|
11-desoxycortisol - sendout
|
$175.50 |
$181.00 |
$540.74 |
|
|
17-hydroxypregnenolone
|
$232.20 |
$268.09 |
$269.40 |
|
|
17-ketosteroids
|
$109.20 |
$177.60 |
$210.60 |
|
|
24 hr ambulatory b/p monitor
|
$451.63 |
$451.63 |
$451.63 |
|
|
2d tee w or without fol w/con,in
|
$1,816.50 |
$1,816.50 |
$3,318.45 |
|
|
2d tte w or without fol w/con,co
|
$2,850.34 |
$2,850.34 |
$2,850.34 |
|
|
2nd order venous cath
|
$1,211.00 |
$1,809.60 |
$3,684.92 |
|
|
3d ech img cgen car anomal
|
$669.00 |
$669.00 |
$1,640.37 |
|
|
3-d radiotherapy plan
|
$3,834.88 |
$6,682.20 |
$15,732.58 |
|
|
3d recon without postprocess indpndt
|
$412.80 |
$466.00 |
$1,640.37 |
|
|
5' nucleotidase - sendout
|
$75.50 |
$144.60 |
$232.80 |
|
|
88334 ap bill cytologic exam each additional site
|
$79.80 |
$111.60 |
$224.55 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$35.52 |
$35.52 |
$35.52 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,551.25 |
$3,551.25 |
$15,359.37 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$31.80 |
$68.50 |
$498.82 |
|
|
Abciximab injection
|
$621.51 |
$2,432.72 |
$2,432.72 |
|
|
Abd aorta w/runoff s&i
|
$2,476.20 |
$2,476.20 |
$10,183.63 |
|
|
Abd/low ext cath 1st
|
$1,623.00 |
$3,641.40 |
$3,991.20 |
|
|
Abd/low ext cath 2nd
|
$1,015.50 |
$4,039.80 |
$4,428.00 |
|
|
Abd/low ext cath 3rd
|
$1,015.50 |
$4,552.80 |
$5,380.80 |
|
|
Abd/low ext cath addl
|
$1,015.50 |
$3,919.20 |
$4,783.20 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$403.62 |
$1,425.60 |
$2,724.60 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$432.00 |
$998.40 |
$1,642.10 |
|
|
Abdominal CT scan (with and without contrast)
|
$542.00 |
$911.50 |
$3,899.80 |
|
|
Abdominal CT scan (with contrast)
|
$510.75 |
$785.00 |
$2,895.12 |
|
|
Abdominal CT scan (without contrast)
|
$476.88 |
$649.50 |
$2,842.00 |
|
|
Abdominal MRI (with and without contrast)
|
$582.60 |
$1,038.50 |
$4,089.60 |
|
|
Abdominal MRI (with contrast)
|
$582.60 |
$898.00 |
$3,679.81 |
|
|
Abdominal MRI (without contrast)
|
$582.60 |
$842.00 |
$3,679.81 |
|
|
Abdominal paracentesis w/image guidance
|
$911.00 |
$2,205.60 |
$5,115.60 |
|
|
Abdominal Ultrasound (complete)
|
$226.25 |
$520.20 |
$942.66 |
|
|
Abdominal Ultrasound (limited)
|
$329.40 |
$445.00 |
$942.66 |
|
|
Abdominal X-ray (2 views)
|
$216.12 |
$281.40 |
$799.33 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$273.38 |
$340.20 |
$1,377.16 |
|
|
Abdominal X-ray (single view)
|
$165.88 |
$251.40 |
$753.87 |
|
|
Abd paracentesis/w/o image guide 49082
|
$1,212.60 |
$1,568.40 |
$2,056.80 |
|
|
Abl1 gene
|
$721.20 |
$721.20 |
$1,627.97 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
|
|
Ablate arrhythmia add on
|
$7,395.60 |
$7,717.80 |
$51,255.50 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$4,136.40 |
$8,512.80 |
$36,660.97 |
|
|
Ablate bone tumor(s) perq
|
$4,246.20 |
$4,246.20 |
$36,660.97 |
|
|
Ablate heart dysrhythm focus
|
$7,717.80 |
$7,717.80 |
$25,344.64 |
|
|
Ablate pulm tumor perq crybl
|
$7,276.50 |
$10,084.20 |
$14,502.00 |
|
|
Ablate pulm tumor perq rf
|
$10,224.60 |
$11,995.20 |
$11,995.20 |
|
|
Ablation cardiac vagal inputs atrium
|
$3,747.50 |
$6,590.40 |
$72,986.84 |
|
|
Ablation cryo abd perit om
|
$4,465.28 |
$5,949.60 |
$6,178.80 |
|
|
Ablation cryo adrenal tumor
|
$29,615.60 |
$29,615.60 |
$29,615.60 |
|
|
Ablation cryo pq liver tumor(s)
|
$5,721.50 |
$5,829.50 |
$46,710.20 |
|
|
Ablation cryo retro lymph node
|
$1,914.60 |
$5,375.79 |
$7,641.00 |
|
|
Ablation of upper extremity nerves rf
|
$407.00 |
$2,100.00 |
$12,522.16 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
|
|
Abobotulinumtoxina
|
$91.43 |
$3,044.50 |
$3,044.50 |
|
|
Abrasion lesion single
|
$297.00 |
$350.40 |
$374.40 |
|
|
Abscess drain retroperitoneal surg code
|
$2,813.40 |
$3,753.00 |
$5,139.77 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
|
|
Access thoracic lymph duct
|
$709.20 |
$709.20 |
$709.20 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.82 |
$51.09 |
$454.64 |
|
|
Acetaminophen level
|
$35.40 |
$36.00 |
$254.03 |
|
|
Acetazolamide 500 mg solution for injection
|
$55.49 |
$60.38 |
$525.44 |
|
|
Acetone qualitative
|
$43.80 |
$127.80 |
$141.60 |
|
|
Acetylcholine receptor modulating antibody
|
$36.12 |
$98.50 |
$982.40 |
|
|
Acetylcholinesterase assay
|
$127.20 |
$175.20 |
$246.60 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$183.44 |
$183.44 |
$412.92 |
|
|
Acetylcysteine non-comp unit
|
$21.66 |
$29.01 |
$29.01 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$40.08 |
$40.08 |
$40.08 |
|
|
Aco ccm; at least 20 min 99490aco
|
$60.00 |
$60.60 |
$60.60 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$214.75 |
$513.00 |
$529.00 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$18.90 |
$34.50 |
$56.40 |
|
|
Acoustic immitance testing
|
$85.80 |
$133.00 |
$224.40 |
|
|
Acoustic refl threshold tst
|
$56.40 |
$150.60 |
$160.20 |
|
|
Actigraphy testing
|
$295.80 |
$295.80 |
$837.53 |
|
|
Acup 1/> wo estim 1st 15 min
|
$142.20 |
$142.20 |
$142.20 |
|
|
Acute hepatitis panel
|
$136.38 |
$406.80 |
$1,041.60 |
|
|
Acute venous thrombus image
|
$5,067.86 |
$5,067.86 |
$5,067.86 |
|
|
Acyclovir 400 mg tablet
|
$1,842.37 |
$1,842.37 |
$1,842.37 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$48.72 |
$64.45 |
$101.88 |
|
|
#acylcarnitineprfl
|
$49.62 |
$243.00 |
$664.30 |
|
|
Acylcarnitines qual
|
$39.60 |
$55.20 |
$249.00 |
|
|
Adalimumab injection
|
$9,382.48 |
$9,382.48 |
$9,382.48 |
|
|
Adapter b 8 channel 10cm
|
$1,999.00 |
$1,999.20 |
$8,391.05 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$39.82 |
$199.72 |
$2,481.86 |
|
|
Adenovirus ag ia
|
$42.00 |
$140.40 |
$175.20 |
|
|
Adenovirus antibody,serum - quest
|
$81.60 |
$140.40 |
$163.16 |
|
|
Adh-sendout
|
$160.80 |
$283.20 |
$1,240.02 |
|
|
Adj gastric band via subq port
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
|
|
Adjustment gastric band
|
$784.20 |
$784.20 |
$784.20 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$410.47 |
$437.94 |
$639.08 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$192.60 |
$318.00 |
$881.48 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$151.80 |
$380.00 |
$881.48 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$582.60 |
$962.00 |
$2,906.91 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$264.60 |
$544.00 |
$1,931.93 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$143.62 |
$253.50 |
$1,917.28 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$156.50 |
$304.00 |
$1,274.18 |
|
|
Administration immunization each additional component
|
$246.45 |
$246.45 |
$246.45 |
|
|
Administration immunization each additional vaccine
|
$31.25 |
$81.60 |
$198.77 |
|
|
Administration immunization first component each vaccine
|
$247.76 |
$247.76 |
$247.76 |
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$45.00 |
$48.00 |
$48.00 |
|
|
Administration vaccine hepatitis b
|
$30.50 |
$53.50 |
$287.73 |
|
|
Administration vaccine influenza virus
|
$42.88 |
$80.50 |
$138.05 |
|
|
Administration vaccine pneumococcal
|
$34.50 |
$46.50 |
$138.05 |
|
