|
Biofeedback, pt
|
$1,855.61 |
$1,855.61 |
$1,855.61 |
$148.66
|
|
Bleomycin 15 unit solution for injection
|
$227.33 |
$227.33 |
$227.33 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$1,383.53 |
$1,383.53 |
$1,383.53 |
$51.35
|
|
Blood Culture Test
|
$1,930.12 |
$1,930.12 |
$1,930.12 |
$144.65
|
|
Blood gases ph venous
|
$432.05 |
$432.05 |
$432.05 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$80.49 |
$80.49 |
$80.49 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$26.49 |
$26.49 |
$26.49 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$459.04 |
$459.04 |
$459.04 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$400.04 |
$400.04 |
$400.04 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$491.49 |
$491.49 |
$491.49 |
$37.44
|
|
Blood typing rbc ag non abo/rh ea
|
$300.28 |
$300.28 |
$300.28 |
$181.74
|
|
Bone imaging multiple areas
|
$10,493.26 |
$10,493.26 |
$10,493.26 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$5,971.67 |
$5,971.67 |
$5,971.67 |
$1,151.16
|
|
Bone marrow imaging body
|
$10,982.20 |
$10,982.20 |
$10,982.20 |
$973.73
|
|
Bone marrow imaging ltd
|
$5,971.67 |
$5,971.67 |
$5,971.67 |
$723.00
|
|
Bone survey-lead poisoning
|
$3,785.96 |
$3,785.96 |
$3,785.96 |
$346.28
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$11,025.66 |
$11,025.66 |
$11,025.66 |
$1,683.04
|
|
Bowel imaging
|
$9,189.41 |
$9,189.41 |
$9,189.41 |
$1,186.25
|
|
Brace afo lg left 6607
|
$1,065.31 |
$1,065.31 |
$1,065.31 |
$401.11
|
|
Brace halo bremer l2830
|
$1,065.31 |
$1,065.31 |
$1,065.31 |
$291.75
|
|
Brachytx isodose plan simple
|
$2,183.45 |
$2,183.45 |
$2,183.45 |
$817.20
|
|
Brain image 4+ views
|
$6,481.50 |
$6,481.50 |
$6,481.50 |
$746.61
|
|
Brain image w/flow < 4 views
|
$11,542.16 |
$11,542.16 |
$11,542.16 |
$828.39
|
|
Brain image w/flow 4 + views
|
$8,842.56 |
$8,842.56 |
$8,842.56 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,028.33 |
$10,028.33 |
$10,028.33 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$10,636.45 |
$10,636.45 |
$10,636.45 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$10,636.45 |
$10,636.45 |
$10,636.45 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$20,846.34 |
$20,846.34 |
$20,846.34 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$20,846.34 |
$20,846.34 |
$20,846.34 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$13,254.33 |
$13,254.33 |
$13,254.33 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$2,287.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$35,601.69 |
$35,601.69 |
$35,601.69 |
$24,679.59
|
|
Bundled special stain group 1 microorganisms
|
$319.63 |
$319.63 |
$319.63 |
$164.89
|
|
Bundle his recording
|
$21,258.05 |
$21,258.05 |
$21,258.05 |
$5,157.39
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$23.15 |
$23.15 |
$23.15 |
$17.13
|
|
Buprenorphine hydrochloride
|
$98.42 |
$98.42 |
$98.42 |
$42.14
|
|
Butorphanol tartrate 1 mg
|
$108.79 |
$108.79 |
$108.79 |
$39.89
|
|
C1 esterase inhibitor func - sendout
|
$73.44 |
$73.44 |
$73.44 |
$106.60
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$49.68 |
$49.68 |
$49.68 |
$59.40
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$53.43 |
$53.43 |
$53.43 |
$92.91
|
|
Calcium ionized
|
$860.44 |
$860.44 |
$860.44 |
$86.35
|
|
Calcium total
|
$766.90 |
$766.90 |
$766.90 |
$48.75
|
|
Calprotectin fecal
|
$100.00 |
$100.00 |
$100.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$815.09 |
$815.09 |
$815.09 |
$113.25
|
|
Carbohydrate urine - sendout
|
$41.45 |
$41.45 |
$41.45 |
$43.51
|
|
Carbon dioxide
|
$945.10 |
$945.10 |
$945.10 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$179.15 |
$179.15 |
$179.15 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$131.47 |
$131.47 |
$131.47 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$154.41 |
$154.41 |
$154.41 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$18,107.28 |
$18,107.28 |
$18,107.28 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$10,794.18 |
$10,794.18 |
$10,794.18 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$10,296.88 |
$10,296.88 |
$10,296.88 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,353.37 |
$1,353.37 |
$1,353.37 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$25.64 |
$25.64 |
$25.64 |
$195.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,383.71 |
$1,383.71 |
$1,383.71 |
$1,582.20
|
|
Carotene
|
$7.52 |
$7.52 |
$7.52 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$5,350.27 |
$5,350.27 |
$5,350.27 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$2,138.60 |
$2,138.60 |
$2,138.60 |
$48.75
|
|
Cath stripping venous s&i
|
$12,799.26 |
$12,799.26 |
$12,799.26 |
$602.40
|
|
#cbg+cort-cbg
|
$20.46 |
$20.46 |
$20.46 |
$66.55
|
|
#celiac hla-dq2
|
$112.40 |
$112.40 |
$112.40 |
$226.28
|
|
Cerebrospinal fld flw imag
|
$8,470.64 |
$8,470.64 |
$8,470.64 |
$884.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,133.25 |
$4,133.25 |
$4,133.25 |
$3,358.00
|
|
#cf-97variants
|
$57.02 |
$57.02 |
$57.02 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$2,640.56 |
$2,640.56 |
$2,640.56 |
$722.70
|
|
Chemo ia infusion up to 1 hr
|
$2,714.17 |
$2,714.17 |
$2,714.17 |
$604.89
|
|
Chest 2 vws w oblique
|
$3,989.40 |
$3,989.40 |
$3,989.40 |
$373.20
|
|
Chest apical lordotic proj
|
$3,113.65 |
$3,113.65 |
$3,113.65 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$20,356.25 |
$20,356.25 |
$20,356.25 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$18,233.11 |
$18,233.11 |
$18,233.11 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$17,650.89 |
$17,650.89 |
$17,650.89 |
$1,350.03
|
|
Chest X-ray
|
$1,911.36 |
$1,911.36 |
$1,911.36 |
$294.06
|
|
Chg radiologic exam esophagus double contrast
|
$4,263.57 |
$4,263.57 |
$4,263.57 |
$520.80
|
|
Chimerism anal w/cell select
|
$571.73 |
$571.73 |
$571.73 |
$585.60
|
|
Chloride
|
$648.04 |
$648.04 |
$648.04 |
$38.50
|
|
Chloride 24 hour urine
|
$907.24 |
$907.24 |
$907.24 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$2,427.52 |
$2,427.52 |
$2,427.52 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$175.30 |
$175.30 |
$175.30 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$5,192.37 |
$5,192.37 |
$5,192.37 |
$625.60
|
|
Cholinesterase challenge
|
$2,139.52 |
$2,139.52 |
$2,139.52 |
$298.60
|
|
Chromosome analysis 5
|
$1,438.70 |
$1,438.70 |
$1,438.70 |
$644.80
|
|
Chromosome count additional
|
$64.00 |
$64.00 |
$64.00 |
$110.00
|
|
Chromosome karyotype study
|
$28.77 |
$28.77 |
$28.77 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$23.62 |
$23.62 |
$23.62 |
$123.20
|
|
Cilastatin sodium injection
|
$234.23 |
$234.23 |
$234.23 |
$65.86
|
|
Cine/video x-rays add-on
|
$7,167.00 |
$7,167.00 |
$7,167.00 |
$213.15
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$4,890.34 |
$4,890.34 |
$4,890.34 |
$576.60
|
|
Clot factor xii hageman
|
$157.53 |
$157.53 |
$157.53 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$10.00 |
$10.00 |
$10.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$10.00 |
$10.00 |
$10.00 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$216.45 |
$216.45 |
$216.45 |
$102.57
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8,709.13 |
$8,709.13 |
$8,709.13 |
$4.22
|
|
Coagulation time activated teg
|
$691.19 |
$691.19 |
$691.19 |
$50.05
|
|
Cold agglutinin titer
|
$4.07 |
$4.07 |
$4.07 |
$49.40
|
|
Colistimethate sodium inj
|
$491.01 |
$491.01 |
$491.01 |
$84.22
|
|
Collar cerv ascend 172 reg
|
$71.76 |
$71.76 |
$71.76 |
$174.01
|
|
Compatibility test each unit electronic
|
$25.63 |
$25.63 |
$25.63 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$790.05 |
$790.05 |
$790.05 |
$159.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$689.02 |
$689.02 |
$689.02 |
$792.24
|
|
Consultation pathology during surgery
|
$183.44 |
$183.44 |
$183.44 |
$112.45
|
