|
Breast reconstruction 19357
|
$2,682.24 |
$2,682.24 |
$2,682.24 |
$11,720.80
|
|
Breast reconstruction tram flap 19367
|
$4,014.12 |
$4,014.12 |
$4,014.12 |
$4,014.12
|
|
Breast reduction
|
$3,740.22 |
$3,740.22 |
$3,740.22 |
$7,126.06
|
|
Breath hydrogen test 91065
|
$171.60 |
$171.60 |
$171.60 |
$462.00
|
|
Brief alcohol misuse counsel
|
$53.46 |
$53.46 |
$53.46 |
$108.93
|
|
Brief chkin, 5-10, non-e/m
|
$23.76 |
$23.76 |
$23.76 |
$14.97
|
|
Brief chkin by md/qhp, 11-20
|
$42.90 |
$42.90 |
$42.90 |
$31.93
|
|
Brief comunicaj tech-bsd svc
|
$27.06 |
$27.06 |
$27.06 |
$29.25
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$316.14 |
$316.14 |
$316.14 |
$870.87
|
|
Bronchial allergy tests
|
$90.42 |
$90.42 |
$90.42 |
$731.72
|
|
Bronchial challenge
|
$106.92 |
$106.92 |
$106.92 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$325.38 |
$325.38 |
$325.38 |
$2,653.80
|
|
Bronchoscopy/lung bx addl 31632
|
$106.92 |
$106.92 |
$106.92 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$388.08 |
$388.08 |
$388.08 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$411.84 |
$411.84 |
$411.84 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$343.86 |
$343.86 |
$343.86 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$386.76 |
$386.76 |
$386.76 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$89.76 |
$89.76 |
$89.76 |
$358.00
|
|
Brst rcnstj free flap
|
$9,175.98 |
$9,175.98 |
$9,175.98 |
$3,485.94
|
|
Budesonide non-comp unit
|
$42.24 |
$42.24 |
$42.24 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$18.26 |
$18.26 |
$18.26 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$498.96 |
$498.96 |
$498.96 |
$160.80
|
|
Bundled special stain group 2
|
$405.90 |
$405.90 |
$405.90 |
$173.46
|
|
Bundle his recording
|
$176.88 |
$176.88 |
$176.88 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$26.90 |
$26.90 |
$26.90 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$14.20 |
$14.20 |
$14.20 |
$82.82
|
|
Buprenorphine oral 1mg
|
$22.47 |
$22.47 |
$22.47 |
$10.50
|
|
Butorphanol tartrate 1 mg
|
$6.60 |
$6.60 |
$6.60 |
$39.09
|
|
Buttock fasciotomy
|
$2,015.64 |
$2,015.64 |
$2,015.64 |
$5,886.74
|
|
Buttock fasciotomy w/dbrdmt
|
$2,294.16 |
$2,294.16 |
$2,294.16 |
$3,786.00
|
|
Bx bone trocar/ndl deep
|
$4,066.26 |
$4,066.26 |
$4,066.26 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$397.98 |
$397.98 |
$397.98 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,735.14 |
$1,735.14 |
$1,735.14 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,308.12 |
$1,308.12 |
$1,308.12 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$5,712.30 |
$5,712.30 |
$5,712.30 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$289.74 |
$289.74 |
$289.74 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$384.78 |
$384.78 |
$384.78 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$1,205.16 |
$1,205.16 |
$1,205.16 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$768.90 |
$768.90 |
$768.90 |
$4,184.94
|
|
Bx/exc xdrl spine lesn crvl
|
$3,948.78 |
$3,948.78 |
$3,948.78 |
$4,260.80
|
|
Bx/exc xdrl spine lesn lmbr
|
$3,453.12 |
$3,453.12 |
$3,453.12 |
$3,712.80
|
|
Bx/exc xdrl spine lesn thrc
|
$3,923.70 |
$3,923.70 |
$3,923.70 |
$4,230.40
|
|
Bx leg/ankle soft tissue deep 27614
|
$959.64 |
$959.64 |
$959.64 |
$3,386.84
|
|
Bx liver with other
|
$223.08 |
$223.08 |
$223.08 |
$543.40
|
|
Bx muscle
|
$500.28 |
$500.28 |
$500.28 |
$1,917.33
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$332.64 |
$332.64 |
$332.64 |
$3,213.60
|
|
Bx of breast open 19101
|
$1,098.24 |
$1,098.24 |
$1,098.24 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$718.74 |
$718.74 |
$718.74 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$522.06 |
$522.06 |
$522.06 |
$1,588.50
|
|
Bx perianal mass
|
$1,980.66 |
$1,980.66 |
$1,980.66 |
$1,540.50
|
|
Bx pleura pq ndl
|
$3,525.06 |
$3,525.06 |
$3,525.06 |
$1,608.00
|
|
Bx prst8 ndl sat sampling
|
$860.64 |
$860.64 |
$860.64 |
$4,096.52
|
|
Bx shoulder tissues deep 23066
|
$874.50 |
$874.50 |
$874.50 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$366.96 |
$366.96 |
$366.96 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$165.66 |
$165.66 |
$165.66 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$140.58 |
$140.58 |
$140.58 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$116.82 |
$116.82 |
$116.82 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$600.60 |
$600.60 |
$600.60 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$792.00 |
$792.00 |
$792.00 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,624.26 |
$1,624.26 |
$1,624.26 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$1,156.98 |
$1,156.98 |
$1,156.98 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$357.72 |
$357.72 |
$357.72 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$3,400.32 |
$3,400.32 |
$3,400.32 |
$2,139.68
|
|
Bx thyroid/percutan core needle 60100
|
$1,401.84 |
$1,401.84 |
$1,401.84 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$238.26 |
$238.26 |
$238.26 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$221.10 |
$221.10 |
$221.10 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$85.80 |
$85.80 |
$85.80 |
$465.09
|
|
Bypass graft patency/patch
|
$409.20 |
$409.20 |
$409.20 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$1,221.66 |
$1,221.66 |
$1,221.66 |
$1,806.00
|
|
Cadd pump refill
|
$326.70 |
$326.70 |
$326.70 |
$360.00
|
|
Calcium 24 hour urine
|
$53.46 |
$53.46 |
$53.46 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$28.54 |
$28.54 |
$28.54 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$28.38 |
$28.38 |
$28.38 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$53.18 |
$53.18 |
$53.18 |
$91.60
|
|
Calcium ionized
|
$8.03 |
$8.03 |
$8.03 |
$90.00
|
|
Calcium total
|
$69.96 |
$69.96 |
$69.96 |
$50.00
|
|
Calprotectin fecal
|
$12.08 |
$12.08 |
$12.08 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$19,800.00 |
$19,800.00 |
$19,800.00 |
$34,218.66
|
|
Capsaicin 8% patch
|
$5,462.16 |
$5,462.16 |
$5,462.16 |
$4,719.65
|
|
Capsular contracture release
|
$1,602.48 |
$1,602.48 |
$1,602.48 |
$3,839.54
|
|
Capsulectomy/capsulotomy hip
|
$2,337.06 |
$2,337.06 |
$2,337.06 |
$3,365.05
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$590.70 |
$590.70 |
$590.70 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$787.38 |
$787.38 |
$787.38 |
$3,545.97
|
|
Cap trach decann 15mm
|
$397.98 |
$397.98 |
$397.98 |
$2,597.62
|
|
Carbamazepine free
|
$7.25 |
$7.25 |
$7.25 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$106.92 |
$106.92 |
$106.92 |
$120.25
|
|
Carbon dioxide
|
$44.88 |
$44.88 |
$44.88 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$18.10 |
$18.10 |
$18.10 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$7.23 |
$7.23 |
$7.23 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$116.16 |
$116.16 |
$116.16 |
$144.00
|
|
Cardiac drug stress test
|
$141.24 |
$141.24 |
$141.24 |
$517.33
|
|
Cardiac MRI w/stress img
|
$354.42 |
$354.42 |
$354.42 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$2,768.80
|
|
Cardiac perf planar sgl/ef/wm
|
$1,455.30 |
$1,455.30 |
$1,455.30 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,903.34 |
$2,903.34 |
$2,903.34 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$21.78 |
$21.78 |
$21.78 |
$244.00
|
|
Cardiac Stress Test
|
$549.12 |
$549.12 |
$549.12 |
$210.00
|
|
Cardiolipin antibody iga
|
$7.62 |
$7.62 |
$7.62 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,729.86 |
$1,729.86 |
$1,729.86 |
$1,396.00
|
