|
11-desoxycortisol - sendout
|
$68.80 |
$68.80 |
$68.80 |
$91.85
|
|
17-hydroxypregnenolone
|
$55.00 |
$55.00 |
$63.05 |
$92.65
|
|
17-ketosteroids
|
$55.00 |
$55.00 |
$55.00 |
$55.00
|
|
1st hosp/birthing center care per day nml nb 99460
|
$172.80 |
$172.80 |
$230.00 |
$161.60
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$1,656.80 |
$1,656.80 |
$2,315.00 |
$1,656.80
|
|
1st psyc collab care mgmt
|
$272.00 |
$272.00 |
$272.00 |
$109.46
|
|
1st/sbsq psyc collab care
|
$111.20 |
$111.20 |
$111.20 |
$107.43
|
|
24 hr ambulatory b/p monitor
|
$81.60 |
$81.60 |
$81.60 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,642.24 |
$1,642.24 |
$1,642.24 |
$1,724.25
|
|
2nd order venous cath
|
$4,286.40 |
$4,286.40 |
$4,286.40 |
$1,532.04
|
|
2vhpv vaccine 3 dose im
|
$148.80 |
$148.80 |
$148.80 |
$76.72
|
|
3d ech img cgen car anomal
|
$209.11 |
$209.11 |
$715.65 |
$511.60
|
|
3-d radiotherapy plan
|
$5,294.25 |
$5,294.25 |
$6,418.03 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$386.10 |
$386.10 |
$437.39 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
5' nucleotidase - sendout
|
$64.28 |
$64.28 |
$626.60 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$105.00 |
$105.00 |
$119.20 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$196.80 |
$196.80 |
$196.80 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$205.60 |
$205.60 |
$205.60 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$214.40 |
$214.40 |
$214.40 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$177.60 |
$177.60 |
$177.60 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$189.60 |
$189.60 |
$189.60 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$188.80 |
$188.80 |
$188.80 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$207.20 |
$207.20 |
$207.20 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$243.20 |
$243.20 |
$243.20 |
$164.73
|
|
Aa graft w/bp/aortic root replace 33863
|
$7,697.60 |
$7,697.60 |
$7,697.60 |
$7,697.60
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$52.00 |
$52.00 |
$7,377.95 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$48.57 |
$48.57 |
$65.00 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,201.73 |
$3,201.73 |
$3,902.60 |
$3,629.42
|
|
Abd exp/postop hem/throm/infec 35840
|
$2,938.40 |
$2,938.40 |
$2,938.40 |
$2,659.14
|
|
Abd/low ext cath 1st
|
$581.10 |
$581.10 |
$6,521.60 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$713.70 |
$713.70 |
$4,187.20 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$867.75 |
$867.75 |
$7,384.00 |
$2,475.45
|
|
Abd/low ext cath addl
|
$338.40 |
$338.40 |
$577.85 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$671.08 |
$671.08 |
$671.08 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$468.30 |
$468.30 |
$681.20 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,792.70 |
$1,792.70 |
$1,864.12 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,578.85 |
$1,578.85 |
$1,745.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,104.35 |
$1,104.35 |
$1,251.24 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,361.52 |
$2,361.52 |
$4,909.45 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,614.97 |
$1,614.97 |
$2,458.95 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$778.28 |
$778.28 |
$1,042.60 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,014.65 |
$1,014.65 |
$1,036.64 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$586.52 |
$586.52 |
$592.15 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$177.33 |
$177.33 |
$271.70 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$343.73 |
$343.73 |
$349.70 |
$418.63
|
|
Abdominal X-ray (single view)
|
$131.86 |
$131.86 |
$20,696.92 |
$260.00
|
|
Abdominoplasty 15830
|
$2,899.20 |
$2,899.20 |
$2,899.20 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$778.28 |
$778.28 |
$778.28 |
$1,148.40
|
|
Abl1 gene
|
$600.00 |
$600.00 |
$863.85 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$711.20 |
$711.20 |
$711.20 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$1,045.60 |
$1,045.60 |
$2,743.65 |
$6,828.51
|
|
Ablate atria lmtd endo 33265
|
$3,312.80 |
$3,312.80 |
$3,312.80 |
$2,738.40
|
|
Ablate atria w/bypass exten 33256
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$4,732.00
|
|
Ablate atria x10sv add-on 33258
|
$1,585.60 |
$1,585.60 |
$1,585.60 |
$1,585.60
|
|
Ablate bone tumor(s) cryo perq 20983
|
$27,785.60 |
$27,785.60 |
$27,785.60 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$18,652.80 |
$18,652.80 |
$54,110.19 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$9,332.05
|
|
Ablate inf turbinate submuc 30802
|
$676.00 |
$676.00 |
$676.00 |
$2,060.00
|
|
Ablate inf turbinate superf 30801
|
$530.40 |
$530.40 |
$530.40 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$26,644.80 |
$26,644.80 |
$26,644.80 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$17,062.40 |
$17,062.40 |
$17,062.40 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$342.40 |
$342.40 |
$495.30 |
$2,260.30
|
|
Ablation cryo pq liver tumor(s)
|
$16,670.40 |
$16,670.40 |
$16,670.40 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$28,895.92 |
$28,895.92 |
$28,895.92 |
$857.60
|
|
Ablation of upper extremity nerves rf
|
$463.20 |
$463.20 |
$463.20 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$4,368.80 |
$4,368.80 |
$4,368.80 |
$3,055.20
|
|
Abltj mal prst8 tiss hifu
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
$5,855.00
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$15,558.40 |
$15,558.40 |
$15,558.40 |
$1,800.00
|
|
Ablt trurl prst8 tis trnsdcr
|
$16,097.60 |
$16,097.60 |
$16,097.60 |
$16,097.60
|
|
Abobotulinumtoxina
|
$9.60 |
$9.60 |
$9.60 |
$1,541.21
|
|
Abortion
|
$935.20 |
$935.20 |
$935.20 |
$935.20
|
|
Abortion (mpr)
|
$576.80 |
$576.80 |
$576.80 |
$587.60
|
|
Abrasion lesions add-on
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Abrasion lesion single
|
$594.40 |
$594.40 |
$594.40 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$2,162.40 |
$2,162.40 |
$2,468.70 |
$3,050.40
|
|
Absorpt drg >16 <=48 without bdr
|
$9.60 |
$9.60 |
$9.60 |
$6.40
|
|
Absorpt drg <=16 sq in without b
|
$5.60 |
$5.60 |
$5.60 |
$5.60
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$612.80 |
$612.80 |
$9,157.20 |
$2,314.00
|
|
Access thoracic lymph duct
|
$750.40 |
$750.40 |
$750.40 |
$828.80
|
|
Acetaminophen 120 mg rectal suppository
|
$287.80 |
$287.80 |
$22,961.68 |
$146.76
|
|
Acetaminophen level
|
$66.43 |
$66.43 |
$66.43 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$55.20 |
$55.20 |
$133.52 |
$122.55
|
|
Acetone qualitative
|
$33.57 |
$33.57 |
$33.57 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$45.50 |
$45.50 |
$48.57 |
$67.50
|
|
Acetylcholinesterase assay
|
$64.28 |
$64.28 |
$64.28 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2.03 |
$2.03 |
$244.95 |
$218.79
|
|
Acid perfusion of esophagus
|
$304.00 |
$304.00 |
$304.00 |
$587.30
|
|
Acne surgery 10040
|
$269.60 |
$269.60 |
$269.60 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$304.00 |
$304.00 |
$304.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$239.20 |
$239.20 |
$239.20 |
$160.69
|
|
Aco ccm; at least 20 min 99490aco
|
$115.20 |
$115.20 |
$115.20 |
$102.47
|
|
Aco ccm; ea addl 20 min 99439aco
|
$87.20 |
$87.20 |
$87.20 |
$87.20
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$132.80 |
$132.80 |
$132.80 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$247.20 |
$247.20 |
$247.20 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$494.68 |
$494.68 |
$494.68 |
$341.00
|
|
Aco depression screen annual medicare g0444aco
|
$40.00 |
$40.00 |
$40.00 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.60 |
$37.60 |
$37.60 |
$38.50
|
|
Acoustic immitance testing
|
$74.40 |
$74.40 |
$74.40 |
$158.50
|
