|
Blood gases ph venous
|
$161.60 |
$161.60 |
$161.60 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$139.20 |
$139.20 |
$139.20 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$233.60 |
$233.60 |
$233.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$233.60 |
$233.60 |
$233.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$132.00 |
$132.00 |
$132.00 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$104.00 |
$104.00 |
$104.00 |
$38.61
|
|
Blood split unit
|
$452.80 |
$452.80 |
$452.80 |
$250.00
|
|
Blood typing abo
|
$122.40 |
$122.40 |
$122.40 |
$83.03
|
|
Blood typing ag donor ea ag
|
$511.20 |
$511.20 |
$511.20 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$511.20 |
$511.20 |
$511.20 |
$199.50
|
|
Blood typing rh (d)
|
$132.00 |
$132.00 |
$132.00 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$616.80 |
$616.80 |
$616.80 |
$397.28
|
|
Bone imaging multiple areas
|
$1,823.20 |
$1,823.20 |
$1,823.20 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$1,570.80
|
|
Bone marrow imaging body
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$1,076.40
|
|
Bone marrow interpretation
|
$708.80 |
$708.80 |
$708.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$492.00 |
$492.00 |
$492.00 |
$390.00
|
|
Boot j walker l
|
$780.80 |
$780.80 |
$780.80 |
$231.75
|
|
Boot walker genesis full shell 3-strap s
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$652.80 |
$652.80 |
$652.80 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$46.40 |
$46.40 |
$46.40 |
$68.88
|
|
Bowel imaging
|
$3,611.20 |
$3,611.20 |
$3,611.20 |
$1,065.00
|
|
Brace afo lg left 6607
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$410.40 |
$410.40 |
$410.40 |
$109.64
|
|
Brace ankle stablizing lg
|
$225.60 |
$225.60 |
$225.60 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$857.43
|
|
Brace knee extender plus 22-30in
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$676.06
|
|
Brace oths wrist hnd fngr without
|
$410.40 |
$410.40 |
$410.40 |
$245.00
|
|
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 |
$81.62
|
|
Braf gene
|
$902.40 |
$902.40 |
$902.40 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,328.80 |
$4,328.80 |
$4,328.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,364.80 |
$3,364.80 |
$3,364.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,189.60 |
$5,189.60 |
$5,189.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,799.20 |
$3,799.20 |
$3,799.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,625.60 |
$3,625.60 |
$3,625.60 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$225.60 |
$225.60 |
$225.60 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$7,042.40 |
$7,042.40 |
$7,042.40 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,459.20 |
$3,459.20 |
$3,459.20 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$847.00
|
|
Breathing response hypoxia
|
$298.40 |
$298.40 |
$298.40 |
$185.15
|
|
Bronchial challenge
|
$1,565.60 |
$1,565.60 |
$1,565.60 |
$777.60
|
|
Bronch w/balloon occlusion
|
$5,451.20 |
$5,451.20 |
$5,451.20 |
$6,410.18
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$3,258.40 |
$3,258.40 |
$3,258.40 |
$571.00
|
|
Br punct aspir ea add, l
|
$2,852.00 |
$2,852.00 |
$2,852.00 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$326.40 |
$326.40 |
$326.40 |
$160.80
|
|
Bundled special stain group 2
|
$321.60 |
$321.60 |
$321.60 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$417.60 |
$417.60 |
$417.60 |
$82.82
|
|
Bx bone trocar/ndl deep
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$3,459.20 |
$3,459.20 |
$3,459.20 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,459.20 |
$3,459.20 |
$3,459.20 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$4,047.20 |
$4,047.20 |
$4,047.20 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$4,047.20 |
$4,047.20 |
$4,047.20 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$4,047.20 |
$4,047.20 |
$4,047.20 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$1,588.50
|
|
Bx pleura pq ndl
|
$3,041.60 |
$3,041.60 |
$3,041.60 |
$1,608.00
|
|
Bx skin tangential ea sep/ addl les
|
$235.20 |
$235.20 |
$235.20 |
$203.70
|
|
Bypass temp external fem-fem
|
$3,987.20 |
$3,987.20 |
$3,987.20 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$548.00 |
$548.00 |
$548.00 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$380.00 |
$380.00 |
$380.00 |
$360.00
|
|
Calcium 24 hour urine
|
$304.80 |
$304.80 |
$304.80 |
$53.00
|
|
Calcium ionized
|
$304.80 |
$304.80 |
$304.80 |
$90.00
|
|
Calcium total
|
$123.20 |
$123.20 |
$123.20 |
$50.00
|
|
Caloric vstblr test w/rec
|
$384.00 |
$384.00 |
$384.00 |
$310.00
|
|
Calprotectin fecal
|
$800.80 |
$800.80 |
$800.80 |
$169.95
|
|
Candida dna
|
$70.40 |
$70.40 |
$70.40 |
$62.50
|
|
Carbamazepine free -sendout
|
$70.40 |
$70.40 |
$70.40 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$297.60 |
$297.60 |
$297.60 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$200.00 |
$200.00 |
$200.00 |
$139.00
|
|
Carbon dioxide
|
$104.00 |
$104.00 |
$104.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$212.80 |
$212.80 |
$212.80 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$876.80 |
$876.80 |
$876.80 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$2,768.80
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,767.20 |
$4,767.20 |
$4,767.20 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$288.80 |
$288.80 |
$288.80 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$238.40 |
$238.40 |
$238.40 |
$196.50
|
|
Cardiolipin antibody iga
|
$258.40 |
$258.40 |
$258.40 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$112.00 |
$112.00 |
$112.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$56.00 |
$56.00 |
$56.00 |
$51.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$250.40 |
$250.40 |
$250.40 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$126.40 |
$126.40 |
$126.40 |
$65.00
|
|
Cath cv dl inj 7fx16cm
|
$10,324.80 |
$10,324.80 |
$10,324.80 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$137.60 |
$137.60 |
$137.60 |
$40.95
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$605.60 |
$605.60 |
$605.60 |
$340.90
|
|
Cdna analysis for variants
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$525.00
|
|
Cdp-sot 6 cond w/i&r
|
$453.60 |
$453.60 |
$453.60 |
$215.25
|
|
Cebpa gene full sequence
|
$1,225.60 |
$1,225.60 |
$1,225.60 |
$484.90
|
|
Cell count body fluid
|
$217.60 |
$217.60 |
$217.60 |
$63.63
|
|
Cell count w differential body fluid
|
$148.00 |
$148.00 |
$148.00 |
$93.23
|
|
Cell cryopreserve/storage
|
$985.60 |
$985.60 |
$985.60 |
$62.72
|
|
Cell function assay w/stim
|
$691.20 |
$691.20 |
$691.20 |
$314.25
|
|
Cell marker study
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$247.20
|
