|
2d tee w or without fol w/con,in
|
$2,295.70 |
$2,295.70 |
$2,295.70 |
$1,525.28
|
|
2nd order venous cath
|
$2,630.65 |
$2,630.65 |
$2,630.65 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$1,145.10 |
$1,145.10 |
$1,145.10 |
$632.45
|
|
3d recon without postprocess indpndt
|
$451.55 |
$451.55 |
$451.55 |
$425.10
|
|
5' nucleotidase - sendout
|
$23.10 |
$23.10 |
$23.10 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$252.45 |
$252.45 |
$252.45 |
$97.65
|
|
99397 periodic comp preventive med 65+ years est
|
$106.70 |
$106.70 |
$106.70 |
$176.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$110.00 |
$110.00 |
$110.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,898.50 |
$2,898.50 |
$2,898.50 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$2,181.85 |
$2,181.85 |
$2,181.85 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,648.80 |
$2,648.80 |
$2,648.80 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,819.40 |
$1,819.40 |
$1,819.40 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,882.10 |
$1,882.10 |
$1,882.10 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,480.05 |
$1,480.05 |
$1,480.05 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,324.65 |
$4,324.65 |
$4,324.65 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,714.70 |
$3,714.70 |
$3,714.70 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,900.70 |
$2,900.70 |
$2,900.70 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,289.65 |
$2,289.65 |
$2,289.65 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,471.25 |
$1,471.25 |
$1,471.25 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$607.75 |
$607.75 |
$607.75 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$829.40 |
$829.40 |
$829.40 |
$1,248.00
|
|
Abl1 gene
|
$917.40 |
$917.40 |
$917.40 |
$614.25
|
|
Ablate bone tumor(s) perq
|
$8,877.00 |
$8,877.00 |
$8,877.00 |
$9,812.40
|
|
Ablate pulm tumor perq rf
|
$6,724.30 |
$6,724.30 |
$6,724.30 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$1,562.55 |
$1,562.55 |
$1,562.55 |
$2,948.40
|
|
Abscess drain retroperitoneal surg code
|
$1,526.25 |
$1,526.25 |
$1,526.25 |
$3,053.18
|
|
Acetaminophen level
|
$102.85 |
$102.85 |
$102.85 |
$117.01
|
|
Acetone qualitative
|
$34.65 |
$34.65 |
$34.65 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$41.80 |
$41.80 |
$41.80 |
$64.50
|
|
Acute hepatitis panel
|
$299.75 |
$299.75 |
$299.75 |
$284.70
|
|
#acylcarnitineprfl
|
$132.00 |
$132.00 |
$132.00 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$338.68 |
$338.68 |
$338.68 |
$6,875.44
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$86.90 |
$60.00
|
|
Adh-sendout
|
$206.80 |
$206.80 |
$206.80 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$124.30 |
$124.30 |
$124.30 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$184.25 |
$184.25 |
$184.25 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$490.05 |
$490.05 |
$490.05 |
$695.37
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$88.00 |
$88.00 |
$88.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$152.90 |
$152.90 |
$152.90 |
$267.43
|
|
Administration immunization 1 vaccine
|
$44.00 |
$44.00 |
$44.00 |
$70.00
|
|
Administration immunization each additional component
|
$26.95 |
$26.95 |
$26.95 |
$27.20
|
|
Administration immunization each additional vaccine
|
$19.80 |
$19.80 |
$19.80 |
$46.23
|
|
Administration immunization first component each vaccine
|
$43.45 |
$43.45 |
$43.45 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$48.40 |
$48.40 |
$48.40 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$20.35 |
$20.35 |
$20.35 |
$33.60
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$122.65 |
$122.65 |
$122.65 |
$41.15
|
|
Administration vaccine hepatitis b
|
$64.90 |
$64.90 |
$64.90 |
$51.11
|
|
Administration vaccine influenza virus
|
$29.15 |
$29.15 |
$29.15 |
$49.40
|
|
Administration vaccine pneumococcal
|
$39.05 |
$39.05 |
$39.05 |
$51.07
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$56.65 |
$56.65 |
$56.65 |
$41.00
|
|
Aep hearing status deter i&r
|
$311.85 |
$311.85 |
$311.85 |
$305.73
|
|
Aep thrshld est mlt freq i&r
|
$472.45 |
$472.45 |
$472.45 |
$573.65
|
|
_afb org id by sequencing rflx ast-sendout
|
$564.85 |
$564.85 |
$564.85 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$39.05 |
$39.05 |
$39.05 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$49.50 |
$49.50 |
$49.50 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$25.85 |
$25.85 |
$25.85 |
$43.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$80.30 |
$80.30 |
$80.30 |
$94.90
|
|
Alkaline phosphatase
|
$28.05 |
$28.05 |
$28.05 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$402.60 |
$402.60 |
$402.60 |
$56.35
|
|
Allergen egg white ige
|
$47.30 |
$47.30 |
$47.30 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$154.55 |
$154.55 |
$154.55 |
$26.95
|
|
Allergy injection; single 95115
|
$35.20 |
$35.20 |
$35.20 |
$42.75
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$963.74 |
$963.74 |
$963.74 |
$5,381.40
|
|
Alpha-fetoprotein amniotic
|
$105.05 |
$105.05 |
$105.05 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$106.70 |
$106.70 |
$106.70 |
$103.60
|
|
Alt/sgpt
|
$99.00 |
$99.00 |
$99.00 |
$49.00
|
|
Aluminum - quest
|
$124.30 |
$124.30 |
$124.30 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$205.70 |
$205.70 |
$205.70 |
$188.65
|
|
Ammonia
|
$63.80 |
$63.80 |
$63.80 |
$123.48
|
|
Amphetamine confirm urine -sendout
|
$128.15 |
$128.15 |
$128.15 |
$94.50
|
|
Amphetamines 5 or more
|
$131.45 |
$131.45 |
$131.45 |
$93.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$165.00 |
$165.00 |
$165.00 |
$280.20
|
|
Amylase
|
$39.60 |
$39.60 |
$39.60 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$89.10 |
$89.10 |
$89.10 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$206.25 |
$206.25 |
$206.25 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$226.60 |
$226.60 |
$226.60 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$100.65 |
$100.65 |
$100.65 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$245.30 |
$245.30 |
$245.30 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$558.25 |
$558.25 |
$558.25 |
$2,426.60
|
|
An fluoro guide for cvp
|
$395.45 |
$395.45 |
$395.45 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,981.90 |
$4,981.90 |
$4,981.90 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$5,871.25 |
$5,871.25 |
$5,871.25 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,243.15 |
$5,243.15 |
$5,243.15 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,983.10 |
$3,983.10 |
$3,983.10 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,123.60 |
$7,123.60 |
$7,123.60 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$4,886.20 |
$4,886.20 |
$4,886.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$4,057.90 |
$4,057.90 |
$4,057.90 |
$8,745.10
|
|
Ankle X-ray
|
$256.85 |
$256.85 |
$256.85 |
$350.85
|
|
Annual Physical, Established Patient (age 40-64)
|
$102.85 |
$102.85 |
$102.85 |
$167.25
|
|
Antibody elution rbc reference
|
$188.10 |
$188.10 |
$188.10 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$140.80 |
$140.80 |
$140.80 |
$141.26
|
|
Antibody htlv-i
|
$103.40 |
$103.40 |
$103.40 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$361.90 |
$361.90 |
$361.90 |
$218.30
|
|
Antibody id rbc panel
|
$105.60 |
$105.60 |
$105.60 |
$291.75
|
|
Antibody screen rbc
|
$67.10 |
$67.10 |
$67.10 |
$105.00
|
|
Antigen therapy services
|
$18.70 |
$18.70 |
$18.70 |
$60.75
|
|
Anti mog serum - sendout
|
$339.90 |
$339.90 |
$339.90 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$59.95 |
$59.95 |
$59.95 |
$50.88
|
