|
Bone marrow;aspiration only 38220
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$1,728.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$90.00 |
$90.00 |
$90.00 |
$93.60
|
|
Bowel imaging
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$100.00 |
$100.00 |
$100.00 |
$105.30
|
|
Brach/thor cath 1st
|
$780.00 |
$780.00 |
$780.00 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$775.00 |
$775.00 |
$775.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$775.00 |
$775.00 |
$775.00 |
$2,050.00
|
|
Brach/thor cath addl
|
$465.00 |
$465.00 |
$465.00 |
$868.00
|
|
Brachy source i-125 injection
|
$87.50 |
$87.50 |
$87.50 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$302.50 |
$302.50 |
$302.50 |
$70.85
|
|
Brachy source yttrium-90
|
$23,260.00 |
$23,260.00 |
$23,260.00 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$620.00 |
$620.00 |
$620.00 |
$478.50
|
|
Braf gene
|
$440.00 |
$440.00 |
$440.00 |
$450.90
|
|
Brain image w/flow 4 + views
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$230.00 |
$230.00 |
$230.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$445.00 |
$445.00 |
$445.00 |
$871.80
|
|
Breath hydrogen test 91065
|
$420.00 |
$420.00 |
$420.00 |
$462.00
|
|
Bronchial challenge
|
$645.00 |
$645.00 |
$645.00 |
$820.05
|
|
Br punct aspir ea add, l
|
$242.50 |
$242.50 |
$242.50 |
$357.51
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$23.53 |
$23.53 |
$23.53 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$230.00 |
$230.00 |
$230.00 |
$159.00
|
|
Bundled special stain group 2
|
$192.50 |
$192.50 |
$192.50 |
$173.40
|
|
Bundle his recording
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.17 |
$1.17 |
$1.17 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$305.00 |
$305.00 |
$305.00 |
$80.64
|
|
Bur rotalink 2.15mm
|
$5,516.88 |
$5,516.88 |
$5,516.88 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,610.05
|
|
Bx pleura pq ndl
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$130.00 |
$130.00 |
$130.00 |
$230.75
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,917.33
|
|
Bx soft tissue back/flank deep 21925
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$2,814.35
|
|
Bx thyroid/percutan core needle 60100
|
$575.00 |
$575.00 |
$575.00 |
$963.80
|
|
Bypass temp external fem-fem
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,938.60
|
|
C-1 esterase, cinryze
|
$153.39 |
$153.39 |
$153.39 |
$7,189.05
|
|
C1 esterase inhibitor func - sendout
|
$270.00 |
$270.00 |
$270.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$1,562.05 |
$1,562.05 |
$1,562.05 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$0.50 |
$0.50 |
$0.50 |
$100.80
|
|
Cadd pump refill
|
$210.00 |
$210.00 |
$210.00 |
$386.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,153.25 |
$1,153.25 |
$1,153.25 |
$2,210.98
|
|
Calcium 24 hour urine
|
$67.50 |
$67.50 |
$67.50 |
$53.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.83 |
$0.83 |
$0.83 |
$91.60
|
|
Calcium ionized
|
$77.50 |
$77.50 |
$77.50 |
$90.00
|
|
Calcium total
|
$37.50 |
$37.50 |
$37.50 |
$50.00
|
|
Calprotectin fecal
|
$170.00 |
$170.00 |
$170.00 |
$170.00
|
|
Campylobacter antibody
|
$75.00 |
$75.00 |
$75.00 |
$77.83
|
|
Candida dna
|
$87.50 |
$87.50 |
$87.50 |
$61.10
|
|
Cannabinoid synthetic 7/more
|
$330.00 |
$330.00 |
$330.00 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$6,946.00 |
$6,946.00 |
$6,946.00 |
$44,000.00
|
|
Canthotomy 67715
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$7,311.38 |
$7,311.38 |
$7,311.38 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,144.33 |
$1,144.33 |
$1,144.33 |
$3,238.70
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$60.00
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$167.50 |
$167.50 |
$167.50 |
$116.40
|
|
Carbon dioxide
|
$35.00 |
$35.00 |
$35.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$50.00 |
$50.00 |
$50.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$125.00 |
$125.00 |
$125.00 |
$145.20
|
|
Cardiac MRI w/stress img
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,225.00 |
$2,225.00 |
$2,225.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$155.00 |
$155.00 |
$155.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$220.00 |
$220.00 |
$220.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$130.00 |
$130.00 |
$130.00 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$150.00 |
$150.00 |
$150.00 |
$633.90
|
|
Carotene
|
$62.50 |
$62.50 |
$62.50 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$905.00 |
$905.00 |
$905.00 |
$1,024.32
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$380.49 |
$380.49 |
$380.49 |
$830.58
|
|
Cath acuity innr ic130 6f 63cm
|
$5,516.88 |
$5,516.88 |
$5,516.88 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$4,578.67 |
$4,578.67 |
$4,578.67 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$16,140.00 |
$16,140.00 |
$16,140.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$52.14 |
$52.14 |
$52.14 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$6,420.52 |
$6,420.52 |
$6,420.52 |
$8,461.48
|
|
Cath combo lt&rt heart w/inj/s
|
$5,540.00 |
$5,540.00 |
$5,540.00 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$1,238.05 |
$1,238.05 |
$1,238.05 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$1,906.13 |
$1,906.13 |
$1,906.13 |
$2,393.00
|
|
Catheter declot mechanical
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$87.50 |
$87.50 |
$87.50 |
$40.95
|
|
Catheter stripping venous
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$699.30 |
$699.30 |
$699.30 |
$1,690.71
|
|
Cath hawkone s directional
|
$5,031.60 |
$5,031.60 |
$5,031.60 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,833.00 |
$5,833.00 |
$5,833.00 |
$4,680.00
|
|
Cath left heart/lv gram
|
$5,410.00 |
$5,410.00 |
$5,410.00 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$3,245.00 |
$3,245.00 |
$3,245.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$775.00 |
$775.00 |
$775.00 |
$1,273.15
|
