|
Athrectomy fem/pop/unilateral 37225
|
$8,935.30 |
$8,935.30 |
$8,935.30 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$9,688.44 |
$9,688.44 |
$9,688.44 |
$15,188.25
|
|
Augment injectable kit 3.0cc
|
$4,310.90 |
$4,310.90 |
$4,310.90 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,011.21 |
$1,011.21 |
$1,011.21 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,939.13 |
$2,939.13 |
$2,939.13 |
$10,415.40
|
|
Avul nail plate addl
|
$32.56 |
$32.56 |
$32.56 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$126.37 |
$126.37 |
$126.37 |
$326.27
|
|
Bacterial meningitis antigen
|
$13.54 |
$13.54 |
$13.54 |
$66.30
|
|
Bacterial vaginosis pcr
|
$249.70 |
$249.70 |
$249.70 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$43.13 |
$43.13 |
$43.13 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$26.24 |
$26.24 |
$26.24 |
$102.20
|
|
Balloon dilate urtrl strix
|
$1,008.03 |
$1,008.03 |
$1,008.03 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$254.74 |
$254.74 |
$254.74 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$228.87 |
$228.87 |
$228.87 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$130.30 |
$130.30 |
$130.30 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$19.29 |
$19.29 |
$19.29 |
$195.25
|
|
B cells total count
|
$20.86 |
$20.86 |
$20.86 |
$132.48
|
|
#_benzodiazconfur
|
$25.07 |
$25.07 |
$25.07 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$14.09 |
$14.09 |
$14.09 |
$82.55
|
|
Beta-2 microglobulin
|
$8.76 |
$8.76 |
$8.76 |
$85.20
|
|
Beta-amyloid 1-40
|
$45.30 |
$45.30 |
$45.30 |
$312.00
|
|
Beta-amyloid 1-42
|
$68.10 |
$68.10 |
$68.10 |
$333.00
|
|
Bilateral n block inj trigeminal 64400
|
$409.75 |
$409.75 |
$409.75 |
$587.60
|
|
Bilirubin direct
|
$24.01 |
$24.01 |
$24.01 |
$51.35
|
|
Bilirubin total
|
$19.48 |
$19.48 |
$19.48 |
$54.60
|
|
Biopsy abdominal mass
|
$638.40 |
$638.40 |
$638.40 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$454.60 |
$454.60 |
$454.60 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,386.85 |
$3,386.85 |
$3,386.85 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$748.80 |
$748.80 |
$748.80 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$457.78 |
$457.78 |
$457.78 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$671.92 |
$671.92 |
$671.92 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$758.34 |
$758.34 |
$758.34 |
$1,890.72
|
|
Biopsy of heart lining
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$3,724.63
|
|
Biopsy of prostate
|
$465.58 |
$465.58 |
$465.58 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$477.14 |
$477.14 |
$477.14 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,005.72 |
$1,005.72 |
$1,005.72 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$213.67 |
$213.67 |
$213.67 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$671.92 |
$671.92 |
$671.92 |
$2,462.35
|
|
Biospy of bladder
|
$460.38 |
$460.38 |
$460.38 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$87.28 |
$87.28 |
$87.28 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$172.24 |
$172.24 |
$172.24 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$2,460.43 |
$2,460.43 |
$2,460.43 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$16,701.92 |
$16,701.92 |
$16,701.92 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$8,620.82 |
$8,620.82 |
$8,620.82 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$23.31 |
$23.31 |
$23.31 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$27.93 |
$27.93 |
$27.93 |
$74.00
|
|
Blood Count (CBC) Test
|
$34.96 |
$34.96 |
$34.96 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$26.09 |
$26.09 |
$26.09 |
$62.28
|
|
Blood Culture Test
|
$65.52 |
$65.52 |
$65.52 |
$146.16
|
|
Blood gases o2 saturation direct measurement
|
$52.40 |
$52.40 |
$52.40 |
$226.50
|
|
Blood gases ph venous
|
$4.98 |
$4.98 |
$4.98 |
$64.60
|
|
Blood, l/r, irradiated
|
$79.78 |
$79.78 |
$79.78 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$9.36 |
$9.36 |
$9.36 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$1.96 |
$1.96 |
$1.96 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$2.11 |
$2.11 |
$2.11 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$2.42 |
$2.42 |
$2.42 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$9.99 |
$9.99 |
$9.99 |
$38.35
|
|
Blood split unit
|
$45.65 |
$45.65 |
$45.65 |
$282.88
|
|
Blood Transfusion
|
$368.59 |
$368.59 |
$368.59 |
$989.60
|
|
Blood typing abo
|
$44.27 |
$44.27 |
$44.27 |
$86.45
|
|
Blood typing ag donor ea ag
|
$122.68 |
$122.68 |
$122.68 |
$207.60
|
|
Blood typing patient serum
|
$24.63 |
$24.63 |
$24.63 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$122.68 |
$122.68 |
$122.68 |
$211.90
|
|
Blood typing rh (d)
|
$15.46 |
$15.46 |
$15.46 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$13.52 |
$13.52 |
$13.52 |
$88.00
|
|
Bone biopsy open superficial
|
$986.34 |
$986.34 |
$986.34 |
$3,900.26
|
|
Bone filler cerament 10cc
|
$5,388.38 |
$5,388.38 |
$5,388.38 |
$14,423.77
|
|
Bone imaging multiple areas
|
$565.62 |
$565.62 |
$565.62 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$384.99 |
$384.99 |
$384.99 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$499.97 |
$499.97 |
$499.97 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$522.51 |
$522.51 |
$522.51 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$337.08 |
$337.08 |
$337.08 |
$811.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$12.08 |
$12.08 |
$12.08 |
$93.60
|
|
Bowel imaging
|
$376.30 |
$376.30 |
$376.30 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$20.96 |
$20.96 |
$20.96 |
$105.30
|
|
Brach/thor cath 1st
|
$608.92 |
$608.92 |
$608.92 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$705.16 |
$705.16 |
$705.16 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$849.37 |
$849.37 |
$849.37 |
$2,050.00
|
|
Brach/thor cath addl
|
$170.22 |
$170.22 |
$170.22 |
$868.00
|
|
Brachy source i-125 injection
|
$109.47 |
$109.47 |
$109.47 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$122.02 |
$122.02 |
$122.02 |
$70.85
|
|
Brachy source palladium
|
$112.67 |
$112.67 |
$112.67 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$81.18 |
$81.18 |
$81.18 |
$126.83
|
|
Brachy source yttrium-90
|
$18,478.78 |
$18,478.78 |
$18,478.78 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$107.26 |
$107.26 |
$107.26 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$403.44 |
$403.44 |
$403.44 |
$478.50
|
|
Brachy src stranded c-131
|
$1,751.03 |
$1,751.03 |
$1,751.03 |
$221.00
|
|
Brachytx isodose complex
|
$792.62 |
$792.62 |
$792.62 |
$1,705.20
|
|
Brachytx isodose intermed
|
$586.36 |
$586.36 |
$586.36 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$380.09 |
$380.09 |
$380.09 |
$1,032.38
|
|
Brachytx, non-str, gold-198
|
$125.71 |
$125.71 |
$125.71 |
$124.55
|
|
Braf gene
|
$192.04 |
$192.04 |
$192.04 |
$450.90
|
|
Brain image w/flow < 4 views
|
$259.06 |
$259.06 |
$259.06 |
$919.45
|
|
Brain image w/flow 4 + views
|
$490.57 |
$490.57 |
$490.57 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$397.48 |
$397.48 |
$397.48 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$331.23 |
$331.23 |
$331.23 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$264.98 |
$264.98 |
$264.98 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$599.94 |
$599.94 |
$599.94 |
$2,854.80
|
