|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.25 |
$2.25 |
$2.25 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$2.42 |
$2.42 |
$2.42 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$2.77 |
$2.77 |
$2.77 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$12.20 |
$12.20 |
$12.20 |
$38.35
|
|
Blood split unit
|
$109.48 |
$109.48 |
$109.48 |
$282.88
|
|
Blood Transfusion
|
$553.82 |
$553.82 |
$553.82 |
$989.60
|
|
Blood typing abo
|
$66.00 |
$66.00 |
$66.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$182.88 |
$182.88 |
$182.88 |
$207.60
|
|
Blood typing patient serum
|
$36.72 |
$36.72 |
$36.72 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$182.88 |
$182.88 |
$182.88 |
$211.90
|
|
Blood typing rh (d)
|
$23.04 |
$23.04 |
$23.04 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$20.16 |
$20.16 |
$20.16 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$78.25 |
$78.25 |
$78.25 |
$252.75
|
|
Bone survey-lead poisoning
|
$97.05 |
$97.05 |
$97.05 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$13.73 |
$13.73 |
$13.73 |
$93.60
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$11.66 |
$11.66 |
$11.66 |
$105.30
|
|
Braf gene
|
$207.27 |
$207.27 |
$207.27 |
$450.90
|
|
Brain biopsy w/ct/mr guide
|
$2,354.60 |
$2,354.60 |
$2,354.60 |
$2,828.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$410.51 |
$410.51 |
$410.51 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$342.09 |
$342.09 |
$342.09 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$273.67 |
$273.67 |
$273.67 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$599.94 |
$599.94 |
$599.94 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$499.95 |
$499.95 |
$499.95 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$399.96 |
$399.96 |
$399.96 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$1,341.38 |
$1,341.38 |
$1,341.38 |
$2,409.00
|
|
Breastbone (Sternum) X-ray
|
$78.02 |
$78.02 |
$78.02 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$369.02 |
$369.02 |
$369.02 |
$871.80
|
|
Bronchial challenge
|
$97.16 |
$97.16 |
$97.16 |
$820.05
|
|
Br punct aspir ea add, l
|
$191.46 |
$191.46 |
$191.46 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$106.31 |
$106.31 |
$106.31 |
$159.00
|
|
Bundled special stain group 2
|
$84.67 |
$84.67 |
$84.67 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$22.32 |
$22.32 |
$22.32 |
$80.64
|
|
Bur rotalink 2.15mm
|
$2,856.41 |
$2,856.41 |
$2,856.41 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$845.34 |
$845.34 |
$845.34 |
$2,388.00
|
|
Bx pancreas pq ndl
|
$695.96 |
$695.96 |
$695.96 |
$1,610.05
|
|
Bx pleura pq ndl
|
$688.24 |
$688.24 |
$688.24 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,157.61 |
$1,157.61 |
$1,157.61 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$859.24 |
$859.24 |
$859.24 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$369.02 |
$369.02 |
$369.02 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$62.40 |
$62.40 |
$62.40 |
$96.72
|
|
Cable cath 22-pin diag
|
$2,856.41 |
$2,856.41 |
$2,856.41 |
$4,946.50
|
|
Cadd pump refill
|
$147.00 |
$147.00 |
$147.00 |
$386.60
|
|
Calcium 24 hour urine
|
$13.32 |
$13.32 |
$13.32 |
$53.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.01 |
$0.01 |
$0.01 |
$91.60
|
|
Calcium ionized
|
$27.51 |
$27.51 |
$27.51 |
$90.00
|
|
Calcium total
|
$22.84 |
$22.84 |
$22.84 |
$50.00
|
|
Calprotectin fecal
|
$43.25 |
$43.25 |
$43.25 |
$170.00
|
|
Campylobacter antibody
|
$8.32 |
$8.32 |
$8.32 |
$77.83
|
|
Candida dna
|
$16.35 |
$16.35 |
$16.35 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$30,269.07 |
$30,269.07 |
$30,269.07 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$22,553.70 |
$22,553.70 |
$22,553.70 |
$18,466.88
|
|
Cap trach decann 15mm
|
$3,138.18 |
$3,138.18 |
$3,138.18 |
$3,238.70
|
|
Carbamazepine free
|
$15.57 |
$15.57 |
$15.57 |
$60.00
|
|
Carbamazepine free -sendout
|
$15.57 |
$15.57 |
$15.57 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$9.00 |
$9.00 |
$9.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$9.51 |
$9.51 |
$9.51 |
$116.40
|
|
Carbohydrate urine - sendout
|
$39.62 |
$39.62 |
$39.62 |
$66.64
|
|
Carbon dioxide
|
$46.71 |
$46.71 |
$46.71 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$12.97 |
$12.97 |
$12.97 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$56.92 |
$56.92 |
$56.92 |
$145.20
|
|
Cardiolipin antibody iga
|
$16.64 |
$16.64 |
$16.64 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,615.16 |
$1,615.16 |
$1,615.16 |
$1,431.36
|
|
Carotene
|
$11.59 |
$11.59 |
$11.59 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$348.24 |
$348.24 |
$348.24 |
$1,024.32
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$351.59 |
$351.59 |
$351.59 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$2,189.42 |
$2,189.42 |
$2,189.42 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$502.53 |
$502.53 |
$502.53 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$2,264.89 |
$2,264.89 |
$2,264.89 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$1,887.54 |
$1,887.54 |
$1,887.54 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$2,264.89 |
$2,264.89 |
$2,264.89 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$1,887.54 |
$1,887.54 |
$1,887.54 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$2,264.89 |
$2,264.89 |
$2,264.89 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$3,570.35 |
$3,570.35 |
$3,570.35 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$2,856.41 |
$2,856.41 |
$2,856.41 |
$4,212.11
|
|
Cath cv dl inj 7fx16cm
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$628.04 |
$628.04 |
$628.04 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$796.26 |
$796.26 |
$796.26 |
$1,928.17
|
|
Catheterization collection of specimen single patient all places of service
|
$17.76 |
$17.76 |
$17.76 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,257.71 |
$1,257.71 |
$1,257.71 |
$1,690.71
|
|
Cath hawkone s directional
|
$2,856.41 |
$2,856.41 |
$2,856.41 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$3,765.54 |
$3,765.54 |
$3,765.54 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,499.44 |
$2,499.44 |
$2,499.44 |
$4,680.00
|
|
Cath malecot 28fr 4-wing ltx
|
$1,044.16 |
$1,044.16 |
$1,044.16 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$8,903.43 |
$8,903.43 |
$8,903.43 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$565.49 |
$565.49 |
$565.49 |
$1,313.25
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$143.21 |
$143.21 |
$143.21 |
$462.80
|
|
Cath steerable flex adv 12f
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$2,925.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$5,342.49 |
$5,342.49 |
$5,342.49 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$460.80 |
$460.80 |
$460.80 |
$573.88
|
|
#cbg+cort-cbg
|
$9.34 |
$9.34 |
$9.34 |
$66.55
|
|
Cdna analysis for variants
|
$218.78 |
$218.78 |
$218.78 |
$542.87
|
|
Cebpa gene full sequence
|
$285.67 |
$285.67 |
$285.67 |
$493.21
|
|
#celiac hla-dq8
|
$80.36 |
$80.36 |
$80.36 |
$246.88
|
|
Cell count body fluid
|
$3.60 |
$3.60 |
$3.60 |
$63.52
|
|
Cell count w differential body fluid
|
$4.08 |
$4.08 |
$4.08 |
$92.56
|
|
Cell function assay w/stim
|
$84.86 |
$84.86 |
$84.86 |
$325.76
|
|
Cell marker study
|
$168.00 |
$168.00 |
$168.00 |
$239.85
|
|
#cf-97variants
|
$657.09 |
$657.09 |
$657.09 |
$639.44
|
|
Change cystostomy tube simple
|
$204.19 |
$204.19 |
$204.19 |
$477.60
|
|
Change g-tube to g-j perc
|
$790.91 |
$790.91 |
$790.91 |
$2,198.81
|
