|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,807.18 |
$1,807.18 |
$1,807.18 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$175.62 |
$175.62 |
$175.62 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$342.14 |
$342.14 |
$342.14 |
$871.80
|
|
Bundled special stain group 1 microorganisms
|
$86.29 |
$86.29 |
$86.29 |
$159.00
|
|
Bundled special stain group 2
|
$206.94 |
$206.94 |
$206.94 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$85.79 |
$85.79 |
$85.79 |
$80.64
|
|
Bur rotalink 2.15mm
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$7,887.38
|
|
Bx breast add lesion Ultrasound imag
|
$735.64 |
$735.64 |
$735.64 |
$1,670.79
|
|
Bx thyroid/percutan core needle 60100
|
$714.82 |
$714.82 |
$714.82 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$226.80 |
$226.80 |
$226.80 |
$96.72
|
|
Cable cath 22-pin diag
|
$12,827.57 |
$12,827.57 |
$12,827.57 |
$4,946.50
|
|
Calcium 24 hour urine
|
$51.21 |
$51.21 |
$51.21 |
$53.00
|
|
Calcium ionized
|
$85.79 |
$85.79 |
$85.79 |
$90.00
|
|
Calcium total
|
$43.23 |
$43.23 |
$43.23 |
$50.00
|
|
Calprotectin fecal
|
$166.25 |
$166.25 |
$166.25 |
$170.00
|
|
Campylobacter antibody
|
$30.24 |
$30.24 |
$30.24 |
$77.83
|
|
Cannula ercp contour 5-4-3 tip
|
$111,135.53 |
$111,135.53 |
$111,135.53 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$56,659.28 |
$56,659.28 |
$56,659.28 |
$18,466.88
|
|
Cap trach decann 15mm
|
$6,915.25 |
$6,915.25 |
$6,915.25 |
$3,238.70
|
|
Carbamazepine free
|
$59.85 |
$59.85 |
$59.85 |
$60.00
|
|
Carbamazepine free -sendout
|
$59.85 |
$59.85 |
$59.85 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$34.58 |
$34.58 |
$34.58 |
$122.85
|
|
Carbohydrate urine - sendout
|
$152.28 |
$152.28 |
$152.28 |
$66.64
|
|
Carbon dioxide
|
$31.92 |
$31.92 |
$31.92 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$37.24 |
$37.24 |
$37.24 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$218.79 |
$218.79 |
$218.79 |
$145.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,961.32 |
$1,961.32 |
$1,961.32 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,986.50 |
$2,986.50 |
$2,986.50 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$151.63 |
$151.63 |
$151.63 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$95.90 |
$95.90 |
$95.90 |
$204.54
|
|
Cardiolipin antibody iga
|
$60.48 |
$60.48 |
$60.48 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$743.12 |
$743.12 |
$743.12 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$139.68 |
$139.68 |
$139.68 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$69.84 |
$69.84 |
$69.84 |
$51.52
|
|
Carotene
|
$44.56 |
$44.56 |
$44.56 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,059.95 |
$1,059.95 |
$1,059.95 |
$1,024.32
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,185.11 |
$1,185.11 |
$1,185.11 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$9,832.22 |
$9,832.22 |
$9,832.22 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$2,256.76 |
$2,256.76 |
$2,256.76 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$8,476.56 |
$8,476.56 |
$8,476.56 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$16,033.73 |
$16,033.73 |
$16,033.73 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$12,827.57 |
$12,827.57 |
$12,827.57 |
$4,212.11
|
|
Cath cv dl inj 7fx16cm
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$2,820.40 |
$2,820.40 |
$2,820.40 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$2,820.40 |
$2,820.40 |
$2,820.40 |
$1,928.17
|
|
Catheterization collection of specimen single patient all places of service
|
$48.32 |
$48.32 |
$48.32 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$4,617.80 |
$4,617.80 |
$4,617.80 |
$1,690.71
|
|
Cath hawkone s directional
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$8,066.46 |
$8,066.46 |
$8,066.46 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$11,224.49 |
$11,224.49 |
$11,224.49 |
$4,680.00
|
|
Cath malecot 28fr 4-wing ltx
|
$2,681.52 |
$2,681.52 |
$2,681.52 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$23,973.53 |
$23,973.53 |
$23,973.53 |
$19,384.20
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$273.44 |
$273.44 |
$273.44 |
$462.80
|
|
Cath steerable flex adv 12f
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$2,069.36 |
$2,069.36 |
$2,069.36 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$47.81 |
$47.81 |
$47.81 |
$340.90
|
|
#cbg+cort-cbg
|
$35.91 |
$35.91 |
$35.91 |
$66.55
|
|
Cdna analysis for variants
|
$372.05 |
$372.05 |
$372.05 |
$542.87
|
|
Cebpa gene full sequence
|
$437.78 |
$437.78 |
$437.78 |
$493.21
|
|
#celiac hla-dq8
|
$197.78 |
$197.78 |
$197.78 |
$246.88
|
|
Cell count body fluid
|
$9.80 |
$9.80 |
$9.80 |
$63.52
|
|
Cell count w differential body fluid
|
$11.10 |
$11.10 |
$11.10 |
$92.56
|
|
Cell function assay w/stim
|
$308.45 |
$308.45 |
$308.45 |
$325.76
|
|
#cf-97variants
|
$1,007.01 |
$1,007.01 |
$1,007.01 |
$639.44
|
|
Change cystostomy tube simple
|
$248.45 |
$248.45 |
$248.45 |
$477.60
|
|
Change of windpipe airway 31502
|
$280.38 |
$280.38 |
$280.38 |
$401.50
|
|
Chest 2 vws w oblique
|
$387.36 |
$387.36 |
$387.36 |
$375.60
|
|
Chest apical lordotic proj
|
$342.72 |
$342.72 |
$342.72 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,565.67 |
$1,565.67 |
$1,565.67 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,304.61 |
$1,304.61 |
$1,304.61 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,043.55 |
$1,043.55 |
$1,043.55 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$83.78 |
$83.78 |
$83.78 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$108.56 |
$108.56 |
$108.56 |
$134.50
|
|
Chest Ultrasound
|
$512.03 |
$512.03 |
$512.03 |
$463.88
|
|
Chest X-ray
|
$332.64 |
$332.64 |
$332.64 |
$294.06
|
|
Chest X-ray (single view)
|
$158.40 |
$158.40 |
$158.40 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$152.40 |
$152.40 |
$152.40 |
$150.40
|
|
Chimerism anal no cell selec
|
$375.67 |
$375.67 |
$375.67 |
$393.74
|
|
Chlamydia culture
|
$49.84 |
$49.84 |
$49.84 |
$91.00
|
|
Chlamydia type
|
$40.01 |
$40.01 |
$40.01 |
$34.98
|
|
Chloride
|
$24.60 |
$24.60 |
$24.60 |
$42.63
|
|
Chloride 24 hour urine
|
$11.97 |
$11.97 |
$11.97 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$492.05 |
$492.05 |
$492.05 |
$602.40
|
|
Cholesterol
|
$36.58 |
$36.58 |
$36.58 |
$45.76
|
|
Cholesterol body fluid
|
$45.22 |
$45.22 |
$45.22 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$67.83 |
$67.83 |
$67.83 |
$115.80
|
|
Chromatography
|
$36.58 |
$36.58 |
$36.58 |
$84.60
|
|
Chromogenic substrate assay
|
$42.59 |
$42.59 |
$42.59 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$103.72 |
$103.72 |
$103.72 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$389.42 |
$389.42 |
$389.42 |
$517.11
|
|
Chromosome count additional
|
$59.29 |
$59.29 |
$59.29 |
$96.50
|
|
Chronic urticaria - sendout
|
$48.38 |
$48.38 |
$48.38 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$123.03 |
$123.03 |
$123.03 |
$136.09
|
|
Circumcision (newborn)
|
$459.29 |
$459.29 |
$459.29 |
$1,364.88
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$21,794.48 |
$21,794.48 |
$21,794.48 |
$4,320.00
|
