|
11-desoxycortisol - sendout
|
$36.96 |
$36.96 |
$36.96 |
$91.85
|
|
17-hydroxypregnenolone
|
$28.98 |
$28.98 |
$28.98 |
$92.65
|
|
2d tee w or without fol w/con,in
|
$633.78 |
$633.78 |
$633.78 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$494.76 |
$494.76 |
$494.76 |
$1,284.00
|
|
2nd order venous cath
|
$842.94 |
$842.94 |
$842.94 |
$1,532.04
|
|
3-d radiotherapy plan
|
$2,831.64 |
$2,831.64 |
$2,831.64 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$44.52 |
$44.52 |
$44.52 |
$508.13
|
|
5' nucleotidase - sendout
|
$41.58 |
$41.58 |
$41.58 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$27.30 |
$27.30 |
$27.30 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$29.82 |
$29.82 |
$29.82 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$2,342.34 |
$2,342.34 |
$2,342.34 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$861.00 |
$861.00 |
$861.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$875.70 |
$875.70 |
$875.70 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,073.52 |
$1,073.52 |
$1,073.52 |
$2,475.45
|
|
Abd/low ext cath addl
|
$820.26 |
$820.26 |
$820.26 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$626.22 |
$626.22 |
$626.22 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$374.64 |
$374.64 |
$374.64 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$588.00 |
$588.00 |
$588.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$490.14 |
$490.14 |
$490.14 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$391.86 |
$391.86 |
$391.86 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,178.94 |
$1,178.94 |
$1,178.94 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$982.38 |
$982.38 |
$982.38 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$785.82 |
$785.82 |
$785.82 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$967.68 |
$967.68 |
$967.68 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$377.16 |
$377.16 |
$377.16 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$281.40 |
$281.40 |
$281.40 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$85.68 |
$85.68 |
$85.68 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$130.62 |
$130.62 |
$130.62 |
$418.63
|
|
Abdominal X-ray (single view)
|
$71.82 |
$71.82 |
$71.82 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$574.14 |
$574.14 |
$574.14 |
$1,148.40
|
|
Abl1 gene
|
$378.00 |
$378.00 |
$378.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$4,921.56 |
$4,921.56 |
$4,921.56 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$5,385.24 |
$5,385.24 |
$5,385.24 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$7,118.16 |
$7,118.16 |
$7,118.16 |
$9,332.05
|
|
Ablate pulm tumor perq rf
|
$5,323.08 |
$5,323.08 |
$5,323.08 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,782.92 |
$2,782.92 |
$2,782.92 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$954.66 |
$954.66 |
$954.66 |
$2,312.80
|
|
Ablation of upper extremity nerves rf
|
$921.06 |
$921.06 |
$921.06 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$1,968.12 |
$1,968.12 |
$1,968.12 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$291.06 |
$291.06 |
$291.06 |
$2,314.00
|
|
Acetylcholine receptor modulating antibody
|
$32.76 |
$32.76 |
$32.76 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$15.54 |
$15.54 |
$15.54 |
$38.50
|
|
Acute hepatitis panel
|
$60.06 |
$60.06 |
$60.06 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$7.48 |
$7.48 |
$7.48 |
$54.77
|
|
#acylcarnitineprfl
|
$48.30 |
$48.30 |
$48.30 |
$121.55
|
|
Acylcarnitines qual
|
$21.00 |
$21.00 |
$21.00 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$3,113.46 |
$3,113.46 |
$3,113.46 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$25.62 |
$25.62 |
$25.62 |
$58.00
|
|
Adh-sendout
|
$42.84 |
$42.84 |
$42.84 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$56.70 |
$56.70 |
$56.70 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$96.18 |
$96.18 |
$96.18 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$264.60 |
$264.60 |
$264.60 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$209.16 |
$209.16 |
$209.16 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$86.10 |
$86.10 |
$86.10 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$221.76 |
$221.76 |
$221.76 |
$256.49
|
|
Administration immunization each additional vaccine
|
$18.06 |
$18.06 |
$18.06 |
$47.40
|
|
Administration vaccine hepatitis b
|
$55.02 |
$55.02 |
$55.02 |
$53.00
|
|
Administration vaccine influenza virus
|
$55.02 |
$55.02 |
$55.02 |
$51.07
|
|
Administration vaccine pneumococcal
|
$55.02 |
$55.02 |
$55.02 |
$49.68
|
|
_afb id by dna probe rflx ast
|
$30.66 |
$30.66 |
$30.66 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$26.46 |
$26.46 |
$26.46 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$145.74 |
$145.74 |
$145.74 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$24.36 |
$24.36 |
$24.36 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$23.52 |
$23.52 |
$23.52 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$26.46 |
$26.46 |
$26.46 |
$43.00
|
|
Alkaline phosphatase
|
$23.94 |
$23.94 |
$23.94 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$33.60 |
$33.60 |
$33.60 |
$48.57
|
|
Allergen egg white ige
|
$23.52 |
$23.52 |
$23.52 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$24.78 |
$24.78 |
$24.78 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$353.22 |
$353.22 |
$353.22 |
$9,900.02
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$81.48 |
$81.48 |
$81.48 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$21.42 |
$21.42 |
$21.42 |
$106.00
|
|
Als 1
|
$853.44 |
$853.44 |
$853.44 |
$853.44
|
|
Als1-emergency
|
$926.94 |
$926.94 |
$926.94 |
$1,103.37
|
|
Als 2
|
$1,259.16 |
$1,259.16 |
$1,259.16 |
$1,288.56
|
|
Alt/sgpt
|
$24.78 |
$24.78 |
$24.78 |
$47.50
|
|
Aluminum - quest
|
$32.34 |
$32.34 |
$32.34 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$78.54 |
$78.54 |
$78.54 |
$179.70
|
|
Aminolevulinic acid delta
|
$31.50 |
$31.50 |
$31.50 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$102.90 |
$102.90 |
$102.90 |
$87.45
|
|
Ammonia
|
$48.30 |
$48.30 |
$48.30 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$501.90 |
$501.90 |
$501.90 |
$942.60
|
|
Amniocentesis therapeutic
|
$656.88 |
$656.88 |
$656.88 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$34.86 |
$34.86 |
$34.86 |
$93.61
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$331.38 |
$331.38 |
$331.38 |
$262.99
|
|
Amylase
|
$143.22 |
$143.22 |
$143.22 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$74.76 |
$74.76 |
$74.76 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$83.16 |
$83.16 |
$83.16 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$92.82 |
$92.82 |
$92.82 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$23.10 |
$23.10 |
$23.10 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$522.48 |
$522.48 |
$522.48 |
$2,480.94
|
|
An fluoro guide for cvp
|
$204.12 |
$204.12 |
$204.12 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,708.18 |
$3,708.18 |
$3,708.18 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$12,266.10 |
$12,266.10 |
$12,266.10 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,613.42 |
$11,613.42 |
$11,613.42 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,876.60 |
$3,876.60 |
$3,876.60 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,208.57 |
$2,208.57 |
$2,208.57 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$13,199.34 |
$13,199.34 |
$13,199.34 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,304.60 |
$5,304.60 |
$5,304.60 |
$4,560.40
|
