|
Brain image w/flow < 4 views
|
$532.00 |
$532.00 |
$532.00 |
$907.20
|
|
Brain image w/flow 4 + views
|
$1,047.60 |
$1,047.60 |
$1,047.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,295.60 |
$1,295.60 |
$1,295.60 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$1,238.80 |
$1,238.80 |
$1,238.80 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$27.30 |
$27.30 |
$27.30 |
$127.73
|
|
Brcassure comprehensive panel-sendout
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$2,365.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,733.60 |
$1,733.60 |
$1,733.60 |
$2,975.48
|
|
Breast prosthesis bra & form
|
$81.90 |
$81.90 |
$81.90 |
$140.00
|
|
Breast prosthesis w adhesive
|
$149.10 |
$149.10 |
$149.10 |
$463.12
|
|
Breast prosthes without adhesive
|
$231.00 |
$231.00 |
$231.00 |
$431.20
|
|
Breast punct aspir cyst, bil
|
$1,423.60 |
$1,423.60 |
$1,423.60 |
$863.10
|
|
Breath test analysis c-14
|
$435.60 |
$435.60 |
$435.60 |
$245.65
|
|
Breath tst attain/anal c-14
|
$224.80 |
$224.80 |
$224.80 |
$108.50
|
|
Bronchial challenge
|
$570.40 |
$570.40 |
$570.40 |
$805.90
|
|
Bronch thermoplsty 1 lobe
|
$6,603.20 |
$6,603.20 |
$6,603.20 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$13,202.80 |
$13,202.80 |
$13,202.80 |
$6,311.00
|
|
Br punct aspir ea add, l
|
$848.80 |
$848.80 |
$848.80 |
$356.50
|
|
Brst prsth bra & bilat form
|
$109.20 |
$109.20 |
$109.20 |
$184.80
|
|
Bundled special stain group 1 microorganisms
|
$144.80 |
$144.80 |
$144.80 |
$154.70
|
|
Bundled special stain group 2
|
$144.80 |
$144.80 |
$144.80 |
$170.65
|
|
Bundle his recording
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$4,781.70
|
|
Bur rotalink 2.15mm
|
$5,033.70 |
$5,033.70 |
$5,033.70 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$2,560.40 |
$2,560.40 |
$2,560.40 |
$2,347.69
|
|
Bx breast 1st lesion mr imag
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$3,570.00
|
|
Bx breast add lesion mr imag
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$1,604.40
|
|
Bx/curett of cervix w/scope 57454
|
$336.80 |
$336.80 |
$336.80 |
$502.15
|
|
Bx of cervix w/scope leep 57460
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$3,986.00
|
|
Bx pancreas pq ndl
|
$668.40 |
$668.40 |
$668.40 |
$1,585.20
|
|
Bx pleura pq ndl
|
$646.80 |
$646.80 |
$646.80 |
$1,608.00
|
|
Bx shoulder tissues supf 23065
|
$3,645.20 |
$3,645.20 |
$3,645.20 |
$2,026.74
|
|
Bx skin incisnl ea sep/add l les
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$642.80 |
$642.80 |
$642.80 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$642.80 |
$642.80 |
$642.80 |
$206.00
|
|
Bx soft tissue back/flank supf 21920
|
$4,636.00 |
$4,636.00 |
$4,636.00 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$4,082.80 |
$4,082.80 |
$4,082.80 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$957.60
|
|
Bx vag mucos smpl (sep proc)
|
$889.60 |
$889.60 |
$889.60 |
$1,103.36
|
|
Bx vulva or perineum/1 lesion 56605
|
$822.00 |
$822.00 |
$822.00 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$176.80 |
$176.80 |
$176.80 |
$403.07
|
|
Bypass temp external fem-fem
|
$948.00 |
$948.00 |
$948.00 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$75.60 |
$75.60 |
$75.60 |
$96.72
|
|
Cable cath 22-pin diag
|
$2,886.66 |
$2,886.66 |
$2,886.66 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$19.60 |
$19.60 |
$19.60 |
$100.80
|
|
Cadd pump refill
|
$943.20 |
$943.20 |
$943.20 |
$380.00
|
|
Calcium 24 hour urine
|
$52.00 |
$52.00 |
$52.00 |
$52.00
|
|
Calcium ionized
|
$65.20 |
$65.20 |
$65.20 |
$89.88
|
|
Calcium total
|
$35.60 |
$35.60 |
$35.60 |
$50.00
|
|
Calculi urinary-sendout
|
$54.80 |
$54.80 |
$54.80 |
$68.05
|
|
Calprotectin fecal
|
$647.60 |
$647.60 |
$647.60 |
$170.00
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$39.90 |
$39.90 |
$39.90 |
$78.94
|
|
Candida dna
|
$35.60 |
$35.60 |
$35.60 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$131,675.04 |
$131,675.04 |
$131,675.04 |
$42,021.72
|
|
Cap nerve 2x15mm
|
$9,448.32 |
$9,448.32 |
$9,448.32 |
$19,465.73
|
|
Cap trach decann 15mm
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$3,045.54
|
|
Carbamazepine free
|
$178.00 |
$178.00 |
$178.00 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$151.20 |
$151.20 |
$151.20 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$108.00 |
$108.00 |
$108.00 |
$116.40
|
|
Carbohydrate urine - sendout
|
$155.60 |
$155.60 |
$155.60 |
$66.64
|
|
Carbon dioxide
|
$27.20 |
$27.20 |
$27.20 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$80.00 |
$80.00 |
$80.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$116.40 |
$116.40 |
$116.40 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$2,920.40 |
$2,920.40 |
$2,920.40 |
$2,895.62
|
|
Cardiac perf planar sgl/ef/wm
|
$2,776.40 |
$2,776.40 |
$2,776.40 |
$2,091.02
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,920.40 |
$2,920.40 |
$2,920.40 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$183.60 |
$183.60 |
$183.60 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$87.60 |
$87.60 |
$87.60 |
$203.34
|
|
Cardiac shunt imaging
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$33.60 |
$33.60 |
$33.60 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,411.50
|
|
Card MRI veloc flow mapping
|
$913.60 |
$913.60 |
$913.60 |
$601.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$80.00 |
$80.00 |
$80.00 |
$96.50
|
|
Caregiver training strategies&tq ea addl 15 min
|
$37.20 |
$37.20 |
$37.20 |
$51.48
|
|
Carotene
|
$53.60 |
$53.60 |
$53.60 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$724.80 |
$724.80 |
$724.80 |
$997.10
|
|
Carotid intima atheroma eval
|
$403.20 |
$403.20 |
$403.20 |
$274.96
|
|
Car seat/bed test 60 minutes
|
$100.80 |
$100.80 |
$100.80 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$100.80 |
$100.80 |
$100.80 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$428.40 |
$428.40 |
$428.40 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,030.76 |
$5,030.76 |
$5,030.76 |
$6,736.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3,471.30 |
$3,471.30 |
$3,471.30 |
$6,386.85
|
|
Cath acuity innr ic130 6f 63cm
|
$12,360.60 |
$12,360.60 |
$12,360.60 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$10,058.58 |
$10,058.58 |
$10,058.58 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$4,935.42 |
$4,935.42 |
$4,935.42 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$4,231.00
|
|
Cath combo lt&rt heart w/inj/s
|
$19,873.20 |
$19,873.20 |
$19,873.20 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$493.92 |
$493.92 |
$493.92 |
$2,451.84
|
|
Cath epdrl brevi-stf 12in .043
|
$9,190.86 |
$9,190.86 |
$9,190.86 |
$2,003.82
|
|
Catheter declot mechanical
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$4.80 |
$4.80 |
$4.80 |
$40.95
|
|
Catheter stripping venous
|
$15,634.80 |
$15,634.80 |
$15,634.80 |
$3,193.94
|
