|
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
|
$414.70 |
$414.70 |
$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
|
|
24 hr ambulatory b/p monitor
|
$481.65 |
$481.65 |
$481.65 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,284.00
|
|
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
|
$6,136.65 |
$6,136.65 |
$7,363.85 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$367.90 |
$367.90 |
$425.10 |
$508.13
|
|
4-bar link above knee w/swng
|
$1,293.62 |
$1,293.62 |
$1,293.62 |
$1,864.80
|
|
5' nucleotidase - sendout
|
$50.05 |
$50.05 |
$50.05 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$118.95 |
$118.95 |
$208.65 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$64.35 |
$64.35 |
$390.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$70.20 |
$70.20 |
$416.00 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$100.10 |
$100.10 |
$442.00 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$93.60 |
$93.60 |
$356.20 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$99.45 |
$99.45 |
$390.00 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$120.25 |
$120.25 |
$390.00 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$137.15 |
$137.15 |
$442.00 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$157.95 |
$157.95 |
$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
|
$92.41 |
$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
|
$14,116.70 |
$14,116.70 |
$14,636.70 |
$3,629.42
|
|
Abd exp/postop hem/throm/infec 35840
|
$5,395.00 |
$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)
|
$903.50 |
$903.50 |
$1,235.00 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$397.15 |
$397.15 |
$625.95 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$1,198.60 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$798.20 |
$798.20 |
$1,161.55 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$477.10 |
$477.10 |
$817.70 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$2,230.80 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$2,096.25 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$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 |
$708.50 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$477.10 |
$477.10 |
$646.10 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$477.10 |
$477.10 |
$542.75 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$477.10 |
$477.10 |
$568.75 |
$418.63
|
|
Abdominal X-ray (single view)
|
$395.20 |
$395.20 |
$446.55 |
$260.00
|
|
Abdominoplasty 15830
|
$5,216.25 |
$5,216.25 |
$5,216.25 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,148.40
|
|
Abduction rotation bar shoe
|
$68.11 |
$68.11 |
$68.11 |
$164.98
|
|
Abduct rotation bar without shoe
|
$62.28 |
$62.28 |
$62.28 |
$150.86
|
|
Abl1 gene
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,215.50 |
$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 atria without bypass ext
|
$7,550.40 |
$7,550.40 |
$7,550.40 |
$7,550.40
|
|
Ablate atria x10sv add-on 33258
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$1,585.60
|
|
Ablate atria x10sv endo 33266
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$11,873.55
|
|
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 heart dysrhythm focus
|
$6,734.00 |
$6,734.00 |
$6,734.00 |
$2,095.28
|
|
Ablate heart dysrhythm focus
|
$7,519.20 |
$7,519.20 |
$7,519.20 |
$2,323.08
|
|
Ablate heart dysrhythm focus
|
$7,519.20 |
$7,519.20 |
$7,519.20 |
$7,519.20
|
|
Ablate inf turbinate submuc 30802
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$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
|
$9,854.00 |
$9,854.00 |
$12,756.25 |
$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
|
$13,000.00 |
$13,000.00 |
$13,000.00 |
$857.60
|
|
Ablation cryo thigh/knee
|
$7,231.90 |
$7,231.90 |
$7,231.90 |
$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
|
$3,992.95 |
$3,992.95 |
$18,781.75 |
$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
|
$27,649.05 |
$27,649.05 |
$27,649.05 |
$5,855.00
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$21,858.85 |
$21,858.85 |
$21,858.85 |
$1,800.00
|
|
Ablt trurl prst8 tis trnsdcr
|
$12,681.50 |
$12,681.50 |
$12,681.50 |
$16,097.60
|
|
Abobotulinumtoxina
|
$15.18 |
$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
|
|
Above knee manual lock
|
$260.00 |
$260.00 |
$260.00 |
$492.80
|
|
Abrasion lesions add-on
|
$97.50 |
$97.50 |
$97.50 |
$100.00
|
|
Abrasion lesion single
|
$387.40 |
$387.40 |
$540.80 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,050.40
|
|
Absorpt drg <=16 sq in without b
|
$3.25 |
$3.25 |
$3.25 |
$5.60
|
|
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
|
$57.20 |
$57.20 |
$1,551.55 |
$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
|
|
Acetylcholine receptor modulating antibody
|
$53.95 |
$53.95 |
$53.95 |
$67.50
|
|
Acetylcholinesterase assay
|
$55.25 |
$55.25 |
$55.25 |
$107.63
|
