|
11-desoxycortisol - sendout
|
$7.81 |
$7.81 |
$7.81 |
$84.56
|
|
17-hydroxypregnenolone
|
$6.08 |
$6.08 |
$6.08 |
$85.15
|
|
17-ketosteroids
|
$8.92 |
$8.92 |
$8.92 |
$46.20
|
|
1st hosp/birthing center care per day nml nb 99460
|
$98.40 |
$98.40 |
$98.40 |
$172.80
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$647.70 |
$647.70 |
$647.70 |
$1,656.80
|
|
1st/sbsq psyc collab care
|
$43.80 |
$43.80 |
$43.80 |
$111.20
|
|
2nd order venous cath
|
$170.40 |
$170.40 |
$170.40 |
$1,635.60
|
|
2vhpv vaccine 3 dose im
|
$217.20 |
$217.20 |
$217.20 |
$148.80
|
|
3-d radiotherapy plan
|
$272.10 |
$272.10 |
$272.10 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$456.00 |
$456.00 |
$456.00 |
$480.00
|
|
5% dextrose and 0.45% saline
|
$13.20 |
$13.20 |
$13.20 |
$48.00
|
|
99381 initial comp preventive med less than 1 year new
|
$61.20 |
$61.20 |
$61.20 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$68.70 |
$68.70 |
$68.70 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$68.70 |
$68.70 |
$68.70 |
$116.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$51.60 |
$51.60 |
$51.60 |
$113.52
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$60.00 |
$60.00 |
$60.00 |
$133.92
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$60.00 |
$60.00 |
$60.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$68.70 |
$68.70 |
$68.70 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$86.40 |
$86.40 |
$86.40 |
$164.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$3.20 |
$3.20 |
$3.20 |
$53.68
|
|
Abd aorta w/runoff s&i
|
$107.10 |
$107.10 |
$107.10 |
$3,569.56
|
|
Abd exp/postop hem/throm/infec 35840
|
$1,208.70 |
$1,208.70 |
$1,208.70 |
$2,938.40
|
|
Abd/low ext cath 1st
|
$229.80 |
$229.80 |
$229.80 |
$2,121.00
|
|
Abd/low ext cath 2nd
|
$242.10 |
$242.10 |
$242.10 |
$2,158.00
|
|
Abd/low ext cath 3rd
|
$289.20 |
$289.20 |
$289.20 |
$2,639.65
|
|
Abd/low ext cath addl
|
$47.70 |
$47.70 |
$47.70 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,451.70 |
$1,451.70 |
$1,451.70 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,094.70 |
$1,094.70 |
$1,094.70 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,919.30 |
$2,919.30 |
$2,919.30 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$1,613.10 |
$1,613.10 |
$1,613.10 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,264.50 |
$1,264.50 |
$1,264.50 |
$2,047.72
|
|
Abdominal paracentesis w/image guidance
|
$1,020.30 |
$1,020.30 |
$1,020.30 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$358.80 |
$358.80 |
$358.80 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$359.40 |
$359.40 |
$359.40 |
$600.00
|
|
Abdominoplasty 15830
|
$1,214.70 |
$1,214.70 |
$1,214.70 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$223.20 |
$223.20 |
$223.20 |
$1,145.00
|
|
Abl1 gene
|
$222.34 |
$222.34 |
$222.34 |
$668.85
|
|
Ablate inf turbinate submuc 30802
|
$213.30 |
$213.30 |
$213.30 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$236.40 |
$236.40 |
$236.40 |
$1,944.80
|
|
Ablation cryo abd perit om
|
$762.30 |
$762.30 |
$762.30 |
$2,535.72
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$294.90 |
$294.90 |
$294.90 |
$348.00
|
|
Ablation cryo thigh/knee
|
$228.00 |
$228.00 |
$228.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$354.60 |
$354.60 |
$354.60 |
$832.50
|
|
Abrasion lesions add-on
|
$17.40 |
$17.40 |
$17.40 |
$100.00
|
|
Abrasion lesion single
|
$142.20 |
$142.20 |
$142.20 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$927.90 |
$927.90 |
$927.90 |
$2,903.45
|
|
Absorpt drg >16 <=48 without bdr
|
$3.30 |
$3.30 |
$3.30 |
$5.70
|
|
Absorpt drg > 48 sq in without b
|
$6.60 |
$6.60 |
$6.60 |
$7.76
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$27.90 |
$27.90 |
$27.90 |
$2,670.25
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$30.92 |
$30.92 |
$30.92 |
$80.14
|
|
Acetaminophen 120 mg rectal suppository
|
$16.20 |
$16.20 |
$16.20 |
$107.02
|
|
Acetaminophen level
|
$54.30 |
$54.30 |
$54.30 |
$116.80
|
|
Acetone qualitative
|
$39.90 |
$39.90 |
$39.90 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$2.58 |
$2.58 |
$2.58 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$146.31 |
$146.31 |
$146.31 |
$244.95
|
|
Acne surgery 10040
|
$124.80 |
$124.80 |
$124.80 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$124.50 |
$124.50 |
$124.50 |
$246.40
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$98.40 |
$98.40 |
$98.40 |
$190.20
|
|
Aco ccm; at least 20 min 99490aco
|
$46.80 |
$46.80 |
$46.80 |
$102.38
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$55.20 |
$55.20 |
$55.20 |
$56.50
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$102.90 |
$102.90 |
$102.90 |
$171.00
|
|
Aco depression screen annual medicare g0444aco
|
$13.50 |
$13.50 |
$13.50 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.10 |
$17.10 |
$17.10 |
$40.20
|
|
Acoustic refl threshold tst
|
$23.40 |
$23.40 |
$23.40 |
$92.50
|
|
Acromp/acromionectomy prtl
|
$658.20 |
$658.20 |
$658.20 |
$3,839.54
|
|
Acup 1/> w/estim 1st 15 min
|
$40.20 |
$40.20 |
$40.20 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$22.20 |
$22.20 |
$22.20 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$19.80 |
$19.80 |
$19.80 |
$52.79
|
|
Acup 1/> wo estim 1st 15 min
|
$34.80 |
$34.80 |
$34.80 |
$45.75
|
|
Acute hepatitis panel
|
$272.10 |
$272.10 |
$272.10 |
$281.09
|
|
Acyclovir 400 mg tablet
|
$56.40 |
$56.40 |
$56.40 |
$51.36
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$38.68 |
$38.68 |
$38.68 |
$64.45
|
|
#acylcarnitineprfl
|
$15.05 |
$15.05 |
$15.05 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$15.75 |
$15.75 |
$15.75 |
$271.98
|
|
Adhesiolysis tube ovary 58740
|
$923.10 |
$923.10 |
$923.10 |
$1,620.60
|
|
Adh-sendout
|
$13.50 |
$13.50 |
$13.50 |
$109.28
|
|
Adj gastric band via subq port
|
$510.00 |
$510.00 |
$510.00 |
$1,666.86
|
|
Adjmt/revj ext fixj sys anes
|
$477.90 |
$477.90 |
$477.90 |
$7,913.97
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$802.50 |
$802.50 |
$802.50 |
$2,995.08
|
|
Adjustment gastric band
|
$44.10 |
$44.10 |
$44.10 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$11.82 |
$11.82 |
$11.82 |
$171.07
|
|
Admin ecg contrast agent
|
$43.50 |
$43.50 |
$43.50 |
$162.60
|
|
Administration chemotherapy IV infusion each additional hour
|
$98.70 |
$98.70 |
$98.70 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$47.40 |
$47.40 |
$47.40 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$437.70 |
$437.70 |
$437.70 |
$646.80
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$266.40 |
$266.40 |
$266.40 |
$439.55
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$27.90 |
$27.90 |
$27.90 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$53.40 |
$53.40 |
$53.40 |
$264.70
|
|
Administration immunization 1 vaccine
|
$40.50 |
$40.50 |
$40.50 |
$66.51
|
|
Administration immunization each additional vaccine
|
$20.10 |
$20.10 |
$20.10 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$32.10 |
$32.10 |
$32.10 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$12.60 |
$12.60 |
$12.60 |
$31.20
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$28.20 |
$28.20 |
$28.20 |
$41.00
|
|
Administration vaccine hepatitis b
|
$18.60 |
$18.60 |
$18.60 |
$54.60
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$24.60 |
$24.60 |
$24.60 |
$39.10
|
|
Adrenal cortex & medulla img
|
$41.40 |
$41.40 |
$41.40 |
$1,818.05
|
|
Advance care planning each additional 30 min 99498
|
$52.50 |
$52.50 |
$52.50 |
$110.56
|
|
_afb org id by sequencing rflx ast-sendout
|
$35.22 |
$35.22 |
$35.22 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$654.00 |
$654.00 |
$654.00 |
$817.60
|
