|
11-desoxycortisol - sendout
|
$39.06 |
$68.80 |
$143.40 |
|
|
17-hydroxypregnenolone
|
$50.40 |
$55.00 |
$128.05 |
|
|
17-ketosteroids
|
$55.00 |
$55.00 |
$270.90 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$172.80 |
$172.80 |
$230.00 |
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$1,656.80 |
$1,656.80 |
$2,315.00 |
|
|
1st psyc collab care mgmt
|
$53.28 |
$272.00 |
$272.00 |
|
|
1st/sbsq psyc collab care
|
$111.20 |
$111.20 |
$111.20 |
|
|
24 hr ambulatory b/p monitor
|
$81.60 |
$81.60 |
$433.39 |
|
|
2d tee w or without fol w/con,in
|
$1,131.00 |
$1,720.64 |
$2,410.56 |
|
|
2d tte w or without fol w/con,co
|
$1,667.90 |
$1,692.44 |
$2,015.00 |
|
|
2nd order venous cath
|
$1,613.22 |
$4,286.40 |
$4,286.40 |
|
|
2vhpv vaccine 3 dose im
|
$148.80 |
$148.80 |
$148.80 |
|
|
3d ech img cgen car anomal
|
$66.78 |
$209.11 |
$8,046.75 |
|
|
3-d radiotherapy plan
|
$1,287.20 |
$5,593.14 |
$7,805.70 |
|
|
3d recon without postprocess indpndt
|
$238.14 |
$379.39 |
$891.20 |
|
|
5% dextrose and 0.45% saline
|
$40.00 |
$48.00 |
$48.00 |
|
|
5' nucleotidase - sendout
|
$37.80 |
$64.28 |
$626.60 |
|
|
88334 ap bill cytologic exam each additional site
|
$65.65 |
$119.20 |
$83,244.26 |
|
|
99381 initial comp preventive med less than 1 year new
|
$132.00 |
$196.80 |
$262.00 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$143.40 |
$205.60 |
$613.00 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$141.60 |
$214.40 |
$286.00 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$99.00 |
$177.60 |
$236.00 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$114.00 |
$189.60 |
$294.36 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$112.80 |
$188.80 |
$251.00 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$127.20 |
$207.20 |
$470.00 |
|
|
99397 periodic comp preventive med 65+ years est
|
$184.20 |
$243.20 |
$323.00 |
|
|
Aa graft w/bp/aortic root replace 33863
|
$5,848.80 |
$7,697.60 |
$10,149.00 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$52.00 |
$3,067.45 |
$7,377.95 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$8.40 |
$48.57 |
$195.60 |
|
|
Abciximab injection
|
$2,400.32 |
$2,400.32 |
$2,400.32 |
|
|
Abd aorta w/runoff s&i
|
$188.40 |
$3,458.54 |
$6,659.25 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$2,121.00 |
$2,938.40 |
$2,938.40 |
|
|
Abd/low ext cath 1st
|
$581.10 |
$6,521.60 |
$58,945.80 |
|
|
Abd/low ext cath 2nd
|
$713.70 |
$4,187.20 |
$33,368.56 |
|
|
Abd/low ext cath 3rd
|
$416.40 |
$7,384.00 |
$76,884.85 |
|
|
Abd/low ext cath addl
|
$323.82 |
$667.16 |
$2,575.80 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$625.60 |
$988.06 |
$1,829.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$357.60 |
$721.04 |
$2,640.00 |
|
|
Abdominal CT scan (with and without contrast)
|
$1,193.39 |
$2,096.64 |
$4,983.00 |
|
|
Abdominal CT scan (with contrast)
|
$1,193.39 |
$1,725.29 |
$4,615.00 |
|
|
Abdominal CT scan (without contrast)
|
$865.80 |
$1,290.90 |
$3,184.00 |
|
|
Abdominal MRI (with and without contrast)
|
$1,643.20 |
$3,870.12 |
$7,916.00 |
|
|
Abdominal MRI (with contrast)
|
$971.40 |
$2,102.40 |
$4,520.28 |
|
|
Abdominal MRI (without contrast)
|
$1,033.50 |
$1,702.26 |
$5,382.00 |
|
|
Abdominal paracentesis w/image guidance
|
$391.00 |
$1,510.00 |
$10,246.00 |
|
|
Abdominal Ultrasound (complete)
|
$339.49 |
$733.00 |
$1,826.00 |
|
|
Abdominal Ultrasound (limited)
|
$247.20 |
$556.40 |
$1,829.00 |
|
|
Abdominal X-ray (2 views)
|
$143.65 |
$254.52 |
$579.00 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$140.00 |
$327.60 |
$520.80 |
|
|
Abdominal X-ray (single view)
|
$131.86 |
$180.50 |
$24,276.30 |
|
|
Abdominoplasty 15830
|
$2,129.40 |
$2,899.20 |
$73,352.04 |
|
|
Abd paracentesis/w/o image guide 49082
|
$265.00 |
$907.86 |
$1,619.80 |
|
|
Abl1 gene
|
$600.00 |
$600.00 |
$863.85 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$711.20 |
$711.20 |
$711.20 |
|
|
Ablate arrhythmia add on
|
$1,045.60 |
$9,995.45 |
$143,395.41 |
|
|
Ablate atria lmtd endo 33265
|
$2,509.20 |
$3,312.80 |
$3,312.80 |
|
|
Ablate atria w/bypass exten 33256
|
$3,631.20 |
$4,732.00 |
$4,732.00 |
|
|
Ablate atria without bypass ext
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
|
|
Ablate atria x10sv add-on 33258
|
$1,215.00 |
$1,585.60 |
$1,585.60 |
|
|
Ablate atria x10sv endo 33266
|
$3,423.00 |
$3,594.00 |
$5,966.00 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$794.40 |
$27,785.60 |
$27,785.60 |
|
|
Ablate bone tumor(s) perq
|
$4,497.36 |
$18,652.80 |
$54,110.19 |
|
|
Ablate heart dysrhythm focus
|
$1,277.60 |
$7,438.80 |
$22,504.00 |
|
|
Ablate inf turbinate submuc 30802
|
$538.20 |
$676.00 |
$49,876.64 |
|
|
Ablate inf turbinate superf 30801
|
$421.80 |
$530.40 |
$530.40 |
|
|
Ablate pulm tumor perq crybl
|
$4,226.40 |
$26,644.80 |
$26,644.80 |
|
|
Ablate pulm tumor perq rf
|
$2,874.90 |
$17,062.40 |
$17,062.40 |
|
|
Ablation cardiac vagal inputs atrium
|
$163.20 |
$4,709.90 |
$28,997.45 |
|
|
Ablation cryo abd perit om
|
$640.92 |
$1,846.56 |
$4,434.34 |
|
|
Ablation cryo adrenal tumor
|
$3,635.40 |
$4,199.40 |
$43,405.09 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,230.00 |
$1,291.80 |
$1,291.80 |
|
|
Ablation cryo pq liver tumor(s)
|
$967.80 |
$16,670.40 |
$18,488.67 |
|
|
Ablation cryo retro lymph node
|
$321.72 |
$699.56 |
$28,895.92 |
|
|
Ablation cryo thigh/knee
|
$196.14 |
$4,309.60 |
$10,925.67 |
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$10,455.90 |
$21,177.00 |
$21,177.00 |
|
|
Ablation of upper extremity nerves rf
|
$37.44 |
$526.40 |
$11,168.00 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$4,368.80 |
$4,368.80 |
$4,368.80 |
|
|
Abltj mal prst8 tiss hifu
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
|
|
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 |
$16,097.60 |
|
|
Abobotulinumtoxina
|
$9.60 |
$9.60 |
$8,805.00 |
|
|
Abortion
|
$935.20 |
$935.20 |
$935.20 |
|
|
Abortion (mpr)
|
$576.80 |
$576.80 |
$576.80 |
|
|
Abrasion lesions add-on
|
$48.00 |
$100.00 |
$100.00 |
|
|
Abrasion lesion single
|
$594.40 |
$594.40 |
$594.40 |
|
|
Abscess drain retroperitoneal surg code
|
$380.25 |
$2,162.40 |
$5,056.35 |
|
|
Abscess imaging ltd area
|
$572.04 |
$745.92 |
$761.46 |
|
|
Abscess imaging whole body
|
$952.32 |
$964.74 |
$972.16 |
|
|
Absorpt drg >16 <=48 without bdr
|
$6.00 |
$9.60 |
$9.60 |
|
|
Absorpt drg <=16 sq in without b
|
$5.60 |
$5.60 |
$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
|
$169.20 |
$2,338.44 |
$9,157.20 |
|
|
Access thoracic lymph duct
|
$665.70 |
$750.40 |
$4,212.62 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$1.03 |
$7.96 |
$137.75 |
|
|
Acetaminophen 120 mg rectal suppository
|
$6.60 |
$1,030.00 |
$35,263.45 |
|
|
Acetaminophen level
|
$62.40 |
$66.43 |
$255.29 |
|
|
Acetazolamide 500 mg solution for injection
|
$55.20 |
$79.95 |
$202.20 |
|
|
Acetone qualitative
|
$27.95 |
$33.57 |
$65.00 |
|
|
Acetylcholine receptor modulating antibody
|
$39.65 |
$48.57 |
$236.60 |
|
|
Acetylcholinesterase assay
|
$64.28 |
$64.28 |
$193.20 |
|
