|
17-hydroxypregnenolone
|
$230.40 |
$230.40 |
$230.40 |
$92.65
|
|
1st hosp/birthing center care per day nml nb 99460
|
$448.05 |
$448.05 |
$448.05 |
$161.60
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$2,164.75 |
$2,164.75 |
$2,164.75 |
$1,656.80
|
|
24 hr ambulatory b/p monitor
|
$353.05 |
$353.05 |
$353.05 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$2,103.05 |
$2,103.05 |
$2,103.05 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$2,028.05 |
$2,028.05 |
$2,028.05 |
$1,284.00
|
|
2nd order venous cath
|
$3,298.05 |
$3,298.05 |
$3,298.05 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$769.90 |
$769.90 |
$769.90 |
$511.60
|
|
3-d radiotherapy plan
|
$5,744.60 |
$5,744.60 |
$5,744.60 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$508.13
|
|
5' nucleotidase - sendout
|
$127.30 |
$127.30 |
$127.30 |
$50.05
|
|
99381 initial comp preventive med less than 1 year new
|
$186.85 |
$186.85 |
$186.85 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$214.35 |
$214.35 |
$214.35 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$214.35 |
$214.35 |
$214.35 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$160.25 |
$160.25 |
$160.25 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$186.85 |
$186.85 |
$186.85 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$186.85 |
$186.85 |
$186.85 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$214.35 |
$214.35 |
$214.35 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$271.50 |
$271.50 |
$271.50 |
$164.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$105.40 |
$105.40 |
$105.40 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$3,298.05 |
$3,298.05 |
$3,298.05 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,432.05 |
$2,432.05 |
$2,432.05 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$2,363.65 |
$2,363.65 |
$2,363.65 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,930.20 |
$1,930.20 |
$1,930.20 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$2,483.65 |
$2,483.65 |
$2,483.65 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$3,125.30 |
$3,125.30 |
$3,125.30 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,400.80 |
$2,400.80 |
$2,400.80 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,987.35 |
$1,987.35 |
$1,987.35 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$8,602.30 |
$8,602.30 |
$8,602.30 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$4,655.10 |
$4,655.10 |
$4,655.10 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,040.15 |
$1,040.15 |
$1,040.15 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$795.25 |
$795.25 |
$795.25 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$602.35 |
$602.35 |
$602.35 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$710.60 |
$710.60 |
$710.60 |
$418.63
|
|
Abdominal X-ray (single view)
|
$411.70 |
$411.70 |
$411.70 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,129.05 |
$1,129.05 |
$1,129.05 |
$1,148.40
|
|
Ablate arrhythmia add on
|
$7,417.15 |
$7,417.15 |
$7,417.15 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$19,324.80 |
$19,324.80 |
$19,324.80 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$24,909.10 |
$24,909.10 |
$24,909.10 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$12,646.75 |
$12,646.75 |
$12,646.75 |
$9,332.05
|
|
Ablate pulm tumor perq rf
|
$6,289.75 |
$6,289.75 |
$6,289.75 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$20,493.60 |
$20,493.60 |
$20,493.60 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$1,812.30 |
$1,812.30 |
$1,812.30 |
$6,948.75
|
|
Ablation cryo retro lymph node
|
$1,874.60 |
$1,874.60 |
$1,874.60 |
$857.60
|
|
Ablation cryo thigh/knee
|
$807.60 |
$807.60 |
$807.60 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$3,298.05 |
$3,298.05 |
$3,298.05 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$6,610.20 |
$6,610.20 |
$6,610.20 |
$3,050.40
|
|
Access thoracic lymph duct
|
$3,347.75 |
$3,347.75 |
$3,347.75 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$116.05 |
$116.05 |
$116.05 |
$72.74
|
|
Acetaminophen level
|
$349.30 |
$349.30 |
$349.30 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$211.85 |
$211.85 |
$211.85 |
$122.55
|
|
Acetone qualitative
|
$148.15 |
$148.15 |
$148.15 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$157.15 |
$157.15 |
$157.15 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$253.17 |
$253.17 |
$253.17 |
$218.79
|
|
Acne surgery 10040
|
$288.45 |
$288.45 |
$288.45 |
$265.20
|
|
Aco depression screen annual medicare g0444aco
|
$60.85 |
$60.85 |
$60.85 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$126.05 |
$126.05 |
$126.05 |
$38.50
|
|
Actinotherapy uv light
|
$112.00 |
$112.00 |
$112.00 |
$105.60
|
|
Acute hepatitis panel
|
$584.80 |
$584.80 |
$584.80 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$166.90 |
$166.90 |
$166.90 |
$64.45
|
|
#acylcarnitineprfl
|
$750.25 |
$750.25 |
$750.25 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$5,109.58
|
|
Adding walker to prev cast
|
$66.00 |
$66.00 |
$66.00 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,995.07 |
$1,995.07 |
$1,995.07 |
$271.98
|
|
Adh-sendout
|
$316.85 |
$316.85 |
$316.85 |
$118.79
|
|
Adj gastric band via subq port
|
$3,338.85 |
$3,338.85 |
$3,338.85 |
$1,666.86
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$4,371.64 |
$4,371.64 |
$4,371.64 |
$193.40
|
|
Admin ecg contrast agent
|
$422.20 |
$422.20 |
$422.20 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$508.25 |
$508.25 |
$508.25 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$268.20 |
$268.20 |
$268.20 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,009.70 |
$1,009.70 |
$1,009.70 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$680.95 |
$680.95 |
$680.95 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$676.55 |
$676.55 |
$676.55 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$643.95 |
$643.95 |
$643.95 |
$256.49
|
|
Administration immunization each additional vaccine
|
$51.60 |
$51.60 |
$51.60 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$45.30 |
$45.30 |
$45.30 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$53.45 |
$53.45 |
$53.45 |
$30.24
|
|
Administration vaccine hepatitis b
|
$71.05 |
$71.05 |
$71.05 |
$53.00
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$59.40 |
$59.40 |
$59.40 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$22,906.85 |
$22,906.85 |
$22,906.85 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$1,526.91 |
$1,526.91 |
$1,526.91 |
$231.47
|
|
Advance care planning each additional 30 min 99498
|
$246.00 |
$246.00 |
$246.00 |
$110.56
|
|
Aep hearing status deter i&r
|
$152.00 |
$152.00 |
$152.00 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$460.70 |
$460.70 |
$460.70 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$502.50 |
$502.50 |
$502.50 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$196.25 |
$196.25 |
$196.25 |
$104.50
|
|
Aflibercept injection
|
$6,804.70 |
$6,804.70 |
$6,804.70 |
$2,738.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$11,748.33 |
$11,748.33 |
$11,748.33 |
$14,475.20
|
|
Air conduction bilat
|
$259.60 |
$259.60 |
$259.60 |
$134.00
|
|
Air injection into abdomen 49400
|
$1,167.55 |
$1,167.55 |
$1,167.55 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$103.80 |
$103.80 |
$103.80 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$1,832.30 |
$1,832.30 |
$1,832.30 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$916.15 |
$916.15 |
$916.15 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$916.15 |
$916.15 |
$916.15 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$244.90 |
$244.90 |
$244.90 |
$58.17
|