|
11-desoxycortisol - sendout
|
$4.94 |
$4.94 |
$4.94 |
$84.56
|
|
17-hydroxypregnenolone
|
$3.85 |
$3.85 |
$3.85 |
$87.50
|
|
17-ketosteroids
|
$5.65 |
$5.65 |
$5.65 |
$46.20
|
|
1st hosp/birthing center care per day nml nb 99460
|
$42.56 |
$42.56 |
$42.56 |
$172.80
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$410.21 |
$410.21 |
$410.21 |
$1,656.80
|
|
2nd order venous cath
|
$671.27 |
$671.27 |
$671.27 |
$1,635.60
|
|
3-d radiotherapy plan
|
$172.33 |
$172.33 |
$172.33 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$256.12 |
$256.12 |
$256.12 |
$480.00
|
|
5% dextrose and 0.45% saline
|
$22.89 |
$22.89 |
$22.89 |
$48.00
|
|
5' nucleotidase - sendout
|
$1.88 |
$1.88 |
$1.88 |
$48.60
|
|
88334 ap bill cytologic exam each additional site
|
$4.51 |
$4.51 |
$4.51 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$36.10 |
$36.10 |
$36.10 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$37.43 |
$37.43 |
$37.43 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$41.61 |
$41.61 |
$41.61 |
$116.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$30.21 |
$30.21 |
$30.21 |
$113.52
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$33.06 |
$33.06 |
$33.06 |
$134.40
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$33.82 |
$33.82 |
$33.82 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$37.24 |
$37.24 |
$37.24 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$44.84 |
$44.84 |
$44.84 |
$164.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$2.03 |
$2.03 |
$2.03 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$2,050.48 |
$2,050.48 |
$2,050.48 |
$3,569.56
|
|
Abd exp/postop hem/throm/infec 35840
|
$765.51 |
$765.51 |
$765.51 |
$2,938.40
|
|
Abd/low ext cath 1st
|
$548.15 |
$548.15 |
$548.15 |
$2,121.00
|
|
Abd/low ext cath 2nd
|
$613.89 |
$613.89 |
$613.89 |
$2,167.80
|
|
Abd/low ext cath 3rd
|
$805.60 |
$805.60 |
$805.60 |
$2,639.65
|
|
Abd/low ext cath addl
|
$143.07 |
$143.07 |
$143.07 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,020.87 |
$1,020.87 |
$1,020.87 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$909.53 |
$909.53 |
$909.53 |
$1,670.88
|
|
Abdominal CT scan (without contrast)
|
$779.95 |
$779.95 |
$779.95 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$1,593.34 |
$1,593.34 |
$1,593.34 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,141.52 |
$1,141.52 |
$1,141.52 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$683.24 |
$683.24 |
$683.24 |
$1,655.40
|
|
Abdominal Ultrasound (complete)
|
$359.67 |
$359.67 |
$359.67 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$258.78 |
$258.78 |
$258.78 |
$603.33
|
|
Abdominoplasty 15830
|
$769.31 |
$769.31 |
$769.31 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$47.12 |
$47.12 |
$47.12 |
$1,145.00
|
|
Abl1 gene
|
$140.81 |
$140.81 |
$140.81 |
$668.85
|
|
Ablate arrhythmia add on
|
$4,621.37 |
$4,621.37 |
$4,621.37 |
$6,913.20
|
|
Ablate heart dysrhythm focus
|
$4,326.49 |
$4,326.49 |
$4,326.49 |
$9,523.80
|
|
Ablate inf turbinate submuc 30802
|
$135.09 |
$135.09 |
$135.09 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$102.22 |
$102.22 |
$102.22 |
$1,944.80
|
|
Ablation cardiac vagal inputs atrium
|
$136.42 |
$136.42 |
$136.42 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$482.79 |
$482.79 |
$482.79 |
$2,555.80
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$186.77 |
$186.77 |
$186.77 |
$348.00
|
|
Ablation cryo thigh/knee
|
$144.40 |
$144.40 |
$144.40 |
$927.00
|
|
Ablation of upper extremity nerves rf
|
$224.58 |
$224.58 |
$224.58 |
$832.50
|
|
Abrasion lesions add-on
|
$11.02 |
$11.02 |
$11.02 |
$100.00
|
|
Abrasion lesion single
|
$90.06 |
$90.06 |
$90.06 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$1,272.81 |
$1,272.81 |
$1,272.81 |
$2,957.17
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$17.67 |
$17.67 |
$17.67 |
$2,670.25
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$20.76 |
$20.76 |
$20.76 |
$80.14
|
|
Acetaminophen level
|
$38.00 |
$38.00 |
$38.00 |
$109.85
|
|
Acetone qualitative
|
$33.63 |
$33.63 |
$33.63 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$1.63 |
$1.63 |
$1.63 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$62.26 |
$62.26 |
$62.26 |
$232.95
|
|
Acne surgery 10040
|
$34.01 |
$34.01 |
$34.01 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$78.85 |
$78.85 |
$78.85 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$62.32 |
$62.32 |
$62.32 |
$190.20
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$22.80 |
$22.80 |
$22.80 |
$56.50
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$41.99 |
$41.99 |
$41.99 |
$171.00
|
|
Aco depression screen annual medicare g0444aco
|
$4.18 |
$4.18 |
$4.18 |
$38.28
|
|
Acromp/acromionectomy prtl
|
$416.86 |
$416.86 |
$416.86 |
$3,839.54
|
|
Acup 1/> wo estim 1st 15 min
|
$14.63 |
$14.63 |
$14.63 |
$45.75
|
|
Acute hepatitis panel
|
$175.75 |
$175.75 |
$175.75 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$12.75 |
$12.75 |
$12.75 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$58.25 |
$58.25 |
$58.25 |
$64.45
|
|
Adapter b 8 channel 10cm
|
$855.38 |
$855.38 |
$855.38 |
$6,390.40
|
|
Adenosine 3 mg/250 ml bag for osm
|
$14.08 |
$14.08 |
$14.08 |
$234.26
|
|
Adenovirus antibody,serum - quest
|
$15.01 |
$15.01 |
$15.01 |
$60.40
|
|
Adhesiolysis tube ovary 58740
|
$584.63 |
$584.63 |
$584.63 |
$1,620.60
|
|
Adh-sendout
|
$8.55 |
$8.55 |
$8.55 |
$109.28
|
|
Adj gastric band via subq port
|
$323.00 |
$323.00 |
$323.00 |
$1,666.86
|
|
Adjmt/revj ext fixj sys anes
|
$302.67 |
$302.67 |
$302.67 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$508.25 |
$508.25 |
$508.25 |
$3,091.20
|
|
Adjustment gastric band
|
$27.93 |
$27.93 |
$27.93 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$6.89 |
$6.89 |
$6.89 |
$186.07
|
|
Admin ecg contrast agent
|
$27.55 |
$27.55 |
$27.55 |
$162.60
|
|
Administration chemotherapy IV infusion each additional hour
|
$60.04 |
$60.04 |
$60.04 |
$233.11
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$234.84 |
$234.84 |
$234.84 |
$659.36
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$161.31 |
$161.31 |
$161.31 |
$444.49
|
|
Administration immunization 1 vaccine
|
$36.67 |
$36.67 |
$36.67 |
$66.51
|
|
Administration immunization each additional vaccine
|
$36.67 |
$36.67 |
$36.67 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$19.19 |
$19.19 |
$19.19 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$19.19 |
$19.19 |
$19.19 |
$31.20
|
|
Adrenal cortex & medulla img
|
$1,375.03 |
$1,375.03 |
$1,375.03 |
$1,818.05
|
|
Advance care planning each additional 30 min 99498
|
$33.06 |
$33.06 |
$33.06 |
$110.56
|
|
_afb id by dna probe rflx ast
|
$108.11 |
$108.11 |
$108.11 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$19.48 |
$19.48 |
$19.48 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$168.34 |
$168.34 |
$168.34 |
$817.60
|
|
After cataract laser surgery
|
$208.62 |
$208.62 |
$208.62 |
$1,373.11
|
|
Air injection into abdomen 49400
|
$197.03 |
$197.03 |
$197.03 |
$526.80
|
|
Airway resistance by impulse oscillometry 94728
|
$5.70 |
$5.70 |
$5.70 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$29.83 |
$29.83 |
$29.83 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$211.02 |
$211.02 |
$211.02 |
$227.64
|
|
Albumin (human), 5%, 250 ml
|
$57.30 |
$57.30 |
$57.30 |
$237.90
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$23.37 |
$23.37 |
$23.37 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$35.91 |
$35.91 |
$35.91 |
$41.34
|
|
Alkaline phosphatase
|
$33.82 |
$33.82 |
$33.82 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$7.65 |
$7.65 |
$7.65 |
$46.80
|
