|
Ast/sgot
|
$138.60 |
$138.60 |
$138.60 |
$45.60
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$140.40 |
$140.40 |
$140.40 |
$188.16
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$10,530.57
|
|
Autologous blood process
|
$744.00 |
$744.00 |
$744.00 |
$247.52
|
|
Avul nail plate addl
|
$298.80 |
$298.80 |
$298.80 |
$230.40
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$270.60 |
$270.60 |
$270.60 |
$321.10
|
|
Baclofen eval charges
|
$106.20 |
$106.20 |
$106.20 |
$86.14
|
|
Bacterial meningitis antigen
|
$204.00 |
$204.00 |
$204.00 |
$65.16
|
|
Bacterial vaginosis pcr
|
$956.40 |
$956.40 |
$956.40 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$129.00 |
$129.00 |
$129.00 |
$105.00
|
|
B cells total count
|
$660.60 |
$660.60 |
$660.60 |
$131.30
|
|
Benign lesion paring 2-4
|
$249.60 |
$249.60 |
$249.60 |
$264.85
|
|
Benign lesion paring 4+
|
$319.20 |
$319.20 |
$319.20 |
$307.50
|
|
#_benzodiazconfur
|
$210.00 |
$210.00 |
$210.00 |
$117.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$549.00 |
$549.00 |
$549.00 |
$82.55
|
|
Beta-2 microglobulin
|
$414.60 |
$414.60 |
$414.60 |
$84.75
|
|
Beta-amyloid 1-42
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$61.80 |
$61.80 |
$61.80 |
$176.00
|
|
Bfb train ea addl 15 min 90913
|
$42.60 |
$42.60 |
$42.60 |
$107.50
|
|
Bilateral n blobk inj pudendal 64430
|
$1,080.60 |
$1,080.60 |
$1,080.60 |
$1,523.81
|
|
Bilateral n block inj occipital 64405
|
$877.20 |
$877.20 |
$877.20 |
$783.90
|
|
Bilateral n block inj trigeminal 64400
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$583.75
|
|
Biliary endo perq dx w/speci
|
$2,433.00 |
$2,433.00 |
$2,433.00 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$4,126.20 |
$4,126.20 |
$4,126.20 |
$3,057.60
|
|
Biliary endoscopy thru skin
|
$1,964.40 |
$1,964.40 |
$1,964.40 |
$5,671.20
|
|
Bilicheck
|
$135.00 |
$135.00 |
$135.00 |
$26.40
|
|
Bilirubin direct
|
$96.00 |
$96.00 |
$96.00 |
$50.00
|
|
Bilirubin total
|
$114.00 |
$114.00 |
$114.00 |
$50.92
|
|
Biopsy abdominal mass
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$1,793.38
|
|
Biopsy bone trocar/needle superficial
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,803.75
|
|
Biopsy cervixsingle/multiple 57500
|
$657.00 |
$657.00 |
$657.00 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$2,821.72
|
|
Biopsy muscle percutaneous needle
|
$1,309.20 |
$1,309.20 |
$1,309.20 |
$1,701.90
|
|
Biopsy needle liver percutaneous
|
$1,746.60 |
$1,746.60 |
$1,746.60 |
$1,917.33
|
|
Biopsy needle lymph node superficial
|
$2,774.40 |
$2,774.40 |
$2,774.40 |
$1,879.09
|
|
Biopsy of heart lining
|
$4,660.20 |
$4,660.20 |
$4,660.20 |
$3,724.63
|
|
Biopsy of salivary gland 42400
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$1,145.90
|
|
Biopsy/removal lymph nodes
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$4,238.48
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$2,175.51
|
|
Biopsy skin incisional single lesion
|
$661.80 |
$661.80 |
$661.80 |
$675.60
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,494.20
|
|
Biotinidase - quest
|
$99.00 |
$99.00 |
$99.00 |
$68.00
|
|
Bladder irrigate/lavage/instill 51700
|
$693.00 |
$693.00 |
$693.00 |
$420.80
|
|
Bld prd mix
|
$119.40 |
$119.40 |
$119.40 |
$139.21
|
|
Blm gene
|
$454.80 |
$454.80 |
$454.80 |
$127.86
|
|
Blood Clotting (PT/INR) Test
|
$75.60 |
$75.60 |
$75.60 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$78.60 |
$78.60 |
$78.60 |
$71.85
|
|
Blood Count (CBC) Test
|
$117.60 |
$117.60 |
$117.60 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$64.80 |
$64.80 |
$64.80 |
$61.60
|
|
Blood count spun microhematocrit
|
$67.80 |
$67.80 |
$67.80 |
$21.84
|
|
Blood Culture Test
|
$219.00 |
$219.00 |
$219.00 |
$143.88
|
|
Blood draw capillary 36416
|
$25.80 |
$25.80 |
$25.80 |
$19.89
|
|
Blood gases o2 saturation direct measurement
|
$312.00 |
$312.00 |
$312.00 |
$220.80
|
|
Blood gases ph venous
|
$72.00 |
$72.00 |
$72.00 |
$62.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$109.80 |
$109.80 |
$109.80 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$155.40 |
$155.40 |
$155.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$155.40 |
$155.40 |
$155.40 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$130.80 |
$130.80 |
$130.80 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$43.80 |
$43.80 |
$43.80 |
$38.35
|
|
Blood typing abo
|
$91.20 |
$91.20 |
$91.20 |
$83.85
|
|
Blood typing ag donor ea ag
|
$519.60 |
$519.60 |
$519.60 |
$179.30
|
|
Blood typing rbc ag non abo/rh ea
|
$519.60 |
$519.60 |
$519.60 |
$190.80
|
|
Blood typing rh (d)
|
$70.80 |
$70.80 |
$70.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$181.20 |
$181.20 |
$181.20 |
$82.11
|
|
Bone biopsy open superficial
|
$4,368.60 |
$4,368.60 |
$4,368.60 |
$3,994.09
|
|
Bone Density Scan (DEXA)
|
$532.80 |
$532.80 |
$532.80 |
$405.30
|
|
Bone imaging multiple areas
|
$1,282.20 |
$1,282.20 |
$1,282.20 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$964.20 |
$964.20 |
$964.20 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,615.80 |
$1,615.80 |
$1,615.80 |
$1,684.80
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,667.40 |
$1,667.40 |
$1,667.40 |
$1,794.93
|
|
Bone marrow interpretation
|
$506.40 |
$506.40 |
$506.40 |
$542.03
|
|
Bone survey-lead poisoning
|
$382.20 |
$382.20 |
$382.20 |
$392.00
|
|
Boot j walker l
|
$585.60 |
$585.60 |
$585.60 |
$195.00
|
|
Boot walker genesis full shell 3-strap s
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$448.06
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$276.00 |
$276.00 |
$276.00 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$34.20 |
$34.20 |
$34.20 |
$68.88
|
|
Bowel imaging
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,082.69
|
|
Brace afo lg left 6607
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$459.03
|
|
Brace ank aftr bioskn med lg
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$170.80
|
|
Brace ank air stirrup univ
|
$307.80 |
$307.80 |
$307.80 |
$108.67
|
|
Brace ankle stablizing lg
|
$169.20 |
$169.20 |
$169.20 |
$113.10
|
|
Brace back pinnacle lo 627 lumbar
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$817.93
|
|
Brace knee extender plus 22-30in
|
$3,423.00 |
$3,423.00 |
$3,423.00 |
$504.60
|
|
Brace oths wrist hnd fngr without
|
$307.80 |
$307.80 |
$307.80 |
$230.75
|
|
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 |
$79.77
|
|
Brach/thor cath 1st
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$1,995.00
|
|
Brach/thor cath 2nd
|
$2,540.40 |
$2,540.40 |
$2,540.40 |
$2,114.13
|
|
Brach/thor cath 3rd
|
$2,638.80 |
$2,638.80 |
$2,638.80 |
$2,151.93
|
|
Brach/thor cath addl
|
$401.40 |
$401.40 |
$401.40 |
$898.14
|
|
Braf gene
|
$708.60 |
$708.60 |
$708.60 |
$427.50
|
|
Brain image w/flow 4 + views
|
$940.80 |
$940.80 |
$940.80 |
$1,351.48
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$2,825.43
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,532.40 |
$4,532.40 |
$4,532.40 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$169.20 |
$169.20 |
$169.20 |
$126.02
|
|
Brcassure comprehensive panel-sendout
|
$5,176.80 |
$5,176.80 |
$5,176.80 |
$2,409.00
|
