|
Ultrasound guide intraoperative
|
$547.95 |
$547.95 |
$807.95 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$453.70 |
$453.70 |
$973.70 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$395.20 |
$395.20 |
$587.60 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$395.20 |
$395.20 |
$556.40 |
$304.00
|
|
Ultrasound joint complete left
|
$477.10 |
$477.10 |
$734.50 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$477.10 |
$477.10 |
$822.90 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$462.15 |
$462.15 |
$716.95 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$462.15 |
$462.15 |
$699.40 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,084.20 |
$1,084.20 |
$1,578.20 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$477.10 |
$477.10 |
$720.20 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$477.10 |
$477.10 |
$1,158.30 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$477.10 |
$477.10 |
$770.90 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$425.10 |
$425.10 |
$887.90 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$718.90 |
$718.90 |
$718.90 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$163.80 |
$163.80 |
$364.00 |
$223.80
|
|
Umbilical cord occlud w/us
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$754.00
|
|
Umbilicoplasty 15847
|
$3,788.20 |
$3,788.20 |
$3,788.20 |
$4,172.97
|
|
Unit mobile power mpu
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$14,359.52
|
|
Unlistd noninvas vasc dx std
|
$819.65 |
$819.65 |
$819.65 |
$564.60
|
|
Unlisted chemotherapy px
|
$458.25 |
$458.25 |
$496.60 |
$149.15
|
|
Unlisted cranfcl&maxlfcl px
|
$5,484.70 |
$5,484.70 |
$5,484.70 |
$571.20
|
|
Unlisted CT procedure
|
$6,541.60 |
$6,541.60 |
$7,061.60 |
$740.43
|
|
Unlisted dialysis procedure
|
$170.30 |
$170.30 |
$1,003.60 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$256.75 |
$311.35 |
$311.35 |
$649.22
|
|
Unlisted fetal invas px w/us
|
$11,797.50 |
$11,797.50 |
$11,797.50 |
$498.40
|
|
Unlisted fluoroscopic px
|
$24,244.35 |
$24,244.35 |
$24,811.15 |
$305.76
|
|
Unlisted hystsc px uterus
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$3,027.89
|
|
Unlisted laparoscopic liver biopy 47379
|
$34,126.30 |
$34,126.30 |
$34,126.30 |
$6,307.38
|
|
Unlisted laparoscopic procedure 49659
|
$7,044.05 |
$7,044.05 |
$7,044.05 |
$6,838.32
|
|
Unlisted laparoscopic reduction intestine 44238
|
$11,666.20 |
$11,666.20 |
$11,666.20 |
$5,419.00
|
|
Unlisted laparoscopy procedure biliary tract 47579
|
$7,469.80 |
$7,469.80 |
$7,469.80 |
$6,463.42
|
|
Unlisted laps px appendix
|
$4,150.90 |
$4,150.90 |
$4,150.90 |
$3,617.40
|
|
Unlisted laps px bladder
|
$27,625.00 |
$27,625.00 |
$27,625.00 |
$5,082.74
|
|
Unlisted laps px endoc sys
|
$4,494.75 |
$4,494.75 |
$4,494.75 |
$5,855.00
|
|
Unlisted laps px esoph
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,741.00
|
|
Unlisted laps px lymphtc sys
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$6,870.89
|
|
Unlisted laps px ovidct ovry
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$6,904.15
|
|
Unlisted laps px renal
|
$11,993.80 |
$11,993.80 |
$11,993.80 |
$5,110.00
|
|
Unlisted laps px spleen
|
$4,280.25 |
$4,280.25 |
$4,280.25 |
$4,627.00
|
|
Unlisted laps px ureter
|
$9,001.20 |
$9,001.20 |
$9,001.20 |
$6,376.26
|
|
Unlisted laps px uterus
|
$4,524.00 |
$4,524.00 |
$4,524.00 |
$4,627.00
|
|
Unlisted maaa
|
$68.90 |
$68.90 |
$1,614.60 |
$235.20
|
|
Unlisted maxlfcl prosth px
|
$743.60 |
$743.60 |
$743.60 |
$571.20
|
|
Unlisted misc path test
|
$239.85 |
$239.85 |
$239.85 |
$89.40
|
|
Unlisted mr procedure
|
$800.15 |
$6,541.60 |
$7,127.25 |
$1,165.00
|
|
Unlisted muscskel px head
|
$1,056.90 |
$1,056.90 |
$1,056.90 |
$1,224.08
|
|
Unlisted neurological dx px
|
$750.75 |
$750.75 |
$750.75 |
$242.50
|
|
Unlisted nrvs sys px dx nuc
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$891.41
|
|
Unlisted oph svc/procedure
|
$130.00 |
$130.00 |
$130.00 |
$40.26
|
|
Unlisted orl service/px
|
$235.30 |
$235.30 |
$994.50 |
$132.60
|
|
Unlisted procedure colon
|
$1,365.65 |
$1,365.65 |
$8,570.25 |
$1,839.55
|
|
Unlisted procedure esophagus
|
$5,200.00 |
$5,200.00 |
$13,384.15 |
$1,998.88
|
|
Unlisted procedure eyelids
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,174.90
|
|
Unlisted procedure larynx
|
$9,594.00 |
$9,594.00 |
$9,594.00 |
$924.00
|
|
Unlisted procedure liver
|
$6,308.25 |
$6,308.25 |
$6,308.25 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$2,050.10 |
$2,050.10 |
$2,050.10 |
$530.00
|
|
Unlisted procedure orbit
|
$780.00 |
$780.00 |
$780.00 |
$437.00
|
|
Unlisted procedure pancreas
|
$4,810.00 |
$4,810.00 |
$39,000.00 |
$4,810.00
|
|
Unlisted procedure rectum
|
$9,100.00 |
$9,100.00 |
$9,100.00 |
$1,278.72
|
|
Unlisted procedure spine
|
$8,660.60 |
$8,660.60 |
$8,660.60 |
$4,706.35
|
|
Unlisted procedure urinary 58750
|
$4,066.40 |
$4,066.40 |
$4,066.40 |
$926.40
|
|
Unlisted psychiatric service/proc 90899
|
$149.50 |
$149.50 |
$149.50 |
$277.76
|
|
Unlisted px abdomen muscskel
|
$1,305.20 |
$1,305.20 |
$2,557.10 |
$2,053.50
|
|
Unlisted px accessory sinus
|
$6,248.45 |
$6,248.45 |
$6,248.45 |
$3,335.28
|
|
Unlisted px ant segment eye
|
$2,561.65 |
$2,561.65 |
$6,234.80 |
$2,698.92
|
|
Unlisted px arthroscopy
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$2,765.60
|
|
Unlisted px biliary tract
|
$27,540.50 |
$27,540.50 |
$27,540.50 |
$3,055.00
|
|
Unlisted px casting/strpg
|
$175.50 |
$175.50 |
$175.50 |
$222.00
|
|
Unlisted px diaphragm
|
$28,316.60 |
$28,316.60 |
$28,316.60 |
$6,325.20
|
|
Unlisted px external ear
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$325.68
|
|
Unlisted px foot/toes
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$3,192.15 |
$3,192.15 |
$3,192.15 |
$859.50
|
|
Unlisted px hands/fingers
|
$1,792.86 |
$1,792.86 |
$1,792.86 |
$349.70
|
|
Unlisted px inner ear
|
$5,047.25 |
$5,047.25 |
$5,047.25 |
$571.20
|
|
Unlisted px lacrimal system
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$416.50
|
|
Unlisted px leg/ankle
|
$793.00 |
$793.00 |
$3,111.55 |
$813.24
|
|
Unlisted px male genital sys
|
$8,636.55 |
$8,636.55 |
$10,383.75 |
$362.00
|
|
Unlisted px med radj physics
|
$830.05 |
$830.05 |
$830.05 |
$462.35
|
|
Unlisted px middle ear
|
$10,822.50 |
$10,822.50 |
$10,822.50 |
$343.50
|
|
Unlisted px neck/thorax
|
$4,011.15 |
$4,011.15 |
$4,011.15 |
$571.20
|
|
Unlisted px palate uvula
|
$2,687.75 |
$2,687.75 |
$2,687.75 |
$274.80
|
|
Unlisted px pelvis/hip joint
|
$8,660.60 |
$8,660.60 |
$8,660.60 |
$3,251.90
|
|
Unlisted px posterior segmnt
|
$4,245.80 |
$4,245.80 |
$4,245.80 |
$3,173.34
|
|
Unlisted px salivry glnd/dux
|
$1,607.45 |
$1,607.45 |
$1,607.45 |
$1,173.42
|
|
Unlisted px small intestine
|
$2,118.35 |
$2,118.35 |
$10,525.45 |
$2,118.35
|
|
Unlisted px ther rad tx plng
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$182.00
|
|
Unlisted px tongue flr mouth
|
$3,669.25 |
$3,669.25 |
$3,669.25 |
$282.50
|
|
Unlisted px vestibule mouth
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$456.96
|
|
Unlisted reprod med lab proc
|
$245.70 |
$245.70 |
$386.75 |
$70.00
|
|
Unlisted spec derm svc/px
|
$403.65 |
$403.65 |
$403.65 |
$223.08
|
|
Unlisted special svc px/rprt
|
$421.20 |
$421.20 |
$3,159.00 |
$90.00
|
|
Unlisted surgical path px
|
$217.75 |
$217.75 |
$217.75 |
$216.00
|
|
Unlisted transfusion med px
|
$315.25 |
$315.25 |
$315.25 |
$147.50
|
|
Unlisted ultrasound procedure
|
$209.95 |
$209.95 |
$209.95 |
$335.00
|
|
Unlisted vasc endoscopy px
|
$70.85 |
$70.85 |
$70.85 |
$1,523.20
|
|
Unlstd laps px mat care&dlvr
|
$4,345.90 |
$4,345.90 |
$4,345.90 |
$5,741.00
|
|
Unlstd laps px sprmatic cord
|
$4,464.20 |
$4,464.20 |
$4,464.20 |
$4,713.11
|
|
Unsched dialysis esrd pt hos
|
$1,819.35 |
$1,819.35 |
$1,819.35 |
$1,316.90
|
|
Upgrade pm system
|
$16,760.25 |
$16,760.25 |
$16,760.25 |
$12,087.24
|
