|
11-desoxycortisol - sendout
|
$77.91 |
$77.91 |
$77.91 |
$87.50
|
|
17-ketosteroids
|
$96.46 |
$96.46 |
$96.46 |
$44.88
|
|
2019-ncov diagnostic p
|
$75.79 |
$76.32 |
$76.32 |
$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 |
$966.19 |
$966.19 |
$632.45
|
|
3-d radiotherapy plan
|
$2,668.02 |
$2,668.02 |
$4,462.07 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$420.82 |
$420.82 |
$512.51 |
$425.10
|
|
5' nucleotidase - sendout
|
$38.16 |
$38.16 |
$38.16 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$66.25 |
$66.25 |
$109.18 |
$97.65
|
|
99391 periodic comp preventive med less than 1 year est
|
$132.50 |
$132.50 |
$132.50 |
$135.00
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$146.81 |
$146.81 |
$146.81 |
$135.00
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$150.52 |
$150.52 |
$150.52 |
$129.00
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$160.59 |
$160.59 |
$160.59 |
$147.92
|
|
99397 periodic comp preventive med 65+ years est
|
$195.04 |
$195.04 |
$195.04 |
$176.03
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$68.17 |
$86.67 |
$86.67 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$37.10 |
$37.10 |
$50.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,690.70 |
$1,690.70 |
$2,096.68 |
$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
|
$3,154.03 |
$3,154.03 |
$3,154.03 |
$2,727.40
|
|
Abd/low ext cath addl
|
$500.32 |
$500.32 |
$3,544.64 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$862.84 |
$862.84 |
$1,459.09 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$850.12 |
$850.12 |
$1,226.95 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$841.64 |
$841.64 |
$901.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,426.76 |
$1,426.76 |
$2,148.62 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,391.25 |
$1,391.25 |
$2,091.91 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,341.96 |
$1,341.96 |
$1,972.66 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,776.03 |
$1,776.03 |
$2,336.24 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$415.52 |
$415.52 |
$758.43 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$374.71 |
$374.71 |
$581.94 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,739.46 |
$1,739.46 |
$2,170.35 |
$1,248.00
|
|
Abl1 gene
|
$543.78 |
$543.78 |
$567.63 |
$614.25
|
|
Ablate arrhythmia add on
|
$9,174.30 |
$9,174.30 |
$13,326.32 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$6,978.51 |
$7,643.13 |
$7,643.13 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$7,523.88 |
$7,523.88 |
$22,932.57 |
$9,836.16
|
|
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 |
$5,359.89 |
$5,359.89 |
$7,911.80
|
|
Abobotulinumtoxina
|
$8.48 |
$8.48 |
$8.48 |
$1,066.88
|
|
Abscess drain retroperitoneal surg code
|
$1,717.20 |
$1,717.20 |
$4,459.95 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,263.74 |
$3,263.74 |
$7,335.73 |
$3,287.87
|
|
Acetaminophen level
|
$71.55 |
$71.55 |
$153.17 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$71.40 |
$71.40 |
$96.78 |
$137.80
|
|
Acetone qualitative
|
$7.42 |
$25.97 |
$25.97 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$19.08 |
$19.08 |
$19.08 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$5.72 |
$5.72 |
$5.72 |
$306.22
|
|
Acetylcysteine non-comp unit
|
$8.27 |
$8.27 |
$10.86 |
$29.01
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$463.75 |
$463.75 |
$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 |
$314.29 |
$314.29 |
$163.80
|
|
Acute hepatitis panel
|
$152.64 |
$152.64 |
$433.01 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.25 |
$0.25 |
$0.29 |
$64.45
|
|
#acylcarnitineprfl
|
$23.85 |
$23.85 |
$222.60 |
$87.72
|
|
Acylcarnitines qual
|
$118.72 |
$118.72 |
$118.72 |
$35.75
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.54 |
$4.03 |
$13.65 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$33.92 |
$33.92 |
$74.73 |
$60.00
|
|
Adh-sendout
|
$109.71 |
$109.71 |
$228.96 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$204.58 |
$204.58 |
$268.71 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$210.94 |
$210.94 |
$268.71 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$412.34 |
$412.34 |
$573.46 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$248.57 |
$248.57 |
$288.85 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$168.01 |
$201.40 |
$201.40 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$201.40 |
$201.40 |
$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 vaccine hepatitis b
|
$24.38 |
$24.38 |
$37.10 |
$51.11
|
|
Administration vaccine influenza virus
|
$24.38 |
$24.38 |
$38.69 |
$49.40
|
|
Administration vaccine pneumococcal
|
$24.38 |
$24.38 |
$36.04 |
$51.07
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$57.38 |
$57.38 |
$59.47 |
$14,346.62
|
|
Aep hearing status deter i&r
|
$469.05 |
$469.05 |
$469.05 |
$305.73
|
|
_afb id by dna probe rflx ast
|
$36.57 |
$36.57 |
$130.91 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$35.51 |
$35.51 |
$35.51 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$336.02 |
$336.02 |
$351.39 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$370.22 |
$370.22 |
$370.22 |
$14,467.53
|
|
Air injection into abdomen 49400
|
$292.03 |
$292.03 |
$292.03 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$276.66 |
$276.66 |
$340.26 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$22.79 |
$22.79 |
$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 |
$111.02 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.45 |
$34.45 |
$47.17 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$18.02 |
$18.02 |
$41.34 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$0.14 |
$0.14 |
$0.97 |
$9.93
|
|
Albuterol non-comp con
|
$0.30 |
$0.63 |
$1.11 |
$9.93
|
|
Albuterol non-comp unit
|
$0.04 |
$0.04 |
$0.49 |
$9.43
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$73.14 |
$73.14 |
$73.14 |
$94.90
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$2,738.28 |
$2,738.28 |
$2,738.28 |
$8,173.80
|
|
Alkaline phosphatase
|
$21.73 |
$21.73 |
$53.53 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$29.15 |
$29.15 |
$29.15 |
$56.35
|
|
Allergen egg white ige
|
$24.91 |
$24.91 |
$29.15 |
$39.78
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$318.00 |
$318.00 |
$356.69 |
$3,621.72
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$4,101.14 |
$4,101.14 |
$4,101.14 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$356.69 |
$356.69 |
$356.69 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$7.50 |
$7.50 |
$7.50 |
$51.00
|
|
Alpha-fetoprotein amniotic
|
$61.48 |
$61.48 |
$133.56 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$66.25 |
$66.25 |
$109.71 |
$103.60
|
|
Alprostadil for injection
|
$165.04 |
$241.46 |
$241.46 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$141.27 |
$141.27 |
$278.89 |
$9,600.63
|
|
Alt/sgpt
|
$19.08 |
$19.08 |
$53.00 |
$49.00
|
|
Aluminum - quest
|
$83.21 |
$83.21 |
$144.16 |
$83.05
|
