|
Brain MRI (with and without contrast)
|
$3,681.54 |
$3,681.54 |
$3,681.54 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,043.12 |
$3,043.12 |
$3,043.12 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,253.77 |
$2,253.77 |
$2,253.77 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$146.13 |
$146.13 |
$146.13 |
$274.65
|
|
Brief alcohol misuse counsel
|
$259.46 |
$259.46 |
$259.46 |
$109.46
|
|
Brief comunicaj tech-bsd svc
|
$33.07 |
$33.07 |
$33.07 |
$30.40
|
|
Bronch ebus samplng 3/> node
|
$7,146.71 |
$7,146.71 |
$7,146.71 |
$4,746.40
|
|
Bronchial challenge
|
$774.40 |
$774.40 |
$774.40 |
$820.05
|
|
Bronchoscopy w/markers
|
$18,947.23 |
$18,947.23 |
$18,947.23 |
$6,839.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$470.57 |
$470.57 |
$470.57 |
$571.00
|
|
Bundled special stain group 1 microorganisms
|
$116.86 |
$116.86 |
$116.86 |
$159.00
|
|
Bundled special stain group 2
|
$92.05 |
$92.05 |
$92.05 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$83.54 |
$83.54 |
$83.54 |
$80.64
|
|
Buprenorph X-ray 100 mg or less
|
$3,171.86 |
$3,171.86 |
$3,171.86 |
$3,864.00
|
|
Bx breast add lesion mr imag
|
$2,310.69 |
$2,310.69 |
$2,310.69 |
$1,695.00
|
|
Bx pleura pq ndl
|
$3,334.87 |
$3,334.87 |
$3,334.87 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$248.59 |
$248.59 |
$248.59 |
$230.75
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,557.19 |
$1,557.19 |
$1,557.19 |
$1,110.40
|
|
Bypass temp external fem-fem
|
$1,100.86 |
$1,100.86 |
$1,100.86 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$25.36 |
$25.36 |
$25.36 |
$96.72
|
|
Cacna1a gen detc abnor allel
|
$324.97 |
$324.97 |
$324.97 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,827.62 |
$1,827.62 |
$1,827.62 |
$846.27
|
|
Cadd pump refill
|
$506.88 |
$506.88 |
$506.88 |
$386.60
|
|
Calcium 24 hour urine
|
$78.05 |
$78.05 |
$78.05 |
$53.00
|
|
Calcium ionized
|
$134.43 |
$134.43 |
$134.43 |
$90.00
|
|
Calcium total
|
$67.76 |
$67.76 |
$67.76 |
$50.00
|
|
Calprotectin fecal
|
$178.39 |
$178.39 |
$178.39 |
$170.00
|
|
Candida dna
|
$42.37 |
$42.37 |
$42.37 |
$61.10
|
|
Cannabinoids synthetic 1-3
|
$57.37 |
$57.37 |
$57.37 |
$57.20
|
|
Carbamazepine free
|
$74.73 |
$74.73 |
$74.73 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$121.62 |
$121.62 |
$121.62 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$191.59 |
$191.59 |
$191.59 |
$116.40
|
|
Carbohydrate urine - sendout
|
$13.51 |
$13.51 |
$13.51 |
$66.64
|
|
Carbon dioxide
|
$10.32 |
$10.32 |
$10.32 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$112.11 |
$112.11 |
$112.11 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$382.04 |
$382.04 |
$382.04 |
$145.20
|
|
Cardiolipin antibody iga
|
$63.75 |
$63.75 |
$63.75 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$884.72 |
$884.72 |
$884.72 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$38.23 |
$38.23 |
$38.23 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$19.06 |
$19.06 |
$19.06 |
$51.52
|
|
Carotene
|
$19.49 |
$19.49 |
$19.49 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$508.19 |
$508.19 |
$508.19 |
$1,024.32
|
|
Cast sup shrt leg ped fbrgls
|
$45.67 |
$45.67 |
$45.67 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$43.17 |
$43.17 |
$43.17 |
$36.00
|
|
Cast sup sht arm ped fbrglas
|
$20.81 |
$20.81 |
$20.81 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$26.98 |
$26.98 |
$26.98 |
$26.98
|
|
Cath cv dl inj 7fx16cm
|
$123.21 |
$123.21 |
$123.21 |
$4,488.99
|
|
Cauterization chemical granulation tissue
|
$443.10 |
$443.10 |
$443.10 |
$340.90
|
|
#cbg+cort-cbg
|
$56.18 |
$56.18 |
$56.18 |
$66.55
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$44.71 |
$44.71 |
$44.71 |
$36.21
|
|
Cdna analysis for variants
|
$407.70 |
$407.70 |
$407.70 |
$542.87
|
|
Cefepime 1 gram solution for injection
|
$2.49 |
$2.49 |
$2.49 |
$45.47
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$3.40 |
$3.40 |
$3.40 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$0.56 |
$0.56 |
$0.56 |
$83.39
|
|
Cell count w differential body fluid
|
$229.66 |
$229.66 |
$229.66 |
$92.56
|
|
Cell function assay w/stim
|
$432.47 |
$432.47 |
$432.47 |
$325.76
|
|
Cervical or vaginal cancer screening g0101
|
$50.78 |
$50.78 |
$50.78 |
$109.46
|
|
#cf-97variants
|
$559.71 |
$559.71 |
$559.71 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$1,400.79 |
$1,400.79 |
$1,400.79 |
$1,527.00
|
|
Change cystostomy tube simple
|
$533.98 |
$533.98 |
$533.98 |
$477.60
|
|
Change of windpipe airway 31502
|
$549.65 |
$549.65 |
$549.65 |
$401.50
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,096.41 |
$1,096.41 |
$1,096.41 |
$1,033.63
|
|
Chemo ia push tecnique
|
$731.71 |
$731.71 |
$731.71 |
$499.50
|
|
Chest 2 vws w oblique
|
$229.09 |
$229.09 |
$229.09 |
$375.60
|
|
Chest CT scan (with and without contrast)
|
$3,033.57 |
$3,033.57 |
$3,033.57 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,729.94 |
$2,729.94 |
$2,729.94 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,597.00 |
$1,597.00 |
$1,597.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$66.67 |
$66.67 |
$66.67 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$245.00 |
$245.00 |
$245.00 |
$134.50
|
|
Chest Ultrasound
|
$574.20 |
$574.20 |
$574.20 |
$463.88
|
|
Chest X-ray
|
$276.45 |
$276.45 |
$276.45 |
$294.06
|
|
Chest X-ray (single view)
|
$204.91 |
$204.91 |
$204.91 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$405.09 |
$405.09 |
$405.09 |
$520.80
|
|
Chlamydia culture
|
$59.18 |
$59.18 |
$59.18 |
$91.00
|
|
Chlamydia type
|
$16.83 |
$16.83 |
$16.83 |
$34.98
|
|
Chloride
|
$60.82 |
$60.82 |
$60.82 |
$42.63
|
|
Chloride 24 hour urine
|
$78.75 |
$78.75 |
$78.75 |
$50.88
|
|
Cholesterol
|
$58.99 |
$58.99 |
$58.99 |
$45.76
|
|
Cholesterol body fluid
|
$51.29 |
$51.29 |
$51.29 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$118.34 |
$118.34 |
$118.34 |
$115.80
|
|
Chromatography
|
$112.11 |
$112.11 |
$112.11 |
$84.60
|
|
Chromogenic substrate assay
|
$28.24 |
$28.24 |
$28.24 |
$159.00
|
|
Chromosome karyotype study
|
$126.81 |
$126.81 |
$126.81 |
$120.00
|
|
Chronic urticaria - sendout
|
$26.33 |
$26.33 |
$26.33 |
$75.71
|
|
Clearance of airways
|
$316.98 |
$316.98 |
$316.98 |
$213.07
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,243.18 |
$1,243.18 |
$1,243.18 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$514.01 |
$514.01 |
$514.01 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$4,283.02 |
$4,283.02 |
$4,283.02 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,320.06 |
$1,320.06 |
$1,320.06 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$530.65 |
$530.65 |
$530.65 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,888.33 |
$2,888.33 |
$2,888.33 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$637.35 |
$637.35 |
$637.35 |
$442.80
|
|
Clos txnose fx without stablz 21315
|
$2,703.41 |
$2,703.41 |
$2,703.41 |
$2,392.80
|
|
Closure of windpipe lesion 31820
|
$8,876.49 |
$8,876.49 |
$8,876.49 |
$3,837.72
|
|
Clot factor xiii fibrin scrn
|
$19.25 |
$19.25 |
$19.25 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$49.35 |
$49.35 |
$49.35 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$546.61 |
$546.61 |
$546.61 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$671.50 |
$671.50 |
$671.50 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$710.51 |
$710.51 |
$710.51 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$442.01 |
$442.01 |
$442.01 |
$417.90
|
