|
Braf gene
|
$678.60 |
$678.60 |
$678.60 |
$427.50
|
|
Brain flow imaging only
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$636.97
|
|
Brain image w/flow 4 + views
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,264.60 |
$3,264.60 |
$3,264.60 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,107.40 |
$3,107.40 |
$3,107.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,771.60 |
$3,771.60 |
$3,771.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,337.20 |
$3,337.20 |
$3,337.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$169.20 |
$169.20 |
$169.20 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$5,062.20 |
$5,062.20 |
$5,062.20 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,555.80 |
$1,555.80 |
$1,555.80 |
$847.00
|
|
Breathing response hypoxia
|
$428.40 |
$428.40 |
$428.40 |
$185.15
|
|
Breath recording infant
|
$503.40 |
$503.40 |
$503.40 |
$1,158.00
|
|
Brief comunicaj tech-bsd svc
|
$19.20 |
$19.20 |
$19.20 |
$29.25
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$4,458.60 |
$4,458.60 |
$4,458.60 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$6,797.40 |
$6,797.40 |
$6,797.40 |
$4,643.40
|
|
Bronchial challenge
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$2,653.80
|
|
Bronchoscopy dilate/fx repr
|
$3,718.20 |
$3,718.20 |
$3,718.20 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$4,854.60 |
$4,854.60 |
$4,854.60 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$2,328.60 |
$2,328.60 |
$2,328.60 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$1,872.75
|
|
Bronchoscopy/needle bx each 31629
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,111.40 |
$2,111.40 |
$2,111.40 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$2,445.96
|
|
Bronch w/balloon occlusion
|
$4,165.80 |
$4,165.80 |
$4,165.80 |
$6,410.18
|
|
Br punct aspir ea add, l
|
$892.20 |
$892.20 |
$892.20 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$244.80 |
$244.80 |
$244.80 |
$160.80
|
|
Bundled special stain group 2
|
$243.00 |
$243.00 |
$243.00 |
$173.46
|
|
Bundle his recording
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$5,026.45
|
|
Buprenorphine and metabolite - sendout
|
$230.40 |
$230.40 |
$230.40 |
$82.82
|
|
Burr hole skull for biopsy 61140
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$2,978.40
|
|
Bx bone trocar/ndl deep
|
$4,992.00 |
$4,992.00 |
$4,992.00 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$7,224.00 |
$7,224.00 |
$7,224.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$7,518.00 |
$7,518.00 |
$7,518.00 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$4,770.00 |
$4,770.00 |
$4,770.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$5,794.20 |
$5,794.20 |
$5,794.20 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$4,770.00 |
$4,770.00 |
$4,770.00 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$2,287.80 |
$2,287.80 |
$2,287.80 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,832.80 |
$3,832.80 |
$3,832.80 |
$4,184.94
|
|
Bx muscle
|
$3,716.40 |
$3,716.40 |
$3,716.40 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,229.40 |
$1,229.40 |
$1,229.40 |
$1,608.00
|
|
Bx shoulder tissues deep 23066
|
$8,251.20 |
$8,251.20 |
$8,251.20 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$300.60 |
$300.60 |
$300.60 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$300.60 |
$300.60 |
$300.60 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$300.60 |
$300.60 |
$300.60 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,866.20 |
$2,866.20 |
$2,866.20 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,889.80 |
$3,889.80 |
$3,889.80 |
$2,271.01
|
|
Bx soft tissue back/flank supf 21920
|
$2,644.80 |
$2,644.80 |
$2,644.80 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$3,770.40 |
$3,770.40 |
$3,770.40 |
$2,139.68
|
|
Bx thyroid/percutan core needle 60100
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$964.62
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$1,127.00
|
|
Bypass temp external fem-fem
|
$2,272.80 |
$2,272.80 |
$2,272.80 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$382.20 |
$382.20 |
$382.20 |
$96.72
|
|
Cabg 2 arterial grafts 33534
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$3,478.20 |
$3,478.20 |
$3,478.20 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$3,729.60 |
$3,729.60 |
$3,729.60 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$2,639.40 |
$2,639.40 |
$2,639.40 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$2,744.40 |
$2,744.40 |
$2,744.40 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$1,285.60
|
|
Cabg vein five
|
$5,137.80 |
$5,137.80 |
$5,137.80 |
$6,372.80
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$3,014.40 |
$3,014.40 |
$3,014.40 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$3,427.20 |
$3,427.20 |
$3,427.20 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$3,526.80 |
$3,526.80 |
$3,526.80 |
$6,062.40
|
|
Cabg vein six or more
|
$5,365.80 |
$5,365.80 |
$5,365.80 |
$12,937.60
|
|
Cabg venous & art 1 vein graft 33517
|
$369.00 |
$369.00 |
$369.00 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$810.60 |
$810.60 |
$810.60 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,446.00 |
$1,446.00 |
$1,446.00 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$2,358.00
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$461.40 |
$461.40 |
$461.40 |
$360.00
|
|
Calcium 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$53.00
|
|
Calcium ionized
|
$198.00 |
$198.00 |
$198.00 |
$90.00
|
|
Calcium total
|
$81.00 |
$81.00 |
$81.00 |
$50.00
|
|
Calprotectin fecal
|
$628.80 |
$628.80 |
$628.80 |
$169.95
|
|
Candida dna
|
$125.40 |
$125.40 |
$125.40 |
$62.50
|
|
Canthotomy 67715
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$2,956.50
|
|
Capsulectomy/capsulotomy hip
|
$2,236.20 |
$2,236.20 |
$2,236.20 |
$3,365.05
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$5,925.00 |
$5,925.00 |
$5,925.00 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$915.00 |
$915.00 |
$915.00 |
$3,545.97
|
|
Carbamazepine free -sendout
|
$53.40 |
$53.40 |
$53.40 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$236.40 |
$236.40 |
$236.40 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$157.80 |
$157.80 |
$157.80 |
$139.00
|
|
Carbon dioxide
|
$64.80 |
$64.80 |
$64.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$168.00 |
$168.00 |
$168.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$651.60 |
$651.60 |
$651.60 |
$144.00
|
|
Cardiac MRI w/stress img
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$3,356.40 |
$3,356.40 |
$3,356.40 |
$2,768.80
|
|
Cardiac perf planar sgl/ef/wm
|
$2,864.40 |
$2,864.40 |
$2,864.40 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,864.40 |
$2,864.40 |
$2,864.40 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$250.20 |
$250.20 |
$250.20 |
$244.00
|
