|
Brain MRA (blood vessel MRI, without contrast)
|
$599.59 |
$599.59 |
$599.59 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$1,278.91 |
$1,278.91 |
$1,278.91 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$985.40 |
$985.40 |
$985.40 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$870.98 |
$870.98 |
$870.98 |
$1,765.28
|
|
Brca1&2 gene full seq alys
|
$1,491.93 |
$1,491.93 |
$1,491.93 |
$846.61
|
|
Brcassure comprehensive panel-sendout
|
$929.26 |
$929.26 |
$929.26 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,598.62 |
$3,598.62 |
$3,598.62 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$305.62 |
$305.62 |
$305.62 |
$832.00
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$981.06 |
$981.06 |
$981.06 |
$870.87
|
|
Bronchial challenge
|
$156.51 |
$156.51 |
$156.51 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$910.40 |
$910.40 |
$910.40 |
$2,626.00
|
|
Bronchoscopy/lung bx addl 31632
|
$1,079.11 |
$1,079.11 |
$1,079.11 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$3,799.90 |
$3,799.90 |
$3,799.90 |
$4,286.73
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,583.69 |
$1,583.69 |
$1,583.69 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,536.52 |
$1,536.52 |
$1,536.52 |
$2,672.16
|
|
Bronchoscopy w/tumor excise
|
$3,799.90 |
$3,799.90 |
$3,799.90 |
$3,799.90
|
|
Br punct aspir ea add, l
|
$167.15 |
$167.15 |
$167.15 |
$423.60
|
|
Bundled special stain group 1 microorganisms
|
$62.07 |
$62.07 |
$62.07 |
$161.46
|
|
Bundled special stain group 2
|
$208.11 |
$208.11 |
$208.11 |
$169.60
|
|
Bx bone trocar/ndl deep
|
$1,064.12 |
$1,064.12 |
$1,064.12 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$3,598.62 |
$3,598.62 |
$3,598.62 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$98.24 |
$98.24 |
$98.24 |
$1,626.95
|
|
Bx breast add lesion strtctc
|
$386.19 |
$386.19 |
$386.19 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$93.33 |
$93.33 |
$93.33 |
$1,944.10
|
|
Bx leg/ankle soft tissue deep 27614
|
$3,297.44 |
$3,297.44 |
$3,297.44 |
$3,225.86
|
|
Bx liver with other
|
$601.53 |
$601.53 |
$601.53 |
$543.40
|
|
Bx pancreas pq ndl
|
$719.65 |
$719.65 |
$719.65 |
$1,767.94
|
|
Bx pleura pq ndl
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
$1,764.77
|
|
Bx soft tissue back/flank deep 21925
|
$1,196.40 |
$1,196.40 |
$1,196.40 |
$1,770.73
|
|
Bx soft tissue back/flank supf 21920
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
$1,770.73
|
|
Bx spinal cord pq ndl
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
$1,907.07
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
$1,879.50
|
|
Bx thyroid/percutan core needle 60100
|
$803.18 |
$803.18 |
$803.18 |
$995.00
|
|
Bx vag mucos smpl (sep proc)
|
$349.37 |
$349.37 |
$349.37 |
$1,161.60
|
|
C1 esterase inhibitor func - sendout
|
$83.90 |
$83.90 |
$83.90 |
$123.49
|
|
Cacna1a gene full gene seq
|
$710.68 |
$710.68 |
$710.68 |
$846.27
|
|
Calcium 24 hour urine
|
$35.06 |
$35.06 |
$35.06 |
$51.63
|
|
Calcium ionized
|
$49.58 |
$49.58 |
$49.58 |
$80.80
|
|
Calcium total
|
$36.35 |
$36.35 |
$36.35 |
$43.20
|
|
Calprotectin fecal
|
$102.77 |
$102.77 |
$102.77 |
$170.00
|
|
Candida dna
|
$66.05 |
$66.05 |
$66.05 |
$66.05
|
|
Candida skin test
|
$50.97 |
$50.97 |
$50.97 |
$37.68
|
|
Canthotomy 67715
|
$1,128.78 |
$1,128.78 |
$1,128.78 |
$2,862.40
|
|
Carbamazepine free
|
$48.01 |
$48.01 |
$48.01 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$59.57 |
$59.57 |
$59.57 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$123.49 |
$123.49 |
$123.49 |
$123.49
|
|
Carbon dioxide
|
$22.76 |
$22.76 |
$22.76 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$45.23 |
$45.23 |
$45.23 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$59.48 |
$59.48 |
$59.48 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,379.27 |
$1,379.27 |
$1,379.27 |
$2,538.00
|
|
Cardiac shunt imaging
|
$332.54 |
$332.54 |
$332.54 |
$860.63
|
|
Cardiolipin antibody iga
|
$71.50 |
$71.50 |
$71.50 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$551.12 |
$551.12 |
$551.12 |
$1,461.75
|
|
Carotene
|
$57.91 |
$57.91 |
$57.91 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$347.52 |
$347.52 |
$347.52 |
$1,037.60
|
|
Catecholamines,fractionated, urine
|
$70.67 |
$70.67 |
$70.67 |
$70.67
|
|
Catheterization collection of specimen single patient all places of service
|
$31.08 |
$31.08 |
$31.08 |
$58.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$43.18 |
$43.18 |
$43.18 |
$53.07
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$139.31 |
$139.31 |
$139.31 |
$505.90
|
|
Cauterization chemical granulation tissue
|
$195.27 |
$195.27 |
$195.27 |
$374.60
|
|
Ccnd1/igh translocation alys
|
$230.14 |
$230.14 |
$230.14 |
$405.00
|
|
Cdna analysis for variants
|
$632.05 |
$632.05 |
$632.05 |
$609.80
|
|
Cebpa gene full sequence
|
$271.58 |
$271.58 |
$271.58 |
$484.90
|
|
#celiac hla-dq8
|
$288.69 |
$288.69 |
$288.69 |
$246.88
|
|
Cell count w differential body fluid
|
$40.98 |
$40.98 |
$40.98 |
$83.71
|
|
Cell function assay w/stim
|
$247.35 |
$247.35 |
$247.35 |
$369.45
|
|
Cell marker study
|
$141.03 |
$141.03 |
$141.03 |
$265.80
|
|
Cerebrospinal fld flw imag
|
$350.02 |
$350.02 |
$350.02 |
$884.00
|
|
#cf-97variants
|
$723.91 |
$723.91 |
$723.91 |
$748.16
|
|
Cftr gene intron poly t
|
$137.73 |
$137.73 |
$137.73 |
$285.75
|
|
Change cystostomy tube; complex 51710
|
$571.10 |
$571.10 |
$571.10 |
$1,368.46
|
|
Change cystostomy tube simple
|
$126.17 |
$126.17 |
$126.17 |
$426.63
|
|
Change of windpipe airway 31502
|
$152.16 |
$152.16 |
$152.16 |
$412.00
|
|
Chemo adm cns w/lmbr punct
|
$248.18 |
$248.18 |
$248.18 |
$749.01
|
|
Chemo ia infusion up to 1 hr
|
$161.88 |
$161.88 |
$161.88 |
$604.89
|
|
Chemo ia push tecnique
|
$110.35 |
$110.35 |
$110.35 |
$589.90
|
|
Chemotherapy injection 96542
|
$132.65 |
$132.65 |
$132.65 |
$444.49
|
|
Chest 2 vws w oblique
|
$119.33 |
$119.33 |
$119.33 |
$334.02
|
|
Chest apical lordotic proj
|
$130.80 |
$130.80 |
$130.80 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,043.49 |
$1,043.49 |
$1,043.49 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,108.34 |
$1,108.34 |
$1,108.34 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$952.66 |
$952.66 |
$952.66 |
$1,166.90
|
|
Chest X-ray
|
$118.40 |
$118.40 |
$118.40 |
$265.85
|
|
Chest X-ray (single view)
|
$86.03 |
$86.03 |
$86.03 |
$192.50
|
|
Chlamydia culture
|
$238.37 |
$238.37 |
$238.37 |
$96.51
|
|
Chlamydia type
|
$67.80 |
$67.80 |
$67.80 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$107.30 |
$107.30 |
$107.30 |
$252.99
|
|
Chloride
|
$21.74 |
$21.74 |
$21.74 |
$37.48
|
|
Chloride 24 hour urine
|
$22.85 |
$22.85 |
$22.85 |
$40.80
|
|
Chmotx admn plrl cav thrcnts
|
$359.27 |
$359.27 |
$359.27 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$2,915.42 |
$2,915.42 |
$2,915.42 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$244.48 |
$244.48 |
$244.48 |
$546.01
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,424.41 |
$1,424.41 |
$1,424.41 |
$3,690.60
|
|
Cholesterol
|
$18.32 |
$18.32 |
$18.32 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$66.42 |
$66.42 |
$66.42 |
$101.43
|
|
Cholinesterase
|
$30.90 |
$30.90 |
$30.90 |
$49.40
|
|
Chrom analysis
|
$108.80 |
$108.80 |
$108.80 |
$156.00
|
|
Chromo high res and frag x - sendout
|
$180.75 |
$180.75 |
$180.75 |
$269.00
|
|
Chromosome analysis 100
|
$181.95 |
$181.95 |
$181.95 |
$292.43
|
