|
11-desoxycortisol - sendout
|
$139.50 |
$146.20 |
$146.20 |
|
|
17-hydroxypregnenolone
|
$140.00 |
$233.83 |
$233.83 |
|
|
17-ketosteroids
|
$45.00 |
$45.00 |
$123.00 |
|
|
24 hr ambulatory b/p monitor
|
$158.50 |
$379.58 |
$379.58 |
|
|
2d tee w or without fol w/con,in
|
$1,379.00 |
$1,591.63 |
$1,591.63 |
|
|
2d tte w or without fol w/con,co
|
$715.93 |
$715.93 |
$715.93 |
|
|
2nd order venous cath
|
$401.00 |
$1,211.78 |
$1,211.78 |
|
|
3d ech img cgen car anomal
|
$1,363.33 |
$1,363.33 |
$3,333.65 |
|
|
3-d radiotherapy plan
|
$1,550.00 |
$4,738.38 |
$4,738.38 |
|
|
3d recon without postprocess indpndt
|
$455.83 |
$455.83 |
$686.00 |
|
|
5' nucleotidase - sendout
|
$45.50 |
$92.88 |
$92.88 |
|
|
88334 ap bill cytologic exam each additional site
|
$50.50 |
$58.83 |
$197.00 |
|
|
99381 initial comp preventive med less than 1 year new
|
$105.78 |
$105.78 |
$105.78 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$105.78 |
$105.78 |
$105.78 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$105.78 |
$105.78 |
$105.78 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$92.55 |
$92.55 |
$92.55 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$92.55 |
$92.55 |
$92.55 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$92.55 |
$92.55 |
$92.55 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$102.63 |
$102.63 |
$102.63 |
|
|
99397 periodic comp preventive med 65+ years est
|
$160.73 |
$160.73 |
$160.73 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,811.30 |
$2,811.30 |
$2,811.30 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$71.40 |
$77.00 |
$91.00 |
|
|
Abd aorta w/runoff s&i
|
$2,068.53 |
$2,068.53 |
$2,248.00 |
|
|
Abd/low ext cath 1st
|
$365.00 |
$1,193.15 |
$1,193.15 |
|
|
Abd/low ext cath 2nd
|
$649.00 |
$1,259.50 |
$1,259.50 |
|
|
Abd/low ext cath 3rd
|
$743.50 |
$1,442.88 |
$1,442.88 |
|
|
Abd/low ext cath addl
|
$115.50 |
$219.60 |
$219.60 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$458.73 |
$458.73 |
$3,080.00 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$409.23 |
$409.23 |
$1,982.00 |
|
|
Abdominal CT scan (with and without contrast)
|
$1,897.00 |
$2,143.33 |
$5,301.00 |
|
|
Abdominal CT scan (with contrast)
|
$1,600.00 |
$1,608.98 |
$4,598.00 |
|
|
Abdominal CT scan (without contrast)
|
$1,363.35 |
$1,363.35 |
$2,775.00 |
|
|
Abdominal MRI (with and without contrast)
|
$2,224.50 |
$2,518.40 |
$7,320.00 |
|
|
Abdominal MRI (with contrast)
|
$1,832.00 |
$2,141.80 |
$5,821.00 |
|
|
Abdominal MRI (without contrast)
|
$1,410.50 |
$1,765.28 |
$4,563.30 |
|
|
Abdominal paracentesis w/image guidance
|
$1,278.00 |
$1,960.95 |
$1,960.95 |
|
|
Abdominal Ultrasound (complete)
|
$665.35 |
$665.35 |
$1,319.00 |
|
|
Abdominal Ultrasound (limited)
|
$473.20 |
$473.20 |
$1,088.00 |
|
|
Abdominal X-ray (2 views)
|
$235.68 |
$235.68 |
$474.39 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$420.08 |
$420.08 |
$733.22 |
|
|
Abdominal X-ray (single view)
|
$224.43 |
$224.43 |
$347.13 |
|
|
Abd paracentesis/w/o image guide 49082
|
$872.50 |
$1,012.83 |
$1,012.83 |
|
|
Abl1 gene
|
$548.83 |
$548.83 |
$2,003.00 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,155.50 |
$1,155.50 |
$1,155.50 |
|
|
Ablate arrhythmia add on
|
$7,328.50 |
$19,184.90 |
$19,184.90 |
|
|
Ablate atria x10sv endo 33266
|
$49,591.83 |
$49,591.83 |
$49,591.83 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,675.28 |
$5,675.28 |
$6,985.00 |
|
|
Ablate bone tumor(s) perq
|
$5,057.43 |
$5,057.43 |
$6,164.00 |
|
|
Ablate heart dysrhythm focus
|
$5,014.00 |
$12,460.75 |
$12,460.75 |
|
|
Ablate inf turbinate superf 30801
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
|
|
Ablate pulm tumor perq crybl
|
$6,706.40 |
$6,706.40 |
$6,706.40 |
|
|
Ablate pulm tumor perq rf
|
$5,057.05 |
$5,057.05 |
$6,257.00 |
|
|
Ablation cardiac vagal inputs atrium
|
$193.00 |
$2,260.30 |
$2,260.30 |
|
|
Ablation cryo abd perit om
|
$2,287.23 |
$2,287.23 |
$4,322.50 |
|
|
Ablation cryo adrenal tumor
|
$4,850.50 |
$4,850.50 |
$4,850.50 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$359.50 |
$359.50 |
$359.50 |
|
|
Ablation cryo pq liver tumor(s)
|
$8,310.00 |
$8,310.00 |
$8,310.00 |
|
|
Ablation cryo retro lymph node
|
$637.50 |
$637.50 |
$637.50 |
|
|
Ablation cryo thigh/knee
|
$531.95 |
$531.95 |
$2,909.50 |
|
|
Ablation of upper extremity nerves rf
|
$421.50 |
$10,363.70 |
$10,363.70 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,311.50 |
$2,311.50 |
$2,311.50 |
|
|
Abobotulinumtoxina
|
$1,773.50 |
$1,773.50 |
$1,773.50 |
|
|
Abortion (mpr)
|
$544.68 |
$544.68 |
$544.68 |
|
|
Abscess drain retroperitoneal surg code
|
$2,596.00 |
$3,073.90 |
$5,709.06 |
|
|
Absorpt drg >16<=48 in w/bdr
|
$5.70 |
$5.70 |
$5.70 |
|
|
Absorpt drg >16 <=48 without bdr
|
$5.70 |
$5.70 |
$5.70 |
|
|
Absorpt drg <=16 sq in w/bdr
|
$5.18 |
$5.18 |
$5.18 |
|
|
Absorpt drg <=16 sq in without b
|
$3.62 |
$3.62 |
$3.62 |
|
|
Absorpt drg > 48 sq in without b
|
$7.76 |
$7.76 |
$7.76 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,041.65 |
$2,041.65 |
$2,041.65 |
|
|
Access thoracic lymph duct
|
$3,163.85 |
$3,163.85 |
$3,163.85 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$30.00 |
$30.00 |
$66.29 |
|
|
Acetaminophen 120 mg rectal suppository
|
$6,753.90 |
$6,753.90 |
$6,753.90 |
|
|
Acetaminophen level
|
$96.00 |
$202.33 |
$311.96 |
|
|
Acetazolamide 500 mg solution for injection
|
$117.24 |
$122.55 |
$227.51 |
|
|
Acetone qualitative
|
$37.00 |
$62.33 |
$85.16 |
|
|
Acetylcholine receptor modulating antibody
|
$84.00 |
$151.60 |
$307.13 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$57.22 |
$449.30 |
$449.30 |
|
|
Acne surgery 10040
|
$94.50 |
$94.50 |
$194.00 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$456.50 |
$456.50 |
$456.50 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$306.00 |
$306.00 |
$306.00 |
|
|
Aco ccm; at least 20 min 99490aco
|
$87.00 |
$87.00 |
$87.00 |
|
|
Aco ccm; ea addl 20 min 99439aco
|
$87.00 |
$87.00 |
$87.00 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$49.50 |
$49.50 |
$49.50 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$98.50 |
$98.50 |
$98.50 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$367.50 |
$472.35 |
$472.35 |
|
|
Aco depression screen annual medicare g0444aco
|
$6.65 |
$6.65 |
$24.00 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$19.00 |
$44.40 |
$44.40 |
|
|
Acoustic immitance testing
|
$129.00 |
$129.00 |
$129.00 |
|
|
Acoustic refl threshold tst
|
$90.00 |
$90.00 |
$90.00 |
|
|
Actigraphy testing
|
$162.73 |
$162.73 |
$162.73 |
|
|
Actinotherapy uv light
|
$119.00 |
$119.00 |
$119.00 |
|
|
Acup 1/> w/estim 1st 15 min
|
$81.50 |
$81.50 |
$81.50 |
|
|
Acup 1/> w/estim ea addl 15
|
$81.50 |
$81.50 |
$81.50 |
|
|
Acup 1/> without estim ea add 15
|
$69.00 |
$69.00 |
$69.00 |
|
|
Acup 1/> wo estim 1st 15 min
|
$79.50 |
$79.50 |
$79.50 |
|
|
Acute hepatitis panel
|
$101.64 |
$465.78 |
$465.78 |
|
|
Acyclovir 400 mg tablet
|
$61,110.00 |
$61,110.00 |
$61,110.00 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$33.54 |
$55.08 |
$55.08 |
|
|
#acylcarnitineprfl
|
$269.00 |
$418.93 |
$418.93 |
|