|
Bronchial challenge
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$777.60
|
|
Bronchoscopy w/fb removal 31635
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$2,445.96
|
|
Bronch w/balloon occlusion
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$6,410.18
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$571.00
|
|
Br punct aspir ea add, l
|
$845.40 |
$845.40 |
$845.40 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$297.00 |
$297.00 |
$297.00 |
$160.80
|
|
Bundled special stain group 2
|
$297.60 |
$297.60 |
$297.60 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$333.00 |
$333.00 |
$333.00 |
$82.82
|
|
Burr hole implant ventricular cath/other device
|
$1,501.20 |
$1,501.20 |
$1,501.20 |
$2,964.65
|
|
Bx bone trocar/ndl deep
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$3,792.00 |
$3,792.00 |
$3,792.00 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$4,549.80 |
$4,549.80 |
$4,549.80 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$4,146.60 |
$4,146.60 |
$4,146.60 |
$1,692.64
|
|
Bx liver with other
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$543.40
|
|
Bx pancreas pq ndl
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$375.60 |
$375.60 |
$375.60 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$375.60 |
$375.60 |
$375.60 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$375.60 |
$375.60 |
$375.60 |
$203.70
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$964.62
|
|
Bypass temp external fem-fem
|
$2,582.40 |
$2,582.40 |
$2,582.40 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$463.20 |
$463.20 |
$463.20 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$305.40 |
$305.40 |
$305.40 |
$360.00
|
|
Calcium 24 hour urine
|
$268.80 |
$268.80 |
$268.80 |
$53.00
|
|
Calcium ionized
|
$129.00 |
$129.00 |
$129.00 |
$90.00
|
|
Calcium total
|
$116.40 |
$116.40 |
$116.40 |
$50.00
|
|
Caloric vstblr test w/rec
|
$409.20 |
$409.20 |
$409.20 |
$310.00
|
|
Calprotectin fecal
|
$732.60 |
$732.60 |
$732.60 |
$169.95
|
|
Candida dna
|
$66.00 |
$66.00 |
$66.00 |
$62.50
|
|
Carbamazepine free -sendout
|
$57.00 |
$57.00 |
$57.00 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$217.80 |
$217.80 |
$217.80 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$174.60 |
$174.60 |
$174.60 |
$139.00
|
|
Carbon dioxide
|
$112.20 |
$112.20 |
$112.20 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$89.40 |
$89.40 |
$89.40 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$705.60 |
$705.60 |
$705.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,269.60 |
$4,269.60 |
$4,269.60 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$233.40 |
$233.40 |
$233.40 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$192.00 |
$192.00 |
$192.00 |
$196.50
|
|
Cardiolipin antibody iga
|
$217.80 |
$217.80 |
$217.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,128.60 |
$1,128.60 |
$1,128.60 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$948.00 |
$948.00 |
$948.00 |
$1,114.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$84.00 |
$84.00 |
$84.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$42.00 |
$42.00 |
$42.00 |
$51.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,182.60 |
$1,182.60 |
$1,182.60 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$236.40 |
$236.40 |
$236.40 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$120.60 |
$120.60 |
$120.60 |
$65.00
|
|
Cath combo lt&rt heart w/inj/s
|
$12,100.20 |
$12,100.20 |
$12,100.20 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,889.06
|
|
Catheter insert artery
|
$504.60 |
$504.60 |
$504.60 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$88.20 |
$88.20 |
$88.20 |
$40.95
|
|
Catheter stripping venous
|
$3,303.60 |
$3,303.60 |
$3,303.60 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$285.60 |
$285.60 |
$285.60 |
$254.80
|
|
Cath left heart/lv gram
|
$10,938.60 |
$10,938.60 |
$10,938.60 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$1,281.93
|
|
Cath place 1st order venous 36011
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$13,786.80 |
$13,786.80 |
$13,786.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$8,538.60 |
$8,538.60 |
$8,538.60 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$14,042.40 |
$14,042.40 |
$14,042.40 |
$10,389.60
|
|
Cath right heart w/o2 sat & card
|
$7,221.60 |
$7,221.60 |
$7,221.60 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$933.60 |
$933.60 |
$933.60 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$469.09
|
|
Cath segmntl pulm art
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$1,458.34
|
|
Cath stripping venous s&i
|
$2,023.20 |
$2,023.20 |
$2,023.20 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$643.80 |
$643.80 |
$643.80 |
$340.90
|
|
Cdna analysis for variants
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$525.00
|
|
Cdp-sot 6 cond w/i&r
|
$579.00 |
$579.00 |
$579.00 |
$215.25
|
|
Cebpa gene full sequence
|
$970.20 |
$970.20 |
$970.20 |
$484.90
|
|
Cell count body fluid
|
$186.60 |
$186.60 |
$186.60 |
$63.63
|
|
Cell count w differential body fluid
|
$125.40 |
$125.40 |
$125.40 |
$93.23
|
|
Cell cryopreserve/storage
|
$792.60 |
$792.60 |
$792.60 |
$62.72
|
|
Cell function assay w/stim
|
$582.60 |
$582.60 |
$582.60 |
$314.25
|
|
Cell marker study
|
$967.20 |
$967.20 |
$967.20 |
$247.20
|
|
Cerebrospinal fld flw imag
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$938.50
|
|
#cf-97variants
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$622.20
|
|
Cftr gene dup/delet variants
|
$2,532.60 |
$2,532.60 |
$2,532.60 |
$779.35
|
|
Cftr gene known fam variants
|
$1,513.80 |
$1,513.80 |
$1,513.80 |
$195.20
|
|
Change cystostomy tube simple
|
$499.20 |
$499.20 |
$499.20 |
$451.00
|
|
Change g-tube to g-j perc
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$2,198.40
|
|
Change nephroureteral cath
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$2,969.25
|
|
Change of ureter tube/stent
|
$3,157.80 |
$3,157.80 |
$3,157.80 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$400.80 |
$400.80 |
$400.80 |
$388.00
|
|
Change ureter stent percut
|
$11,377.80 |
$11,377.80 |
$11,377.80 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$665.40
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$569.00
|
|
Chemodenerv musc migraine 64615
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$698.60
|
|
Chemo extend IV infus w/pump
|
$506.40 |
$506.40 |
$506.40 |
$737.10
|
|
Chest 2 vws w oblique
|
$616.80 |
$616.80 |
$616.80 |
$377.06
|
|
Chest apical lordotic proj
|
$332.40 |
$332.40 |
$332.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,230.20 |
$2,230.20 |
$2,230.20 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,075.40 |
$2,075.40 |
$2,075.40 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$1,350.03
|
|
Chest X-ray
|
$279.60 |
$279.60 |
$279.60 |
$294.06
|
|
Chest X-ray (single view)
|
$236.40 |
$236.40 |
$236.40 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$172.80 |
$172.80 |
$172.80 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$717.60 |
$717.60 |
$717.60 |
$511.59
|
|
Chlamydia culture
|
$234.00 |
$234.00 |
$234.00 |
$93.90
|
