$350.85
|
|
Anodyne therapy charges pt
|
$37.40 |
$37.40 |
$37.40 |
$41.02
|
