|
Blood Clotting (PTT) Test
|
$60.12 |
$60.12 |
$60.12 |
$70.80
|
|
Blood Count (CBC) Test
|
$61.20 |
$61.20 |
$61.20 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$56.52 |
$56.52 |
$56.52 |
$61.11
|
|
Blood Culture Test
|
$189.00 |
$189.00 |
$189.00 |
$145.60
|
|
Blood draw capillary 36416
|
$27.36 |
$27.36 |
$27.36 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$361.80 |
$361.80 |
$361.80 |
$213.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$72.72 |
$72.72 |
$72.72 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$34.92 |
$34.92 |
$34.92 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$35.28 |
$35.28 |
$35.28 |
$31.92
|
|
Blood occult peroxidase activity qualitative gastric
|
$33.12 |
$33.12 |
$33.12 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$44.28 |
$44.28 |
$44.28 |
$38.35
|
|
Blood typing abo
|
$78.12 |
$78.12 |
$78.12 |
$82.32
|
|
Blood typing ag donor ea ag
|
$14.04 |
$14.04 |
$14.04 |
$181.80
|
|
Blood typing rbc ag non abo/rh ea
|
$56.16 |
$56.16 |
$56.16 |
$190.80
|
|
Blood typing rh (d)
|
$70.20 |
$70.20 |
$70.20 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$9.73 |
$9.73 |
$9.73 |
$81.90
|
|
Bone Density Scan (DEXA)
|
$354.96 |
$354.96 |
$354.96 |
$395.00
|
|
Bone marrow;aspiration only 38220
|
$1,864.44 |
$1,864.44 |
$1,864.44 |
$1,511.52
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,864.44 |
$1,864.44 |
$1,864.44 |
$1,636.00
|
|
Bone survey-lead poisoning
|
$257.76 |
$257.76 |
$257.76 |
$366.00
|
|
Boot cast sandal rocker med
|
$14.04 |
$14.04 |
$14.04 |
$12.89
|
|
Boot j walker l
|
$310.68 |
$310.68 |
$310.68 |
$195.00
|
|
Boot walker genesis full shell 3-strap s
|
$131.76 |
$131.76 |
$131.76 |
$473.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$44.64 |
$44.64 |
$44.64 |
$90.00
|
|
Bowel imaging
|
$1,034.28 |
$1,034.28 |
$1,034.28 |
$1,065.00
|
|
Brace ank air stirrup univ
|
$64.44 |
$64.44 |
$64.44 |
$108.67
|
|
Brace ankle stablizing lg
|
$37.44 |
$37.44 |
$37.44 |
$113.10
|
|
Brace wrist classic lft sm
|
$78.12 |
$78.12 |
$78.12 |
$78.86
|
|
Brachy source palladium-103 nonstranded
|
$121.68 |
$121.68 |
$121.68 |
$116.48
|
|
Braf gene
|
$63.14 |
$63.14 |
$63.14 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$2,770.30
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,608.84 |
$1,608.84 |
$1,608.84 |
$1,884.20
|
|
Brain MRI (with and without contrast)
|
$3,575.16 |
$3,575.16 |
$3,575.16 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$1,636.20 |
$1,636.20 |
$1,636.20 |
$2,263.20
|
|
Brain MRI (without contrast)
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,932.50
|
|
Brca1 dna gene analy known fam var
|
$135.09 |
$135.09 |
$135.09 |
$412.78
|
|
Brca2 dna gene analy known fam var
|
$135.09 |
$135.09 |
$135.09 |
$450.30
|
|
Brcassure comprehensive panel-sendout
|
$583.96 |
$583.96 |
$583.96 |
$2,153.70
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,151.16 |
$4,151.16 |
$4,151.16 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$1,243.08 |
$1,243.08 |
$1,243.08 |
$832.60
|
|
Br punct aspir ea add, l
|
$533.52 |
$533.52 |
$533.52 |
$356.06
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$10.09 |
$10.09 |
$10.09 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$100.08 |
$100.08 |
$100.08 |
$159.00
|
|
Bundled special stain group 2
|
$75.24 |
$75.24 |
$75.24 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$25.88 |
$25.88 |
$25.88 |
$32.47
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$17.42 |
$17.42 |
$17.42 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$9.53 |
$9.53 |
$9.53 |
$78.70
|
|
Buprenorphine oral 1mg
|
$8.56 |
$8.56 |
$8.56 |
$10.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,113.84 |
$1,113.84 |
$1,113.84 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$3,691.44 |
$3,691.44 |
$3,691.44 |
$1,264.80
|
|
Bx/curett of cervix w/scope 57454
|
$273.60 |
$273.60 |
$273.60 |
$502.15
|
|
Bx vag mucos smpl (sep proc)
|
$783.72 |
$783.72 |
$783.72 |
$1,042.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$783.72 |
$783.72 |
$783.72 |
$1,117.94
|
|
C1 esterase inhibitor func - sendout
|
$3.84 |
$3.84 |
$3.84 |
$91.80
|
|
Cacna1a gene full gene seq
|
$570.60 |
$570.60 |
$570.60 |
$846.27
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$43.20 |
$43.20 |
$43.20 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$27.72 |
$27.72 |
$27.72 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$27.72 |
$27.72 |
$27.72 |
$62.13
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$47.24 |
$47.24 |
$47.24 |
$91.60
|
|
Calcium ionized
|
$4.38 |
$4.38 |
$4.38 |
$88.80
|
|
Calcium total
|
$43.92 |
$43.92 |
$43.92 |
$50.00
|
|
Calprotectin fecal
|
$10.08 |
$10.08 |
$10.08 |
$170.00
|
|
Campylobacter antibody
|
$4.20 |
$4.20 |
$4.20 |
$75.40
|
|
Candida dna
|
$91.80 |
$91.80 |
$91.80 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$20.52 |
$20.52 |
$20.52 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$8,447.40 |
$8,447.40 |
$8,447.40 |
$28,006.00
|
|
Cap trach decann 15mm
|
$767.52 |
$767.52 |
$767.52 |
$2,790.78
|
|
Carbamazepine free
|
$3.96 |
$3.96 |
$3.96 |
$59.15
|
|
Carbamazepine free -sendout
|
$6.71 |
$6.71 |
$6.71 |
$45.75
|
|
Carbamazepine total therapeutic drug level
|
$93.60 |
$93.60 |
$93.60 |
$113.84
|
|
Carbohydrate deficient transf - sendout
|
$87.78 |
$87.78 |
$87.78 |
$121.80
|
|
Carbon dioxide
|
$59.40 |
$59.40 |
$59.40 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$126.00 |
$126.00 |
$126.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$86.76 |
$86.76 |
$86.76 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$1,991.16 |
$1,991.16 |
$1,991.16 |
$2,688.50
|
|
Cardiac perf planar sgl/ef/wm
|
$1,659.24 |
$1,659.24 |
$1,659.24 |
$1,963.50
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,308.68 |
$2,308.68 |
$2,308.68 |
$2,499.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$187.92 |
$187.92 |
$187.92 |
$240.90
|
|
Cardiolipin antibody iga
|
$4.16 |
$4.16 |
$4.16 |
$106.26
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,561.32 |
$1,561.32 |
$1,561.32 |
$1,385.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$72.00 |
$72.00 |
$72.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$21.60 |
$21.60 |
$21.60 |
$51.52
|
|
Car ion chnnlpath inc 10 gns
|
$261.00 |
$261.00 |
$261.00 |
$1,038.57
|
|
Carotene
|
$2.95 |
$2.95 |
$2.95 |
$43.01
|
|
Carotid Artery Ultrasound (Duplex)
|
$731.16 |
$731.16 |
$731.16 |
$997.10
|
|
Car seat/bed test 60 minutes
|
$44.28 |
$44.28 |
$44.28 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$12.60 |
$12.60 |
$12.60 |
$65.00
|
|
Cath adherent clot 10mm 6f 10
|
$186.48 |
$186.48 |
$186.48 |
$18,003.00
|
|
Cath cv dl inj 7fx16cm
|
$972.72 |
$972.72 |
$972.72 |
$4,235.56
|
|
Catheterization collection of specimen single patient all places of service
|
$43.20 |
$43.20 |
$43.20 |
$40.81
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$62.64 |
$62.64 |
$62.64 |
$470.19
|
|
Cath uret open tp 6fx70cm
|
$56.16 |
$56.16 |
$56.16 |
$560.09
|
|
#cbg+cort-cbg
|
$37.80 |
$37.80 |
$37.80 |
$69.60
|
|
Cciiv4 vacc abx free im
|
$14.76 |
$14.76 |
$14.76 |
$31.36
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$81.36 |
$81.36 |
$81.36 |
$33.60
|
|
Cdna analysis for variants
|
$106.20 |
$106.20 |
$106.20 |
$529.10
|
|
Cebpa gene full sequence
|
$106.20 |
$106.20 |
$106.20 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.70 |
$35.70 |
$35.70 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$81.37 |
$81.37 |
$81.37 |
$43.67
|
