|
11-desoxycortisol - sendout
|
$133.50 |
$133.50 |
$133.50 |
$84.56
|
|
17-hydroxypregnenolone
|
$104.00 |
$104.00 |
$104.00 |
$85.15
|
|
17-ketosteroids
|
$59.50 |
$59.50 |
$59.50 |
$49.45
|
|
24 hr ambulatory b/p monitor
|
$158.50 |
$158.50 |
$158.50 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$763.50 |
$763.50 |
$763.50 |
$1,633.60
|
|
2nd order venous cath
|
$729.00 |
$729.00 |
$729.00 |
$1,809.60
|
|
3-d radiotherapy plan
|
$4,744.50 |
$4,744.50 |
$4,744.50 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$595.50 |
$595.50 |
$595.50 |
$467.95
|
|
5' nucleotidase - sendout
|
$50.00 |
$50.00 |
$50.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$59.00 |
$59.00 |
$59.00 |
$94.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.50 |
$53.50 |
$53.50 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$2,897.00 |
$2,897.00 |
$2,897.00 |
$2,412.00
|
|
Abd/low ext cath 2nd
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$2,271.00
|
|
Abd/low ext cath 3rd
|
$1,206.50 |
$1,206.50 |
$1,206.50 |
$2,662.40
|
|
Abd/low ext cath addl
|
$2,143.50 |
$2,143.50 |
$2,143.50 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,474.00 |
$1,474.00 |
$1,474.00 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$1,655.50
|
|
Abdominal CT scan (without contrast)
|
$821.00 |
$821.00 |
$821.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,194.50 |
$3,194.50 |
$3,194.50 |
$3,004.50
|
|
Abdominal MRI (with contrast)
|
$2,056.50 |
$2,056.50 |
$2,056.50 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,906.50 |
$1,906.50 |
$1,906.50 |
$1,981.20
|
|
Abdominal paracentesis w/image guidance
|
$991.00 |
$991.00 |
$991.00 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$500.00 |
$500.00 |
$500.00 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$500.00 |
$500.00 |
$500.00 |
$604.80
|
|
Abd paracentesis/w/o image guide 49082
|
$933.00 |
$933.00 |
$933.00 |
$1,179.75
|
|
Abl1 gene
|
$691.00 |
$691.00 |
$691.00 |
$668.85
|
|
Ablate arrhythmia add on
|
$4,204.00 |
$4,204.00 |
$4,204.00 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$9,457.50 |
$9,457.50 |
$9,457.50 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$7,619.00 |
$7,619.00 |
$7,619.00 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$3,426.00 |
$3,426.00 |
$3,426.00 |
$9,556.83
|
|
Ablate inf turbinate superf 30801
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,955.10
|
|
Ablate pulm tumor perq crybl
|
$10,326.50 |
$10,326.50 |
$10,326.50 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$6,829.50 |
$6,829.50 |
$6,829.50 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,597.16 |
$1,597.16 |
$1,597.16 |
$1,996.95
|
|
Ablation cryo abd perit om
|
$424.50 |
$424.50 |
$424.50 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$5,294.00 |
$5,294.00 |
$5,294.00 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$398.50 |
$398.50 |
$398.50 |
$438.36
|
|
Ablation cryo pq liver tumor(s)
|
$10,440.00 |
$10,440.00 |
$10,440.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$696.00 |
$696.00 |
$696.00 |
$826.80
|
|
Ablation cryo thigh/knee
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$3,068.00
|
|
Ablation of upper extremity nerves rf
|
$411.00 |
$411.00 |
$411.00 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$3,023.00 |
$3,023.00 |
$3,023.00 |
$3,053.18
|
|
Absorpt drg >16<=48 in w/bdr
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Absorpt drg >16 <=48 without bdr
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Absorpt drg <=16 sq in w/bdr
|
$5.18 |
$5.18 |
$5.18 |
$2.35
|
|
Absorpt drg <=16 sq in without b
|
$3.62 |
$3.62 |
$3.62 |
$5.00
|
|
Absorpt drg > 48 sq in without b
|
$7.76 |
$7.76 |
$7.76 |
$7.76
|
|
Acetaminophen level
|
$194.50 |
$194.50 |
$194.50 |
$117.01
|
|
Acetone qualitative
|
$22.00 |
$22.00 |
$22.00 |
$46.20
|
|
Acetylcholine receptor modulating antibody
|
$63.50 |
$63.50 |
$63.50 |
$61.80
|
|
Acne surgery 10040
|
$186.00 |
$186.00 |
$186.00 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$218.50 |
$218.50 |
$218.50 |
$284.40
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$149.00 |
$149.00 |
$149.00 |
$191.00
|
|
Aco ccm; at least 20 min 99490aco
|
$87.00 |
$87.00 |
$87.00 |
$108.93
|
|
Aco ccm; ea addl 20 min 99439aco
|
$87.00 |
$87.00 |
$87.00 |
$87.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$49.50 |
$49.50 |
$49.50 |
$62.21
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$98.50 |
$98.50 |
$98.50 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$422.50 |
$422.50 |
$422.50 |
$384.15
|
|
Aco depression screen annual medicare g0444aco
|
$34.00 |
$34.00 |
$34.00 |
$40.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$27.50 |
$27.50 |
$27.50 |
$42.75
|
|
Acoustic refl threshold tst
|
$71.50 |
$71.50 |
$71.50 |
$102.05
|
|
Actigraphy testing
|
$37.50 |
$37.50 |
$37.50 |
$218.05
|
|
Actinotherapy uv light
|
$40.00 |
$40.00 |
$40.00 |
$113.28
|
|
Acup 1/> w/estim 1st 15 min
|
$100.50 |
$100.50 |
$100.50 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$100.50 |
$100.50 |
$100.50 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$85.50 |
$85.50 |
$85.50 |
$56.16
|
|
Acup 1/> wo estim 1st 15 min
|
$85.50 |
$85.50 |
$85.50 |
$49.40
|
|
Acute hepatitis panel
|
$235.00 |
$235.00 |
$235.00 |
$278.33
|
|
Acute venous thrombus image
|
$638.00 |
$638.00 |
$638.00 |
$1,144.80
|
|
#acylcarnitineprfl
|
$77.00 |
$77.00 |
$77.00 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$485.94 |
$485.94 |
$485.94 |
$6,142.50
|
|
Adding walker to prev cast
|
$156.50 |
$156.50 |
$156.50 |
$216.00
|
|
Adenovirus antibody,serum - quest
|
$55.00 |
$55.00 |
$55.00 |
$63.00
|
|
Adhesive, liquid or equal
|
$18.63 |
$18.63 |
$18.63 |
$11.40
|
|
Adh-sendout
|
$147.50 |
$147.50 |
$147.50 |
$109.71
|
|
Adj gastric band via subq port
|
$1,359.50 |
$1,359.50 |
$1,359.50 |
$1,684.80
|
|
Adjustment gastric band
|
$375.00 |
$375.00 |
$375.00 |
$89.04
|
|
Administration chemotherapy IV infusion each additional hour
|
$188.50 |
$188.50 |
$188.50 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$373.50 |
$373.50 |
$373.50 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$762.50 |
$762.50 |
$762.50 |
$690.21
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$540.00 |
$540.00 |
$540.00 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$173.50 |
$173.50 |
$173.50 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$250.50 |
$250.50 |
$250.50 |
$264.82
|
|
Administration immunization 1 vaccine
|
$20.50 |
$20.50 |
$20.50 |
$67.20
|
|
Administration immunization each additional vaccine
|
$20.50 |
$20.50 |
$20.50 |
$46.23
|
|
Administration immunization first component each vaccine
|
$49.00 |
$49.00 |
$49.00 |
$46.40
|
|
Administration vaccine hepatitis b
|
$49.00 |
$49.00 |
$49.00 |
$54.60
|
|
Administration vaccine influenza virus
|
$20.50 |
$20.50 |
$20.50 |
$48.00
|
|
Administration vaccine pneumococcal
|
$20.50 |
$20.50 |
$20.50 |
$49.17
|
|
Adrenal cortex & medulla img
|
$872.50 |
$872.50 |
$872.50 |
$1,987.70
|
|
Advance care planning each additional 30 min 99498
|
$100.50 |
$100.50 |
$100.50 |
$121.68
|
|
Aep neurodiagnostic i&r
|
$746.50 |
$746.50 |
$746.50 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$746.50 |
$746.50 |
$746.50 |
$590.25
|
|
_afb id by dna probe rflx ast
|
$67.50 |
$67.50 |
$67.50 |
$89.70
|
|
_afb org id by sequencing rflx ast-sendout
|
$170.00 |
$170.00 |
$170.00 |
$289.60
|
|
Afo molded to patient plasti
|
$436.77 |
$436.77 |
$436.77 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$706.39 |
$706.39 |
$706.39 |
$1,366.56
|
|
Afo tib fx semi-rigid l2114
|
$404.68 |
$404.68 |
$404.68 |
$791.50
|
|
Afo, walk boot type, cus fab
|
$1,180.94 |
$1,180.94 |
$1,180.94 |
$2,288.00
|