|
11-desoxycortisol - sendout
|
$57.54 |
$57.54 |
$57.54 |
$84.56
|
|
1st hosp/birthing center care per day nml nb 99460
|
$117.60 |
$117.60 |
$117.60 |
$172.80
|
|
1st inpatient critical care pr day age 28 days/less than 99468
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$1,656.80
|
|
1st/sbsq psyc collab care
|
$76.32 |
$76.32 |
$76.32 |
$111.20
|
|
3-d radiotherapy plan
|
$3,742.56 |
$3,742.56 |
$3,742.56 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$54.44 |
$54.44 |
$54.44 |
$480.00
|
|
5' nucleotidase - sendout
|
$41.72 |
$41.72 |
$41.72 |
$45.90
|
|
88334 ap bill cytologic exam each additional site
|
$82.43 |
$82.43 |
$82.43 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$140.16 |
$140.16 |
$140.16 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$146.40 |
$146.40 |
$146.40 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$151.68 |
$151.68 |
$151.68 |
$116.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$125.76 |
$125.76 |
$125.76 |
$113.52
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$133.92 |
$133.92 |
$133.92 |
$133.92
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$133.44 |
$133.44 |
$133.44 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$145.92 |
$145.92 |
$145.92 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$170.88 |
$170.88 |
$170.88 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,390.19 |
$3,390.19 |
$3,390.19 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$23.60 |
$23.60 |
$23.60 |
$53.60
|
|
Abd exp/postop hem/throm/infec 35840
|
$1,842.24 |
$1,842.24 |
$1,842.24 |
$2,938.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$1,670.88 |
$1,670.88 |
$1,670.88 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$1,268.64 |
$1,268.64 |
$1,268.64 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,704.96 |
$1,704.96 |
$1,704.96 |
$3,039.92
|
|
Abdominal MRI (with contrast)
|
$944.64 |
$944.64 |
$944.64 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,268.16 |
$1,268.16 |
$1,268.16 |
$2,010.62
|
|
Abdominal paracentesis w/image guidance
|
$1,519.68 |
$1,519.68 |
$1,519.68 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$420.00 |
$420.00 |
$420.00 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$277.44 |
$277.44 |
$277.44 |
$600.00
|
|
Abdominoplasty 15830
|
$1,790.88 |
$1,790.88 |
$1,790.88 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$1,519.68 |
$1,519.68 |
$1,519.68 |
$1,145.00
|
|
Abl1 gene
|
$589.92 |
$589.92 |
$589.92 |
$668.85
|
|
Ablate inf turbinate submuc 30802
|
$426.72 |
$426.72 |
$426.72 |
$1,752.89
|
|
Ablation cryo retro lymph node
|
$554.88 |
$554.88 |
$554.88 |
$826.80
|
|
Abscess drain retroperitoneal surg code
|
$1,019.04 |
$1,019.04 |
$1,019.04 |
$2,903.45
|
|
Abscess imaging ltd area
|
$511.20 |
$511.20 |
$511.20 |
$1,098.00
|
|
Abscess imaging whole body
|
$652.80 |
$652.80 |
$652.80 |
$1,457.72
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$74.50 |
$74.50 |
$74.50 |
$80.14
|
|
Acetazolamide 500 mg solution for injection
|
$145.07 |
$145.07 |
$145.07 |
$113.40
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$505.06 |
$505.06 |
$505.06 |
$244.95
|
|
Acetylcysteine non-comp unit
|
$40.85 |
$40.85 |
$40.85 |
$31.21
|
|
Acne surgery 10040
|
$178.08 |
$178.08 |
$178.08 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$212.64 |
$212.64 |
$212.64 |
$246.40
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$167.04 |
$167.04 |
$167.04 |
$190.20
|
|
Aco ccm; at least 20 min 99490aco
|
$80.64 |
$80.64 |
$80.64 |
$102.38
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$327.36 |
$327.36 |
$327.36 |
$370.55
|
|
Aco depression screen annual medicare g0444aco
|
$24.48 |
$24.48 |
$24.48 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$25.44 |
$25.44 |
$25.44 |
$40.20
|
|
Acromp/acromionectomy prtl
|
$961.44 |
$961.44 |
$961.44 |
$3,839.54
|
|
Actinotherapy uv light
|
$38.40 |
$38.40 |
$38.40 |
$112.00
|
|
Acup 1/> w/estim 1st 15 min
|
$41.21 |
$41.21 |
$41.21 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$22.90 |
$22.90 |
$22.90 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$30.02 |
$30.02 |
$30.02 |
$52.79
|
|
Acup 1/> wo estim 1st 15 min
|
$76.32 |
$76.32 |
$76.32 |
$45.75
|
|
Acute hepatitis panel
|
$170.96 |
$170.96 |
$170.96 |
$281.05
|
|
Acyclovir 400 mg tablet
|
$480.05 |
$480.05 |
$480.05 |
$51.36
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$89.51 |
$89.51 |
$89.51 |
$64.45
|
|
#acylcarnitineprfl
|
$134.32 |
$134.32 |
$134.32 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$96.36 |
$96.36 |
$96.36 |
$271.98
|
|
Adenovirus ag ia
|
$23.55 |
$23.55 |
$23.55 |
$42.00
|
|
Adenovirus antibody,serum - quest
|
$65.13 |
$65.13 |
$65.13 |
$60.00
|
|
Adhesiolysis tube ovary 58740
|
$1,384.32 |
$1,384.32 |
$1,384.32 |
$1,620.60
|
|
Adh-sendout
|
$41.72 |
$41.72 |
$41.72 |
$109.28
|
|
Adjmt/revj ext fixj sys anes
|
$691.20 |
$691.20 |
$691.20 |
$7,913.97
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$3,985.92 |
$3,985.92 |
$3,985.92 |
$2,995.08
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$272.21 |
$272.21 |
$272.21 |
$171.07
|
|
Admin ecg contrast agent
|
$148.06 |
$148.06 |
$148.06 |
$162.60
|
|
Administration chemotherapy IV infusion each additional hour
|
$194.36 |
$194.36 |
$194.36 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$57.49 |
$57.49 |
$57.49 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$313.92 |
$313.92 |
$313.92 |
$644.28
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$177.06 |
$177.06 |
$177.06 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$74.28 |
$74.28 |
$74.28 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$109.44 |
$109.44 |
$109.44 |
$264.00
|
|
Administration immunization 1 vaccine
|
$39.18 |
$39.18 |
$39.18 |
$66.51
|
|
Administration immunization each additional component
|
$13.44 |
$13.44 |
$13.44 |
$27.20
|
|
Administration immunization each additional vaccine
|
$33.07 |
$33.07 |
$33.07 |
$46.23
|
|
Administration immunization first component each vaccine
|
$35.52 |
$35.52 |
$35.52 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$39.18 |
$39.18 |
$39.18 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$18.72 |
$18.72 |
$18.72 |
$31.20
|
|
Administration vaccine hepatitis b
|
$47.04 |
$47.04 |
$47.04 |
$54.60
|
|
Administration vaccine influenza virus
|
$47.04 |
$47.04 |
$47.04 |
$48.35
|
|
Administration vaccine pneumococcal
|
$47.04 |
$47.04 |
$47.04 |
$49.50
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$12,304.13 |
$12,304.13 |
$12,304.13 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$601.24 |
$601.24 |
$601.24 |
$231.47
|
|
Advance care planning each additional 30 min 99498
|
$91.20 |
$91.20 |
$91.20 |
$110.56
|
|
Afamelanotide implant, 1 mg
|
$145,182.24 |
$145,182.24 |
$145,182.24 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$38.26 |
$38.26 |
$38.26 |
$93.52
|
|
Air conduction bilat
|
$58.08 |
$58.08 |
$58.08 |
$122.40
|
|
Albumin body fluid quantitative each specimen
|
$30.53 |
$30.53 |
$30.53 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$287.28 |
$287.28 |
$287.28 |
$219.30
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$30.53 |
$30.53 |
$30.53 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$27.98 |
$27.98 |
$27.98 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$5.40 |
$5.40 |
$5.40 |
$5.19
|
|
Albuterol non-comp con
|
$5.04 |
$5.04 |
$5.04 |
$5.61
|
|
Albuterol non-comp unit
|
$7.03 |
$7.03 |
$7.03 |
$5.11
|
|
Alcohol/subs interv 15-30mn
|
$44.16 |
$44.16 |
$44.16 |
$54.08
|
|
Alcohol/subs interv >30 min
|
$85.44 |
$85.44 |
$85.44 |
$189.21
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$65,073.03 |
$65,073.03 |
$65,073.03 |
$47,974.31
|
|
Alkaline phosphatase
|
$15.26 |
$15.26 |
$15.26 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$40.70 |
$40.70 |
$40.70 |
$46.80
|
|
Allergen egg white ige
|
$13.23 |
$13.23 |
$13.23 |
$33.50
|