|
11-desoxycortisol - sendout
|
$77.00 |
$77.00 |
$77.00 |
$88.89
|
|
17-hydroxypregnenolone
|
$53.00 |
$53.00 |
$53.00 |
$90.90
|
|
1st psyc collab care mgmt
|
$52.00 |
$52.00 |
$52.00 |
$109.46
|
|
1st/sbsq psyc collab care
|
$26.00 |
$26.00 |
$26.00 |
$107.43
|
|
2019-ncov diagnostic p
|
$44.00 |
$44.00 |
$44.00 |
$54.50
|
|
24 hr ambulatory b/p monitor
|
$144.00 |
$144.00 |
$144.00 |
$313.04
|
|
2nd order venous cath
|
$712.50 |
$712.50 |
$712.50 |
$1,497.85
|
|
3-d radiotherapy plan
|
$3,649.50 |
$3,649.50 |
$3,649.50 |
$4,965.20
|
|
3d recon without postprocess indpndt
|
$119.50 |
$119.50 |
$119.50 |
$505.05
|
|
88334 ap bill cytologic exam each additional site
|
$106.50 |
$106.50 |
$106.50 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$3,587.50
|
|
Abd/low ext cath 1st
|
$764.00 |
$764.00 |
$764.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$507.00 |
$507.00 |
$507.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$627.00 |
$627.00 |
$627.00 |
$2,417.40
|
|
Abd/low ext cath addl
|
$362.00 |
$362.00 |
$362.00 |
$963.76
|
|
Abdominal CT scan (with and without contrast)
|
$1,442.00 |
$1,442.00 |
$1,442.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$739.50 |
$739.50 |
$739.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$771.00 |
$771.00 |
$771.00 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$650.00 |
$650.00 |
$650.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$641.50 |
$641.50 |
$641.50 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$587.00 |
$587.00 |
$587.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$420.00 |
$420.00 |
$420.00 |
$581.10
|
|
Abd paracentesis/w/o image guide 49082
|
$641.50 |
$641.50 |
$641.50 |
$1,145.00
|
|
Abl1 gene
|
$670.50 |
$670.50 |
$670.50 |
$683.20
|
|
Ablate arrhythmia add on
|
$3,082.00 |
$3,082.00 |
$3,082.00 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
$9,238.00
|
|
Ablate bone tumor(s) perq
|
$3,483.00 |
$3,483.00 |
$3,483.00 |
$9,437.59
|
|
Ablate heart dysrhythm focus
|
$5,348.50 |
$5,348.50 |
$5,348.50 |
$9,476.33
|
|
Ablate inf turbinate submuc 30802
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$958.50 |
$958.50 |
$958.50 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$6,106.50 |
$6,106.50 |
$6,106.50 |
$9,612.46
|
|
Ablate pulm tumor perq rf
|
$5,342.00 |
$5,342.00 |
$5,342.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$9,696.50 |
$9,696.50 |
$9,696.50 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$19,313.00 |
$19,313.00 |
$19,313.00 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$6,425.50 |
$6,425.50 |
$6,425.50 |
$6,948.75
|
|
Ablation cryo pq liver tumor(s)
|
$3,014.50 |
$3,014.50 |
$3,014.50 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$3,349.50 |
$3,349.50 |
$3,349.50 |
$826.80
|
|
Ablation cryo thigh/knee
|
$249.00 |
$249.00 |
$249.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$15,795.00 |
$15,795.00 |
$15,795.00 |
$832.50
|
|
Abrasion lesion single
|
$196.00 |
$196.00 |
$196.00 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$2,999.34
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,101.50 |
$1,101.50 |
$1,101.50 |
$2,338.44
|
|
Access thoracic lymph duct
|
$155.00 |
$155.00 |
$155.00 |
$828.80
|
|
Acetaminophen level
|
$188.50 |
$188.50 |
$188.50 |
$111.00
|
|
Acetylcholine receptor modulating antibody
|
$128.00 |
$128.00 |
$128.00 |
$66.28
|
|
Acetylcholinesterase assay
|
$42.50 |
$42.50 |
$42.50 |
$108.79
|
|
Acne surgery 10040
|
$250.00 |
$250.00 |
$250.00 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$276.50 |
$276.50 |
$276.50 |
$344.10
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$16.00 |
$16.00 |
$16.00 |
$37.70
|
|
Actigraphy testing
|
$90.50 |
$90.50 |
$90.50 |
$239.20
|
|
Actinotherapy uv light
|
$127.50 |
$127.50 |
$127.50 |
$105.60
|
|
Acute hepatitis panel
|
$95.50 |
$95.50 |
$95.50 |
$284.70
|
|
#acylcarnitineprfl
|
$124.00 |
$124.00 |
$124.00 |
$118.85
|
|
Adapter b 8 channel 10cm
|
$3,906.00 |
$3,906.00 |
$3,906.00 |
$6,142.50
|
|
Adenovirus antibody,serum - quest
|
$110.00 |
$110.00 |
$110.00 |
$58.00
|
|
Adh-sendout
|
$79.00 |
$79.00 |
$79.00 |
$114.50
|
|
Adj gastric band via subq port
|
$831.00 |
$831.00 |
$831.00 |
$1,609.80
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$3,091.20
|
|
Administration chemotherapy IV infusion each additional hour
|
$48.50 |
$48.50 |
$48.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$34.50 |
$34.50 |
$34.50 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$99.50 |
$99.50 |
$99.50 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$77.50 |
$77.50 |
$77.50 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$77.50 |
$77.50 |
$77.50 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$77.50 |
$77.50 |
$77.50 |
$254.40
|
|
Administration immunization 1 vaccine
|
$18.00 |
$18.00 |
$18.00 |
$67.60
|
|
Administration immunization each additional vaccine
|
$12.00 |
$12.00 |
$12.00 |
$46.89
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$18.00 |
$18.00 |
$18.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$9.50 |
$9.50 |
$9.50 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$21.00 |
$21.00 |
$21.00 |
$42.00
|
|
Administration vaccine hepatitis b
|
$12.00 |
$12.00 |
$12.00 |
$51.80
|
|
Administration vaccine influenza virus
|
$12.00 |
$12.00 |
$12.00 |
$48.73
|
|
Administration vaccine pneumococcal
|
$12.00 |
$12.00 |
$12.00 |
$48.73
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$21.00 |
$21.00 |
$21.00 |
$41.45
|
|
Adrenal cortex & medulla img
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,951.60
|
|
Advance care planning each additional 30 min 99498
|
$22.50 |
$22.50 |
$22.50 |
$107.50
|
|
_afb id by dna probe rflx ast
|
$128.00 |
$128.00 |
$128.00 |
$104.50
|
|
Afo molded to patient plasti
|
$382.50 |
$382.50 |
$382.50 |
$757.77
|
|
Afo rig ant tib tcf/= custom
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$1,875.66
|
|
Afo supramalleolar custom
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
$1,182.83
|
|
After cataract laser surgery
|
$511.50 |
$511.50 |
$511.50 |
$1,373.11
|
|
Airway resistance by impulse oscillometry 94728
|
$297.00 |
$297.00 |
$297.00 |
$289.20
|
|
Ak sleeve susp neoprene/equa
|
$384.00 |
$384.00 |
$384.00 |
$351.23
|
|
Albumin body fluid quantitative each specimen
|
$22.00 |
$22.00 |
$22.00 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$52.00 |
$52.00 |
$52.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$22.00 |
$22.00 |
$22.00 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$133.50 |
$133.50 |
$133.50 |
$94.90
|
|
Alginate dressing <=16 sq in
|
$53.00 |
$53.00 |
$53.00 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$83.50 |
$83.50 |
$83.50 |
$43.72
|
|
Alkaline phosphatase
|
$22.00 |
$22.00 |
$22.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$187.00 |
$187.00 |
$187.00 |
$48.57
|
|
Allergen egg white ige
|
$88.50 |
$88.50 |
$88.50 |
$37.20
|
|
Allergy injections; 2 or more 95117
|
$25.00 |
$25.00 |
$25.00 |
$43.75
|
|
Allergy injection; single 95115
|
$25.00 |
$25.00 |
$25.00 |
$45.00
|
|
Allergy Skin Testing
|
$488.00 |
$488.00 |
$488.00 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$4.50 |
$4.50 |
$4.50 |
$423.37
|
|
Allograft 160mg placental salera mini membrane
|
$31.50 |
$31.50 |
$31.50 |
$6,022.57
|
|
Allograft amnioexcel plus 17mm disk
|
$341.50 |
$341.50 |
$341.50 |
$507.30
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$7,095.00 |
$7,095.00 |
$7,095.00 |
$9,018.12
|
