|
11-desoxycortisol - sendout
|
$37.40 |
$77.91 |
$87.85 |
|
|
17-hydroxypregnenolone
|
$37.40 |
$97.50 |
$106.26 |
|
|
17-ketosteroids
|
$25.85 |
$73.92 |
$96.46 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$440.80 |
$440.80 |
$440.80 |
|
|
1st psyc collab care mgmt
|
$585.60 |
$585.60 |
$585.60 |
|
|
1st/sbsq psyc collab care
|
$224.00 |
$224.00 |
$224.00 |
|
|
2019-ncov diagnostic p
|
$75.79 |
$76.32 |
$76.32 |
|
|
24 hr ambulatory b/p monitor
|
$163.02 |
$202.50 |
$392.00 |
|
|
2d tee w or without fol w/con,in
|
$1,010.35 |
$1,657.26 |
$3,405.68 |
|
|
2d tte w or without fol w/con,co
|
$2,929.28 |
$2,929.28 |
$2,929.28 |
|
|
2nd order venous cath
|
$601.15 |
$1,000.00 |
$5,224.74 |
|
|
2vhpv vaccine 3 dose im
|
$204.58 |
$204.58 |
$204.58 |
|
|
3d ech img cgen car anomal
|
$327.25 |
$460.00 |
$1,145.10 |
|
|
3-d radiotherapy plan
|
$1,989.90 |
$5,025.35 |
$7,860.00 |
|
|
3d recon without postprocess indpndt
|
$86.07 |
$485.00 |
$1,980.55 |
|
|
5% dextrose and 0.45% saline
|
$48.00 |
$48.00 |
$48.00 |
|
|
5' nucleotidase - sendout
|
$18.15 |
$62.50 |
$117.48 |
|
|
88334 ap bill cytologic exam each additional site
|
$39.33 |
$66.25 |
$318.40 |
|
|
99381 initial comp preventive med less than 1 year new
|
$75.00 |
$181.26 |
$248.00 |
|
|
99382 initial comp preventive med 1 to 4 years new
|
$75.00 |
$189.24 |
$270.40 |
|
|
99383 initial comp preventive med 5 to 11 years new
|
$77.50 |
$77.50 |
$294.40 |
|
|
99391 periodic comp preventive med less than 1 year est
|
$67.50 |
$132.50 |
$206.40 |
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$67.50 |
$146.81 |
$216.80 |
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$150.52 |
$170.43 |
$234.40 |
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$32.50 |
$181.26 |
$264.80 |
|
|
99397 periodic comp preventive med 65+ years est
|
$50.88 |
$195.04 |
$303.20 |
|
|
Aa graft w/bp/aortic root replace 33863
|
$20,693.60 |
$20,693.60 |
$20,693.60 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$68.17 |
$95.12 |
$154.68 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$33.55 |
$50.35 |
$111.72 |
|
|
Abd aorta w/runoff s&i
|
$1,690.70 |
$2,515.00 |
$6,442.64 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$4,023.20 |
$4,023.20 |
$4,023.20 |
|
|
Abd/low ext cath 1st
|
$1,395.00 |
$1,469.05 |
$7,493.20 |
|
|
Abd/low ext cath 2nd
|
$1,395.00 |
$1,588.62 |
$6,485.46 |
|
|
Abd/low ext cath 3rd
|
$1,395.00 |
$1,833.48 |
$10,213.26 |
|
|
Abd/low ext cath addl
|
$279.95 |
$700.00 |
$3,544.64 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$444.40 |
$805.20 |
$2,939.72 |
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$245.85 |
$661.65 |
$1,799.90 |
|
|
Abdominal CT scan (with and without contrast)
|
$522.69 |
$2,091.54 |
$5,468.16 |
|
|
Abdominal CT scan (with contrast)
|
$439.47 |
$1,570.00 |
$4,905.25 |
|
|
Abdominal CT scan (without contrast)
|
$309.51 |
$1,470.00 |
$3,174.60 |
|
|
Abdominal MRI (with and without contrast)
|
$1,426.76 |
$3,265.00 |
$6,956.58 |
|
|
Abdominal MRI (with contrast)
|
$1,391.25 |
$2,210.00 |
$4,033.69 |
|
|
Abdominal MRI (without contrast)
|
$772.92 |
$2,110.00 |
$3,082.92 |
|
|
Abdominal paracentesis w/image guidance
|
$590.00 |
$1,455.78 |
$3,562.88 |
|
|
Abdominal Ultrasound (complete)
|
$415.52 |
$769.56 |
$1,660.97 |
|
|
Abdominal Ultrasound (limited)
|
$374.71 |
$581.94 |
$1,414.32 |
|
|
Abdominal X-ray (2 views)
|
$140.80 |
$290.00 |
$583.00 |
|
|
Abdominal X-ray Series (acute, with chest view)
|
$101.46 |
$391.38 |
$823.33 |
|
|
Abdominal X-ray (single view)
|
$122.10 |
$262.50 |
$533.66 |
|
|
Abdominoplasty 15830
|
$3,350.40 |
$3,350.40 |
$3,350.40 |
|
|
Abd paracentesis/w/o image guide 49082
|
$362.50 |
$1,051.05 |
$2,170.35 |
|
|
Abduction rotation bar shoe
|
$69.96 |
$69.96 |
$69.96 |
|
|
Abduct rotation bar without shoe
|
$64.13 |
$64.13 |
$64.13 |
|
|
Abl1 gene
|
$415.14 |
$805.00 |
$1,172.60 |
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,448.80 |
$1,775.00 |
$1,775.00 |
|
|
Ablate arrhythmia add on
|
$324.50 |
$3,754.02 |
$22,385.21 |
|
|
Ablate atria x10sv add-on 33258
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,285.00 |
$5,285.00 |
$8,251.32 |
|
|
Ablate bone tumor(s) perq
|
$4,540.00 |
$6,978.51 |
$16,437.85 |
|
|
Ablate heart dysrhythm focus
|
$5,570.95 |
$7,523.88 |
$22,932.57 |
|
|
Ablate inf turbinate submuc 30802
|
$226.84 |
$226.84 |
$669.60 |
|
|
Ablate inf turbinate superf 30801
|
$206.17 |
$206.17 |
$389.60 |
|
|
Ablate pulm tumor perq crybl
|
$5,540.00 |
$5,562.35 |
$10,794.30 |
|
|
Ablate pulm tumor perq rf
|
$5,200.89 |
$5,540.00 |
$12,336.50 |
|
|
Ablation cardiac vagal inputs atrium
|
$610.00 |
$2,127.18 |
$9,875.00 |
|
|
Ablation cryo abd perit om
|
$1,643.40 |
$3,325.00 |
$10,366.95 |
|
|
Ablation cryo adrenal tumor
|
$3,680.00 |
$3,680.00 |
$16,258.62 |
|
|
Ablation cryo pq liver tumor(s)
|
$4,615.00 |
$4,615.00 |
$12,025.20 |
|
|
Ablation cryo retro lymph node
|
$1,645.00 |
$1,757.58 |
$2,245.00 |
|
|
Ablation cryo thigh/knee
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
|
|
Ablation of upper extremity nerves rf
|
$351.12 |
$1,245.00 |
$4,533.54 |
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,550.00 |
$3,550.00 |
$6,372.00 |
|
|
Abobotulinumtoxina
|
$7.20 |
$9.54 |
$28.29 |
|
|
Abortion
|
$1,632.66 |
$1,632.66 |
$1,632.66 |
|
|
Abrasion lesions add-on
|
$91.20 |
$91.20 |
$91.20 |
|
|
Abrasion lesion single
|
$254.40 |
$285.78 |
$697.48 |
|
|
Abscess drain retroperitoneal surg code
|
$1,526.25 |
$2,890.00 |
$5,802.60 |
|
|
Absorpt drg >16<=48 in w/bdr
|
$3.63 |
$5.00 |
$5.00 |
|
|
Absorpt drg >16 <=48 without bdr
|
$3.53 |
$3.70 |
$5.73 |
|
|
Absorpt drg <=16 sq in w/bdr
|
$24.27 |
$24.27 |
$24.27 |
|
|
Absorpt drg <=16 sq in without b
|
$5.00 |
$5.00 |
$5.00 |
|
|
Absorpt drg > 48 sq in without b
|
$7.50 |
$7.50 |
$7.50 |
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$329.34 |
$1,850.00 |
$7,335.73 |
|
|
Access thoracic lymph duct
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.35 |
$1.47 |
$303.75 |
|
|
Acetaminophen 120 mg rectal suppository
|
$107.02 |
$107.02 |
$497.64 |
|
|
Acetaminophen level
|
$22.23 |
$157.50 |
$302.10 |
|
|
Acetazolamide 500 mg solution for injection
|
$31.33 |
$89.25 |
$214.14 |
|
|
Acetone qualitative
|
$7.42 |
$25.97 |
$46.86 |
|
|
Acetylcholine receptor modulating antibody
|
$19.08 |
$62.50 |
$89.10 |
|
|
Acetylcholinesterase assay
|
$85.25 |
$157.50 |
$157.50 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1.56 |
$5.72 |
$66.67 |
|
|
Acetylcysteine non-comp unit
|
$2.78 |
$8.99 |
$10.86 |
|
|
Acne surgery 10040
|
$203.20 |
$413.05 |
$413.05 |
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$50.00 |
$177.54 |
$338.40 |
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$50.00 |
$220.02 |
$224.80 |
|
|
Aco ccm; at least 20 min 99490aco
|
$90.20 |
$90.20 |
$90.20 |
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$83.05 |
$83.05 |
$83.05 |
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$165.55 |
$165.55 |
$165.55 |
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$362.45 |
$435.05 |
$1,976.64 |
|
