|
11-desoxycortisol - sendout
|
$155.50 |
$155.50 |
$155.50 |
$84.56
|
|
17-hydroxypregnenolone
|
$452.50 |
$452.50 |
$452.50 |
$88.20
|
|
17-ketosteroids
|
$83.00 |
$83.00 |
$83.00 |
$55.00
|
|
1st psyc collab care mgmt
|
$214.00 |
$214.00 |
$214.00 |
$109.46
|
|
1st/sbsq psyc collab care
|
$420.00 |
$420.00 |
$420.00 |
$111.20
|
|
24 hr ambulatory b/p monitor
|
$324.00 |
$324.00 |
$324.00 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,599.50 |
$1,599.50 |
$1,599.50 |
$1,624.70
|
|
2d tte w or without fol w/con,co
|
$556.00 |
$556.00 |
$556.00 |
$1,155.75
|
|
2nd order venous cath
|
$5,698.00 |
$5,698.00 |
$5,698.00 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$171.00 |
$171.00 |
$171.00 |
$460.00
|
|
3-d radiotherapy plan
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$518.00 |
$518.00 |
$518.00 |
$469.20
|
|
5' nucleotidase - sendout
|
$548.00 |
$548.00 |
$548.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$197.50 |
$197.50 |
$197.50 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$83.00 |
$83.00 |
$83.00 |
$132.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$89.00 |
$89.00 |
$89.00 |
$126.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$85.00 |
$85.00 |
$85.00 |
$111.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$83.50 |
$83.50 |
$83.50 |
$107.10
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$70.50 |
$70.50 |
$70.50 |
$115.50
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$70.00 |
$70.00 |
$70.00 |
$113.40
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$76.00 |
$76.00 |
$76.00 |
$128.40
|
|
99397 periodic comp preventive med 65+ years est
|
$94.50 |
$94.50 |
$94.50 |
$160.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$10,096.32 |
$10,096.32 |
$10,096.32 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$108.00 |
$108.00 |
$108.00 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$2,495.50 |
$2,495.50 |
$2,495.50 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$3,706.00 |
$3,706.00 |
$3,706.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$6,195.00 |
$6,195.00 |
$6,195.00 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$7,291.50 |
$7,291.50 |
$7,291.50 |
$2,486.97
|
|
Abd/low ext cath addl
|
$2,114.17 |
$2,114.17 |
$2,114.17 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,821.50 |
$1,821.50 |
$1,821.50 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,056.50 |
$1,056.50 |
$1,056.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,014.50 |
$2,014.50 |
$2,014.50 |
$2,999.67
|
|
Abdominal MRI (with contrast)
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,181.00 |
$2,181.00 |
$2,181.00 |
$1,655.36
|
|
Abdominal Ultrasound (complete)
|
$647.50 |
$647.50 |
$647.50 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$470.50 |
$470.50 |
$470.50 |
$581.94
|
|
Abdominoplasty 15830
|
$23,010.00 |
$23,010.00 |
$23,010.00 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$1,145.00
|
|
Abl1 gene
|
$415.00 |
$415.00 |
$415.00 |
$668.85
|
|
Ablate arrhythmia add on
|
$5,867.50 |
$5,867.50 |
$5,867.50 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$6,900.00 |
$6,900.00 |
$6,900.00 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$12,617.50 |
$12,617.50 |
$12,617.50 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$7,394.50 |
$7,394.50 |
$7,394.50 |
$9,522.05
|
|
Ablate inf turbinate submuc 30802
|
$7,077.50 |
$7,077.50 |
$7,077.50 |
$1,752.89
|
|
Ablate inf turbinate superf 30801
|
$4,116.88 |
$4,116.88 |
$4,116.88 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$11,691.00 |
$11,691.00 |
$11,691.00 |
$9,591.75
|
|
Ablate pulm tumor perq rf
|
$8,470.00 |
$8,470.00 |
$8,470.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$794.00 |
$794.00 |
$794.00 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$6,600.19 |
$6,600.19 |
$6,600.19 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$7,786.50 |
$7,786.50 |
$7,786.50 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$11,691.00 |
$11,691.00 |
$11,691.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$587.50 |
$587.50 |
$587.50 |
$806.85
|
|
Ablation cryo thigh/knee
|
$12,485.50 |
$12,485.50 |
$12,485.50 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$25,330.00 |
$25,330.00 |
$25,330.00 |
$808.50
|
|
Abobotulinumtoxina
|
$1,928.50 |
$1,928.50 |
$1,928.50 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$11,395.50 |
$11,395.50 |
$11,395.50 |
$2,996.80
|
|
Absorpt drg >16<=48 in w/bdr
|
$67.00 |
$67.00 |
$67.00 |
$5.99
|
|
Absorpt drg <=16 sq in w/bdr
|
$95.50 |
$95.50 |
$95.50 |
$5.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$13,640.50 |
$13,640.50 |
$13,640.50 |
$2,314.00
|
|
Access thoracic lymph duct
|
$280.50 |
$280.50 |
$280.50 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$99.57 |
$99.57 |
$99.57 |
$75.72
|
|
Acetaminophen 120 mg rectal suppository
|
$10.50 |
$10.50 |
$10.50 |
$57.20
|
|
Acetaminophen level
|
$79.00 |
$79.00 |
$79.00 |
$103.75
|
|
Acetazolamide 500 mg solution for injection
|
$165.33 |
$165.33 |
$165.33 |
$122.55
|
|
Acetone qualitative
|
$43.00 |
$43.00 |
$43.00 |
$45.65
|
|
Acetylcholinesterase assay
|
$129.00 |
$129.00 |
$129.00 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$618.81 |
$618.81 |
$618.81 |
$216.00
|
|
Acne surgery 10040
|
$331.00 |
$331.00 |
$331.00 |
$260.49
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$234.50 |
$234.50 |
$234.50 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$134.00 |
$134.00 |
$134.00 |
$167.04
|
|
Aco ccm; at least 20 min 99490aco
|
$117.00 |
$117.00 |
$117.00 |
$102.38
|
|
Aco ccm; ea addl 20 min 99439aco
|
$196.00 |
$196.00 |
$196.00 |
$87.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$318.00 |
$318.00 |
$318.00 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$227.00 |
$227.00 |
$227.00 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$364.00 |
$364.00 |
$364.00 |
$345.15
|
|
Aco depression screen annual medicare g0444aco
|
$47.00 |
$47.00 |
$47.00 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$24.50 |
$24.50 |
$24.50 |
$40.20
|
|
Acoustic immitance testing
|
$100.50 |
$100.50 |
$100.50 |
$157.30
|
|
Acoustic refl threshold tst
|
$91.50 |
$91.50 |
$91.50 |
$92.50
|
|
Actinotherapy uv light
|
$65.00 |
$65.00 |
$65.00 |
$110.50
|
|
Acup 1/> w/estim 1st 15 min
|
$44.00 |
$44.00 |
$44.00 |
$51.94
|
|
Acup 1/> w/estim ea addl 15
|
$32.00 |
$32.00 |
$32.00 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$46.50 |
$46.50 |
$46.50 |
$49.40
|
|
Acup 1/> wo estim 1st 15 min
|
$44.00 |
$44.00 |
$44.00 |
$45.75
|
|
Acute hepatitis panel
|
$221.00 |
$221.00 |
$221.00 |
$286.05
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$7.88 |
$7.88 |
$7.88 |
$63.47
|
|
#acylcarnitineprfl
|
$137.50 |
$137.50 |
$137.50 |
$125.00
|
|
Adapt behavior tx phys/qhp
|
$334.00 |
$334.00 |
$334.00 |
$244.07
|
|
Adapter b 8 channel 10cm
|
$5,947.50 |
$5,947.50 |
$5,947.50 |
$5,695.04
|
|
Adaptive behavior tx by tech
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
$139.68
|
|
Adenosine 3 mg/250 ml bag for osm
|
$60.00 |
$60.00 |
$60.00 |
$235.74
|
|
Adenovirus antibody,serum - quest
|
$109.50 |
$109.50 |
$109.50 |
$63.00
|
|
Adenovirus assay w/optic
|
$44.00 |
$44.00 |
$44.00 |
$59.80
|
|
Adh-sendout
|
$31.00 |
$31.00 |
$31.00 |
$109.28
|
|
Adj gastric band via subq port
|
$2,798.67 |
$2,798.67 |
$2,798.67 |
$1,666.86
|
|
Adjmt/revj ext fixj sys anes
|
$17,825.00 |
$17,825.00 |
$17,825.00 |
$8,433.87
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$20,783.50 |
$20,783.50 |
$20,783.50 |
$3,262.50
|
|
Adjustment gastric band
|
$137.00 |
$137.00 |
$137.00 |
$89.04
|
