|
Brain MRA (blood vessel MRI, without contrast)
|
$1,141.52 |
$1,141.52 |
$1,141.52 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,707.72 |
$1,707.72 |
$1,707.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,479.91 |
$1,479.91 |
$1,479.91 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,141.52 |
$1,141.52 |
$1,141.52 |
$1,977.27
|
|
Brca1 dna gene analy known fam var
|
$71.30 |
$71.30 |
$71.30 |
$471.52
|
|
Brca2 dna gene analy known fam var
|
$71.30 |
$71.30 |
$71.30 |
$450.30
|
|
Brcassure comprehensive panel-sendout
|
$308.20 |
$308.20 |
$308.20 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,059.44 |
$1,059.44 |
$1,059.44 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$699.20 |
$699.20 |
$699.20 |
$847.00
|
|
Breast reconstruction 19357
|
$772.16 |
$772.16 |
$772.16 |
$11,720.80
|
|
Breast reconstruction tram flap 19367
|
$1,155.58 |
$1,155.58 |
$1,155.58 |
$4,014.12
|
|
Breast reduction
|
$1,076.73 |
$1,076.73 |
$1,076.73 |
$7,126.06
|
|
Breath hydrogen test 91065
|
$4.37 |
$4.37 |
$4.37 |
$462.00
|
|
Breath recording infant
|
$332.31 |
$332.31 |
$332.31 |
$1,158.00
|
|
Brief alcohol misuse counsel
|
$14.06 |
$14.06 |
$14.06 |
$108.93
|
|
Brief chkin, 5-10, non-e/m
|
$5.89 |
$5.89 |
$5.89 |
$14.97
|
|
Brief chkin by md/qhp, 11-20
|
$11.78 |
$11.78 |
$11.78 |
$31.93
|
|
Brief comunicaj tech-bsd svc
|
$7.03 |
$7.03 |
$7.03 |
$29.25
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$91.01 |
$91.01 |
$91.01 |
$870.87
|
|
Bronchial allergy tests
|
$434.53 |
$434.53 |
$434.53 |
$731.72
|
|
Bronchial challenge
|
$295.45 |
$295.45 |
$295.45 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$93.67 |
$93.67 |
$93.67 |
$2,653.80
|
|
Bronchoscopy/lung bx addl 31632
|
$30.78 |
$30.78 |
$30.78 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$111.72 |
$111.72 |
$111.72 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$118.56 |
$118.56 |
$118.56 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$98.99 |
$98.99 |
$98.99 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$111.34 |
$111.34 |
$111.34 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$356.06 |
$356.06 |
$356.06 |
$358.00
|
|
Brst rcnstj free flap
|
$2,641.57 |
$2,641.57 |
$2,641.57 |
$3,485.94
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$8.05 |
$8.05 |
$8.05 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$23.54 |
$23.54 |
$23.54 |
$160.80
|
|
Bundled special stain group 2
|
$59.28 |
$59.28 |
$59.28 |
$173.46
|
|
Bundle his recording
|
$5,026.45 |
$5,026.45 |
$5,026.45 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$18.35 |
$18.35 |
$18.35 |
$32.88
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$9.19 |
$9.19 |
$9.19 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$5.03 |
$5.03 |
$5.03 |
$82.82
|
|
Bur rotalink 2.15mm
|
$4,039.78 |
$4,039.78 |
$4,039.78 |
$7,817.85
|
|
Buttock fasciotomy
|
$580.26 |
$580.26 |
$580.26 |
$5,886.74
|
|
Buttock fasciotomy w/dbrdmt
|
$660.44 |
$660.44 |
$660.44 |
$3,786.00
|
|
Bx bone trocar/ndl deep
|
$1,140.76 |
$1,140.76 |
$1,140.76 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$114.57 |
$114.57 |
$114.57 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,222.08 |
$1,222.08 |
$1,222.08 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$670.32 |
$670.32 |
$670.32 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$483.93 |
$483.93 |
$483.93 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$984.39 |
$984.39 |
$984.39 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$83.41 |
$83.41 |
$83.41 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$86.07 |
$86.07 |
$86.07 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$271.32 |
$271.32 |
$271.32 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$165.30 |
$165.30 |
$165.30 |
$4,184.94
|
|
Bx/exc xdrl spine lesn crvl
|
$1,136.77 |
$1,136.77 |
$1,136.77 |
$4,260.80
|
|
Bx/exc xdrl spine lesn lmbr
|
$994.08 |
$994.08 |
$994.08 |
$3,712.80
|
|
Bx/exc xdrl spine lesn thrc
|
$1,129.55 |
$1,129.55 |
$1,129.55 |
$4,230.40
|
|
Bx leg/ankle soft tissue deep 27614
|
$276.26 |
$276.26 |
$276.26 |
$3,386.84
|
|
Bx liver with other
|
$945.44 |
$945.44 |
$945.44 |
$543.40
|
|
Bx muscle
|
$61.37 |
$61.37 |
$61.37 |
$1,917.33
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$95.76 |
$95.76 |
$95.76 |
$3,213.60
|
|
Bx of breast open 19101
|
$217.55 |
$217.55 |
$217.55 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$102.60 |
$102.60 |
$102.60 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$1,059.63 |
$1,059.63 |
$1,059.63 |
$1,588.50
|
|
Bx perianal mass
|
$570.19 |
$570.19 |
$570.19 |
$1,540.50
|
|
Bx pleura pq ndl
|
$1,378.64 |
$1,378.64 |
$1,378.64 |
$1,608.00
|
|
Bx prst8 ndl sat sampling
|
$247.76 |
$247.76 |
$247.76 |
$4,096.52
|
|
Bx shoulder tissues deep 23066
|
$251.75 |
$251.75 |
$251.75 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$105.64 |
$105.64 |
$105.64 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$146.68 |
$146.68 |
$146.68 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$89.87 |
$89.87 |
$89.87 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$14.25 |
$14.25 |
$14.25 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$105.83 |
$105.83 |
$105.83 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$132.05 |
$132.05 |
$132.05 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$467.59 |
$467.59 |
$467.59 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$253.65 |
$253.65 |
$253.65 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$102.98 |
$102.98 |
$102.98 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$117.61 |
$117.61 |
$117.61 |
$2,139.68
|
|
Bx thyroid/percutan core needle 60100
|
$505.21 |
$505.21 |
$505.21 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$41.99 |
$41.99 |
$41.99 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$37.81 |
$37.81 |
$37.81 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$18.43 |
$18.43 |
$18.43 |
$465.09
|
|
Bypass graft patency/patch
|
$117.80 |
$117.80 |
$117.80 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$779.57 |
$779.57 |
$779.57 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$2.03 |
$2.03 |
$2.03 |
$96.72
|
|
Cable cath 22-pin diag
|
$1,547.36 |
$1,547.36 |
$1,547.36 |
$4,946.50
|
|
Cacna1a gene full gene seq
|
$301.15 |
$301.15 |
$301.15 |
$846.27
|
|
Cadd pump refill
|
$203.11 |
$203.11 |
$203.11 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$647.52 |
$647.52 |
$647.52 |
$2,111.64
|
|
Calcium 24 hour urine
|
$37.24 |
$37.24 |
$37.24 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$18.93 |
$18.93 |
$18.93 |
$45.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$19.67 |
$19.67 |
$19.67 |
$91.60
|
|
Calcium ionized
|
$40.47 |
$40.47 |
$40.47 |
$90.00
|
|
Calcium total
|
$44.27 |
$44.27 |
$44.27 |
$50.00
|
|
Calprotectin fecal
|
$4.60 |
$4.60 |
$4.60 |
$169.95
|
|
Campylobacter antibody
|
$2.22 |
$2.22 |
$2.22 |
$77.83
|
|
Candida dna
|
$3.39 |
$3.39 |
$3.39 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$10.83 |
$10.83 |
$10.83 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$17,613.95 |
$17,613.95 |
$17,613.95 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$22,584.73 |
$22,584.73 |
$22,584.73 |
$18,466.88
|
|
Capsular contracture release
|
$461.32 |
$461.32 |
$461.32 |
$3,839.54
|
|
Capsulectomy/capsulotomy hip
|
$672.79 |
$672.79 |
$672.79 |
$3,365.05
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$170.05 |
$170.05 |
$170.05 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$226.67 |
$226.67 |
$226.67 |
$3,545.97
|
|
Cap trach decann 15mm
|
$2,485.77 |
$2,485.77 |
$2,485.77 |
$2,597.62
|
