|
Bx breast add lesion strtctc
|
$4,145.40 |
$4,145.40 |
$4,145.40 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$3,412.80 |
$3,412.80 |
$3,412.80 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$2,155.20 |
$2,155.20 |
$2,155.20 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$246.00 |
$246.00 |
$246.00 |
$559.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,760.20 |
$3,760.20 |
$3,760.20 |
$4,184.94
|
|
Bx liver with other
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
$554.45
|
|
Bx of breast open 19101
|
$4,632.60 |
$4,632.60 |
$4,632.60 |
$4,627.00
|
|
Bx of cervix w/scope leep 57460
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$1,635.24
|
|
Bx pleura pq ndl
|
$2,495.40 |
$2,495.40 |
$2,495.40 |
$1,633.46
|
|
Bx skin incisnl ea sep/add l les
|
$460.80 |
$460.80 |
$460.80 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$263.40 |
$263.40 |
$263.40 |
$230.02
|
|
Bx skin tangential ea sep/ addl les
|
$263.40 |
$263.40 |
$263.40 |
$206.00
|
|
Bx spinal cord pq ndl
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$853.20 |
$853.20 |
$853.20 |
$963.86
|
|
Bx vag mucos smpl (sep proc)
|
$624.00 |
$624.00 |
$624.00 |
$1,134.38
|
|
Bx vulva or perineum/1 lesion 56605
|
$426.60 |
$426.60 |
$426.60 |
$1,148.20
|
|
Bx vulva or perineum/ea add lesion 56606
|
$162.60 |
$162.60 |
$162.60 |
$509.60
|
|
Bypass temp external fem-fem
|
$1,291.80 |
$1,291.80 |
$1,291.80 |
$1,828.50
|
|
C1 esterase inhibitor func - sendout
|
$373.20 |
$373.20 |
$373.20 |
$87.00
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$136.08
|
|
Cadd pump refill
|
$255.60 |
$255.60 |
$255.60 |
$360.00
|
|
Calcium 24 hour urine
|
$178.80 |
$178.80 |
$178.80 |
$52.08
|
|
Calcium ionized
|
$181.20 |
$181.20 |
$181.20 |
$88.00
|
|
Calcium total
|
$124.80 |
$124.80 |
$124.80 |
$50.00
|
|
Caloric vstblr test w/rec
|
$385.20 |
$385.20 |
$385.20 |
$296.91
|
|
Calprotectin fecal
|
$549.00 |
$549.00 |
$549.00 |
$167.40
|
|
Candida dna
|
$57.60 |
$57.60 |
$57.60 |
$62.50
|
|
Canthotomy 67715
|
$2,874.00 |
$2,874.00 |
$2,874.00 |
$2,968.65
|
|
Carbamazepine free -sendout
|
$54.60 |
$54.60 |
$54.60 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$288.60 |
$288.60 |
$288.60 |
$115.05
|
|
Carbohydrate deficient transf - sendout
|
$397.80 |
$397.80 |
$397.80 |
$121.80
|
|
Carbohydrate urine - sendout
|
$252.60 |
$252.60 |
$252.60 |
$44.88
|
|
Carbon dioxide
|
$59.40 |
$59.40 |
$59.40 |
$44.88
|
|
Carboxyhemoglobin quantitative
|
$59.40 |
$59.40 |
$59.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$679.80 |
$679.80 |
$679.80 |
$142.50
|
|
Cardiac MRI w/stress img
|
$4,086.00 |
$4,086.00 |
$4,086.00 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$2,701.20 |
$2,701.20 |
$2,701.20 |
$2,764.32
|
|
Cardiac perf planar sgl/ef/wm
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$2,046.61
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,436.60 |
$2,436.60 |
$2,436.60 |
$2,631.75
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$223.80 |
$223.80 |
$223.80 |
$245.39
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$184.80 |
$184.80 |
$184.80 |
$196.50
|
|
Cardiac shunt imaging
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$890.00
|
|
Cardiolipin antibody iga
|
$94.20 |
$94.20 |
$94.20 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,833.80 |
$2,833.80 |
$2,833.80 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$897.60 |
$897.60 |
$897.60 |
$1,170.78
|
|
Card MRI veloc flow mapping
|
$2,663.40 |
$2,663.40 |
$2,663.40 |
$569.38
|
|
Caregiver health risk assmt
|
$40.20 |
$40.20 |
$40.20 |
$40.32
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$84.00 |
$84.00 |
$84.00 |
$105.56
|
|
Caregiver training strategies&tq ea addl 15 min
|
$42.00 |
$42.00 |
$42.00 |
$52.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$949.80 |
$949.80 |
$949.80 |
$1,030.00
|
|
Car outp meas drg cath chd
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$319.82
|
|
Car seat/bed test 60 minutes
|
$187.80 |
$187.80 |
$187.80 |
$106.40
|
|
Car seat/bed test additional 30 minutes
|
$96.00 |
$96.00 |
$96.00 |
$64.90
|
|
Cath combo lt&rt heart w/inj/s
|
$4,872.00 |
$4,872.00 |
$4,872.00 |
$8,910.89
|
|
Catheter declot mechanical
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,780.20
|
|
Catheter insert artery
|
$453.60 |
$453.60 |
$453.60 |
$388.85
|
|
Catheter stripping venous
|
$3,985.20 |
$3,985.20 |
$3,985.20 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$148.80 |
$148.80 |
$148.80 |
$246.00
|
|
Cath left heart/lv gram
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$3,957.00 |
$3,957.00 |
$3,957.00 |
$5,939.71
|
|
Cath lt/rt pulm art
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
$1,292.85
|
|
Cath place 1st order venous 36011
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$1,478.40
|
|
Cath plc art ang/grft lt/rt hr
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$10,253.10
|
|
Cath right heart w/o2 sat & card
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$6,404.00
|
|
Cath right hrt mnpul art
|
$790.80 |
$790.80 |
$790.80 |
$1,030.77
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$517.80 |
$517.80 |
$517.80 |
$478.21
|
|
Cath segmntl pulm art
|
$4,189.20 |
$4,189.20 |
$4,189.20 |
$1,500.10
|
|
Cath stripping venous s&i
|
$3,575.40 |
$3,575.40 |
$3,575.40 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$567.00 |
$567.00 |
$567.00 |
$336.00
|
|
Cdna analysis for variants
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$525.20
|
|
Cebpa gene full sequence
|
$894.00 |
$894.00 |
$894.00 |
$484.90
|
|
#celiac hla-dq8
|
$2,753.40 |
$2,753.40 |
$2,753.40 |
$245.60
|
|
Cell count body fluid
|
$220.80 |
$220.80 |
$220.80 |
$63.63
|
|
Cell count w differential body fluid
|
$135.60 |
$135.60 |
$135.60 |
$92.56
|
|
Cell cryopreserve/storage
|
$916.20 |
$916.20 |
$916.20 |
$62.72
|
|
Cell function assay w/stim
|
$469.80 |
$469.80 |
$469.80 |
$309.80
|
|
Cell marker study
|
$688.80 |
$688.80 |
$688.80 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$993.60 |
$993.60 |
$993.60 |
$907.45
|
|
Cervical or vaginal cancer screening g0101
|
$126.00 |
$126.00 |
$126.00 |
$111.00
|
|
Cesarean section delivery only 59514
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$2,194.65
|
|
#cf-97variants
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$608.81
|
|
Cftr gene dup/delet variants
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$757.25
|
|
Cftr gene intron poly t
|
$1,775.40 |
$1,775.40 |
$1,775.40 |
$285.75
|
|
Cftr gene known fam variants
|
$1,481.40 |
$1,481.40 |
$1,481.40 |
$195.20
|
|
Change cystostomy tube; complex 51710
|
$857.40 |
$857.40 |
$857.40 |
$1,527.00
|
|
Change cystostomy tube simple
|
$477.60 |
$477.60 |
$477.60 |
$463.45
|
|
Change g-tube to g-j perc
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
$2,198.81
|
|
Change nephroureteral cath
|
$3,212.40 |
$3,212.40 |
$3,212.40 |
$3,003.05
|
|
Change of ureter tube/stent
|
$2,866.80 |
$2,866.80 |
$2,866.80 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$414.00 |
$414.00 |
$414.00 |
$398.43
|
|
Change stent via transureth
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,927.00
|
|
Change ureter stent percut
|
$4,006.80 |
$4,006.80 |
$4,006.80 |
$3,930.55
|
|
Chemo adm cns w/lmbr punct
|
$610.80 |
$610.80 |
$610.80 |
$665.40
|
|
Chemodener muscle larynx emg
|
$1,200.60 |
$1,200.60 |
$1,200.60 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$978.60 |
$978.60 |
$978.60 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$516.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$1,020.87
|
