|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3.90 |
$3.90 |
$3.90 |
$218.79
|
|
Acid perfusion of esophagus
|
$1,823.25 |
$1,823.25 |
$1,823.25 |
$587.30
|
|
Acne surgery 10040
|
$387.40 |
$387.40 |
$387.40 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$676.00 |
$676.00 |
$676.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$122.85 |
$122.85 |
$499.20 |
$160.69
|
|
Aco ccm; at least 20 min 99490aco
|
$414.70 |
$414.70 |
$414.70 |
$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
|
$406.90 |
$406.90 |
$406.90 |
$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
|
|
Acth stimulation panel
|
$390.00 |
$390.00 |
$390.00 |
$218.40
|
|
Actigraphy testing
|
$500.50 |
$500.50 |
$500.50 |
$234.00
|
|
Actinotherapy uv light
|
$76.70 |
$76.70 |
$76.70 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$21.45 |
$21.45 |
$49.40 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$21.45 |
$21.45 |
$49.40 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$21.45 |
$21.45 |
$49.40 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$21.45 |
$21.45 |
$49.40 |
$53.50
|
|
Acute hepatitis panel
|
$213.85 |
$213.85 |
$213.85 |
$284.95
|
|
Acute venous thrombus image
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$63.02 |
$63.02 |
$63.02 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$3.59 |
$3.59 |
$3.59 |
$64.45
|
|
#acylcarnitineprfl
|
$75.40 |
$75.40 |
$75.40 |
$121.55
|
|
Acylcarnitines qual
|
$74.10 |
$74.10 |
$74.10 |
$45.60
|
|
Adapt behavior tx phys/qhp
|
$480.35 |
$480.35 |
$480.35 |
$244.07
|
|
Adapter b 8 channel 10cm
|
$6,142.50 |
$6,142.50 |
$6,142.50 |
$5,109.58
|
|
Adaptive behavior tx by tech
|
$276.25 |
$276.25 |
$276.25 |
$139.68
|
|
Add ue prost b/e acrylic
|
$282.31 |
$282.31 |
$282.31 |
$408.80
|
|
Add ue prost be/wd, ultlite
|
$234.96 |
$234.96 |
$234.96 |
$338.80
|
|
Adenosine 3 mg/250 ml bag for osm
|
$18.72 |
$18.72 |
$18.72 |
$271.98
|
|
Adenovirus ag ia
|
$53.95 |
$53.95 |
$53.95 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$57.85 |
$57.85 |
$57.85 |
$58.00
|
|
Adhesiolysis tube ovary 58740
|
$91.65 |
$91.65 |
$3,874.00 |
$1,620.60
|
|
Adhesive, liquid or equal
|
$6.83 |
$6.83 |
$6.83 |
$14.40
|
|
Adh-sendout
|
$152.10 |
$152.10 |
$152.10 |
$118.79
|
|
Adj gastric band via subq port
|
$4,550.00 |
$4,550.00 |
$9,687.60 |
$1,666.86
|
|
Adjmt/revj ext fixj sys anes
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,397.11
|
|
Adjustment gastric band
|
$46.80 |
$46.80 |
$46.80 |
$207.51
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$67.60 |
$223.94 |
$223.94 |
$193.40
|
|
Admin ecg contrast agent
|
$54.60 |
$54.60 |
$54.60 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$319.15 |
$319.15 |
$319.15 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$319.15 |
$319.15 |
$319.15 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$319.15 |
$319.15 |
$733.20 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$319.15 |
$319.15 |
$319.15 |
$256.49
|
|
Administration immunization each additional component
|
$17.55 |
$17.55 |
$46.80 |
$29.20
|
|
Administration immunization each additional vaccine
|
$41.60 |
$41.60 |
$41.60 |
$47.40
|
|
Administration immunization first component each vaccine
|
$13.81 |
$45.50 |
$62.40 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$139.10 |
$139.10 |
$139.10 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$123.50 |
$123.50 |
$123.50 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$102.70 |
$102.70 |
$102.70 |
$44.80
|
|
Administration vaccine hepatitis b
|
$120.25 |
$120.25 |
$120.25 |
$53.00
|
|
Administration vaccine influenza virus
|
$120.25 |
$120.25 |
$120.25 |
$51.07
|
|
Administration vaccine pneumococcal
|
$27.95 |
$27.95 |
$27.95 |
$49.68
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$102.70 |
$102.70 |
$102.70 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$86.60 |
$19,916.21 |
$19,916.21 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$6,047.60 |
$6,047.60 |
$6,047.60 |
$1,987.70
|
|
Adrenalectomy expl w/exc retro tumor 60545
|
$5,441.80 |
$5,441.80 |
$5,441.80 |
$5,441.80
|
|
Adrenalin epinephrine inject
|
$712.08 |
$712.08 |
$712.08 |
$231.47
|
|
Advance care planning each additional 30 min 99498
|
$63.70 |
$63.70 |
$364.00 |
$110.56
|
|
Adv prim care mgmt lvl 1
|
$71.50 |
$71.50 |
$71.50 |
$51.52
|
|
Adv prim care mgmt lvl 2
|
$220.35 |
$220.35 |
$220.35 |
$51.52
|
|
Adv prim care mgmt lvl 3
|
$477.75 |
$477.75 |
$477.75 |
$139.68
|
|
Aep hearing status deter i&r
|
$809.90 |
$809.90 |
$809.90 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$809.90 |
$809.90 |
$809.90 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$809.90 |
$809.90 |
$809.90 |
$635.00
|
|
Afamelanotide implant, 1 mg
|
$78,638.30 |
$78,638.30 |
$78,638.30 |
$78,638.30
|
|
Afamitresgene autoleucel
|
$2,268,240.00 |
$2,268,240.00 |
$2,268,240.00 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$89.70 |
$89.70 |
$89.70 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$517.40 |
$517.40 |
$517.40 |
$300.00
|
|
Aflibercept injection
|
$2,164.83 |
$90,901.04 |
$90,901.04 |
$2,738.00
|
|
Afo molded ankle gauntlet
|
$362.05 |
$362.05 |
$362.05 |
$765.51
|
|
Afo molded plas rig ant tib
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$2,022.34
|
|
Afo molded to patient plasti
|
$372.59 |
$372.59 |
$372.59 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$682.76 |
$682.76 |
$682.76 |
$1,843.53
|
|
Afo sing solid stirrup calf
|
$466.05 |
$466.05 |
$466.05 |
$728.50
|
|
Afo supramalleolar custom
|
$569.40 |
$569.40 |
$569.40 |
$1,182.83
|
|
Afo tib fx cast molded to pt
|
$1,356.55 |
$1,356.55 |
$1,356.55 |
$2,118.14
|
|
Afo tib fx semi-rigid l2114
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$817.60
|
|
Afo tibial fracture rigid
|
$821.60 |
$821.60 |
$821.60 |
$1,489.57
|
|
Afo tibial fracture soft
|
$592.15 |
$592.15 |
$592.15 |
$1,060.02
|
|
Afo, walk boot type, cus fab
|
$1,871.71 |
$2,288.00 |
$2,288.00 |
$2,859.19
|
|
Afo w/ankle joint, prefab
|
$358.64 |
$358.64 |
$358.64 |
$741.72
|
|
After cataract laser surgery
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,373.11
|
|
Agalsidase beta 35 mg intravenous solution
|
$25,154.35 |
$25,154.35 |
$25,154.35 |
$14,475.20
|
|
Air conduction bilat
|
$335.40 |
$335.40 |
$335.40 |
$134.00
|
|
Air injection into abdomen 49400
|
$211.25 |
$211.25 |
$488.80 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$468.00 |
$468.00 |
$535.60 |
$297.00
|
|
Ak flex inner socket ext fra
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,352.40
|
|
Ak/knee disartic acrylic soc
|
$334.88 |
$334.88 |
$334.88 |
$495.60
|
|
Ak open end sach
|
$2,738.76 |
$2,738.76 |
$2,738.76 |
$4,928.00
|
|
Albumin body fluid quantitative each specimen
|
$35.10 |
$35.10 |
$35.10 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$2.71 |
$2.71 |
$237.90 |
$244.70
|
|
Albumin, human 25 % intravenous solution
|
$3.26 |
$3.26 |
$3.26 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$0.84 |
$0.84 |
$237.90 |
$252.77
|