|
11-desoxycortisol - sendout
|
$144.00 |
$144.00 |
$144.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$144.00 |
$144.00 |
$144.00 |
$89.25
|
|
17-ketosteroids
|
$72.50 |
$72.50 |
$72.50 |
$55.00
|
|
1st psyc collab care mgmt
|
$100.00 |
$100.00 |
$100.00 |
$109.46
|
|
1st/sbsq psyc collab care
|
$41.50 |
$41.50 |
$41.50 |
$111.20
|
|
3d recon without postprocess indpndt
|
$533.00 |
$533.00 |
$533.00 |
$485.00
|
|
5' nucleotidase - sendout
|
$603.00 |
$603.00 |
$603.00 |
$50.40
|
|
99381 initial comp preventive med less than 1 year new
|
$140.00 |
$140.00 |
$140.00 |
$132.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$131.00 |
$131.00 |
$131.00 |
$126.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$131.00 |
$131.00 |
$131.00 |
$111.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$98.50 |
$98.50 |
$98.50 |
$107.10
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$115.50 |
$115.50 |
$115.50 |
$115.50
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$119.00 |
$119.00 |
$119.00 |
$113.40
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$121.00 |
$121.00 |
$121.00 |
$127.20
|
|
99397 periodic comp preventive med 65+ years est
|
$151.50 |
$151.50 |
$151.50 |
$160.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$103.40 |
$103.40 |
$103.40 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$1,235.50 |
$1,235.50 |
$1,235.50 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$867.50 |
$867.50 |
$867.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$3,015.94
|
|
Abdominal MRI (without contrast)
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,729.00 |
$1,729.00 |
$1,729.00 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$643.00 |
$643.00 |
$643.00 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$456.00 |
$456.00 |
$456.00 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$1,145.40
|
|
Abl1 gene
|
$297.00 |
$297.00 |
$297.00 |
$682.50
|
|
Ablate bone tumor(s) perq
|
$7,416.00 |
$7,416.00 |
$7,416.00 |
$9,350.33
|
|
Ablate inf turbinate submuc 30802
|
$1,716.50 |
$1,716.50 |
$1,716.50 |
$1,752.89
|
|
Ablation cryo thigh/knee
|
$272.00 |
$272.00 |
$272.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$576.00 |
$576.00 |
$576.00 |
$802.99
|
|
Abobotulinumtoxina
|
$9.00 |
$9.00 |
$9.00 |
$1,541.21
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$89.10 |
$89.10 |
$89.10 |
$74.96
|
|
Acetaminophen 120 mg rectal suppository
|
$0.30 |
$0.30 |
$0.30 |
$75.09
|
|
Acetaminophen level
|
$148.50 |
$148.50 |
$148.50 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$23.50 |
$23.50 |
$23.50 |
$122.55
|
|
Acetone qualitative
|
$47.50 |
$47.50 |
$47.50 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$50.00 |
$50.00 |
$50.00 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$142.56 |
$142.56 |
$142.56 |
$216.00
|
|
Acne surgery 10040
|
$265.50 |
$265.50 |
$265.50 |
$260.49
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$180.00 |
$180.00 |
$180.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$139.00 |
$139.00 |
$139.00 |
$167.04
|
|
Aco ccm; at least 20 min 99490aco
|
$152.00 |
$152.00 |
$152.00 |
$102.38
|
|
Aco ccm; ea addl 20 min 99439aco
|
$152.00 |
$152.00 |
$152.00 |
$87.00
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$235.00 |
$235.00 |
$235.00 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$278.00 |
$278.00 |
$278.00 |
$177.99
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$285.00 |
$285.00 |
$285.00 |
$345.15
|
|
Aco depression screen annual medicare g0444aco
|
$55.50 |
$55.50 |
$55.50 |
$38.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.00 |
$17.00 |
$17.00 |
$41.67
|
|
Actinotherapy uv light
|
$48.00 |
$48.00 |
$48.00 |
$110.50
|
|
Acup 1/> w/estim 1st 15 min
|
$37.50 |
$37.50 |
$37.50 |
$51.94
|
|
Acup 1/> w/estim ea addl 15
|
$26.50 |
$26.50 |
$26.50 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$34.00 |
$34.00 |
$34.00 |
$49.40
|
|
Acup 1/> wo estim 1st 15 min
|
$37.50 |
$37.50 |
$37.50 |
$45.75
|
|
Acute hepatitis panel
|
$239.00 |
$239.00 |
$239.00 |
$291.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$7.74 |
$7.74 |
$7.74 |
$63.48
|
|
#acylcarnitineprfl
|
$72.00 |
$72.00 |
$72.00 |
$125.40
|
|
Adapter b 8 channel 10cm
|
$1,506.50 |
$1,506.50 |
$1,506.50 |
$5,388.38
|
|
Adenosine 3 mg/250 ml bag for osm
|
$53.70 |
$53.70 |
$53.70 |
$255.41
|
|
Adh-sendout
|
$115.50 |
$115.50 |
$115.50 |
$109.28
|
|
Adj gastric band via subq port
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$1,609.80
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$3,146.85
|
|
Adjustment gastric band
|
$118.50 |
$118.50 |
$118.50 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$83.77 |
$83.77 |
$83.77 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$666.00 |
$666.00 |
$666.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$201.50 |
$201.50 |
$201.50 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$716.50 |
$716.50 |
$716.50 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$258.00 |
$258.00 |
$258.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$75.50 |
$75.50 |
$75.50 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$153.50 |
$153.50 |
$153.50 |
$257.40
|
|
Administration immunization 1 vaccine
|
$107.00 |
$107.00 |
$107.00 |
$69.00
|
|
Administration immunization each additional component
|
$74.00 |
$74.00 |
$74.00 |
$27.95
|
|
Administration immunization each additional vaccine
|
$180.00 |
$180.00 |
$180.00 |
$47.40
|
|
Administration immunization first component each vaccine
|
$74.00 |
$74.00 |
$74.00 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$67.00 |
$67.00 |
$67.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$59.50 |
$59.50 |
$59.50 |
$30.24
|
|
Administration vaccine hepatitis b
|
$80.50 |
$80.50 |
$80.50 |
$54.40
|
|
Administration vaccine influenza virus
|
$86.00 |
$86.00 |
$86.00 |
$50.43
|
|
Administration vaccine pneumococcal
|
$86.00 |
$86.00 |
$86.00 |
$50.43
|
|
Adrenalin epinephrine inject
|
$50.97 |
$50.97 |
$50.97 |
$229.69
|
|
Advance care planning each additional 30 min 99498
|
$128.00 |
$128.00 |
$128.00 |
$108.00
|
|
Aep hearing status deter i&r
|
$174.50 |
$174.50 |
$174.50 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$330.50 |
$330.50 |
$330.50 |
$576.80
|
|
Aep thrshld est mlt freq i&r
|
$330.50 |
$330.50 |
$330.50 |
$605.15
|
|
_afb id by dna probe rflx ast
|
$54.00 |
$54.00 |
$54.00 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$24.00 |
$24.00 |
$24.00 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$472.00 |
$472.00 |
$472.00 |
$315.00
|
|
Aflibercept injection
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$3,153.84
|
|
Afo molded to patient plasti
|
$1,077.50 |
$1,077.50 |
$1,077.50 |
$710.45
|
|
Afo sing bar clasp attach sh
|
$194.00 |
$194.00 |
$194.00 |
$663.56
|
|
Afo sing solid stirrup calf
|
$805.50 |
$805.50 |
$805.50 |
$955.35
|
|
Afo, walk boot type, cus fab
|
$251.00 |
$251.00 |
$251.00 |
$2,903.60
|
|
After cataract laser surgery
|
$727.50 |
$727.50 |
$727.50 |
$1,373.11
|
|
Air conduction bilat
|
$77.00 |
$77.00 |
$77.00 |
$133.00
|
|
Albumin body fluid quantitative each specimen
|
$43.00 |
$43.00 |
$43.00 |
$46.20
|
|
Albumin (human), 25%, 50ml
|
$175.50 |
$175.50 |
$175.50 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$144.00 |
$144.00 |
$144.00 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$33.00 |
$33.00 |
$33.00 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$43.00 |
$43.00 |
$43.00 |
$40.45
|
|
Albuterol ipratrop non-comp
|
$1.00 |
$1.00 |
$1.00 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$61.00 |
$61.00 |
$61.00 |
$93.60
|
