|
Brach/thor cath 1st
|
$2,470.32 |
$2,470.32 |
$2,470.32 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$2,079.00
|
|
Brach/thor cath addl
|
$854.64 |
$854.64 |
$854.64 |
$868.00
|
|
Braf gene
|
$650.16 |
$650.16 |
$650.16 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,838.16 |
$1,838.16 |
$1,838.16 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,034.32 |
$6,034.32 |
$6,034.32 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,827.60 |
$4,827.60 |
$4,827.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,862.08 |
$3,862.08 |
$3,862.08 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$6,426.72 |
$6,426.72 |
$6,426.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,407.12 |
$4,407.12 |
$4,407.12 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,115.52 |
$4,115.52 |
$4,115.52 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$2,335.68 |
$2,335.68 |
$2,335.68 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$847.00
|
|
Breath recording infant
|
$1,146.24 |
$1,146.24 |
$1,146.24 |
$1,158.00
|
|
Breath tst attain/anal c-14
|
$388.80 |
$388.80 |
$388.80 |
$96.72
|
|
Bronchial challenge
|
$1,648.08 |
$1,648.08 |
$1,648.08 |
$777.60
|
|
Br punct aspir ea add, l
|
$688.32 |
$688.32 |
$688.32 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$33.65 |
$33.65 |
$33.65 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$275.04 |
$275.04 |
$275.04 |
$160.80
|
|
Bundled special stain group 2
|
$277.92 |
$277.92 |
$277.92 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$3.79 |
$3.79 |
$3.79 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$41.04 |
$41.04 |
$41.04 |
$11.72
|
|
Buprenorphine and metabolite - sendout
|
$80.64 |
$80.64 |
$80.64 |
$82.82
|
|
Bur rotalink 2.15mm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,817.85
|
|
Bx bone trocar/ndl deep
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$5,050.08 |
$5,050.08 |
$5,050.08 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,983.04 |
$3,983.04 |
$3,983.04 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$3,098.88 |
$3,098.88 |
$3,098.88 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$5,772.24 |
$5,772.24 |
$5,772.24 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$3,543.12 |
$3,543.12 |
$3,543.12 |
$1,312.15
|
|
Bx pancreas pq ndl
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,588.50
|
|
Bx pleura pq ndl
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,608.00
|
|
Bx soft tissue back/flank supf 21920
|
$3,598.56 |
$3,598.56 |
$3,598.56 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$964.62
|
|
Bypass temp external fem-fem
|
$2,209.68 |
$2,209.68 |
$2,209.68 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$171.36 |
$171.36 |
$171.36 |
$96.72
|
|
Cable cath 22-pin diag
|
$756.00 |
$756.00 |
$756.00 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$144.00 |
$144.00 |
$144.00 |
$122.40
|
|
Cadd pump refill
|
$455.04 |
$455.04 |
$455.04 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,936.80 |
$1,936.80 |
$1,936.80 |
$2,111.64
|
|
Calcium 24 hour urine
|
$210.24 |
$210.24 |
$210.24 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.32 |
$0.32 |
$0.32 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$4.32 |
$4.32 |
$4.32 |
$64.49
|
|
Calcium ionized
|
$178.56 |
$178.56 |
$178.56 |
$90.00
|
|
Calcium total
|
$147.60 |
$147.60 |
$147.60 |
$50.00
|
|
Calculus analysis qual
|
$157.68 |
$157.68 |
$157.68 |
$70.50
|
|
Caloric vstblr test w/rec
|
$432.72 |
$432.72 |
$432.72 |
$310.00
|
|
Calprotectin fecal
|
$231.12 |
$231.12 |
$231.12 |
$169.95
|
|
Campylobacter antibody
|
$162.00 |
$162.00 |
$162.00 |
$77.83
|
|
Candida dna
|
$126.72 |
$126.72 |
$126.72 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$270.00 |
$270.00 |
$270.00 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$12,960.00 |
$12,960.00 |
$12,960.00 |
$34,218.66
|
|
Canthotomy 67715
|
$5,039.28 |
$5,039.28 |
$5,039.28 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$756.00 |
$756.00 |
$756.00 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$203.04 |
$203.04 |
$203.04 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$254.16 |
$254.16 |
$254.16 |
$139.00
|
|
Carbon dioxide
|
$110.88 |
$110.88 |
$110.88 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$30.51 |
$30.51 |
$30.51 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$72.00 |
$72.00 |
$72.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$290.88 |
$290.88 |
$290.88 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,090.24 |
$3,090.24 |
$3,090.24 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$240.48 |
$240.48 |
$240.48 |
$244.00
|
|
Cardiolipin antibody iga
|
$123.12 |
$123.12 |
$123.12 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,124.08 |
$3,124.08 |
$3,124.08 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$1,114.00
|
|
Carotene
|
$100.08 |
$100.08 |
$100.08 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,291.68 |
$1,291.68 |
$1,291.68 |
$1,018.68
|
|
Ca screen;flexi sigmoidscope
|
$3,124.08 |
$3,124.08 |
$3,124.08 |
$1,206.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$216.00 |
$216.00 |
$216.00 |
$830.58
|
|
Cath ablt rx lasr 2.0mm turbo
|
$108.00 |
$108.00 |
$108.00 |
$6,463.80
|
|
Cath acuity innr ic130 6f 63cm
|
$6,696.00 |
$6,696.00 |
$6,696.00 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$17,820.00 |
$17,820.00 |
$17,820.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$6,552.00
|
|
Cath combo lt&rt heart w/inj/s
|
$11,530.80 |
$11,530.80 |
$11,530.80 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$915.84 |
$915.84 |
$915.84 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$23.04 |
$23.04 |
$23.04 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$1,653.00
|
|
Cath hawkone s directional
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,832.00 |
$5,832.00 |
$5,832.00 |
$4,160.00
|
|
Cathj umbilical vein dx/ther nb
|
$172.80 |
$172.80 |
$172.80 |
$254.80
|
|
Cath left heart/lv gram
|
$9,441.36 |
$9,441.36 |
$9,441.36 |
$7,685.82
|
|
Cath malecot 28fr 4-wing ltx
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$16,920.00 |
$16,920.00 |
$16,920.00 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$1,329.12 |
$1,329.12 |
$1,329.12 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$12,206.88 |
$12,206.88 |
$12,206.88 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$10,376.64 |
$10,376.64 |
$10,376.64 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$11,578.32 |
$11,578.32 |
$11,578.32 |
$10,389.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$11,556.00 |
$11,556.00 |
$11,556.00 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$7,171.92 |
$7,171.92 |
$7,171.92 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$673.20 |
$673.20 |
$673.20 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$82.80 |
$82.80 |
$82.80 |
$469.09
|
|
Cath temp pace flo bipol 5fr electrd
|
$756.00 |
$756.00 |
$756.00 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$270.00 |
$270.00 |
$270.00 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$692.64 |
$692.64 |
$692.64 |
$340.90
|
|
Cdna analysis for variants
|
$918.00 |
$918.00 |
$918.00 |
$525.00
|
