|
Brcassure comprehensive panel-sendout
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$152.50 |
$152.50 |
$152.50 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$42.50 |
$42.50 |
$42.50 |
$847.00
|
|
Breast reduction
|
$1,117.50 |
$1,117.50 |
$1,117.50 |
$7,126.06
|
|
Brief comunicaj tech-bsd svc
|
$15.50 |
$15.50 |
$15.50 |
$29.25
|
|
Bronchial challenge
|
$73.50 |
$73.50 |
$73.50 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$153.00 |
$153.00 |
$153.00 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$182.50 |
$182.50 |
$182.50 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$161.50 |
$161.50 |
$161.50 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$182.00 |
$182.00 |
$182.00 |
$2,445.96
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$164.50 |
$164.50 |
$164.50 |
$571.00
|
|
Br punct aspir ea add, l
|
$21.00 |
$21.00 |
$21.00 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$46.50 |
$46.50 |
$46.50 |
$160.80
|
|
Bundled special stain group 2
|
$175.00 |
$175.00 |
$175.00 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$10.00 |
$10.00 |
$10.00 |
$82.82
|
|
Bx arm/elbow soft tissue supf 24065
|
$164.50 |
$164.50 |
$164.50 |
$1,935.63
|
|
Bx breast 1st lesion mr imag
|
$176.00 |
$176.00 |
$176.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$161.00 |
$161.00 |
$161.00 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$87.50 |
$87.50 |
$87.50 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$81.00 |
$81.00 |
$81.00 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$76.00 |
$76.00 |
$76.00 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$74.00 |
$74.00 |
$74.00 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$12.50 |
$12.50 |
$12.50 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$292.00 |
$292.00 |
$292.00 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$463.50 |
$463.50 |
$463.50 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$282.00 |
$282.00 |
$282.00 |
$4,184.94
|
|
Bx liver with other
|
$111.50 |
$111.50 |
$111.50 |
$543.40
|
|
Bx muscle
|
$105.00 |
$105.00 |
$105.00 |
$1,917.33
|
|
Bx of breast open 19101
|
$248.00 |
$248.00 |
$248.00 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$165.00 |
$165.00 |
$165.00 |
$3,876.00
|
|
Bx perianal mass
|
$180.00 |
$180.00 |
$180.00 |
$1,540.50
|
|
Bx prostate trnsrctl u/s guid
|
$156.50 |
$156.50 |
$156.50 |
$4,050.75
|
|
Bx skin incisnl ea sep/add l les
|
$29.00 |
$29.00 |
$29.00 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$25.00 |
$25.00 |
$25.00 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$22.50 |
$22.50 |
$22.50 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$161.00 |
$161.00 |
$161.00 |
$1,917.33
|
|
Bx vag mucos smpl (sep proc)
|
$882.50 |
$882.50 |
$882.50 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$30.00 |
$30.00 |
$30.00 |
$465.09
|
|
Bypass graft/av fist patency
|
$178.50 |
$178.50 |
$178.50 |
$868.40
|
|
Bypass graft patency/patch
|
$219.50 |
$219.50 |
$219.50 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$670.50 |
$670.50 |
$670.50 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$262.50 |
$262.50 |
$262.50 |
$96.72
|
|
Cabgsingle artery graft 33533
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$4,567.20
|
|
Cabg venous & art 1 vein graft 33517
|
$206.00 |
$206.00 |
$206.00 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$451.50 |
$451.50 |
$451.50 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$597.00 |
$597.00 |
$597.00 |
$1,071.60
|
|
Cable cath 22-pin diag
|
$512.50 |
$512.50 |
$512.50 |
$4,946.50
|
|
Calcium 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$53.00
|
|
Calcium ionized
|
$178.50 |
$178.50 |
$178.50 |
$90.00
|
|
Calcium total
|
$24.00 |
$24.00 |
$24.00 |
$50.00
|
|
Calprotectin fecal
|
$30.00 |
$30.00 |
$30.00 |
$169.95
|
|
Cannula declotting 36861
|
$149.50 |
$149.50 |
$149.50 |
$5,855.00
|
|
Cantharidin top, applicator
|
$944.00 |
$944.00 |
$944.00 |
$1,113.94
|
|
Canthotomy 67715
|
$112.00 |
$112.00 |
$112.00 |
$2,956.50
|
|
Capsaicin 8% patch
|
$5.00 |
$5.00 |
$5.00 |
$4,719.65
|
|
Capsulotomy mpj ea joint (sep proc)
|
$351.50 |
$351.50 |
$351.50 |
$3,545.97
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$68.50 |
$68.50 |
$68.50 |
$120.25
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carboxyhemoglobin quantitative
|
$47.00 |
$47.00 |
$47.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac Stress Test
|
$77.50 |
$77.50 |
$77.50 |
$210.00
|
|
Cardiolipin antibody iga
|
$39.00 |
$39.00 |
$39.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$256.50 |
$256.50 |
$256.50 |
$1,114.00
|
|
Caregiver health risk assmt
|
$36.00 |
$36.00 |
$36.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$44.00 |
$44.00 |
$44.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$22.00 |
$22.00 |
$22.00 |
$51.50
|
|
Care manage beh svs 20mins
|
$79.00 |
$79.00 |
$79.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$44.50 |
$44.50 |
$44.50 |
$55.09
|
|
Carotene
|
$9.50 |
$9.50 |
$9.50 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$272.50 |
$272.50 |
$272.50 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$466.50 |
$466.50 |
$466.50 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$59.50 |
$59.50 |
$59.50 |
$1,206.00
|
|
Cast sup lng arm splnt ped p
|
$10.50 |
$10.50 |
$10.50 |
$11.44
|
|
Cataract Surgery
|
$508.00 |
$508.00 |
$508.00 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$511.50 |
$511.50 |
$511.50 |
$3,889.06
|
|
Cath epdrl brevi-stf 12in .043
|
$73.00 |
$73.00 |
$73.00 |
$1,911.42
|
|
Catheter declot mechanical
|
$47.00 |
$47.00 |
$47.00 |
$1,838.28
|
|
Catheter insert artery
|
$112.50 |
$112.50 |
$112.50 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$19.00 |
$19.00 |
$19.00 |
$40.95
|
|
Cath lt/rt pulm art
|
$155.00 |
$155.00 |
$155.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$163.00 |
$163.00 |
$163.00 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$132.50 |
$132.50 |
$132.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$59.50 |
$59.50 |
$59.50 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$362.50 |
$362.50 |
$362.50 |
$340.90
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$1.50 |
$1.50 |
$1.50 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$2.00 |
$2.00 |
$2.00 |
$44.03
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$2.00 |
$2.00 |
$2.00 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$1.00 |
$1.00 |
$1.00 |
$84.18
|
|
Cell count w differential body fluid
|
$128.50 |
$128.50 |
$128.50 |
$93.23
|
|
Cell cryopreserve/storage
|
$19.50 |
$19.50 |
$19.50 |
$62.72
|
|
Cell function assay w/stim
|
$270.00 |
$270.00 |
$270.00 |
$314.25
|
|
Cell marker study
|
$153.50 |
$153.50 |
$153.50 |
$247.20
|
|
Cervical or vaginal cancer screening g0101
|
$97.50 |
$97.50 |
$97.50 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$2,194.65
|
