|
Brace knee hing pat open med
|
$30.74 |
$30.74 |
$30.74 |
$210.60
|
|
Brace m arm board
|
$162.50 |
$162.50 |
$162.50 |
$117.00
|
|
Brace oths wrist hnd fngr without
|
$162.50 |
$162.50 |
$162.50 |
$231.80
|
|
Brace wrist classic lft sm
|
$47.50 |
$47.50 |
$47.50 |
$79.23
|
|
Brach/thor cath 1st
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,995.00
|
|
Brach/thor cath 2nd
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,087.40
|
|
Brach/thor cath 3rd
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,151.93
|
|
Brach/thor cath addl
|
$560.00 |
$560.00 |
$560.00 |
$889.50
|
|
Brachy source i-125 injection
|
$115.00 |
$115.00 |
$115.00 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$115.00 |
$115.00 |
$115.00 |
$64.48
|
|
Brachy source palladium
|
$167.50 |
$167.50 |
$167.50 |
$138.44
|
|
Brachy source palladium-103 nonstranded
|
$167.50 |
$167.50 |
$167.50 |
$110.22
|
|
Brachy src nonstrand hdr ir-192
|
$835.00 |
$835.00 |
$835.00 |
$473.52
|
|
Brachytx isodose complex
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$1,641.90
|
|
Brachytx isodose intermed
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$929.40
|
|
Braf gene
|
$427.50 |
$427.50 |
$427.50 |
$427.50
|
|
Brain image w/flow < 4 views
|
$775.00 |
$775.00 |
$775.00 |
$868.68
|
|
Brain image w/flow 4 + views
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,353.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,794.35
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,874.95
|
|
Brain MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,976.82
|
|
Bra surgical elizabeth pink sm
|
$133.30 |
$133.30 |
$133.30 |
$125.71
|
|
Brcassure ashkenazi panel-sendout
|
$805.00 |
$805.00 |
$805.00 |
$528.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$3,086.46
|
|
Breast prosthes without adhesive
|
$210.00 |
$210.00 |
$210.00 |
$431.20
|
|
Breast punct aspir cyst, bil
|
$430.00 |
$430.00 |
$430.00 |
$865.26
|
|
Breath recording infant
|
$730.00 |
$730.00 |
$730.00 |
$1,164.00
|
|
Bronchial allergy tests
|
$412.50 |
$412.50 |
$412.50 |
$746.46
|
|
Bronchial challenge
|
$600.00 |
$600.00 |
$600.00 |
$765.50
|
|
Br punct aspir ea add, l
|
$215.00 |
$215.00 |
$215.00 |
$374.40
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$5.35 |
$5.35 |
$5.35 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$140.00 |
$140.00 |
$140.00 |
$161.46
|
|
Bundled special stain group 2
|
$720.00 |
$720.00 |
$720.00 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.69 |
$0.69 |
$0.69 |
$34.75
|
|
Buprenorphine and metabolite - sendout
|
$57.50 |
$57.50 |
$57.50 |
$85.14
|
|
Bx bone trocar/ndl deep
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$3,402.00
|
|
Bx breast 1st lesion strtctc
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,888.90
|
|
Bx breast add lesion Ultrasound imag
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$1,827.50
|
|
Bx pancreas pq ndl
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,665.60
|
|
Bx pleura pq ndl
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$1,637.90
|
|
Bx skin incisnl ea sep/add l les
|
$115.00 |
$115.00 |
$115.00 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$115.00 |
$115.00 |
$115.00 |
$231.10
|
|
Bx skin tangential ea sep/ addl les
|
$115.00 |
$115.00 |
$115.00 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$755.00 |
$755.00 |
$755.00 |
$982.41
|
|
Bx vag mucos smpl (sep proc)
|
$660.00 |
$660.00 |
$660.00 |
$1,255.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$430.00 |
$430.00 |
$430.00 |
$1,177.45
|
|
Bx vulva or perineum/ea add lesion 56606
|
$215.00 |
$215.00 |
$215.00 |
$509.60
|
|
Bypass temp external fem-fem
|
$4,970.00 |
$4,970.00 |
$4,970.00 |
$2,056.80
|
|
C1 esterase inhibitor func - sendout
|
$270.00 |
$270.00 |
$270.00 |
$84.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,602.29 |
$1,602.29 |
$1,602.29 |
$2,210.98
|
|
Calcium 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$52.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.91 |
$0.91 |
$0.91 |
$92.91
|
|
Calcium ionized
|
$47.50 |
$47.50 |
$47.50 |
$88.00
|
|
Calcium total
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Calprotectin fecal
|
$210.00 |
$210.00 |
$210.00 |
$166.25
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$90.00 |
$90.00 |
$90.00 |
$85.18
|
|
Campylobacter antibody
|
$30.00 |
$30.00 |
$30.00 |
$75.00
|
|
Candida dna
|
$62.50 |
$62.50 |
$62.50 |
$63.00
|
|
Cannabinoid synthetic 7/more
|
$75.00 |
$75.00 |
$75.00 |
$85.14
|
|
Cannula ercp contour 5-4-3 tip
|
$9,591.14 |
$9,591.14 |
$9,591.14 |
$36,313.87
|
|
Cap nerve 2x15mm
|
$5,855.39 |
$5,855.39 |
$5,855.39 |
$25,972.19
|
|
Cap trach decann 15mm
|
$2,905.26 |
$2,905.26 |
$2,905.26 |
$3,283.80
|
|
Carbamazepine free
|
$50.00 |
$50.00 |
$50.00 |
$50.88
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$167.50 |
$167.50 |
$167.50 |
$123.49
|
|
Carbon dioxide
|
$47.50 |
$47.50 |
$47.50 |
$44.82
|
|
Carboxyhemoglobin quantitative
|
$32.50 |
$32.50 |
$32.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$142.50 |
$142.50 |
$142.50 |
$142.50
|
|
Cardiac perf planar mult/ef/wm
|
$3,050.00 |
$3,050.00 |
$3,050.00 |
$2,764.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$2,664.44
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$240.00 |
$240.00 |
$240.00 |
$249.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$237.50 |
$237.50 |
$237.50 |
$196.51
|
|
Cardiolipin antibody iga
|
$70.00 |
$70.00 |
$70.00 |
$105.30
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$955.00 |
$955.00 |
$955.00 |
$1,461.75
|
|
Carotene
|
$70.00 |
$70.00 |
$70.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,036.00
|
|
Car seat/bed test 60 minutes
|
$130.00 |
$130.00 |
$130.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$65.00 |
$65.00 |
$65.00 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$412.30 |
$412.30 |
$412.30 |
$855.70
|
|
Cath ablt clsfast 7fx100cmx
|
$2,590.77 |
$2,590.77 |
$2,590.77 |
$2,914.39
|
|
Cath ablt rx lasr 2.0mm turbo
|
$8,395.50 |
$8,395.50 |
$8,395.50 |
$6,034.32
|
|
Cath acuity innr ic130 6f 63cm
|
$7,008.00 |
$7,008.00 |
$7,008.00 |
$8,418.90
|
|
Cath adherent clot 10mm 6f 10
|
$34,440.00 |
$34,440.00 |
$34,440.00 |
$18,003.00
|
|
Cath cv dl inj 7fx16cm
|
$3,589.24 |
$3,589.24 |
$3,589.24 |
$4,834.73
|
|
Cath del ampltz 12f 45d 80cm
|
$773.07 |
$773.07 |
$773.07 |
$2,337.00
|
|
Catheter declot mechanical
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,829.42
|
|
Catheterization collection of specimen single patient all places of service
|
$10.00 |
$10.00 |
$10.00 |
$40.95
|
|
Catheter stripping venous
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$980.69 |
$980.69 |
$980.69 |
$1,791.68
|
|
Cath hawkone s directional
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
$6,899.20
|
|
Cath imag ivus pv 8.5fx90 .035
|
$7,008.00 |
$7,008.00 |
$7,008.00 |
$4,499.78
|
