|
Aco depression screen annual medicare g0444aco
|
$66.40 |
$66.40 |
$66.40 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$20.00 |
$34.20 |
$101.75 |
|
|
Acoustic immitance testing
|
$172.50 |
$172.50 |
$237.60 |
|
|
Acoustic refl threshold tst
|
$45.65 |
$45.65 |
$50.40 |
|
|
Acromp/acromionectomy prtl
|
$6,332.80 |
$6,332.80 |
$6,332.80 |
|
|
Actigraphy testing
|
$205.70 |
$295.00 |
$437.60 |
|
|
Actinotherapy uv light
|
$43.46 |
$132.00 |
$212.51 |
|
|
Acup 1/> w/estim 1st 15 min
|
$28.50 |
$28.50 |
$112.80 |
|
|
Acup 1/> w/estim ea addl 15
|
$23.00 |
$23.00 |
$112.80 |
|
|
Acup 1/> without estim ea add 15
|
$20.50 |
$20.50 |
$81.60 |
|
|
Acup 1/> wo estim 1st 15 min
|
$26.00 |
$26.00 |
$81.60 |
|
|
Acute hepatitis panel
|
$130.53 |
$322.50 |
$703.51 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.25 |
$0.30 |
$36.83 |
|
|
#acylcarnitineprfl
|
$23.85 |
$222.60 |
$387.42 |
|
|
Acylcarnitines qual
|
$118.72 |
$125.40 |
$180.95 |
|
|
Adalimumab injection
|
$779.10 |
$779.10 |
$805.41 |
|
|
Adapter b 8 channel 10cm
|
$240.98 |
$690.00 |
$2,808.05 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.35 |
$5.39 |
$419.15 |
|
|
Adenovirus antibody,serum - quest
|
$22.00 |
$77.50 |
$86.90 |
|
|
Adenovirus assay w/optic
|
$168.01 |
$168.01 |
$168.01 |
|
|
Adhesive, liquid or equal
|
$14.40 |
$14.40 |
$14.40 |
|
|
Adh-sendout
|
$29.70 |
$170.00 |
$304.11 |
|
|
Adjmt/revj ext fixj sys anes
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1.06 |
$18.74 |
$34.27 |
|
|
Admin ecg contrast agent
|
$95.40 |
$95.40 |
$224.80 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$79.20 |
$213.40 |
$268.71 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$169.95 |
$235.00 |
$298.11 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$340.45 |
$490.05 |
$980.96 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$172.70 |
$273.90 |
$1,071.61 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$88.00 |
$128.82 |
$204.04 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$139.70 |
$147.50 |
$518.05 |
|
|
Administration immunization each additional component
|
$18.24 |
$35.20 |
$36.04 |
|
|
Administration immunization each additional vaccine
|
$15.00 |
$36.04 |
$140.25 |
|
|
Administration immunization first component each vaccine
|
$26.22 |
$38.69 |
$43.45 |
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$17.10 |
$38.69 |
$74.30 |
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$15.39 |
$18.55 |
$29.60 |
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$26.79 |
$51.70 |
$122.65 |
|
|
Administration vaccine hepatitis b
|
$24.38 |
$45.60 |
$133.65 |
|
|
Administration vaccine influenza virus
|
$24.38 |
$61.05 |
$312.99 |
|
|
Administration vaccine pneumococcal
|
$24.38 |
$51.30 |
$133.65 |
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$37.50 |
$48.95 |
$63.80 |
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$57.38 |
$61.66 |
$105.93 |
|
|
Adrenal cortex & medulla img
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
|
|
Adrenalin epinephrine inject
|
$1.12 |
$5.05 |
$70.08 |
|
|
Advance care planning each additional 30 min 99498
|
$145.92 |
$145.92 |
$145.92 |
|
|
Aep hearing status deter i&r
|
$147.50 |
$147.50 |
$886.88 |
|
|
Aep neurodiagnostic i&r
|
$83.74 |
$705.00 |
$1,329.87 |
|
|
Aep thrshld est mlt freq i&r
|
$418.95 |
$705.00 |
$1,329.87 |
|
|
_afb id by dna probe rflx ast
|
$36.57 |
$80.00 |
$130.91 |
|
|
#afb mycobacteria suscep. #1
|
$27.03 |
$35.51 |
$316.80 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$288.85 |
$594.66 |
$785.00 |
|
|
Aflibercept injection
|
$1,263.12 |
$1,263.12 |
$1,263.12 |
|
|
Afluria vacc, 3 yrs & >, im
|
$19.61 |
$19.61 |
$36.80 |
|
|
Afo molded to patient plasti
|
$1,243.91 |
$1,243.91 |
$1,337.79 |
|
|
Afo tibial fracture rigid
|
$606.32 |
$606.32 |
$900.00 |
|
|
After cataract laser surgery
|
$1,922.80 |
$1,922.80 |
$1,922.80 |
|
|
Agalsidase beta 35 mg intravenous solution
|
$257.64 |
$346.20 |
$588.60 |
|
|
Air conduction bilat
|
$48.40 |
$71.20 |
$75.00 |
|
|
Air injection into abdomen 49400
|
$155.29 |
$520.00 |
$1,783.65 |
|
|
Airway resistance by impulse oscillometry 94728
|
$209.22 |
$240.00 |
$340.26 |
|
|
Albumin body fluid quantitative each specimen
|
$14.82 |
$47.50 |
$69.64 |
|
|
Albumin (human), 25%, 50ml
|
$91.24 |
$136.85 |
$453.41 |
|
|
Albumin, human 25 % intravenous solution
|
$301.06 |
$301.06 |
$301.06 |
|
|
Albumin (human), 5%, 250 ml
|
$108.98 |
$138.67 |
$478.85 |
|
|
Albumin, human 5 % intravenous solution
|
$66.48 |
$66.48 |
$66.48 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$21.09 |
$62.50 |
$194.38 |
|
|
Albumin serum plasma or whole blood
|
$13.11 |
$37.50 |
$150.18 |
|
|
Albuterol comp con
|
$9.60 |
$9.60 |
$9.60 |
|
|
Albuterol ipratrop non-comp
|
$0.14 |
$0.97 |
$71.48 |
|
|
Albuterol non-comp con
|
$0.30 |
$0.54 |
$1.21 |
|
|
Albuterol non-comp unit
|
$0.04 |
$0.49 |
$16.25 |
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$21.09 |
$112.50 |
$336.83 |
|
|
Alcohols biomarkers 3/more
|
$156.00 |
$156.00 |
$156.00 |
|
|
Alcohol/sub misuse assess
|
$75.35 |
$75.35 |
$75.35 |
|
|
Alcohol/subs interv 15-30mn
|
$85.80 |
$85.80 |
$85.80 |
|
|
Alcohol/subs interv >30 min
|
$133.10 |
$133.10 |
$133.10 |
|
|
Alefacept
|
$37.63 |
$37.63 |
$37.63 |
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$2,738.28 |
$2,738.28 |
$2,738.28 |
|
|
Alginate dressing <=16 sq in
|
$3.33 |
$12.70 |
$22.26 |
|
|
Alginate drsg >16 <=48 sq in
|
$20.00 |
$22.72 |
$39.80 |
|
|
Alginate drsg wound filler
|
$7.50 |
$7.50 |
$24.80 |
|
|
Alkaline phosphatase
|
$13.68 |
$45.65 |
$197.61 |
|
|
Allergen alpha lactalbumin ige
|
$15.00 |
$29.15 |
$402.60 |
|
|
Allergen egg white ige
|
$8.35 |
$25.00 |
$140.80 |
|
|
Allergen specific ige qual multi scrn ea
|
$5.00 |
$12.50 |
$154.55 |
|
|
Allergy injections; 2 or more 95117
|
$30.25 |
$30.78 |
$136.21 |
|
|
Allergy injection; single 95115
|
$23.37 |
$35.20 |
$136.21 |
|
|
Allergy Skin Testing
|
$19.20 |
$19.20 |
$2,995.03 |
|
|
Allg patch or app # of tests 95044
|
$14.31 |
$14.31 |
$44.00 |
|
|
Allograft amnioexcel plus 17mm disk
|
$102.40 |
$102.40 |
$102.40 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$71.56 |
$104.19 |
$283.09 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$94.17 |
$266.21 |
$3,317.32 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$25.12 |
$5,176.21 |
$6,532.05 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$144.21 |
$395.00 |
$1,874.73 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$210.00 |
$210.00 |
$1,305.31 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$713.93 |
$765.90 |
$963.74 |
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$4,101.14 |
$4,101.14 |
$4,101.14 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$257.58 |
$506.90 |
$1,225.35 |
|
|
All tstg perq&iq drugs/biol
|
$132.00 |
$132.00 |
$222.60 |
|
