|
2d tee w or without fol w/con,in
|
$1,471.00 |
$1,471.00 |
$1,471.00 |
$1,724.25
|
|
2nd order venous cath
|
$788.00 |
$788.00 |
$788.00 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$401.00 |
$401.00 |
$401.00 |
$511.60
|
|
3-d radiotherapy plan
|
$5,449.00 |
$5,449.00 |
$5,449.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$422.00 |
$422.00 |
$422.00 |
$508.13
|
|
88334 ap bill cytologic exam each additional site
|
$94.00 |
$94.00 |
$94.00 |
$100.10
|
|
Abd aorta w/runoff s&i
|
$5,281.00 |
$5,281.00 |
$5,281.00 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$2,475.45
|
|
Abd/low ext cath addl
|
$234.00 |
$234.00 |
$234.00 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$646.00 |
$646.00 |
$646.00 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$4,839.00 |
$4,839.00 |
$4,839.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$4,161.00 |
$4,161.00 |
$4,161.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,833.00 |
$3,833.00 |
$3,833.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,009.00 |
$2,009.00 |
$2,009.00 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$959.00 |
$959.00 |
$959.00 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$409.00 |
$409.00 |
$409.00 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$703.00 |
$703.00 |
$703.00 |
$418.63
|
|
Abdominal X-ray (single view)
|
$406.00 |
$406.00 |
$406.00 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$896.00 |
$896.00 |
$896.00 |
$1,148.40
|
|
Ablate arrhythmia add on
|
$14,432.00 |
$14,432.00 |
$14,432.00 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$10,187.00 |
$10,187.00 |
$10,187.00 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$13,070.00 |
$13,070.00 |
$13,070.00 |
$9,332.05
|
|
Ablation cardiac vagal inputs atrium
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$2,260.30
|
|
Ablation of upper extremity nerves rf
|
$1,081.00 |
$1,081.00 |
$1,081.00 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$2,314.00
|
|
Acetaminophen level
|
$59.00 |
$59.00 |
$59.00 |
$116.80
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$266.00 |
$266.00 |
$266.00 |
$341.00
|
|
Acute hepatitis panel
|
$376.00 |
$376.00 |
$376.00 |
$284.95
|
|
Admin ecg contrast agent
|
$119.00 |
$119.00 |
$119.00 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$210.00 |
$210.00 |
$210.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$293.00 |
$293.00 |
$293.00 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$779.00 |
$779.00 |
$779.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$386.00 |
$386.00 |
$386.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$156.00 |
$156.00 |
$156.00 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$156.00 |
$156.00 |
$156.00 |
$256.49
|
|
Administration immunization each additional vaccine
|
$70.00 |
$70.00 |
$70.00 |
$47.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$64.00 |
$64.00 |
$64.00 |
$41.45
|
|
Albumin body fluid quantitative each specimen
|
$37.00 |
$37.00 |
$37.00 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$88.00 |
$88.00 |
$88.00 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$51.00 |
$51.00 |
$51.00 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$116.00 |
$116.00 |
$116.00 |
$96.00
|
|
Alkaline phosphatase
|
$56.00 |
$56.00 |
$56.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$59.00 |
$59.00 |
$59.00 |
$48.57
|
|
Allergen egg white ige
|
$33.00 |
$33.00 |
$33.00 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$66.00 |
$66.00 |
$66.00 |
$106.00
|
|
Alt/sgpt
|
$50.00 |
$50.00 |
$50.00 |
$47.50
|
|
Ammonia
|
$157.00 |
$157.00 |
$157.00 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$93.00 |
$93.00 |
$93.00 |
$93.61
|
|
Amylase
|
$70.00 |
$70.00 |
$70.00 |
$90.00
|
|
Anal/urinary muscle study
|
$180.00 |
$180.00 |
$180.00 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$205.00 |
$205.00 |
$205.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$181.00 |
$181.00 |
$181.00 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$816.00 |
$816.00 |
$816.00 |
$375.00
|
|
An fluoro guide for cvp
|
$205.00 |
$205.00 |
$205.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$9,111.00 |
$9,111.00 |
$9,111.00 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,898.00 |
$14,898.00 |
$14,898.00 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$12,236.00 |
$12,236.00 |
$12,236.00 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$19,642.00 |
$19,642.00 |
$19,642.00 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,172.00 |
$4,172.00 |
$4,172.00 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$10,238.00 |
$10,238.00 |
$10,238.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$10,750.00 |
$10,750.00 |
$10,750.00 |
$8,359.11
|
|
Ankle X-ray
|
$443.00 |
$443.00 |
$443.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$282.00 |
$282.00 |
$282.00 |
$282.96
|
|
Anogenital exam child w imag
|
$150.00 |
$150.00 |
$150.00 |
$277.99
|
|
Anora (draw only)
|
$50.00 |
$50.00 |
$50.00 |
$35.00
|
|
Antibody htlv/hiv confirm test
|
$183.00 |
$183.00 |
$183.00 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$227.00 |
$227.00 |
$227.00 |
$224.00
|
|
Antibody id rbc panel
|
$185.00 |
$185.00 |
$185.00 |
$291.75
|
|
Antibody screen rbc
|
$44.00 |
$44.00 |
$44.00 |
$108.55
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$60.00 |
$60.00 |
$60.00 |
$38.50
|
|
Antinuclear antibodies
|
$100.00 |
$100.00 |
$100.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$77.00 |
$77.00 |
$77.00 |
$80.04
|
|
Antistreptolysin o titer
|
$53.00 |
$53.00 |
$53.00 |
$54.00
|
|
Antithrombin iii activity
|
$45.00 |
$45.00 |
$45.00 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$733.00 |
$733.00 |
$733.00 |
$394.55
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$689.00 |
$689.00 |
$689.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,196.00 |
$5,196.00 |
$5,196.00 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$689.00 |
$689.00 |
$689.00 |
$512.20
|
|
Application finger splntstatic 29130
|
$184.00 |
$184.00 |
$184.00 |
$208.50
|
|
Application long leg splint 29505
|
$191.00 |
$191.00 |
$191.00 |
$338.25
|
|
Application lower leg splint 29515
|
$191.00 |
$191.00 |
$191.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$189.90 |
$189.90 |
$189.90 |
$375.06
|
|
Application of paste boot 29580
|
$190.00 |
$190.00 |
$190.00 |
$340.11
|
|
Application short leg cast 29405
|
$284.00 |
$284.00 |
$284.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,448.00 |
$3,448.00 |
$3,448.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,448.00 |
$3,448.00 |
$3,448.00 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$111.00 |
$111.00 |
$111.00 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$65.00 |
$65.00 |
$65.00 |
$75.98
|
|
Apply finger cast 29086
|
$181.00 |
$181.00 |
$181.00 |
$242.20
|
