|
Brain MRI (with and without contrast)
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,000.86 |
$1,000.86 |
$1,000.86 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$800.52 |
$800.52 |
$800.52 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$2,299.50 |
$2,299.50 |
$2,299.50 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,179.36 |
$1,179.36 |
$1,179.36 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$58.38 |
$58.38 |
$58.38 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$402.36 |
$402.36 |
$402.36 |
$871.80
|
|
Breath test analysis c-14
|
$2,089.50 |
$2,089.50 |
$2,089.50 |
$245.65
|
|
Breath tst attain/anal c-14
|
$251.16 |
$251.16 |
$251.16 |
$108.50
|
|
Bronchial challenge
|
$241.92 |
$241.92 |
$241.92 |
$820.05
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$978.18 |
$978.18 |
$978.18 |
$571.00
|
|
Br punct aspir ea add, l
|
$120.12 |
$120.12 |
$120.12 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$44.94 |
$44.94 |
$44.94 |
$159.00
|
|
Bundled special stain group 2
|
$108.36 |
$108.36 |
$108.36 |
$173.40
|
|
Bundle his recording
|
$2,750.58 |
$2,750.58 |
$2,750.58 |
$4,781.70
|
|
Buprenorphine and metabolite - sendout
|
$54.18 |
$54.18 |
$54.18 |
$80.64
|
|
Bur rotalink 2.15mm
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,714.02 |
$1,714.02 |
$1,714.02 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,463.70 |
$1,463.70 |
$1,463.70 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$574.14 |
$574.14 |
$574.14 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$628.32 |
$628.32 |
$628.32 |
$1,670.79
|
|
Bx breast pq tomo guide
|
$1,582.98 |
$1,582.98 |
$1,582.98 |
$4,509.59
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,561.60 |
$3,561.60 |
$3,561.60 |
$4,184.94
|
|
Bx pancreas pq ndl
|
$983.22 |
$983.22 |
$983.22 |
$1,610.05
|
|
Bx pleura pq ndl
|
$983.22 |
$983.22 |
$983.22 |
$1,608.00
|
|
Bx skin tangential ea sep/ addl les
|
$49.56 |
$49.56 |
$49.56 |
$206.00
|
|
Bx thyroid/percutan core needle 60100
|
$402.36 |
$402.36 |
$402.36 |
$963.80
|
|
Bypass temp external fem-fem
|
$4,997.58 |
$4,997.58 |
$4,997.58 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$126.00 |
$126.00 |
$126.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$273.00 |
$273.00 |
$273.00 |
$260.58
|
|
Cad breast MRI w/r&i
|
$26.46 |
$26.46 |
$26.46 |
$100.80
|
|
Cadd pump refill
|
$284.34 |
$284.34 |
$284.34 |
$386.60
|
|
Calcium 24 hour urine
|
$32.34 |
$32.34 |
$32.34 |
$53.00
|
|
Calcium ionized
|
$22.68 |
$22.68 |
$22.68 |
$90.00
|
|
Calcium total
|
$27.30 |
$27.30 |
$27.30 |
$50.00
|
|
Calprotectin fecal
|
$105.00 |
$105.00 |
$105.00 |
$170.00
|
|
Candida dna
|
$37.80 |
$37.80 |
$37.80 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$46,911.48 |
$46,911.48 |
$46,911.48 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$27,595.68 |
$27,595.68 |
$27,595.68 |
$18,466.88
|
|
Cap trach decann 15mm
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$3,238.70
|
|
Carbamazepine free
|
$37.80 |
$37.80 |
$37.80 |
$60.00
|
|
Carbamazepine free -sendout
|
$37.80 |
$37.80 |
$37.80 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$21.84 |
$21.84 |
$21.84 |
$122.85
|
|
Carbohydrate urine - sendout
|
$96.18 |
$96.18 |
$96.18 |
$66.64
|
|
Carbon dioxide
|
$6.30 |
$6.30 |
$6.30 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$31.50 |
$31.50 |
$31.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$138.18 |
$138.18 |
$138.18 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$671.16 |
$671.16 |
$671.16 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$556.50 |
$556.50 |
$556.50 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$556.50 |
$556.50 |
$556.50 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$133.98 |
$133.98 |
$133.98 |
$249.60
|
|
Cardiac shunt imaging
|
$636.30 |
$636.30 |
$636.30 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$33.60 |
$33.60 |
$33.60 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$830.34 |
$830.34 |
$830.34 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$373.38 |
$373.38 |
$373.38 |
$633.90
|
|
Carotene
|
$28.14 |
$28.14 |
$28.14 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$525.84 |
$525.84 |
$525.84 |
$1,024.32
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$905.94 |
$905.94 |
$905.94 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,641.44 |
$5,641.44 |
$5,641.44 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$2,564.10 |
$2,564.10 |
$2,564.10 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$6,540.75
|
|
Cath access del ds spyscop 2.0
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$6,440.28 |
$6,440.28 |
$6,440.28 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$20,237.28 |
$20,237.28 |
$20,237.28 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$9,199.68 |
$9,199.68 |
$9,199.68 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$6,151.74 |
$6,151.74 |
$6,151.74 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$2,051.70 |
$2,051.70 |
$2,051.70 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$2,051.70 |
$2,051.70 |
$2,051.70 |
$1,928.17
|
|
Catheterization collection of specimen single patient all places of service
|
$11.76 |
$11.76 |
$11.76 |
$40.95
|
|
Catheter stripping venous
|
$2,296.98 |
$2,296.98 |
$2,296.98 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$1,690.71
|
|
Cath hawkone s directional
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$6,440.28 |
$6,440.28 |
$6,440.28 |
$4,680.00
|
|
Cath left heart/lv gram
|
$4,742.22 |
$4,742.22 |
$4,742.22 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$3,003.42 |
$3,003.42 |
$3,003.42 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$246.54 |
$246.54 |
$246.54 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$1,618.26 |
$1,618.26 |
$1,618.26 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$18,397.68 |
$18,397.68 |
$18,397.68 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$758.52 |
$758.52 |
$758.52 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$11,689.44 |
$11,689.44 |
$11,689.44 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$9,930.48 |
$9,930.48 |
$9,930.48 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$10,708.74 |
$10,708.74 |
$10,708.74 |
$10,429.27
|
|
Cath ptca pcltxl agent 3x20mm
|
$11,039.28 |
$11,039.28 |
$11,039.28 |
$11,167.20
|
|
Cath right heart w/o2 sat & card
|
$5,183.64 |
$5,183.64 |
$5,183.64 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$131.46 |
$131.46 |
$131.46 |
$841.50
|
|
Cath segmntl pulm art
|
$186.90 |
$186.90 |
$186.90 |
$1,294.19
|
|
Cath steerable flex adv 12f
|
$3,891.30 |
$3,891.30 |
$3,891.30 |
$2,925.00
|
|
Cath stripping venous s&i
|
$283.08 |
$283.08 |
$283.08 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$8,279.88 |
$8,279.88 |
$8,279.88 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$1,187.34 |
$1,187.34 |
$1,187.34 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$128.52 |
$128.52 |
$128.52 |
$340.90
|
|
Cdna analysis for variants
|
$259.14 |
$259.14 |
$259.14 |
$542.87
|
