|
Brace ankle stablizing lg
|
$225.60 |
$225.60 |
$225.60 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$857.43
|
|
Brace knee extender plus 22-30in
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$676.06
|
|
Brace oths wrist hnd fngr without
|
$410.40 |
$410.40 |
$410.40 |
$245.00
|
|
Brace tlso flex cust
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$410.40 |
$410.40 |
$410.40 |
$81.62
|
|
Braf gene
|
$834.40 |
$834.40 |
$834.40 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,392.80 |
$3,392.80 |
$3,392.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,966.40 |
$2,966.40 |
$2,966.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,733.60 |
$2,733.60 |
$2,733.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,956.80 |
$2,956.80 |
$2,956.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,808.80 |
$2,808.80 |
$2,808.80 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$225.60 |
$225.60 |
$225.60 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$6,561.60 |
$6,561.60 |
$6,561.60 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$880.00 |
$880.00 |
$880.00 |
$847.00
|
|
Bronchial challenge
|
$607.20 |
$607.20 |
$607.20 |
$777.60
|
|
Bronch w/balloon occlusion
|
$5,601.60 |
$5,601.60 |
$5,601.60 |
$6,410.18
|
|
Br punct aspir ea add, l
|
$641.60 |
$641.60 |
$641.60 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$136.00 |
$136.00 |
$136.00 |
$160.80
|
|
Bundled special stain group 2
|
$130.40 |
$130.40 |
$130.40 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$171.20 |
$171.20 |
$171.20 |
$82.82
|
|
Bx bone trocar/ndl deep
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$2,271.01
|
|
Bx breast add lesion Ultrasound imag
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$2,083.20 |
$2,083.20 |
$2,083.20 |
$1,588.50
|
|
Bx pleura pq ndl
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,608.00
|
|
Bx thyroid/percutan core needle 60100
|
$682.40 |
$682.40 |
$682.40 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$188.00 |
$188.00 |
$188.00 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$557.60 |
$557.60 |
$557.60 |
$360.00
|
|
Calcium 24 hour urine
|
$145.60 |
$145.60 |
$145.60 |
$53.00
|
|
Calcium ionized
|
$160.00 |
$160.00 |
$160.00 |
$90.00
|
|
Calcium total
|
$142.40 |
$142.40 |
$142.40 |
$50.00
|
|
Calculi urinary-sendout
|
$187.20 |
$187.20 |
$187.20 |
$68.05
|
|
Calprotectin fecal
|
$631.20 |
$631.20 |
$631.20 |
$169.95
|
|
Campylobacter antibody
|
$285.60 |
$285.60 |
$285.60 |
$77.83
|
|
Candida dna
|
$55.20 |
$55.20 |
$55.20 |
$62.50
|
|
Carbamazepine free -sendout
|
$65.60 |
$65.60 |
$65.60 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$212.00 |
$212.00 |
$212.00 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$208.80 |
$208.80 |
$208.80 |
$139.00
|
|
Carbon dioxide
|
$112.80 |
$112.80 |
$112.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$90.40 |
$90.40 |
$90.40 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$810.40 |
$810.40 |
$810.40 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,927.20 |
$3,927.20 |
$3,927.20 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$223.20 |
$223.20 |
$223.20 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$220.80 |
$220.80 |
$220.80 |
$196.50
|
|
Cardiolipin antibody iga
|
$226.40 |
$226.40 |
$226.40 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$734.40 |
$734.40 |
$734.40 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$112.00 |
$112.00 |
$112.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$56.00 |
$56.00 |
$56.00 |
$51.50
|
|
Carotene
|
$172.00 |
$172.00 |
$172.00 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$1,018.68
|
|
Cath cv dl inj 7fx16cm
|
$10,324.80 |
$10,324.80 |
$10,324.80 |
$3,889.06
|
|
Catheter insert artery
|
$441.60 |
$441.60 |
$441.60 |
$388.85
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$389.60 |
$389.60 |
$389.60 |
$469.09
|
|
Cdna analysis for variants
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$525.00
|
|
Cell count body fluid
|
$174.40 |
$174.40 |
$174.40 |
$63.63
|
|
Cell count w differential body fluid
|
$186.40 |
$186.40 |
$186.40 |
$93.23
|
|
Cell cryopreserve/storage
|
$911.20 |
$911.20 |
$911.20 |
$62.72
|
|
Cell function assay w/stim
|
$528.80 |
$528.80 |
$528.80 |
$314.25
|
|
Cell marker study
|
$967.20 |
$967.20 |
$967.20 |
$247.20
|
|
#cf-97variants
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$622.20
|
|
Cftr gene dup/delet variants
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$779.35
|
|
Change cystostomy tube simple
|
$404.80 |
$404.80 |
$404.80 |
$451.00
|
|
Chemodenerv musc migraine 64615
|
$504.00 |
$504.00 |
$504.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$756.00 |
$756.00 |
$756.00 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$870.40 |
$870.40 |
$870.40 |
$455.00
|
|
Chemo extend IV infus w/pump
|
$464.80 |
$464.80 |
$464.80 |
$737.10
|
|
Chest 2 vws w oblique
|
$768.80 |
$768.80 |
$768.80 |
$377.06
|
|
Chest apical lordotic proj
|
$376.80 |
$376.80 |
$376.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,765.60 |
$2,765.60 |
$2,765.60 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$1,350.03
|
|
Chest X-ray
|
$316.80 |
$316.80 |
$316.80 |
$294.06
|
|
Chest X-ray (single view)
|
$268.80 |
$268.80 |
$268.80 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$260.00 |
$260.00 |
$260.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$694.40 |
$694.40 |
$694.40 |
$511.59
|
|
Chlamydia culture
|
$330.40 |
$330.40 |
$330.40 |
$93.90
|
|
Chlamydia type
|
$92.00 |
$92.00 |
$92.00 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$685.60 |
$685.60 |
$685.60 |
$301.40
|
|
Chloride
|
$100.00 |
$100.00 |
$100.00 |
$40.95
|
|
Chloride 24 hour urine
|
$118.40 |
$118.40 |
$118.40 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$3,207.20 |
$3,207.20 |
$3,207.20 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$878.40 |
$878.40 |
$878.40 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,206.40 |
$3,206.40 |
$3,206.40 |
$3,690.60
|
|
Cholesterol
|
$106.40 |
$106.40 |
$106.40 |
$45.76
|
|
Cholesterol body fluid
|
$776.80 |
$776.80 |
$776.80 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$214.40 |
$214.40 |
$214.40 |
$115.80
|
|
Cholinesterase
|
$166.40 |
$166.40 |
$166.40 |
$38.69
|
|
Chrom analysis
|
$173.60 |
$173.60 |
$173.60 |
$156.00
|
|
Chromatography
|
$921.60 |
$921.60 |
$921.60 |
$81.25
|
|
Chromogenic substrate assay
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$604.00 |
$604.00 |
$604.00 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$916.80 |
$916.80 |
$916.80 |
$512.20
|
|
Chromosome study additional
|
$272.00 |
$272.00 |
$272.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$541.60 |
$541.60 |
$541.60 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$231.20 |
$231.20 |
$231.20 |
$124.15
|
|
Clearance of airways
|
$185.60 |
$185.60 |
$185.60 |
$208.86
|
