|
17-hydroxypregnenolone
|
$91.16 |
$91.16 |
$91.16 |
$87.50
|
|
17-ketosteroids
|
$96.46 |
$96.46 |
$96.46 |
$44.88
|
|
2019-ncov diagnostic p
|
$75.79 |
$75.79 |
$75.79 |
$39.51
|
|
2nd order venous cath
|
$5,224.74 |
$5,224.74 |
$5,224.74 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$825.74 |
$825.74 |
$825.74 |
$632.45
|
|
3-d radiotherapy plan
|
$4,462.07 |
$4,462.07 |
$4,462.07 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$593.07 |
$593.07 |
$593.07 |
$425.10
|
|
5' nucleotidase - sendout
|
$38.16 |
$38.16 |
$38.16 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$109.18 |
$109.18 |
$109.18 |
$97.65
|
|
99397 periodic comp preventive med 65+ years est
|
$50.88 |
$50.88 |
$50.88 |
$176.03
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$86.67 |
$86.67 |
$86.67 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$50.35 |
$50.35 |
$50.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,475.10 |
$2,475.10 |
$2,475.10 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$3,624.14 |
$3,624.14 |
$3,624.14 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$3,960.69 |
$3,960.69 |
$3,960.69 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$3,841.97 |
$3,841.97 |
$3,841.97 |
$2,727.40
|
|
Abd/low ext cath addl
|
$3,544.64 |
$3,544.64 |
$3,544.64 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,797.76 |
$1,797.76 |
$1,797.76 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,476.58 |
$1,476.58 |
$1,476.58 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,175.01 |
$1,175.01 |
$1,175.01 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,148.62 |
$2,148.62 |
$2,148.62 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,186.78 |
$2,186.78 |
$2,186.78 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,972.66 |
$1,972.66 |
$1,972.66 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,336.24 |
$2,336.24 |
$2,336.24 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$758.43 |
$758.43 |
$758.43 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$581.94 |
$581.94 |
$581.94 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$2,170.35 |
$2,170.35 |
$2,170.35 |
$1,248.00
|
|
Abl1 gene
|
$567.63 |
$567.63 |
$567.63 |
$614.25
|
|
Ablate arrhythmia add on
|
$13,326.32 |
$13,326.32 |
$13,326.32 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$6,978.51 |
$6,978.51 |
$6,978.51 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$22,932.57 |
$22,932.57 |
$22,932.57 |
$9,836.16
|
|
Ablate inf turbinate submuc 30802
|
$226.84 |
$226.84 |
$226.84 |
$1,747.81
|
|
Ablate inf turbinate superf 30801
|
$206.17 |
$206.17 |
$206.17 |
$2,122.56
|
|
Ablate pulm tumor perq crybl
|
$5,562.35 |
$5,562.35 |
$5,562.35 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$5,200.89 |
$5,200.89 |
$5,200.89 |
$7,911.80
|
|
Abobotulinumtoxina
|
$9.54 |
$9.54 |
$9.54 |
$1,066.88
|
|
Abrasion lesion single
|
$697.48 |
$697.48 |
$697.48 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$4,459.95 |
$4,459.95 |
$4,459.95 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$7,335.73 |
$7,335.73 |
$7,335.73 |
$3,287.87
|
|
Acetaminophen level
|
$153.17 |
$153.17 |
$153.17 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$71.40 |
$71.40 |
$71.40 |
$137.80
|
|
Acetone qualitative
|
$14.84 |
$14.84 |
$14.84 |
$48.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$5.72 |
$5.72 |
$5.72 |
$306.22
|
|
Acetylcysteine non-comp unit
|
$8.99 |
$8.99 |
$8.99 |
$29.01
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$580.88 |
$580.88 |
$580.88 |
$350.73
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$66.25 |
$66.25 |
$66.25 |
$44.40
|
|
Actigraphy testing
|
$301.57 |
$301.57 |
$301.57 |
$163.80
|
|
Actinotherapy uv light
|
$43.46 |
$43.46 |
$43.46 |
$110.50
|
|
Acute hepatitis panel
|
$433.01 |
$433.01 |
$433.01 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.28 |
$0.28 |
$0.28 |
$64.45
|
|
#acylcarnitineprfl
|
$222.60 |
$222.60 |
$222.60 |
$87.72
|
|
Acylcarnitines qual
|
$118.72 |
$118.72 |
$118.72 |
$35.75
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.54 |
$2.54 |
$2.54 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$74.73 |
$74.73 |
$74.73 |
$60.00
|
|
Adenovirus assay w/optic
|
$168.01 |
$168.01 |
$168.01 |
$30.03
|
|
Adh-sendout
|
$228.96 |
$228.96 |
$228.96 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1.06 |
$1.06 |
$1.06 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$268.71 |
$268.71 |
$268.71 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$268.71 |
$268.71 |
$268.71 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$573.46 |
$573.46 |
$573.46 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$288.85 |
$288.85 |
$288.85 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$168.01 |
$168.01 |
$168.01 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$232.67 |
$232.67 |
$232.67 |
$267.43
|
|
Administration immunization 1 vaccine
|
$38.69 |
$38.69 |
$38.69 |
$70.00
|
|
Administration immunization each additional component
|
$36.04 |
$36.04 |
$36.04 |
$27.20
|
|
Administration immunization each additional vaccine
|
$36.04 |
$36.04 |
$36.04 |
$46.23
|
|
Administration immunization first component each vaccine
|
$38.69 |
$38.69 |
$38.69 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$38.69 |
$38.69 |
$38.69 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$18.55 |
$18.55 |
$18.55 |
$33.60
|
|
Administration vaccine hepatitis b
|
$38.69 |
$38.69 |
$38.69 |
$51.11
|
|
Administration vaccine influenza virus
|
$45.05 |
$45.05 |
$45.05 |
$49.40
|
|
Administration vaccine pneumococcal
|
$46.64 |
$46.64 |
$46.64 |
$51.07
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$57.38 |
$57.38 |
$57.38 |
$14,346.62
|
|
Aep hearing status deter i&r
|
$469.05 |
$469.05 |
$469.05 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$83.74 |
$83.74 |
$83.74 |
$509.00
|
|
_afb id by dna probe rflx ast
|
$130.91 |
$130.91 |
$130.91 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$372.59 |
$372.59 |
$372.59 |
$289.60
|
|
Air conduction bilat
|
$49.29 |
$49.29 |
$49.29 |
$116.22
|
|
Air injection into abdomen 49400
|
$155.29 |
$155.29 |
$155.29 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$340.26 |
$340.26 |
$340.26 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$49.29 |
$49.29 |
$49.29 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$110.53 |
$110.53 |
$110.53 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$109.12 |
$109.12 |
$109.12 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$47.17 |
$47.17 |
$47.17 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$41.34 |
$41.34 |
$41.34 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$0.14 |
$0.14 |
$0.14 |
$9.93
|
|
Albuterol non-comp con
|
$0.53 |
$0.53 |
$0.53 |
$9.93
|
|
Albuterol non-comp unit
|
$0.04 |
$0.04 |
$0.04 |
$9.43
|
|
Alkaline phosphatase
|
$53.53 |
$53.53 |
$53.53 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$51.41 |
$51.41 |
$51.41 |
$56.35
|
|
Allergen egg white ige
|
$29.15 |
$29.15 |
$29.15 |
$39.78
|
|
Allergy injections; 2 or more 95117
|
$136.21 |
$136.21 |
$136.21 |
$47.20
|
|
Allergy injection; single 95115
|
$136.21 |
$136.21 |
$136.21 |
$42.75
|
|
Allergy Skin Testing
|
$2,995.03 |
$2,995.03 |
$2,995.03 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$14.31 |
$14.31 |
$14.31 |
$39.00
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$318.00 |
$318.00 |
$318.00 |
$3,621.72
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$257.58 |
$257.58 |
$257.58 |
$4,814.57
|
|
All tstg perq&iq drugs/biol
|
$222.60 |
$222.60 |
$222.60 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$121.90 |
$121.90 |
$121.90 |
$41.34
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$139.39 |
$139.39 |
$139.39 |
$187.20
|