|
11-desoxycortisol - sendout
|
$48.24 |
$154.70 |
$291.20 |
|
|
17-hydroxypregnenolone
|
$18.75 |
$151.80 |
$259.70 |
|
|
17-ketosteroids
|
$35.00 |
$67.20 |
$268.00 |
|
|
1 pc ost pou w built-in conv
|
$2.00 |
$2.00 |
$2.00 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$103.80 |
$129.60 |
$194.40 |
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$1,147.20 |
$1,696.80 |
$1,854.60 |
|
|
1st psyc collab care mgmt
|
$272.00 |
$272.00 |
$272.00 |
|
|
1st/sbsq psyc collab care
|
$111.20 |
$111.20 |
$111.20 |
|
|
2019-ncov diagnostic p
|
$49.50 |
$49.50 |
$49.50 |
|
|
24 hr ambulatory b/p monitor
|
$81.60 |
$285.00 |
$509.04 |
|
|
2d tee w or without fol w/con,in
|
$1,848.70 |
$1,848.70 |
$3,693.60 |
|
|
2d tte w or without fol w/con,co
|
$1,692.44 |
$1,997.10 |
$1,997.10 |
|
|
2nd order venous cath
|
$200.00 |
$1,720.80 |
$167,269.38 |
|
|
2vhpv vaccine 3 dose im
|
$148.80 |
$148.80 |
$148.80 |
|
|
3d ech img cgen car anomal
|
$75.00 |
$810.00 |
$1,127.40 |
|
|
3-d radiotherapy plan
|
$1,900.00 |
$6,105.60 |
$37,820.30 |
|
|
3d recon without postprocess indpndt
|
$200.00 |
$865.20 |
$4,113.60 |
|
|
5% dextrose and 0.45% saline
|
$48.00 |
$48.00 |
$48.00 |
|
|
5' nucleotidase - sendout
|
$33.99 |
$102.50 |
$217.60 |
|
|
88334 ap bill cytologic exam each additional site
|
$63.36 |
$142.50 |
$93,595.14 |
|
|
99381 initial comp preventive med less than 1 year new
|
$151.20 |
$160.80 |
$196.80 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$135.00 |
$164.40 |
$205.60 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$162.00 |
$214.40 |
$333.60 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$104.40 |
$113.40 |
$177.60 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$130.20 |
$132.00 |
$189.60 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$129.00 |
$186.00 |
$213.60 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$113.40 |
$145.80 |
$207.20 |
|
|
99397 periodic comp preventive med 65+ years est
|
$114.60 |
$183.70 |
$258.60 |
|
|
Aa graft w/bp/aortic root replace 33863
|
$4,468.80 |
$6,141.00 |
$48,681.57 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3.60 |
$992.50 |
$9,469.77 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$17.49 |
$55.00 |
$176.40 |
|
|
Abciximab injection
|
$2,400.32 |
$2,400.32 |
$2,400.32 |
|
|
Abd aorta w/runoff s&i
|
$188.40 |
$4,086.49 |
$14,321.30 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$2,227.20 |
$2,938.40 |
$112,576.62 |
|
|
Abd/low ext cath 1st
|
$375.00 |
$2,375.40 |
$55,568.65 |
|
|
Abd/low ext cath 2nd
|
$375.00 |
$2,055.35 |
$39,488.13 |
|
|
Abd/low ext cath 3rd
|
$375.00 |
$2,830.00 |
$82,518.44 |
|
|
Abd/low ext cath addl
|
$200.00 |
$810.00 |
$80,841.45 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$400.00 |
$1,023.40 |
$2,637.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$267.12 |
$827.20 |
$2,389.68 |
|
|
Abdominal CT scan (with and without contrast)
|
$750.00 |
$2,681.40 |
$4,007.52 |
|
|
Abdominal CT scan (with contrast)
|
$700.00 |
$2,355.00 |
$3,577.20 |
|
|
Abdominal CT scan (without contrast)
|
$625.00 |
$2,062.80 |
$3,577.20 |
|
|
Abdominal MRI (with and without contrast)
|
$1,350.00 |
$3,885.12 |
$5,299.92 |
|
|
Abdominal MRI (with contrast)
|
$1,050.00 |
$3,303.00 |
$4,771.20 |
|
|
Abdominal MRI (without contrast)
|
$911.46 |
$2,876.40 |
$4,771.20 |
|
|
Abdominal paracentesis w/image guidance
|
$575.00 |
$1,586.40 |
$7,104.37 |
|
|
Abdominal Ultrasound (complete)
|
$475.00 |
$1,012.80 |
$1,772.40 |
|
|
Abdominal Ultrasound (limited)
|
$375.00 |
$819.00 |
$1,684.80 |
|
|
Abdominal X-ray (2 views)
|
$100.00 |
$383.20 |
$543.60 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$127.50 |
$558.60 |
$1,027.44 |
|
|
Abdominal X-ray (single view)
|
$112.50 |
$314.40 |
$483.12 |
|
|
Abdominoplasty 15830
|
$2,235.60 |
$2,235.60 |
$2,899.20 |
|
|
Abd paracentesis/w/o image guide 49082
|
$525.00 |
$1,035.00 |
$3,994.56 |
|
|
Abl1 gene
|
$200.00 |
$846.30 |
$1,712.80 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$711.20 |
$1,775.00 |
$17,963.07 |
|
|
Ablate arrhythmia add on
|
$3,010.00 |
$10,738.20 |
$17,618.30 |
|
|
Ablate atria lmtd endo 33265
|
$2,634.60 |
$2,634.60 |
$3,312.80 |
|
|
Ablate atria w/bypass exten 33256
|
$2,772.60 |
$3,813.00 |
$4,732.00 |
|
|
Ablate atria without bypass ext
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
|
|
Ablate atria x10sv add-on 33258
|
$927.00 |
$1,275.60 |
$1,585.60 |
|
|
Ablate atria x10sv endo 33266
|
$3,594.00 |
$3,594.00 |
$3,594.00 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$834.00 |
$7,050.00 |
$27,785.60 |
|
|
Ablate bone tumor(s) perq
|
$3,505.00 |
$7,220.00 |
$27,792.00 |
|
|
Ablate heart dysrhythm focus
|
$2,837.50 |
$8,035.00 |
$15,705.36 |
|
|
Ablate heart dysrhythm focus
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
|
|
Ablate heart dysrhythm focus
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
|
|
Ablate heart dysrhythm focus
|
$2,312.40 |
$2,312.40 |
$2,312.40 |
|
|
Ablate inf turbinate submuc 30802
|
$565.20 |
$15,439.45 |
$36,564.78 |
|
|
Ablate inf turbinate superf 30801
|
$442.80 |
$1,599.84 |
$46,758.99 |
|
|
Ablate pulm tumor perq crybl
|
$3,365.00 |
$8,307.60 |
$32,384.19 |
|
|
Ablate pulm tumor perq rf
|
$4,677.40 |
$4,677.40 |
$38,904.44 |
|
|
Ablation cardiac vagal inputs atrium
|
$304.80 |
$2,038.80 |
$37,655.10 |
|
|
Ablation cryo abd perit om
|
$855.00 |
$4,476.45 |
$18,480.43 |
|
|
Ablation cryo adrenal tumor
|
$1,427.40 |
$12,087.60 |
$43,563.97 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,291.80 |
$1,351.20 |
$1,939.20 |
|
|
Ablation cryo pq liver tumor(s)
|
$1,016.40 |
$5,037.20 |
$41,426.45 |
|
|
Ablation cryo retro lymph node
|
$373.80 |
$23,921.80 |
$50,212.18 |
|
|
Ablation cryo thigh/knee
|
$460.20 |
$1,566.60 |
$6,510.00 |
|
|
Ablation of upper extremity nerves rf
|
$200.00 |
$790.90 |
$65,803.74 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,546.90 |
$3,550.00 |
$17,963.07 |
|
|
Abltj mal prst8 tiss hifu
|
$2,536.00 |
$9,583.80 |
$42,347.72 |
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$15,558.40 |
$15,558.40 |
$15,558.40 |
|
|
Ablt trurl prst8 tis trnsdcr
|
$16,097.60 |
$16,097.60 |
$20,791.60 |
|
|
Abobotulinumtoxina
|
$9.60 |
$602.06 |
$8,201.55 |
|
|
Abortion
|
$935.20 |
$935.20 |
$935.20 |
|
|
Abortion (mpr)
|
$576.80 |
$606.90 |
$606.90 |
|
|
Abrasion lesions add-on
|
$48.00 |
$48.00 |
$100.00 |
|
|
Abrasion lesion single
|
$594.40 |
$594.40 |
$594.40 |
|
|
Abscess drain retroperitoneal surg code
|
$600.00 |
$2,634.50 |
$11,465.42 |
|
|
Absorpt drg >16 <=48 without bdr
|
$1.02 |
$1.02 |
$9.60 |
|
|
Absorpt drg <=16 sq in without b
|
$5.60 |
$8.40 |
$8.40 |
|
|
Absorpt drg > 48 sq in without b
|
$22.41 |
$22.41 |
$22.41 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$177.60 |
$590.00 |
$135,564.05 |
|
|
Access thoracic lymph duct
|
$346.50 |
$346.50 |
$102,046.91 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.71 |
$3.35 |
$200.90 |
|
|
Acetaminophen 120 mg rectal suppository
|
$0.32 |
$7.20 |
$445.81 |
|
|
Acetaminophen level
|
$40.00 |
$260.40 |
$487.20 |
|
|
Acetazolamide 500 mg solution for injection
|
$76.71 |
$126.63 |
$657.65 |
|
|
Acetone qualitative
|
$12.54 |
$67.20 |
$1,662.48 |
|
