|
Blood Count (CBC) Test
|
$103.80 |
$103.80 |
$103.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$64.80 |
$64.80 |
$64.80 |
$61.80
|
|
Blood Culture Test
|
$243.00 |
$243.00 |
$243.00 |
$145.80
|
|
Blood draw capillary 36416
|
$25.80 |
$25.80 |
$25.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$342.60 |
$342.60 |
$342.60 |
$220.35
|
|
Blood gases ph venous
|
$128.40 |
$128.40 |
$128.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$93.60 |
$93.60 |
$93.60 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$57.00 |
$57.00 |
$57.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$63.00 |
$63.00 |
$63.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$78.00 |
$78.00 |
$78.00 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$61.20 |
$61.20 |
$61.20 |
$38.61
|
|
Blood split unit
|
$348.60 |
$348.60 |
$348.60 |
$250.00
|
|
Blood typing abo
|
$106.80 |
$106.80 |
$106.80 |
$83.03
|
|
Blood typing ag donor ea ag
|
$381.00 |
$381.00 |
$381.00 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$381.00 |
$381.00 |
$381.00 |
$199.50
|
|
Blood typing rh (d)
|
$97.20 |
$97.20 |
$97.20 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$409.80 |
$409.80 |
$409.80 |
$397.28
|
|
Bone imaging multiple areas
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,513.80 |
$1,513.80 |
$1,513.80 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$1,570.80
|
|
Bone marrow imaging body
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$1,076.40
|
|
Bone marrow interpretation
|
$540.60 |
$540.60 |
$540.60 |
$542.03
|
|
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
|
$424.80 |
$424.80 |
$424.80 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$36.60 |
$36.60 |
$36.60 |
$68.88
|
|
Bowel imaging
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$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
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$1,940.40
|
|
Brach/thor cath addl
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$868.00
|
|
Brachytx isodose complex
|
$1,411.80 |
$1,411.80 |
$1,411.80 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,064.40 |
$1,064.40 |
$1,064.40 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$876.00 |
$876.00 |
$876.00 |
$929.40
|
|
Braf gene
|
$675.00 |
$675.00 |
$675.00 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$169.20 |
$169.20 |
$169.20 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$5,069.40 |
$5,069.40 |
$5,069.40 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,234.20 |
$4,234.20 |
$4,234.20 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$847.00
|
|
Bronchial challenge
|
$772.80 |
$772.80 |
$772.80 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$2,249.40 |
$2,249.40 |
$2,249.40 |
$2,653.80
|
|
Bronch w/balloon occlusion
|
$4,401.60 |
$4,401.60 |
$4,401.60 |
$6,410.18
|
|
Br punct aspir ea add, l
|
$1,609.80 |
$1,609.80 |
$1,609.80 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$172.80 |
$172.80 |
$172.80 |
$160.80
|
|
Bundled special stain group 2
|
$172.80 |
$172.80 |
$172.80 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$260.40 |
$260.40 |
$260.40 |
$82.82
|
|
Bx bone trocar/ndl deep
|
$3,829.20 |
$3,829.20 |
$3,829.20 |
$2,271.01
|
|
Bx breast add lesion Ultrasound imag
|
$2,436.60 |
$2,436.60 |
$2,436.60 |
$1,692.64
|
|
Bx liver with other
|
$1,876.20 |
$1,876.20 |
$1,876.20 |
$543.40
|
|
Bx pancreas pq ndl
|
$2,245.80 |
$2,245.80 |
$2,245.80 |
$1,588.50
|
|
Bx pleura pq ndl
|
$2,367.60 |
$2,367.60 |
$2,367.60 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$346.20 |
$346.20 |
$346.20 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$346.20 |
$346.20 |
$346.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$346.20 |
$346.20 |
$346.20 |
$203.70
|
|
Bx soft tiss pelvis/hip deep 27041
|
$5,353.80 |
$5,353.80 |
$5,353.80 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$711.60 |
$711.60 |
$711.60 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$356.40 |
$356.40 |
$356.40 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$287.40 |
$287.40 |
$287.40 |
$360.00
|
|
Calcium 24 hour urine
|
$88.80 |
$88.80 |
$88.80 |
$53.00
|
|
Calcium ionized
|
$186.60 |
$186.60 |
$186.60 |
$90.00
|
|
Calcium total
|
$76.80 |
$76.80 |
$76.80 |
$50.00
|
|
Calprotectin fecal
|
$589.80 |
$589.80 |
$589.80 |
$169.95
|
|
Candida dna
|
$111.00 |
$111.00 |
$111.00 |
$62.50
|
|
Carbamazepine free -sendout
|
$52.80 |
$52.80 |
$52.80 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$192.60 |
$192.60 |
$192.60 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$147.00 |
$147.00 |
$147.00 |
$139.00
|
|
Carbon dioxide
|
$61.20 |
$61.20 |
$61.20 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$180.00 |
$180.00 |
$180.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$663.60 |
$663.60 |
$663.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,654.00 |
$3,654.00 |
$3,654.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$219.00 |
$219.00 |
$219.00 |
$244.00
|
|
Cardiolipin antibody iga
|
$153.60 |
$153.60 |
$153.60 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$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)
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$178.80 |
$178.80 |
$178.80 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$91.80 |
$91.80 |
$91.80 |
$65.00
|
|
Cath cv dl inj 7fx16cm
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,889.06
|
|
Catheter insert artery
|
$498.60 |
$498.60 |
$498.60 |
$388.85
|
|
Cath plc art ang/grft lt/rt hr
|
$14,436.60 |
$14,436.60 |
$14,436.60 |
$11,645.40
|
|
Cath plc art/grft/angio right hrt
|
$12,403.20 |
$12,403.20 |
$12,403.20 |
$10,389.60
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$212.40 |
$212.40 |
$212.40 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$562.80 |
$562.80 |
$562.80 |
$340.90
|
