|
11-desoxycortisol - sendout
|
$36.96 |
$54.12 |
$58.52 |
|
|
17-hydroxypregnenolone
|
$28.98 |
$42.44 |
$45.89 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$145.08 |
$145.08 |
$145.08 |
|
|
2d tee w or without fol w/con,in
|
$633.78 |
$633.78 |
$633.78 |
|
|
2d tte w or without fol w/con,co
|
$494.76 |
$494.76 |
$494.76 |
|
|
2nd order venous cath
|
$842.94 |
$842.94 |
$842.94 |
|
|
3-d radiotherapy plan
|
$2,831.64 |
$2,831.64 |
$2,831.64 |
|
|
3d recon without postprocess indpndt
|
$44.52 |
$44.52 |
$446.49 |
|
|
5' nucleotidase - sendout
|
$41.58 |
$60.88 |
$65.84 |
|
|
88334 ap bill cytologic exam each additional site
|
$27.30 |
$27.56 |
$47.58 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$29.82 |
$49.42 |
$83.99 |
|
|
Abd aorta w/runoff s&i
|
$1,391.82 |
$1,391.82 |
$2,342.34 |
|
|
Abd/low ext cath 1st
|
$861.00 |
$861.00 |
$861.00 |
|
|
Abd/low ext cath 2nd
|
$875.70 |
$875.70 |
$875.70 |
|
|
Abd/low ext cath 3rd
|
$1,073.52 |
$1,073.52 |
$1,073.52 |
|
|
Abd/low ext cath addl
|
$820.26 |
$820.26 |
$820.26 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$626.22 |
$902.48 |
$978.02 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$374.64 |
$532.52 |
$577.10 |
|
|
Abdominal CT scan (with and without contrast)
|
$588.00 |
$1,227.00 |
$1,404.92 |
|
|
Abdominal CT scan (with contrast)
|
$490.14 |
$1,022.40 |
$1,170.65 |
|
|
Abdominal CT scan (without contrast)
|
$391.86 |
$817.80 |
$936.38 |
|
|
Abdominal MRI (with and without contrast)
|
$1,178.94 |
$3,634.54 |
$4,102.58 |
|
|
Abdominal MRI (with contrast)
|
$982.38 |
$3,028.78 |
$3,418.82 |
|
|
Abdominal MRI (without contrast)
|
$785.82 |
$2,423.02 |
$2,735.06 |
|
|
Abdominal paracentesis w/image guidance
|
$837.68 |
$861.25 |
$967.68 |
|
|
Abdominal Ultrasound (complete)
|
$377.16 |
$1,000.21 |
$1,077.89 |
|
|
Abdominal Ultrasound (limited)
|
$281.40 |
$745.77 |
$803.68 |
|
|
Abdominal X-ray (2 views)
|
$85.68 |
$286.53 |
$311.76 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$130.62 |
$347.07 |
$377.64 |
|
|
Abdominal X-ray (single view)
|
$71.82 |
$158.40 |
$172.35 |
|
|
Abd paracentesis/w/o image guide 49082
|
$569.70 |
$574.14 |
$626.25 |
|
|
Abl1 gene
|
$378.00 |
$542.70 |
$966.60 |
|
|
Ablate arrhythmia add on
|
$4,921.56 |
$4,921.56 |
$4,921.56 |
|
|
Ablate bone tumor(s) perq
|
$5,385.24 |
$5,385.24 |
$5,385.24 |
|
|
Ablate heart dysrhythm focus
|
$7,118.16 |
$7,118.16 |
$7,118.16 |
|
|
Ablate pulm tumor perq rf
|
$5,323.08 |
$5,323.08 |
$5,323.08 |
|
|
Ablation cardiac vagal inputs atrium
|
$2,782.92 |
$2,782.92 |
$2,782.92 |
|
|
Ablation cryo abd perit om
|
$954.66 |
$954.66 |
$954.66 |
|
|
Ablation of upper extremity nerves rf
|
$580.16 |
$580.16 |
$921.06 |
|
|
Abscess drain retroperitoneal surg code
|
$1,968.12 |
$1,968.12 |
$1,968.12 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$291.06 |
$291.06 |
$291.06 |
|
|
Acetazolamide 500 mg solution for injection
|
$2.62 |
$2.62 |
$2.62 |
|
|
Acetylcholine receptor modulating antibody
|
$32.76 |
$54.29 |
$92.27 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$15.54 |
$21.76 |
$35.57 |
|
|
Acute hepatitis panel
|
$60.06 |
$154.36 |
$166.92 |
|
|
Acyclovir 400 mg tablet
|
$0.11 |
$0.85 |
$7.48 |
|
|
#acylcarnitineprfl
|
$48.30 |
$70.72 |
$76.48 |
|
|
Acylcarnitines qual
|
$21.00 |
$21.00 |
$21.00 |
|
|
Adapter b 8 channel 10cm
|
$3,113.46 |
$3,113.46 |
$7,375.94 |
|
|
Adding walker to prev cast
|
$53.91 |
$53.91 |
$53.91 |
|
|
Adenovirus antibody,serum - quest
|
$25.62 |
$42.46 |
$72.16 |
|
|
Adh-sendout
|
$42.84 |
$62.73 |
$67.83 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$33.79 |
$47.78 |
$67.94 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$76.80 |
$96.18 |
$154.40 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$156.29 |
$221.00 |
$314.20 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$94.23 |
$209.16 |
$227.95 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$44.58 |
$86.10 |
$107.85 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$119.30 |
$221.76 |
$288.58 |
|
|
Administration immunization each additional vaccine
|
$15.06 |
$18.06 |
$26.94 |
|
|
Administration vaccine hepatitis b
|
$27.11 |
$44.93 |
$55.02 |
|
|
Administration vaccine influenza virus
|
$27.11 |
$44.93 |
$55.02 |
|
|
Administration vaccine pneumococcal
|
$27.11 |
$44.93 |
$55.02 |
|
|
Aep hearing status deter i&r
|
$299.65 |
$299.65 |
$299.65 |
|
|
_afb id by dna probe rflx ast
|
$30.66 |
$45.92 |
$51.25 |
|
|
#afb mycobacteria suscep. #1
|
$26.46 |
$26.46 |
$26.46 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$145.74 |
$243.59 |
$266.50 |
|
|
Albumin body fluid quantitative each specimen
|
$24.36 |
$35.67 |
$38.57 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$23.52 |
$35.95 |
$45.22 |
|
|
Albumin serum plasma or whole blood
|
$26.46 |
$38.74 |
$41.90 |
|
|
Alkaline phosphatase
|
$23.94 |
$35.06 |
$37.91 |
|
|
Allergen alpha lactalbumin ige
|
$33.60 |
$55.68 |
$94.64 |
|
|
Allergen egg white ige
|
$23.52 |
$38.98 |
$66.25 |
|
|
Allergen specific ige qual multi scrn ea
|
$24.78 |
$41.06 |
$69.80 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$353.22 |
$544.13 |
$6,456.45 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$382.44 |
$382.44 |
$382.44 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$95.46 |
$95.46 |
$95.46 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$506.36 |
$506.36 |
$506.36 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,833.74 |
$7,360.08 |
$10,518.51 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$81.48 |
$119.31 |
$129.01 |
|
|
Alpha-fetoprotein tumor marker
|
$21.42 |
$31.36 |
$33.92 |
|
|
Als 1
|
$853.44 |
$853.44 |
$1,322.83 |
|
|
Als1-emergency
|
$926.94 |
$926.94 |
$1,436.76 |
|
|
Als 2
|
$1,259.16 |
$1,259.16 |
$1,951.70 |
|
|
Alt/sgpt
|
$24.78 |
$36.28 |
$39.24 |
|
|
Aluminum - quest
|
$32.34 |
$47.35 |
$51.21 |
|
|
Amantadine (symmetrel)-sendout
|
$78.54 |
$199.26 |
$215.46 |
|
|
Aminolevulinic acid delta
|
$31.50 |
$46.12 |
$49.88 |
|
|
Amitriptyline (elavil) -sendout
|
$41.82 |
$43.66 |
$102.90 |
|
|
Ammonia
|
$48.30 |
$70.72 |
$76.48 |
|
|
Amniocentesisdiagnostic 59000
|
$501.90 |
$720.90 |
$741.19 |
|
|
Amniocentesis therapeutic
|
$656.88 |
$656.88 |
$943.65 |
|
|
Amphetamine confirm urine -sendout
|
$34.86 |
$51.05 |
$55.20 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$331.38 |
$567.29 |
$847.39 |
|
|
Amputate metacarpal bone 26910
|
$914.07 |
$914.07 |
$914.07 |
|
|
Amylase
|
$143.22 |
$209.72 |
$226.77 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$74.76 |
$94.71 |
$102.41 |
|
|
Analysis gene f2 20210g>a variant
|
$83.16 |
$119.39 |
$212.65 |
|
|
Analysis gene f5 leiden variant
|
$92.82 |
$133.26 |
$237.35 |
|
|
Anaplsma phgcytophlm amp prb
|
$133.81 |
$133.81 |
$133.81 |
|
|
Anca screen with reflex to titer -quest
|
$23.10 |
$38.28 |
$65.06 |
|