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Medicare Allowable Costs Associated with follow up parameter
| Test Type | Cost | Cpt code |
|---|---|---|
|
| ||
| Renal function panel | 14.97 | 80069 |
| Blood gas any combination | 27.4 | 82805 |
| ESR, nonautomated | 5.02 | 85651 |
| Urine culture | 11.43 | 87086 |
| Urine cytology | 72.84 | 88106 |
| CT abdomen and pelvis w w/o contrast | 409.64 | 74178 |
| 3D reconstruction | 82.68 | 76377 |
| CT chest w contrast | 197.01 | 71260 |
| Chest X-ray - 2 views | 30.97 | 71020 |
| Renal Ultrasound (retroperitoneal) | 132.41 | 76770 |
| office visit, follow up - level 3 | 70.46 | 99213 |
