|
Blood Count (CBC) Test
|
$32.49 |
$32.49 |
$32.49 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$27.93 |
$27.93 |
$27.93 |
$60.50
|
|
Blood Culture Test
|
$70.30 |
$70.30 |
$70.30 |
$143.88
|
|
Blood draw capillary 36416
|
$5.89 |
$5.89 |
$5.89 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$118.75 |
$118.75 |
$118.75 |
$215.40
|
|
Blood gases ph venous
|
$39.52 |
$39.52 |
$39.52 |
$61.92
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.94 |
$4.94 |
$4.94 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$23.56 |
$23.56 |
$23.56 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$23.56 |
$23.56 |
$23.56 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$6.46 |
$6.46 |
$6.46 |
$37.80
|
|
Blood typing abo
|
$38.19 |
$38.19 |
$38.19 |
$83.03
|
|
Blood typing ag donor ea ag
|
$49.59 |
$49.59 |
$49.59 |
$179.30
|
|
Blood typing patient serum
|
$15.96 |
$15.96 |
$15.96 |
$67.10
|
|
Blood typing rbc ag non abo/rh ea
|
$168.72 |
$168.72 |
$168.72 |
$190.00
|
|
Blood typing rh (d)
|
$24.32 |
$24.32 |
$24.32 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$2.77 |
$2.77 |
$2.77 |
$81.90
|
|
Bone Density Scan (DEXA)
|
$35.91 |
$35.91 |
$35.91 |
$398.56
|
|
Bone/joint imaging ltd area
|
$392.16 |
$392.16 |
$392.16 |
$997.50
|
|
Bone marrow;aspiration only 38220
|
$373.73 |
$373.73 |
$373.73 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$373.73 |
$373.73 |
$373.73 |
$1,770.73
|
|
Bone marrow imaging ltd
|
$300.39 |
$300.39 |
$300.39 |
$811.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$103.36 |
$103.36 |
$103.36 |
$92.88
|
|
Borrelia miyamotoi amp prb
|
$21.47 |
$21.47 |
$21.47 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$263.65 |
$263.65 |
$263.65 |
$2,840.38
|
|
Bowel imaging
|
$323.00 |
$323.00 |
$323.00 |
$1,065.00
|
|
Brach/thor cath 1st
|
$352.45 |
$352.45 |
$352.45 |
$1,888.32
|
|
Brach/thor cath 2nd
|
$568.86 |
$568.86 |
$568.86 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$680.96 |
$680.96 |
$680.96 |
$2,151.93
|
|
Brach/thor cath addl
|
$163.78 |
$163.78 |
$163.78 |
$881.40
|
|
Brachy source yttrium-90
|
$4,787.43 |
$4,787.43 |
$4,787.43 |
$31,103.54
|
|
Brachy src nonstrand hdr ir-192
|
$162.83 |
$162.83 |
$162.83 |
$473.52
|
|
Brachytx isodose complex
|
$194.37 |
$194.37 |
$194.37 |
$1,631.00
|
|
Brachytx isodose intermed
|
$194.37 |
$194.37 |
$194.37 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$194.37 |
$194.37 |
$194.37 |
$851.50
|
|
Braf gene
|
$81.13 |
$81.13 |
$81.13 |
$427.50
|
|
Brain flow imaging only
|
$296.78 |
$296.78 |
$296.78 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,730.52 |
$1,730.52 |
$1,730.52 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,730.52 |
$1,730.52 |
$1,730.52 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$1,944.15
|
|
Brcassure comprehensive panel-sendout
|
$1,170.21 |
$1,170.21 |
$1,170.21 |
$2,160.80
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,559.14 |
$1,559.14 |
$1,559.14 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$226.67 |
$226.67 |
$226.67 |
$847.00
|
|
Bronchial challenge
|
$201.97 |
$201.97 |
$201.97 |
$761.40
|
|
Bronchoscopy clear airways 31645
|
$889.01 |
$889.01 |
$889.01 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$899.46 |
$899.46 |
$899.46 |
$2,597.70
|
|
Br punct aspir ea add, l
|
$73.15 |
$73.15 |
$73.15 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$19.00 |
$19.00 |
$19.00 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$11.97 |
$11.97 |
$11.97 |
$161.46
|
|
Bundled special stain group 2
|
$85.88 |
$85.88 |
$85.88 |
$169.60
|
|
Bundle his recording
|
$2,019.32 |
$2,019.32 |
$2,019.32 |
$5,151.25
|
|
Buprenorphine hydrochloride
|
$57.84 |
$57.84 |
$57.84 |
$42.08
|
|
Buprenorphine oral 1mg
|
$19.00 |
$19.00 |
$19.00 |
$10.32
|
|
Busulfan injection
|
$439.42 |
$439.42 |
$439.42 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$58.53 |
$58.53 |
$58.53 |
$37.50
|
|
Bx bone trocar/ndl deep
|
$663.10 |
$663.10 |
$663.10 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$1,359.26 |
$1,359.26 |
$1,359.26 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$1,359.26 |
$1,359.26 |
$1,359.26 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$419.14 |
$419.14 |
$419.14 |
$1,650.88
|
|
Bx breast add lesion strtctc
|
$419.14 |
$419.14 |
$419.14 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$750.12 |
$750.12 |
$750.12 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$196.27 |
$196.27 |
$196.27 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$903.83 |
$903.83 |
$903.83 |
$4,531.42
|
|
Bx muscle
|
$503.50 |
$503.50 |
$503.50 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$509.20 |
$509.20 |
$509.20 |
$1,635.24
|
|
Bx perianal mass
|
$157.32 |
$157.32 |
$157.32 |
$1,501.50
|
|
Bx pleura pq ndl
|
$345.80 |
$345.80 |
$345.80 |
$1,633.46
|
|
Bx skin tangential ea sep/ addl les
|
$38.00 |
$38.00 |
$38.00 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$427.12 |
$427.12 |
$427.12 |
$1,908.09
|
|
Bx thigh/knee soft tiss supf 27323
|
$586.15 |
$586.15 |
$586.15 |
$2,086.51
|
|
Bx thyroid/percutan core needle 60100
|
$226.67 |
$226.67 |
$226.67 |
$963.86
|
|
Bypass temp external fem-fem
|
$789.26 |
$789.26 |
$789.26 |
$1,828.50
|
|
Cabergoline, oral 0.25mg
|
$3.08 |
$3.08 |
$3.08 |
$65.85
|
|
Cad breast MRI w/r&i
|
$19.95 |
$19.95 |
$19.95 |
$136.08
|
|
Cadd pump refill
|
$83.03 |
$83.03 |
$83.03 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$92.45 |
$92.45 |
$92.45 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,318.27 |
$1,318.27 |
$1,318.27 |
$2,132.00
|
|
Calcium 24 hour urine
|
$67.26 |
$67.26 |
$67.26 |
$52.08
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$101.46 |
$101.46 |
$101.46 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$47.59 |
$47.59 |
$47.59 |
$91.60
|
|
Calcium ionized
|
$65.93 |
$65.93 |
$65.93 |
$88.00
|
|
Calcium total
|
$8.74 |
$8.74 |
$8.74 |
$50.00
|
|
Calprotectin fecal
|
$179.55 |
$179.55 |
$179.55 |
$167.40
|
|
Canthotomy 67715
|
$1,253.43 |
$1,253.43 |
$1,253.43 |
$2,968.65
|
|
Capecitabine, oral, 50 mg
|
$18.52 |
$18.52 |
$18.52 |
$50.86
|
|
Carbamazepine free
|
$175.75 |
$175.75 |
$175.75 |
$50.40
|
|
Carbamazepine free -sendout
|
$14.63 |
$14.63 |
$14.63 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$30.21 |
$30.21 |
$30.21 |
$115.05
|
|
Carbohydrate deficient transf - sendout
|
$56.24 |
$56.24 |
$56.24 |
$121.80
|
|
Carbon dioxide
|
$8.74 |
$8.74 |
$8.74 |
$44.88
|
|
Carboplatin 10 mg/ml desensitization
|
$118.94 |
$118.94 |
$118.94 |
$195.06
|
|
Carboxyhemoglobin quantitative
|
$13.87 |
$13.87 |
$13.87 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$53.39 |
$53.39 |
$53.39 |
$142.50
|
|
Cardiac perf planar mult/ef/wm
|
$1,729.57 |
$1,729.57 |
$1,729.57 |
$2,764.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$953.99 |
$953.99 |
$953.99 |
$2,631.75
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$78.47 |
$78.47 |
$78.47 |
$245.39
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$58.90 |
$58.90 |
$58.90 |
$196.50
|
|
Cardiolipin antibody iga
|
$58.71 |
$58.71 |
$58.71 |
$105.00
|