|
Acetylcholine receptor modulating antibody
|
$35.00 |
$157.80 |
$458.50 |
|
|
Acetylcholinesterase assay
|
$39.93 |
$227.15 |
$562.10 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2.22 |
$19.63 |
$580.65 |
|
|
Acetylcysteine non-comp unit
|
$10.48 |
$10.48 |
$40.29 |
|
|
Acid perfusion of esophagus
|
$304.00 |
$304.00 |
$304.00 |
|
|
Acne surgery 10040
|
$125.40 |
$194.40 |
$269.60 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$284.40 |
$284.40 |
$304.00 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$190.20 |
$190.20 |
$239.20 |
|
|
Aco ccm; at least 20 min 99490aco
|
$80.40 |
$80.40 |
$215.40 |
|
|
Aco ccm; ea addl 20 min 99439aco
|
$51.60 |
$51.60 |
$87.20 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$87.00 |
$87.00 |
$132.80 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$171.00 |
$171.00 |
$247.20 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$155.10 |
$425.00 |
$735.20 |
|
|
Aco depression screen annual medicare g0444aco
|
$23.40 |
$23.40 |
$58.80 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$18.60 |
$38.50 |
$145.20 |
|
|
Acoustic immitance testing
|
$74.40 |
$305.90 |
$419.20 |
|
|
Acoustic refl threshold tst
|
$36.00 |
$92.50 |
$310.80 |
|
|
Acromp/acromionectomy prtl
|
$3,012.80 |
$3,012.80 |
$3,012.80 |
|
|
Acth stimulation panel
|
$218.40 |
$218.40 |
$218.40 |
|
|
Acth stimulation panel
|
$173.60 |
$173.60 |
$173.60 |
|
|
Actigraphy testing
|
$110.00 |
$421.92 |
$1,062.60 |
|
|
Actinotherapy uv light
|
$181.47 |
$181.47 |
$181.47 |
|
|
Acup 1/> w/estim 1st 15 min
|
$37.95 |
$37.95 |
$97.60 |
|
|
Acup 1/> w/estim ea addl 15
|
$29.70 |
$29.70 |
$74.40 |
|
|
Acup 1/> without estim ea add 15
|
$62.40 |
$62.40 |
$62.40 |
|
|
Acup 1/> wo estim 1st 15 min
|
$84.00 |
$84.00 |
$84.00 |
|
|
Acute hepatitis panel
|
$66.25 |
$338.10 |
$1,137.60 |
|
|
Acute venous thrombus image
|
$702.40 |
$1,251.60 |
$4,550.00 |
|
|
Acyclovir 400 mg tablet
|
$0.93 |
$203.17 |
$1,340.85 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.46 |
$10.56 |
$424.90 |
|
|
#acylcarnitineprfl
|
$46.25 |
$233.80 |
$521.40 |
|
|
Acylcarnitines qual
|
$25.00 |
$25.00 |
$64.28 |
|
|
Adapter b 8 channel 10cm
|
$123.78 |
$760.80 |
$30,690.10 |
|
|
Adding walker to prev cast
|
$144.54 |
$144.54 |
$216.00 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$3.60 |
$40.73 |
$1,555.05 |
|
|
Adenovirus ag ia
|
$10.50 |
$78.40 |
$350.40 |
|
|
Adenovirus antibody,serum - quest
|
$36.72 |
$77.50 |
$235.90 |
|
|
Adenovirus assay w/optic
|
$44.00 |
$44.00 |
$44.00 |
|
|
Adhesiolysis tube ovary 58740
|
$1,701.60 |
$1,701.60 |
$123,766.17 |
|
|
Adh-sendout
|
$29.75 |
$172.90 |
$436.00 |
|
|
Adj gastric band via subq port
|
$598.80 |
$22,791.30 |
$24,445.89 |
|
|
Adjmt/revj ext fixj sys anes
|
$1,096.80 |
$1,096.80 |
$1,113.00 |
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$1,152.60 |
$1,816.80 |
$3,957.84 |
|
|
Adjustment gastric band
|
$56.00 |
$498.40 |
$514.25 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$3.20 |
$197.05 |
$5,977.74 |
|
|
Admin ecg contrast agent
|
$72.80 |
$252.60 |
$1,974.60 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$49.70 |
$268.00 |
$591.60 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$62.50 |
$290.88 |
$1,150.20 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$232.40 |
$692.64 |
$1,336.80 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$154.20 |
$437.60 |
$716.40 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$62.50 |
$220.00 |
$538.40 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$62.50 |
$213.84 |
$688.10 |
|
|
Administration immunization each additional component
|
$19.60 |
$25.90 |
$46.90 |
|
|
Administration immunization each additional vaccine
|
$11.25 |
$39.60 |
$110.88 |
|
|
Administration immunization first component each vaccine
|
$16.25 |
$40.20 |
$59.50 |
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$28.70 |
$39.00 |
$63.00 |
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$20.40 |
$27.20 |
$57.00 |
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$33.00 |
$75.60 |
$75.60 |
|
|
Administration vaccine hepatitis b
|
$33.00 |
$54.60 |
$110.88 |
|
|
Administration vaccine influenza virus
|
$33.00 |
$57.00 |
$127.20 |
|
|
Administration vaccine pneumococcal
|
$28.70 |
$62.30 |
$132.00 |
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$28.20 |
$65.80 |
$65.80 |
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$60.91 |
$5,141.38 |
$40,373.72 |
|
|
Adrenal cortex & medulla img
|
$1,010.40 |
$3,778.60 |
$3,778.60 |
|
|
Adrenalectomy expl w/exc retro tumor 60545
|
$2,321.40 |
$2,321.40 |
$6,081.60 |
|
|
Adrenalin epinephrine inject
|
$8.50 |
$11.02 |
$1,908.20 |
|
|
Advance care planning each additional 30 min 99498
|
$134.40 |
$148.80 |
$148.80 |
|
|
Aep hearing status deter i&r
|
$192.39 |
$306.60 |
$672.48 |
|
|
Aep neurodiagnostic i&r
|
$365.31 |
$487.20 |
$1,257.60 |
|
|
Aep thrshld est mlt freq i&r
|
$365.31 |
$672.48 |
$1,257.60 |
|
|
_afb id by dna probe rflx ast
|
$17.50 |
$110.40 |
$342.72 |
|
|
#afb mycobacteria suscep. #1
|
$22.40 |
$61.60 |
$268.10 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$93.75 |
$349.20 |
$1,014.48 |
|
|
Aflibercept injection
|
$1,065.60 |
$28,307.80 |
$28,307.80 |
|
|
Afluria vacc, 3 yrs & >, im
|
$18.40 |
$18.40 |
$18.40 |
|
|
Afo molded ankle gauntlet
|
$169.20 |
$169.20 |
$225.60 |
|
|
Afo molded plas rig ant tib
|
$2,265.84 |
$2,265.84 |
$2,265.84 |
|
|
Afo molded to patient plasti
|
$530.00 |
$530.00 |
$1,220.80 |
|
|
Afo rig ant tib tcf/= custom
|
$1,400.40 |
$3,423.00 |
$4,564.00 |
|
|
Afo sing upright with adjust s
|
$16.80 |
$16.80 |
$16.80 |
|
|
Afo tib fx semi-rigid l2114
|
$16.20 |
$16.20 |
$16.20 |
|
|
Afo tibial fracture rigid
|
$6.60 |
$6.60 |
$1,698.40 |
|
|
Afo tibial fracture soft
|
$7.80 |
$7.80 |
$1,052.00 |
|
|
Afo w/ankle joint, prefab
|
$19.44 |
$19.44 |
$109.44 |
|
|
After cataract laser surgery
|
$519.84 |
$1,305.00 |
$1,640.00 |
|
|
Agalsidase beta 35 mg intravenous solution
|
$3,508.71 |
$3,508.71 |
$49,556.67 |
|
|
Ag detect nos ia single
|
$74.90 |
$74.90 |
$74.90 |
|
|
Air conduction bilat
|
$40.26 |
$71.20 |
$278.64 |
|
|
Air injection into abdomen 49400
|
$100.00 |
$360.80 |
$14,639.83 |
|
|
Airway resistance by impulse oscillometry 94728
|
$88.00 |
$287.28 |
$739.20 |
|
|
Albumin body fluid quantitative each specimen
|
$14.85 |
$70.70 |
$260.80 |
|
|
Albumin (human), 25%, 50ml
|
$8.71 |
$284.70 |
$1,380.22 |
|
|
Albumin, human 25 % intravenous solution
|
$13.86 |
$13.86 |
$13.86 |
|
|
Albumin (human), 5%, 250 ml
|
$3.77 |
$157.28 |
$1,310.05 |
|
|
Albumin, human 5 % intravenous solution
|
$7.73 |
$22.24 |
$186.90 |
|
|
Albumin ischemia modified
|
$40.32 |
$40.32 |
$85.60 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$16.50 |
$70.00 |
$187.55 |
|
|
Albumin serum plasma or whole blood
|
$14.52 |
$72.00 |
$1,321.92 |
|
|
Albuterol comp con
|
$12.80 |
$12.80 |
$12.80 |
|
|
Albuterol comp unit
|
$0.80 |
$0.80 |
$0.80 |
|
