|
Brain MRA (blood vessel MRI, without contrast)
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,954.40 |
$2,954.40 |
$2,954.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,615.40 |
$2,615.40 |
$2,615.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$133.20 |
$133.20 |
$133.20 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$475.20 |
$475.20 |
$475.20 |
$871.80
|
|
Breath hydrogen test 91065
|
$351.00 |
$351.00 |
$351.00 |
$462.00
|
|
Breath test analysis c-14
|
$73.20 |
$73.20 |
$73.20 |
$245.65
|
|
Breath tst attain/anal c-14
|
$14.40 |
$14.40 |
$14.40 |
$108.50
|
|
Bundled special stain group 1 microorganisms
|
$199.20 |
$199.20 |
$199.20 |
$159.00
|
|
Bundled special stain group 2
|
$96.00 |
$96.00 |
$96.00 |
$173.40
|
|
Bx breast 1st lesion mr imag
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,863.60 |
$1,863.60 |
$1,863.60 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$1,670.79
|
|
Bx/curett of cervix w/scope 57454
|
$501.00 |
$501.00 |
$501.00 |
$515.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$444.60 |
$444.60 |
$444.60 |
$4,184.94
|
|
Bx pleura pq ndl
|
$243.60 |
$243.60 |
$243.60 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$611.40 |
$611.40 |
$611.40 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$787.80 |
$787.80 |
$787.80 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$414.00 |
$414.00 |
$414.00 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$61.80 |
$61.80 |
$61.80 |
$461.40
|
|
C1 esterase inhibitor func - sendout
|
$135.60 |
$135.60 |
$135.60 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,254.80 |
$2,254.80 |
$2,254.80 |
$2,210.98
|
|
Calcium 24 hour urine
|
$88.80 |
$88.80 |
$88.80 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$17.40 |
$17.40 |
$17.40 |
$64.49
|
|
Calcium ionized
|
$169.20 |
$169.20 |
$169.20 |
$90.00
|
|
Calcium total
|
$28.20 |
$28.20 |
$28.20 |
$50.00
|
|
Calprotectin fecal
|
$76.80 |
$76.80 |
$76.80 |
$170.00
|
|
Candida dna
|
$104.40 |
$104.40 |
$104.40 |
$61.10
|
|
Cap nerve 2x15mm
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$18,466.88
|
|
Carbamazepine free
|
$171.60 |
$171.60 |
$171.60 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$211.20 |
$211.20 |
$211.20 |
$122.85
|
|
Carbon dioxide
|
$46.20 |
$46.20 |
$46.20 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$138.60 |
$138.60 |
$138.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$103.20 |
$103.20 |
$103.20 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$937.80 |
$937.80 |
$937.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$112.80 |
$112.80 |
$112.80 |
$249.60
|
|
Cardiac shunt imaging
|
$405.00 |
$405.00 |
$405.00 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$138.00 |
$138.00 |
$138.00 |
$107.25
|
|
Card MRI veloc flow mapping
|
$3,804.60 |
$3,804.60 |
$3,804.60 |
$633.90
|
|
Carotene
|
$124.20 |
$124.20 |
$124.20 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,056.60 |
$1,056.60 |
$1,056.60 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$3,867.50
|
|
Cast sup long arm adult plst
|
$34.20 |
$34.20 |
$34.20 |
$32.76
|
|
Cast sup shrt leg plaster
|
$49.80 |
$49.80 |
$49.80 |
$41.60
|
|
Cataract surg w/iol 1 stage
|
$2,892.60 |
$2,892.60 |
$2,892.60 |
$4,538.46
|
|
Catecholamines,fractionated, urine
|
$252.00 |
$252.00 |
$252.00 |
$133.70
|
|
Cath council tip 16fr 5cc
|
$9.00 |
$9.00 |
$9.00 |
$40.96
|
|
Cath follower heyman 20f
|
$15.60 |
$15.60 |
$15.60 |
$128.00
|
|
Cath groshong MRI 8fr plstc port
|
$945.00 |
$945.00 |
$945.00 |
$1,690.71
|
|
Cath indw foley 3 way
|
$31.20 |
$31.20 |
$31.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$1.80 |
$1.80 |
$1.80 |
$13.23
|
|
Cath malecot 28fr 4-wing ltx
|
$90.00 |
$90.00 |
$90.00 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$96.60 |
$96.60 |
$96.60 |
$462.80
|
|
Cath w/drainage 2-way latex
|
$31.80 |
$31.80 |
$31.80 |
$71.20
|
|
#cbg+cort-cbg
|
$88.20 |
$88.20 |
$88.20 |
$66.55
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.40 |
$35.40 |
$35.40 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$73.80 |
$73.80 |
$73.80 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$30.60 |
$30.60 |
$30.60 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$9.60 |
$9.60 |
$9.60 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$84.00 |
$84.00 |
$84.00 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$6.00 |
$6.00 |
$6.00 |
$30.66
|
|
Cell count body fluid
|
$134.40 |
$134.40 |
$134.40 |
$63.52
|
|
Cell count w differential body fluid
|
$173.40 |
$173.40 |
$173.40 |
$92.56
|
|
Cell marker study
|
$616.80 |
$616.80 |
$616.80 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$628.20 |
$628.20 |
$628.20 |
$952.82
|
|
#cf-97variants
|
$21.60 |
$21.60 |
$21.60 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$1,527.00
|
|
Change cystostomy tube simple
|
$439.20 |
$439.20 |
$439.20 |
$477.60
|
|
Chest 2 vws w oblique
|
$227.40 |
$227.40 |
$227.40 |
$375.60
|
|
Chest apical lordotic proj
|
$171.00 |
$171.00 |
$171.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,448.40 |
$1,448.40 |
$1,448.40 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$954.00 |
$954.00 |
$954.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$84.60 |
$84.60 |
$84.60 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$48.60 |
$48.60 |
$48.60 |
$134.50
|
|
Chest Ultrasound
|
$294.00 |
$294.00 |
$294.00 |
$463.88
|
|
Chest X-ray
|
$247.20 |
$247.20 |
$247.20 |
$294.06
|
|
Chest X-ray (single view)
|
$178.80 |
$178.80 |
$178.80 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$349.20 |
$349.20 |
$349.20 |
$520.80
|
|
Chlamydia culture
|
$236.40 |
$236.40 |
$236.40 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$186.00 |
$186.00 |
$186.00 |
$66.60
|
|
Chlamydia type
|
$32.40 |
$32.40 |
$32.40 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$154.20 |
$154.20 |
$154.20 |
$50.40
|
|
Chlnggrphy intraop addl s&i
|
$27.60 |
$27.60 |
$27.60 |
$281.18
|
|
Chloride
|
$50.40 |
$50.40 |
$50.40 |
$42.63
|
|
Chloride 24 hour urine
|
$90.60 |
$90.60 |
$90.60 |
$50.88
|
|
Chloroprocaine hcl injection
|
$48.60 |
$48.60 |
$48.60 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$78.60 |
$78.60 |
$78.60 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$171.00 |
$171.00 |
$171.00 |
$602.40
|
|
Cholesterol
|
$71.40 |
$71.40 |
$71.40 |
$45.76
|
|
Cholesterol body fluid
|
$205.20 |
$205.20 |
$205.20 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$94.80 |
$94.80 |
$94.80 |
$115.80
|
|
Cholinesterase
|
$119.40 |
$119.40 |
$119.40 |
$39.48
|
