|
Blood Culture Test
|
$153.00 |
$153.00 |
$153.00 |
$145.80
|
|
Blood draw capillary 36416
|
$25.80 |
$25.80 |
$25.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$299.40 |
$299.40 |
$299.40 |
$220.35
|
|
Blood gases ph venous
|
$108.00 |
$108.00 |
$108.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$90.00 |
$90.00 |
$90.00 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$57.60 |
$57.60 |
$57.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$58.20 |
$58.20 |
$58.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$30.60 |
$30.60 |
$30.60 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$37.80 |
$37.80 |
$37.80 |
$38.61
|
|
Blood typing abo
|
$81.00 |
$81.00 |
$81.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$412.20 |
$412.20 |
$412.20 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$412.20 |
$412.20 |
$412.20 |
$199.50
|
|
Blood typing rh (d)
|
$71.40 |
$71.40 |
$71.40 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$171.00 |
$171.00 |
$171.00 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$461.40 |
$461.40 |
$461.40 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$1,570.80
|
|
Bone marrow imaging body
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
$1,076.40
|
|
Boot j walker l
|
$585.60 |
$585.60 |
$585.60 |
$231.75
|
|
Boot walker genesis full shell 3-strap s
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$402.00 |
$402.00 |
$402.00 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$35.40 |
$35.40 |
$35.40 |
$68.88
|
|
Bowel imaging
|
$2,066.40 |
$2,066.40 |
$2,066.40 |
$1,065.00
|
|
Brace afo lg left 6607
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$307.80 |
$307.80 |
$307.80 |
$109.64
|
|
Brace ankle stablizing lg
|
$169.20 |
$169.20 |
$169.20 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$857.43
|
|
Brace knee extender plus 22-30in
|
$3,423.00 |
$3,423.00 |
$3,423.00 |
$676.06
|
|
Brace oths wrist hnd fngr without
|
$307.80 |
$307.80 |
$307.80 |
$245.00
|
|
Brace tlso flex cust
|
$1,384.80 |
$1,384.80 |
$1,384.80 |
$573.43
|
|
Brace wrist classic lft sm
|
$307.80 |
$307.80 |
$307.80 |
$81.62
|
|
Brach/thor cath 1st
|
$1,924.20 |
$1,924.20 |
$1,924.20 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$2,079.00
|
|
Brach/thor cath addl
|
$1,630.80 |
$1,630.80 |
$1,630.80 |
$868.00
|
|
Braf gene
|
$639.00 |
$639.00 |
$639.00 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,346.60 |
$2,346.60 |
$2,346.60 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,487.40 |
$1,487.40 |
$1,487.40 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,188.00 |
$4,188.00 |
$4,188.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$169.20 |
$169.20 |
$169.20 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$5,136.00 |
$5,136.00 |
$5,136.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,425.00 |
$4,425.00 |
$4,425.00 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$783.00 |
$783.00 |
$783.00 |
$847.00
|
|
Breath recording infant
|
$334.20 |
$334.20 |
$334.20 |
$1,158.00
|
|
Bronchoscopy dilate/fx repr
|
$3,347.40 |
$3,347.40 |
$3,347.40 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$3,824.40 |
$3,824.40 |
$3,824.40 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$1,901.40 |
$1,901.40 |
$1,901.40 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$1,872.75
|
|
Bronchoscopy/needle bx each 31629
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,709.00 |
$2,709.00 |
$2,709.00 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$612.60 |
$612.60 |
$612.60 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$129.60 |
$129.60 |
$129.60 |
$160.80
|
|
Bundled special stain group 2
|
$127.20 |
$127.20 |
$127.20 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$131.40 |
$131.40 |
$131.40 |
$82.82
|
|
Bx bone trocar/ndl deep
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$6,235.20 |
$6,235.20 |
$6,235.20 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$3,993.00 |
$3,993.00 |
$3,993.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$2,597.40 |
$2,597.40 |
$2,597.40 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$2,950.80 |
$2,950.80 |
$2,950.80 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$5,865.60 |
$5,865.60 |
$5,865.60 |
$1,312.15
|
|
Bx skin incisnl ea sep/add l les
|
$304.20 |
$304.20 |
$304.20 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$304.20 |
$304.20 |
$304.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$304.20 |
$304.20 |
$304.20 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$3,231.60 |
$3,231.60 |
$3,231.60 |
$964.62
|
|
Bypass temp external fem-fem
|
$432.00 |
$432.00 |
$432.00 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$208.20 |
$208.20 |
$208.20 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$175.20 |
$175.20 |
$175.20 |
$360.00
|
|
Calcium 24 hour urine
|
$81.00 |
$81.00 |
$81.00 |
$53.00
|
|
Calcium ionized
|
$293.40 |
$293.40 |
$293.40 |
$90.00
|
|
Calcium total
|
$64.20 |
$64.20 |
$64.20 |
$50.00
|
|
Calculi urinary-sendout
|
$134.40 |
$134.40 |
$134.40 |
$68.05
|
|
Calprotectin fecal
|
$577.20 |
$577.20 |
$577.20 |
$169.95
|
|
Candida dna
|
$56.40 |
$56.40 |
$56.40 |
$62.50
|
|
Candida skin test
|
$60.00 |
$60.00 |
$60.00 |
$58.76
|
|
Carbamazepine free -sendout
|
$49.80 |
$49.80 |
$49.80 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$157.80 |
$157.80 |
$157.80 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$139.20 |
$139.20 |
$139.20 |
$139.00
|
|
Carbon dioxide
|
$35.40 |
$35.40 |
$35.40 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$406.80 |
$406.80 |
$406.80 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$618.00 |
$618.00 |
$618.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,692.40 |
$3,692.40 |
$3,692.40 |
$2,626.88
|
|
Cardiolipin antibody iga
|
$265.20 |
$265.20 |
$265.20 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$84.00 |
$84.00 |
$84.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$42.00 |
$42.00 |
$42.00 |
$51.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,570.20 |
$1,570.20 |
$1,570.20 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$125.40 |
$125.40 |
$125.40 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$64.20 |
$64.20 |
$64.20 |
$65.00
|
|
Cath combo lt&rt heart w/inj/s
|
$6,391.80 |
$6,391.80 |
$6,391.80 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$7.80 |
$7.80 |
$7.80 |
$40.95
|
|
Cathj umbilical vein dx/ther nb
|
$223.80 |
$223.80 |
$223.80 |
$254.80
|
