|
11-desoxycortisol - sendout
|
$144.00 |
$152.00 |
$172.00 |
|
|
17-hydroxypregnenolone
|
$22.50 |
$152.00 |
$452.50 |
|
|
17-ketosteroids
|
$72.50 |
$83.00 |
$87.50 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$92.50 |
$95.00 |
$161.60 |
|
|
1st psyc collab care mgmt
|
$94.00 |
$102.00 |
$214.00 |
|
|
1st/sbsq psyc collab care
|
$41.50 |
$75.50 |
$420.00 |
|
|
24 hr ambulatory b/p monitor
|
$128.00 |
$187.00 |
$324.00 |
|
|
2d tee w or without fol w/con,in
|
$889.00 |
$1,271.50 |
$1,599.50 |
|
|
2d tte w or without fol w/con,co
|
$556.00 |
$556.00 |
$1,289.50 |
|
|
2nd order venous cath
|
$183.50 |
$491.00 |
$5,698.00 |
|
|
3d ech img cgen car anomal
|
$171.00 |
$324.00 |
$403.00 |
|
|
3-d radiotherapy plan
|
$887.00 |
$2,544.00 |
$5,233.00 |
|
|
3d recon without postprocess indpndt
|
$208.50 |
$474.00 |
$533.00 |
|
|
5' nucleotidase - sendout
|
$8.00 |
$47.20 |
$1,362.00 |
|
|
88334 ap bill cytologic exam each additional site
|
$37.00 |
$45.00 |
$197.50 |
|
|
99381 initial comp preventive med less than 1 year new
|
$64.50 |
$78.00 |
$205.50 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$9.50 |
$78.50 |
$131.00 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$9.50 |
$85.50 |
$176.50 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$49.50 |
$78.00 |
$177.00 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$55.00 |
$78.00 |
$183.50 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$52.50 |
$78.00 |
$176.00 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$54.00 |
$88.50 |
$160.80 |
|
|
99397 periodic comp preventive med 65+ years est
|
$9.50 |
$97.50 |
$257.50 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$5,723.40 |
$8,467.74 |
$11,290.32 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$59.00 |
$103.40 |
$248.16 |
|
|
Abd aorta w/runoff s&i
|
$2,006.00 |
$3,111.60 |
$6,102.50 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$1,327.00 |
$1,327.00 |
$2,123.20 |
|
|
Abd/low ext cath 1st
|
$247.00 |
$1,249.00 |
$15,355.00 |
|
|
Abd/low ext cath 2nd
|
$267.00 |
$1,113.50 |
$24,357.50 |
|
|
Abd/low ext cath 3rd
|
$308.50 |
$1,309.20 |
$18,714.00 |
|
|
Abd/low ext cath addl
|
$160.80 |
$471.50 |
$4,162.00 |
|
|
Abdominal CT scan (with and without contrast)
|
$639.50 |
$1,247.00 |
$2,446.80 |
|
|
Abdominal CT scan (with contrast)
|
$639.50 |
$1,097.00 |
$2,048.40 |
|
|
Abdominal CT scan (without contrast)
|
$296.00 |
$822.50 |
$1,663.20 |
|
|
Abdominal MRI (with and without contrast)
|
$1,445.50 |
$1,974.00 |
$3,090.50 |
|
|
Abdominal MRI (with contrast)
|
$526.50 |
$1,398.00 |
$3,092.50 |
|
|
Abdominal MRI (without contrast)
|
$747.50 |
$1,346.50 |
$2,552.40 |
|
|
Abdominal paracentesis w/image guidance
|
$869.00 |
$1,694.00 |
$6,068.00 |
|
|
Abdominal Ultrasound (complete)
|
$260.00 |
$457.50 |
$933.00 |
|
|
Abdominal Ultrasound (limited)
|
$219.50 |
$440.00 |
$820.00 |
|
|
Abdominoplasty 15830
|
$1,217.50 |
$1,235.50 |
$23,010.00 |
|
|
Abd paracentesis/w/o image guide 49082
|
$1,148.40 |
$1,331.00 |
$5,320.50 |
|
|
Abl1 gene
|
$297.00 |
$297.00 |
$1,226.40 |
|
|
Ablate arrhythmia add on
|
$5,458.00 |
$5,867.50 |
$7,401.50 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$6,900.00 |
$6,900.00 |
$6,900.00 |
|
|
Ablate bone tumor(s) perq
|
$604.00 |
$7,062.50 |
$14,180.50 |
|
|
Ablate heart dysrhythm focus
|
$5,006.00 |
$5,006.00 |
$7,394.50 |
|
|
Ablate inf turbinate submuc 30802
|
$730.80 |
$1,933.17 |
$7,077.50 |
|
|
Ablate inf turbinate superf 30801
|
$334.80 |
$1,314.00 |
$4,116.88 |
|
|
Ablate pulm tumor perq crybl
|
$11,691.00 |
$11,691.00 |
$11,691.00 |
|
|
Ablate pulm tumor perq rf
|
$8,470.00 |
$8,470.00 |
$8,470.00 |
|
|
Ablation cardiac vagal inputs atrium
|
$240.50 |
$291.50 |
$1,785.50 |
|
|
Ablation cryo abd perit om
|
$119.00 |
$1,516.00 |
$7,984.00 |
|
|
Ablation cryo adrenal tumor
|
$3,196.50 |
$6,949.00 |
$7,786.50 |
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$284.00 |
$697.50 |
$10,723.50 |
|
|
Ablation cryo pq liver tumor(s)
|
$11,691.00 |
$11,691.00 |
$11,691.00 |
|
|
Ablation cryo retro lymph node
|
$118.50 |
$118.50 |
$587.50 |
|
|
Ablation cryo thigh/knee
|
$272.00 |
$534.00 |
$12,485.50 |
|
|
Ablation of upper extremity nerves rf
|
$341.40 |
$675.50 |
$25,330.00 |
|
|
Abobotulinumtoxina
|
$9.00 |
$13.00 |
$1,928.50 |
|
|
Abscess drain retroperitoneal surg code
|
$194.50 |
$3,439.80 |
$12,250.50 |
|
|
Absorpt drg >16<=48 in w/bdr
|
$67.00 |
$67.00 |
$67.00 |
|
|
Absorpt drg <=16 sq in w/bdr
|
$95.50 |
$95.50 |
$95.50 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$248.50 |
$12,426.50 |
$13,640.50 |
|
|
Access thoracic lymph duct
|
$280.50 |
$280.50 |
$280.50 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$7.95 |
$49.20 |
$99.57 |
|
|
Acetaminophen 120 mg rectal suppository
|
$0.30 |
$10.50 |
$1,623.00 |
|
|
Acetaminophen level
|
$14.00 |
$34.20 |
$195.50 |
|
|
Acetazolamide 500 mg solution for injection
|
$15.50 |
$23.50 |
$165.33 |
|
|
Acetone qualitative
|
$4.00 |
$21.50 |
$100.20 |
|
|
Acetylcholine receptor modulating antibody
|
$50.00 |
$50.00 |
$1,237.20 |
|
|
Acetylcholinesterase assay
|
$44.50 |
$44.50 |
$129.00 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$72.63 |
$150.17 |
$618.81 |
|
|
Acetylcysteine non-comp unit
|
$6.42 |
$27.79 |
$40.02 |
|
|
Acne surgery 10040
|
$48.50 |
$230.50 |
$331.00 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$90.00 |
$190.00 |
$310.00 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$67.50 |
$138.50 |
$239.20 |
|
|
Aco ccm; at least 20 min 99490aco
|
$30.50 |
$117.00 |
$156.00 |
|
|
Aco ccm; ea addl 20 min 99439aco
|
$38.50 |
$94.00 |
$196.00 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$9.50 |
$217.50 |
$942.50 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$170.00 |
$204.50 |
$291.20 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$103.50 |
$170.50 |
$518.50 |
|
|
Aco depression screen annual medicare g0444aco
|
$9.00 |
$36.00 |
$55.50 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.00 |
$61.00 |
$147.00 |
|
|
Acoustic immitance testing
|
$100.50 |
$205.00 |
$205.00 |
|
|
Acoustic refl threshold tst
|
$43.00 |
$43.00 |
$91.50 |
|
|
Acromp/acromionectomy prtl
|
$653.00 |
$678.00 |
$4,993.38 |
|
|
Actigraphy testing
|
$181.50 |
$181.50 |
$181.50 |
|
|
Actinotherapy uv light
|
$48.00 |
$48.00 |
$65.00 |
|
|
Acup 1/> w/estim 1st 15 min
|
$35.50 |
$39.00 |
$44.00 |
|
|
Acup 1/> w/estim ea addl 15
|
$26.50 |
$29.00 |
$32.50 |
|
|
Acup 1/> without estim ea add 15
|
$28.00 |
$37.50 |
$46.50 |
|
|
Acup 1/> wo estim 1st 15 min
|
$35.50 |
$39.00 |
$44.00 |
|
|
Acute hepatitis panel
|
$60.00 |
$221.00 |
$353.40 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$2.63 |
$7.88 |
$80.46 |
|
|
#acylcarnitineprfl
|
$22.00 |
$72.00 |
$177.50 |
|
|
Adapt behavior tx phys/qhp
|
$334.00 |
$334.00 |
$334.00 |
|
|
Adapter b 8 channel 10cm
|
$492.30 |
$1,362.50 |
$5,947.50 |
|
|
Adaptive behavior tx by tech
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$15.25 |
$60.00 |
$426.00 |
|
