|
Brain image 4+ views
|
$4,012.20 |
$4,012.20 |
$4,012.20 |
$952.80
|
|
Brain image w/flow < 4 views
|
$4,103.03 |
$4,103.03 |
$4,103.03 |
$884.65
|
|
Brain image w/flow 4 + views
|
$5,667.54 |
$5,667.54 |
$5,667.54 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$11,455.23 |
$11,455.23 |
$11,455.23 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$9,932.24 |
$9,932.24 |
$9,932.24 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$9,163.07 |
$9,163.07 |
$9,163.07 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$14,755.72 |
$14,755.72 |
$14,755.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$12,864.93 |
$12,864.93 |
$12,864.93 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$10,553.18 |
$10,553.18 |
$10,553.18 |
$1,977.27
|
|
Bronchoscopy w/markers
|
$28,114.52 |
$28,114.52 |
$28,114.52 |
$6,718.40
|
|
Budesonide non-comp unit
|
$109.79 |
$109.79 |
$109.79 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$26.86 |
$26.86 |
$26.86 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$451.66 |
$451.66 |
$451.66 |
$160.80
|
|
Bundled special stain group 2
|
$873.47 |
$873.47 |
$873.47 |
$173.46
|
|
Bundle his recording
|
$5,280.82 |
$5,280.82 |
$5,280.82 |
$5,026.45
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$32.39 |
$32.39 |
$32.39 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$63.05 |
$63.05 |
$63.05 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$157.23 |
$157.23 |
$157.23 |
$82.82
|
|
Butorphanol tartrate, nasal
|
$1,096.53 |
$1,096.53 |
$1,096.53 |
$248.82
|
|
C-1 esterase, berinert
|
$264.71 |
$264.71 |
$264.71 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$28,958.73 |
$28,958.73 |
$28,958.73 |
$7,483.77
|
|
Cabergoline, oral 0.25mg
|
$74.62 |
$74.62 |
$74.62 |
$65.85
|
|
Cadd pump refill
|
$513.49 |
$513.49 |
$513.49 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$130.14 |
$130.14 |
$130.14 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$10,274.37 |
$10,274.37 |
$10,274.37 |
$2,111.64
|
|
Calcium 24 hour urine
|
$737.13 |
$737.13 |
$737.13 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$9.72 |
$9.72 |
$9.72 |
$2.70
|
|
Calcium ionized
|
$784.00 |
$784.00 |
$784.00 |
$90.00
|
|
Calculi urinary-sendout
|
$1,002.73 |
$1,002.73 |
$1,002.73 |
$68.05
|
|
Calprotectin fecal
|
$1,431.65 |
$1,431.65 |
$1,431.65 |
$169.95
|
|
Campylobacter antibody
|
$728.60 |
$728.60 |
$728.60 |
$77.83
|
|
Candida skin test
|
$102.25 |
$102.25 |
$102.25 |
$58.76
|
|
Capecitabine, oral, 50 mg
|
$83.71 |
$83.71 |
$83.71 |
$59.42
|
|
Carbamazepine total therapeutic drug level
|
$1,012.66 |
$1,012.66 |
$1,012.66 |
$120.25
|
|
Carbohydrate urine - sendout
|
$329.51 |
$329.51 |
$329.51 |
$66.64
|
|
Carbon dioxide
|
$399.10 |
$399.10 |
$399.10 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$2,986.21 |
$2,986.21 |
$2,986.21 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$1,041.08 |
$1,041.08 |
$1,041.08 |
$85.00
|
|
Car-car bp grft/endovas taa
|
$9,920.04 |
$9,920.04 |
$9,920.04 |
$4,699.20
|
|
Carcinoembryonic ag (cea)
|
$805.30 |
$805.30 |
$805.30 |
$144.00
|
|
Cardiac drug stress test
|
$2,118.56 |
$2,118.56 |
$2,118.56 |
$517.33
|
|
Cardiac perf planar sgl/ef/wm
|
$5,667.54 |
$5,667.54 |
$5,667.54 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$8,897.48 |
$8,897.48 |
$8,897.48 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$897.79 |
$897.79 |
$897.79 |
$244.00
|
|
Card MRI veloc flow mapping
|
$907.20 |
$907.20 |
$907.20 |
$600.50
|
|
Carotene
|
$900.46 |
$900.46 |
$900.46 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,842.10 |
$2,842.10 |
$2,842.10 |
$1,018.68
|
|
Carotid intima atheroma eval
|
$312.23 |
$312.23 |
$312.23 |
$274.96
|
|
Car seat/bed test 60 minutes
|
$103.62 |
$103.62 |
$103.62 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$24.90 |
$24.90 |
$24.90 |
$65.00
|
|
Catecholamines,fractionated, urine
|
$1,712.87 |
$1,712.87 |
$1,712.87 |
$117.14
|
|
Cath access del ds spyscop 2.0
|
$77,265.00 |
$77,265.00 |
$77,265.00 |
$5,212.99
|
|
Catheterization collection of specimen single patient all places of service
|
$855.01 |
$855.01 |
$855.01 |
$40.95
|
|
Cath left heart transseptal punc
|
$9,954.79 |
$9,954.79 |
$9,954.79 |
$6,009.00
|
|
Cath right hrt mnpul art
|
$11,633.65 |
$11,633.65 |
$11,633.65 |
$1,015.96
|
|
Cath segmntl pulm art
|
$14,578.61 |
$14,578.61 |
$14,578.61 |
$1,458.34
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$3,652.00 |
$3,652.00 |
$3,652.00 |
$381.36
|
|
Cdna analysis for variants
|
$3,188.56 |
$3,188.56 |
$3,188.56 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$8.23 |
$8.23 |
$8.23 |
$37.70
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$2,950.64 |
$2,950.64 |
$2,950.64 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$27.80 |
$27.80 |
$27.80 |
$63.05
|
|
Ceftazidime and avibactam
|
$3,996.39 |
$3,996.39 |
$3,996.39 |
$904.66
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$20.80 |
$20.80 |
$20.80 |
$29.45
|
|
#celiac hla-dq2
|
$511.60 |
$511.60 |
$511.60 |
$225.12
|
|
Cell count body fluid
|
$613.56 |
$613.56 |
$613.56 |
$63.63
|
|
Cell marker study
|
$613.56 |
$613.56 |
$613.56 |
$247.20
|
|
Cerebrospinal fld flw imag
|
$2,983.91 |
$2,983.91 |
$2,983.91 |
$938.50
|
|
Cerv collar supp adj cerv ba
|
$4,771.00 |
$4,771.00 |
$4,771.00 |
$1,124.77
|
|
Change cystostomy tube; complex 51710
|
$7,812.66 |
$7,812.66 |
$7,812.66 |
$1,470.75
|
|
Change nephroureteral cath
|
$7,312.42 |
$7,312.42 |
$7,312.42 |
$2,969.25
|
|
Change ureter stent percut
|
$21,948.35 |
$21,948.35 |
$21,948.35 |
$3,863.60
|
|
Chest 2 vws w oblique
|
$1,153.19 |
$1,153.19 |
$1,153.19 |
$377.06
|
|
Chest apical lordotic proj
|
$1,037.34 |
$1,037.34 |
$1,037.34 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$11,429.80 |
$11,429.80 |
$11,429.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$8,418.17 |
$8,418.17 |
$8,418.17 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$8,418.17 |
$8,418.17 |
$8,418.17 |
$1,350.03
|
|
Chest X-ray
|
$976.72 |
$976.72 |
$976.72 |
$294.06
|
|
Chest X-ray (single view)
|
$901.28 |
$901.28 |
$901.28 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$325.86 |
$325.86 |
$325.86 |
$147.95
|
|
Chlamydia culture
|
$1,212.94 |
$1,212.94 |
$1,212.94 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$460.18 |
$460.18 |
$460.18 |
$74.88
|
|
Chlamydia type
|
$27.85 |
$27.85 |
$27.85 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$545.62 |
$545.62 |
$545.62 |
$301.40
|
|
Chloride
|
$345.14 |
$345.14 |
$345.14 |
$40.95
|
|
Chloride 24 hour urine
|
$463.02 |
$463.02 |
$463.02 |
$49.50
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,357.29 |
$1,357.29 |
$1,357.29 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$222.33 |
$222.33 |
$222.33 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$16.12 |
$16.12 |
$16.12 |
$3.95
|
|
Cholangiogram percutaneous compl
|
$38,036.55 |
$38,036.55 |
$38,036.55 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,422.26 |
$2,422.26 |
$2,422.26 |
$602.40
|
|
Cholesterol
|
$515.56 |
$515.56 |
$515.56 |
$45.76
|
|
Cholesterol body fluid
|
$460.18 |
$460.18 |
$460.18 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$926.04 |
$926.04 |
$926.04 |
$115.80
|
|
Cholinesterase
|
$947.33 |
$947.33 |
$947.33 |
$38.69
|
|
Chrom analysis
|
$1,725.65 |
$1,725.65 |
$1,725.65 |
$156.00
|
|
Chromatography
|
$1,471.42 |
$1,471.42 |
$1,471.42 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$3,155.88 |
$3,155.88 |
$3,155.88 |
$512.20
|
|
Chromosome analys placenta
|
$12,002.87 |
$12,002.87 |
$12,002.87 |
$618.60
|
|
Chromosome study additional
|
$1,310.93 |
$1,310.93 |
$1,310.93 |
$147.03
|
|
Cilastatin sodium injection
|
$453.79 |
$453.79 |
$453.79 |
$77.40
|
