|
Borrelia miyamotoi amp prb
|
$146.00 |
$146.00 |
$146.00 |
$68.88
|
|
Bowel imaging
|
$552.00 |
$552.00 |
$552.00 |
$1,065.00
|
|
Bpg axillary-pop/-tibial
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$1,847.50
|
|
Bpg ilio-celiac
|
$2,002.50 |
$2,002.50 |
$2,002.50 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$2,192.00
|
|
Bpg iliorenal
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,221.00
|
|
Brach/thor cath 1st
|
$221.00 |
$221.00 |
$221.00 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$292.50 |
$292.50 |
$292.50 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$363.50 |
$363.50 |
$363.50 |
$2,079.00
|
|
Brach/thor cath addl
|
$55.50 |
$55.50 |
$55.50 |
$868.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,595.50 |
$1,595.50 |
$1,595.50 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$993.50 |
$993.50 |
$993.50 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,940.50 |
$1,940.50 |
$1,940.50 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$685.00 |
$685.00 |
$685.00 |
$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
|
$358.00 |
$358.00 |
$358.00 |
$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
|
$67.50 |
$67.50 |
$67.50 |
$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
|
$810.00 |
$810.00 |
$810.00 |
$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
|
$436.50 |
$436.50 |
$436.50 |
$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
|
$63.00 |
$63.00 |
$63.00 |
$1,540.50
|
|
Bx prostate trnsrctl u/s guid
|
$3,376.00 |
$3,376.00 |
$3,376.00 |
$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
|
$174.00 |
$174.00 |
$174.00 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$174.00 |
$174.00 |
$174.00 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$161.00 |
$161.00 |
$161.00 |
$1,917.33
|
|
Bx vag mucos smpl (sep proc)
|
$68.50 |
$68.50 |
$68.50 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$882.00 |
$882.00 |
$882.00 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$30.50 |
$30.50 |
$30.50 |
$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
|
$503.00 |
$503.00 |
$503.00 |
$4,946.50
|
|
Calcium 24 hour urine
|
$25.50 |
$25.50 |
$25.50 |
$53.00
|
|
Calcium ionized
|
$41.00 |
$41.00 |
$41.00 |
$90.00
|
|
Calcium total
|
$15.00 |
$15.00 |
$15.00 |
$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
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$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
|
$62.00 |
$62.00 |
$62.00 |
$120.25
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carboxyhemoglobin quantitative
|
$30.00 |
$30.00 |
$30.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$125.00 |
$125.00 |
$125.00 |
$244.00
|
|
Cardiac Stress Test
|
$72.00 |
$72.00 |
$72.00 |
$210.00
|
|
Cardiolipin antibody iga
|
$78.50 |
$78.50 |
$78.50 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$950.50 |
$950.50 |
$950.50 |
$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
|
$41.50 |
$41.50 |
$41.50 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$20.50 |
$20.50 |
$20.50 |
$51.50
|
|
Care manage beh svs 20mins
|
$68.00 |
$68.00 |
$68.00 |
$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)
|
$315.00 |
$315.00 |
$315.00 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$475.00 |
$475.00 |
$475.00 |
$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
|
$512.00 |
$512.00 |
$512.00 |
$3,889.06
|
|
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
|
$12.00 |
$12.00 |
$12.00 |
$40.95
|
