|
Brain MRI (with contrast)
|
$2,813.94 |
$2,813.94 |
$2,813.94 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,251.15 |
$2,251.15 |
$2,251.15 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$1,435.04 |
$1,435.04 |
$1,435.04 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,264.44 |
$2,264.44 |
$2,264.44 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$203.36 |
$203.36 |
$203.36 |
$274.65
|
|
Bronchial challenge
|
$380.26 |
$380.26 |
$380.26 |
$820.05
|
|
Bundled special stain group 1 microorganisms
|
$5.91 |
$5.91 |
$5.91 |
$159.00
|
|
Bundled special stain group 2
|
$5.91 |
$5.91 |
$5.91 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$49.45 |
$49.45 |
$49.45 |
$80.64
|
|
Bur rotalink 2.15mm
|
$6,475.07 |
$6,475.07 |
$6,475.07 |
$7,887.38
|
|
Bx breast add lesion Ultrasound imag
|
$1,132.74 |
$1,132.74 |
$1,132.74 |
$1,670.79
|
|
Bx thyroid/percutan core needle 60100
|
$551.23 |
$551.23 |
$551.23 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$86.00 |
$86.00 |
$86.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$8,166.18 |
$8,166.18 |
$8,166.18 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$55.60 |
$55.60 |
$55.60 |
$100.80
|
|
Calcium 24 hour urine
|
$16.90 |
$16.90 |
$16.90 |
$53.00
|
|
Calcium ionized
|
$3.76 |
$3.76 |
$3.76 |
$90.00
|
|
Calcium total
|
$35.06 |
$35.06 |
$35.06 |
$50.00
|
|
Calprotectin fecal
|
$159.00 |
$159.00 |
$159.00 |
$170.00
|
|
Campylobacter antibody
|
$33.12 |
$33.12 |
$33.12 |
$77.83
|
|
Cannabinoid synthetic 7/more
|
$78.25 |
$78.25 |
$78.25 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$67,798.26 |
$67,798.26 |
$67,798.26 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$29,247.69 |
$29,247.69 |
$29,247.69 |
$18,466.88
|
|
Cap trach decann 15mm
|
$4,218.65 |
$4,218.65 |
$4,218.65 |
$3,238.70
|
|
Carbamazepine free
|
$25.04 |
$25.04 |
$25.04 |
$60.00
|
|
Carbamazepine free -sendout
|
$56.34 |
$56.34 |
$56.34 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$27.54 |
$27.54 |
$27.54 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$27.54 |
$27.54 |
$27.54 |
$116.40
|
|
Carbon dioxide
|
$30.05 |
$30.05 |
$30.05 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$23.16 |
$23.16 |
$23.16 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$174.65 |
$174.65 |
$174.65 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,300.86 |
$2,300.86 |
$2,300.86 |
$2,917.00
|
|
Cardiolipin antibody iga
|
$2.55 |
$2.55 |
$2.55 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$974.43 |
$974.43 |
$974.43 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$185.09 |
$185.09 |
$185.09 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$92.54 |
$92.54 |
$92.54 |
$51.52
|
|
Carotene
|
$10.02 |
$10.02 |
$10.02 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,143.52 |
$1,143.52 |
$1,143.52 |
$1,024.32
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$754.45 |
$754.45 |
$754.45 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$6,259.31 |
$6,259.31 |
$6,259.31 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$1,436.68 |
$1,436.68 |
$1,436.68 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$5,396.28 |
$5,396.28 |
$5,396.28 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$6,475.07 |
$6,475.07 |
$6,475.07 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$6,475.07 |
$6,475.07 |
$6,475.07 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$10,207.26 |
$10,207.26 |
$10,207.26 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$8,166.18 |
$8,166.18 |
$8,166.18 |
$4,212.11
|
|
Cath cv dl inj 7fx16cm
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$1,928.17
|
|
Catheterization collection of specimen single patient all places of service
|
$80.96 |
$80.96 |
$80.96 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$2,027.38 |
$2,027.38 |
$2,027.38 |
$1,690.71
|
|
Cath hawkone s directional
|
$6,475.07 |
$6,475.07 |
$6,475.07 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$4,920.95 |
$4,920.95 |
$4,920.95 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$7,145.64 |
$7,145.64 |
$7,145.64 |
$4,680.00
|
|
Cath malecot 28fr 4-wing ltx
|
$1,635.87 |
$1,635.87 |
$1,635.87 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$14,625.06 |
$14,625.06 |
$14,625.06 |
$19,384.20
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$395.68 |
$395.68 |
$395.68 |
$462.80
|
|
Cath steerable flex adv 12f
|
$2,276.41 |
$2,276.41 |
$2,276.41 |
$2,925.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$11,966.40 |
$11,966.40 |
$11,966.40 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$1,317.38 |
$1,317.38 |
$1,317.38 |
$573.88
|
|
Cdna analysis for variants
|
$318.09 |
$318.09 |
$318.09 |
$542.87
|
|
Cebpa gene full sequence
|
$148.10 |
$148.10 |
$148.10 |
$493.21
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$0.43 |
$0.43 |
$0.43 |
$30.66
|
|
#celiac hla-dq8
|
$20.20 |
$20.20 |
$20.20 |
$246.88
|
|
Cell count body fluid
|
$10.38 |
$10.38 |
$10.38 |
$63.52
|
|
Cell count w differential body fluid
|
$11.76 |
$11.76 |
$11.76 |
$92.56
|
|
Cell function assay w/stim
|
$90.45 |
$90.45 |
$90.45 |
$325.76
|
|
Cerebrospinal fld flw imag
|
$917.93 |
$917.93 |
$917.93 |
$952.82
|
|
#cf-97variants
|
$31.98 |
$31.98 |
$31.98 |
$639.44
|
|
Cftr gene intron poly t
|
$48.81 |
$48.81 |
$48.81 |
$301.65
|
|
Change cystostomy tube simple
|
$207.76 |
$207.76 |
$207.76 |
$477.60
|
|
Chest 2 vws w oblique
|
$418.79 |
$418.79 |
$418.79 |
$375.60
|
|
Chest apical lordotic proj
|
$329.90 |
$329.90 |
$329.90 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,329.49 |
$2,329.49 |
$2,329.49 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,941.43 |
$1,941.43 |
$1,941.43 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$53.84 |
$53.84 |
$53.84 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$69.36 |
$69.36 |
$69.36 |
$134.50
|
|
Chest Ultrasound
|
$458.44 |
$458.44 |
$458.44 |
$463.88
|
|
Chest X-ray
|
$314.25 |
$314.25 |
$314.25 |
$294.06
|
|
Chest X-ray (single view)
|
$286.08 |
$286.08 |
$286.08 |
$236.60
|
|
Chlamydia culture
|
$11.72 |
$11.72 |
$11.72 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$18.41 |
$18.41 |
$18.41 |
$66.60
|
|
Chlamydia type
|
$15.07 |
$15.07 |
$15.07 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$298.48 |
$298.48 |
$298.48 |
$281.18
|
|
Chloride
|
$23.16 |
$23.16 |
$23.16 |
$42.63
|
|
Chloride 24 hour urine
|
$4.38 |
$4.38 |
$4.38 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$402.13 |
$402.13 |
$402.13 |
$602.40
|
|
Cholesterol
|
$34.43 |
$34.43 |
$34.43 |
$45.76
|
|
Cholesterol body fluid
|
$34.43 |
$34.43 |
$34.43 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$63.85 |
$63.85 |
$63.85 |
$115.80
|
|
Cholinesterase
|
$6.89 |
$6.89 |
$6.89 |
$39.48
|
|
Chrom analysis
|
$265.62 |
$265.62 |
$265.62 |
$156.00
|
|
Chromatography
|
$13.77 |
$13.77 |
$13.77 |
$84.60
|
|
Chromogenic substrate assay
|
$56.62 |
$56.62 |
$56.62 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$50.49 |
$50.49 |
$50.49 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$125.82 |
$125.82 |
$125.82 |
$517.11
|
|
Chronic urticaria - sendout
|
$54.15 |
$54.15 |
$54.15 |
$75.71
|
