|
11-desoxycortisol - sendout
|
$167.00 |
$167.00 |
$167.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$167.00 |
$167.00 |
$167.00 |
$89.25
|
|
1st psyc collab care mgmt
|
$117.00 |
$117.00 |
$117.00 |
$109.46
|
|
2d tee w or without fol w/con,in
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$1,624.70
|
|
2nd order venous cath
|
$572.50 |
$572.50 |
$572.50 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$647.50 |
$647.50 |
$647.50 |
$460.00
|
|
3-d radiotherapy plan
|
$2,511.50 |
$2,511.50 |
$2,511.50 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$54.50 |
$54.50 |
$54.50 |
$485.00
|
|
5' nucleotidase - sendout
|
$8.00 |
$8.00 |
$8.00 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$97.00 |
$97.00 |
$97.00 |
$97.65
|
|
99391 periodic comp preventive med less than 1 year est
|
$187.00 |
$187.00 |
$187.00 |
$107.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$9,526.21 |
$9,526.21 |
$9,526.21 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$75.50 |
$75.50 |
$75.50 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$980.00 |
$980.00 |
$980.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$981.00 |
$981.00 |
$981.00 |
$2,486.97
|
|
Abd/low ext cath addl
|
$953.00 |
$953.00 |
$953.00 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$753.00 |
$753.00 |
$753.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$608.00 |
$608.00 |
$608.00 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$504.00 |
$504.00 |
$504.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$638.00 |
$638.00 |
$638.00 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$569.50 |
$569.50 |
$569.50 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$638.00 |
$638.00 |
$638.00 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$279.50 |
$279.50 |
$279.50 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$499.00 |
$499.00 |
$499.00 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,311.50 |
$1,311.50 |
$1,311.50 |
$1,145.40
|
|
Ablate bone tumor(s) perq
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$9,350.33
|
|
Ablate inf turbinate submuc 30802
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$1,553.92 |
$1,553.92 |
$1,553.92 |
$1,944.80
|
|
Ablation cardiac vagal inputs atrium
|
$363.00 |
$363.00 |
$363.00 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$2,312.80
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$3,712.00 |
$3,712.00 |
$3,712.00 |
$441.09
|
|
Ablation cryo thigh/knee
|
$598.50 |
$598.50 |
$598.50 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$599.00 |
$599.00 |
$599.00 |
$808.50
|
|
Abobotulinumtoxina
|
$9.00 |
$9.00 |
$9.00 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$1,761.50 |
$1,761.50 |
$1,761.50 |
$2,957.17
|
|
Absorpt drg >16<=48 in w/bdr
|
$64.93 |
$64.93 |
$64.93 |
$5.99
|
|
Absorpt drg <=16 sq in w/bdr
|
$92.76 |
$92.76 |
$92.76 |
$5.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$97.43 |
$97.43 |
$97.43 |
$74.96
|
|
Acetaminophen level
|
$102.00 |
$102.00 |
$102.00 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$62.01 |
$62.01 |
$62.01 |
$122.55
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$85.16 |
$85.16 |
$85.16 |
$216.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$113.50 |
$113.50 |
$113.50 |
$167.04
|
|
Aco ccm; at least 20 min 99490aco
|
$117.00 |
$117.00 |
$117.00 |
$102.38
|
|
Aco ccm; ea addl 20 min 99439aco
|
$65.00 |
$65.00 |
$65.00 |
$87.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$76.00 |
$76.00 |
$76.00 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$204.00 |
$204.00 |
$204.00 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$153.00 |
$153.00 |
$153.00 |
$345.15
|
|
Acromp/acromionectomy prtl
|
$1,231.75 |
$1,231.75 |
$1,231.75 |
$3,839.54
|
|
Actinotherapy uv light
|
$49.50 |
$49.50 |
$49.50 |
$110.50
|
|
Acup 1/> w/estim 1st 15 min
|
$36.50 |
$36.50 |
$36.50 |
$51.94
|
|
Acup 1/> w/estim ea addl 15
|
$27.50 |
$27.50 |
$27.50 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$35.00 |
$35.00 |
$35.00 |
$49.40
|
|
Acup 1/> wo estim 1st 15 min
|
$36.50 |
$36.50 |
$36.50 |
$45.75
|
|
Acute hepatitis panel
|
$234.50 |
$234.50 |
$234.50 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$7.84 |
$7.84 |
$7.84 |
$63.48
|
|
#acylcarnitineprfl
|
$98.00 |
$98.00 |
$98.00 |
$125.40
|
|
Adapter b 8 channel 10cm
|
$492.30 |
$492.30 |
$492.30 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$22.74 |
$22.74 |
$22.74 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$17.00 |
$17.00 |
$17.00 |
$63.00
|
|
Adh-sendout
|
$36.00 |
$36.00 |
$36.00 |
$109.28
|
|
Adj gastric band via subq port
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,609.80
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$3,146.85
|
|
Adjustment gastric band
|
$118.00 |
$118.00 |
$118.00 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$40.26 |
$40.26 |
$40.26 |
$181.12
|
|
Admin ecg contrast agent
|
$299.00 |
$299.00 |
$299.00 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$93.00 |
$93.00 |
$93.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$93.00 |
$93.00 |
$93.00 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$448.00 |
$448.00 |
$448.00 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$290.50 |
$290.50 |
$290.50 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$139.00 |
$139.00 |
$139.00 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$195.00 |
$195.00 |
$195.00 |
$257.40
|
|
Administration immunization 1 vaccine
|
$111.00 |
$111.00 |
$111.00 |
$69.21
|
|
Administration immunization each additional vaccine
|
$42.00 |
$42.00 |
$42.00 |
$47.40
|
|
Administration immunization first component each vaccine
|
$11.00 |
$11.00 |
$11.00 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$37.00 |
$37.00 |
$37.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$12.50 |
$12.50 |
$12.50 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$91.00 |
$91.00 |
$91.00 |
$41.45
|
|
Administration vaccine hepatitis b
|
$72.00 |
$72.00 |
$72.00 |
$54.40
|
|
Administration vaccine influenza virus
|
$72.00 |
$72.00 |
$72.00 |
$50.43
|
|
Administration vaccine pneumococcal
|
$72.00 |
$72.00 |
$72.00 |
$50.43
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$91.00 |
$91.00 |
$91.00 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$12,578.12 |
$12,578.12 |
$12,578.12 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$67.95 |
$67.95 |
$67.95 |
$229.69
|
|
Aep hearing status deter i&r
|
$327.50 |
$327.50 |
$327.50 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$619.00 |
$619.00 |
$619.00 |
$576.80
|
|
Aep thrshld est mlt freq i&r
|
$619.00 |
$619.00 |
$619.00 |
$605.15
|
|
_afb org id by sequencing rflx ast-sendout
|
$364.00 |
$364.00 |
$364.00 |
$315.00
|
|
Aflibercept injection
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$3,153.84
|
|
After cataract laser surgery
|
$799.00 |
$799.00 |
$799.00 |
$1,373.11
|
|
Air conduction bilat
|
$133.00 |
$133.00 |
$133.00 |
$133.00
|
|
Airway resistance by impulse oscillometry 94728
|
$315.50 |
$315.50 |
$315.50 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$45.00 |
$45.00 |
$45.00 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$288.00 |
$288.00 |
$288.00 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$144.00 |
$144.00 |
$144.00 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$29.80 |
$29.80 |
$29.80 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$32.00 |
$32.00 |
$32.00 |
$40.80
|
|
Albuterol ipratrop non-comp
|
$1.00 |
$1.00 |
$1.00 |
$5.40
|
