|
11-desoxycortisol - sendout
|
$14.39 |
$14.39 |
$14.39 |
$87.50
|
|
17-hydroxypregnenolone
|
$15.45 |
$15.45 |
$15.45 |
$87.50
|
|
17-ketosteroids
|
$15.06 |
$15.06 |
$15.06 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$2,294.33 |
$2,294.33 |
$2,294.33 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$1,457.97 |
$1,457.97 |
$1,457.97 |
$1,108.76
|
|
2nd order venous cath
|
$2,131.59 |
$2,131.59 |
$2,131.59 |
$1,720.80
|
|
3-d radiotherapy plan
|
$7,255.84 |
$7,255.84 |
$7,255.84 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,377.63 |
$1,377.63 |
$1,377.63 |
$425.10
|
|
5' nucleotidase - sendout
|
$6.37 |
$6.37 |
$6.37 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$14.13 |
$14.13 |
$14.13 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$134.93 |
$134.93 |
$134.93 |
$151.20
|
|
99382 initial comp preventive med 1 to 4 years new
|
$134.93 |
$134.93 |
$134.93 |
$147.49
|
|
99383 initial comp preventive med 5 to 11 years new
|
$134.93 |
$134.93 |
$134.93 |
$162.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$161.71 |
$161.71 |
$161.71 |
$135.00
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$161.71 |
$161.71 |
$161.71 |
$135.00
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$161.71 |
$161.71 |
$161.71 |
$129.00
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$161.71 |
$161.71 |
$161.71 |
$147.92
|
|
99397 periodic comp preventive med 65+ years est
|
$217.85 |
$217.85 |
$217.85 |
$176.03
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,525.18 |
$3,525.18 |
$3,525.18 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$6.18 |
$6.18 |
$6.18 |
$52.25
|
|
Abciximab injection
|
$3,249.65 |
$3,249.65 |
$3,249.65 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,216.95 |
$1,216.95 |
$1,216.95 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$3,087.43 |
$3,087.43 |
$3,087.43 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,577.45 |
$1,577.45 |
$1,577.45 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,509.98 |
$1,509.98 |
$1,509.98 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$3,307.85 |
$3,307.85 |
$3,307.85 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,980.31 |
$2,980.31 |
$2,980.31 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,936.92 |
$1,936.92 |
$1,936.92 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$8,870.88 |
$8,870.88 |
$8,870.88 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$4,722.55 |
$4,722.55 |
$4,722.55 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$6,637.32 |
$6,637.32 |
$6,637.32 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,461.06 |
$1,461.06 |
$1,461.06 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$2,227.89 |
$2,227.89 |
$2,227.89 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,713.92 |
$1,713.92 |
$1,713.92 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,533.67 |
$1,533.67 |
$1,533.67 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$9,325.11 |
$9,325.11 |
$9,325.11 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$9,559.95 |
$9,559.95 |
$9,559.95 |
$8,096.90
|
|
Ablate heart dysrhythm focus
|
$6,472.01 |
$6,472.01 |
$6,472.01 |
$9,836.16
|
|
Ablate pulm tumor perq crybl
|
$8,878.60 |
$8,878.60 |
$8,878.60 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$7,468.02 |
$7,468.02 |
$7,468.02 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$251.32 |
$251.32 |
$251.32 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$1,448.70 |
$1,448.70 |
$1,448.70 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$8,836.37 |
$8,836.37 |
$8,836.37 |
$8,581.80
|
|
Ablation cryo thigh/knee
|
$366.68 |
$366.68 |
$366.68 |
$531.95
|
|
Abscess drain retroperitoneal surg code
|
$2,476.64 |
$2,476.64 |
$2,476.64 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,461.70 |
$2,461.70 |
$2,461.70 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$90.64 |
$90.64 |
$90.64 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$100.43 |
$100.43 |
$100.43 |
$137.80
|
|
Acetone qualitative
|
$78.80 |
$78.80 |
$78.80 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$11.85 |
$11.85 |
$11.85 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$702.98 |
$702.98 |
$702.98 |
$306.22
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$213.73 |
$213.73 |
$213.73 |
$206.14
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$213.73 |
$213.73 |
$213.73 |
$160.50
|
|
Aco depression screen annual medicare g0444aco
|
$48.93 |
$48.93 |
$48.93 |
$32.97
|
|
Acute hepatitis panel
|
$574.74 |
$574.74 |
$574.74 |
$284.70
|
|
Acute venous thrombus image
|
$1,113.43 |
$1,113.43 |
$1,113.43 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$108.67 |
$108.67 |
$108.67 |
$64.45
|
|
#acylcarnitineprfl
|
$48.41 |
$48.41 |
$48.41 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$787.44 |
$787.44 |
$787.44 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$6.70 |
$6.70 |
$6.70 |
$60.00
|
|
Adh-sendout
|
$23.18 |
$23.18 |
$23.18 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$562.90 |
$562.90 |
$562.90 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$207.03 |
$207.03 |
$207.03 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$449.60 |
$449.60 |
$449.60 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,007.34 |
$1,007.34 |
$1,007.34 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,142.27 |
$1,142.27 |
$1,142.27 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$341.96 |
$341.96 |
$341.96 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$341.96 |
$341.96 |
$341.96 |
$267.43
|
|
Administration immunization 1 vaccine
|
$134.93 |
$134.93 |
$134.93 |
$70.00
|
|
Administration immunization each additional vaccine
|
$134.93 |
$134.93 |
$134.93 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$27.30 |
$27.30 |
$27.30 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$27.30 |
$27.30 |
$27.30 |
$33.60
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$5,909.11 |
$5,909.11 |
$5,909.11 |
$14,346.62
|
|
Adrenal cortex & medulla img
|
$1,957.00 |
$1,957.00 |
$1,957.00 |
$1,818.05
|
|
Advance care planning each additional 30 min 99498
|
$58.20 |
$58.20 |
$58.20 |
$128.10
|
|
Aep hearing status deter i&r
|
$277.59 |
$277.59 |
$277.59 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$1,019.70 |
$1,019.70 |
$1,019.70 |
$509.00
|
|
_afb id by dna probe rflx ast
|
$26.78 |
$26.78 |
$26.78 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$15.45 |
$15.45 |
$15.45 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$82.15 |
$82.15 |
$82.15 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$6,999.88 |
$6,999.88 |
$6,999.88 |
$14,467.53
|
|
Air conduction bilat
|
$82.92 |
$82.92 |
$82.92 |
$116.22
|
|
Air injection into abdomen 49400
|
$279.65 |
$279.65 |
$279.65 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$37.08 |
$37.08 |
$37.08 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$432.60 |
$432.60 |
$432.60 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$446.51 |
$446.51 |
$446.51 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$178.71 |
$178.71 |
$178.71 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$21.63 |
$21.63 |
$21.63 |
$43.45
|
|
Aldesleukin injection
|
$6,861.86 |
$6,861.86 |
$6,861.86 |
$6,538.20
|
|
Alkaline phosphatase
|
$37.60 |
$37.60 |
$37.60 |
$46.50
|
|
Allergen egg white ige
|
$26.78 |
$26.78 |
$26.78 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$3.79 |
$3.79 |
$3.79 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$9,186.57 |
$9,186.57 |
$9,186.57 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$10,903.58 |
$10,903.58 |
$10,903.58 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$9,186.57 |
$9,186.57 |
$9,186.57 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$665.38 |
$665.38 |
$665.38 |
$5,381.40
|