|
17-hydroxypregnenolone
|
$52.42 |
$52.42 |
$52.42 |
$92.65
|
|
2d tee w or without fol w/con,in
|
$1,862.26 |
$1,862.26 |
$1,862.26 |
$1,724.25
|
|
2nd order venous cath
|
$922.75 |
$922.75 |
$922.75 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$128.16 |
$128.16 |
$128.16 |
$511.60
|
|
3-d radiotherapy plan
|
$2,239.73 |
$2,239.73 |
$2,239.73 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$764.83 |
$764.83 |
$764.83 |
$508.13
|
|
4-bar link above knee w/swng
|
$3,046.22 |
$3,046.22 |
$3,046.22 |
$1,864.80
|
|
88334 ap bill cytologic exam each additional site
|
$38.21 |
$38.21 |
$38.21 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,469.00 |
$2,469.00 |
$2,469.00 |
$3,138.72
|
|
Abciximab injection
|
$1,960.56 |
$1,960.56 |
$1,960.56 |
$2,443.52
|
|
Abd aorta w/runoff s&i
|
$3,629.42 |
$3,629.42 |
$3,629.42 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$1,700.02 |
$1,700.02 |
$1,700.02 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,024.74 |
$2,024.74 |
$2,024.74 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,990.85 |
$1,990.85 |
$1,990.85 |
$2,475.45
|
|
Abd/low ext cath addl
|
$875.62 |
$875.62 |
$875.62 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$887.81 |
$887.81 |
$887.81 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$480.91 |
$480.91 |
$480.91 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,368.19 |
$1,368.19 |
$1,368.19 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,231.34 |
$1,231.34 |
$1,231.34 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$2,048.36
|
|
Abdominal pad
|
$153.55 |
$153.55 |
$153.55 |
$151.32
|
|
Abdominal paracentesis w/image guidance
|
$1,028.74 |
$1,028.74 |
$1,028.74 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$455.28 |
$455.28 |
$455.28 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$379.44 |
$379.44 |
$379.44 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$207.79 |
$207.79 |
$207.79 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$138.62 |
$138.62 |
$138.62 |
$418.63
|
|
Abdominal X-ray (single view)
|
$207.79 |
$207.79 |
$207.79 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$401.23 |
$401.23 |
$401.23 |
$1,148.40
|
|
Abduct control hip semi-flex
|
$391.49 |
$391.49 |
$391.49 |
$456.74
|
|
Abduction bar jointed adjust
|
$453.55 |
$453.55 |
$453.55 |
$453.55
|
|
Abduction bar-straight
|
$213.22 |
$213.22 |
$213.22 |
$173.60
|
|
Abduction rotation bar shoe
|
$164.98 |
$164.98 |
$164.98 |
$164.98
|
|
Abduct rotation bar without shoe
|
$150.86 |
$150.86 |
$150.86 |
$150.86
|
|
Ablate arrhythmia add on
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
$6,828.51
|
|
Ablate bone tumor(s) perq
|
$3,823.82 |
$3,823.82 |
$3,823.82 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$6,396.86 |
$6,396.86 |
$6,396.86 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$357.31 |
$357.31 |
$357.31 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$5,383.06 |
$5,383.06 |
$5,383.06 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$16,939.01 |
$16,939.01 |
$16,939.01 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$1,518.53 |
$1,518.53 |
$1,518.53 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$420.91 |
$420.91 |
$420.91 |
$441.09
|
|
Ablation cryo retro lymph node
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$857.60
|
|
Ablation of upper extremity nerves rf
|
$4,150.70 |
$4,150.70 |
$4,150.70 |
$832.50
|
|
Abobotulinumtoxina
|
$1,403.33 |
$1,403.33 |
$1,403.33 |
$1,541.21
|
|
Abortion (mpr)
|
$3,106.08 |
$3,106.08 |
$3,106.08 |
$587.60
|
|
Above elbow prosth tiss shap
|
$5,943.98 |
$5,943.98 |
$5,943.98 |
$3,855.60
|
|
Above knee cushion socket
|
$1,316.83 |
$1,316.83 |
$1,316.83 |
$742.00
|
|
Above knee flex cover system
|
$2,023.58 |
$2,023.58 |
$2,023.58 |
$1,268.40
|
|
Above knee hydracadence
|
$4,280.69 |
$4,280.69 |
$4,280.69 |
$2,755.20
|
|
Above knee leather socket
|
$1,226.06 |
$1,226.06 |
$1,226.06 |
$697.20
|
|
Above knee manual lock
|
$603.07 |
$603.07 |
$603.07 |
$492.80
|
|
Above knee wood socket
|
$1,060.08 |
$1,060.08 |
$1,060.08 |
$666.40
|
|
Abscess drain retroperitoneal surg code
|
$1,923.22 |
$1,923.22 |
$1,923.22 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,503.41 |
$1,503.41 |
$1,503.41 |
$2,314.00
|
|
Access thoracic lymph duct
|
$1,113.79 |
$1,113.79 |
$1,113.79 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.14 |
$41.14 |
$41.14 |
$72.74
|
|
Acetaminophen level
|
$46.66 |
$46.66 |
$46.66 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$86.99 |
$86.99 |
$86.99 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$76.32 |
$76.32 |
$76.32 |
$67.50
|
|
Acetylcholinesterase assay
|
$57.79 |
$57.79 |
$57.79 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$201.48 |
$201.48 |
$201.48 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$10.76 |
$10.76 |
$10.76 |
$31.21
|
|
Acid perfusion of esophagus
|
$505.87 |
$505.87 |
$505.87 |
$587.30
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$11.42 |
$11.42 |
$11.42 |
$38.50
|
|
Acoustic immitance testing
|
$60.48 |
$60.48 |
$60.48 |
$158.50
|
|
Acoustic refl threshold tst
|
$101.14 |
$101.14 |
$101.14 |
$102.05
|
|
Actigraphy testing
|
$185.04 |
$185.04 |
$185.04 |
$234.00
|
|
Acup 1/> w/estim 1st 15 min
|
$95.66 |
$95.66 |
$95.66 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$47.90 |
$47.90 |
$47.90 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$44.26 |
$44.26 |
$44.26 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$88.22 |
$88.22 |
$88.22 |
$53.50
|
|
Acute hepatitis panel
|
$93.98 |
$93.98 |
$93.98 |
$284.95
|
|
Acute venous thrombus image
|
$683.38 |
$683.38 |
$683.38 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$78.82 |
$78.82 |
$78.82 |
$64.45
|
|
Adapter b 8 channel 10cm
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$5,109.58
|
|
Additional switch, ext power
|
$743.23 |
$743.23 |
$743.23 |
$490.00
|
|
Add le poly knee custom kafo
|
$353.76 |
$353.76 |
$353.76 |
$353.76
|
|
Adenosine 3 mg/250 ml bag for osm
|
$70.67 |
$70.67 |
$70.67 |
$271.98
|
|
Adh-sendout
|
$208.99 |
$208.99 |
$208.99 |
$118.79
|
|
Adj gastric band via subq port
|
$3,385.01 |
$3,385.01 |
$3,385.01 |
$1,666.86
|
|
Adjustment gastric band
|
$309.22 |
$309.22 |
$309.22 |
$207.51
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$2,343.18 |
$2,343.18 |
$2,343.18 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$309.26 |
$309.26 |
$309.26 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$309.26 |
$309.26 |
$309.26 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$622.22 |
$622.22 |
$622.22 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$285.12 |
$285.12 |
$285.12 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$148.80 |
$148.80 |
$148.80 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$148.80 |
$148.80 |
$148.80 |
$256.49
|
|
Administration immunization each additional vaccine
|
$17.33 |
$17.33 |
$17.33 |
$47.40
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$17.52 |
$17.52 |
$17.52 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$11.95 |
$11.95 |
$11.95 |
$44.80
|
|
Administration vaccine hepatitis b
|
$8.59 |
$8.59 |
$8.59 |
$53.00
|
|
Administration vaccine influenza virus
|
$12.29 |
$12.29 |
$12.29 |
$51.07
|
|
Administration vaccine pneumococcal
|
$9.74 |
$9.74 |
$9.74 |
$49.68
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$8,856.61 |
$8,856.61 |
$8,856.61 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$1,987.70
|
