|
Brain MRA (blood vessel MRI, without contrast)
|
$748.80 |
$930.25 |
$1,093.50 |
|
|
Brain MRI (with and without contrast)
|
$1,207.60 |
$1,388.74 |
$2,131.65 |
|
|
Brain MRI (with contrast)
|
$817.00 |
$998.66 |
$1,332.90 |
|
|
Brain MRI (without contrast)
|
$748.80 |
$918.75 |
$1,127.70 |
|
|
Brcassure comprehensive panel-sendout
|
$718.60 |
$1,026.50 |
$1,422.96 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,641.20 |
$1,867.92 |
$2,051.50 |
|
|
Breast punct aspir cyst, bil
|
$244.20 |
$280.83 |
$305.25 |
|
|
Bronchial allergy tests
|
$173.88 |
$258.00 |
$274.50 |
|
|
Bronchial challenge
|
$203.20 |
$255.12 |
$360.25 |
|
|
Bronchoscopy clear airways 31645
|
$410.88 |
$935.80 |
$1,169.75 |
|
|
Bronchoscopy w/fb removal 31635
|
$961.00 |
$1,097.28 |
$2,100.60 |
|
|
Br punct aspir ea add, l
|
$93.00 |
$112.01 |
$116.88 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.50 |
$9.00 |
$16.88 |
|
|
Bundled special stain group 1 microorganisms
|
$12.60 |
$15.12 |
$64.80 |
|
|
Bundled special stain group 2
|
$14.49 |
$15.75 |
$157.50 |
|
|
Bundle his recording
|
$2,451.00 |
$2,451.00 |
$2,945.84 |
|
|
Buprenorphine and metabolite - sendout
|
$64.20 |
$73.83 |
$80.25 |
|
|
Buprenorphine hydrochloride
|
$30.44 |
$35.01 |
$38.05 |
|
|
Buprenorphine oral 1mg
|
$8.09 |
$9.71 |
$18.21 |
|
|
Bur rotalink 2.15mm
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
|
|
Busulfan injection
|
$277.53 |
$333.04 |
$624.44 |
|
|
Butorphanol tartrate 1 mg
|
$30.80 |
$35.43 |
$38.51 |
|
|
Bx arm/elbow soft tissue supf 24065
|
$628.80 |
$733.24 |
$892.80 |
|
|
Bx bone trocar/ndl deep
|
$889.40 |
$974.97 |
$1,067.28 |
|
|
Bx breast 1st lesion mr imag
|
$1,264.80 |
$1,642.89 |
$2,778.25 |
|
|
Bx breast 1st lesion strtctc
|
$1,430.80 |
$1,645.42 |
$1,882.32 |
|
|
Bx breast add lesion mr imag
|
$298.80 |
$428.49 |
$728.00 |
|
|
Bx breast add lesion strtctc
|
$441.20 |
$507.38 |
$1,349.28 |
|
|
Bx breast add lesion Ultrasound imag
|
$789.60 |
$908.04 |
$1,041.36 |
|
|
Bx breast perq without image 19100
|
$520.40 |
$520.40 |
$650.50 |
|
|
Bx breast pq tomo guide
|
$1,097.56 |
$1,097.56 |
$1,292.50 |
|
|
Bx liver with other
|
$866.40 |
$866.40 |
$866.40 |
|
|
Bx muscle
|
$974.97 |
$974.97 |
$1,059.75 |
|
|
Bx of breast open 19101
|
$2,676.89 |
$2,676.89 |
$2,938.05 |
|
|
Bx pancreas pq ndl
|
$478.86 |
$530.00 |
$637.00 |
|
|
Bx perianal mass
|
$177.00 |
$207.36 |
$490.05 |
|
|
Bx pleura pq ndl
|
$361.20 |
$408.02 |
$446.00 |
|
|
Bx shoulder tissues supf 23065
|
$574.40 |
$574.40 |
$574.40 |
|
|
Bx skin incisnl ea sep/add l les
|
$247.94 |
$247.94 |
$258.72 |
|
|
Bx skin punch ea sep/ addl les
|
$39.80 |
$85.95 |
$145.44 |
|
|
Bx skin tangential ea sep/ addl les
|
$70.80 |
$89.00 |
$160.20 |
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,063.25 |
$1,063.25 |
$1,063.25 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$519.20 |
$568.10 |
$589.75 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$636.75 |
$636.75 |
$636.75 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$545.10 |
$545.10 |
$937.00 |
|
|
Bx thyroid/percutan core needle 60100
|
$232.60 |
$247.75 |
$293.04 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$157.00 |
$157.00 |
$157.00 |
|
|
Bypass temp external fem-fem
|
$345.84 |
$685.35 |
$1,131.50 |
|
|
C1 esterase inhibitor func - sendout
|
$23.46 |
$54.50 |
$166.08 |
|
|
Cabergoline, oral 0.25mg
|
$1.35 |
$1.62 |
$3.04 |
|
|
Cad breast MRI w/r&i
|
$25.20 |
$30.59 |
$33.25 |
|
|
Cadd pump refill
|
$146.00 |
$167.90 |
$182.50 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$48.66 |
$55.96 |
$60.82 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$832.59 |
$999.11 |
$1,873.33 |
|
|
Calcium 24 hour urine
|
$38.88 |
$47.20 |
$73.35 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$53.40 |
$64.08 |
$120.15 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$25.05 |
$30.06 |
$56.36 |
|
|
Calcium ionized
|
$46.23 |
$55.80 |
$84.96 |
|
|
Calcium total
|
$24.60 |
$27.00 |
$52.21 |
|
|
Calprotectin fecal
|
$112.75 |
$135.40 |
$214.75 |
|
|
Candida dna
|
$34.96 |
$34.96 |
$36.48 |
|
|
Cannabinoids synthetic 4-6
|
$69.60 |
$111.60 |
$150.75 |
|
|
Cannula ercp contour 5-4-3 tip
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
|
|
Canthotomy 67715
|
$1,319.40 |
$1,583.28 |
$2,968.65 |
|
|
Capecitabine, oral, 50 mg
|
$8.12 |
$9.75 |
$18.28 |
|
|
Cap trach decann 15mm
|
$71.75 |
$71.75 |
$101.20 |
|
|
Carbamazepine free
|
$17.22 |
$24.80 |
$41.28 |
|
|
Carbamazepine free -sendout
|
$15.40 |
$18.48 |
$34.65 |
|
|
Carbamazepine total therapeutic drug level
|
$49.45 |
$69.70 |
$138.75 |
|
|
Carbohydrate deficient transf - sendout
|
$15.87 |
$59.20 |
$89.25 |
|
|
Carbon dioxide
|
$21.73 |
$31.28 |
$40.50 |
|
|
Carboplatin 10 mg/ml desensitization
|
$125.20 |
$143.98 |
$156.50 |
|
|
Carboxyhemoglobin quantitative
|
$41.41 |
$54.05 |
$109.50 |
|
|
Carcinoembryonic ag (cea)
|
$60.49 |
$94.50 |
$180.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
|
|
Cardiac perf planar sgl/ef/wm
|
$955.60 |
$955.60 |
$1,157.59 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,015.98 |
$1,252.20 |
$1,837.75 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$111.40 |
$128.34 |
$167.75 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$71.30 |
$81.75 |
$165.84 |
|
|
Cardiac shunt imaging
|
$188.00 |
$188.00 |
$188.00 |
|
|
Cardiolipin antibody iga
|
$29.90 |
$117.00 |
$179.00 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$297.25 |
$361.80 |
$484.50 |
|
|
Card MRI veloc flow mapping
|
$229.60 |
$229.60 |
$229.60 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$31.20 |
$37.44 |
$70.20 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$15.60 |
$18.72 |
$35.10 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$416.30 |
$499.56 |
$936.67 |
|
|
Carotene
|
$15.41 |
$35.67 |
$89.28 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$266.91 |
$369.00 |
$412.50 |
|
|
Casiri and imdev repeat
|
$363.17 |
$394.75 |
$683.10 |
|
|
Caspofungin acetate
|
$341.20 |
$392.39 |
$426.51 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$96.00 |
$112.20 |
$113.85 |
|
|
Cath access del ds spyscop 2.0
|
$2,051.00 |
$2,051.00 |
$2,051.00 |
|
|
Cath acuity innr ic130 6f 63cm
|
$327.00 |
$327.00 |
$327.00 |
|
|
Cath adherent clot 10mm 6f 10
|
$31.20 |
$31.20 |
$31.20 |
|
|
Cath combo lt&rt heart w/inj/s
|
$2,844.60 |
$3,434.36 |
$3,733.00 |
|
|
Cath cv dl inj 7fx16cm
|
$127.80 |
$155.25 |
$236.64 |
|
|
Catheter declot mechanical
|
$439.07 |
$439.07 |
$619.00 |
|
|
Catheter stripping venous
|
$1,346.50 |
$1,400.20 |
$1,578.95 |
|
|
Cath groshong MRI 8fr plstc port
|
$10.50 |
$27.60 |
$33.12 |
|
|
Cathj umbilical vein dx/ther nb
|
$148.00 |
$196.65 |
$223.75 |
|