|
2d tee w or without fol w/con,in
|
$2,371.00 |
$2,371.00 |
$2,371.00 |
$1,724.25
|
|
2nd order venous cath
|
$2,832.00 |
$2,832.00 |
$2,832.00 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$511.60
|
|
3-d radiotherapy plan
|
$9,228.00 |
$9,228.00 |
$9,228.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$952.00 |
$952.00 |
$952.00 |
$508.13
|
|
88334 ap bill cytologic exam each additional site
|
$89.00 |
$89.00 |
$89.00 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$311.00 |
$311.00 |
$311.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$311.00 |
$311.00 |
$311.00 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$311.00 |
$311.00 |
$311.00 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$271.00 |
$271.00 |
$271.00 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$271.00 |
$271.00 |
$271.00 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$271.00 |
$271.00 |
$271.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$271.00 |
$271.00 |
$271.00 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$271.00 |
$271.00 |
$271.00 |
$164.73
|
|
Abd aorta w/runoff s&i
|
$6,376.00 |
$6,376.00 |
$6,376.00 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$849.00 |
$849.00 |
$849.00 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$340.00 |
$340.00 |
$340.00 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$389.00 |
$389.00 |
$389.00 |
$418.63
|
|
Abdominal X-ray (single view)
|
$243.00 |
$243.00 |
$243.00 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,148.40
|
|
Ablate arrhythmia add on
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$19,832.00 |
$19,832.00 |
$19,832.00 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$17,584.00 |
$17,584.00 |
$17,584.00 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$5,323.00 |
$5,323.00 |
$5,323.00 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$26,351.00 |
$26,351.00 |
$26,351.00 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$16,560.00 |
$16,560.00 |
$16,560.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$25,910.00 |
$25,910.00 |
$25,910.00 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$19,832.00 |
$19,832.00 |
$19,832.00 |
$2,312.80
|
|
Ablation cryo retro lymph node
|
$16,786.00 |
$16,786.00 |
$16,786.00 |
$857.60
|
|
Ablation of upper extremity nerves rf
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$3,050.40
|
|
Access thoracic lymph duct
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$828.80
|
|
Acetaminophen level
|
$141.00 |
$141.00 |
$141.00 |
$116.80
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$311.00 |
$311.00 |
$311.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$271.00 |
$271.00 |
$271.00 |
$160.69
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$529.00 |
$529.00 |
$529.00 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$55.00 |
$55.00 |
$55.00 |
$38.50
|
|
Acoustic immitance testing
|
$138.00 |
$138.00 |
$138.00 |
$158.50
|
|
Acoustic refl threshold tst
|
$264.00 |
$264.00 |
$264.00 |
$102.05
|
|
Acute hepatitis panel
|
$148.00 |
$148.00 |
$148.00 |
$284.95
|
|
Adenovirus ag ia
|
$66.00 |
$66.00 |
$66.00 |
$53.95
|
|
Admin ecg contrast agent
|
$225.00 |
$225.00 |
$225.00 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$239.00 |
$239.00 |
$239.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$361.00 |
$361.00 |
$361.00 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$749.00 |
$749.00 |
$749.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$454.00 |
$454.00 |
$454.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$302.00 |
$302.00 |
$302.00 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$294.00 |
$294.00 |
$294.00 |
$256.49
|
|
Administration immunization each additional component
|
$70.23 |
$70.23 |
$70.23 |
$29.20
|
|
Administration immunization each additional vaccine
|
$87.49 |
$87.49 |
$87.49 |
$47.40
|
|
Administration immunization first component each vaccine
|
$138.64 |
$138.64 |
$138.64 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$66.00 |
$66.00 |
$66.00 |
$48.00
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$93.00 |
$93.00 |
$93.00 |
$41.45
|
|
Aep hearing status deter i&r
|
$627.00 |
$627.00 |
$627.00 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$682.00 |
$682.00 |
$682.00 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$774.00 |
$774.00 |
$774.00 |
$635.00
|
|
After cataract laser surgery
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$1,373.11
|
|
Air conduction bilat
|
$218.00 |
$218.00 |
$218.00 |
$134.00
|
|
Albumin body fluid quantitative each specimen
|
$20.00 |
$20.00 |
$20.00 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$23.00 |
$23.00 |
$23.00 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$20.00 |
$20.00 |
$20.00 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$78.00 |
$78.00 |
$78.00 |
$96.00
|
|
Alkaline phosphatase
|
$19.00 |
$19.00 |
$19.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$74.00 |
$74.00 |
$74.00 |
$48.57
|
|
Allergen egg white ige
|
$41.00 |
$41.00 |
$41.00 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$106.00 |
$106.00 |
$106.00 |
$45.00
|
|
Allergy injection; single 95115
|
$78.00 |
$78.00 |
$78.00 |
$46.80
|
|
Alpha-fetoprotein tumor marker
|
$66.00 |
$66.00 |
$66.00 |
$106.00
|
|
Alt/sgpt
|
$22.00 |
$22.00 |
$22.00 |
$47.50
|
|
Amantadine (symmetrel)-sendout
|
$162.00 |
$162.00 |
$162.00 |
$179.70
|
|
Amitriptyline (elavil) -sendout
|
$164.00 |
$164.00 |
$164.00 |
$87.45
|
|
Ammonia
|
$59.00 |
$59.00 |
$59.00 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$942.60
|
|
Amniocentesis therapeutic
|
$799.00 |
$799.00 |
$799.00 |
$791.05
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,283.00 |
$3,283.00 |
$3,283.00 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$148.00 |
$148.00 |
$148.00 |
$93.61
|
|
Amylase
|
$27.00 |
$27.00 |
$27.00 |
$90.00
|
|
Anal/urinary muscle study
|
$472.00 |
$472.00 |
$472.00 |
$407.00
|
|
Anal/urinary muscle study
|
$786.00 |
$786.00 |
$786.00 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$154.00 |
$154.00 |
$154.00 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$692.00 |
$692.00 |
$692.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$392.00 |
$392.00 |
$392.00 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$54.00 |
$54.00 |
$54.00 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$154.00 |
$154.00 |
$154.00 |
$375.00
|
|
An cholangiogram percutaneous compl
|
$4,413.00 |
$4,413.00 |
$4,413.00 |
$2,480.94
|
|
An fluoro guide for cvp
|
$299.00 |
$299.00 |
$299.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$5,728.50
|
