|
Assay phosphohexose enzymes
|
$21.49 |
$21.49 |
$21.49 |
$114.40
|
|
Assay toxin or antitoxin
|
$19.99 |
$19.99 |
$19.99 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$88.17 |
$88.17 |
$88.17 |
$300.00
|
|
Assess cyst contrast inject
|
$136.44 |
$136.44 |
$136.44 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$2.72 |
$2.72 |
$2.72 |
$46.80
|
|
Ast/sgot
|
$20.38 |
$20.38 |
$20.38 |
$45.90
|
|
Athrectomy fem/pop/unilateral 37225
|
$9,522.74 |
$9,522.74 |
$9,522.74 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$10,325.39 |
$10,325.39 |
$10,325.39 |
$15,188.25
|
|
Augment injectable kit 3.0cc
|
$4,608.81 |
$4,608.81 |
$4,608.81 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,077.69 |
$1,077.69 |
$1,077.69 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$3,132.36 |
$3,132.36 |
$3,132.36 |
$10,415.40
|
|
Baclofen eval charges
|
$18.86 |
$18.86 |
$18.86 |
$87.50
|
|
Bacterial meningitis antigen
|
$11.03 |
$11.03 |
$11.03 |
$66.30
|
|
Bacterial vaginosis pcr
|
$347.12 |
$347.12 |
$347.12 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$59.96 |
$59.96 |
$59.96 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$24.76 |
$24.76 |
$24.76 |
$102.20
|
|
Balloon dilate urtrl strix
|
$1,074.30 |
$1,074.30 |
$1,074.30 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$267.26 |
$267.26 |
$267.26 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$240.13 |
$240.13 |
$240.13 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$136.70 |
$136.70 |
$136.70 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$26.82 |
$26.82 |
$26.82 |
$195.25
|
|
B cells total count
|
$16.99 |
$16.99 |
$16.99 |
$132.48
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$16.46 |
$16.46 |
$16.46 |
$4,898.13
|
|
#_benzodiazconfur
|
$26.23 |
$26.23 |
$26.23 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$1.33 |
$1.33 |
$1.33 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$11.47 |
$11.47 |
$11.47 |
$82.55
|
|
Beta-2 microglobulin
|
$9.16 |
$9.16 |
$9.16 |
$85.20
|
|
Beta-amyloid 1-40
|
$47.40 |
$47.40 |
$47.40 |
$312.00
|
|
Beta-amyloid 1-42
|
$71.26 |
$71.26 |
$71.26 |
$333.00
|
|
Bilateral n block inj trigeminal 64400
|
$507.04 |
$507.04 |
$507.04 |
$587.60
|
|
Biliary endoscopy thru skin
|
$1,105.10 |
$1,105.10 |
$1,105.10 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$1,255.41 |
$1,255.41 |
$1,255.41 |
$5,741.00
|
|
Bilicheck
|
$2.53 |
$2.53 |
$2.53 |
$27.60
|
|
Bilirubin direct
|
$25.12 |
$25.12 |
$25.12 |
$51.35
|
|
Bilirubin total
|
$20.70 |
$20.70 |
$20.70 |
$54.60
|
|
Biopsy abdominal mass
|
$680.37 |
$680.37 |
$680.37 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$484.48 |
$484.48 |
$484.48 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,456.34 |
$3,456.34 |
$3,456.34 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$487.87 |
$487.87 |
$487.87 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$716.10 |
$716.10 |
$716.10 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$808.19 |
$808.19 |
$808.19 |
$1,890.72
|
|
Biopsy of heart lining
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,724.63
|
|
Biopsy of prostate
|
$496.19 |
$496.19 |
$496.19 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$508.51 |
$508.51 |
$508.51 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$2,115.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$716.10 |
$716.10 |
$716.10 |
$2,462.35
|
|
Biospy of bladder
|
$1,151.30 |
$1,151.30 |
$1,151.30 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$93.02 |
$93.02 |
$93.02 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$183.57 |
$183.57 |
$183.57 |
$412.80
|
|
Bld prd mix
|
$107.67 |
$107.67 |
$107.67 |
$140.25
|
|
Blm gene
|
$41.23 |
$41.23 |
$41.23 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,827.04 |
$3,827.04 |
$3,827.04 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$28,799.55 |
$28,799.55 |
$28,799.55 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$9,216.57 |
$9,216.57 |
$9,216.57 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$23.18 |
$23.18 |
$23.18 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$27.78 |
$27.78 |
$27.78 |
$74.00
|
|
Blood Count (CBC) Test
|
$34.78 |
$34.78 |
$34.78 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$25.94 |
$25.94 |
$25.94 |
$62.28
|
|
Blood Culture Test
|
$91.08 |
$91.08 |
$91.08 |
$146.16
|
|
Blood draw capillary 36416
|
$7.94 |
$7.94 |
$7.94 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$54.83 |
$54.83 |
$54.83 |
$226.50
|
|
Blood gases ph venous
|
$5.21 |
$5.21 |
$5.21 |
$64.60
|
|
Blood, l/r, irradiated
|
$208.27 |
$208.27 |
$208.27 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$9.80 |
$9.80 |
$9.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.05 |
$2.05 |
$2.05 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$2.21 |
$2.21 |
$2.21 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$2.53 |
$2.53 |
$2.53 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$9.94 |
$9.94 |
$9.94 |
$38.35
|
|
Blood split unit
|
$119.18 |
$119.18 |
$119.18 |
$282.88
|
|
Blood Transfusion
|
$520.14 |
$520.14 |
$520.14 |
$989.60
|
|
Blood typing abo
|
$57.47 |
$57.47 |
$57.47 |
$86.45
|
|
Blood typing ag donor ea ag
|
$159.26 |
$159.26 |
$159.26 |
$207.60
|
|
Blood typing patient serum
|
$31.98 |
$31.98 |
$31.98 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$159.26 |
$159.26 |
$159.26 |
$211.90
|
|
Blood typing rh (d)
|
$20.06 |
$20.06 |
$20.06 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$17.56 |
$17.56 |
$17.56 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$85.25 |
$85.25 |
$85.25 |
$252.75
|
|
Bone filler cerament 10cc
|
$9,216.57 |
$9,216.57 |
$9,216.57 |
$14,423.77
|
|
Bone imaging multiple areas
|
$653.66 |
$653.66 |
$653.66 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$444.92 |
$444.92 |
$444.92 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$532.84 |
$532.84 |
$532.84 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$556.86 |
$556.86 |
$556.86 |
$1,728.00
|
|
Bone marrow imaging body
|
$605.88 |
$605.88 |
$605.88 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$389.55 |
$389.55 |
$389.55 |
$811.00
|
|
Bone marrow imaging mult
|
$523.56 |
$523.56 |
$523.56 |
$923.00
|
|
Bone survey-lead poisoning
|
$105.73 |
$105.73 |
$105.73 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$9.83 |
$9.83 |
$9.83 |
$93.60
|
|
Bowel imaging
|
$434.88 |
$434.88 |
$434.88 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$19.78 |
$19.78 |
$19.78 |
$105.30
|
|
Brach/thor cath 1st
|
$648.96 |
$648.96 |
$648.96 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$751.52 |
$751.52 |
$751.52 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$905.21 |
$905.21 |
$905.21 |
$2,050.00
|
|
Brach/thor cath addl
|
$181.41 |
$181.41 |
$181.41 |
$868.00
|
|
Brachy source i-125 injection
|
$117.04 |
$117.04 |
$117.04 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$157.54 |
$157.54 |
$157.54 |
$70.85
|
|
Brachy source palladium
|
$145.44 |
$145.44 |
$145.44 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$145.44 |
$145.44 |
$145.44 |
$126.83
|
|
Brachy source yttrium-90
|
$21,995.22 |
$21,995.22 |
$21,995.22 |
$30,879.20
|
