|
Brachy src nonstrand c-131
|
$488.39 |
$488.39 |
$488.39 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$488.39 |
$488.39 |
$488.39 |
$478.50
|
|
Brachy src stranded c-131
|
$1,872.03 |
$1,872.03 |
$1,872.03 |
$221.00
|
|
Brachytx isodose complex
|
$888.25 |
$888.25 |
$888.25 |
$1,705.20
|
|
Brachytx isodose intermed
|
$657.10 |
$657.10 |
$657.10 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$425.94 |
$425.94 |
$425.94 |
$1,032.38
|
|
Brachytx, non-str, gold-198
|
$145.44 |
$145.44 |
$145.44 |
$124.55
|
|
Braf gene
|
$183.58 |
$183.58 |
$183.58 |
$450.90
|
|
Brain flow imaging only
|
$323.89 |
$323.89 |
$323.89 |
$677.66
|
|
Brain image 4+ views
|
$272.20 |
$272.20 |
$272.20 |
$847.80
|
|
Brain image w/flow < 4 views
|
$299.39 |
$299.39 |
$299.39 |
$919.45
|
|
Brain image w/flow 4 + views
|
$566.93 |
$566.93 |
$566.93 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$625.54 |
$625.54 |
$625.54 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$521.28 |
$521.28 |
$521.28 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$417.02 |
$417.02 |
$417.02 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$719.93 |
$719.93 |
$719.93 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$599.94 |
$599.94 |
$599.94 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$479.95 |
$479.95 |
$479.95 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$1,188.08 |
$1,188.08 |
$1,188.08 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$927.39 |
$927.39 |
$927.39 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$84.99 |
$84.99 |
$84.99 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$294.45 |
$294.45 |
$294.45 |
$871.80
|
|
Bronchial allergy tests
|
$176.92 |
$176.92 |
$176.92 |
$746.46
|
|
Bronchial challenge
|
$28.11 |
$28.11 |
$28.11 |
$820.05
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$324.63 |
$324.63 |
$324.63 |
$571.00
|
|
Br punct aspir ea add, l
|
$152.77 |
$152.77 |
$152.77 |
$357.51
|
|
Btk gene common variants
|
$183.58 |
$183.58 |
$183.58 |
$357.00
|
|
Bundled special stain group 1 microorganisms
|
$95.06 |
$95.06 |
$95.06 |
$159.00
|
|
Bundled special stain group 2
|
$75.70 |
$75.70 |
$75.70 |
$173.40
|
|
Bundle his recording
|
$1,591.30 |
$1,591.30 |
$1,591.30 |
$4,781.70
|
|
Buprenorphine and metabolite - sendout
|
$20.38 |
$20.38 |
$20.38 |
$80.64
|
|
Bur rotalink 2.15mm
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$674.52 |
$674.52 |
$674.52 |
$2,388.00
|
|
Bx breast add lesion Ultrasound imag
|
$532.84 |
$532.84 |
$532.84 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$555.32 |
$555.32 |
$555.32 |
$1,610.05
|
|
Bx pleura pq ndl
|
$549.16 |
$549.16 |
$549.16 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$923.69 |
$923.69 |
$923.69 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$685.61 |
$685.61 |
$685.61 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$294.45 |
$294.45 |
$294.45 |
$963.80
|
|
Bypass temp external fem-fem
|
$8,046.19 |
$8,046.19 |
$8,046.19 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$44.70 |
$44.70 |
$44.70 |
$96.72
|
|
Cable cath 22-pin diag
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$4,946.50
|
|
Cadd pump refill
|
$122.99 |
$122.99 |
$122.99 |
$386.60
|
|
Calcium 24 hour urine
|
$12.17 |
$12.17 |
$12.17 |
$53.00
|
|
Calcium ionized
|
$25.12 |
$25.12 |
$25.12 |
$90.00
|
|
Calcium total
|
$20.86 |
$20.86 |
$20.86 |
$50.00
|
|
Calprotectin fecal
|
$39.50 |
$39.50 |
$39.50 |
$170.00
|
|
Campylobacter antibody
|
$5.96 |
$5.96 |
$5.96 |
$77.83
|
|
Candida dna
|
$15.43 |
$15.43 |
$15.43 |
$61.10
|
|
Cannula declotting 36861
|
$1,272.96 |
$1,272.96 |
$1,272.96 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$29,375.52 |
$29,375.52 |
$29,375.52 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$21,887.91 |
$21,887.91 |
$21,887.91 |
$18,466.88
|
|
Cap trach decann 15mm
|
$3,045.54 |
$3,045.54 |
$3,045.54 |
$3,238.70
|
|
Carbamazepine free
|
$14.22 |
$14.22 |
$14.22 |
$60.00
|
|
Carbamazepine free -sendout
|
$14.22 |
$14.22 |
$14.22 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$8.22 |
$8.22 |
$8.22 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$8.69 |
$8.69 |
$8.69 |
$116.40
|
|
Carbohydrate urine - sendout
|
$36.18 |
$36.18 |
$36.18 |
$66.64
|
|
Carbon dioxide
|
$42.66 |
$42.66 |
$42.66 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$11.85 |
$11.85 |
$11.85 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$51.98 |
$51.98 |
$51.98 |
$145.20
|
|
Cardiac MRI w/stress img
|
$499.34 |
$499.34 |
$499.34 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,051.30 |
$1,051.30 |
$1,051.30 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$872.44 |
$872.44 |
$872.44 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$872.44 |
$872.44 |
$872.44 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$317.52 |
$317.52 |
$317.52 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$159.94 |
$159.94 |
$159.94 |
$204.54
|
|
Cardiac shunt imaging
|
$285.92 |
$285.92 |
$285.92 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$11.92 |
$11.92 |
$11.92 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,737.48 |
$1,737.48 |
$1,737.48 |
$1,431.36
|
|
Carfilzomib 10 mg intravenous solution
|
$37.49 |
$37.49 |
$37.49 |
$6,306.47
|
|
Car ion chnnlpath inc 2 gns
|
$380.84 |
$380.84 |
$380.84 |
$1,091.81
|
|
Carotene
|
$10.59 |
$10.59 |
$10.59 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$444.44 |
$444.44 |
$444.44 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$203.35 |
$203.35 |
$203.35 |
$482.30
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$362.38 |
$362.38 |
$362.38 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$2,870.45 |
$2,870.45 |
$2,870.45 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$517.94 |
$517.94 |
$517.94 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$7,359.07 |
$7,359.07 |
$7,359.07 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$3,679.87 |
$3,679.87 |
$3,679.87 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$3,679.87 |
$3,679.87 |
$3,679.87 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$2,716.35 |
$2,716.35 |
$2,716.35 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$1,361.98 |
$1,361.98 |
$1,361.98 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$820.68 |
$820.68 |
$820.68 |
$1,928.17
|
|
Catheter declot mechanical
|
$721.95 |
$721.95 |
$721.95 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$15.47 |
$15.47 |
$15.47 |
$40.95
|
|
Catheter stripping venous
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,220.58 |
$1,220.58 |
$1,220.58 |
$1,690.71
|
|
Cath hawkone s directional
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$3,654.39 |
$3,654.39 |
$3,654.39 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,576.11 |
$2,576.11 |
$2,576.11 |
$4,680.00
|
|
Cath left heart/lv gram
|
$2,209.83 |
$2,209.83 |
$2,209.83 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$1,216.95 |
$1,216.95 |
$1,216.95 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$495.88 |
$495.88 |
$495.88 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$1,605.62 |
$1,605.62 |
$1,605.62 |
$2,549.50
|
