|
Blood split unit
|
$325.00 |
$325.00 |
$325.00 |
$282.88
|
|
Blood Transfusion
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$989.60
|
|
Blood typing abo
|
$92.50 |
$92.50 |
$92.50 |
$86.45
|
|
Blood typing ag donor ea ag
|
$97.50 |
$97.50 |
$97.50 |
$207.60
|
|
Blood typing patient serum
|
$80.00 |
$80.00 |
$80.00 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$220.00 |
$220.00 |
$220.00 |
$211.90
|
|
Blood typing rh (d)
|
$92.50 |
$92.50 |
$92.50 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$105.00 |
$105.00 |
$105.00 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$270.00 |
$270.00 |
$270.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$395.00 |
$395.00 |
$395.00 |
$407.94
|
|
Bone imaging multiple areas
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$895.00 |
$895.00 |
$895.00 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$855.00 |
$855.00 |
$855.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$811.00
|
|
Bone survey-lead poisoning
|
$307.50 |
$307.50 |
$307.50 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$90.00 |
$90.00 |
$90.00 |
$93.60
|
|
Bowel imaging
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$100.00 |
$100.00 |
$100.00 |
$105.30
|
|
Brach/thor cath 1st
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$2,050.00
|
|
Brach/thor cath addl
|
$620.00 |
$620.00 |
$620.00 |
$868.00
|
|
Brachy source yttrium-90
|
$23,260.00 |
$23,260.00 |
$23,260.00 |
$30,879.20
|
|
Brachytx isodose intermed
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$810.00 |
$810.00 |
$810.00 |
$1,032.38
|
|
Braf gene
|
$440.00 |
$440.00 |
$440.00 |
$450.90
|
|
Brain image w/flow 4 + views
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,865.00 |
$1,865.00 |
$1,865.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,865.00 |
$1,865.00 |
$1,865.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$230.00 |
$230.00 |
$230.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$840.00 |
$840.00 |
$840.00 |
$871.80
|
|
Breath hydrogen test 91065
|
$420.00 |
$420.00 |
$420.00 |
$462.00
|
|
Bronchial challenge
|
$645.00 |
$645.00 |
$645.00 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,766.40
|
|
Br punct aspir ea add, l
|
$240.00 |
$240.00 |
$240.00 |
$357.51
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$24.12 |
$24.12 |
$24.12 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$230.00 |
$230.00 |
$230.00 |
$159.00
|
|
Bundled special stain group 2
|
$192.50 |
$192.50 |
$192.50 |
$173.40
|
|
Bundle his recording
|
$6,270.00 |
$6,270.00 |
$6,270.00 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$3.79 |
$3.79 |
$3.79 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$305.00 |
$305.00 |
$305.00 |
$80.64
|
|
Burr hole implant ventricular cath/other device
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,842.35 |
$8,842.35 |
$8,842.35 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$64.30 |
$64.30 |
$64.30 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,495.00 |
$2,495.00 |
$2,495.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$1,610.05
|
|
Bx pleura pq ndl
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$1,608.00
|
|
Bx shoulder tissues deep 23066
|
$3,815.00 |
$3,815.00 |
$3,815.00 |
$3,265.60
|
|
Bx skin incisnl ea sep/add l les
|
$157.50 |
$157.50 |
$157.50 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$157.50 |
$157.50 |
$157.50 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$157.50 |
$157.50 |
$157.50 |
$206.00
|
|
Bx thigh/knee soft tiss supf 27323
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,110.40
|
|
Bypass temp external fem-fem
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$270.00 |
$270.00 |
$270.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$4,893.00 |
$4,893.00 |
$4,893.00 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$0.50 |
$0.50 |
$0.50 |
$100.80
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,540.22 |
$1,540.22 |
$1,540.22 |
$2,210.98
|
|
Calcium 24 hour urine
|
$67.50 |
$67.50 |
$67.50 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.46 |
$0.46 |
$0.46 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.83 |
$0.83 |
$0.83 |
$91.60
|
|
Calcium ionized
|
$77.50 |
$77.50 |
$77.50 |
$90.00
|
|
Calcium total
|
$37.50 |
$37.50 |
$37.50 |
$50.00
|
|
Calprotectin fecal
|
$170.00 |
$170.00 |
$170.00 |
$170.00
|
|
Campylobacter antibody
|
$75.00 |
$75.00 |
$75.00 |
$77.83
|
|
Candida dna
|
$87.50 |
$87.50 |
$87.50 |
$61.10
|
|
Cannabinoid synthetic 7/more
|
$330.00 |
$330.00 |
$330.00 |
$78.10
|
|
Cannula declotting 36861
|
$5,560.00 |
$5,560.00 |
$5,560.00 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$11,182.33 |
$11,182.33 |
$11,182.33 |
$44,000.00
|
|
Canthotomy 67715
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$11,647.67 |
$11,647.67 |
$11,647.67 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,510.93 |
$1,510.93 |
$1,510.93 |
$3,238.70
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$60.00
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$167.50 |
$167.50 |
$167.50 |
$116.40
|
|
Carbon dioxide
|
$35.00 |
$35.00 |
$35.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$50.00 |
$50.00 |
$50.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$125.00 |
$125.00 |
$125.00 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,355.00 |
$2,355.00 |
$2,355.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$160.00 |
$160.00 |
$160.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$220.00 |
$220.00 |
$220.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$130.00 |
$130.00 |
$130.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,431.36
|
