|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,330.77 |
$1,330.77 |
$1,330.77 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$924.84 |
$924.84 |
$924.84 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$786.24 |
$786.24 |
$786.24 |
$1,892.40
|
|
Brain MRI (with and without contrast)
|
$1,267.98 |
$1,267.98 |
$1,267.98 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$857.85 |
$857.85 |
$857.85 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$786.24 |
$786.24 |
$786.24 |
$1,943.70
|
|
Brcassure comprehensive panel-sendout
|
$1,293.39 |
$1,293.39 |
$1,293.39 |
$2,160.80
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,723.26 |
$1,723.26 |
$1,723.26 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$259.56 |
$259.56 |
$259.56 |
$847.00
|
|
Bronch ebus samplng 1/2 node
|
$2,034.69 |
$2,034.69 |
$2,034.69 |
$4,316.00
|
|
Bronchial allergy tests
|
$284.55 |
$284.55 |
$284.55 |
$737.46
|
|
Bronchial challenge
|
$223.23 |
$223.23 |
$223.23 |
$761.40
|
|
Bronchoscopy clear airways 31645
|
$982.59 |
$982.59 |
$982.59 |
$2,672.16
|
|
Bronchoscopy w/biopsy(s) 31625
|
$954.87 |
$954.87 |
$954.87 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,009.05 |
$1,009.05 |
$1,009.05 |
$2,597.70
|
|
Br punct aspir ea add, l
|
$102.27 |
$102.27 |
$102.27 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.87 |
$7.87 |
$7.87 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$30.24 |
$30.24 |
$30.24 |
$161.46
|
|
Bundled special stain group 2
|
$94.92 |
$94.92 |
$94.92 |
$169.00
|
|
Bundle his recording
|
$2,573.55 |
$2,573.55 |
$2,573.55 |
$5,151.25
|
|
Buprenorphine and metabolite - sendout
|
$67.41 |
$67.41 |
$67.41 |
$80.25
|
|
Buprenorphine hydrochloride
|
$31.96 |
$31.96 |
$31.96 |
$42.08
|
|
Buprenorphine oral 1mg
|
$8.50 |
$8.50 |
$8.50 |
$10.32
|
|
Burr hole implant ventricular cath/other device
|
$1,637.16 |
$1,637.16 |
$1,637.16 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$2,050.44 |
$2,050.44 |
$2,050.44 |
$4,225.86
|
|
Busulfan injection
|
$291.41 |
$291.41 |
$291.41 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$32.35 |
$32.35 |
$32.35 |
$37.50
|
|
Bx arm/elbow soft tissue supf 24065
|
$984.06 |
$984.06 |
$984.06 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$890.19 |
$890.19 |
$890.19 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$2,333.73 |
$2,333.73 |
$2,333.73 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$1,502.34 |
$1,502.34 |
$1,502.34 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$391.23 |
$391.23 |
$391.23 |
$1,650.88
|
|
Bx breast add lesion strtctc
|
$463.26 |
$463.26 |
$463.26 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$829.08 |
$829.08 |
$829.08 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$546.42 |
$546.42 |
$546.42 |
$1,312.15
|
|
Bx liver with other
|
$909.72 |
$909.72 |
$909.72 |
$554.45
|
|
Bx muscle
|
$613.62 |
$613.62 |
$613.62 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$530.25 |
$530.25 |
$530.25 |
$1,635.24
|
|
Bx perianal mass
|
$237.93 |
$237.93 |
$237.93 |
$1,501.50
|
|
Bx pleura pq ndl
|
$552.51 |
$552.51 |
$552.51 |
$1,633.46
|
|
Bx skin incisnl ea sep/add l les
|
$74.34 |
$74.34 |
$74.34 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$41.79 |
$41.79 |
$41.79 |
$230.02
|
|
Bx skin tangential ea sep/ addl les
|
$65.10 |
$65.10 |
$65.10 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$545.16 |
$545.16 |
$545.16 |
$1,908.09
|
|
Bx thigh/knee soft tiss supf 27323
|
$983.85 |
$983.85 |
$983.85 |
$2,086.51
|
|
Bx thyroid/percutan core needle 60100
|
$256.41 |
$256.41 |
$256.41 |
$963.86
|
|
Bx vulva or perineum/1 lesion 56605
|
$164.85 |
$164.85 |
$164.85 |
$1,148.20
|
|
Bypass temp external fem-fem
|
$872.34 |
$872.34 |
$872.34 |
$1,828.50
|
|
C1 esterase inhibitor func - sendout
|
$145.32 |
$145.32 |
$145.32 |
$86.00
|
|
Cabergoline, oral 0.25mg
|
$1.42 |
$1.42 |
$1.42 |
$65.85
|
|
Cable cath 22-pin diag
|
$642.60 |
$642.60 |
$642.60 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$22.05 |
$22.05 |
$22.05 |
$136.08
|
|
Cadd pump refill
|
$153.30 |
$153.30 |
$153.30 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$51.09 |
$51.09 |
$51.09 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$874.22 |
$874.22 |
$874.22 |
$2,131.45
|
|
Calcium 24 hour urine
|
$49.56 |
$49.56 |
$49.56 |
$52.08
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$56.07 |
$56.07 |
$56.07 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$26.30 |
$26.30 |
$26.30 |
$91.60
|
|
Calcium ionized
|
$77.70 |
$77.70 |
$77.70 |
$88.00
|
|
Calcium total
|
$27.51 |
$27.51 |
$27.51 |
$50.00
|
|
Caloric vstblr test w/rec
|
$102.06 |
$102.06 |
$102.06 |
$296.91
|
|
Calprotectin fecal
|
$142.17 |
$142.17 |
$142.17 |
$166.25
|
|
Candida skin test
|
$11.34 |
$11.34 |
$11.34 |
$58.76
|
|
Cannabinoids synthetic 4-6
|
$117.18 |
$117.18 |
$117.18 |
$18.40
|
|
Canthotomy 67715
|
$1,385.37 |
$1,385.37 |
$1,385.37 |
$2,968.65
|
|
Capecitabine, oral, 50 mg
|
$8.53 |
$8.53 |
$8.53 |
$50.86
|
|
Cap trach decann 15mm
|
$992.25 |
$992.25 |
$992.25 |
$3,120.00
|
|
Carbamazepine free
|
$29.19 |
$29.19 |
$29.19 |
$50.40
|
|
Carbamazepine free -sendout
|
$16.17 |
$16.17 |
$16.17 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$81.48 |
$81.48 |
$81.48 |
$115.05
|
|
Carbohydrate deficient transf - sendout
|
$62.16 |
$62.16 |
$62.16 |
$121.80
|
|
Carbohydrate urine - sendout
|
$4.62 |
$4.62 |
$4.62 |
$44.88
|
|
Carbon dioxide
|
$33.18 |
$33.18 |
$33.18 |
$44.88
|
|
Carboplatin 10 mg/ml desensitization
|
$131.46 |
$131.46 |
$131.46 |
$186.57
|
|
Carboxyhemoglobin quantitative
|
$61.74 |
$61.74 |
$61.74 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$116.55 |
$116.55 |
$116.55 |
$142.50
|
|
Cardiac MRI w/stress img
|
$782.67 |
$782.67 |
$782.67 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$1,434.93 |
$1,434.93 |
$1,434.93 |
$2,735.47
|
|
Cardiac perf planar sgl/ef/wm
|
$1,190.49 |
$1,190.49 |
$1,190.49 |
$2,045.45
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,314.81 |
$1,314.81 |
$1,314.81 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$85.26 |
$85.26 |
$85.26 |
$245.39
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$65.10 |
$65.10 |
$65.10 |
$196.50
|
|
Cardiac shunt imaging
|
$197.40 |
$197.40 |
$197.40 |
$890.00
|
|
Cardiolipin antibody iga
|
$110.25 |
$110.25 |
$110.25 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$398.16 |
$398.16 |
$398.16 |
$1,391.85
|
|
Card MRI veloc flow mapping
|
$241.08 |
$241.08 |
$241.08 |
$569.38
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$32.76 |
$32.76 |
$32.76 |
$105.56
|
|
Caregiver training strategies&tq ea addl 15 min
|
$16.38 |
$16.38 |
$16.38 |
$52.20
|
|
Car ion chnnlpath inc 10 gns
|
$460.95 |
$460.95 |
$460.95 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$460.95 |
$460.95 |
$460.95 |
$902.40
|
|
Carmustine 100 mg intravenous powder for solution
|
$437.11 |
$437.11 |
$437.11 |
$1,596.90
|
|
Carotene
|
$110.04 |
$110.04 |
$110.04 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$387.45 |
$387.45 |
$387.45 |
$1,030.00
|
|
Carotid intima atheroma eval
|
$27.51 |
$27.51 |
$27.51 |
$273.35
|
|
Car outp meas drg cath chd
|
$11.76 |
$11.76 |
$11.76 |
$319.82
|
|
Car-t admn autologous
|
$210.00 |
$210.00 |
$210.00 |
$722.40
|
|
Casiri and imdev repeat
|
$331.59 |
$331.59 |
$331.59 |
$540.00
|
|
Caspofungin acetate
|
$358.27 |
$358.27 |
$358.27 |
$757.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$139.23 |
$139.23 |
$139.23 |
$855.70
|
|
Cath acuity innr ic130 6f 63cm
|
$9.66 |
$9.66 |
$9.66 |
$8,379.00
|
