|
Assessment leukocyte fecal qualitative/semiquantitative
|
$5.60 |
$5.60 |
$5.60 |
$47.73
|
|
Assistive tech assessment, ot
|
$14.20 |
$14.20 |
$14.20 |
$96.08
|
|
Ast/sgot
|
$127.80 |
$127.80 |
$127.80 |
$46.74
|
|
Atropine 0.1 mg/ml injection syringe
|
$11.27 |
$11.27 |
$11.27 |
$50.23
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$8,369.60 |
$8,369.60 |
$8,369.60 |
$10,384.40
|
|
Avul nail plate addl
|
$71.40 |
$71.40 |
$71.40 |
$180.60
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$156.60 |
$156.60 |
$156.60 |
$312.93
|
|
Azathioprine 50 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$3.54
|
|
Azithromycin 500 mg intravenous solution
|
$10.29 |
$10.29 |
$10.29 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$69.44 |
$69.44 |
$69.44 |
$157.30
|
|
Baclofen eval charges
|
$26.80 |
$26.80 |
$26.80 |
$84.15
|
|
Bacterial vaginosis pcr
|
$52.80 |
$52.80 |
$52.80 |
$262.20
|
|
Bactericidal level serum
|
$2.67 |
$2.67 |
$2.67 |
$117.52
|
|
#bac vag cand-c. albicans naa
|
$55.00 |
$55.00 |
$55.00 |
$105.00
|
|
Bard marquee Ultrasound biopsy device
|
$2,602.80 |
$2,602.80 |
$2,602.80 |
$1,535.40
|
|
Bartonella dna pcr-sendout
|
$6.24 |
$6.24 |
$6.24 |
$195.25
|
|
B cells total count
|
$8.19 |
$8.19 |
$8.19 |
$121.86
|
|
Bckdhb gene
|
$51.60 |
$51.60 |
$51.60 |
$190.40
|
|
Benign lesion paring 2-4
|
$143.60 |
$143.60 |
$143.60 |
$251.30
|
|
Benign lesion paring 4+
|
$124.80 |
$124.80 |
$124.80 |
$282.40
|
|
#_benzodiazconfur
|
$48.60 |
$48.60 |
$48.60 |
$105.12
|
|
Beta 2 glycoprotein 1 antibody iga
|
$5.20 |
$5.20 |
$5.20 |
$75.54
|
|
Beta-2 microglobulin
|
$2.88 |
$2.88 |
$2.88 |
$86.40
|
|
Beta-amyloid 1-42
|
$64.00 |
$64.00 |
$64.00 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$51.61 |
$51.61 |
$51.61 |
$64.26
|
|
Bilateral n block inj trigeminal 64400
|
$104.80 |
$104.80 |
$104.80 |
$521.00
|
|
Bilicheck
|
$6.80 |
$6.80 |
$6.80 |
$25.80
|
|
Bilirubin direct
|
$117.20 |
$117.20 |
$117.20 |
$49.50
|
|
Bilirubin total
|
$117.60 |
$117.60 |
$117.60 |
$52.20
|
|
Biopsy abdominal mass
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$450.60 |
$450.60 |
$450.60 |
$1,698.31
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,473.20 |
$3,473.20 |
$3,473.20 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$417.20 |
$417.20 |
$417.20 |
$1,905.43
|
|
Biopsy needle liver percutaneous
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,865.38
|
|
Biopsy needle lymph node superficial
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$1,825.00
|
|
Biopsy of nail unit 11755
|
$223.40 |
$223.40 |
$223.40 |
$841.23
|
|
Biopsy skin incisional single lesion
|
$323.20 |
$323.20 |
$323.20 |
$665.29
|
|
Biotinidase - quest
|
$6.68 |
$6.68 |
$6.68 |
$70.20
|
|
Blm gene
|
$21.40 |
$21.40 |
$21.40 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,300.00 |
$3,300.00 |
$3,300.00 |
$8,172.05
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,720.00 |
$3,720.00 |
$3,720.00 |
$4,840.11
|
|
Bln inpact admiral 4x150x130cm
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$4,815.00
|
|
Bln press regulation 71-80cm
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$2,078.00 |
$2,078.00 |
$2,078.00 |
$5,175.00
|
|
Block plantar digital nerve
|
$95.60 |
$95.60 |
$95.60 |
$501.85
|
|
Blood Clotting (PT/INR) Test
|
$125.80 |
$125.80 |
$125.80 |
$52.80
|
|
Blood Clotting (PTT) Test
|
$141.60 |
$141.60 |
$141.60 |
$70.80
|
|
Blood Count (CBC) Test
|
$123.40 |
$123.40 |
$123.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$81.60 |
$81.60 |
$81.60 |
$61.11
|
|
Blood Culture Test
|
$232.40 |
$232.40 |
$232.40 |
$145.60
|
|
Blood draw capillary 36416
|
$30.80 |
$30.80 |
$30.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$61.40 |
$61.40 |
$61.40 |
$213.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$53.60 |
$53.60 |
$53.60 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$42.80 |
$42.80 |
$42.80 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$9.40 |
$9.40 |
$9.40 |
$31.92
|
|
Blood occult peroxidase activity qualitative gastric
|
$44.60 |
$44.60 |
$44.60 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$32.60 |
$32.60 |
$32.60 |
$38.35
|
|
Blood split unit
|
$31.19 |
$31.19 |
$31.19 |
$247.00
|
|
Blood typing abo
|
$49.80 |
$49.80 |
$49.80 |
$82.32
|
|
Blood typing ag donor ea ag
|
$32.40 |
$32.40 |
$32.40 |
$181.80
|
|
Blood typing rbc ag non abo/rh ea
|
$23.03 |
$23.03 |
$23.03 |
$190.80
|
|
Blood typing rh (d)
|
$74.20 |
$74.20 |
$74.20 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$16.60 |
$16.60 |
$16.60 |
$81.90
|
|
Blood volume
|
$211.80 |
$211.80 |
$211.80 |
$704.60
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$8,231.80 |
$8,231.80 |
$8,231.80 |
$19,830.72
|
|
Bone biopsy open superficial
|
$790.00 |
$790.00 |
$790.00 |
$3,870.00
|
|
Bone Density Scan (DEXA)
|
$96.80 |
$96.80 |
$96.80 |
$395.00
|
|
Bone imaging multiple areas
|
$155.00 |
$155.00 |
$155.00 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$179.00 |
$179.00 |
$179.00 |
$975.65
|
|
Bone marrow biopsyneedle/trocar 38221
|
$3,473.20 |
$3,473.20 |
$3,473.20 |
$1,636.00
|
|
Bone marrow imaging body
|
$177.20 |
$177.20 |
$177.20 |
$1,022.45
|
|
Bone marrow imaging ltd
|
$116.20 |
$116.20 |
$116.20 |
$804.98
|
|
Bone marrow imaging mult
|
$149.40 |
$149.40 |
$149.40 |
$891.16
|
|
Bone marrow interpretation
|
$221.40 |
$221.40 |
$221.40 |
$532.80
|
|
Bone survey-lead poisoning
|
$118.20 |
$118.20 |
$118.20 |
$366.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$36.60 |
$36.60 |
$36.60 |
$90.00
|
|
Bowel imaging
|
$840.20 |
$840.20 |
$840.20 |
$1,065.00
|
|
Brace wrist classic lft sm
|
$53.80 |
$53.80 |
$53.80 |
$78.86
|
|
Brach/thor cath 1st
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$1,711.20
|
|
Brach/thor cath 2nd
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$1,859.35
|
|
Braf gene
|
$53.00 |
$53.00 |
$53.00 |
$421.20
|
|
Brain flow imaging only
|
$197.20 |
$197.20 |
$197.20 |
$636.97
|
|
Brain image < 4 views
|
$193.40 |
$193.40 |
$193.40 |
$490.98
|
|
Brain image 4+ views
|
$320.40 |
$320.40 |
$320.40 |
$883.20
|
|
Brain image w/flow < 4 views
|
$1,361.20 |
$1,361.20 |
$1,361.20 |
$867.00
|
|
Brain image w/flow 4 + views
|
$2,138.60 |
$2,138.60 |
$2,138.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$2,770.30
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$2,085.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,884.20
|
|
Brain MRI (with and without contrast)
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$2,263.20
|
|
Brain MRI (without contrast)
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$1,932.50
|
|
Brcassure comprehensive panel-sendout
|
$324.42 |
$324.42 |
$324.42 |
$2,153.70
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$4.32 |
$4.32 |
$4.32 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$16.12 |
$16.12 |
$16.12 |
$159.00
|
|
Bundled special stain group 2
|
$41.00 |
$41.00 |
$41.00 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$9.32 |
$9.32 |
$9.32 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$2.53 |
$2.53 |
$2.53 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$8.65 |
$8.65 |
$8.65 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$5.30 |
$5.30 |
$5.30 |
$78.70
|
