|
Arm CT Scan (with contrast, both arms)
|
$928.61 |
$928.61 |
$928.61 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$742.54 |
$742.54 |
$742.54 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$563.63 |
$563.63 |
$563.63 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$250.78 |
$250.78 |
$250.78 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$302.24 |
$302.24 |
$302.24 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,340.16 |
$1,340.16 |
$1,340.16 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$290.75 |
$290.75 |
$290.75 |
$494.40
|
|
Ascenda two piece catheter
|
$31,108.75 |
$31,108.75 |
$31,108.75 |
$22,792.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,638.56 |
$1,638.56 |
$1,638.56 |
$3,226.20
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,056.53 |
$1,056.53 |
$1,056.53 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$525.65 |
$525.65 |
$525.65 |
$872.50
|
|
Assay acid phosphatase
|
$8.14 |
$8.14 |
$8.14 |
$38.22
|
|
Assay dir meas fr estradiol
|
$8.76 |
$8.76 |
$8.76 |
$68.00
|
|
Assay free hydroxyproline
|
$38.81 |
$38.81 |
$38.81 |
$57.60
|
|
Assay of breath ethanol
|
$56.34 |
$56.34 |
$56.34 |
$52.62
|
|
Assay of corticosterone
|
$20.66 |
$20.66 |
$20.66 |
$55.20
|
|
Assay of digoxin free
|
$25.04 |
$25.04 |
$25.04 |
$38.08
|
|
Assay of interleukin-6 (il-6)
|
$36.93 |
$36.93 |
$36.93 |
$79.00
|
|
Assay of osteocalcin
|
$8.76 |
$8.76 |
$8.76 |
$93.60
|
|
Assay of procainamide w/metab
|
$11.89 |
$11.89 |
$11.89 |
$73.80
|
|
Assay of prostaglandin
|
$203.45 |
$203.45 |
$203.45 |
$230.00
|
|
Assay of somatostatin
|
$20.03 |
$20.03 |
$20.03 |
$170.50
|
|
Assay of thiocyanate
|
$20.66 |
$20.66 |
$20.66 |
$73.71
|
|
Assay of tyrosine
|
$31.30 |
$31.30 |
$31.30 |
$56.10
|
|
Assay of urine sulfate
|
$38.19 |
$38.19 |
$38.19 |
$28.20
|
|
Assay phosphohexose enzymes
|
$53.84 |
$53.84 |
$53.84 |
$114.40
|
|
Assay toxin or antitoxin
|
$16.18 |
$16.18 |
$16.18 |
$76.76
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$2.77 |
$2.77 |
$2.77 |
$46.80
|
|
Ast/sgot
|
$31.30 |
$31.30 |
$31.30 |
$45.90
|
|
Bacterial meningitis antigen
|
$19.75 |
$19.75 |
$19.75 |
$66.30
|
|
Bacterial vaginosis pcr
|
$737.68 |
$737.68 |
$737.68 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$104.35 |
$104.35 |
$104.35 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$112.79 |
$112.79 |
$112.79 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$585.15 |
$585.15 |
$585.15 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$352.93 |
$352.93 |
$352.93 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$438.86 |
$438.86 |
$438.86 |
$484.80
|
|
B cells total count
|
$9.55 |
$9.55 |
$9.55 |
$132.48
|
|
#_benzodiazconfur
|
$32.55 |
$32.55 |
$32.55 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$3.82 |
$3.82 |
$3.82 |
$82.55
|
|
Beta-2 microglobulin
|
$5.63 |
$5.63 |
$5.63 |
$85.20
|
|
Beta-amyloid 1-40
|
$156.50 |
$156.50 |
$156.50 |
$312.00
|
|
Beta-amyloid 1-42
|
$251.03 |
$251.03 |
$251.03 |
$333.00
|
|
Bilateral n block inj trigeminal 64400
|
$509.81 |
$509.81 |
$509.81 |
$587.60
|
|
Bilicheck
|
$10.02 |
$10.02 |
$10.02 |
$27.60
|
|
Bilirubin direct
|
$25.67 |
$25.67 |
$25.67 |
$51.35
|
|
Bilirubin total
|
$53.84 |
$53.84 |
$53.84 |
$54.60
|
|
Biopsy muscle percutaneous needle
|
$1,014.25 |
$1,014.25 |
$1,014.25 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$720.36 |
$720.36 |
$720.36 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,464.88 |
$2,464.88 |
$2,464.88 |
$1,890.72
|
|
Biopsy of salivary gland 42400
|
$854.51 |
$854.51 |
$854.51 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,040.87 |
$1,040.87 |
$1,040.87 |
$2,115.00
|
|
Biotinidase - quest
|
$11.27 |
$11.27 |
$11.27 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$223.36 |
$223.36 |
$223.36 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$263.09 |
$263.09 |
$263.09 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$6,043.55 |
$6,043.55 |
$6,043.55 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,844.93 |
$2,844.93 |
$2,844.93 |
$1,320.21
|
|
Bln press regulation 71-80cm
|
$15,422.66 |
$15,422.66 |
$15,422.66 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$21,271.71 |
$21,271.71 |
$21,271.71 |
$5,272.40
|
|
Block brachial plexus w/cath plmt w/img
|
$244.31 |
$244.31 |
$244.31 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$234.34 |
$234.34 |
$234.34 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$176.17 |
$176.17 |
$176.17 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$142.93 |
$142.93 |
$142.93 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$8.94 |
$8.94 |
$8.94 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$11.32 |
$11.32 |
$11.32 |
$74.00
|
|
Blood Count (CBC) Test
|
$38.74 |
$38.74 |
$38.74 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$11.92 |
$11.92 |
$11.92 |
$62.28
|
|
Blood Culture Test
|
$17.30 |
$17.30 |
$17.30 |
$146.16
|
|
Blood draw capillary 36416
|
$23.53 |
$23.53 |
$23.53 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$23.53 |
$23.53 |
$23.53 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$148.36 |
$148.36 |
$148.36 |
$226.50
|
|
Blood gases ph venous
|
$20.66 |
$20.66 |
$20.66 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$7.51 |
$7.51 |
$7.51 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.76 |
$8.76 |
$8.76 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.64 |
$10.64 |
$10.64 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$32.18 |
$32.18 |
$32.18 |
$38.35
|
|
Blood Transfusion
|
$811.86 |
$811.86 |
$811.86 |
$989.60
|
|
Blood typing abo
|
$190.30 |
$190.30 |
$190.30 |
$86.45
|
|
Blood typing ag donor ea ag
|
$527.30 |
$527.30 |
$527.30 |
$207.60
|
|
Blood typing patient serum
|
$71.28 |
$71.28 |
$71.28 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$71.28 |
$71.28 |
$71.28 |
$211.90
|
|
Blood typing rh (d)
|
$58.13 |
$58.13 |
$58.13 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$53.98 |
$53.98 |
$53.98 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$247.31 |
$247.31 |
$247.31 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$491.34 |
$491.34 |
$491.34 |
$407.94
|
|
Bone imaging multiple areas
|
$1,541.96 |
$1,541.96 |
$1,541.96 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,284.97 |
$1,284.97 |
$1,284.97 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$943.78 |
$943.78 |
$943.78 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,444.66 |
$1,444.66 |
$1,444.66 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$997.11 |
$997.11 |
$997.11 |
$811.00
|
|
Bone marrow imaging mult
|
$1,256.78 |
$1,256.78 |
$1,256.78 |
$923.00
|
|
Bone survey-lead poisoning
|
$266.99 |
$266.99 |
$266.99 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$9.55 |
$9.55 |
$9.55 |
$93.60
|
|
Bowel imaging
|
$1,136.67 |
$1,136.67 |
$1,136.67 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$82.42 |
$82.42 |
$82.42 |
$105.30
|
|
Braf gene
|
$78.54 |
$78.54 |
$78.54 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$838.35 |
$838.35 |
$838.35 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$698.76 |
$698.76 |
$698.76 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$558.90 |
$558.90 |
$558.90 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,376.73 |
$3,376.73 |
$3,376.73 |
$2,854.80
|
