|
Biopsy skin incisional single lesion
|
$138.18 |
$138.18 |
$138.18 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,197.69 |
$1,197.69 |
$1,197.69 |
$2,462.35
|
|
Bladder Catheter Insertion (simple)
|
$79.94 |
$79.94 |
$79.94 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$124.39 |
$124.39 |
$124.39 |
$412.80
|
|
Bld prd mix
|
$174.47 |
$174.47 |
$174.47 |
$140.25
|
|
Bln 1.2 mono emrg 15x1.2
|
$5,096.82 |
$5,096.82 |
$5,096.82 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,886.93 |
$6,886.93 |
$6,886.93 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$4,550.94 |
$4,550.94 |
$4,550.94 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$12,831.04 |
$12,831.04 |
$12,831.04 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$17,697.22 |
$17,697.22 |
$17,697.22 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$25.19 |
$25.19 |
$25.19 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$9.39 |
$9.39 |
$9.39 |
$74.00
|
|
Blood Count (CBC) Test
|
$22.23 |
$22.23 |
$22.23 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$9.88 |
$9.88 |
$9.88 |
$62.28
|
|
Blood Culture Test
|
$14.66 |
$14.66 |
$14.66 |
$146.16
|
|
Blood draw capillary 36416
|
$15.57 |
$15.57 |
$15.57 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$111.39 |
$111.39 |
$111.39 |
$226.50
|
|
Blood gases ph venous
|
$15.51 |
$15.51 |
$15.51 |
$64.60
|
|
Blood, l/r, irradiated
|
$337.47 |
$337.47 |
$337.47 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$29.14 |
$29.14 |
$29.14 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$6.11 |
$6.11 |
$6.11 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$6.58 |
$6.58 |
$6.58 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$7.52 |
$7.52 |
$7.52 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$26.68 |
$26.68 |
$26.68 |
$38.35
|
|
Blood split unit
|
$193.11 |
$193.11 |
$193.11 |
$282.88
|
|
Blood Transfusion
|
$398.27 |
$398.27 |
$398.27 |
$989.60
|
|
Blood typing abo
|
$125.95 |
$125.95 |
$125.95 |
$86.45
|
|
Blood typing ag donor ea ag
|
$349.00 |
$349.00 |
$349.00 |
$207.60
|
|
Blood typing patient serum
|
$70.07 |
$70.07 |
$70.07 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$349.00 |
$349.00 |
$349.00 |
$211.90
|
|
Blood typing rh (d)
|
$38.47 |
$38.47 |
$38.47 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$38.47 |
$38.47 |
$38.47 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$104.41 |
$104.41 |
$104.41 |
$252.75
|
|
Bone biopsy open superficial
|
$960.99 |
$960.99 |
$960.99 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$219.42 |
$219.42 |
$219.42 |
$407.94
|
|
Bone/joint imaging ltd area
|
$467.81 |
$467.81 |
$467.81 |
$1,037.40
|
|
Bone marrow imaging body
|
$1,136.78 |
$1,136.78 |
$1,136.78 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$784.61 |
$784.61 |
$784.61 |
$811.00
|
|
Bone survey-lead poisoning
|
$122.96 |
$122.96 |
$122.96 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.16 |
$24.16 |
$24.16 |
$93.60
|
|
Bowel imaging
|
$551.76 |
$551.76 |
$551.76 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$14.91 |
$14.91 |
$14.91 |
$105.30
|
|
Braf gene
|
$236.10 |
$236.10 |
$236.10 |
$450.90
|
|
Brain biopsy w/ct/mr guide
|
$2,039.44 |
$2,039.44 |
$2,039.44 |
$2,828.00
|
|
Brain flow imaging only
|
$221.23 |
$221.23 |
$221.23 |
$677.66
|
|
Brain image w/flow < 4 views
|
$227.57 |
$227.57 |
$227.57 |
$919.45
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$716.60 |
$716.60 |
$716.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$597.42 |
$597.42 |
$597.42 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$477.73 |
$477.73 |
$477.73 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,083.75 |
$1,083.75 |
$1,083.75 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$867.00 |
$867.00 |
$867.00 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$851.37 |
$851.37 |
$851.37 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$134.09 |
$134.09 |
$134.09 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$117.36 |
$117.36 |
$117.36 |
$871.80
|
|
Breath recording infant
|
$541.31 |
$541.31 |
$541.31 |
$1,164.00
|
|
Bronchial challenge
|
$211.86 |
$211.86 |
$211.86 |
$820.05
|
|
Br punct aspir ea add, l
|
$51.47 |
$51.47 |
$51.47 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$57.11 |
$57.11 |
$57.11 |
$159.00
|
|
Bundled special stain group 2
|
$137.78 |
$137.78 |
$137.78 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$60.63 |
$60.63 |
$60.63 |
$80.64
|
|
Bur rotalink 2.15mm
|
$6,886.93 |
$6,886.93 |
$6,886.93 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$650.31 |
$650.31 |
$650.31 |
$2,388.00
|
|
Bx breast add lesion Ultrasound imag
|
$426.17 |
$426.17 |
$426.17 |
$1,670.79
|
|
Bx muscle
|
$684.63 |
$684.63 |
$684.63 |
$2,653.97
|
|
Bx pancreas pq ndl
|
$381.91 |
$381.91 |
$381.91 |
$1,610.05
|
|
Bx pleura pq ndl
|
$346.32 |
$346.32 |
$346.32 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$74.80 |
$74.80 |
$74.80 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$71.38 |
$71.38 |
$71.38 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$60.53 |
$60.53 |
$60.53 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$939.39 |
$939.39 |
$939.39 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$703.70 |
$703.70 |
$703.70 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$330.93 |
$330.93 |
$330.93 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$109.80 |
$109.80 |
$109.80 |
$96.72
|
|
Cable cath 22-pin diag
|
$6,886.93 |
$6,886.93 |
$6,886.93 |
$4,946.50
|
|
Cadd pump refill
|
$78.95 |
$78.95 |
$78.95 |
$386.60
|
|
Calcium 24 hour urine
|
$36.19 |
$36.19 |
$36.19 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.72 |
$0.72 |
$0.72 |
$64.49
|
|
Calcium ionized
|
$24.91 |
$24.91 |
$24.91 |
$90.00
|
|
Calcium total
|
$30.55 |
$30.55 |
$30.55 |
$50.00
|
|
Calprotectin fecal
|
$117.50 |
$117.50 |
$117.50 |
$170.00
|
|
Campylobacter antibody
|
$14.64 |
$14.64 |
$14.64 |
$77.83
|
|
Candida dna
|
$28.85 |
$28.85 |
$28.85 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$56,405.47 |
$56,405.47 |
$56,405.47 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$42,028.12 |
$42,028.12 |
$42,028.12 |
$18,466.88
|
|
Cap trach decann 15mm
|
$5,847.90 |
$5,847.90 |
$5,847.90 |
$3,238.70
|
|
Carbamazepine free
|
$42.30 |
$42.30 |
$42.30 |
$60.00
|
|
Carbamazepine free -sendout
|
$42.30 |
$42.30 |
$42.30 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$24.44 |
$24.44 |
$24.44 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$25.85 |
$25.85 |
$25.85 |
$116.40
|
|
Carbohydrate urine - sendout
|
$107.63 |
$107.63 |
$107.63 |
$66.64
|
|
Carbon dioxide
|
$61.57 |
$61.57 |
$61.57 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$35.25 |
$35.25 |
$35.25 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$154.63 |
$154.63 |
$154.63 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,410.29 |
$1,410.29 |
$1,410.29 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$157.82 |
$157.82 |
$157.82 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$121.66 |
$121.66 |
$121.66 |
$204.54
|
|
Cardiolipin antibody iga
|
$29.28 |
$29.28 |
$29.28 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$422.05 |
$422.05 |
$422.05 |
$1,431.36
|
