|
Boot walker genesis mid-calf full shell s
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$188.44
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$157.00 |
$157.00 |
$157.00 |
$94.80
|
|
(both sides) smear without diff wbc count
|
$24.00 |
$24.00 |
$24.00 |
$30.68
|
|
Bowel imaging
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$1,077.60
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$114.00 |
$114.00 |
$114.00 |
$106.94
|
|
Brace wrist classic lft sm
|
$273.00 |
$273.00 |
$273.00 |
$89.04
|
|
Brach/thor cath 1st
|
$10,218.00 |
$10,218.00 |
$10,218.00 |
$1,720.80
|
|
Brach/thor cath 2nd
|
$12,406.00 |
$12,406.00 |
$12,406.00 |
$1,925.76
|
|
Brach/thor cath 3rd
|
$11,129.00 |
$11,129.00 |
$11,129.00 |
$2,075.47
|
|
Brach/thor cath addl
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$99.99 |
$99.99 |
$99.99 |
$71.89
|
|
Brachy src nonstrand hdr ir-192
|
$230.00 |
$230.00 |
$230.00 |
$478.50
|
|
Brachytx isodose complex
|
$1,631.00 |
$1,631.00 |
$1,631.00 |
$1,705.20
|
|
Braf gene
|
$432.00 |
$432.00 |
$432.00 |
$450.90
|
|
Brain image w/flow 4 + views
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$1,332.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,993.00 |
$5,993.00 |
$5,993.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,828.00 |
$4,828.00 |
$4,828.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,936.00 |
$3,936.00 |
$3,936.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$6,234.00 |
$6,234.00 |
$6,234.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,936.00 |
$3,936.00 |
$3,936.00 |
$1,952.65
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$2,975.48
|
|
Breastbone (Sternum) X-ray
|
$378.00 |
$378.00 |
$378.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$881.60
|
|
Breath hydrogen test 91065
|
$552.00 |
$552.00 |
$552.00 |
$463.00
|
|
Bronchial allergy tests
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$746.46
|
|
Bronchial challenge
|
$688.00 |
$688.00 |
$688.00 |
$806.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$571.00 |
$571.00 |
$571.00 |
$663.85
|
|
Br punct aspir ea add, l
|
$754.00 |
$754.00 |
$754.00 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$154.00 |
$154.00 |
$154.00 |
$158.00
|
|
Bundled special stain group 2
|
$110.00 |
$110.00 |
$110.00 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$134.00 |
$134.00 |
$134.00 |
$85.14
|
|
Bx bone trocar/ndl deep
|
$11,242.00 |
$11,242.00 |
$11,242.00 |
$2,409.55
|
|
Bx breast 1st lesion mr imag
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$2,286.00 |
$2,286.00 |
$2,286.00 |
$1,698.00
|
|
Bx breast add lesion strtctc
|
$7,571.00 |
$7,571.00 |
$7,571.00 |
$1,749.41
|
|
Bx breast add lesion Ultrasound imag
|
$7,470.00 |
$7,470.00 |
$7,470.00 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$4,905.00 |
$4,905.00 |
$4,905.00 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$515.50
|
|
Bx of cervix w/scope leep 57460
|
$4,185.00 |
$4,185.00 |
$4,185.00 |
$4,094.40
|
|
Bx pancreas pq ndl
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$1,623.60
|
|
Bx perianal mass
|
$2,677.00 |
$2,677.00 |
$2,677.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$1,617.00
|
|
Bx shoulder tissues supf 23065
|
$4,937.00 |
$4,937.00 |
$4,937.00 |
$2,069.60
|
|
Bx skin punch ea sep/ addl les
|
$104.00 |
$104.00 |
$104.00 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$104.00 |
$104.00 |
$104.00 |
$206.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$964.83
|
|
Bx vag mucos smpl (sep proc)
|
$2,641.00 |
$2,641.00 |
$2,641.00 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,641.00 |
$2,641.00 |
$2,641.00 |
$1,155.36
|
|
Bx vulva or perineum/ea add lesion 56606
|
$599.00 |
$599.00 |
$599.00 |
$465.09
|
|
Bypass temp external fem-fem
|
$54,797.00 |
$54,797.00 |
$54,797.00 |
$1,917.17
|
|
C1 esterase inhibitor func - sendout
|
$58.52 |
$58.52 |
$58.52 |
$95.58
|
|
Cad breast MRI w/r&i
|
$488.00 |
$488.00 |
$488.00 |
$100.80
|
|
Cadd pump refill
|
$987.00 |
$987.00 |
$987.00 |
$386.60
|
|
Calcium 24 hour urine
|
$53.00 |
$53.00 |
$53.00 |
$53.00
|
|
Calcium ionized
|
$107.00 |
$107.00 |
$107.00 |
$90.00
|
|
Calcium total
|
$53.00 |
$53.00 |
$53.00 |
$50.00
|
|
Caloric vstblr test w/rec
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$333.00
|
|
Calprotectin fecal
|
$67.00 |
$67.00 |
$67.00 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$16,210.00 |
$16,210.00 |
$16,210.00 |
$41,438.47
|
|
Carbamazepine free
|
$28.00 |
$28.00 |
$28.00 |
$59.85
|
|
Carbamazepine total therapeutic drug level
|
$112.00 |
$112.00 |
$112.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$48.48 |
$48.48 |
$48.48 |
$116.40
|
|
Carbon dioxide
|
$50.00 |
$50.00 |
$50.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$127.00 |
$127.00 |
$127.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$83.00 |
$83.00 |
$83.00 |
$144.75
|
|
Cardiac perf planar mult/ef/wm
|
$6,755.00 |
$6,755.00 |
$6,755.00 |
$2,920.40
|
|
Cardiac perf planar sgl/ef/wm
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,181.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,920.40
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$597.00 |
$597.00 |
$597.00 |
$250.42
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$554.00 |
$554.00 |
$554.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$213.00 |
$213.00 |
$213.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,219.00 |
$2,219.00 |
$2,219.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$274.00 |
$274.00 |
$274.00 |
$616.48
|
|
Caregiver health risk assmt
|
$88.00 |
$88.00 |
$88.00 |
$47.29
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$115.00 |
$115.00 |
$115.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$58.00 |
$58.00 |
$58.00 |
$51.52
|
|
Carotene
|
$20.00 |
$20.00 |
$20.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,487.00 |
$1,487.00 |
$1,487.00 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$272.00 |
$272.00 |
$272.00 |
$111.15
|
|
Car-t admn autologous
|
$995.00 |
$995.00 |
$995.00 |
$722.40
|
|
Ca screen;flexi sigmoidscope
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$1,206.00
|
|
Cath combo lt&rt heart w/inj/s
|
$11,747.00 |
$11,747.00 |
$11,747.00 |
$9,316.35
|
|
Catheter insert artery
|
$556.00 |
$556.00 |
$556.00 |
$388.85
|
|
Catheter stripping venous
|
$9,117.00 |
$9,117.00 |
$9,117.00 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$458.00 |
$458.00 |
$458.00 |
$249.48
|
|
Cath left heart/lv gram
|
$12,192.00 |
$12,192.00 |
$12,192.00 |
$8,192.00
|
|
Cath left heart transseptal punc
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$6,601.00 |
$6,601.00 |
$6,601.00 |
$1,273.15
|
|
Cath place 1st order venous 36011
|
$8,359.00 |
$8,359.00 |
$8,359.00 |
$1,329.12
|
|
Cath place cardio brachytx
|
$658.00 |
$658.00 |
$658.00 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$14,959.00 |
$14,959.00 |
$14,959.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$12,192.00 |
$12,192.00 |
$12,192.00 |
$10,109.70
|
|
Cath plc art/grft/angio right hrt
|
$10,972.00 |
$10,972.00 |
$10,972.00 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$12,070.00 |
$12,070.00 |
$12,070.00 |
$6,454.00
|
|
Cath right hrt mnpul art
|
$8,544.00 |
$8,544.00 |
$8,544.00 |
$871.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$462.80
|
|
Cath segmntl pulm art
|
$8,613.00 |
$8,613.00 |
$8,613.00 |
$1,294.19
|
