|
Beta-2 microglobulin
|
$59.60 |
$59.60 |
$59.60 |
$84.00
|
|
Bilateral n block inj occipital 64405
|
$287.60 |
$287.60 |
$287.60 |
$822.40
|
|
Bilateral n block inj trigeminal 64400
|
$280.40 |
$280.40 |
$280.40 |
$537.60
|
|
Bilirubin direct
|
$43.60 |
$43.60 |
$43.60 |
$43.60
|
|
Bilirubin total
|
$32.40 |
$32.40 |
$32.40 |
$49.77
|
|
Biopsy needle liver percutaneous
|
$944.40 |
$944.40 |
$944.40 |
$1,897.20
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$2,017.63
|
|
Bis xtracell fluid analysis
|
$108.40 |
$108.40 |
$108.40 |
$229.20
|
|
Bld prd mix
|
$89.60 |
$89.60 |
$89.60 |
$139.21
|
|
Block tap inj(s) w/wo img bi
|
$271.20 |
$271.20 |
$271.20 |
$1,124.39
|
|
Block tap inj(s) w/wo img uni
|
$255.20 |
$255.20 |
$255.20 |
$1,064.00
|
|
Blood Clotting (PT/INR) Test
|
$22.40 |
$22.40 |
$22.40 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$39.20 |
$39.20 |
$39.20 |
$68.25
|
|
Blood Count (CBC) Test
|
$70.80 |
$70.80 |
$70.80 |
$66.60
|
|
Blood Count (CBC) Test (without differential)
|
$35.20 |
$35.20 |
$35.20 |
$56.40
|
|
Blood Culture Test
|
$74.40 |
$74.40 |
$74.40 |
$115.00
|
|
Blood draw capillary 36416
|
$18.40 |
$18.40 |
$18.40 |
$22.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$17.60 |
$17.60 |
$17.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.80 |
$20.80 |
$20.80 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$26.00 |
$26.00 |
$26.00 |
$31.20
|
|
Blood smear interpretation
|
$42.40 |
$42.40 |
$42.40 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$28.80 |
$28.80 |
$28.80 |
$34.80
|
|
Blood typing abo
|
$102.00 |
$102.00 |
$102.00 |
$73.51
|
|
Blood typing ag donor ea ag
|
$176.80 |
$176.80 |
$176.80 |
$131.95
|
|
Blood typing patient serum
|
$50.00 |
$50.00 |
$50.00 |
$76.80
|
|
Blood typing rbc ag non abo/rh ea
|
$176.80 |
$176.80 |
$176.80 |
$148.59
|
|
Blood typing rh (d)
|
$30.00 |
$30.00 |
$30.00 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$57.20 |
$57.20 |
$57.20 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$87.20 |
$87.20 |
$87.20 |
$381.19
|
|
Bone imaging multiple areas
|
$704.40 |
$704.40 |
$704.40 |
$962.78
|
|
Bone/joint imaging ltd area
|
$689.20 |
$689.20 |
$689.20 |
$911.58
|
|
Bone marrow interpretation
|
$402.80 |
$402.80 |
$402.80 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$120.40 |
$120.40 |
$120.40 |
$107.25
|
|
Bowel imaging
|
$642.00 |
$642.00 |
$642.00 |
$1,077.60
|
|
Braf gene
|
$217.20 |
$217.20 |
$217.20 |
$421.20
|
|
Brain flow imaging only
|
$936.40 |
$936.40 |
$936.40 |
$531.70
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$2,486.90
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$1,800.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$2,163.67
|
|
Brain MRI (without contrast)
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,790.00
|
|
Breast punct aspir cyst, bil
|
$439.60 |
$439.60 |
$439.60 |
$828.59
|
|
Bronchial challenge
|
$553.60 |
$553.60 |
$553.60 |
$789.57
|
|
Bundled special stain group 1 microorganisms
|
$45.20 |
$45.20 |
$45.20 |
$161.46
|
|
Bundled special stain group 2
|
$35.20 |
$35.20 |
$35.20 |
$170.65
|
|
Bx bone trocar/ndl deep
|
$650.00 |
$650.00 |
$650.00 |
$2,264.77
|
|
C1 esterase inhibitor func - sendout
|
$78.80 |
$78.80 |
$78.80 |
$128.70
|
|
Calcium 24 hour urine
|
$34.40 |
$34.40 |
$34.40 |
$51.63
|
|
Calcium ionized
|
$34.80 |
$34.80 |
$34.80 |
$81.90
|
|
Calcium total
|
$30.80 |
$30.80 |
$30.80 |
$44.00
|
|
Calculi urinary-sendout
|
$112.40 |
$112.40 |
$112.40 |
$112.40
|
|
Calprotectin fecal
|
$144.40 |
$144.40 |
$144.40 |
$170.95
|
|
Campylobacter antibody
|
$63.20 |
$63.20 |
$63.20 |
$63.70
|
|
Carbamazepine total therapeutic drug level
|
$56.40 |
$56.40 |
$56.40 |
$110.40
|
|
Carbohydrate urine - sendout
|
$51.60 |
$51.60 |
$51.60 |
$39.62
|
|
Carbon dioxide
|
$40.80 |
$40.80 |
$40.80 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$46.40 |
$46.40 |
$46.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$49.20 |
$49.20 |
$49.20 |
$125.45
|
|
Cardiac perf planar sgl/ef/wm
|
$1,231.60 |
$1,231.60 |
$1,231.60 |
$1,780.19
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$2,516.80
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$120.00 |
$120.00 |
$120.00 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$120.00 |
$120.00 |
$120.00 |
$195.20
|
|
Cardiac Stress Test
|
$74.40 |
$74.40 |
$74.40 |
$186.60
|
|
Cardiolipin antibody iga
|
$75.20 |
$75.20 |
$75.20 |
$129.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$1,461.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$448.80 |
$448.80 |
$448.80 |
$1,036.00
|
|
Cath plc art ang/grft lt/rt hr
|
$4,659.60 |
$4,659.60 |
$4,659.60 |
$11,903.70
|
|
Cath plc art/angio/rt hrt cath
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$12,021.10
|
|
Cath plc art/grft/angio right hrt
|
$4,594.00 |
$4,594.00 |
$4,594.00 |
$11,220.00
|
|
Cath right heart w/o2 sat & card
|
$2,258.00 |
$2,258.00 |
$2,258.00 |
$6,790.00
|
|
Cdna analysis for variants
|
$237.60 |
$237.60 |
$237.60 |
$620.00
|
|
Cebpa gene full sequence
|
$254.80 |
$254.80 |
$254.80 |
$485.55
|
|
Cell count w differential body fluid
|
$82.00 |
$82.00 |
$82.00 |
$85.15
|
|
Cell enumeration & id
|
$522.80 |
$522.80 |
$522.80 |
$522.80
|
|
#cf-97variants
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$748.16
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$87.60 |
$87.60 |
$87.60 |
$465.35
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$352.80 |
$352.80 |
$352.80 |
$987.55
|
|
Chemodenerv 1 extremity 1-4 64642
|
$360.00 |
$360.00 |
$360.00 |
$970.61
|
|
Chemodenervation/face muscl/unilat 64612
|
$308.80 |
$308.80 |
$308.80 |
$672.49
|
|
Chemodenerv musc migraine 64615
|
$253.60 |
$253.60 |
$253.60 |
$556.86
|
|
Chemodenerv musc neck dyston 64616
|
$201.60 |
$201.60 |
$201.60 |
$783.90
|
|
Chemodenerv saliv glands bilat 64611
|
$161.20 |
$161.20 |
$161.20 |
$430.17
|
|
Chemodenerv trunk musc 1-5 64646
|
$490.80 |
$490.80 |
$490.80 |
$966.06
|
|
Chest 2 vws w oblique
|
$71.20 |
$71.20 |
$71.20 |
$334.02
|
|
Chest apical lordotic proj
|
$71.20 |
$71.20 |
$71.20 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$896.40 |
$896.40 |
$896.40 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$1,209.00
|
|
Chest X-ray
|
$291.20 |
$291.20 |
$291.20 |
$268.42
|
|
Chest X-ray (single view)
|
$168.80 |
$168.80 |
$168.80 |
$206.71
|
|
Chg pr pul rehab for copd patients
|
$235.20 |
$235.20 |
$235.20 |
$150.40
|
|
Chlamydia culture
|
$64.40 |
$64.40 |
$64.40 |
$97.20
|
|
Chlamydia type
|
$13.20 |
$13.20 |
$13.20 |
$34.92
|
|
Chlnggrphy intraop addl s&i
|
$335.20 |
$335.20 |
$335.20 |
$258.00
|
|
Chloride
|
$14.00 |
$14.00 |
$14.00 |
$37.48
|
|
Chloride 24 hour urine
|
$22.80 |
$22.80 |
$22.80 |
$40.80
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$414.00 |
$414.00 |
$414.00 |
$558.35
|
|
Cholesterol
|
$27.20 |
$27.20 |
$27.20 |
$43.55
|
|
Cholesterol body fluid
|
$16.80 |
$16.80 |
$16.80 |
$67.50
|
