|
11-desoxycortisol - sendout
|
$84.56 |
$84.56 |
$84.56 |
$84.56
|
|
17-hydroxypregnenolone
|
$64.40 |
$64.40 |
$64.40 |
$85.15
|
|
17-ketosteroids
|
$156.24 |
$156.24 |
$156.24 |
$49.45
|
|
1pc ost pch drain hgh output
|
$8.40 |
$8.40 |
$8.40 |
$9.75
|
|
1 pc ost pouch w filter
|
$6.72 |
$6.72 |
$6.72 |
$6.72
|
|
1 pc ost pou w built-in conv
|
$14.00 |
$14.00 |
$14.00 |
$14.00
|
|
1st hosp/birthing center care per day nml nb 99460
|
$442.40 |
$442.40 |
$442.40 |
$172.80
|
|
1st/sbsq psyc collab care
|
$111.44 |
$111.44 |
$111.44 |
$111.20
|
|
2019-ncov diagnostic p
|
$92.96 |
$92.96 |
$92.96 |
$49.57
|
|
24 hr ambulatory b/p monitor
|
$728.00 |
$728.00 |
$728.00 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$3,046.40 |
$3,046.40 |
$3,046.40 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$1,131.69
|
|
2nd order venous cath
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$1,809.60
|
|
2vhpv vaccine 3 dose im
|
$76.72 |
$76.72 |
$76.72 |
$148.80
|
|
3d anat seg imaging preop
|
$192.08 |
$192.08 |
$192.08 |
$176.93
|
|
3d ech img cgen car anomal
|
$55.44 |
$55.44 |
$55.44 |
$460.00
|
|
3-d radiotherapy plan
|
$7,767.20 |
$7,767.20 |
$7,767.20 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$469.20
|
|
4-bar link above knee w/swng
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,864.80
|
|
5' nucleotidase - sendout
|
$30.24 |
$30.24 |
$30.24 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$102.48 |
$102.48 |
$102.48 |
$96.00
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,710.96 |
$2,710.96 |
$2,710.96 |
$3,484.68
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$33.60 |
$33.60 |
$33.60 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$2,383.31
|
|
Abd/low ext cath 2nd
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$2,261.83
|
|
Abd/low ext cath 3rd
|
$4,743.20 |
$4,743.20 |
$4,743.20 |
$2,662.40
|
|
Abd/low ext cath addl
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$2,833.60 |
$2,833.60 |
$2,833.60 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$2,206.40 |
$2,206.40 |
$2,206.40 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,969.60 |
$5,969.60 |
$5,969.60 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$3,449.60 |
$3,449.60 |
$3,449.60 |
$1,993.50
|
|
Abdominal pad
|
$109.20 |
$109.20 |
$109.20 |
$151.32
|
|
Abdominal paracentesis w/image guidance
|
$2,559.20 |
$2,559.20 |
$2,559.20 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$991.20 |
$991.20 |
$991.20 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$828.80 |
$828.80 |
$828.80 |
$604.43
|
|
Abdominoplasty 15830
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$2,665.60 |
$2,665.60 |
$2,665.60 |
$1,176.00
|
|
Abduct control hip semi-flex
|
$196.00 |
$196.00 |
$196.00 |
$358.29
|
|
Abduction bar jointed adjust
|
$380.80 |
$380.80 |
$380.80 |
$426.96
|
|
Abduction bar-straight
|
$173.60 |
$173.60 |
$173.60 |
$173.60
|
|
Abduction rotation bar shoe
|
$100.80 |
$100.80 |
$100.80 |
$150.99
|
|
Abduct rotation bar without shoe
|
$92.40 |
$92.40 |
$92.40 |
$138.07
|
|
Abl1 gene
|
$683.20 |
$683.20 |
$683.20 |
$668.85
|
|
Ablat 1/+thyr ndul addl prq rf
|
$397.60 |
$397.60 |
$397.60 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$4,799.20 |
$4,799.20 |
$4,799.20 |
$6,913.20
|
|
Ablate atria lmtd endo 33265
|
$2,738.40 |
$2,738.40 |
$2,738.40 |
$3,312.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$20,014.40 |
$20,014.40 |
$20,014.40 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$11,401.60 |
$11,401.60 |
$11,401.60 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$13,484.80 |
$13,484.80 |
$13,484.80 |
$9,556.83
|
|
Ablate inf turbinate submuc 30802
|
$4,888.80 |
$4,888.80 |
$4,888.80 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,955.10
|
|
Ablate pulm tumor perq crybl
|
$13,176.80 |
$13,176.80 |
$13,176.80 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$16,402.40 |
$16,402.40 |
$16,402.40 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$554.40 |
$554.40 |
$554.40 |
$2,030.15
|
|
Ablation cryo abd perit om
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$29,764.00 |
$29,764.00 |
$29,764.00 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$593.60 |
$593.60 |
$593.60 |
$438.36
|
|
Ablation cryo pq liver tumor(s)
|
$20,748.00 |
$20,748.00 |
$20,748.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$826.80
|
|
Ablation cryo thigh/knee
|
$12,986.40 |
$12,986.40 |
$12,986.40 |
$3,058.90
|
|
Ablation of upper extremity nerves rf
|
$4,838.40 |
$4,838.40 |
$4,838.40 |
$961.20
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,884.00 |
$2,884.00 |
$2,884.00 |
$2,964.48
|
|
Abltj mal prst8 tiss hifu
|
$12,818.40 |
$12,818.40 |
$12,818.40 |
$5,339.00
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$397.60 |
$397.60 |
$397.60 |
$2,802.80
|
|
Ablt trurl prst8 tis trnsdcr
|
$23,139.20 |
$23,139.20 |
$23,139.20 |
$15,374.71
|
|
Abobotulinumtoxina
|
$1,541.21 |
$1,541.21 |
$1,541.21 |
$1,541.21
|
|
Abortion (mpr)
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$576.80
|
|
Above elbow prosth tiss shap
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$3,855.60
|
|
Above knee cushion socket
|
$742.00 |
$742.00 |
$742.00 |
$742.00
|
|
Above knee flex cover system
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$1,268.40
|
|
Above knee hydracadence
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$2,755.20
|
|
Above knee leather socket
|
$697.20 |
$697.20 |
$697.20 |
$697.20
|
|
Above knee manual lock
|
$492.80 |
$492.80 |
$492.80 |
$492.80
|
|
Above knee wood socket
|
$666.40 |
$666.40 |
$666.40 |
$666.40
|
|
Abrasion lesions add-on
|
$392.00 |
$392.00 |
$392.00 |
$123.70
|
|
Abrasion lesion single
|
$380.80 |
$380.80 |
$380.80 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$3,053.18
|
|
Absorpt drg >16 <=48 without bdr
|
$74.26 |
$74.26 |
$74.26 |
$5.70
|
|
Absorpt drg <=16 sq in w/bdr
|
$1.68 |
$1.68 |
$1.68 |
$2.35
|
|
Absorpt drg <=16 sq in without b
|
$19.40 |
$19.40 |
$19.40 |
$5.00
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$828.80 |
$828.80 |
$828.80 |
$2,670.25
|
|
Access thoracic lymph duct
|
$828.80 |
$828.80 |
$828.80 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$87.30 |
$87.30 |
$87.30 |
$80.14
|
|
Acetaminophen level
|
$63.84 |
$63.84 |
$63.84 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$657.27 |
$657.27 |
$657.27 |
$122.55
|
|
Acetone qualitative
|
$81.76 |
$81.76 |
$81.76 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$22.96 |
$22.96 |
$22.96 |
$61.80
|
|
Acetylcholinesterase assay
|
$33.60 |
$33.60 |
$33.60 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$62.03 |
$62.03 |
$62.03 |
$280.22
|
|
Acid perfusion of esophagus
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
$587.30
|
|
Acne surgery 10040
|
$341.60 |
$341.60 |
$341.60 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$420.00 |
$420.00 |
$420.00 |
$284.40
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$206.08 |
$206.08 |
$206.08 |
$191.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$77.28 |
$77.28 |
$77.28 |
$62.21
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$208.88 |
$208.88 |
$208.88 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$420.00 |
$420.00 |
$420.00 |
$381.70
|
|
Aco depression screen annual medicare g0444aco
|
$151.20 |
$151.20 |
$151.20 |
$40.00
|
