|
Brachy source yttrium-90
|
$99,999.99 |
$99,999.99 |
$99,999.99 |
$32,024.61
|
|
Brachy src nonstrand hdr ir-192
|
$3,439.78 |
$3,439.78 |
$3,439.78 |
$378.98
|
|
Brachytx isodose complex
|
$6,537.53 |
$6,537.53 |
$6,537.53 |
$1,631.00
|
|
Brachytx isodose intermed
|
$5,771.47 |
$5,771.47 |
$5,771.47 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$5,771.47 |
$5,771.47 |
$5,771.47 |
$817.20
|
|
Brain image 4+ views
|
$952.88 |
$952.88 |
$7,298.57 |
$746.61
|
|
Brain image w/flow 4 + views
|
$1,242.05 |
$1,242.05 |
$1,242.05 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,331.00 |
$2,331.00 |
$26,813.05 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,599.85 |
$1,599.85 |
$19,092.93 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,523.55 |
$1,523.55 |
$16,499.75 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$4,891.25 |
$4,891.25 |
$14,937.12 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,141.20 |
$4,141.20 |
$13,705.33 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$3,000.90 |
$3,000.90 |
$10,868.21 |
$1,927.04
|
|
Bra surgical elizabeth pink sm
|
$55.13 |
$55.13 |
$55.13 |
$86.89
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,045.61 |
$2,045.61 |
$2,045.61 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$515.03 |
$515.03 |
$515.03 |
$832.60
|
|
Breath recording infant
|
$11,923.90 |
$11,923.90 |
$11,923.90 |
$1,077.10
|
|
Breath tst attain/anal c-14
|
$3,706.25 |
$3,706.25 |
$3,706.25 |
$60.43
|
|
Bronchial challenge
|
$4,156.77 |
$4,156.77 |
$4,156.77 |
$835.20
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,916.46 |
$1,916.46 |
$1,916.46 |
$2,256.75
|
|
Br punct aspir ea add, l
|
$252.32 |
$252.32 |
$252.32 |
$387.96
|
|
Budesonide non-comp unit
|
$67.60 |
$67.60 |
$67.60 |
$32.78
|
|
Bundled special stain group 1 microorganisms
|
$189.67 |
$189.67 |
$290.73 |
$164.89
|
|
Bundled special stain group 2
|
$173.95 |
$173.95 |
$173.95 |
$169.60
|
|
Buprenorphine hydrochloride
|
$161.92 |
$161.92 |
$161.92 |
$42.14
|
|
Buprenorphine oral 1mg
|
$3.53 |
$3.53 |
$3.53 |
$11.95
|
|
Bur rotalink 2.15mm
|
$9,628.85 |
$9,628.85 |
$9,628.85 |
$5,211.46
|
|
Butorphanol tartrate 1 mg
|
$6.99 |
$6.99 |
$6.99 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$1,167.08 |
$1,167.08 |
$1,167.08 |
$2,264.77
|
|
Bx breast 1st lesion strtctc
|
$2,745.23 |
$2,745.23 |
$2,745.23 |
$3,735.03
|
|
Bx breast add lesion strtctc
|
$2,489.45 |
$2,489.45 |
$2,489.45 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,473.15 |
$1,473.15 |
$1,473.15 |
$1,708.85
|
|
Bx pancreas pq ndl
|
$542.75 |
$542.75 |
$542.75 |
$1,761.70
|
|
Bx pleura pq ndl
|
$716.94 |
$716.94 |
$716.94 |
$1,732.00
|
|
Bx skin incisnl ea sep/add l les
|
$178.92 |
$178.92 |
$178.92 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$178.92 |
$178.92 |
$178.92 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$178.92 |
$178.92 |
$178.92 |
$203.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,151.33 |
$1,151.33 |
$1,151.33 |
$1,020.60
|
|
C-1 esterase, berinert
|
$19,377.48 |
$19,377.48 |
$19,377.48 |
$5,694.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$158.03 |
$158.03 |
$158.03 |
$2,910.00
|
|
Calcium 24 hour urine
|
$34.02 |
$34.02 |
$503.01 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$9.54 |
$9.54 |
$9.54 |
$2.47
|
|
Calcium ionized
|
$88.20 |
$88.20 |
$816.80 |
$86.35
|
|
Calcium total
|
$75.71 |
$75.71 |
$719.90 |
$48.75
|
|
Calculi urinary-sendout
|
$1,758.21 |
$1,758.21 |
$1,758.21 |
$68.05
|
|
Calprotectin fecal
|
$106.58 |
$106.58 |
$1,848.97 |
$170.00
|
|
Campylobacter antibody
|
$52.61 |
$52.61 |
$52.61 |
$66.61
|
|
Cannula ercp contour 5-4-3 tip
|
$23,084.88 |
$23,084.88 |
$23,084.88 |
$19,500.00
|
|
Capecitabine, oral, 50 mg
|
$345.46 |
$345.46 |
$345.46 |
$46.43
|
|
Cap nerve 2x15mm
|
$14,393.14 |
$14,393.14 |
$14,393.14 |
$9,142.85
|
|
Capsulotomy mpj ea joint (sep proc)
|
$875.70 |
$875.70 |
$875.70 |
$3,591.33
|
|
Cap trach decann 15mm
|
$807.40 |
$807.40 |
$807.40 |
$1,842.60
|
|
Carbamazepine free
|
$62.37 |
$62.37 |
$62.37 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$45.50 |
$45.50 |
$1,247.51 |
$113.25
|
|
Carbon dioxide
|
$22.37 |
$22.37 |
$870.63 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$437.68 |
$437.68 |
$437.68 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$33.08 |
$33.08 |
$284.58 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$207.90 |
$207.90 |
$1,624.37 |
$146.90
|
|
Cardiac drug stress test
|
$1,529.46 |
$1,529.46 |
$1,529.46 |
$543.20
|
|
Cardiac perf planar mult/ef/wm
|
$5,327.35 |
$5,327.35 |
$5,327.35 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$4,421.90 |
$4,421.90 |
$4,421.90 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,421.90 |
$4,421.90 |
$4,421.90 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$921.94 |
$921.94 |
$921.94 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$814.19 |
$814.19 |
$814.19 |
$195.00
|
|
Cardiac shunt imaging
|
$7,111.11 |
$7,111.11 |
$7,111.11 |
$860.63
|
|
Cardioassist internal
|
$18,151.41 |
$18,151.41 |
$18,151.41 |
$1,468.00
|
|
Cardiolipin antibody iga
|
$68.67 |
$68.67 |
$68.67 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$864.36 |
$864.36 |
$864.36 |
$1,504.08
|
|
Cardioversion/elective/internal 92961
|
$706.86 |
$706.86 |
$5,947.31 |
$1,001.38
|
|
Carotene
|
$34.34 |
$34.34 |
$34.34 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,661.80 |
$1,661.80 |
$1,661.80 |
$1,067.40
|
|
Car outp meas drg cath chd
|
$216.09 |
$216.09 |
$216.09 |
$259.60
|
|
Carpal Tunnel Release Surgery
|
$1,465.70 |
$1,465.70 |
$1,465.70 |
$3,899.19
|
|
Ca screen;flexi sigmoidscope
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$1,078.88
|
|
Cataract Surgery
|
$2,734.57 |
$2,734.57 |
$2,734.57 |
$3,173.34
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$368.97 |
$368.97 |
$368.97 |
$459.03
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$1,730.19 |
$1,730.19 |
$1,730.19 |
$4,974.88
|
|
Cath access del ds spyscop 2.0
|
$0.35 |
$0.35 |
$0.35 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$4,573.54 |
$4,573.54 |
$4,573.54 |
$3,803.52
|
|
Cath acunav ge 10frx90cm
|
$1,157.63 |
$1,157.63 |
$1,157.63 |
$4,259.82
|
|
Cath adherent clot 10mm 6f 10
|
$12,321.54 |
$12,321.54 |
$12,321.54 |
$13,074.30
|
|
Cath combo lt&rt heart w/inj/s
|
$4,865.81 |
$4,865.81 |
$4,865.81 |
$8,832.72
|
|
Cath cv dl inj 7fx16cm
|
$2,121.95 |
$2,121.95 |
$2,121.95 |
$2,712.53
|
|
Cath del ampltz 12f 45d 80cm
|
$1,004.01 |
$1,004.01 |
$1,004.01 |
$1,406.20
|
|
Cath epdrl brevi-stf 12in .043
|
$1,623.99 |
$1,623.99 |
$1,623.99 |
$1,877.15
|
|
Catheter insert artery
|
$68.99 |
$68.99 |
$68.99 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$25.20 |
$25.20 |
$1,022.93 |
$48.75
|
|
Cath groshong MRI 8fr plstc port
|
$543.90 |
$543.90 |
$543.90 |
$1,290.87
|
|
Cath hawkone s directional
|
$8,073.24 |
$8,073.24 |
$8,073.24 |
$6,285.56
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,691.97 |
$1,691.97 |
$1,691.97 |
$3,053.12
|
|
Cath left heart/lv gram
|
$3,621.24 |
$3,621.24 |
$3,621.24 |
$7,226.24
|
|
Cath malecot 28fr 4-wing ltx
|
$2,507.46 |
$2,507.46 |
$2,507.46 |
$1,882.80
|
|
Cath place 1st order venous 36011
|
$355.01 |
$355.01 |
$355.01 |
$1,492.70
|
|
Cath plc art ang/grft lt/rt hr
|
$10,068.80 |
$10,068.80 |
$10,068.80 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$8,251.95 |
$8,251.95 |
$8,251.95 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$8,933.40 |
$8,933.40 |
$8,933.40 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$2,424.56 |
$2,424.56 |
$2,424.56 |
$6,306.85
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$266.49 |
$266.49 |
$266.49 |
$474.40
|
|
Cath steerable flex adv 12f
|
$294.74 |
$294.74 |
$294.74 |
$2,139.50
|
|
Cath stripping venous s&i
|
$14,217.03 |
$14,217.03 |
$14,217.03 |
$602.40
|
