|
11-desoxycortisol - sendout
|
$146.20 |
$146.20 |
$146.20 |
$91.85
|
|
17-hydroxypregnenolone
|
$233.83 |
$233.83 |
$233.83 |
$92.65
|
|
24 hr ambulatory b/p monitor
|
$379.58 |
$379.58 |
$379.58 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,591.63 |
$1,591.63 |
$1,591.63 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$715.93 |
$715.93 |
$715.93 |
$1,284.00
|
|
2nd order venous cath
|
$1,211.78 |
$1,211.78 |
$1,211.78 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$1,363.33 |
$1,363.33 |
$1,363.33 |
$511.60
|
|
3-d radiotherapy plan
|
$4,738.38 |
$4,738.38 |
$4,738.38 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$455.83 |
$455.83 |
$455.83 |
$508.13
|
|
5' nucleotidase - sendout
|
$92.88 |
$92.88 |
$92.88 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$58.83 |
$58.83 |
$58.83 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$105.78 |
$105.78 |
$105.78 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$105.78 |
$105.78 |
$105.78 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$105.78 |
$105.78 |
$105.78 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$92.55 |
$92.55 |
$92.55 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$92.55 |
$92.55 |
$92.55 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$92.55 |
$92.55 |
$92.55 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$102.63 |
$102.63 |
$102.63 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$160.73 |
$160.73 |
$160.73 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,811.30 |
$2,811.30 |
$2,811.30 |
$3,138.72
|
|
Abd aorta w/runoff s&i
|
$2,068.53 |
$2,068.53 |
$2,068.53 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$1,193.15 |
$1,193.15 |
$1,193.15 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,442.88 |
$1,442.88 |
$1,442.88 |
$2,475.45
|
|
Abd/low ext cath addl
|
$219.60 |
$219.60 |
$219.60 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$458.73 |
$458.73 |
$458.73 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$409.23 |
$409.23 |
$409.23 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,143.33 |
$2,143.33 |
$2,143.33 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,608.98 |
$1,608.98 |
$1,608.98 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,363.35 |
$1,363.35 |
$1,363.35 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,518.40 |
$2,518.40 |
$2,518.40 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,141.80 |
$2,141.80 |
$2,141.80 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,765.28 |
$1,765.28 |
$1,765.28 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,960.95 |
$1,960.95 |
$1,960.95 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$665.35 |
$665.35 |
$665.35 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$473.20 |
$473.20 |
$473.20 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$235.68 |
$235.68 |
$235.68 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$420.08 |
$420.08 |
$420.08 |
$418.63
|
|
Abdominal X-ray (single view)
|
$224.43 |
$224.43 |
$224.43 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,012.83 |
$1,012.83 |
$1,012.83 |
$1,148.40
|
|
Abl1 gene
|
$548.83 |
$548.83 |
$548.83 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,155.50 |
$1,155.50 |
$1,155.50 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$19,184.90 |
$19,184.90 |
$19,184.90 |
$6,828.51
|
|
Ablate atria x10sv endo 33266
|
$49,591.83 |
$49,591.83 |
$49,591.83 |
$11,873.55
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,675.28 |
$5,675.28 |
$5,675.28 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$5,057.43 |
$5,057.43 |
$5,057.43 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$12,460.75 |
$12,460.75 |
$12,460.75 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$6,706.40 |
$6,706.40 |
$6,706.40 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$5,057.05 |
$5,057.05 |
$5,057.05 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,260.30 |
$2,260.30 |
$2,260.30 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$2,287.23 |
$2,287.23 |
$2,287.23 |
$2,312.80
|
|
Ablation cryo thigh/knee
|
$531.95 |
$531.95 |
$531.95 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$10,363.70 |
$10,363.70 |
$10,363.70 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,311.50 |
$2,311.50 |
$2,311.50 |
$3,055.20
|
|
Abobotulinumtoxina
|
$1,773.50 |
$1,773.50 |
$1,773.50 |
$1,541.21
|
|
Abortion (mpr)
|
$544.68 |
$544.68 |
$544.68 |
$587.60
|
|
Abscess drain retroperitoneal surg code
|
$3,073.90 |
$3,073.90 |
$3,073.90 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,041.65 |
$2,041.65 |
$2,041.65 |
$2,314.00
|
|
Access thoracic lymph duct
|
$3,163.85 |
$3,163.85 |
$3,163.85 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$30.00 |
$30.00 |
$30.00 |
$72.74
|
|
Acetaminophen 120 mg rectal suppository
|
$6,753.90 |
$6,753.90 |
$6,753.90 |
$146.76
|
|
Acetaminophen level
|
$202.33 |
$202.33 |
$202.33 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$122.55 |
$122.55 |
$122.55 |
$122.55
|
|
Acetone qualitative
|
$62.33 |
$62.33 |
$62.33 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$151.60 |
$151.60 |
$151.60 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$449.30 |
$449.30 |
$449.30 |
$218.79
|
|
Acne surgery 10040
|
$94.50 |
$94.50 |
$94.50 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$472.35 |
$472.35 |
$472.35 |
$341.00
|
|
Aco depression screen annual medicare g0444aco
|
$6.65 |
$6.65 |
$6.65 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$44.40 |
$44.40 |
$44.40 |
$38.50
|
|
Actigraphy testing
|
$162.73 |
$162.73 |
$162.73 |
$234.00
|
|
Acute hepatitis panel
|
$465.78 |
$465.78 |
$465.78 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$61,110.00 |
$61,110.00 |
$61,110.00 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$55.08 |
$55.08 |
$55.08 |
$64.45
|
|
#acylcarnitineprfl
|
$418.93 |
$418.93 |
$418.93 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$1,718.08 |
$1,718.08 |
$1,718.08 |
$5,109.58
|
|
Adding walker to prev cast
|
$187.33 |
$187.33 |
$187.33 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$271.98
|
|
Adh-sendout
|
$240.33 |
$240.33 |
$240.33 |
$118.79
|
|
Adj gastric band via subq port
|
$511.05 |
$511.05 |
$511.05 |
$1,666.86
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$3,987.43 |
$3,987.43 |
$3,987.43 |
$3,397.11
|
|
Adjustment gastric band
|
$19.10 |
$19.10 |
$19.10 |
$207.51
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$2,721.98 |
$2,721.98 |
$2,721.98 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$230.35 |
$230.35 |
$230.35 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$389.98 |
$389.98 |
$389.98 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$819.65 |
$819.65 |
$819.65 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$589.90 |
$589.90 |
$589.90 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$270.20 |
$270.20 |
$270.20 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$267.43 |
$267.43 |
$267.43 |
$256.49
|
|
Administration immunization each additional component
|
$23.28 |
$23.28 |
$23.28 |
$29.20
|
|
Administration immunization each additional vaccine
|
$46.23 |
$46.23 |
$46.23 |
$47.40
|
|
Administration immunization first component each vaccine
|
$23.30 |
$23.30 |
$23.30 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$12.55 |
$12.55 |
$12.55 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$22.15 |
$22.15 |
$22.15 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$41.45 |
$41.45 |
$41.45 |
$44.80
|
|
Administration vaccine hepatitis b
|
$59.08 |
$59.08 |
$59.08 |
$53.00
|
|
Administration vaccine influenza virus
|
$60.85 |
$60.85 |
$60.85 |
$51.07
|
|
Administration vaccine pneumococcal
|
$59.08 |
$59.08 |
$59.08 |
$49.68
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$41.45 |
$41.45 |
$41.45 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$12,791.80 |
$12,791.80 |
$12,791.80 |
$11,350.31
|