|
11-desoxycortisol - sendout
|
$83.40 |
$148.20 |
$671.40 |
|
|
17-hydroxypregnenolone
|
$49.20 |
$168.60 |
$508.20 |
|
|
17-ketosteroids
|
$46.20 |
$58.80 |
$963.00 |
|
|
1st psyc collab care mgmt
|
$117.00 |
$117.00 |
$117.00 |
|
|
2019-ncov diagnostic p
|
$94.80 |
$94.80 |
$94.80 |
|
|
24 hr ambulatory b/p monitor
|
$63.00 |
$150.60 |
$460.80 |
|
|
2d tee w or without fol w/con,in
|
$799.20 |
$1,450.80 |
$4,258.80 |
|
|
2d tte w or without fol w/con,co
|
$811.20 |
$1,085.40 |
$2,907.00 |
|
|
2nd order venous cath
|
$438.00 |
$5,530.80 |
$13,378.80 |
|
|
3d ech img cgen car anomal
|
$139.20 |
$1,338.00 |
$1,968.00 |
|
|
3-d radiotherapy plan
|
$2,511.50 |
$5,005.80 |
$11,433.60 |
|
|
3d recon without postprocess indpndt
|
$54.50 |
$1,027.20 |
$4,528.20 |
|
|
5% dextrose and 0.45% saline
|
$20.00 |
$75.60 |
$148.80 |
|
|
5% dextrose with potassium
|
$1.60 |
$85.20 |
$204.00 |
|
|
5' nucleotidase - sendout
|
$8.00 |
$64.80 |
$455.40 |
|
|
88334 ap bill cytologic exam each additional site
|
$61.80 |
$91.20 |
$231.60 |
|
|
99381 initial comp preventive med less than 1 year new
|
$134.40 |
$134.40 |
$177.60 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$117.00 |
$143.40 |
$255.00 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$97.20 |
$151.20 |
$198.60 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$82.80 |
$122.40 |
$187.00 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$98.40 |
$134.40 |
$172.20 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$82.80 |
$134.40 |
$161.40 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$86.40 |
$128.40 |
$590.40 |
|
|
99397 periodic comp preventive med 65+ years est
|
$103.20 |
$176.40 |
$1,030.80 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$72.60 |
$361.60 |
$9,526.21 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$49.60 |
$115.80 |
$282.60 |
|
|
Abciximab injection
|
$3,955.80 |
$6,244.80 |
$6,244.80 |
|
|
Abd aorta w/runoff s&i
|
$2,871.00 |
$4,845.60 |
$12,253.80 |
|
|
Abd/low ext cath 1st
|
$949.20 |
$3,583.20 |
$5,849.40 |
|
|
Abd/low ext cath 2nd
|
$948.00 |
$4,321.20 |
$7,748.40 |
|
|
Abd/low ext cath 3rd
|
$981.00 |
$4,321.20 |
$8,613.60 |
|
|
Abd/low ext cath addl
|
$530.40 |
$1,179.00 |
$4,321.20 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$567.50 |
$981.00 |
$2,200.80 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$279.50 |
$698.40 |
$1,978.20 |
|
|
Abdominal CT scan (with and without contrast)
|
$560.00 |
$1,477.80 |
$5,272.80 |
|
|
Abdominal CT scan (with contrast)
|
$468.50 |
$1,424.40 |
$4,599.60 |
|
|
Abdominal CT scan (without contrast)
|
$273.50 |
$910.20 |
$4,104.00 |
|
|
Abdominal MRI (with and without contrast)
|
$638.00 |
$2,713.80 |
$9,808.20 |
|
|
Abdominal MRI (with contrast)
|
$569.50 |
$2,713.80 |
$8,004.00 |
|
|
Abdominal MRI (without contrast)
|
$457.00 |
$1,705.20 |
$6,214.20 |
|
|
Abdominal paracentesis w/image guidance
|
$1,070.40 |
$1,689.00 |
$8,546.40 |
|
|
Abdominal Ultrasound (complete)
|
$279.50 |
$916.80 |
$2,313.60 |
|
|
Abdominal Ultrasound (limited)
|
$280.80 |
$703.20 |
$1,597.80 |
|
|
Abdominal X-ray (2 views)
|
$110.40 |
$327.00 |
$686.40 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$125.40 |
$504.00 |
$1,154.40 |
|
|
Abdominal X-ray (single view)
|
$97.20 |
$290.40 |
$686.40 |
|
|
Abdominoplasty 15830
|
$2,107.80 |
$3,040.80 |
$3,040.80 |
|
|
Abd paracentesis/w/o image guide 49082
|
$153.00 |
$1,641.00 |
$7,134.00 |
|
|
Abl1 gene
|
$1,018.80 |
$3,217.80 |
$3,373.80 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,486.80 |
$1,576.20 |
$1,983.00 |
|
|
Ablate arrhythmia add on
|
$1,396.80 |
$6,913.20 |
$59,370.00 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$11,082.40 |
$18,135.00 |
$41,445.60 |
|
|
Ablate bone tumor(s) perq
|
$7,847.50 |
$12,743.40 |
$42,856.80 |
|
|
Ablate heart dysrhythm focus
|
$4,569.60 |
$8,922.00 |
$17,766.40 |
|
|
Ablate inf turbinate submuc 30802
|
$326.40 |
$326.40 |
$1,783.50 |
|
|
Ablate inf turbinate superf 30801
|
$1,553.92 |
$1,553.92 |
$1,553.92 |
|
|
Ablate pulm tumor perq crybl
|
$9,977.40 |
$9,977.40 |
$24,227.40 |
|
|
Ablate pulm tumor perq rf
|
$14,655.00 |
$14,655.00 |
$22,931.40 |
|
|
Ablation cardiac vagal inputs atrium
|
$265.80 |
$1,960.80 |
$14,685.60 |
|
|
Ablation cryo abd perit om
|
$76.20 |
$2,442.60 |
$6,311.40 |
|
|
Ablation cryo adrenal tumor
|
$138.60 |
$138.60 |
$59,707.20 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$3,712.00 |
$3,712.00 |
$3,712.00 |
|
|
Ablation cryo pq liver tumor(s)
|
$14,653.80 |
$14,653.80 |
$36,600.60 |
|
|
Ablation cryo retro lymph node
|
$381.60 |
$381.60 |
$570.00 |
|
|
Ablation cryo thigh/knee
|
$336.00 |
$464.40 |
$598.50 |
|
|
Ablation of upper extremity nerves rf
|
$84.60 |
$961.20 |
$3,989.40 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,974.20 |
$3,152.40 |
$3,965.40 |
|
|
Abltj mal prst8 tiss hifu
|
$12,768.00 |
$12,768.00 |
$12,768.00 |
|
|
Abobotulinumtoxina
|
$9.00 |
$64.60 |
$4,582.80 |
|
|
Abortion (mpr)
|
$571.80 |
$571.80 |
$2,730.00 |
|
|
Abrasion lesions add-on
|
$1,187.40 |
$1,187.40 |
$1,187.40 |
|
|
Abrasion lesion single
|
$660.00 |
$660.00 |
$660.00 |
|
|
Abscess drain retroperitoneal surg code
|
$1,761.50 |
$4,962.40 |
$9,792.60 |
|
|
Abscess imaging ltd area
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
|
|
Abscess imaging whole body
|
$843.60 |
$843.60 |
$1,153.80 |
|
|
Absorpt drg >16<=48 in w/bdr
|
$0.60 |
$1.80 |
$64.93 |
|
|
Absorpt drg <=16 sq in w/bdr
|
$0.60 |
$1.20 |
$92.76 |
|
|
Absorpt drg <=16 sq in without b
|
$1.80 |
$1.80 |
$1.80 |
|
|
Absorpt drg > 48 sq in without b
|
$3.00 |
$3.00 |
$4.80 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$504.00 |
$5,737.80 |
$5,737.80 |
|
|
Access thoracic lymph duct
|
$3,812.40 |
$3,812.40 |
$3,812.40 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.60 |
$3.00 |
$168.60 |
|
|
Acetaminophen 120 mg rectal suppository
|
$2.80 |
$57.80 |
$1,676.00 |
|
|
Acetaminophen level
|
$102.00 |
$159.60 |
$159.60 |
|
|
Acetazolamide 500 mg solution for injection
|
$25.80 |
$133.60 |
$1,307.40 |
|
|
Acetone qualitative
|
$17.40 |
$39.00 |
$440.40 |
|
|
Acetylcholine receptor modulating antibody
|
$49.60 |
$93.60 |
$2,202.60 |
|
|
Acetylcholinesterase assay
|
$44.40 |
$44.40 |
$250.20 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$12.60 |
$483.60 |
$2,785.80 |
|
|
Acetylcysteine non-comp unit
|
$15.00 |
$92.80 |
$469.80 |
|
|
Acne surgery 10040
|
$87.60 |
$265.20 |
$284.40 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$121.80 |
$432.00 |
$432.00 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$113.50 |
$141.00 |
$290.40 |
|
|
Aco ccm; at least 20 min 99490aco
|
$117.00 |
$117.00 |
$117.00 |
|
|
Aco ccm; ea addl 20 min 99439aco
|
$65.00 |
$65.00 |
$65.00 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$76.00 |
$76.00 |
$76.00 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$204.00 |
$204.00 |
$204.00 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$153.00 |
$417.00 |
$955.80 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$20.40 |
$52.80 |
$52.80 |
|
|
Acromp/acromionectomy prtl
|
$1,094.40 |
$1,094.40 |
$1,231.75 |
|
