|
Biopsy needle lymph node superficial
|
$2,789.56 |
$2,789.56 |
$2,789.56 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$2,240.01 |
$2,240.01 |
$2,240.01 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,836.48 |
$4,836.48 |
$4,836.48 |
$2,195.00
|
|
Bladder irrigate/lavage/instill 51700
|
$581.62 |
$581.62 |
$581.62 |
$418.20
|
|
Blood Clotting (PT/INR) Test
|
$177.32 |
$177.32 |
$177.32 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$164.29 |
$164.29 |
$164.29 |
$72.15
|
|
Blood Count (CBC) Test
|
$354.90 |
$354.90 |
$354.90 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$148.27 |
$148.27 |
$148.27 |
$62.28
|
|
Blood Culture Test
|
$261.66 |
$261.66 |
$261.66 |
$144.65
|
|
Blood draw capillary 36416
|
$58.35 |
$58.35 |
$58.35 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$612.10 |
$612.10 |
$612.10 |
$220.35
|
|
Blood gases ph venous
|
$252.45 |
$252.45 |
$252.45 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$136.78 |
$136.78 |
$136.78 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$171.62 |
$171.62 |
$171.62 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$171.62 |
$171.62 |
$171.62 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$68.85 |
$68.85 |
$68.85 |
$33.57
|
|
Blood smear interpretation
|
$185.97 |
$185.97 |
$185.97 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$226.82 |
$226.82 |
$226.82 |
$37.44
|
|
Blood split unit
|
$523.32 |
$523.32 |
$523.32 |
$235.30
|
|
Blood typing abo
|
$37.26 |
$37.26 |
$37.26 |
$83.82
|
|
Blood typing ag donor ea ag
|
$110.89 |
$110.89 |
$110.89 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$206.03 |
$206.03 |
$206.03 |
$181.74
|
|
Blood typing rh (d)
|
$37.26 |
$37.26 |
$37.26 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$281.42 |
$281.42 |
$281.42 |
$77.25
|
|
Bone biopsy open superficial
|
$6,678.11 |
$6,678.11 |
$6,678.11 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$1,125.11 |
$1,125.11 |
$1,125.11 |
$395.00
|
|
Bone/joint imaging ltd area
|
$2,417.42 |
$2,417.42 |
$2,417.42 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$3,371.25 |
$3,371.25 |
$3,371.25 |
$1,822.36
|
|
Bone marrow interpretation
|
$360.39 |
$360.39 |
$360.39 |
$439.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$15.24 |
$15.24 |
$15.24 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,419.53 |
$1,419.53 |
$1,419.53 |
$1,683.04
|
|
Brach/thor cath 1st
|
$2,249.28 |
$2,249.28 |
$2,249.28 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$2,275.74 |
$2,275.74 |
$2,275.74 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$2,314.88 |
$2,314.88 |
$2,314.88 |
$2,244.00
|
|
Brachy src nonstrand hdr ir-192
|
$1,186.75 |
$1,186.75 |
$1,186.75 |
$378.98
|
|
Brachytx isodose complex
|
$1,669.56 |
$1,669.56 |
$1,669.56 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,277.55 |
$1,277.55 |
$1,277.55 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$815.14 |
$815.14 |
$815.14 |
$817.20
|
|
Braf gene
|
$706.88 |
$706.88 |
$706.88 |
$421.20
|
|
Brain image w/flow < 4 views
|
$2,071.83 |
$2,071.83 |
$2,071.83 |
$828.39
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,322.12 |
$4,322.12 |
$4,322.12 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,541.40 |
$3,541.40 |
$3,541.40 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$7,866.30 |
$7,866.30 |
$7,866.30 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,672.55 |
$7,672.55 |
$7,672.55 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$6,941.83 |
$6,941.83 |
$6,941.83 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$5,242.61 |
$5,242.61 |
$5,242.61 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$7,310.86 |
$7,310.86 |
$7,310.86 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$1,407.39 |
$1,407.39 |
$1,407.39 |
$832.60
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$85.92 |
$85.92 |
$85.92 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$248.80 |
$248.80 |
$248.80 |
$164.89
|
|
Bundled special stain group 2
|
$326.69 |
$326.69 |
$326.69 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$256.25 |
$256.25 |
$256.25 |
$30.97
|
|
Buprenorphine and metabolite - sendout
|
$149.65 |
$149.65 |
$149.65 |
$99.72
|
|
Buprenorph X-ray 100 mg or less
|
$9,907.13 |
$9,907.13 |
$9,907.13 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$80.11 |
$80.11 |
$80.11 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$2,647.96 |
$2,647.96 |
$2,647.96 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$7,128.08 |
$7,128.08 |
$7,128.08 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$9,809.31 |
$9,809.31 |
$9,809.31 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$4,276.86 |
$4,276.86 |
$4,276.86 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$4,276.86 |
$4,276.86 |
$4,276.86 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$4,276.86 |
$4,276.86 |
$4,276.86 |
$1,708.85
|
|
Bx pleura pq ndl
|
$1,544.21 |
$1,544.21 |
$1,544.21 |
$1,732.00
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,915.54 |
$2,915.54 |
$2,915.54 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$876.65 |
$876.65 |
$876.65 |
$1,020.60
|
|
Bypass temp external fem-fem
|
$1,917.17 |
$1,917.17 |
$1,917.17 |
$2,428.80
|
|
C1 esterase inhibitor func - sendout
|
$46.16 |
$46.16 |
$46.16 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$25,633.10 |
$25,633.10 |
$25,633.10 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,872.52 |
$2,872.52 |
$2,872.52 |
$2,910.00
|
|
Calcium 24 hour urine
|
$125.93 |
$125.93 |
$125.93 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$356.85 |
$356.85 |
$356.85 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$182.13 |
$182.13 |
$182.13 |
$92.91
|
|
Calcium ionized
|
$276.64 |
$276.64 |
$276.64 |
$86.35
|
|
Calcium total
|
$255.53 |
$255.53 |
$255.53 |
$48.75
|
|
Calprotectin fecal
|
$328.93 |
$328.93 |
$328.93 |
$170.00
|
|
Carbamazepine free
|
$217.58 |
$217.58 |
$217.58 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$176.16 |
$176.16 |
$176.16 |
$113.25
|
|
Carbon dioxide
|
$124.99 |
$124.99 |
$124.99 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$602.04 |
$602.04 |
$602.04 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$241.01 |
$241.01 |
$241.01 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$228.73 |
$228.73 |
$228.73 |
$146.90
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,279.29 |
$7,279.29 |
$7,279.29 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$379.92 |
$379.92 |
$379.92 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$351.77 |
$351.77 |
$351.77 |
$195.00
|
|
Cardiolipin antibody iga
|
$30.32 |
$30.32 |
$30.32 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,910.28 |
$1,910.28 |
$1,910.28 |
$1,504.08
|
|
Carotene
|
$23.15 |
$23.15 |
$23.15 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$993.48 |
$993.48 |
$993.48 |
$1,067.40
|
|
Car seat/bed test 60 minutes
|
$285.03 |
$285.03 |
$285.03 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$142.52 |
$142.52 |
$142.52 |
$79.05
|
|
Cath cv dl inj 7fx16cm
|
$12,607.48 |
$12,607.48 |
$12,607.48 |
$2,712.53
|
|
Cath left heart transseptal punc
|
$8,981.36 |
$8,981.36 |
$8,981.36 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$1,686.33 |
$1,686.33 |
$1,686.33 |
$1,527.00
|
|
Cath place 1st order venous 36011
|
$1,149.58 |
$1,149.58 |
$1,149.58 |
$1,492.70
|
|
Cath plc art ang/grft lt/rt hr
|
$24,163.50 |
$24,163.50 |
$24,163.50 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$25,636.67 |
$25,636.67 |
$25,636.67 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$25,891.56 |
$25,891.56 |
$25,891.56 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$9,838.38 |
$9,838.38 |
$9,838.38 |
$6,306.85
|
|
Cath right hrt mnpul art
|
$1,542.10 |
$1,542.10 |
$1,542.10 |
$1,210.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$250.78 |
$250.78 |
$250.78 |
$474.40
|
