|
11-desoxycortisol - sendout
|
$131.30 |
$131.30 |
$131.30 |
$91.85
|
|
17-hydroxypregnenolone
|
$102.05 |
$102.05 |
$102.05 |
$92.65
|
|
17-ketosteroids
|
$57.20 |
$57.20 |
$57.20 |
$55.00
|
|
1st hosp/birthing center care per day nml nb 99460
|
$499.20 |
$499.20 |
$499.20 |
$161.60
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$5,279.30 |
$5,279.30 |
$5,279.30 |
$1,656.80
|
|
1st psyc collab care mgmt
|
$537.55 |
$537.55 |
$537.55 |
$109.46
|
|
1st/sbsq psyc collab care
|
$234.65 |
$234.65 |
$234.65 |
$107.43
|
|
2019-ncov diagnostic p
|
$161.20 |
$161.20 |
$161.20 |
$54.50
|
|
2d tee w or without fol w/con,in
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,724.25
|
|
2nd order venous cath
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$336.70 |
$336.70 |
$336.70 |
$511.60
|
|
3-d radiotherapy plan
|
$7,363.85 |
$7,363.85 |
$7,363.85 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$425.10 |
$425.10 |
$425.10 |
$508.13
|
|
5' nucleotidase - sendout
|
$50.05 |
$50.05 |
$50.05 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$208.65 |
$208.65 |
$208.65 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$390.00 |
$390.00 |
$390.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$416.00 |
$416.00 |
$416.00 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$442.00 |
$442.00 |
$442.00 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$356.20 |
$356.20 |
$356.20 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$390.00 |
$390.00 |
$390.00 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$390.00 |
$390.00 |
$390.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$442.00 |
$442.00 |
$442.00 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$520.00 |
$520.00 |
$520.00 |
$164.73
|
|
Aa graft w/bp/aortic root replace 33863
|
$15,285.40 |
$15,285.40 |
$15,285.40 |
$7,697.60
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,627.00 |
$3,627.00 |
$3,627.00 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.95 |
$53.95 |
$53.95 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$14,636.70 |
$14,636.70 |
$14,636.70 |
$3,629.42
|
|
Abd exp/postop hem/throm/infec 35840
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$2,659.14
|
|
Abd/low ext cath 1st
|
$2,608.45 |
$2,608.45 |
$2,608.45 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,941.25 |
$2,941.25 |
$2,941.25 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$3,554.85 |
$3,554.85 |
$3,554.85 |
$2,475.45
|
|
Abd/low ext cath addl
|
$551.20 |
$551.20 |
$551.20 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$625.95 |
$625.95 |
$625.95 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,198.60 |
$1,198.60 |
$1,198.60 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$817.70 |
$817.70 |
$817.70 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$646.10 |
$646.10 |
$646.10 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$542.75 |
$542.75 |
$542.75 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$568.75 |
$568.75 |
$568.75 |
$418.63
|
|
Abdominal X-ray (single view)
|
$446.55 |
$446.55 |
$446.55 |
$260.00
|
|
Abdominoplasty 15830
|
$4,448.60 |
$4,448.60 |
$4,448.60 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,148.40
|
|
Abl1 gene
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$3,412.50 |
$3,412.50 |
$3,412.50 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$4,470.05 |
$4,470.05 |
$4,470.05 |
$6,828.51
|
|
Ablate atria lmtd endo 33265
|
$6,164.60 |
$6,164.60 |
$6,164.60 |
$2,738.40
|
|
Ablate atria w/bypass exten 33256
|
$9,074.00 |
$9,074.00 |
$9,074.00 |
$4,732.00
|
|
Ablate bone tumor(s) cryo perq 20983
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$38,471.55 |
$38,471.55 |
$38,471.55 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$14,359.15 |
$14,359.15 |
$14,359.15 |
$9,332.05
|
|
Ablate inf turbinate submuc 30802
|
$540.80 |
$540.80 |
$540.80 |
$2,060.00
|
|
Ablate inf turbinate superf 30801
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$17,351.75 |
$17,351.75 |
$17,351.75 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$6,281.60 |
$6,281.60 |
$6,281.60 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$38,471.55 |
$38,471.55 |
$38,471.55 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$31,129.80 |
$31,129.80 |
$31,129.80 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$3,103.10 |
$3,103.10 |
$3,103.10 |
$857.60
|
|
Ablation cryo thigh/knee
|
$5,431.40 |
$5,431.40 |
$5,431.40 |
$531.95
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$32,471.40 |
$32,471.40 |
$32,471.40 |
$17,286.00
|
|
Ablation of upper extremity nerves rf
|
$9,505.60 |
$9,505.60 |
$9,505.60 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$4,212.65 |
$4,212.65 |
$4,212.65 |
$3,055.20
|
|
Abltj mal prst8 tiss hifu
|
$4,609.80 |
$4,609.80 |
$4,609.80 |
$5,855.00
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$1,800.00
|
|
Ablt trurl prst8 tis trnsdcr
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$16,097.60
|
|
Abobotulinumtoxina
|
$2,060.37 |
$2,060.37 |
$2,060.37 |
$1,541.21
|
|
Abortion
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$935.20
|
|
Abortion (mpr)
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$587.60
|
|
Abrasion lesion single
|
$540.80 |
$540.80 |
$540.80 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$6,266.00 |
$6,266.00 |
$6,266.00 |
$2,314.00
|
|
Access thoracic lymph duct
|
$4,645.55 |
$4,645.55 |
$4,645.55 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.20 |
$0.20 |
$0.20 |
$72.74
|
|
Acetaminophen 120 mg rectal suppository
|
$732.55 |
$732.55 |
$732.55 |
$146.76
|
|
Acetaminophen level
|
$83.85 |
$83.85 |
$83.85 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$102.86 |
$102.86 |
$102.86 |
$122.55
|
|
Acetone qualitative
|
$20.15 |
$20.15 |
$20.15 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$53.95 |
$53.95 |
$53.95 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3.90 |
$3.90 |
$3.90 |
$218.79
|
|
Acne surgery 10040
|
$260.00 |
$260.00 |
$260.00 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$676.00 |
$676.00 |
$676.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$499.20 |
$499.20 |
$499.20 |
$160.69
|
|
Aco ccm; at least 20 min 99490aco
|
$260.00 |
$260.00 |
$260.00 |
$102.47
|
|
Aco ccm; ea addl 20 min 99439aco
|
$182.00 |
$182.00 |
$182.00 |
$87.20
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$470.60 |
$470.60 |
$470.60 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$334.75 |
$334.75 |
$334.75 |
$341.00
|
|
Aco depression screen annual medicare g0444aco
|
$77.35 |
$77.35 |
$77.35 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$65.00 |
$65.00 |
$65.00 |
$38.50
|
|
Acoustic immitance testing
|
$157.30 |
$157.30 |
$157.30 |
$158.50
|
|
Acoustic refl threshold tst
|
$102.05 |
$102.05 |
$102.05 |
$102.05
|
|
Acromp/acromionectomy prtl
|
$2,222.35 |
$2,222.35 |
$2,222.35 |
$3,839.54
|
|
Actigraphy testing
|
$234.00 |
$234.00 |
$234.00 |
$234.00
|
