|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$709.60 |
$709.60 |
$709.60 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$924.80 |
$924.80 |
$924.80 |
$850.78
|
|
Assay neurflmnt light chain
|
$2,408.80 |
$2,408.80 |
$2,408.80 |
$380.00
|
|
Assay of breath ethanol
|
$52.80 |
$52.80 |
$52.80 |
$47.30
|
|
Assay of glutathione
|
$163.20 |
$163.20 |
$163.20 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$94.40 |
$94.40 |
$94.40 |
$79.97
|
|
Assay of prostaglandin
|
$127.20 |
$127.20 |
$127.20 |
$218.50
|
|
Assay of salicylate
|
$198.40 |
$198.40 |
$198.40 |
$95.00
|
|
Assay of tyrosine
|
$119.20 |
$119.20 |
$119.20 |
$60.00
|
|
Assay of urine sulfate
|
$17.60 |
$17.60 |
$17.60 |
$29.04
|
|
Assay phosphohexose enzymes
|
$113.60 |
$113.60 |
$113.60 |
$105.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$400.00 |
$400.00 |
$400.00 |
$292.50
|
|
Assistive tech assessment, ot
|
$120.80 |
$120.80 |
$120.80 |
$96.08
|
|
Ast/sgot
|
$88.00 |
$88.00 |
$88.00 |
$45.65
|
|
Automated diff wbc count
|
$76.80 |
$76.80 |
$76.80 |
$38.28
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$280.80 |
$280.80 |
$280.80 |
$318.75
|
|
Baclofen eval charges
|
$141.60 |
$141.60 |
$141.60 |
$85.00
|
|
Bacterial meningitis antigen
|
$98.40 |
$98.40 |
$98.40 |
$66.30
|
|
#bac vag cand-c. albicans naa
|
$172.00 |
$172.00 |
$172.00 |
$105.00
|
|
B cells total count
|
$126.40 |
$126.40 |
$126.40 |
$131.30
|
|
Beta 2 glycoprotein 1 antibody iga
|
$34.40 |
$34.40 |
$34.40 |
$78.50
|
|
Beta-2 microglobulin
|
$144.00 |
$144.00 |
$144.00 |
$85.94
|
|
Beta-amyloid 1-42
|
$444.00 |
$444.00 |
$444.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$82.40 |
$82.40 |
$82.40 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$56.80 |
$56.80 |
$56.80 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$2,338.40 |
$2,338.40 |
$2,338.40 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$802.40 |
$802.40 |
$802.40 |
$556.40
|
|
Bilirubin direct
|
$112.80 |
$112.80 |
$112.80 |
$50.00
|
|
Bilirubin total
|
$89.60 |
$89.60 |
$89.60 |
$52.57
|
|
Biopsy abdominal mass
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$2,681.60 |
$2,681.60 |
$2,681.60 |
$1,145.90
|
|
Biopsy skin incisional single lesion
|
$514.40 |
$514.40 |
$514.40 |
$657.66
|
|
Block tap inj(s) w/wo img bi
|
$1,739.20 |
$1,739.20 |
$1,739.20 |
$1,340.40
|
|
Blood Clotting (PT/INR) Test
|
$95.20 |
$95.20 |
$95.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$158.40 |
$158.40 |
$158.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$122.40 |
$122.40 |
$122.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$73.60 |
$73.60 |
$73.60 |
$61.80
|
|
Blood Culture Test
|
$338.40 |
$338.40 |
$338.40 |
$145.80
|
|
Blood draw capillary 36416
|
$34.40 |
$34.40 |
$34.40 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$332.80 |
$332.80 |
$332.80 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$77.60 |
$77.60 |
$77.60 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$89.60 |
$89.60 |
$89.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$88.00 |
$88.00 |
$88.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$51.20 |
$51.20 |
$51.20 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$66.40 |
$66.40 |
$66.40 |
$38.61
|
|
Blood typing abo
|
$108.00 |
$108.00 |
$108.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$302.40 |
$302.40 |
$302.40 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$302.40 |
$302.40 |
$302.40 |
$199.50
|
|
Blood typing rh (d)
|
$65.60 |
$65.60 |
$65.60 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$565.60 |
$565.60 |
$565.60 |
$397.28
|
|
Bone imaging multiple areas
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,508.78
|
|
Bone marrow interpretation
|
$700.80 |
$700.80 |
$700.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$1,789.60 |
$1,789.60 |
$1,789.60 |
$390.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$163.20 |
$163.20 |
$163.20 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$45.60 |
$45.60 |
$45.60 |
$68.88
|
|
Bowel imaging
|
$3,524.80 |
$3,524.80 |
$3,524.80 |
$1,065.00
|
|
Brace fx hum ovr shldr lg
|
$711.20 |
$711.20 |
$711.20 |
$1,174.20
|
|
Brace oths wrist hnd fngr without
|
$192.00 |
$192.00 |
$192.00 |
$245.00
|
|
Brace wrist classic lft sm
|
$58.40 |
$58.40 |
$58.40 |
$81.62
|
|
Braf gene
|
$780.80 |
$780.80 |
$780.80 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,564.80 |
$1,564.80 |
$1,564.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,485.60 |
$3,485.60 |
$3,485.60 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,453.60 |
$3,453.60 |
$3,453.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,464.80 |
$4,464.80 |
$4,464.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,726.40 |
$3,726.40 |
$3,726.40 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$6,264.80 |
$6,264.80 |
$6,264.80 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$847.00
|
|
Bronchial challenge
|
$844.80 |
$844.80 |
$844.80 |
$777.60
|
|
Bronch w/balloon occlusion
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
$6,410.18
|
|
Br punct aspir ea add, l
|
$906.40 |
$906.40 |
$906.40 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$136.00 |
$136.00 |
$136.00 |
$160.80
|
|
Bundled special stain group 2
|
$163.20 |
$163.20 |
$163.20 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$120.80 |
$120.80 |
$120.80 |
$82.82
|
|
Bx breast add lesion Ultrasound imag
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$1,588.50
|
|
Bx skin punch ea sep/ addl les
|
$564.80 |
$564.80 |
$564.80 |
$227.13
|
|
Bx thyroid/percutan core needle 60100
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$188.80 |
$188.80 |
$188.80 |
$96.72
|
|
Cad breast MRI w/r&i
|
$0.01 |
$0.01 |
$0.01 |
$122.40
|
|
Cadd pump refill
|
$424.80 |
$424.80 |
$424.80 |
$360.00
|
|
Calcium 24 hour urine
|
$102.40 |
$102.40 |
$102.40 |
$53.00
|
|
Calcium ionized
|
$152.00 |
$152.00 |
$152.00 |
$90.00
|
|
Calcium total
|
$86.40 |
$86.40 |
$86.40 |
$50.00
|
|
Calculi urinary-sendout
|
$128.80 |
$128.80 |
$128.80 |
$68.05
|
|
Calprotectin fecal
|
$341.60 |
$341.60 |
$341.60 |
$169.95
|
|
Candida dna
|
$106.40 |
$106.40 |
$106.40 |
$62.50
|
|
Carbamazepine total therapeutic drug level
|
$172.00 |
$172.00 |
$172.00 |
$120.25
|
|
Carbon dioxide
|
$68.80 |
$68.80 |
$68.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$180.00 |
$180.00 |
$180.00 |
$85.00
|
