|
11-desoxycortisol - sendout
|
$35.00 |
$40.41 |
$299.20 |
|
|
17-hydroxypregnenolone
|
$31.48 |
$31.48 |
$233.60 |
|
|
17-ketosteroids
|
$12.15 |
$17.66 |
$38.12 |
|
|
1pc ost pch drain hgh output
|
$11.33 |
$11.33 |
$11.33 |
|
|
1 pc ost pouch w filter
|
$9.19 |
$9.19 |
$9.19 |
|
|
1 pc ost pou w built-in conv
|
$18.88 |
$18.88 |
$18.88 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$183.07 |
$183.07 |
$183.07 |
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$1,104.50 |
$1,104.50 |
$1,104.50 |
|
|
1st psyc collab care mgmt
|
$139.68 |
$139.68 |
$139.68 |
|
|
1st/sbsq psyc collab care
|
$51.35 |
$51.35 |
$51.35 |
|
|
2019-ncov diagnostic p
|
$33.60 |
$33.60 |
$49.57 |
|
|
24 hr ambulatory b/p monitor
|
$182.95 |
$182.95 |
$182.95 |
|
|
2d tee w or without fol w/con,in
|
$908.98 |
$2,371.00 |
$2,634.00 |
|
|
2d tte w or without fol w/con,co
|
$712.32 |
$1,011.92 |
$1,077.92 |
|
|
2nd order venous cath
|
$230.74 |
$2,792.16 |
$7,850.00 |
|
|
3d anat seg imaging preop
|
$176.93 |
$176.93 |
$176.93 |
|
|
3d bn img algor drvd fr MRI
|
$176.93 |
$176.93 |
$176.93 |
|
|
3d ech img cgen car anomal
|
$29.70 |
$734.00 |
$1,155.00 |
|
|
3-d radiotherapy plan
|
$1,395.90 |
$8,293.00 |
$9,228.00 |
|
|
3d recon without postprocess indpndt
|
$21.68 |
$862.00 |
$1,095.00 |
|
|
4-bar link above knee w/swng
|
$2,867.47 |
$2,867.47 |
$2,867.47 |
|
|
5' nucleotidase - sendout
|
$6.30 |
$14.37 |
$220.00 |
|
|
88334 ap bill cytologic exam each additional site
|
$12.88 |
$89.00 |
$139.20 |
|
|
99381 initial comp preventive med less than 1 year new
|
$165.00 |
$218.00 |
$311.00 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$143.00 |
$226.00 |
$311.00 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$116.00 |
$218.00 |
$311.00 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$138.00 |
$191.00 |
$271.00 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$146.00 |
$191.00 |
$271.00 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$107.00 |
$191.00 |
$271.00 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$126.00 |
$191.00 |
$271.00 |
|
|
99397 periodic comp preventive med 65+ years est
|
$130.00 |
$191.00 |
$271.00 |
|
|
Aa graft w/bp/aortic root replace 33863
|
$4,432.15 |
$4,432.15 |
$4,432.15 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$45.94 |
$61.78 |
$61.78 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$7.45 |
$16.55 |
$63.84 |
|
|
Abciximab injection
|
$406.00 |
$685.23 |
$724.61 |
|
|
Abd aorta w/runoff s&i
|
$1,013.79 |
$6,376.00 |
$9,334.00 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$1,695.33 |
$1,695.33 |
$1,695.33 |
|
|
Abd/low ext cath 1st
|
$311.66 |
$3,432.00 |
$12,553.00 |
|
|
Abd/low ext cath 2nd
|
$337.69 |
$1,975.00 |
$7,968.80 |
|
|
Abd/low ext cath 3rd
|
$387.12 |
$4,788.00 |
$13,574.00 |
|
|
Abd/low ext cath addl
|
$60.72 |
$1,009.00 |
$1,160.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$133.84 |
$1,252.00 |
$2,726.40 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$130.48 |
$1,045.00 |
$2,232.00 |
|
|
Abdominal CT scan (with and without contrast)
|
$241.18 |
$2,131.00 |
$4,839.00 |
|
|
Abdominal CT scan (with contrast)
|
$241.18 |
$1,786.00 |
$4,161.00 |
|
|
Abdominal CT scan (without contrast)
|
$143.75 |
$1,151.00 |
$2,733.00 |
|
|
Abdominal MRI (with and without contrast)
|
$420.18 |
$3,520.00 |
$5,536.00 |
|
|
Abdominal MRI (with contrast)
|
$349.21 |
$1,726.48 |
$5,190.00 |
|
|
Abdominal MRI (without contrast)
|
$277.30 |
$1,902.00 |
$3,636.00 |
|
|
Abdominal pad
|
$140.57 |
$140.57 |
$140.57 |
|
|
Abdominal paracentesis w/image guidance
|
$1,247.13 |
$1,632.96 |
$2,752.00 |
|
|
Abdominal Ultrasound (complete)
|
$143.75 |
$1,207.00 |
$1,567.00 |
|
|
Abdominal Ultrasound (limited)
|
$143.75 |
$849.00 |
$1,284.00 |
|
|
Abdominal X-ray (2 views)
|
$68.32 |
$340.00 |
$409.00 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$86.24 |
$389.00 |
$703.00 |
|
|
Abdominal X-ray (single view)
|
$53.76 |
$243.00 |
$406.00 |
|
|
Abdominoplasty 15830
|
$9,130.48 |
$9,130.48 |
$9,130.48 |
|
|
Abd paracentesis/w/o image guide 49082
|
$505.68 |
$1,145.00 |
$1,791.00 |
|
|
Abduct control hip semi-flex
|
$358.29 |
$358.29 |
$358.29 |
|
|
Abduction bar jointed adjust
|
$426.96 |
$426.96 |
$426.96 |
|
|
Abduction bar-straight
|
$195.09 |
$195.09 |
$195.09 |
|
|
Abduction rotation bar shoe
|
$150.99 |
$150.99 |
$150.99 |
|
|
Abduct rotation bar without shoe
|
$138.07 |
$138.07 |
$138.07 |
|
|
Abl1 gene
|
$336.00 |
$350.06 |
$1,825.60 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$283.15 |
$283.15 |
$283.15 |
|
|
Ablate arrhythmia add on
|
$398.24 |
$4,150.00 |
$43,127.00 |
|
|
Ablate atria lmtd endo 33265
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
|
|
Ablate atria w/bypass exten 33256
|
$2,758.80 |
$2,758.80 |
$2,758.80 |
|
|
Ablate atria without bypass ext
|
$2,335.42 |
$2,335.42 |
$2,335.42 |
|
|
Ablate atria x10sv add-on 33258
|
$950.06 |
$950.06 |
$950.06 |
|
|
Ablate atria x10sv endo 33266
|
$2,635.46 |
$2,635.46 |
$2,635.46 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$2,321.60 |
$19,832.00 |
$26,288.00 |
|
|
Ablate bone tumor(s) perq
|
$9,527.28 |
$17,584.00 |
$24,741.00 |
|
|
Ablate heart dysrhythm focus
|
$4,791.00 |
$7,078.96 |
$13,070.00 |
|
|
Ablate heart dysrhythm focus
|
$2,095.28 |
$2,095.28 |
$2,095.28 |
|
|
Ablate heart dysrhythm focus
|
$2,323.08 |
$2,323.08 |
$2,323.08 |
|
|
Ablate heart dysrhythm focus
|
$2,312.34 |
$2,312.34 |
$2,312.34 |
|
|
Ablate inf turbinate submuc 30802
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
|
|
Ablate inf turbinate superf 30801
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
|
|
Ablate pulm tumor perq crybl
|
$9,228.80 |
$26,351.00 |
$30,602.00 |
|
|
Ablate pulm tumor perq rf
|
$5,832.40 |
$16,560.00 |
$16,648.00 |
|
|
Ablation cardiac vagal inputs atrium
|
$176.93 |
$17,825.00 |
$29,796.00 |
|
|
Ablation cryo abd perit om
|
$931.28 |
$19,044.00 |
$19,938.00 |
|
|
Ablation cryo adrenal tumor
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$339.18 |
$8,893.00 |
$8,893.00 |
|
|
Ablation cryo pq liver tumor(s)
|
$8,504.16 |
$14,616.42 |
$29,088.00 |
|
|
Ablation cryo retro lymph node
|
$606.63 |
$16,618.00 |
$16,876.00 |
|
|
Ablation cryo thigh/knee
|
$339.18 |
$339.18 |
$339.18 |
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Ablation of upper extremity nerves rf
|
$296.80 |
$2,451.00 |
$2,817.00 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Abltj mal prst8 tiss hifu
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$628.65 |
$628.65 |
$628.65 |
|
|
Ablt trurl prst8 tis trnsdcr
|
$18,141.49 |
$18,141.49 |
$18,141.49 |
|
|
Abobotulinumtoxina
|
$12.14 |
$12.14 |
$12.14 |
|
|
Abortion
|
$542.81 |
$542.81 |
$542.81 |
|
|
Abortion (mpr)
|
$419.01 |
$419.01 |
$419.01 |
|
|
Above elbow prosth tiss shap
|
$5,934.35 |
$5,934.35 |
$5,934.35 |
|
|
Above knee cushion socket
|
$1,239.56 |
$1,239.56 |
$1,239.56 |
|
|
Above knee flex cover system
|
$1,904.87 |
$1,904.87 |
$1,904.87 |
|
