|
11-desoxycortisol - sendout
|
$29.28 |
$29.28 |
$250.20 |
|
|
17-hydroxypregnenolone
|
$22.81 |
$22.81 |
$269.40 |
|
|
17-ketosteroids
|
$12.80 |
$12.80 |
$57.01 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$152.50 |
$152.50 |
$152.50 |
|
|
1st psyc collab care mgmt
|
$109.46 |
$109.46 |
$334.00 |
|
|
1st/sbsq psyc collab care
|
$87.29 |
$87.29 |
$154.00 |
|
|
2019-ncov diagnostic p
|
$35.92 |
$35.92 |
$123.39 |
|
|
24 hr ambulatory b/p monitor
|
$152.54 |
$152.54 |
$412.94 |
|
|
2d tee w or without fol w/con,in
|
$934.93 |
$934.93 |
$2,240.14 |
|
|
2d tte w or without fol w/con,co
|
$934.93 |
$934.93 |
$1,747.80 |
|
|
2nd order venous cath
|
$738.11 |
$738.11 |
$8,958.00 |
|
|
3d anat seg imaging preop
|
$104.19 |
$104.19 |
$104.19 |
|
|
3d ech img cgen car anomal
|
$587.18 |
$718.00 |
$722.68 |
|
|
3-d radiotherapy plan
|
$1,619.14 |
$1,619.14 |
$16,353.00 |
|
|
3d recon without postprocess indpndt
|
$82.80 |
$443.83 |
$1,563.00 |
|
|
5% dextrose and 0.45% saline
|
$4.80 |
$4.80 |
$4.80 |
|
|
5% dextrose with potassium
|
$49.00 |
$49.00 |
$49.00 |
|
|
5' nucleotidase - sendout
|
$11.15 |
$11.15 |
$243.00 |
|
|
88334 ap bill cytologic exam each additional site
|
$130.80 |
$150.33 |
$197.51 |
|
|
99381 initial comp preventive med less than 1 year new
|
$97.57 |
$269.62 |
$1,014.00 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$105.12 |
$282.54 |
$1,014.00 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$58.97 |
$294.61 |
$1,014.00 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$38.50 |
$243.57 |
$1,014.00 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$42.59 |
$259.43 |
$1,014.00 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$99.89 |
$258.55 |
$1,014.00 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$49.15 |
$284.42 |
$1,014.00 |
|
|
99397 periodic comp preventive med 65+ years est
|
$141.30 |
$333.37 |
$1,014.00 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$43.44 |
$43.44 |
$4,990.72 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$12.01 |
$12.01 |
$53.46 |
|
|
Abd aorta w/runoff s&i
|
$3,724.63 |
$3,724.63 |
$12,810.00 |
|
|
Abd/low ext cath 1st
|
$80.40 |
$827.33 |
$861.80 |
|
|
Abd/low ext cath 2nd
|
$80.40 |
$1,081.39 |
$1,111.21 |
|
|
Abd/low ext cath 3rd
|
$80.40 |
$1,322.09 |
$1,349.35 |
|
|
Abd/low ext cath addl
|
$106.06 |
$295.68 |
$303.85 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$286.04 |
$286.04 |
$2,765.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$125.84 |
$125.84 |
$1,855.00 |
|
|
Abdominal CT scan (with and without contrast)
|
$210.66 |
$210.66 |
$4,895.00 |
|
|
Abdominal CT scan (with contrast)
|
$210.66 |
$210.66 |
$4,593.00 |
|
|
Abdominal CT scan (without contrast)
|
$125.84 |
$125.84 |
$3,337.00 |
|
|
Abdominal MRI (with and without contrast)
|
$422.61 |
$422.61 |
$10,547.00 |
|
|
Abdominal MRI (with contrast)
|
$422.61 |
$422.61 |
$7,597.00 |
|
|
Abdominal MRI (without contrast)
|
$286.04 |
$286.04 |
$6,747.00 |
|
|
Abdominal paracentesis w/image guidance
|
$373.80 |
$1,109.47 |
$6,776.22 |
|
|
Abdominal Ultrasound (complete)
|
$125.84 |
$125.84 |
$6,198.00 |
|
|
Abdominal Ultrasound (limited)
|
$125.84 |
$125.84 |
$3,827.00 |
|
|
Abdominal X-ray (2 views)
|
$125.84 |
$125.84 |
$1,454.00 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$125.84 |
$125.84 |
$2,217.00 |
|
|
Abdominal X-ray (single view)
|
$104.19 |
$104.19 |
$731.00 |
|
|
Abdominoplasty 15830
|
$7,717.23 |
$7,717.23 |
$15,027.54 |
|
|
Abd paracentesis/w/o image guide 49082
|
$355.80 |
$1,109.47 |
$2,357.31 |
|
|
Abl1 gene
|
$300.00 |
$300.00 |
$1,082.32 |
|
|
Ablate arrhythmia add on
|
$2,304.14 |
$8,445.81 |
$9,965.00 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$8,453.60 |
$8,453.60 |
$14,590.10 |
|
|
Ablate bone tumor(s) perq
|
$11,101.16 |
$15,226.08 |
$17,913.59 |
|
|
Ablate heart dysrhythm focus
|
$8,979.45 |
$8,979.45 |
$12,416.68 |
|
|
Ablate inf turbinate submuc 30802
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Ablate inf turbinate superf 30801
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Ablate pulm tumor perq crybl
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
|
|
Ablate pulm tumor perq rf
|
$6,904.15 |
$6,904.15 |
$14,223.16 |
|
|
Ablation cardiac vagal inputs atrium
|
$185.15 |
$185.15 |
$24,480.21 |
|
|
Ablation cryo abd perit om
|
$84.60 |
$1,109.47 |
$2,195.76 |
|
|
Ablation cryo adrenal tumor
|
$6,904.15 |
$6,904.15 |
$14,223.16 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$283.86 |
$283.86 |
$10,967.77 |
|
|
Ablation cryo pq liver tumor(s)
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
|
|
Ablation cryo retro lymph node
|
$517.34 |
$517.34 |
$1,126.25 |
|
|
Ablation cryo thigh/knee
|
$283.86 |
$283.86 |
$670.56 |
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$10,860.07 |
$10,860.07 |
$10,860.07 |
|
|
Ablation of upper extremity nerves rf
|
$159.60 |
$349.32 |
$1,467.95 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
|
|
Abltj mal prst8 tiss hifu
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
|
|
Ablt trurl prst8 tis trnsdcr
|
$15,374.71 |
$15,374.71 |
$15,374.71 |
|
|
Abobotulinumtoxina
|
$8.63 |
$8.63 |
$1,804.25 |
|
|
Abortion
|
$7,364.00 |
$7,364.00 |
$7,364.00 |
|
|
Abortion (mpr)
|
$359.97 |
$359.97 |
$2,182.00 |
|
|
Abrasion lesion single
|
$235.13 |
$235.13 |
$235.13 |
|
|
Abscess drain retroperitoneal surg code
|
$1,419.04 |
$1,917.33 |
$5,366.00 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$6,025.66 |
$6,025.66 |
$7,416.19 |
|
|
Access thoracic lymph duct
|
$573.26 |
$765.02 |
$919.24 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.14 |
$0.14 |
$1.20 |
|
|
Acetaminophen level
|
$18.64 |
$18.64 |
$61.00 |
|
|
Acetazolamide 500 mg solution for injection
|
$92.86 |
$92.86 |
$115.20 |
|
|
Acetone qualitative
|
$4.52 |
$4.52 |
$72.55 |
|
|
Acetylcholine receptor modulating antibody
|
$12.05 |
$12.05 |
$32.88 |
|
|
Acetylcholinesterase assay
|
$12.29 |
$12.29 |
$113.00 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2.51 |
$2.51 |
$258.00 |
|
|
Acetylcysteine non-comp unit
|
$12.68 |
$12.68 |
$42.20 |
|
|
Acid perfusion of esophagus
|
$627.89 |
$627.89 |
$627.89 |
|
|
Acne surgery 10040
|
$235.13 |
$235.13 |
$627.20 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$181.11 |
$184.85 |
$211.28 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$94.20 |
$146.38 |
$158.50 |
|
|
Aco ccm; at least 20 min 99490aco
|
$109.46 |
$109.46 |
$270.00 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$259.00 |
$259.00 |
$259.00 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$190.13 |
$190.13 |
$517.00 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$152.50 |
$152.50 |
$579.00 |
|
|
Aco depression screen annual medicare g0444aco
|
$35.25 |
$38.28 |
$109.25 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$16.69 |
$16.99 |
$101.00 |
|
|
Acoustic immitance testing
|
$90.60 |
$185.15 |
$185.15 |
|
|
Acoustic refl threshold tst
|
$46.45 |
$46.45 |
$46.45 |
|
|
Acromp/acromionectomy prtl
|
$3,839.54 |
$3,839.54 |
$8,441.76 |
|
|
Acth stimulation panel
|
$86.96 |
$86.96 |
$86.96 |
|