|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$741.30 |
$741.30 |
$741.30 |
$715.37
|
|
Aspirate/inj ganglion cyst 20612
|
$805.70 |
$805.70 |
$805.70 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,526.70 |
$1,526.70 |
$1,526.70 |
$1,226.87
|
|
Assay of glutathione
|
$136.50 |
$136.50 |
$136.50 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$103.60 |
$103.60 |
$103.60 |
$79.97
|
|
Assay of leflunomide
|
$326.20 |
$326.20 |
$326.20 |
$100.65
|
|
Assay of salicylate
|
$192.50 |
$192.50 |
$192.50 |
$95.00
|
|
Assay of urine sulfate
|
$36.40 |
$36.40 |
$36.40 |
$29.04
|
|
Assay toxin or antitoxin
|
$165.90 |
$165.90 |
$165.90 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$429.80 |
$429.80 |
$429.80 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$39.20 |
$39.20 |
$39.20 |
$49.80
|
|
Ast/sgot
|
$65.10 |
$65.10 |
$65.10 |
$45.65
|
|
Avul nail plate addl
|
$65.10 |
$65.10 |
$65.10 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$467.60 |
$467.60 |
$467.60 |
$318.75
|
|
Baclofen eval charges
|
$170.80 |
$170.80 |
$170.80 |
$85.00
|
|
Bacterial vaginosis pcr
|
$473.20 |
$473.20 |
$473.20 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$150.50 |
$150.50 |
$150.50 |
$105.00
|
|
Bartonella dna pcr-sendout
|
$324.10 |
$324.10 |
$324.10 |
$195.66
|
|
B cells total count
|
$380.80 |
$380.80 |
$380.80 |
$131.30
|
|
Benign lesion paring 2-4
|
$400.40 |
$400.40 |
$400.40 |
$257.50
|
|
Benign lesion paring 4+
|
$400.40 |
$400.40 |
$400.40 |
$287.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$319.90 |
$319.90 |
$319.90 |
$78.50
|
|
Beta-2 microglobulin
|
$191.10 |
$191.10 |
$191.10 |
$85.94
|
|
Bfb train 1st 15min cntct 90912
|
$273.70 |
$273.70 |
$273.70 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$120.40 |
$120.40 |
$120.40 |
$92.82
|
|
Bilateral n block inj occipital 64405
|
$620.20 |
$620.20 |
$620.20 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$673.40 |
$673.40 |
$673.40 |
$556.40
|
|
Bilicheck
|
$66.50 |
$66.50 |
$66.50 |
$28.80
|
|
Bilirubin direct
|
$58.80 |
$58.80 |
$58.80 |
$50.00
|
|
Bilirubin total
|
$64.40 |
$64.40 |
$64.40 |
$52.57
|
|
Biofeedback, pt
|
$183.40 |
$183.40 |
$183.40 |
$118.25
|
|
Biopsy cervixsingle/multiple 57500
|
$312.90 |
$312.90 |
$312.90 |
$1,266.48
|
|
Biopsy needle liver percutaneous
|
$13,005.30 |
$13,005.30 |
$13,005.30 |
$1,892.80
|
|
Biopsy skin incisional single lesion
|
$1,256.50 |
$1,256.50 |
$1,256.50 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,742.90 |
$3,742.90 |
$3,742.90 |
$2,462.35
|
|
Biotinidase - quest
|
$40.60 |
$40.60 |
$40.60 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$555.10 |
$555.10 |
$555.10 |
$408.00
|
|
Block plantar digital nerve
|
$646.80 |
$646.80 |
$646.80 |
$530.40
|
|
Blood Clotting (PT/INR) Test
|
$50.40 |
$50.40 |
$50.40 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$77.70 |
$77.70 |
$77.70 |
$73.44
|
|
Blood Count (CBC) Test
|
$87.50 |
$87.50 |
$87.50 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$73.50 |
$73.50 |
$73.50 |
$61.80
|
|
Blood Culture Test
|
$143.50 |
$143.50 |
$143.50 |
$145.80
|
|
Blood draw capillary 36416
|
$30.10 |
$30.10 |
$30.10 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$499.80 |
$499.80 |
$499.80 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$63.70 |
$63.70 |
$63.70 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$52.50 |
$52.50 |
$52.50 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$49.00 |
$49.00 |
$49.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$58.10 |
$58.10 |
$58.10 |
$34.00
|
|
Blood smear interpretation
|
$188.30 |
$188.30 |
$188.30 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$53.20 |
$53.20 |
$53.20 |
$38.61
|
|
Blood typing abo
|
$238.70 |
$238.70 |
$238.70 |
$83.03
|
|
Blood typing ag donor ea ag
|
$631.40 |
$631.40 |
$631.40 |
$190.80
|
|
Blood typing patient serum
|
$499.10 |
$499.10 |
$499.10 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$625.80 |
$625.80 |
$625.80 |
$199.50
|
|
Blood typing rh (d)
|
$190.40 |
$190.40 |
$190.40 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$235.20 |
$235.20 |
$235.20 |
$82.80
|
|
Bone biopsy open superficial
|
$747.60 |
$747.60 |
$747.60 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$483.70 |
$483.70 |
$483.70 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,013.50
|
|
Bone marrow imaging body
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,076.40
|
|
Bone survey-lead poisoning
|
$483.70 |
$483.70 |
$483.70 |
$390.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$214.20 |
$214.20 |
$214.20 |
$94.80
|
|
Bowel imaging
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,065.00
|
|
Brach/thor cath 1st
|
$1,891.40 |
$1,891.40 |
$1,891.40 |
$1,751.55
|
|
Brach/thor cath addl
|
$392.70 |
$392.70 |
$392.70 |
$868.00
|
|
Braf gene
|
$1,065.40 |
$1,065.40 |
$1,065.40 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,151.70 |
$4,151.70 |
$4,151.70 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,843.70 |
$3,843.70 |
$3,843.70 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,843.70 |
$3,843.70 |
$3,843.70 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$6,579.30 |
$6,579.30 |
$6,579.30 |
$3,043.44
|
|
Breath recording infant
|
$2,507.40 |
$2,507.40 |
$2,507.40 |
$1,158.00
|
|
Bronchial challenge
|
$1,471.40 |
$1,471.40 |
$1,471.40 |
$777.60
|
|
Bundled special stain group 1 microorganisms
|
$294.70 |
$294.70 |
$294.70 |
$160.80
|
|
Bundled special stain group 2
|
$329.00 |
$329.00 |
$329.00 |
$173.46
|
|
Bx breast 1st lesion strtctc
|
$7,372.40 |
$7,372.40 |
$7,372.40 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$7,372.40 |
$7,372.40 |
$7,372.40 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$2,292.50 |
$2,292.50 |
$2,292.50 |
$1,692.64
|
|
Bx skin incisnl ea sep/add l les
|
$560.00 |
$560.00 |
$560.00 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$313.60 |
$313.60 |
$313.60 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$98.00 |
$98.00 |
$98.00 |
$203.70
|
|
C1 esterase inhibitor func - sendout
|
$193.20 |
$193.20 |
$193.20 |
$96.72
|
|
Cad breast MRI w/r&i
|
$220.50 |
$220.50 |
$220.50 |
$122.40
|
|
Cadd pump refill
|
$663.60 |
$663.60 |
$663.60 |
$360.00
|
|
Calcium 24 hour urine
|
$67.20 |
$67.20 |
$67.20 |
$53.00
|
|
Calcium ionized
|
$157.50 |
$157.50 |
$157.50 |
$90.00
|
|
Calcium total
|
$70.00 |
$70.00 |
$70.00 |
$50.00
|
|
Calprotectin fecal
|
$336.70 |
$336.70 |
$336.70 |
$169.95
|
|
Carbamazepine free
|
$111.30 |
$111.30 |
$111.30 |
$59.15
|
|
Carbamazepine free -sendout
|
$102.90 |
$102.90 |
$102.90 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$133.70 |
$133.70 |
$133.70 |
$120.25
|
|
Carbon dioxide
|
$67.20 |
$67.20 |
$67.20 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$167.30 |
$167.30 |
$167.30 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$235.90 |
$235.90 |
$235.90 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$264.60 |
$264.60 |
$264.60 |
$244.00
|
