|
Bx breast 1st lesion strtctc
|
$2,747.00 |
$2,747.00 |
$2,747.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$2,747.00 |
$2,747.00 |
$2,747.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$1,670.79
|
|
Bx/curett of cervix w/scope 57454
|
$308.00 |
$308.00 |
$308.00 |
$515.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$4,358.00 |
$4,358.00 |
$4,358.00 |
$4,184.94
|
|
Bx of cervix w/scope leep 57460
|
$8,474.00 |
$8,474.00 |
$8,474.00 |
$4,010.04
|
|
Bx perianal mass
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$330.00 |
$330.00 |
$330.00 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$376.00 |
$376.00 |
$376.00 |
$206.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$877.00 |
$877.00 |
$877.00 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$980.00 |
$980.00 |
$980.00 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$66.00 |
$66.00 |
$66.00 |
$461.40
|
|
Bypass temp external fem-fem
|
$4,059.00 |
$4,059.00 |
$4,059.00 |
$1,938.60
|
|
Cad breast MRI w/r&i
|
$902.00 |
$902.00 |
$902.00 |
$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
|
$4,402.00 |
$4,402.00 |
$4,402.00 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$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)
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$317.00 |
$317.00 |
$317.00 |
$633.90
|
|
Caregiver health risk assmt
|
$62.00 |
$62.00 |
$62.00 |
$43.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$719.00 |
$719.00 |
$719.00 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$729.00 |
$729.00 |
$729.00 |
$482.30
|
|
Car seat/bed test 60 minutes
|
$140.00 |
$140.00 |
$140.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$70.00 |
$70.00 |
$70.00 |
$65.00
|
|
Car-t admn autologous
|
$2,546.00 |
$2,546.00 |
$2,546.00 |
$722.40
|
|
Ca screen;flexi sigmoidscope
|
$872.59 |
$872.59 |
$872.59 |
$1,278.72
|
|
Cath combo lt&rt heart w/inj/s
|
$10,904.00 |
$10,904.00 |
$10,904.00 |
$9,316.35
|
|
Catheter insert artery
|
$320.00 |
$320.00 |
$320.00 |
$388.85
|
|
Catheter stripping venous
|
$7,979.00 |
$7,979.00 |
$7,979.00 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$136.00 |
$136.00 |
$136.00 |
$246.00
|
|
Cath left heart/lv gram
|
$9,682.00 |
$9,682.00 |
$9,682.00 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$6,169.00 |
$6,169.00 |
$6,169.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$1,273.15
|
|
Cath place 1st order venous 36011
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$11,428.00 |
$11,428.00 |
$11,428.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$14,860.00 |
$14,860.00 |
$14,860.00 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$10,673.00 |
$10,673.00 |
$10,673.00 |
$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
|
$1,756.00 |
$1,756.00 |
$1,756.00 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$774.00 |
$774.00 |
$774.00 |
$462.80
|
|
Cath segmntl pulm art
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$1,294.19
|
|
Cath stripping venous s&i
|
$401.00 |
$401.00 |
$401.00 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$490.00 |
$490.00 |
$490.00 |
$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
|
$884.00 |
$884.00 |
$884.00 |
$952.82
|
|
Change cystostomy tube; complex 51710
|
$2,938.00 |
$2,938.00 |
$2,938.00 |
$1,527.00
|
|
Change cystostomy tube simple
|
$520.00 |
$520.00 |
$520.00 |
$477.60
|
|
Change g-tube to g-j perc
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$2,191.00 |
$2,191.00 |
$2,191.00 |
$3,083.97
|
|
Change of ureter tube/stent
|
$5,473.00 |
$5,473.00 |
$5,473.00 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$412.00 |
$412.00 |
$412.00 |
$401.50
|
|
Change ureter stent percut
|
$5,465.00 |
$5,465.00 |
$5,465.00 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$720.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$128.00 |
$128.00 |
$128.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$231.00 |
$231.00 |
$231.00 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$816.00 |
$816.00 |
$816.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$725.00 |
$725.00 |
$725.00 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$569.00 |
$569.00 |
$569.00 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$569.00 |
$569.00 |
$569.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$410.00 |
$410.00 |
$410.00 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$748.55
|
|
Chemo ia push tecnique
|
$792.00 |
$792.00 |
$792.00 |
$499.50
|
|
Chemotherapy injection 96542
|
$434.00 |
$434.00 |
$434.00 |
$442.20
|
|
Chest 2 vws w oblique
|
$478.00 |
$478.00 |
$478.00 |
$375.60
|
|
Chest apical lordotic proj
|
$416.00 |
$416.00 |
$416.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$127.00 |
$127.00 |
$127.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$127.00 |
$127.00 |
$127.00 |
$134.50
|
|
Chest Ultrasound
|
$909.00 |
$909.00 |
$909.00 |
$463.88
|
|
Chest X-ray
|
$362.00 |
$362.00 |
$362.00 |
$294.06
|
|
Chest X-ray (single view)
|
$313.00 |
$313.00 |
$313.00 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$742.00 |
$742.00 |
$742.00 |
$520.80
|
|
Chimerism anal no cell selec
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$649.00
|
|
Chloride
|
$17.00 |
$17.00 |
$17.00 |
$42.63
|
|
Chloride 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$7,651.00 |
$7,651.00 |
$7,651.00 |
$3,427.55
|
