|
Audiometry air + bone
|
$250.20 |
$250.20 |
$250.20 |
$185.15
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$400.20 |
$400.20 |
$400.20 |
$318.75
|
|
Baclofen eval charges
|
$106.20 |
$106.20 |
$106.20 |
$85.00
|
|
Bacterial meningitis antigen
|
$194.40 |
$194.40 |
$194.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$912.00 |
$912.00 |
$912.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$129.00 |
$129.00 |
$129.00 |
$105.00
|
|
Balloon dilate urtrl strix
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$2,118.00
|
|
Bartholin gland cyst/marsupializat 56440
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$4,350.00
|
|
Basic vestibular evaluation
|
$687.00 |
$687.00 |
$687.00 |
$328.00
|
|
B cells total count
|
$630.00 |
$630.00 |
$630.00 |
$131.30
|
|
Benign lesion paring 2-4
|
$266.40 |
$266.40 |
$266.40 |
$257.50
|
|
Benign lesion paring 4+
|
$342.00 |
$342.00 |
$342.00 |
$287.00
|
|
#_benzodiazconfur
|
$274.20 |
$274.20 |
$274.20 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$577.20 |
$577.20 |
$577.20 |
$78.50
|
|
Beta-2 microglobulin
|
$483.00 |
$483.00 |
$483.00 |
$85.94
|
|
Beta-amyloid 1-42
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$61.80 |
$61.80 |
$61.80 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$42.60 |
$42.60 |
$42.60 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$556.40
|
|
Bilicheck
|
$73.20 |
$73.20 |
$73.20 |
$28.80
|
|
Bilirubin direct
|
$73.80 |
$73.80 |
$73.80 |
$50.00
|
|
Bilirubin total
|
$132.60 |
$132.60 |
$132.60 |
$52.57
|
|
Biopsy abdominal mass
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$1,777.20 |
$1,777.20 |
$1,777.20 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$2,076.60 |
$2,076.60 |
$2,076.60 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,778.00 |
$2,778.00 |
$2,778.00 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$400.20 |
$400.20 |
$400.20 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,127.60 |
$2,127.60 |
$2,127.60 |
$2,462.35
|
|
Biospy of bladder
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$813.15
|
|
Biotinidase - quest
|
$116.40 |
$116.40 |
$116.40 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$739.80 |
$739.80 |
$739.80 |
$408.00
|
|
Block plantar digital nerve
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$530.40
|
|
Block tap inj(s) w/wo img uni
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$75.60 |
$75.60 |
$75.60 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$120.00 |
$120.00 |
$120.00 |
$73.44
|
|
Blood Count (CBC) Test
|
$110.40 |
$110.40 |
$110.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$64.80 |
$64.80 |
$64.80 |
$61.80
|
|
Blood Culture Test
|
$234.60 |
$234.60 |
$234.60 |
$145.80
|
|
Blood draw capillary 36416
|
$25.80 |
$25.80 |
$25.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$406.80 |
$406.80 |
$406.80 |
$220.35
|
|
Blood gases ph venous
|
$201.00 |
$201.00 |
$201.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$135.00 |
$135.00 |
$135.00 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$202.20 |
$202.20 |
$202.20 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$202.20 |
$202.20 |
$202.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$170.40 |
$170.40 |
$170.40 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$42.60 |
$42.60 |
$42.60 |
$38.61
|
|
Blood split unit
|
$388.20 |
$388.20 |
$388.20 |
$250.00
|
|
Blood typing abo
|
$82.20 |
$82.20 |
$82.20 |
$83.03
|
|
Blood typing ag donor ea ag
|
$403.80 |
$403.80 |
$403.80 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$403.80 |
$403.80 |
$403.80 |
$199.50
|
|
Blood typing rh (d)
|
$61.20 |
$61.20 |
$61.20 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$360.60 |
$360.60 |
$360.60 |
$397.28
|
|
Bone imaging multiple areas
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,194.00
|
|
Bone marrow;aspiration only 38220
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,442.40 |
$1,442.40 |
$1,442.40 |
$1,570.80
|
|
Bone marrow interpretation
|
$546.00 |
$546.00 |
$546.00 |
$542.03
|
|
Bone survey-lead poisoning
|
$555.60 |
$555.60 |
$555.60 |
$390.00
|
|
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
|
$525.00 |
$525.00 |
$525.00 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$37.20 |
$37.20 |
$37.20 |
$68.88
|
|
Bowel imaging
|
$2,921.40 |
$2,921.40 |
$2,921.40 |
$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 fx hum ovr shldr lg
|
$533.40 |
$533.40 |
$533.40 |
$1,174.20
|
|
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
|
$3,092.40 |
$3,092.40 |
$3,092.40 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$3,063.60 |
$3,063.60 |
$3,063.60 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$3,181.80 |
$3,181.80 |
$3,181.80 |
$2,079.00
|
|
Brach/thor cath addl
|
$484.80 |
$484.80 |
$484.80 |
$868.00
|
|
Brachytx isodose complex
|
$1,908.00 |
$1,908.00 |
$1,908.00 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,477.80 |
$1,477.80 |
$1,477.80 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$929.40
|
|
Braf gene
|
$724.80 |
$724.80 |
$724.80 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,908.20 |
$2,908.20 |
$2,908.20 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,808.20 |
$3,808.20 |
$3,808.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,761.20 |
$2,761.20 |
$2,761.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$169.20 |
$169.20 |
$169.20 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$5,398.80 |
$5,398.80 |
$5,398.80 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,628.40 |
$4,628.40 |
$4,628.40 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$733.20 |
$733.20 |
$733.20 |
$847.00
|
|
Breathing response hypoxia
|
$268.80 |
$268.80 |
$268.80 |
$185.15
|
|
Breath recording infant
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$1,158.00
|
|
Brief comunicaj tech-bsd svc
|
$19.20 |
$19.20 |
$19.20 |
$29.25
|
