|
11-desoxycortisol - sendout
|
$141.75 |
$141.75 |
$141.75 |
$91.85
|
|
17-hydroxypregnenolone
|
$112.50 |
$112.50 |
$112.50 |
$92.65
|
|
24 hr ambulatory b/p monitor
|
$195.75 |
$195.75 |
$195.75 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$1,137.75 |
$1,137.75 |
$1,137.75 |
$1,284.00
|
|
2nd order venous cath
|
$2,354.25 |
$2,354.25 |
$2,354.25 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$511.60
|
|
3d recon without postprocess indpndt
|
$638.25 |
$638.25 |
$638.25 |
$508.13
|
|
5' nucleotidase - sendout
|
$252.75 |
$252.75 |
$252.75 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$108.00 |
$108.00 |
$108.00 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$106.50 |
$106.50 |
$106.50 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$111.00 |
$111.00 |
$111.00 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$111.00 |
$111.00 |
$111.00 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$102.75 |
$102.75 |
$102.75 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$100.50 |
$100.50 |
$100.50 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$111.00 |
$111.00 |
$111.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$121.50 |
$121.50 |
$121.50 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$75.75 |
$75.75 |
$75.75 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$5,313.35 |
$5,313.35 |
$5,313.35 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$132.75 |
$132.75 |
$132.75 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,160.50 |
$3,160.50 |
$3,160.50 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,407.50 |
$2,407.50 |
$2,407.50 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$328.50 |
$328.50 |
$328.50 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$905.25 |
$905.25 |
$905.25 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$868.50 |
$868.50 |
$868.50 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,704.75 |
$1,704.75 |
$1,704.75 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,475.25 |
$1,475.25 |
$1,475.25 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,013.50 |
$3,013.50 |
$3,013.50 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,439.75 |
$2,439.75 |
$2,439.75 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$823.50 |
$823.50 |
$823.50 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$998.25 |
$998.25 |
$998.25 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$735.75 |
$735.75 |
$735.75 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$277.50 |
$277.50 |
$277.50 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$440.25 |
$440.25 |
$440.25 |
$418.63
|
|
Abdominal X-ray (single view)
|
$183.00 |
$183.00 |
$183.00 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$747.00 |
$747.00 |
$747.00 |
$1,148.40
|
|
Abl1 gene
|
$364.50 |
$364.50 |
$364.50 |
$683.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,246.25 |
$5,246.25 |
$5,246.25 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$5,092.50 |
$5,092.50 |
$5,092.50 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$16,052.25 |
$16,052.25 |
$16,052.25 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$10,443.00 |
$10,443.00 |
$10,443.00 |
$9,970.50
|
|
Ablation cardiac vagal inputs atrium
|
$573.75 |
$573.75 |
$573.75 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$6,964.50 |
$6,964.50 |
$6,964.50 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$5,790.75 |
$5,790.75 |
$5,790.75 |
$6,948.75
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$234.00 |
$234.00 |
$234.00 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$8,080.50 |
$8,080.50 |
$8,080.50 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$418.50 |
$418.50 |
$418.50 |
$857.60
|
|
Ablation cryo thigh/knee
|
$228.00 |
$228.00 |
$228.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$832.50
|
|
Abobotulinumtoxina
|
$3,255.66 |
$3,255.66 |
$3,255.66 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$4,681.50 |
$4,681.50 |
$4,681.50 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$5,877.00 |
$5,877.00 |
$5,877.00 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$147.54 |
$147.54 |
$147.54 |
$72.74
|
|
Acetaminophen level
|
$180.00 |
$180.00 |
$180.00 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$137.07 |
$137.07 |
$137.07 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$489.00 |
$489.00 |
$489.00 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$406.77 |
$406.77 |
$406.77 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$87.97 |
$87.97 |
$87.97 |
$31.21
|
|
Acne surgery 10040
|
$295.50 |
$295.50 |
$295.50 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$160.50 |
$160.50 |
$160.50 |
$160.69
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$65.25 |
$65.25 |
$65.25 |
$38.50
|
|
Acth stimulation panel
|
$414.75 |
$414.75 |
$414.75 |
$218.40
|
|
Acth stimulation panel
|
$404.25 |
$404.25 |
$404.25 |
$173.60
|
|
Actinotherapy uv light
|
$138.75 |
$138.75 |
$138.75 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$45.75 |
$45.75 |
$45.75 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$36.00 |
$36.00 |
$36.00 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$36.00 |
$36.00 |
$36.00 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$45.75 |
$45.75 |
$45.75 |
$53.50
|
|
Acute hepatitis panel
|
$409.50 |
$409.50 |
$409.50 |
$284.95
|
|
Acute venous thrombus image
|
$308.25 |
$308.25 |
$308.25 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$100,424.10 |
$100,424.10 |
$100,424.10 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$77.65 |
$77.65 |
$77.65 |
$64.45
|
|
#acylcarnitineprfl
|
$98.25 |
$98.25 |
$98.25 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$29,250.00 |
$29,250.00 |
$29,250.00 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$528.78 |
$528.78 |
$528.78 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$49.50 |
$49.50 |
$49.50 |
$58.00
|
|
Adh-sendout
|
$663.75 |
$663.75 |
$663.75 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$5,046.43 |
$5,046.43 |
$5,046.43 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$420.75 |
$420.75 |
$420.75 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$863.25 |
$863.25 |
$863.25 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$762.00 |
$762.00 |
$762.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,003.50 |
$1,003.50 |
$1,003.50 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$559.50 |
$559.50 |
$559.50 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$573.75 |
$573.75 |
$573.75 |
$256.49
|
|
Administration immunization each additional component
|
$67.50 |
$67.50 |
$67.50 |
$29.20
|
|
Administration immunization each additional vaccine
|
$36.75 |
$36.75 |
$36.75 |
$47.40
|
|
Administration immunization first component each vaccine
|
$67.50 |
$67.50 |
$67.50 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$47.25 |
$47.25 |
$47.25 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$44.25 |
$44.25 |
$44.25 |
$30.24
|
|
Administration vaccine hepatitis b
|
$41.25 |
$41.25 |
$41.25 |
$53.00
|
|
Administration vaccine influenza virus
|
$41.25 |
$41.25 |
$41.25 |
$51.07
|
|
Administration vaccine pneumococcal
|
$41.25 |
$41.25 |
$41.25 |
$49.68
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$23,602.63 |
$23,602.63 |
$23,602.63 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$28.46 |
$28.46 |
$28.46 |
$231.47
|
|
Aep neurodiagnostic i&r
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$583.80
|
