|
Beta-amyloid 1-40
|
$46.20 |
$46.20 |
$46.20 |
$312.00
|
|
Beta-amyloid 1-42
|
$69.45 |
$69.45 |
$69.45 |
$333.00
|
|
Bilateral n block inj trigeminal 64400
|
$454.65 |
$454.65 |
$454.65 |
$587.60
|
|
Biliary endoscopy thru skin
|
$1,144.57 |
$1,144.57 |
$1,144.57 |
$3,376.62
|
|
Bilicheck
|
$2.46 |
$2.46 |
$2.46 |
$27.60
|
|
Bilirubin direct
|
$24.49 |
$24.49 |
$24.49 |
$51.35
|
|
Bilirubin total
|
$19.87 |
$19.87 |
$19.87 |
$54.60
|
|
Biopsy abdominal mass
|
$704.67 |
$704.67 |
$704.67 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$501.79 |
$501.79 |
$501.79 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,368.49 |
$3,368.49 |
$3,368.49 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$505.30 |
$505.30 |
$505.30 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$741.68 |
$741.68 |
$741.68 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$837.06 |
$837.06 |
$837.06 |
$1,890.72
|
|
Biopsy of prostate
|
$513.91 |
$513.91 |
$513.91 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$526.67 |
$526.67 |
$526.67 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,110.12 |
$1,110.12 |
$1,110.12 |
$2,115.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$741.68 |
$741.68 |
$741.68 |
$2,462.35
|
|
Biospy of bladder
|
$1,751.95 |
$1,751.95 |
$1,751.95 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$96.34 |
$96.34 |
$96.34 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$190.12 |
$190.12 |
$190.12 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,530.90 |
$3,530.90 |
$3,530.90 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,153.72 |
$2,153.72 |
$2,153.72 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$2,153.72 |
$2,153.72 |
$2,153.72 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$19,360.64 |
$19,360.64 |
$19,360.64 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$9,111.44 |
$9,111.44 |
$9,111.44 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$24.07 |
$24.07 |
$24.07 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$28.84 |
$28.84 |
$28.84 |
$74.00
|
|
Blood Count (CBC) Test
|
$36.10 |
$36.10 |
$36.10 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$26.93 |
$26.93 |
$26.93 |
$62.28
|
|
Blood Culture Test
|
$72.36 |
$72.36 |
$72.36 |
$146.16
|
|
Blood gases o2 saturation direct measurement
|
$53.44 |
$53.44 |
$53.44 |
$226.50
|
|
Blood gases ph venous
|
$5.08 |
$5.08 |
$5.08 |
$64.60
|
|
Blood, l/r, irradiated
|
$210.39 |
$210.39 |
$210.39 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$9.55 |
$9.55 |
$9.55 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.00 |
$2.00 |
$2.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$2.16 |
$2.16 |
$2.16 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$2.46 |
$2.46 |
$2.46 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$10.31 |
$10.31 |
$10.31 |
$38.35
|
|
Blood split unit
|
$120.39 |
$120.39 |
$120.39 |
$282.88
|
|
Blood Transfusion
|
$492.07 |
$492.07 |
$492.07 |
$989.60
|
|
Blood typing abo
|
$53.62 |
$53.62 |
$53.62 |
$86.45
|
|
Blood typing ag donor ea ag
|
$148.59 |
$148.59 |
$148.59 |
$207.60
|
|
Blood typing patient serum
|
$29.84 |
$29.84 |
$29.84 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$148.59 |
$148.59 |
$148.59 |
$211.90
|
|
Blood typing rh (d)
|
$18.72 |
$18.72 |
$18.72 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$16.38 |
$16.38 |
$16.38 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$77.59 |
$77.59 |
$77.59 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$102.99 |
$102.99 |
$102.99 |
$407.94
|
|
Bone filler cerament 10cc
|
$5,695.04 |
$5,695.04 |
$5,695.04 |
$14,423.77
|
|
Bone/joint imaging ltd area
|
$384.99 |
$384.99 |
$384.99 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$551.87 |
$551.87 |
$551.87 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$576.75 |
$576.75 |
$576.75 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$337.08 |
$337.08 |
$337.08 |
$811.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$8.65 |
$8.65 |
$8.65 |
$93.60
|
|
Bowel imaging
|
$376.30 |
$376.30 |
$376.30 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$19.78 |
$19.78 |
$19.78 |
$105.30
|
|
Brach/thor cath 1st
|
$672.13 |
$672.13 |
$672.13 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$778.36 |
$778.36 |
$778.36 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$937.54 |
$937.54 |
$937.54 |
$2,050.00
|
|
Brach/thor cath addl
|
$187.89 |
$187.89 |
$187.89 |
$868.00
|
|
Brachy source i-125 injection
|
$115.70 |
$115.70 |
$115.70 |
$106.60
|
|
Braf gene
|
$150.59 |
$150.59 |
$150.59 |
$450.90
|
|
Brain image w/flow 4 + views
|
$490.57 |
$490.57 |
$490.57 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$403.99 |
$403.99 |
$403.99 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$336.66 |
$336.66 |
$336.66 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$269.33 |
$269.33 |
$269.33 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$647.21 |
$647.21 |
$647.21 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$539.34 |
$539.34 |
$539.34 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$431.47 |
$431.47 |
$431.47 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$974.55 |
$974.55 |
$974.55 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$960.51 |
$960.51 |
$960.51 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$77.36 |
$77.36 |
$77.36 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$304.96 |
$304.96 |
$304.96 |
$871.80
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$336.23 |
$336.23 |
$336.23 |
$571.00
|
|
Br punct aspir ea add, l
|
$158.22 |
$158.22 |
$158.22 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$87.30 |
$87.30 |
$87.30 |
$159.00
|
|
Bundled special stain group 2
|
$69.53 |
$69.53 |
$69.53 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$19.87 |
$19.87 |
$19.87 |
$80.64
|
|
Bur rotalink 2.15mm
|
$4,074.02 |
$4,074.02 |
$4,074.02 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$698.61 |
$698.61 |
$698.61 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$951.90 |
$951.90 |
$951.90 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$583.77 |
$583.77 |
$583.77 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$447.88 |
$447.88 |
$447.88 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$551.87 |
$551.87 |
$551.87 |
$1,670.79
|
|
Bx breast pq tomo guide
|
$1,281.42 |
$1,281.42 |
$1,281.42 |
$4,509.59
|
|
Bx pancreas pq ndl
|
$575.16 |
$575.16 |
$575.16 |
$1,610.05
|
|
Bx pleura pq ndl
|
$568.78 |
$568.78 |
$568.78 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$956.68 |
$956.68 |
$956.68 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,685.34 |
$2,685.34 |
$2,685.34 |
$2,168.40
|
|
Bx thyroid/percutan core needle 60100
|
$304.96 |
$304.96 |
$304.96 |
$963.80
|
|
Bypass temp external fem-fem
|
$754.44 |
$754.44 |
$754.44 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$39.30 |
$39.30 |
$39.30 |
$96.72
|
|
Cable cath 22-pin diag
|
$2,716.22 |
$2,716.22 |
$2,716.22 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$32.56 |
$32.56 |
$32.56 |
$100.80
|
|
Calcium 24 hour urine
|
$11.86 |
$11.86 |
$11.86 |
$53.00
|
|
Calcium ionized
|
$24.49 |
$24.49 |
$24.49 |
$90.00
|
|
Calcium total
|
$20.33 |
$20.33 |
$20.33 |
$50.00
|
|
Caloric vstblr test w/rec
|
$299.11 |
$299.11 |
$299.11 |
$315.28
|
|
Calprotectin fecal
|
$38.50 |
$38.50 |
$38.50 |
$170.00
|
