|
Bundled special stain group 2
|
$244.00 |
$244.00 |
$244.00 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$148.00 |
$148.00 |
$148.00 |
$80.64
|
|
Bx bone trocar/ndl deep
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$4,136.00 |
$4,136.00 |
$4,136.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,762.00 |
$2,762.00 |
$2,762.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$2,762.00 |
$2,762.00 |
$2,762.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,563.00 |
$2,563.00 |
$2,563.00 |
$1,670.79
|
|
Bx/curett of cervix w/scope 57454
|
$351.00 |
$351.00 |
$351.00 |
$515.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,922.00 |
$3,922.00 |
$3,922.00 |
$4,184.94
|
|
Bx of cervix w/scope leep 57460
|
$9,656.00 |
$9,656.00 |
$9,656.00 |
$4,010.04
|
|
Bx perianal mass
|
$1,967.00 |
$1,967.00 |
$1,967.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$358.00 |
$358.00 |
$358.00 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$381.00 |
$381.00 |
$381.00 |
$206.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,723.00 |
$1,723.00 |
$1,723.00 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$789.00 |
$789.00 |
$789.00 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$882.00 |
$882.00 |
$882.00 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$59.00 |
$59.00 |
$59.00 |
$461.40
|
|
Bypass temp external fem-fem
|
$3,653.00 |
$3,653.00 |
$3,653.00 |
$1,938.60
|
|
Cad breast MRI w/r&i
|
$843.00 |
$843.00 |
$843.00 |
$100.80
|
|
Calcium 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$53.00
|
|
Calcium ionized
|
$67.00 |
$67.00 |
$67.00 |
$90.00
|
|
Calcium total
|
$19.00 |
$19.00 |
$19.00 |
$50.00
|
|
Caloric vstblr test w/rec
|
$919.00 |
$919.00 |
$919.00 |
$315.28
|
|
Calprotectin fecal
|
$61.00 |
$61.00 |
$61.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$124.00 |
$124.00 |
$124.00 |
$122.85
|
|
Carboxyhemoglobin quantitative
|
$122.00 |
$122.00 |
$122.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$75.00 |
$75.00 |
$75.00 |
$145.20
|
|
Cardiac MRI w/stress img
|
$4,114.00 |
$4,114.00 |
$4,114.00 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$265.00 |
$265.00 |
$265.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$265.00 |
$265.00 |
$265.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$236.00 |
$236.00 |
$236.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$339.00 |
$339.00 |
$339.00 |
$633.90
|
|
Caregiver health risk assmt
|
$62.00 |
$62.00 |
$62.00 |
$43.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$799.00 |
$799.00 |
$799.00 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$656.00 |
$656.00 |
$656.00 |
$482.30
|
|
Car seat/bed test 60 minutes
|
$161.00 |
$161.00 |
$161.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$80.00 |
$80.00 |
$80.00 |
$65.00
|
|
Car-t admn autologous
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$722.40
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$6,282.50 |
$6,282.50 |
$6,282.50 |
$3,685.48
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$3,141.03 |
$3,141.03 |
$3,141.03 |
$2,840.75
|
|
Ca screen;flexi sigmoidscope
|
$872.59 |
$872.59 |
$872.59 |
$1,278.72
|
|
Cath combo lt&rt heart w/inj/s
|
$9,814.00 |
$9,814.00 |
$9,814.00 |
$9,316.35
|
|
Catheter insert artery
|
$355.00 |
$355.00 |
$355.00 |
$388.85
|
|
Catheter stripping venous
|
$8,866.00 |
$8,866.00 |
$8,866.00 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$132.00 |
$132.00 |
$132.00 |
$246.00
|
|
Cath left heart/lv gram
|
$9,682.00 |
$9,682.00 |
$9,682.00 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$5,552.00 |
$5,552.00 |
$5,552.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$1,273.15
|
|
Cath place 1st order venous 36011
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$10,285.00 |
$10,285.00 |
$10,285.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$13,374.00 |
$13,374.00 |
$13,374.00 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$9,606.00 |
$9,606.00 |
$9,606.00 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$9,682.00 |
$9,682.00 |
$9,682.00 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$860.00 |
$860.00 |
$860.00 |
$462.80
|
|
Cath segmntl pulm art
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$1,294.19
|
|
Cath stripping venous s&i
|
$461.00 |
$461.00 |
$461.00 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$544.00 |
$544.00 |
$544.00 |
$340.90
|
|
Ccnd1/igh translocation alys
|
$405.00 |
$405.00 |
$405.00 |
$286.09
|
|
Cdp-sot 6 cond w/i&r
|
$394.00 |
$394.00 |
$394.00 |
$251.50
|
|
Cell count body fluid
|
$40.00 |
$40.00 |
$40.00 |
$63.52
|
|
Cell count w differential body fluid
|
$47.00 |
$47.00 |
$47.00 |
$92.56
|
|
Cell cryopreserve/storage
|
$170.00 |
$170.00 |
$170.00 |
$62.72
|
|
Cell function assay w/stim
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$325.76
|
|
Cerebrospinal fld flw imag
|
$975.00 |
$975.00 |
$975.00 |
$952.82
|
|
Change cystostomy tube; complex 51710
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$1,527.00
|
|
Change cystostomy tube simple
|
$578.00 |
$578.00 |
$578.00 |
$477.60
|
|
Change g-tube to g-j perc
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$2,053.00 |
$2,053.00 |
$2,053.00 |
$3,083.97
|
|
Change of ureter tube/stent
|
$6,081.00 |
$6,081.00 |
$6,081.00 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$388.00 |
$388.00 |
$388.00 |
$401.50
|
|
Change ureter stent percut
|
$4,918.00 |
$4,918.00 |
$4,918.00 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$720.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$115.00 |
$115.00 |
$115.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$208.00 |
$208.00 |
$208.00 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$734.00 |
$734.00 |
$734.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$652.00 |
$652.00 |
$652.00 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$512.00 |
$512.00 |
$512.00 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$512.00 |
$512.00 |
$512.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$369.00 |
$369.00 |
$369.00 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$748.55
|
|
Chemo ia push tecnique
|
$911.00 |
$911.00 |
$911.00 |
$499.50
|
|
Chemotherapy injection 96542
|
$482.00 |
$482.00 |
$482.00 |
$442.20
|
|
Chest 2 vws w oblique
|
$455.00 |
$455.00 |
$455.00 |
$375.60
|
|
Chest apical lordotic proj
|
$407.00 |
$407.00 |
$407.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$126.00 |
$126.00 |
$126.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$126.00 |
$126.00 |
$126.00 |
$134.50
|
|
Chest Ultrasound
|
$992.00 |
$992.00 |
$992.00 |
$463.88
|
|
Chest X-ray
|
$375.00 |
$375.00 |
$375.00 |
$294.06
|
|
Chest X-ray (single view)
|
$342.00 |
$342.00 |
$342.00 |
$236.60
|
