|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$14.26 |
$14.26 |
$14.26 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.99 |
$2.99 |
$2.99 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$3.22 |
$3.22 |
$3.22 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$3.68 |
$3.68 |
$3.68 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$15.23 |
$15.23 |
$15.23 |
$38.35
|
|
Blood split unit
|
$139.09 |
$139.09 |
$139.09 |
$282.88
|
|
Blood Transfusion
|
$381.31 |
$381.31 |
$381.31 |
$989.60
|
|
Blood typing abo
|
$109.98 |
$109.98 |
$109.98 |
$86.45
|
|
Blood typing ag donor ea ag
|
$304.14 |
$304.14 |
$304.14 |
$207.60
|
|
Blood typing patient serum
|
$64.72 |
$64.72 |
$64.72 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$304.14 |
$304.14 |
$304.14 |
$211.90
|
|
Blood typing rh (d)
|
$33.42 |
$33.42 |
$33.42 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$51.61 |
$51.61 |
$51.61 |
$88.00
|
|
Bls-emergency
|
$702.47 |
$702.47 |
$702.47 |
$892.32
|
|
Bone Age X-ray (hand and wrist)
|
$56.67 |
$56.67 |
$56.67 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$101.02 |
$101.02 |
$101.02 |
$407.94
|
|
Bone imaging multiple areas
|
$1,172.26 |
$1,172.26 |
$1,172.26 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$977.13 |
$977.13 |
$977.13 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$773.31 |
$773.31 |
$773.31 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$808.18 |
$808.18 |
$808.18 |
$1,728.00
|
|
Bone marrow imaging body
|
$590.33 |
$590.33 |
$590.33 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$404.59 |
$404.59 |
$404.59 |
$811.00
|
|
Bone marrow imaging mult
|
$517.71 |
$517.71 |
$517.71 |
$923.00
|
|
Bone survey-lead poisoning
|
$76.03 |
$76.03 |
$76.03 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$17.62 |
$17.62 |
$17.62 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$230.73 |
$230.73 |
$230.73 |
$82.55
|
|
Bowel imaging
|
$743.96 |
$743.96 |
$743.96 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$79.49 |
$79.49 |
$79.49 |
$105.30
|
|
Brach/thor cath 1st
|
$666.03 |
$666.03 |
$666.03 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$842.60 |
$842.60 |
$842.60 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$1,015.14 |
$1,015.14 |
$1,015.14 |
$2,050.00
|
|
Brach/thor cath addl
|
$162.71 |
$162.71 |
$162.71 |
$868.00
|
|
Brachy source i-125 injection
|
$74.57 |
$74.57 |
$74.57 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$50.46 |
$50.46 |
$50.46 |
$70.85
|
|
Brachy source palladium
|
$77.17 |
$77.17 |
$77.17 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$73.83 |
$73.83 |
$73.83 |
$126.83
|
|
Brachy source yttrium-90
|
$14,860.03 |
$14,860.03 |
$14,860.03 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$201.45 |
$201.45 |
$201.45 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$389.18 |
$389.18 |
$389.18 |
$478.50
|
|
Brachy src stranded c-131
|
$2,640.78 |
$2,640.78 |
$2,640.78 |
$221.00
|
|
Brachytx isodose complex
|
$800.98 |
$800.98 |
$800.98 |
$1,705.20
|
|
Brachytx isodose intermed
|
$742.30 |
$742.30 |
$742.30 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$444.99 |
$444.99 |
$444.99 |
$1,032.38
|
|
Brachytx, non-str, gold-198
|
$68.26 |
$68.26 |
$68.26 |
$124.55
|
|
Braf gene
|
$227.66 |
$227.66 |
$227.66 |
$450.90
|
|
Brain flow imaging only
|
$401.13 |
$401.13 |
$401.13 |
$677.66
|
|
Brain image 4+ views
|
$417.43 |
$417.43 |
$417.43 |
$847.80
|
|
Brain image w/flow 4 + views
|
$705.43 |
$705.43 |
$705.43 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$561.05 |
$561.05 |
$561.05 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$467.70 |
$467.70 |
$467.70 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$374.03 |
$374.03 |
$374.03 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$656.66 |
$656.66 |
$656.66 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$547.31 |
$547.31 |
$547.31 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$437.67 |
$437.67 |
$437.67 |
$1,948.00
|
|
Brca1&2 gene full seq alys
|
$606.53 |
$606.53 |
$606.53 |
$794.43
|
|
Brcassure comprehensive panel-sendout
|
$2,365.20 |
$2,365.20 |
$2,365.20 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$46.82 |
$46.82 |
$46.82 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$430.91 |
$430.91 |
$430.91 |
$871.80
|
|
Bronchial challenge
|
$261.36 |
$261.36 |
$261.36 |
$820.05
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$1,041.06 |
$1,041.06 |
$1,041.06 |
$571.00
|
|
Br punct aspir ea add, l
|
$127.84 |
$127.84 |
$127.84 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$212.27 |
$212.27 |
$212.27 |
$159.00
|
|
Bundled special stain group 2
|
$174.29 |
$174.29 |
$174.29 |
$173.40
|
|
Bundle his recording
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$4,781.70
|
|
Buprenorphine and metabolite - sendout
|
$29.67 |
$29.67 |
$29.67 |
$80.64
|
|
Bur rotalink 2.15mm
|
$5,169.58 |
$5,169.58 |
$5,169.58 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,374.97 |
$1,374.97 |
$1,374.97 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,888.51 |
$2,888.51 |
$2,888.51 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,628.42 |
$1,628.42 |
$1,628.42 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,749.56 |
$1,749.56 |
$1,749.56 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$397.38 |
$397.38 |
$397.38 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$408.11 |
$408.11 |
$408.11 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$421.52 |
$421.52 |
$421.52 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$1,695.02 |
$1,695.02 |
$1,695.02 |
$4,509.59
|
|
Bx pancreas pq ndl
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$1,610.05
|
|
Bx pleura pq ndl
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$68.45 |
$68.45 |
$68.45 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$63.03 |
$63.03 |
$63.03 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$49.01 |
$49.01 |
$49.01 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,579.70 |
$1,579.70 |
$1,579.70 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$474.71 |
$474.71 |
$474.71 |
$963.80
|
|
Bypass temp external fem-fem
|
$4,686.80 |
$4,686.80 |
$4,686.80 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$80.10 |
$80.10 |
$80.10 |
$96.72
|
|
Cable cath 22-pin diag
|
$5,169.58 |
$5,169.58 |
$5,169.58 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$280.80 |
$280.80 |
$280.80 |
$260.58
|
|
Cad breast MRI w/r&i
|
$24.32 |
$24.32 |
$24.32 |
$100.80
|
|
Cadd pump refill
|
$258.11 |
$258.11 |
$258.11 |
$386.60
|
|
Calcium 24 hour urine
|
$17.71 |
$17.71 |
$17.71 |
$53.00
|
|
Calcium ionized
|
$12.42 |
$12.42 |
$12.42 |
$90.00
|
|
Calcium total
|
$14.95 |
$14.95 |
$14.95 |
$50.00
|
|
Calprotectin fecal
|
$57.50 |
$57.50 |
$57.50 |
$170.00
|
|
Campylobacter antibody
|
$10.68 |
$10.68 |
$10.68 |
$77.83
|
|
Candida dna
|
$25.11 |
$25.11 |
$25.11 |
$61.10
|
|
Cannabinoid synthetic 7/more
|
$40.25 |
$40.25 |
$40.25 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$41,438.47 |
$41,438.47 |
$41,438.47 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$37,376.02 |
$37,376.02 |
$37,376.02 |
$18,466.88
|
|
Cap trach decann 15mm
|
$3,437.32 |
$3,437.32 |
$3,437.32 |
$3,238.70
|
|
Carbamazepine free
|
$20.70 |
$20.70 |
$20.70 |
$60.00
|
