|
11-desoxycortisol - sendout
|
$7.03 |
$7.03 |
$7.03 |
$84.56
|
|
17-hydroxypregnenolone
|
$5.48 |
$5.48 |
$5.48 |
$87.00
|
|
17-ketosteroids
|
$8.03 |
$8.03 |
$8.03 |
$46.20
|
|
1st hosp/birthing center care per day nml nb 99460
|
$60.48 |
$60.48 |
$60.48 |
$172.80
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$582.93 |
$582.93 |
$582.93 |
$1,656.80
|
|
1st/sbsq psyc collab care
|
$39.42 |
$39.42 |
$39.42 |
$111.20
|
|
2nd order venous cath
|
$153.36 |
$153.36 |
$153.36 |
$1,638.60
|
|
2vhpv vaccine 3 dose im
|
$154.98 |
$154.98 |
$154.98 |
$148.80
|
|
3-d radiotherapy plan
|
$244.89 |
$244.89 |
$244.89 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$378.54 |
$378.54 |
$378.54 |
$480.20
|
|
5% dextrose and 0.45% saline
|
$43.47 |
$43.47 |
$43.47 |
$48.00
|
|
5' nucleotidase - sendout
|
$2.68 |
$2.68 |
$2.68 |
$47.72
|
|
88334 ap bill cytologic exam each additional site
|
$7.83 |
$7.83 |
$7.83 |
$98.15
|
|
99381 initial comp preventive med less than 1 year new
|
$54.00 |
$54.00 |
$54.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$61.83 |
$61.83 |
$61.83 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$61.83 |
$61.83 |
$61.83 |
$116.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$46.44 |
$46.44 |
$46.44 |
$113.40
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$54.00 |
$54.00 |
$54.00 |
$133.92
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$54.00 |
$54.00 |
$54.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$61.83 |
$61.83 |
$61.83 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$77.76 |
$77.76 |
$77.76 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,611.44 |
$2,611.44 |
$2,611.44 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$2.88 |
$2.88 |
$2.88 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$96.39 |
$96.39 |
$96.39 |
$3,569.56
|
|
Abd exp/postop hem/throm/infec 35840
|
$1,087.83 |
$1,087.83 |
$1,087.83 |
$2,938.40
|
|
Abd/low ext cath 1st
|
$206.82 |
$206.82 |
$206.82 |
$2,121.00
|
|
Abd/low ext cath 2nd
|
$217.89 |
$217.89 |
$217.89 |
$2,167.80
|
|
Abd/low ext cath 3rd
|
$260.28 |
$260.28 |
$260.28 |
$2,646.00
|
|
Abd/low ext cath addl
|
$42.93 |
$42.93 |
$42.93 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,709.10 |
$1,709.10 |
$1,709.10 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$1,301.67 |
$1,301.67 |
$1,301.67 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$531.36 |
$531.36 |
$531.36 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$459.00 |
$459.00 |
$459.00 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$332.10 |
$332.10 |
$332.10 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$892.08 |
$892.08 |
$892.08 |
$1,655.40
|
|
Abdominal Ultrasound (complete)
|
$509.76 |
$509.76 |
$509.76 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$361.26 |
$361.26 |
$361.26 |
$603.33
|
|
Abdominoplasty 15830
|
$1,093.23 |
$1,093.23 |
$1,093.23 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$200.88 |
$200.88 |
$200.88 |
$1,145.00
|
|
Abl1 gene
|
$200.11 |
$200.11 |
$200.11 |
$668.85
|
|
Ablate inf turbinate submuc 30802
|
$191.97 |
$191.97 |
$191.97 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$212.76 |
$212.76 |
$212.76 |
$1,944.80
|
|
Ablation cryo abd perit om
|
$686.07 |
$686.07 |
$686.07 |
$2,566.58
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$265.41 |
$265.41 |
$265.41 |
$348.00
|
|
Ablation cryo thigh/knee
|
$205.20 |
$205.20 |
$205.20 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$319.14 |
$319.14 |
$319.14 |
$832.50
|
|
Abrasion lesions add-on
|
$15.66 |
$15.66 |
$15.66 |
$100.00
|
|
Abrasion lesion single
|
$127.98 |
$127.98 |
$127.98 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$835.11 |
$835.11 |
$835.11 |
$2,957.17
|
|
Absorpt drg >16 <=48 without bdr
|
$2.97 |
$2.97 |
$2.97 |
$5.70
|
|
Absorpt drg > 48 sq in without b
|
$5.94 |
$5.94 |
$5.94 |
$7.76
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$25.11 |
$25.11 |
$25.11 |
$2,670.25
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.09 |
$32.09 |
$32.09 |
$80.14
|
|
Acetaminophen 120 mg rectal suppository
|
$14.58 |
$14.58 |
$14.58 |
$107.02
|
|
Acetaminophen level
|
$28.35 |
$28.35 |
$28.35 |
$111.00
|
|
Acetone qualitative
|
$25.38 |
$25.38 |
$25.38 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$2.32 |
$2.32 |
$2.32 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$104.49 |
$104.49 |
$104.49 |
$243.01
|
|
Acid perfusion of esophagus
|
$248.94 |
$248.94 |
$248.94 |
$579.88
|
|
Acne surgery 10040
|
$112.32 |
$112.32 |
$112.32 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$112.05 |
$112.05 |
$112.05 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$88.56 |
$88.56 |
$88.56 |
$190.20
|
|
Aco ccm; at least 20 min 99490aco
|
$42.12 |
$42.12 |
$42.12 |
$102.38
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$49.68 |
$49.68 |
$49.68 |
$56.50
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$92.61 |
$92.61 |
$92.61 |
$171.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$153.90 |
$153.90 |
$153.90 |
$370.55
|
|
Aco depression screen annual medicare g0444aco
|
$12.15 |
$12.15 |
$12.15 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$12.15 |
$12.15 |
$12.15 |
$41.67
|
|
Acoustic refl threshold tst
|
$21.06 |
$21.06 |
$21.06 |
$92.50
|
|
Acromp/acromionectomy prtl
|
$592.38 |
$592.38 |
$592.38 |
$3,839.54
|
|
Acup 1/> w/estim 1st 15 min
|
$36.18 |
$36.18 |
$36.18 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$19.98 |
$19.98 |
$19.98 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$17.82 |
$17.82 |
$17.82 |
$53.40
|
|
Acup 1/> wo estim 1st 15 min
|
$31.32 |
$31.32 |
$31.32 |
$45.75
|
|
Acute hepatitis panel
|
$207.09 |
$207.09 |
$207.09 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$229.95 |
$229.95 |
$229.95 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$70.47 |
$70.47 |
$70.47 |
$64.45
|
|
Adding walker to prev cast
|
$111.24 |
$111.24 |
$111.24 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$25.70 |
$25.70 |
$25.70 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$21.33 |
$21.33 |
$21.33 |
$60.40
|
|
Adhesiolysis tube ovary 58740
|
$830.79 |
$830.79 |
$830.79 |
$1,620.60
|
|
Adh-sendout
|
$12.15 |
$12.15 |
$12.15 |
$109.28
|
|
Adj gastric band via subq port
|
$459.00 |
$459.00 |
$459.00 |
$1,666.86
|
|
Adjmt/revj ext fixj sys anes
|
$430.11 |
$430.11 |
$430.11 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$722.25 |
$722.25 |
$722.25 |
$3,091.20
|
|
Adjustment gastric band
|
$39.69 |
$39.69 |
$39.69 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$23.66 |
$23.66 |
$23.66 |
$181.12
|
|
Admin ecg contrast agent
|
$39.15 |
$39.15 |
$39.15 |
$162.60
|
|
Administration chemotherapy IV infusion each additional hour
|
$18.90 |
$18.90 |
$18.90 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$42.66 |
$42.66 |
$42.66 |
$300.95
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$86.94 |
$86.94 |
$86.94 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$67.23 |
$67.23 |
$67.23 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$64.80 |
$64.80 |
$64.80 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$48.06 |
$48.06 |
$48.06 |
$264.00
|
|
Administration immunization 1 vaccine
|
$26.73 |
$26.73 |
$26.73 |
$66.51
|
|
Administration immunization each additional vaccine
|
$46.44 |
$46.44 |
$46.44 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$11.61 |
$11.61 |
$11.61 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$8.10 |
$8.10 |
$8.10 |
$31.20
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$15.93 |
$15.93 |
$15.93 |
$41.00
|