|
11-desoxycortisol - sendout
|
$4.42 |
$4.42 |
$4.42 |
$84.56
|
|
17-hydroxypregnenolone
|
$3.45 |
$3.45 |
$3.45 |
$87.50
|
|
17-ketosteroids
|
$5.05 |
$5.05 |
$5.05 |
$49.54
|
|
1st hosp/birthing center care per day nml nb 99460
|
$38.08 |
$38.08 |
$38.08 |
$152.50
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$367.03 |
$367.03 |
$367.03 |
$1,656.80
|
|
1st/sbsq psyc collab care
|
$24.82 |
$24.82 |
$24.82 |
$107.95
|
|
2nd order venous cath
|
$559.30 |
$559.30 |
$559.30 |
$1,548.00
|
|
2vhpv vaccine 3 dose im
|
$97.58 |
$97.58 |
$97.58 |
$148.80
|
|
3-d radiotherapy plan
|
$1,478.15 |
$1,478.15 |
$1,478.15 |
$4,937.00
|
|
3d recon without postprocess indpndt
|
$178.33 |
$178.33 |
$178.33 |
$469.20
|
|
5% dextrose and 0.45% saline
|
$46.91 |
$46.91 |
$46.91 |
$48.00
|
|
5' nucleotidase - sendout
|
$1.68 |
$1.68 |
$1.68 |
$47.72
|
|
88334 ap bill cytologic exam each additional site
|
$7.14 |
$7.14 |
$7.14 |
$94.50
|
|
99381 initial comp preventive med less than 1 year new
|
$34.00 |
$34.00 |
$34.00 |
$134.93
|
|
99382 initial comp preventive med 1 to 4 years new
|
$38.93 |
$38.93 |
$38.93 |
$131.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$38.93 |
$38.93 |
$38.93 |
$113.40
|
|
99391 periodic comp preventive med less than 1 year est
|
$29.24 |
$29.24 |
$29.24 |
$113.40
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$34.00 |
$34.00 |
$34.00 |
$130.20
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$34.00 |
$34.00 |
$34.00 |
$115.22
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$38.93 |
$38.93 |
$38.93 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$48.96 |
$48.96 |
$48.96 |
$160.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$3,390.19
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$1.81 |
$1.81 |
$1.81 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,062.50 |
$1,062.50 |
$1,062.50 |
$3,522.35
|
|
Abd exp/postop hem/throm/infec 35840
|
$684.93 |
$684.93 |
$684.93 |
$2,659.14
|
|
Abd/low ext cath 1st
|
$1,259.87 |
$1,259.87 |
$1,259.87 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,007.42 |
$1,007.42 |
$1,007.42 |
$2,038.85
|
|
Abd/low ext cath 3rd
|
$1,007.42 |
$1,007.42 |
$1,007.42 |
$2,570.00
|
|
Abd/low ext cath addl
|
$604.01 |
$604.01 |
$604.01 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$987.87 |
$987.87 |
$987.87 |
$1,951.30
|
|
Abdominal CT scan (with contrast)
|
$918.34 |
$918.34 |
$918.34 |
$1,642.50
|
|
Abdominal CT scan (without contrast)
|
$724.20 |
$724.20 |
$724.20 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,329.91 |
$1,329.91 |
$1,329.91 |
$2,992.50
|
|
Abdominal MRI (with contrast)
|
$833.00 |
$833.00 |
$833.00 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$599.76 |
$599.76 |
$599.76 |
$1,979.51
|
|
Abdominal paracentesis w/image guidance
|
$414.63 |
$414.63 |
$414.63 |
$1,631.70
|
|
Abdominal Ultrasound (complete)
|
$423.13 |
$423.13 |
$423.13 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$357.34 |
$357.34 |
$357.34 |
$591.60
|
|
Abdominoplasty 15830
|
$688.33 |
$688.33 |
$688.33 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$605.54 |
$605.54 |
$605.54 |
$1,145.00
|
|
Abl1 gene
|
$125.99 |
$125.99 |
$125.99 |
$668.85
|
|
Ablate bone tumor(s) perq
|
$11,501.01 |
$11,501.01 |
$11,501.01 |
$9,350.33
|
|
Ablate inf turbinate submuc 30802
|
$564.74 |
$564.74 |
$564.74 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$564.74 |
$564.74 |
$564.74 |
$1,944.80
|
|
Ablation cardiac vagal inputs atrium
|
$99.62 |
$99.62 |
$99.62 |
$2,030.15
|
|
Ablation cryo abd perit om
|
$431.97 |
$431.97 |
$431.97 |
$2,335.30
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$167.11 |
$167.11 |
$167.11 |
$438.36
|
|
Ablation cryo thigh/knee
|
$129.20 |
$129.20 |
$129.20 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$556.07 |
$556.07 |
$556.07 |
$808.50
|
|
Abrasion lesions add-on
|
$39.78 |
$39.78 |
$39.78 |
$100.00
|
|
Abrasion lesion single
|
$80.58 |
$80.58 |
$80.58 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$525.81 |
$525.81 |
$525.81 |
$2,903.45
|
|
Absorpt drg >16 <=48 without bdr
|
$1.87 |
$1.87 |
$1.87 |
$5.70
|
|
Absorpt drg > 48 sq in without b
|
$3.74 |
$3.74 |
$3.74 |
$7.76
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$801.72 |
$801.72 |
$801.72 |
$2,341.52
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$26.23 |
$26.23 |
$26.23 |
$81.07
|
|
Acetaminophen 120 mg rectal suppository
|
$9.18 |
$9.18 |
$9.18 |
$57.20
|
|
Acetaminophen level
|
$19.21 |
$19.21 |
$19.21 |
$111.00
|
|
Acetazolamide 500 mg solution for injection
|
$97.94 |
$97.94 |
$97.94 |
$113.40
|
|
Acetone qualitative
|
$59.50 |
$59.50 |
$59.50 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$1.46 |
$1.46 |
$1.46 |
$62.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$218.79 |
$218.79 |
$218.79 |
$232.95
|
|
Acne surgery 10040
|
$70.72 |
$70.72 |
$70.72 |
$256.55
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$70.55 |
$70.55 |
$70.55 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$55.76 |
$55.76 |
$55.76 |
$171.03
|
|
Aco ccm; at least 20 min 99490aco
|
$26.52 |
$26.52 |
$26.52 |
$102.38
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$31.28 |
$31.28 |
$31.28 |
$62.21
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$58.31 |
$58.31 |
$58.31 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$111.35 |
$111.35 |
$111.35 |
$344.10
|
|
Aco depression screen annual medicare g0444aco
|
$7.65 |
$7.65 |
$7.65 |
$37.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$21.59 |
$21.59 |
$21.59 |
$39.20
|
|
Acoustic immitance testing
|
$64.77 |
$64.77 |
$64.77 |
$158.50
|
|
Acoustic refl threshold tst
|
$13.26 |
$13.26 |
$13.26 |
$91.20
|
|
Acromp/acromionectomy prtl
|
$372.98 |
$372.98 |
$372.98 |
$3,839.54
|
|
Acup 1/> w/estim 1st 15 min
|
$22.78 |
$22.78 |
$22.78 |
$49.40
|
|
Acup 1/> w/estim ea addl 15
|
$12.58 |
$12.58 |
$12.58 |
$69.78
|
|
Acup 1/> without estim ea add 15
|
$11.22 |
$11.22 |
$11.22 |
$52.79
|
|
Acup 1/> wo estim 1st 15 min
|
$19.72 |
$19.72 |
$19.72 |
$45.75
|
|
Acute hepatitis panel
|
$190.57 |
$190.57 |
$190.57 |
$284.70
|
|
Acute venous thrombus image
|
$332.69 |
$332.69 |
$332.69 |
$1,113.43
|
|
Acyclovir 400 mg tablet
|
$184.28 |
$184.28 |
$184.28 |
$39.40
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$32.78 |
$32.78 |
$32.78 |
$63.05
|
|
Adapter b 8 channel 10cm
|
$691.56 |
$691.56 |
$691.56 |
$6,142.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$17.29 |
$17.29 |
$17.29 |
$210.75
|
|
Adenovirus antibody,serum - quest
|
$13.43 |
$13.43 |
$13.43 |
$63.00
|
|
Adhesiolysis tube ovary 58740
|
$523.09 |
$523.09 |
$523.09 |
$1,620.60
|
|
Adh-sendout
|
$51.85 |
$51.85 |
$51.85 |
$109.16
|
|
Adj gastric band via subq port
|
$480.25 |
$480.25 |
$480.25 |
$1,609.80
|
|
Adjmt/revj ext fixj sys anes
|
$270.81 |
$270.81 |
$270.81 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$454.75 |
$454.75 |
$454.75 |
$2,995.08
|
|
Adjustment gastric band
|
$24.99 |
$24.99 |
$24.99 |
$106.50
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$12.40 |
$12.40 |
$12.40 |
$181.12
|
|
Admin ecg contrast agent
|
$24.65 |
$24.65 |
$24.65 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$124.95 |
$124.95 |
$124.95 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$153.00 |
$153.00 |
$153.00 |
$298.11
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$334.22 |
$334.22 |
$334.22 |
$639.20
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$221.34 |
$221.34 |
$221.34 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$123.08 |
$123.08 |
$123.08 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$153.85 |
$153.85 |
$153.85 |
$259.20
|
|
Administration immunization 1 vaccine
|
$9.01 |
$9.01 |
$9.01 |
$66.51
|
