|
Artery x-rays lung
|
$3,179.20 |
$3,179.20 |
$3,179.20 |
$2,427.50
|
|
Artery x-rays lungs
|
$5,461.60 |
$5,461.60 |
$5,461.60 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$5,938.40 |
$5,938.40 |
$5,938.40 |
$4,306.40
|
|
Artery x-rays spine
|
$6,430.40 |
$6,430.40 |
$6,430.40 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$504.00 |
$504.00 |
$504.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$901.60 |
$901.60 |
$901.60 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$471.20 |
$471.20 |
$471.20 |
$494.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,252.80 |
$5,252.80 |
$5,252.80 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$229.60 |
$229.60 |
$229.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$872.50
|
|
Assess cyst contrast inject
|
$885.60 |
$885.60 |
$885.60 |
$453.04
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$3,913.60 |
$3,913.60 |
$3,913.60 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$11,730.40 |
$11,730.40 |
$11,730.40 |
$10,415.40
|
|
Avul nail plate addl
|
$112.00 |
$112.00 |
$112.00 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$364.80 |
$364.80 |
$364.80 |
$326.27
|
|
Baclofen eval charges
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$87.50
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$120.00 |
$120.00 |
$120.00 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,186.40 |
$1,186.40 |
$1,186.40 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$632.80 |
$632.80 |
$632.80 |
$484.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$4,176.80 |
$4,176.80 |
$4,176.80 |
$4,479.26
|
|
Bilateral n blobk inj pudendal 64430
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$608.00 |
$608.00 |
$608.00 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$546.40 |
$546.40 |
$546.40 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$4,717.60 |
$4,717.60 |
$4,717.60 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$5,671.20 |
$5,671.20 |
$5,671.20 |
$5,741.00
|
|
Biofeedback, pt
|
$171.20 |
$171.20 |
$171.20 |
$127.05
|
|
Biopsy abdominal mass
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$1,498.40 |
$1,498.40 |
$1,498.40 |
$1,694.59
|
|
Biopsy muscle percutaneous needle
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$2,364.80 |
$2,364.80 |
$2,364.80 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,890.72
|
|
Biopsy of heart lining
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$3,724.63
|
|
Biopsy of salivary gland 42400
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$876.80 |
$876.80 |
$876.80 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$2,462.35
|
|
Biospy of bladder
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$199.20 |
$199.20 |
$199.20 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$453.60 |
$453.60 |
$453.60 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$4,668.00 |
$4,668.00 |
$4,668.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,850.40 |
$6,850.40 |
$6,850.40 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,029.51 |
$1,029.51 |
$1,029.51 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$4,668.00 |
$4,668.00 |
$4,668.00 |
$4,951.39
|
|
Block plantar digital nerve
|
$235.20 |
$235.20 |
$235.20 |
$540.00
|
|
Blood Transfusion
|
$980.00 |
$980.00 |
$980.00 |
$989.60
|
|
Bone Age X-ray (hand and wrist)
|
$292.00 |
$292.00 |
$292.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$491.20 |
$491.20 |
$491.20 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$564.80 |
$564.80 |
$564.80 |
$387.00
|
|
Boot mlti podous univ xlg
|
$256.68 |
$256.68 |
$256.68 |
$253.86
|
|
Boot softgait shrt m
|
$94.40 |
$94.40 |
$94.40 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$93.60 |
$93.60 |
$93.60 |
$439.09
|
|
Bowel imaging
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$79.20 |
$79.20 |
$79.20 |
$108.67
|
|
Brace ankle stablizing lg
|
$43.16 |
$43.16 |
$43.16 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$254.13 |
$254.13 |
$254.13 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$326.40 |
$326.40 |
$326.40 |
$105.30
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$41.60 |
$41.60 |
$41.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$52.12 |
$52.12 |
$52.12 |
$89.04
|
|
Brach/thor cath 1st
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
$2,050.00
|
|
Brach/thor cath addl
|
$854.40 |
$854.40 |
$854.40 |
$868.00
|
|
Brain image 4+ views
|
$883.20 |
$883.20 |
$883.20 |
$847.80
|
|
Brain image w/flow 4 + views
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,681.60 |
$3,681.60 |
$3,681.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,950.40 |
$2,950.40 |
$2,950.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,590.40 |
$2,590.40 |
$2,590.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,904.80 |
$3,904.80 |
$3,904.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,930.40 |
$2,930.40 |
$2,930.40 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,278.40 |
$3,278.40 |
$3,278.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$340.00 |
$340.00 |
$340.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$832.00 |
$832.00 |
$832.00 |
$871.80
|
|
Bronchial challenge
|
$1,025.60 |
$1,025.60 |
$1,025.60 |
$820.05
|
|
Budesonide non-comp unit
|
$17.21 |
$17.21 |
$17.21 |
$20.52
|
|
Bundled special stain group 1 microorganisms
|
$349.60 |
$349.60 |
$349.60 |
$159.00
|
|
Bundled special stain group 2
|
$178.40 |
$178.40 |
$178.40 |
$173.40
|
|
Bur rotalink 2.15mm
|
$7,590.40 |
$7,590.40 |
$7,590.40 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,883.20 |
$1,883.20 |
$1,883.20 |
$2,388.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$1,670.79
|
|
Bx breast pq tomo guide
|
$2,168.80 |
$2,168.80 |
$2,168.80 |
$4,509.59
|
|
Bx of breast open 19101
|
$4,338.40 |
$4,338.40 |
$4,338.40 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$2,386.40 |
$2,386.40 |
$2,386.40 |
$1,610.05
|
|
Bx pleura pq ndl
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,088.80 |
$1,088.80 |
$1,088.80 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,361.60 |
$1,361.60 |
$1,361.60 |
$2,168.40
|
|
Bx thyroid/percutan core needle 60100
|
$1,270.40 |
$1,270.40 |
$1,270.40 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,174.00
|
|
Bypass temp external fem-fem
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,938.60
|
|
Cannula ercp contour 5-4-3 tip
|
$15,000.00 |
$15,000.00 |
$15,000.00 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$4,504.00 |
$4,504.00 |
$4,504.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$3,238.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$2,917.00
|
