|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$668.98
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$2,141.40
|
|
Bladder irrigate/lavage/instill 51700
|
$1,473.67 |
$1,473.67 |
$1,473.67 |
$418.20
|
|
Block paracervical nrv
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$819.50
|
|
Blood Clotting (PT/INR) Test
|
$302.76 |
$302.76 |
$302.76 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$323.31 |
$323.31 |
$323.31 |
$72.15
|
|
Blood Count (CBC) Test
|
$442.59 |
$442.59 |
$442.59 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$372.32 |
$372.32 |
$372.32 |
$62.28
|
|
Blood Culture Test
|
$568.37 |
$568.37 |
$568.37 |
$144.65
|
|
Blood draw capillary 36416
|
$42.97 |
$42.97 |
$42.97 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$493.21 |
$493.21 |
$493.21 |
$220.35
|
|
Blood gases ph venous
|
$169.79 |
$169.79 |
$169.79 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$245.72 |
$245.72 |
$245.72 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$151.56 |
$151.56 |
$151.56 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$117.09 |
$117.09 |
$117.09 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$151.56 |
$151.56 |
$151.56 |
$33.57
|
|
Blood smear interpretation
|
$141.00 |
$141.00 |
$141.00 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$58.65 |
$58.65 |
$58.65 |
$37.44
|
|
Blood typing abo
|
$364.82 |
$364.82 |
$364.82 |
$83.82
|
|
Blood typing ag donor ea ag
|
$1,017.75 |
$1,017.75 |
$1,017.75 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$1,017.75 |
$1,017.75 |
$1,017.75 |
$181.74
|
|
Blood typing rh (d)
|
$129.00 |
$129.00 |
$129.00 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$284.10 |
$284.10 |
$284.10 |
$77.25
|
|
Bone biopsy open superficial
|
$27,561.20 |
$27,561.20 |
$27,561.20 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$1,476.02 |
$1,476.02 |
$1,476.02 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,530.24 |
$1,530.24 |
$1,530.24 |
$1,151.16
|
|
Bone marrow interpretation
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$439.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$289.32 |
$289.32 |
$289.32 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$998.60 |
$998.60 |
$998.60 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$52.94 |
$52.94 |
$52.94 |
$33.57
|
|
Bowel imaging
|
$1,916.52 |
$1,916.52 |
$1,916.52 |
$1,186.25
|
|
Brach/thor cath 2nd
|
$4,275.43 |
$4,275.43 |
$4,275.43 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$4,859.03 |
$4,859.03 |
$4,859.03 |
$2,244.00
|
|
Brachytx isodose complex
|
$1,985.79 |
$1,985.79 |
$1,985.79 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,614.62 |
$1,614.62 |
$1,614.62 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,358.39 |
$1,358.39 |
$1,358.39 |
$817.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,760.17 |
$7,760.17 |
$7,760.17 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,318.03 |
$7,318.03 |
$7,318.03 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$5,763.15 |
$5,763.15 |
$5,763.15 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$7,461.32 |
$7,461.32 |
$7,461.32 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,931.10 |
$5,931.10 |
$5,931.10 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$5,841.17 |
$5,841.17 |
$5,841.17 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$28,167.03 |
$28,167.03 |
$28,167.03 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$832.60
|
|
Bronchial allergy tests
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$731.72
|
|
Bronchial challenge
|
$1,433.16 |
$1,433.16 |
$1,433.16 |
$835.20
|
|
Br punct aspir ea add, l
|
$651.42 |
$651.42 |
$651.42 |
$387.96
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$174.95 |
$174.95 |
$174.95 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$233.69 |
$233.69 |
$233.69 |
$164.89
|
|
Bundled special stain group 2
|
$399.18 |
$399.18 |
$399.18 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$535.95 |
$535.95 |
$535.95 |
$30.97
|
|
Buprenorphine and metabolite - sendout
|
$101.60 |
$101.60 |
$101.60 |
$99.72
|
|
Buprenorph X-ray 100 mg or less
|
$22,886.00 |
$22,886.00 |
$22,886.00 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$161.86 |
$161.86 |
$161.86 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$17,877.89 |
$17,877.89 |
$17,877.89 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$4,188.38 |
$4,188.38 |
$4,188.38 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$3,370.90 |
$3,370.90 |
$3,370.90 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$4,133.20 |
$4,133.20 |
$4,133.20 |
$1,708.85
|
|
Bx skin incisnl ea sep/add l les
|
$1,313.92 |
$1,313.92 |
$1,313.92 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$788.19 |
$788.19 |
$788.19 |
$208.65
|
|
Bx thyroid/percutan core needle 60100
|
$2,761.59 |
$2,761.59 |
$2,761.59 |
$1,020.60
|
|
C1 esterase inhibitor func - sendout
|
$61.03 |
$61.03 |
$61.03 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$15,139.62 |
$15,139.62 |
$15,139.62 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$6,621.77 |
$6,621.77 |
$6,621.77 |
$2,910.00
|
|
Calcium 24 hour urine
|
$197.00 |
$197.00 |
$197.00 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$753.11 |
$753.11 |
$753.11 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$282.51 |
$282.51 |
$282.51 |
$92.91
|
|
Calcium ionized
|
$230.30 |
$230.30 |
$230.30 |
$86.35
|
|
Calcium total
|
$277.38 |
$277.38 |
$277.38 |
$48.75
|
|
Calprotectin fecal
|
$302.99 |
$302.99 |
$302.99 |
$170.00
|
|
Canthotomy 67715
|
$6,895.81 |
$6,895.81 |
$6,895.81 |
$3,014.70
|
|
Carbamazepine free
|
$204.52 |
$204.52 |
$204.52 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$510.79 |
$510.79 |
$510.79 |
$113.25
|
|
Carbon dioxide
|
$75.33 |
$75.33 |
$75.33 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$429.85 |
$429.85 |
$429.85 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$239.89 |
$239.89 |
$239.89 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$292.65 |
$292.65 |
$292.65 |
$146.90
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$425.74 |
$425.74 |
$425.74 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$425.74 |
$425.74 |
$425.74 |
$195.00
|
|
Cardiolipin antibody iga
|
$126.34 |
$126.34 |
$126.34 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,039.99 |
$3,039.99 |
$3,039.99 |
$1,504.08
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$155.19 |
$155.19 |
$155.19 |
$129.60
|
|
Carotene
|
$62.88 |
$62.88 |
$62.88 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,310.93 |
$3,310.93 |
$3,310.93 |
$1,067.40
|
|
Carpal Tunnel Release Surgery
|
$20,662.96 |
$20,662.96 |
$20,662.96 |
$3,899.19
|
|
Car seat/bed test 60 minutes
|
$418.76 |
$418.76 |
$418.76 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$209.38 |
$209.38 |
$209.38 |
$79.05
|
|
Cataract Surgery
|
$18,704.12 |
$18,704.12 |
$18,704.12 |
$3,173.34
|
|
Cath combo lt&rt heart w/inj/s
|
$29,195.99 |
$29,195.99 |
$29,195.99 |
$8,832.72
|
|
Cath cv dl inj 7fx16cm
|
$1,573.22 |
$1,573.22 |
$1,573.22 |
$2,712.53
|
|
Cath left heart/lv gram
|
$29,195.99 |
$29,195.99 |
$29,195.99 |
$7,226.24
|
|
Cath lt/rt pulm art
|
$5,486.90 |
$5,486.90 |
$5,486.90 |
$1,527.00
|
|
Cath place 1st order venous 36011
|
$4,519.06 |
$4,519.06 |
$4,519.06 |
$1,492.70
|
|
Cath plc art ang/grft lt/rt hr
|
$26,893.51 |
$26,893.51 |
$26,893.51 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$21,341.70 |
$21,341.70 |
$21,341.70 |
$10,086.05
|
|
Cath right heart w/o2 sat & card
|
$11,475.05 |
$11,475.05 |
$11,475.05 |
$6,306.85
|