|
Brain MRI (without contrast)
|
$2,804.50 |
$2,804.50 |
$2,804.50 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$146.50 |
$146.50 |
$146.50 |
$127.73
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$8,189.00 |
$8,189.00 |
$8,189.00 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$1,745.50 |
$1,745.50 |
$1,745.50 |
$863.10
|
|
Breath hydrogen test 91065
|
$810.00 |
$810.00 |
$810.00 |
$462.00
|
|
Breath recording infant
|
$1,157.50 |
$1,157.50 |
$1,157.50 |
$1,164.00
|
|
Breath test analysis c-14
|
$77.00 |
$77.00 |
$77.00 |
$245.65
|
|
Bronchial challenge
|
$998.50 |
$998.50 |
$998.50 |
$805.90
|
|
Bronch thermoplsty 1 lobe
|
$9,502.00 |
$9,502.00 |
$9,502.00 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$13,846.50 |
$13,846.50 |
$13,846.50 |
$6,311.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$5,113.50 |
$5,113.50 |
$5,113.50 |
$660.95
|
|
Br punct aspir ea add, l
|
$439.00 |
$439.00 |
$439.00 |
$356.50
|
|
Bundled special stain group 1 microorganisms
|
$83.50 |
$83.50 |
$83.50 |
$154.70
|
|
Bundled special stain group 2
|
$133.50 |
$133.50 |
$133.50 |
$170.65
|
|
Bundle his recording
|
$2,121.00 |
$2,121.00 |
$2,121.00 |
$4,781.70
|
|
Bur rotalink 2.15mm
|
$7,725.50 |
$7,725.50 |
$7,725.50 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$7,427.00 |
$7,427.00 |
$7,427.00 |
$2,347.69
|
|
Bx breast 1st lesion mr imag
|
$6,047.50 |
$6,047.50 |
$6,047.50 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$8,189.00 |
$8,189.00 |
$8,189.00 |
$3,570.00
|
|
Bx breast add lesion mr imag
|
$5,898.00 |
$5,898.00 |
$5,898.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$5,023.00 |
$5,023.00 |
$5,023.00 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$5,023.00 |
$5,023.00 |
$5,023.00 |
$1,604.40
|
|
Bx/exc lymph node/open/superfic 38500
|
$2,696.00 |
$2,696.00 |
$2,696.00 |
$4,135.34
|
|
Bx liver with other
|
$286.00 |
$286.00 |
$286.00 |
$601.53
|
|
Bx pancreas pq ndl
|
$2,037.50 |
$2,037.50 |
$2,037.50 |
$1,585.20
|
|
Bx pleura pq ndl
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$288.00 |
$288.00 |
$288.00 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$162.00 |
$162.00 |
$162.00 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$162.00 |
$162.00 |
$162.00 |
$206.00
|
|
Bx soft tissue back/flank deep 21925
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$2,729.01
|
|
Bx thigh/knee soft tiss supf 27323
|
$4,140.00 |
$4,140.00 |
$4,140.00 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,745.50 |
$1,745.50 |
$1,745.50 |
$957.60
|
|
Bypass temp external fem-fem
|
$2,660.50 |
$2,660.50 |
$2,660.50 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$62.50 |
$62.50 |
$62.50 |
$96.72
|
|
Cable cath 22-pin diag
|
$5,303.00 |
$5,303.00 |
$5,303.00 |
$4,946.50
|
|
Cable centrimag pressure
|
$9,923.00 |
$9,923.00 |
$9,923.00 |
$9,015.12
|
|
Calcium 24 hour urine
|
$195.00 |
$195.00 |
$195.00 |
$52.00
|
|
Calcium ionized
|
$59.00 |
$59.00 |
$59.00 |
$89.88
|
|
Calcium total
|
$108.00 |
$108.00 |
$108.00 |
$50.00
|
|
Calprotectin fecal
|
$166.50 |
$166.50 |
$166.50 |
$170.00
|
|
Candida dna
|
$68.00 |
$68.00 |
$68.00 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$38,669.50 |
$38,669.50 |
$38,669.50 |
$42,021.72
|
|
Cap nerve 2x15mm
|
$43,486.50 |
$43,486.50 |
$43,486.50 |
$19,465.73
|
|
Cap trach decann 15mm
|
$7,508.00 |
$7,508.00 |
$7,508.00 |
$3,045.54
|
|
Carbamazepine free
|
$22.00 |
$22.00 |
$22.00 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$152.00 |
$152.00 |
$152.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$55.00 |
$55.00 |
$55.00 |
$116.40
|
|
Carbon dioxide
|
$26.00 |
$26.00 |
$26.00 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$89.50 |
$89.50 |
$89.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$233.50 |
$233.50 |
$233.50 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$2,716.50 |
$2,716.50 |
$2,716.50 |
$2,895.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,169.50 |
$3,169.50 |
$3,169.50 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$223.00 |
$223.00 |
$223.00 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$206.00 |
$206.00 |
$206.00 |
$203.34
|
|
Cardiolipin antibody iga
|
$272.00 |
$272.00 |
$272.00 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,542.50 |
$2,542.50 |
$2,542.50 |
$1,411.50
|
|
Card MRI veloc flow mapping
|
$130.50 |
$130.50 |
$130.50 |
$601.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$48.50 |
$48.50 |
$48.50 |
$96.50
|
|
Caregiver training strategies&tq ea addl 15 min
|
$25.50 |
$25.50 |
$25.50 |
$51.48
|
|
Car ion chnnlpath inc 10 gns
|
$390.00 |
$390.00 |
$390.00 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$390.00 |
$390.00 |
$390.00 |
$1,091.81
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
$997.10
|
|
Car outp meas drg cath chd
|
$262.00 |
$262.00 |
$262.00 |
$482.30
|
|
Car seat/bed test 60 minutes
|
$163.50 |
$163.50 |
$163.50 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$81.00 |
$81.00 |
$81.00 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$806.00 |
$806.00 |
$806.00 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$7,465.00 |
$7,465.00 |
$7,465.00 |
$6,736.00
|
|
Cath ablt clsfast 7fx100cmx
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,504.50 |
$6,504.50 |
$6,504.50 |
$6,386.85
|
|
Cath acuity innr ic130 6f 63cm
|
$12,075.00 |
$12,075.00 |
$12,075.00 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$18,537.00 |
$18,537.00 |
$18,537.00 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$10,335.00 |
$10,335.00 |
$10,335.00 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$7,125.00 |
$7,125.00 |
$7,125.00 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$4,443.00 |
$4,443.00 |
$4,443.00 |
$4,231.00
|
|
Cath combo lt&rt heart w/inj/s
|
$13,597.50 |
$13,597.50 |
$13,597.50 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$56.00 |
$56.00 |
$56.00 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$4,784.00 |
$4,784.00 |
$4,784.00 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$3,282.50 |
$3,282.50 |
$3,282.50 |
$2,451.84
|
|
Cath epdrl brevi-stf 12in .043
|
$4,829.50 |
$4,829.50 |
$4,829.50 |
$2,003.82
|
|
Catheter declot mechanical
|
$1,700.50 |
$1,700.50 |
$1,700.50 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$6.50 |
$6.50 |
$6.50 |
$40.95
|
|
Catheter stripping venous
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$3,193.94
|
|
Catheter without bag 2-way latex
|
$64.50 |
$64.50 |
$64.50 |
$82.80
|
|
Cath groshong MRI 8fr plstc port
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,758.92
|
|
Cath hawkone s directional
|
$8,223.00 |
$8,223.00 |
$8,223.00 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$1,273.50
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,496.50 |
$5,496.50 |
$5,496.50 |
$4,536.00
|
|
Cath left heart/lv gram
|
$7,505.50 |
$7,505.50 |
$7,505.50 |
$7,923.88
|
|
Cath left heart transseptal punc
|
$6,883.50 |
$6,883.50 |
$6,883.50 |
$5,716.10
|
|
Cath lt/rt pulm art
|
$4,308.00 |
$4,308.00 |
$4,308.00 |
$1,256.00
|
|
Cath malecot 28fr 4-wing ltx
|
$2,549.50 |
$2,549.50 |
$2,549.50 |
$2,502.00
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$14,675.00 |
$14,675.00 |
$14,675.00 |
$19,384.20
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$191.50 |
$191.50 |
$191.50 |
$64.06
|
|
Cath place 1st order venous 36011
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$1,357.20
|
|
Cath plc art ang/grft lt/rt hr
|
$18,190.00 |
$18,190.00 |
$18,190.00 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$9,436.50 |
$9,436.50 |
$9,436.50 |
$9,974.16
|
|
Cath plc art/grft/angio right hrt
|
$10,211.50 |
$10,211.50 |
$10,211.50 |
$10,600.47
|
|
Cath ptca pcltxl agent 3x20mm
|
$10,074.50 |
$10,074.50 |
$10,074.50 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$8,679.50 |
$8,679.50 |
$8,679.50 |
$6,356.90
|
