|
11-desoxycortisol - sendout
|
$37.40 |
$37.40 |
$87.85 |
$91.85
|
|
17-hydroxypregnenolone
|
$37.40 |
$37.40 |
$103.20 |
$92.65
|
|
17-ketosteroids
|
$25.85 |
$25.85 |
$25.85 |
$55.00
|
|
1st hosp/birthing center care per day nml nb 99460
|
$440.80 |
$440.80 |
$440.80 |
$161.60
|
|
1st psyc collab care mgmt
|
$585.60 |
$585.60 |
$585.60 |
$109.46
|
|
1st/sbsq psyc collab care
|
$224.00 |
$224.00 |
$224.00 |
$107.43
|
|
24 hr ambulatory b/p monitor
|
$392.00 |
$392.00 |
$392.00 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,010.35 |
$1,010.35 |
$3,405.68 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$2,929.28 |
$2,929.28 |
$2,929.28 |
$1,284.00
|
|
2nd order venous cath
|
$601.15 |
$601.15 |
$3,260.80 |
$1,532.04
|
|
3d ech img cgen car anomal
|
$327.25 |
$327.25 |
$439.80 |
$511.60
|
|
3-d radiotherapy plan
|
$1,989.90 |
$1,989.90 |
$6,309.44 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$413.60 |
$413.60 |
$865.60 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
5' nucleotidase - sendout
|
$18.15 |
$18.15 |
$79.20 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$156.75 |
$156.75 |
$318.40 |
$100.10
|
|
99381 initial comp preventive med less than 1 year new
|
$248.00 |
$248.00 |
$248.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$270.40 |
$270.40 |
$270.40 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$294.40 |
$294.40 |
$294.40 |
$131.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$206.40 |
$206.40 |
$206.40 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$216.80 |
$216.80 |
$216.80 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$234.40 |
$234.40 |
$234.40 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$264.80 |
$264.80 |
$264.80 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$303.20 |
$303.20 |
$303.20 |
$164.73
|
|
Aa graft w/bp/aortic root replace 33863
|
$20,693.60 |
$20,693.60 |
$20,693.60 |
$7,697.60
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$95.12 |
$95.12 |
$95.12 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$33.55 |
$33.55 |
$36.04 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$4,286.70 |
$4,286.70 |
$6,442.64 |
$3,629.42
|
|
Abd exp/postop hem/throm/infec 35840
|
$4,023.20 |
$4,023.20 |
$4,023.20 |
$2,659.14
|
|
Abd/low ext cath 1st
|
$3,718.40 |
$3,718.40 |
$7,493.20 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,656.05 |
$1,656.05 |
$3,069.60 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,718.75 |
$1,718.75 |
$3,900.00 |
$2,475.45
|
|
Abd/low ext cath addl
|
$279.95 |
$279.95 |
$483.20 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$767.80 |
$767.80 |
$1,800.80 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$661.65 |
$661.65 |
$1,799.90 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,885.40 |
$1,885.40 |
$5,468.16 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,727.00 |
$1,727.00 |
$4,905.25 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,570.25 |
$1,570.25 |
$3,174.60 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,999.15 |
$2,999.15 |
$5,167.22 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,490.40 |
$2,490.40 |
$4,033.69 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,357.30 |
$2,357.30 |
$3,082.92 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,970.10 |
$1,970.10 |
$1,996.07 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,016.40 |
$1,016.40 |
$1,660.97 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$945.45 |
$945.45 |
$1,414.32 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$454.85 |
$454.85 |
$545.16 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$620.95 |
$620.95 |
$823.33 |
$418.63
|
|
Abdominal X-ray (single view)
|
$355.30 |
$355.30 |
$533.66 |
$260.00
|
|
Abdominoplasty 15830
|
$3,350.40 |
$3,350.40 |
$3,350.40 |
$6,442.80
|
|
Abd paracentesis/w/o image guide 49082
|
$1,044.45 |
$1,044.45 |
$1,996.07 |
$1,148.40
|
|
Abl1 gene
|
$691.38 |
$691.38 |
$838.20 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$1,324.95 |
$1,324.95 |
$22,385.21 |
$6,828.51
|
|
Ablate atria x10sv add-on 33258
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$1,585.60
|
|
Ablate bone tumor(s) perq
|
$15,383.50 |
$15,383.50 |
$15,383.50 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$5,570.95 |
$5,570.95 |
$6,113.25 |
$9,332.05
|
|
Ablate inf turbinate submuc 30802
|
$669.60 |
$669.60 |
$669.60 |
$2,060.00
|
|
Ablate inf turbinate superf 30801
|
$389.60 |
$389.60 |
$389.60 |
$1,944.80
|
|
Ablate pulm tumor perq crybl
|
$9,444.05 |
$9,444.05 |
$9,444.05 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$12,336.50 |
$12,336.50 |
$12,336.50 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$3,260.95 |
$3,260.95 |
$8,377.96 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$2,535.72 |
$2,535.72 |
$10,366.95 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$16,258.62 |
$16,258.62 |
$16,258.62 |
$6,948.75
|
|
Ablation cryo thigh/knee
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$1,364.52 |
$1,364.52 |
$1,620.85 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$6,372.00 |
$6,372.00 |
$6,372.00 |
$3,055.20
|
|
Abobotulinumtoxina
|
$7.20 |
$7.20 |
$7.20 |
$1,541.21
|
|
Abortion
|
$1,632.66 |
$1,632.66 |
$1,632.66 |
$935.20
|
|
Abrasion lesions add-on
|
$91.20 |
$91.20 |
$91.20 |
$100.00
|
|
Abrasion lesion single
|
$254.40 |
$254.40 |
$254.40 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$2,243.45 |
$2,243.45 |
$3,566.92 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$768.90 |
$768.90 |
$4,016.83 |
$2,314.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$1.47 |
$1.47 |
$1.47 |
$72.74
|
|
Acetaminophen 120 mg rectal suppository
|
$497.64 |
$497.64 |
$497.64 |
$146.76
|
|
Acetaminophen level
|
$75.20 |
$75.20 |
$210.65 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$134.00 |
$134.00 |
$134.00 |
$122.55
|
|
Acetone qualitative
|
$24.80 |
$24.80 |
$27.50 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$41.80 |
$41.80 |
$69.60 |
$67.50
|
|
Acetylcholinesterase assay
|
$85.25 |
$85.25 |
$85.25 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$218.79
|
|
Acne surgery 10040
|
$203.20 |
$203.20 |
$203.20 |
$265.20
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$338.40 |
$338.40 |
$338.40 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$224.80 |
$224.80 |
$224.80 |
$160.69
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$1,976.64 |
$1,976.64 |
$1,976.64 |
$341.00
|
|
Aco depression screen annual medicare g0444aco
|
$66.40 |
$66.40 |
$66.40 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$34.40 |
$34.40 |
$34.40 |
$38.50
|
|
Acoustic immitance testing
|
$237.60 |
$237.60 |
$237.60 |
$158.50
|
|
Acoustic refl threshold tst
|
$50.40 |
$50.40 |
$50.40 |
$102.05
|
|
Acromp/acromionectomy prtl
|
$6,332.80 |
$6,332.80 |
$6,332.80 |
$3,839.54
|
|
Actigraphy testing
|
$437.60 |
$437.60 |
$437.60 |
$234.00
|
|
Actinotherapy uv light
|
$212.51 |
$212.51 |
$212.51 |
$105.60
|
|
Acup 1/> w/estim 1st 15 min
|
$112.80 |
$112.80 |
$112.80 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$112.80 |
$112.80 |
$112.80 |
$57.98
|
|
Acup 1/> without estim ea add 15
|
$81.60 |
$81.60 |
$81.60 |
$43.00
|
|
Acup 1/> wo estim 1st 15 min
|
$81.60 |
$81.60 |
$81.60 |
$53.50
|
|
Acute hepatitis panel
|
$266.75 |
$266.75 |
$473.60 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$2.84 |
$2.84 |
$2.84 |
$64.45
|
|
#acylcarnitineprfl
|
$117.15 |
$117.15 |
$178.32 |
$121.55
|
|
Acylcarnitines qual
|
$125.40 |
$125.40 |
$125.40 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$950.00 |
$950.00 |
$1,212.67 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$103.26 |
$103.26 |
$103.26 |
$271.98
|
