|
11-desoxycortisol - sendout
|
$147.50 |
$147.50 |
$147.50 |
$87.50
|
|
17-hydroxypregnenolone
|
$147.50 |
$147.50 |
$147.50 |
$89.25
|
|
1st psyc collab care mgmt
|
$117.00 |
$117.00 |
$117.00 |
$109.46
|
|
1st/sbsq psyc collab care
|
$210.00 |
$210.00 |
$210.00 |
$111.20
|
|
2nd order venous cath
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$1,543.85
|
|
3-d radiotherapy plan
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$456.00 |
$456.00 |
$456.00 |
$485.00
|
|
5' nucleotidase - sendout
|
$8.00 |
$8.00 |
$8.00 |
$50.40
|
|
99381 initial comp preventive med less than 1 year new
|
$73.50 |
$73.50 |
$73.50 |
$132.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$78.50 |
$78.50 |
$78.50 |
$126.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$75.50 |
$75.50 |
$75.50 |
$111.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$56.50 |
$56.50 |
$56.50 |
$107.10
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$62.50 |
$62.50 |
$62.50 |
$115.50
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$62.00 |
$62.00 |
$62.00 |
$113.40
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$59.50 |
$59.50 |
$59.50 |
$127.20
|
|
99397 periodic comp preventive med 65+ years est
|
$73.00 |
$73.00 |
$73.00 |
$160.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$11,290.32 |
$11,290.32 |
$11,290.32 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$82.72 |
$82.72 |
$82.72 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$15,355.00 |
$15,355.00 |
$15,355.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$24,357.50 |
$24,357.50 |
$24,357.50 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$18,714.00 |
$18,714.00 |
$18,714.00 |
$2,486.97
|
|
Abd/low ext cath addl
|
$4,162.00 |
$4,162.00 |
$4,162.00 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$822.50 |
$822.50 |
$822.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$1,353.50 |
$1,353.50 |
$1,353.50 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,504.50 |
$1,504.50 |
$1,504.50 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$438.00 |
$438.00 |
$438.00 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$437.50 |
$437.50 |
$437.50 |
$590.00
|
|
Abdominoplasty 15830
|
$20,258.00 |
$20,258.00 |
$20,258.00 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$1,145.40
|
|
Abl1 gene
|
$297.00 |
$297.00 |
$297.00 |
$682.50
|
|
Ablate bone tumor(s) perq
|
$14,180.50 |
$14,180.50 |
$14,180.50 |
$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
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$1,944.80
|
|
Ablation cardiac vagal inputs atrium
|
$291.50 |
$291.50 |
$291.50 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$2,312.80
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,829.00 |
$1,829.00 |
$1,829.00 |
$441.09
|
|
Ablation of upper extremity nerves rf
|
$994.00 |
$994.00 |
$994.00 |
$808.50
|
|
Abobotulinumtoxina
|
$9.00 |
$9.00 |
$9.00 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$3,884.50 |
$3,884.50 |
$3,884.50 |
$2,957.17
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$14.18 |
$14.18 |
$14.18 |
$74.96
|
|
Acetaminophen 120 mg rectal suppository
|
$5.54 |
$5.54 |
$5.54 |
$75.09
|
|
Acetaminophen level
|
$15.00 |
$15.00 |
$15.00 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$124.02 |
$124.02 |
$124.02 |
$122.55
|
|
Acetone qualitative
|
$21.50 |
$21.50 |
$21.50 |
$45.65
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$118.80 |
$118.80 |
$118.80 |
$216.00
|
|
Acetylcysteine non-comp unit
|
$6.42 |
$6.42 |
$6.42 |
$31.21
|
|
Acne surgery 10040
|
$281.00 |
$281.00 |
$281.00 |
$260.49
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$182.00 |
$182.00 |
$182.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$110.50 |
$110.50 |
$110.50 |
$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
|
$942.50 |
$942.50 |
$942.50 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$204.50 |
$204.50 |
$204.50 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$214.50 |
$214.50 |
$214.50 |
$345.15
|
|
Aco depression screen annual medicare g0444aco
|
$23.50 |
$23.50 |
$23.50 |
$38.28
|
|
Acoustic refl threshold tst
|
$43.00 |
$43.00 |
$43.00 |
$102.05
|
|
Acromp/acromionectomy prtl
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$3,839.54
|
|
Actinotherapy uv light
|
$48.00 |
$48.00 |
$48.00 |
$110.50
|
|
Acup 1/> w/estim 1st 15 min
|
$39.00 |
$39.00 |
$39.00 |
$51.94
|
|
Acup 1/> w/estim ea addl 15
|
$29.00 |
$29.00 |
$29.00 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$37.50 |
$37.50 |
$37.50 |
$49.40
|
|
Acup 1/> wo estim 1st 15 min
|
$39.00 |
$39.00 |
$39.00 |
$45.75
|
|
Acute hepatitis panel
|
$221.00 |
$221.00 |
$221.00 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$6.53 |
$6.53 |
$6.53 |
$63.48
|
|
#acylcarnitineprfl
|
$72.00 |
$72.00 |
$72.00 |
$125.40
|
|
Adapter b 8 channel 10cm
|
$1,668.50 |
$1,668.50 |
$1,668.50 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$94.03 |
$94.03 |
$94.03 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$66.00 |
$66.00 |
$66.00 |
$63.00
|
|
Adh-sendout
|
$31.00 |
$31.00 |
$31.00 |
$109.28
|
|
Adj gastric band via subq port
|
$8,176.00 |
$8,176.00 |
$8,176.00 |
$1,609.80
|
|
Adjmt/revj ext fixj sys anes
|
$4,400.67 |
$4,400.67 |
$4,400.67 |
$8,412.89
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$5,402.00 |
$5,402.00 |
$5,402.00 |
$3,146.85
|
|
Adjustment gastric band
|
$122.50 |
$122.50 |
$122.50 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$40.26 |
$40.26 |
$40.26 |
$181.12
|
|
Admin ecg contrast agent
|
$29.50 |
$29.50 |
$29.50 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$215.50 |
$215.50 |
$215.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$234.00 |
$234.00 |
$234.00 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$785.00 |
$785.00 |
$785.00 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$255.00 |
$255.00 |
$255.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$255.00 |
$255.00 |
$255.00 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$255.00 |
$255.00 |
$255.00 |
$257.40
|
|
Administration immunization 1 vaccine
|
$49.00 |
$49.00 |
$49.00 |
$69.21
|
|
Administration immunization each additional component
|
$60.00 |
$60.00 |
$60.00 |
$27.95
|
|
Administration immunization each additional vaccine
|
$55.00 |
$55.00 |
$55.00 |
$47.40
|
|
Administration immunization first component each vaccine
|
$39.00 |
$39.00 |
$39.00 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$35.50 |
$35.50 |
$35.50 |
$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
|
$86.50 |
$86.50 |
$86.50 |
$41.45
|
|
Administration vaccine hepatitis b
|
$38.50 |
$38.50 |
$38.50 |
$54.40
|
|
Administration vaccine influenza virus
|
$31.50 |
$31.50 |
$31.50 |
$50.43
|
|
Administration vaccine pneumococcal
|
$48.00 |
$48.00 |
$48.00 |
$50.43
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$86.50 |
$86.50 |
$86.50 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$12,578.12 |
$12,578.12 |
$12,578.12 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$168.75 |
$168.75 |
$168.75 |
$229.69
|
|
Aep hearing status deter i&r
|
$224.00 |
$224.00 |
$224.00 |
$305.73
|
