|
Brain MRI (with and without contrast)
|
$3,376.14 |
$3,376.14 |
$3,376.14 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,376.14 |
$3,376.14 |
$3,376.14 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,206.41 |
$2,206.41 |
$2,206.41 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$171.16 |
$171.16 |
$171.16 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,254.65 |
$2,254.65 |
$2,254.65 |
$3,048.95
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,543.29 |
$2,543.29 |
$2,543.29 |
$728.00
|
|
Bronch ebus samplng 1/2 node
|
$2,786.02 |
$2,786.02 |
$2,786.02 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$4,738.02 |
$4,738.02 |
$4,738.02 |
$5,110.00
|
|
Bronchial allergy tests
|
$699.82 |
$699.82 |
$699.82 |
$737.46
|
|
Bronchial challenge
|
$487.81 |
$487.81 |
$487.81 |
$835.20
|
|
Bronchoscopy clear airways 31645
|
$2,957.57 |
$2,957.57 |
$2,957.57 |
$2,672.16
|
|
Bronchoscopy/lung bx addl 31632
|
$895.09 |
$895.09 |
$895.09 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$1,575.84 |
$1,575.84 |
$1,575.84 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$1,149.50 |
$1,149.50 |
$1,149.50 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$1,702.27 |
$1,702.27 |
$1,702.27 |
$3,572.33
|
|
Bronchoscopy treat blockage
|
$1,837.64 |
$1,837.64 |
$1,837.64 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,994.02 |
$1,994.02 |
$1,994.02 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$2,898.05 |
$2,898.05 |
$2,898.05 |
$2,672.16
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$47.46 |
$47.46 |
$47.46 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$119.04 |
$119.04 |
$119.04 |
$165.10
|
|
Bundled special stain group 2
|
$92.59 |
$92.59 |
$92.59 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$21.01 |
$21.01 |
$21.01 |
$39.23
|
|
Buprenorphine hydrochloride
|
$25.68 |
$25.68 |
$25.68 |
$43.94
|
|
Buprenorphine oral 1mg
|
$19.45 |
$19.45 |
$19.45 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$4,254.11 |
$4,254.11 |
$4,254.11 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$7,201.94
|
|
Bx bone trocar/ndl deep
|
$2,105.27 |
$2,105.27 |
$2,105.27 |
$2,271.01
|
|
Bx breast pq tomo guide
|
$7,418.23 |
$7,418.23 |
$7,418.23 |
$5,383.86
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$4,608.88 |
$4,608.88 |
$4,608.88 |
$4,242.15
|
|
Bx pancreas pq ndl
|
$2,321.56 |
$2,321.56 |
$2,321.56 |
$1,780.47
|
|
Bx pleura pq ndl
|
$1,546.28 |
$1,546.28 |
$1,546.28 |
$1,742.30
|
|
Bx skin incisnl ea sep/add l les
|
$136.15 |
$136.15 |
$136.15 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$1,415.58 |
$1,415.58 |
$1,415.58 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$136.15 |
$136.15 |
$136.15 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,402.74 |
$1,402.74 |
$1,402.74 |
$1,915.68
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,402.74 |
$1,402.74 |
$1,402.74 |
$2,366.40
|
|
Bx thigh/knee soft tiss supf 27323
|
$3,693.95 |
$3,693.95 |
$3,693.95 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$1,472.76 |
$1,472.76 |
$1,472.76 |
$1,038.80
|
|
Bypass temp external fem-fem
|
$790.45 |
$790.45 |
$790.45 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$7.78 |
$7.78 |
$7.78 |
$103.35
|
|
Cable cath 22-pin diag
|
$5,278.73 |
$5,278.73 |
$5,278.73 |
$4,518.81
|
|
Cable centrimag pressure
|
$11,601.93 |
$11,601.93 |
$11,601.93 |
$10,306.02
|
|
Cad breast MRI w/r&i
|
$77.03 |
$77.03 |
$77.03 |
$100.23
|
|
Cadd pump refill
|
$263.75 |
$263.75 |
$263.75 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$71.19 |
$71.19 |
$71.19 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$5,848.62 |
$5,848.62 |
$5,848.62 |
$2,802.31
|
|
Calcium 24 hour urine
|
$25.29 |
$25.29 |
$25.29 |
$51.75
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.17 |
$1.17 |
$1.17 |
$2.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$19.45 |
$19.45 |
$19.45 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$778.00 |
$778.00 |
$778.00 |
$91.04
|
|
Calcium ionized
|
$229.51 |
$229.51 |
$229.51 |
$88.40
|
|
Calcium total
|
$81.31 |
$81.31 |
$81.31 |
$48.75
|
|
Calprotectin fecal
|
$15.56 |
$15.56 |
$15.56 |
$169.20
|
|
Candida dna
|
$146.27 |
$146.27 |
$146.27 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$175,575.15 |
$175,575.15 |
$175,575.15 |
$51,677.49
|
|
Cap nerve 2x15mm
|
$55,945.98 |
$55,945.98 |
$55,945.98 |
$24,217.08
|
|
Cap trach decann 15mm
|
$5,278.73 |
$5,278.73 |
$5,278.73 |
$3,973.20
|
|
Carbamazepine total therapeutic drug level
|
$129.93 |
$129.93 |
$129.93 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$113.36 |
$113.36 |
$113.36 |
$113.36
|
|
Carbon dioxide
|
$29.96 |
$29.96 |
$29.96 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$151.71 |
$151.71 |
$151.71 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$406.12 |
$406.12 |
$406.12 |
$146.25
|
|
Cardiac perf planar sgl/ef/wm
|
$3,764.36 |
$3,764.36 |
$3,764.36 |
$1,961.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,288.61 |
$3,288.61 |
$3,288.61 |
$2,752.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$141.60 |
$141.60 |
$141.60 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$128.76 |
$128.76 |
$128.76 |
$205.57
|
|
Cardiac shunt imaging
|
$1,803.02 |
$1,803.02 |
$1,803.02 |
$860.63
|
|
Cardiolipin antibody iga
|
$7.98 |
$7.98 |
$7.98 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,776.96 |
$1,776.96 |
$1,776.96 |
$1,519.00
|
|
Cardioversion/elective/internal 92961
|
$1,352.56 |
$1,352.56 |
$1,352.56 |
$1,158.00
|
|
Card MRI veloc flow mapping
|
$2,767.35 |
$2,767.35 |
$2,767.35 |
$490.39
|
|
Carotene
|
$5.21 |
$5.21 |
$5.21 |
$45.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,086.48 |
$1,086.48 |
$1,086.48 |
$1,068.06
|
|
Car seat/bed test 60 minutes
|
$37.74 |
$37.74 |
$37.74 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$18.68 |
$18.68 |
$18.68 |
$70.00
|
|
Caspofungin acetate
|
$655.47 |
$655.47 |
$655.47 |
$492.20
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$838.30 |
$838.30 |
$838.30 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$6,190.10
|
|
Cath ablt clsfast 7fx100cmx
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$3,906.88
|
|
Cath ablt rx lasr 2.0mm turbo
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$6,606.72
|
|
Cath access del ds spyscop 2.0
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$5,805.19
|
|
Cath acuity innr ic130 6f 63cm
|
$67,693.78 |
$67,693.78 |
$67,693.78 |
$9,363.28
|
|
Cath acunav ge 10frx90cm
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$6,022.02
|
|
Cath adherent clot 10mm 6f 10
|
$23,727.06 |
$23,727.06 |
$23,727.06 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$5,875.79
|
|
Cath bi-dir df smarttouch
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$8,469.98
|
|
Cath blazer dx/20 2-10-2 space
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$4,348.60
|
|
Cath combo lt&rt heart w/inj/s
|
$19,231.78 |
$19,231.78 |
$19,231.78 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$2,400.13 |
$2,400.13 |
$2,400.13 |
$2,463.75
|
|
Cath epdrl brevi-stf 12in .043
|
$2,400.13 |
$2,400.13 |
$2,400.13 |
$2,103.20
|
|
Catheter declot mechanical
|
$2,624.20 |
$2,624.20 |
$2,624.20 |
$1,838.28
|
|
Catheter insert artery
|
$613.85 |
$613.85 |
$613.85 |
$391.20
|
|
Catheterization collection of specimen single patient all places of service
|
$238.46 |
$238.46 |
$238.46 |
$44.40
|
|
Cath groshong MRI 8fr plstc port
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$2,323.56
|
|
Cath hawkone s directional
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$7,160.28
|
|
Cath imag ivus pv 8.5fx90 .035
|
$11,601.93 |
$11,601.93 |
$11,601.93 |
$4,499.78
|
|
Cath left heart/lv gram
|
$14,921.27 |
$14,921.27 |
$14,921.27 |
$7,564.20
|
|
Cath left heart transseptal punc
|
$7,246.69 |
$7,246.69 |
$7,246.69 |
$5,939.71
|
|
Cath lt/rt pulm art
|
$658.58 |
$658.58 |
$658.58 |
$1,321.95
|
