|
Bpg ilio-mesenteric
|
$2,233.00 |
$2,233.00 |
$2,233.00 |
$2,192.00
|
|
Bpg iliorenal
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$1,221.00
|
|
Brach/thor cath 1st
|
$232.00 |
$232.00 |
$232.00 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$301.00 |
$301.00 |
$301.00 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$372.50 |
$372.50 |
$372.50 |
$2,079.00
|
|
Brach/thor cath addl
|
$57.50 |
$57.50 |
$57.50 |
$868.00
|
|
Braf gene
|
$390.00 |
$390.00 |
$390.00 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$161.50 |
$161.50 |
$161.50 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$45.00 |
$45.00 |
$45.00 |
$847.00
|
|
Breast reduction
|
$1,187.50 |
$1,187.50 |
$1,187.50 |
$7,126.06
|
|
Brief comunicaj tech-bsd svc
|
$16.00 |
$16.00 |
$16.00 |
$29.25
|
|
Bronchial challenge
|
$357.50 |
$357.50 |
$357.50 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$163.50 |
$163.50 |
$163.50 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$195.00 |
$195.00 |
$195.00 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$172.50 |
$172.50 |
$172.50 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$194.00 |
$194.00 |
$194.00 |
$2,445.96
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$186.50 |
$186.50 |
$186.50 |
$571.00
|
|
Br punct aspir ea add, l
|
$22.50 |
$22.50 |
$22.50 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$287.00 |
$287.00 |
$287.00 |
$160.80
|
|
Bundled special stain group 2
|
$175.00 |
$175.00 |
$175.00 |
$173.46
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$8.10 |
$8.10 |
$8.10 |
$11.72
|
|
Buprenorphine and metabolite - sendout
|
$10.00 |
$10.00 |
$10.00 |
$82.82
|
|
Buprenorphine oral 1mg
|
$4.23 |
$4.23 |
$4.23 |
$10.50
|
|
Bx arm/elbow soft tissue supf 24065
|
$178.50 |
$178.50 |
$178.50 |
$1,935.63
|
|
Bx breast 1st lesion mr imag
|
$187.00 |
$187.00 |
$187.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$171.00 |
$171.00 |
$171.00 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$93.50 |
$93.50 |
$93.50 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$86.00 |
$86.00 |
$86.00 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$80.50 |
$80.50 |
$80.50 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$76.00 |
$76.00 |
$76.00 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$12.50 |
$12.50 |
$12.50 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$145.50 |
$145.50 |
$145.50 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$460.50 |
$460.50 |
$460.50 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$297.00 |
$297.00 |
$297.00 |
$4,184.94
|
|
Bx liver with other
|
$114.00 |
$114.00 |
$114.00 |
$543.40
|
|
Bx muscle
|
$109.50 |
$109.50 |
$109.50 |
$1,917.33
|
|
Bx of breast open 19101
|
$261.50 |
$261.50 |
$261.50 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$173.50 |
$173.50 |
$173.50 |
$3,876.00
|
|
Bx perianal mass
|
$180.00 |
$180.00 |
$180.00 |
$1,540.50
|
|
Bx prostate trnsrctl u/s guid
|
$166.50 |
$166.50 |
$166.50 |
$4,050.75
|
|
Bx skin incisnl ea sep/add l les
|
$31.00 |
$31.00 |
$31.00 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$26.50 |
$26.50 |
$26.50 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$27.00 |
$27.00 |
$27.00 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$175.00 |
$175.00 |
$175.00 |
$1,917.33
|
|
Bx vag mucos smpl (sep proc)
|
$72.00 |
$72.00 |
$72.00 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$882.00 |
$882.00 |
$882.00 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$31.50 |
$31.50 |
$31.50 |
$465.09
|
|
Bypass graft/av fist patency
|
$181.00 |
$181.00 |
$181.00 |
$868.40
|
|
Bypass graft patency/patch
|
$222.50 |
$222.50 |
$222.50 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$638.50 |
$638.50 |
$638.50 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$262.50 |
$262.50 |
$262.50 |
$96.72
|
|
Cabgsingle artery graft 33533
|
$2,157.50 |
$2,157.50 |
$2,157.50 |
$4,567.20
|
|
Cabg venous & art 1 vein graft 33517
|
$210.50 |
$210.50 |
$210.50 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$462.00 |
$462.00 |
$462.00 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$611.00 |
$611.00 |
$611.00 |
$1,071.60
|
|
Cable cath 22-pin diag
|
$503.00 |
$503.00 |
$503.00 |
$4,946.50
|
|
Calcium 24 hour urine
|
$53.00 |
$53.00 |
$53.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$26.19 |
$26.19 |
$26.19 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$18.63 |
$18.63 |
$18.63 |
$64.49
|
|
Calcium ionized
|
$87.50 |
$87.50 |
$87.50 |
$90.00
|
|
Calcium total
|
$33.50 |
$33.50 |
$33.50 |
$50.00
|
|
Calprotectin fecal
|
$190.50 |
$190.50 |
$190.50 |
$169.95
|
|
Cannula declotting 36861
|
$152.50 |
$152.50 |
$152.50 |
$5,855.00
|
|
Cantharidin top, applicator
|
$944.00 |
$944.00 |
$944.00 |
$1,113.94
|
|
Canthotomy 67715
|
$122.00 |
$122.00 |
$122.00 |
$2,956.50
|
|
Capsaicin 8% patch
|
$5.00 |
$5.00 |
$5.00 |
$4,719.65
|
|
Capsulotomy mpj ea joint (sep proc)
|
$382.50 |
$382.50 |
$382.50 |
$3,545.97
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$73.50 |
$73.50 |
$73.50 |
$120.25
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carboxyhemoglobin quantitative
|
$35.00 |
$35.00 |
$35.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$127.50 |
$127.50 |
$127.50 |
$244.00
|
|
Cardiac Stress Test
|
$86.50 |
$86.50 |
$86.50 |
$210.00
|
|
Cardiolipin antibody iga
|
$145.00 |
$145.00 |
$145.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$116.00 |
$116.00 |
$116.00 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$265.00 |
$265.00 |
$265.00 |
$1,114.00
|
|
Caregiver health risk assmt
|
$36.00 |
$36.00 |
$36.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$41.50 |
$41.50 |
$41.50 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$20.50 |
$20.50 |
$20.50 |
$51.50
|
|
Care manage beh svs 20mins
|
$71.50 |
$71.50 |
$71.50 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$48.00 |
$48.00 |
$48.00 |
$55.09
|
|
Carotid Artery Ultrasound (Duplex)
|
$772.00 |
$772.00 |
$772.00 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$504.50 |
$504.50 |
$504.50 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$64.50 |
$64.50 |
$64.50 |
$1,206.00
|
|
Cast sup lng arm splnt ped p
|
$10.50 |
$10.50 |
$10.50 |
$11.44
|
|
Cataract Surgery
|
$4,276.50 |
$4,276.50 |
$4,276.50 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$502.00 |
$502.00 |
$502.00 |
$3,889.06
|
|
Catheter declot mechanical
|
$50.00 |
$50.00 |
$50.00 |
$1,838.28
|
|
Catheter insert artery
|
$118.00 |
$118.00 |
$118.00 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$66.00 |
$66.00 |
$66.00 |
$40.95
|
|
Cath lt/rt pulm art
|
$161.50 |
$161.50 |
$161.50 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,173.58
|
