|
11-desoxycortisol - sendout
|
$139.50 |
$139.50 |
$139.50 |
$84.56
|
|
17-hydroxypregnenolone
|
$140.00 |
$140.00 |
$140.00 |
$85.15
|
|
17-ketosteroids
|
$45.00 |
$45.00 |
$45.00 |
$49.45
|
|
24 hr ambulatory b/p monitor
|
$158.50 |
$158.50 |
$158.50 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$1,624.70
|
|
2nd order venous cath
|
$401.00 |
$401.00 |
$401.00 |
$1,780.00
|
|
3-d radiotherapy plan
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$4,937.00
|
|
3d recon without postprocess indpndt
|
$655.00 |
$655.00 |
$655.00 |
$469.20
|
|
5' nucleotidase - sendout
|
$45.50 |
$45.50 |
$45.50 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$50.50 |
$50.50 |
$50.50 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$91.00 |
$91.00 |
$91.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,248.00 |
$2,248.00 |
$2,248.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$365.00 |
$365.00 |
$365.00 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$649.00 |
$649.00 |
$649.00 |
$2,255.84
|
|
Abd/low ext cath 3rd
|
$743.50 |
$743.50 |
$743.50 |
$2,662.40
|
|
Abd/low ext cath addl
|
$115.50 |
$115.50 |
$115.50 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,897.00 |
$1,897.00 |
$1,897.00 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,224.50 |
$2,224.50 |
$2,224.50 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$1,832.00 |
$1,832.00 |
$1,832.00 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$2,010.62
|
|
Abdominal paracentesis w/image guidance
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$762.50 |
$762.50 |
$762.50 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$634.50 |
$634.50 |
$634.50 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$872.50 |
$872.50 |
$872.50 |
$1,170.40
|
|
Abl1 gene
|
$895.50 |
$895.50 |
$895.50 |
$682.50
|
|
Ablate arrhythmia add on
|
$7,328.50 |
$7,328.50 |
$7,328.50 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$6,985.00 |
$6,985.00 |
$6,985.00 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$6,164.00 |
$6,164.00 |
$6,164.00 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$5,014.00 |
$5,014.00 |
$5,014.00 |
$9,556.83
|
|
Ablate inf turbinate superf 30801
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
$1,955.10
|
|
Ablate pulm tumor perq rf
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$193.00 |
$193.00 |
$193.00 |
$2,183.34
|
|
Ablation cryo abd perit om
|
$4,322.50 |
$4,322.50 |
$4,322.50 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$4,850.50 |
$4,850.50 |
$4,850.50 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$359.50 |
$359.50 |
$359.50 |
$438.36
|
|
Ablation cryo pq liver tumor(s)
|
$8,310.00 |
$8,310.00 |
$8,310.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$637.50 |
$637.50 |
$637.50 |
$859.50
|
|
Ablation cryo thigh/knee
|
$2,909.50 |
$2,909.50 |
$2,909.50 |
$2,909.50
|
|
Ablation of upper extremity nerves rf
|
$421.50 |
$421.50 |
$421.50 |
$900.00
|
|
Abscess drain retroperitoneal surg code
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$3,051.36
|
|
Absorpt drg >16<=48 in w/bdr
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Absorpt drg >16 <=48 without bdr
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Absorpt drg <=16 sq in w/bdr
|
$5.18 |
$5.18 |
$5.18 |
$5.18
|
|
Absorpt drg <=16 sq in without b
|
$3.62 |
$3.62 |
$3.62 |
$5.00
|
|
Absorpt drg > 48 sq in without b
|
$7.76 |
$7.76 |
$7.76 |
$7.76
|
|
Acetaminophen level
|
$96.00 |
$96.00 |
$96.00 |
$117.01
|
|
Acetone qualitative
|
$60.50 |
$60.50 |
$60.50 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$84.00 |
$84.00 |
$84.00 |
$61.80
|
|
Acne surgery 10040
|
$194.00 |
$194.00 |
$194.00 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$456.50 |
$456.50 |
$456.50 |
$284.40
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$306.00 |
$306.00 |
$306.00 |
$191.00
|
|
Aco ccm; at least 20 min 99490aco
|
$87.00 |
$87.00 |
$87.00 |
$108.93
|
|
Aco ccm; ea addl 20 min 99439aco
|
$87.00 |
$87.00 |
$87.00 |
$87.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$49.50 |
$49.50 |
$49.50 |
$62.21
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$98.50 |
$98.50 |
$98.50 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$367.50 |
$367.50 |
$367.50 |
$381.70
|
|
Aco depression screen annual medicare g0444aco
|
$24.00 |
$24.00 |
$24.00 |
$40.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$19.00 |
$19.00 |
$19.00 |
$42.28
|
|
Acoustic refl threshold tst
|
$90.00 |
$90.00 |
$90.00 |
$102.05
|
|
Actinotherapy uv light
|
$119.00 |
$119.00 |
$119.00 |
$113.28
|
|
Acup 1/> w/estim 1st 15 min
|
$81.50 |
$81.50 |
$81.50 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$81.50 |
$81.50 |
$81.50 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$69.00 |
$69.00 |
$69.00 |
$56.16
|
|
Acup 1/> wo estim 1st 15 min
|
$79.50 |
$79.50 |
$79.50 |
$49.40
|
|
Acute hepatitis panel
|
$339.00 |
$339.00 |
$339.00 |
$283.47
|
|
#acylcarnitineprfl
|
$269.00 |
$269.00 |
$269.00 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$485.94 |
$485.94 |
$485.94 |
$6,142.50
|
|
Adding walker to prev cast
|
$120.00 |
$120.00 |
$120.00 |
$216.00
|
|
Adenovirus antibody,serum - quest
|
$47.00 |
$47.00 |
$47.00 |
$63.00
|
|
Adhesive, liquid or equal
|
$18.63 |
$18.63 |
$18.63 |
$11.40
|
|
Adh-sendout
|
$131.00 |
$131.00 |
$131.00 |
$109.28
|
|
Adj gastric band via subq port
|
$1,245.50 |
$1,245.50 |
$1,245.50 |
$1,684.80
|
|
Administration chemotherapy IV infusion each additional hour
|
$182.50 |
$182.50 |
$182.50 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$263.00 |
$263.00 |
$263.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$477.50 |
$477.50 |
$477.50 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$329.00 |
$329.00 |
$329.00 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$248.00 |
$248.00 |
$248.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$159.00 |
$159.00 |
$159.00 |
$265.50
|
|
Administration immunization 1 vaccine
|
$66.00 |
$66.00 |
$66.00 |
$67.70
|
|
Administration immunization each additional vaccine
|
$52.00 |
$52.00 |
$52.00 |
$46.23
|
|
Administration immunization first component each vaccine
|
$47.50 |
$47.50 |
$47.50 |
$46.40
|
|
Administration vaccine hepatitis b
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Administration vaccine influenza virus
|
$58.50 |
$58.50 |
$58.50 |
$48.35
|
|
Administration vaccine pneumococcal
|
$58.50 |
$58.50 |
$58.50 |
$49.40
|
|
Adrenal cortex & medulla img
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,957.00
|
|
Advance care planning each additional 30 min 99498
|
$93.50 |
$93.50 |
$93.50 |
$121.68
|
|
Aep neurodiagnostic i&r
|
$776.50 |
$776.50 |
$776.50 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$776.50 |
$776.50 |
$776.50 |
$590.25
|
|
_afb id by dna probe rflx ast
|
$67.50 |
$67.50 |
$67.50 |
$89.70
|
|
_afb org id by sequencing rflx ast-sendout
|
$170.00 |
$170.00 |
$170.00 |
$289.60
|
|
Afo molded to patient plasti
|
$436.77 |
$436.77 |
$436.77 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$706.39 |
$706.39 |
$706.39 |
$1,421.28
|
|
Afo tib fx semi-rigid l2114
|
$385.02 |
$385.02 |
$385.02 |
$817.60
|
|
Afo, walk boot type, cus fab
|
$1,180.94 |
$1,180.94 |
$1,180.94 |
$2,288.00
|
|
Afo w/ankle joint, prefab
|
$275.31 |
$275.31 |
$275.31 |
$567.00
|
|
After cataract laser surgery
|
$948.50 |
$948.50 |
$948.50 |
$1,411.20
|
|
Air conduction bilat
|
$104.50 |
$104.50 |
$104.50 |
$138.00
|
|
Ak/knee disartic silesian ba
|
$88.50 |
$88.50 |
$88.50 |
$156.80
|
