|
11-desoxycortisol - sendout
|
$29.28 |
$32.21 |
$32.21 |
|
|
17-hydroxypregnenolone
|
$22.81 |
$25.09 |
$25.09 |
|
|
17-ketosteroids
|
$12.80 |
$14.08 |
$14.08 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$140.84 |
$142.64 |
$151.77 |
|
|
1st psyc collab care mgmt
|
$101.09 |
$102.38 |
$108.93 |
|
|
2019-ncov diagnostic p
|
$35.92 |
$39.51 |
$39.51 |
|
|
24 hr ambulatory b/p monitor
|
$67.43 |
$142.67 |
$275.03 |
|
|
2d tee w or without fol w/con,in
|
$863.44 |
$874.49 |
$930.42 |
|
|
2d tte w or without fol w/con,co
|
$863.44 |
$874.49 |
$930.42 |
|
|
2nd order venous cath
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
3d anat seg imaging preop
|
$103.69 |
$173.18 |
$184.26 |
|
|
3d bn img algor drvd fr MRI
|
$170.99 |
$173.18 |
$184.26 |
|
|
3d ech img cgen car anomal
|
$101.90 |
$228.71 |
$260.99 |
|
|
3-d radiotherapy plan
|
$1,495.34 |
$2,223.11 |
$2,941.13 |
|
|
3d recon without postprocess indpndt
|
$108.48 |
$129.14 |
$167.27 |
|
|
5' nucleotidase - sendout
|
$11.15 |
$12.27 |
$12.27 |
|
|
88334 ap bill cytologic exam each additional site
|
$11.22 |
$31.31 |
$35.89 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$43.44 |
$44.49 |
$44.49 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$12.01 |
$13.21 |
$13.21 |
|
|
Abd aorta w/runoff s&i
|
$832.43 |
$1,737.27 |
$3,706.68 |
|
|
Abd/low ext cath 1st
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Abd/low ext cath 2nd
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Abd/low ext cath 3rd
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Abd/low ext cath addl
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$264.17 |
$358.36 |
$609.22 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$116.22 |
$126.29 |
$307.79 |
|
|
Abdominal CT scan (with and without contrast)
|
$194.55 |
$537.42 |
$888.76 |
|
|
Abdominal CT scan (with contrast)
|
$194.55 |
$453.34 |
$710.72 |
|
|
Abdominal CT scan (without contrast)
|
$116.22 |
$310.59 |
$475.63 |
|
|
Abdominal MRI (with and without contrast)
|
$390.30 |
$745.79 |
$1,079.63 |
|
|
Abdominal MRI (with contrast)
|
$390.30 |
$703.20 |
$1,077.25 |
|
|
Abdominal MRI (without contrast)
|
$264.17 |
$536.91 |
$736.39 |
|
|
Abdominal paracentesis w/image guidance
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Abdominal Ultrasound (complete)
|
$116.22 |
$178.81 |
$363.00 |
|
|
Abdominal Ultrasound (limited)
|
$116.22 |
$154.39 |
$354.00 |
|
|
Abdominal X-ray (2 views)
|
$69.27 |
$114.65 |
$235.60 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$86.81 |
$125.23 |
$179.93 |
|
|
Abdominal X-ray (single view)
|
$65.91 |
$96.23 |
$189.20 |
|
|
Abdominoplasty 15830
|
$3,786.00 |
$6,311.00 |
$7,680.06 |
|
|
Abd paracentesis/w/o image guide 49082
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Abl1 gene
|
$300.00 |
$330.00 |
$330.00 |
|
|
Ablate arrhythmia add on
|
$1,924.22 |
$1,980.93 |
$2,028.48 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Ablate bone tumor(s) perq
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Ablate heart dysrhythm focus
|
$1,955.38 |
$8,292.88 |
$8,936.20 |
|
|
Ablate inf turbinate submuc 30802
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Ablate inf turbinate superf 30801
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Ablate pulm tumor perq crybl
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Ablate pulm tumor perq rf
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Ablation cardiac vagal inputs atrium
|
$170.99 |
$211.75 |
$1,071.74 |
|
|
Ablation cryo abd perit om
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Ablation cryo adrenal tumor
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ablation cryo pq liver tumor(s)
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Ablation cryo retro lymph node
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Ablation cryo thigh/knee
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ablation of upper extremity nerves rf
|
$322.61 |
$3,986.00 |
$6,839.00 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$1,770.73 |
$1,793.38 |
$1,908.09 |
|
|
Abltj mal prst8 tiss hifu
|
$3,786.00 |
$6,311.00 |
$10,890.00 |
|
|
Ablt trurl prst8 tis trnsdcr
|
$14,199.16 |
$14,380.79 |
$15,300.65 |
|
|
Abobotulinumtoxina
|
$8.63 |
$9.17 |
$9.17 |
|
|
Abortion (mpr)
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Abrasion lesion single
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Abscess drain retroperitoneal surg code
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$5,110.00 |
$5,741.00 |
$6,311.00 |
|
|
Access thoracic lymph duct
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|
|
Acetaminophen level
|
$18.64 |
$20.50 |
$20.50 |
|
|
Acetone qualitative
|
$4.52 |
$4.97 |
$4.97 |
|
|
Acetylcholine receptor modulating antibody
|
$12.05 |
$13.26 |
$13.26 |
|
|
Acetylcholinesterase assay
|
$12.29 |
$13.52 |
$13.52 |
|
|
Acid perfusion of esophagus
|
$106.94 |
$181.38 |
$624.87 |
|
|
Acne surgery 10040
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$206.14 |
$206.14 |
$206.14 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$160.69 |
$160.69 |
$160.69 |
|
|
Aco ccm; at least 20 min 99490aco
|
$101.09 |
$102.38 |
$108.93 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$175.59 |
$177.84 |
$189.21 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$70.98 |
$142.64 |
$251.73 |
|
|
Aco depression screen annual medicare g0444aco
|
$32.56 |
$32.97 |
$35.08 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$13.93 |
$19.31 |
$37.50 |
|
|
Acoustic immitance testing
|
$77.90 |
$173.18 |
$184.26 |
|
|
Acoustic refl threshold tst
|
$28.38 |
$43.44 |
$73.00 |
|
|
Acromp/acromionectomy prtl
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Acth stimulation panel
|
$86.96 |
$95.66 |
$95.66 |
|
|
Acth stimulation panel
|
$78.26 |
$86.09 |
$86.09 |
|
|
Actigraphy testing
|
$64.92 |
$65.80 |
$83.48 |
|
|
Actinotherapy uv light
|
$13.27 |
$43.44 |
$46.22 |
|
|
Acup 1/> w/estim 1st 15 min
|
$26.76 |
$27.11 |
$28.84 |
|
|
Acup 1/> wo estim 1st 15 min
|
$26.76 |
$27.11 |
$28.84 |
|
|
Acute hepatitis panel
|
$47.63 |
$52.39 |
$264.00 |
|
|
Acute venous thrombus image
|
$1,426.73 |
$1,444.98 |
$1,537.41 |
|
|
#acylcarnitineprfl
|
$16.87 |
$18.56 |
$92.00 |
|
|
Acylcarnitines qual
|
$16.49 |
$18.14 |
$18.14 |
|
|
Adapt behavior tx phys/qhp
|
$104.50 |
$177.84 |
$189.21 |
|
|
Adaptive behavior tx by tech
|
$87.50 |
$102.38 |
$108.93 |
|
|
Adding walker to prev cast
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Adenovirus ag ia
|
$11.98 |
$13.18 |
$13.18 |
|
|
Adenovirus antibody,serum - quest
|
$12.87 |
$14.16 |
$14.16 |
|
|
Adenovirus assay w/optic
|
$21.76 |
$23.94 |
$23.94 |
|
|
Adh-sendout
|
$33.94 |
$37.33 |
$233.50 |
|
|
Adj gastric band via subq port
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
