|
Borrelia miyamotoi amp prb
|
$48.80 |
$48.80 |
$48.80 |
$68.88
|
|
Bowel imaging
|
$3,799.20 |
$3,799.20 |
$3,799.20 |
$1,089.88
|
|
Brace afo lg left 6607
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$453.47
|
|
Brace ank aftr bioskn med lg
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$170.80
|
|
Brace ank air stirrup univ
|
$410.40 |
$410.40 |
$410.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$225.60 |
$225.60 |
$225.60 |
$110.51
|
|
Brace back pinnacle lo 627 lumbar
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$817.93
|
|
Brace knee extender plus 22-30in
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$497.95
|
|
Brace oths wrist hnd fngr without
|
$410.40 |
$410.40 |
$410.40 |
$231.80
|
|
Brace tlso flex cust
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$410.40 |
$410.40 |
$410.40 |
$79.23
|
|
Braf gene
|
$939.20 |
$939.20 |
$939.20 |
$427.05
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,429.60 |
$4,429.60 |
$4,429.60 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,468.80 |
$4,468.80 |
$4,468.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,551.20 |
$5,551.20 |
$5,551.20 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$4,768.80 |
$4,768.80 |
$4,768.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,468.80 |
$4,468.80 |
$4,468.80 |
$1,952.65
|
|
Bra surgical elizabeth pink sm
|
$225.60 |
$225.60 |
$225.60 |
$123.85
|
|
Brcassure comprehensive panel-sendout
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$3,076.15
|
|
Breast punct aspir cyst, bil
|
$881.60 |
$881.60 |
$881.60 |
$863.10
|
|
Bronchial challenge
|
$910.40 |
$910.40 |
$910.40 |
$765.50
|
|
Bronch w/balloon occlusion
|
$5,543.20 |
$5,543.20 |
$5,543.20 |
$6,839.00
|
|
Br punct aspir ea add, l
|
$938.40 |
$938.40 |
$938.40 |
$371.80
|
|
Bundled special stain group 1 microorganisms
|
$312.80 |
$312.80 |
$312.80 |
$161.46
|
|
Bundled special stain group 2
|
$228.80 |
$228.80 |
$228.80 |
$170.65
|
|
Buprenorphine and metabolite - sendout
|
$217.60 |
$217.60 |
$217.60 |
$85.14
|
|
Bx breast add lesion Ultrasound imag
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$1,827.50
|
|
Bx pancreas pq ndl
|
$1,344.80 |
$1,344.80 |
$1,344.80 |
$1,687.20
|
|
Bx skin incisnl ea sep/add l les
|
$570.40 |
$570.40 |
$570.40 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$376.80 |
$376.80 |
$376.80 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$196.00 |
$196.00 |
$196.00 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$660.80 |
$660.80 |
$660.80 |
$995.00
|
|
C1 esterase inhibitor func - sendout
|
$526.40 |
$526.40 |
$526.40 |
$86.00
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$126.48
|
|
Cadd pump refill
|
$794.40 |
$794.40 |
$794.40 |
$371.28
|
|
Calcium 24 hour urine
|
$129.60 |
$129.60 |
$129.60 |
$52.00
|
|
Calcium ionized
|
$259.20 |
$259.20 |
$259.20 |
$87.20
|
|
Calcium total
|
$101.60 |
$101.60 |
$101.60 |
$50.00
|
|
Calculi urinary-sendout
|
$280.80 |
$280.80 |
$280.80 |
$68.05
|
|
Calprotectin fecal
|
$819.20 |
$819.20 |
$819.20 |
$165.00
|
|
Candida dna
|
$184.00 |
$184.00 |
$184.00 |
$63.00
|
|
Carbamazepine free
|
$253.60 |
$253.60 |
$253.60 |
$51.15
|
|
Carbamazepine free -sendout
|
$72.80 |
$72.80 |
$72.80 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$416.00 |
$416.00 |
$416.00 |
$115.68
|
|
Carbohydrate deficient transf - sendout
|
$204.00 |
$204.00 |
$204.00 |
$123.49
|
|
Carbon dioxide
|
$72.80 |
$72.80 |
$72.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$250.40 |
$250.40 |
$250.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$905.60 |
$905.60 |
$905.60 |
$142.50
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,558.40 |
$5,558.40 |
$5,558.40 |
$2,632.82
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$249.60 |
$249.60 |
$249.60 |
$249.60
|
|
Cardiolipin antibody iga
|
$220.80 |
$220.80 |
$220.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,082.40 |
$2,082.40 |
$2,082.40 |
$1,479.92
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$112.00 |
$112.00 |
$112.00 |
$114.45
|
|
Caregiver training strategies&tq ea addl 15 min
|
$56.00 |
$56.00 |
$56.00 |
$52.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$1,034.84
|
|
Cath cv dl inj 7fx16cm
|
$10,324.80 |
$10,324.80 |
$10,324.80 |
$4,691.52
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$468.00 |
$468.00 |
$468.00 |
$479.00
|
|
Cauterization chemical granulation tissue
|
$326.40 |
$326.40 |
$326.40 |
$351.78
|
|
#cbg+cort-cbg
|
$192.00 |
$192.00 |
$192.00 |
$78.00
|
|
Cdna analysis for variants
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$547.30
|
|
#celiac hla-dq2
|
$557.60 |
$557.60 |
$557.60 |
$225.12
|
|
#celiac hla-dq8
|
$613.60 |
$613.60 |
$613.60 |
$245.60
|
|
Cell count body fluid
|
$168.00 |
$168.00 |
$168.00 |
$63.52
|
|
Cell count w differential body fluid
|
$218.40 |
$218.40 |
$218.40 |
$92.56
|
|
Cell cryopreserve/storage
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$63.00
|
|
Cell function assay w/stim
|
$663.20 |
$663.20 |
$663.20 |
$314.25
|
|
Cell marker study
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$239.85
|
|
#cf-97variants
|
$684.80 |
$684.80 |
$684.80 |
$612.26
|
|
Cftr gene dup/delet variants
|
$3,493.60 |
$3,493.60 |
$3,493.60 |
$779.35
|
|
Change cystostomy tube simple
|
$333.60 |
$333.60 |
$333.60 |
$473.00
|
|
Chemo extend IV infus w/pump
|
$520.00 |
$520.00 |
$520.00 |
$754.00
|
|
Chest 2 vws w oblique
|
$426.40 |
$426.40 |
$426.40 |
$385.71
|
|
Chest apical lordotic proj
|
$376.80 |
$376.80 |
$376.80 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
$1,997.45
|
|
Chest CT scan (with contrast)
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,515.20 |
$2,515.20 |
$2,515.20 |
$1,372.50
|
|
Chest X-ray
|
$316.80 |
$316.80 |
$316.80 |
$300.08
|
|
Chest X-ray (single view)
|
$268.80 |
$268.80 |
$268.80 |
$246.00
|
|
Chg pr pul rehab for copd patients
|
$387.20 |
$387.20 |
$387.20 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$1,527.20 |
$1,527.20 |
$1,527.20 |
$571.45
|
|
Chlamydia culture
|
$382.40 |
$382.40 |
$382.40 |
$90.86
|
|
Chlamydia type
|
$104.00 |
$104.00 |
$104.00 |
$33.00
|
|
Chlnggrphy intraop addl s&i
|
$368.80 |
$368.80 |
$368.80 |
$301.40
|
|
Chloride
|
$72.00 |
$72.00 |
$72.00 |
$39.65
|
|
Chloride 24 hour urine
|
$102.40 |
$102.40 |
$102.40 |
$46.50
|
|
Cholangiogram percutaneous compl
|
$3,173.60 |
$3,173.60 |
$3,173.60 |
$3,820.96
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$609.97
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$3,884.50
|
|
Cholesterol
|
$110.40 |
$110.40 |
$110.40 |
$46.15
|
|
Cholesterol body fluid
|
$279.20 |
$279.20 |
$279.20 |
$73.02
|
|
Cholesterol (Lipid) Test
|
$208.00 |
$208.00 |
$208.00 |
$115.70
|
|
Cholinesterase
|
$41.60 |
$41.60 |
$41.60 |
$40.80
|
|
Chrom analysis
|
$240.00 |
$240.00 |
$240.00 |
$141.60
|
|
Chromatography
|
$949.60 |
$949.60 |
$949.60 |
$78.00
|
|
Chromogenic substrate assay
|
$1,189.60 |
$1,189.60 |
$1,189.60 |
$137.50
|
|
Chromo high res and frag x - sendout
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$479.38
|
|
Chromosome study additional
|
$192.80 |
$192.80 |
$192.80 |
$147.03
|
|
Chronic urticaria - sendout
|
$595.20 |
$595.20 |
$595.20 |
$75.71
|
