|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$760.03 |
$760.03 |
$760.03 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$928.26 |
$928.26 |
$928.26 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$928.26 |
$928.26 |
$928.26 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,392.40 |
$1,392.40 |
$1,392.40 |
$1,890.72
|
|
Biopsy of prostate
|
$1,253.71 |
$1,253.71 |
$1,253.71 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$663.50 |
$663.50 |
$663.50 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,392.40 |
$1,392.40 |
$1,392.40 |
$2,115.00
|
|
Biotinidase - quest
|
$25.42 |
$25.42 |
$25.42 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$117.42 |
$117.42 |
$117.42 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$194.16 |
$194.16 |
$194.16 |
$412.80
|
|
Bld prd mix
|
$134.16 |
$134.16 |
$134.16 |
$140.25
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,674.88 |
$3,674.88 |
$3,674.88 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,237.54 |
$3,237.54 |
$3,237.54 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$1,422.47 |
$1,422.47 |
$1,422.47 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$10,239.42 |
$10,239.42 |
$10,239.42 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$14,122.73 |
$14,122.73 |
$14,122.73 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$5.20 |
$5.20 |
$5.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$5.51 |
$5.51 |
$5.51 |
$74.00
|
|
Blood Count (CBC) Test
|
$2.45 |
$2.45 |
$2.45 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$2.04 |
$2.04 |
$2.04 |
$62.28
|
|
Blood Culture Test
|
$4.50 |
$4.50 |
$4.50 |
$146.16
|
|
Blood draw capillary 36416
|
$13.12 |
$13.12 |
$13.12 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$10.04 |
$10.04 |
$10.04 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$53.80 |
$53.80 |
$53.80 |
$226.50
|
|
Blood gases ph venous
|
$7.49 |
$7.49 |
$7.49 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$14.07 |
$14.07 |
$14.07 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.95 |
$2.95 |
$2.95 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$3.18 |
$3.18 |
$3.18 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$3.63 |
$3.63 |
$3.63 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$5.51 |
$5.51 |
$5.51 |
$38.35
|
|
Blood split unit
|
$52.65 |
$52.65 |
$52.65 |
$282.88
|
|
Blood Transfusion
|
$428.98 |
$428.98 |
$428.98 |
$989.60
|
|
Blood typing abo
|
$100.36 |
$100.36 |
$100.36 |
$86.45
|
|
Blood typing ag donor ea ag
|
$277.53 |
$277.53 |
$277.53 |
$207.60
|
|
Blood typing patient serum
|
$59.06 |
$59.06 |
$59.06 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$277.53 |
$277.53 |
$277.53 |
$211.90
|
|
Blood typing rh (d)
|
$30.49 |
$30.49 |
$30.49 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$47.09 |
$47.09 |
$47.09 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$83.88 |
$83.88 |
$83.88 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$149.53 |
$149.53 |
$149.53 |
$407.94
|
|
Bone imaging multiple areas
|
$1,293.29 |
$1,293.29 |
$1,293.29 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,078.01 |
$1,078.01 |
$1,078.01 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$681.62 |
$681.62 |
$681.62 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$712.35 |
$712.35 |
$712.35 |
$1,728.00
|
|
Bone marrow imaging body
|
$651.28 |
$651.28 |
$651.28 |
$1,010.08
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$12.21 |
$12.21 |
$12.21 |
$93.60
|
|
Bowel imaging
|
$820.77 |
$820.77 |
$820.77 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$23.05 |
$23.05 |
$23.05 |
$105.30
|
|
Brach/thor cath 1st
|
$587.06 |
$587.06 |
$587.06 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$742.69 |
$742.69 |
$742.69 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$894.77 |
$894.77 |
$894.77 |
$2,050.00
|
|
Brach/thor cath addl
|
$143.42 |
$143.42 |
$143.42 |
$868.00
|
|
Braf gene
|
$73.25 |
$73.25 |
$73.25 |
$450.90
|
|
Brain flow imaging only
|
$442.54 |
$442.54 |
$442.54 |
$677.66
|
|
Brain image 4+ views
|
$460.53 |
$460.53 |
$460.53 |
$847.80
|
|
Brain image w/flow 4 + views
|
$778.26 |
$778.26 |
$778.26 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$498.52 |
$498.52 |
$498.52 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$415.58 |
$415.58 |
$415.58 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$332.35 |
$332.35 |
$332.35 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$709.28 |
$709.28 |
$709.28 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$591.17 |
$591.17 |
$591.17 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$472.75 |
$472.75 |
$472.75 |
$1,948.00
|
|
Brca1&2 gene full seq alys
|
$195.16 |
$195.16 |
$195.16 |
$794.43
|
|
Brcassure comprehensive panel-sendout
|
$761.03 |
$761.03 |
$761.03 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$928.26 |
$928.26 |
$928.26 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$69.29 |
$69.29 |
$69.29 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$379.82 |
$379.82 |
$379.82 |
$871.80
|
|
Bronchial challenge
|
$216.00 |
$216.00 |
$216.00 |
$820.05
|
|
Br punct aspir ea add, l
|
$112.68 |
$112.68 |
$112.68 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$244.46 |
$244.46 |
$244.46 |
$159.00
|
|
Bundled special stain group 2
|
$200.72 |
$200.72 |
$200.72 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.07 |
$0.07 |
$0.07 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$29.28 |
$29.28 |
$29.28 |
$80.64
|
|
Bur rotalink 2.15mm
|
$4,083.09 |
$4,083.09 |
$4,083.09 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,211.94 |
$1,211.94 |
$1,211.94 |
$2,388.00
|
|
Bx breast add lesion mr imag
|
$1,542.12 |
$1,542.12 |
$1,542.12 |
$1,695.00
|
|
Bx breast add lesion Ultrasound imag
|
$359.72 |
$359.72 |
$359.72 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$928.26 |
$928.26 |
$928.26 |
$1,610.05
|
|
Bx pleura pq ndl
|
$928.26 |
$928.26 |
$928.26 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$55.55 |
$55.55 |
$55.55 |
$230.75
|
|
Bx thyroid/percutan core needle 60100
|
$418.43 |
$418.43 |
$418.43 |
$963.80
|
|
Bypass temp external fem-fem
|
$4,131.09 |
$4,131.09 |
$4,131.09 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$55.50 |
$55.50 |
$55.50 |
$96.72
|
|
Cable cath 22-pin diag
|
$4,083.09 |
$4,083.09 |
$4,083.09 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$23.81 |
$23.81 |
$23.81 |
$100.80
|
|
Calcium 24 hour urine
|
$17.48 |
$17.48 |
$17.48 |
$53.00
|
|
Calcium ionized
|
$12.26 |
$12.26 |
$12.26 |
$90.00
|
|
Calcium total
|
$14.76 |
$14.76 |
$14.76 |
$50.00
|
|
Calprotectin fecal
|
$56.75 |
$56.75 |
$56.75 |
$170.00
|
|
Campylobacter antibody
|
$7.40 |
$7.40 |
$7.40 |
$77.83
|
|
Candida dna
|
$13.05 |
$13.05 |
$13.05 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$45,012.68 |
$45,012.68 |
$45,012.68 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$40,599.83 |
$40,599.83 |
$40,599.83 |
$18,466.88
|
|
Cap trach decann 15mm
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$3,238.70
|
|
Carbamazepine free
|
$20.43 |
$20.43 |
$20.43 |
$60.00
|
|
Carbamazepine free -sendout
|
$20.43 |
$20.43 |
$20.43 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$11.80 |
$11.80 |
$11.80 |
$122.85
|
|
Carbohydrate urine - sendout
|
$51.98 |
$51.98 |
$51.98 |
$66.64
|
|
Carbon dioxide
|
$3.41 |
$3.41 |
$3.41 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$17.03 |
$17.03 |
$17.03 |
$84.73
|
