|
Bilirubin total
|
$32.40 |
$54.40 |
$65.00 |
|
|
Biopsy abdominal mass
|
$3,919.50 |
$3,919.50 |
$3,919.50 |
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$11,676.63 |
$11,676.63 |
$11,676.63 |
|
|
Biopsy needle liver percutaneous
|
$944.40 |
$944.40 |
$9,056.00 |
|
|
Biopsy needle lymph node superficial
|
$245.20 |
$245.20 |
$6,480.29 |
|
|
Biopsy of nail unit 11755
|
$527.15 |
$527.15 |
$527.15 |
|
|
Biopsy of prostate
|
$11,291.99 |
$11,291.99 |
$11,291.99 |
|
|
Biopsy of salivary gland 42400
|
$432.00 |
$432.00 |
$432.00 |
|
|
Biopsy/removal lymph nodes
|
$15,355.76 |
$15,355.76 |
$15,355.76 |
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
|
|
Biotinidase - quest
|
$80.80 |
$80.80 |
$80.80 |
|
|
Bis xtracell fluid analysis
|
$108.40 |
$108.40 |
$108.40 |
|
|
Bladder irrigate/lavage/instill 51700
|
$13,584.07 |
$13,584.07 |
$13,584.07 |
|
|
Bld prd mix
|
$89.60 |
$89.60 |
$89.60 |
|
|
Bld push tfuj 2 yr/<
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
|
|
Bleomycin 15 unit solution for injection
|
$127.01 |
$127.01 |
$127.01 |
|
|
Block tap inj(s) w/wo img bi
|
$271.20 |
$271.20 |
$271.20 |
|
|
Block tap inj(s) w/wo img uni
|
$255.20 |
$255.20 |
$1,064.00 |
|
|
Blood Clotting (PT/INR) Test
|
$22.40 |
$34.40 |
$61.10 |
|
|
Blood Clotting (PTT) Test
|
$39.20 |
$76.40 |
$78.65 |
|
|
Blood Count (CBC) Test
|
$66.40 |
$70.80 |
$82.55 |
|
|
Blood Count (CBC) Test (without differential)
|
$35.20 |
$65.20 |
$82.55 |
|
|
Blood Culture Test
|
$74.40 |
$136.80 |
$184.60 |
|
|
Blood draw capillary 36416
|
$18.40 |
$20.00 |
$1,514.24 |
|
|
Blood gases ph venous
|
$80.60 |
$80.60 |
$80.60 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$35.10 |
$35.10 |
$35.10 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$17.60 |
$20.80 |
$49.40 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.80 |
$20.80 |
$47.45 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$14.40 |
$20.15 |
$26.00 |
|
|
Blood smear interpretation
|
$42.40 |
$42.40 |
$42.40 |
|
|
Blood smear microscopic w manual differential wbc count
|
$28.80 |
$28.80 |
$42.40 |
|
|
Blood typing abo
|
$102.00 |
$102.00 |
$150.80 |
|
|
Blood typing ag donor ea ag
|
$176.80 |
$207.60 |
$245.05 |
|
|
Blood typing patient serum
|
$30.80 |
$50.00 |
$50.05 |
|
|
Blood typing rbc ag non abo/rh ea
|
$176.80 |
$207.60 |
$293.15 |
|
|
Blood typing rh (d)
|
$30.00 |
$34.00 |
$63.70 |
|
|
Blood typing rh phenotype complete reference
|
$57.20 |
$57.20 |
$62.00 |
|
|
Bone Density Scan (DEXA)
|
$87.20 |
$140.40 |
$473.85 |
|
|
Bone imaging multiple areas
|
$704.40 |
$704.40 |
$704.40 |
|
|
Bone/joint imaging ltd area
|
$689.20 |
$689.20 |
$1,321.45 |
|
|
Bone marrow interpretation
|
$402.80 |
$402.80 |
$402.80 |
|
|
Bone survey-lead poisoning
|
$413.40 |
$413.40 |
$413.40 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$88.00 |
$120.40 |
$157.95 |
|
|
Borrelia miyamotoi amp prb
|
$191.75 |
$191.75 |
$191.75 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,873.16 |
$2,873.16 |
$2,873.16 |
|
|
Bowel imaging
|
$642.00 |
$642.00 |
$642.00 |
|
|
Brace back pinnacle tlso 464
|
$369.85 |
$369.85 |
$369.85 |
|
|
Brace tlso flex cust
|
$432.90 |
$432.90 |
$432.90 |
|
|
Brach/thor cath 1st
|
$22,245.99 |
$22,245.99 |
$22,245.99 |
|
|
Brachytx isodose complex
|
$828.10 |
$828.10 |
$828.10 |
|
|
Brachytx isodose intermed
|
$1,279.85 |
$1,279.85 |
$1,279.85 |
|
|
Brachytx isodose plan simple
|
$1,106.30 |
$1,106.30 |
$1,106.30 |
|
|
Braf gene
|
$217.20 |
$217.20 |
$217.20 |
|
|
Brain flow imaging only
|
$936.40 |
$936.40 |
$936.40 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,363.20 |
$1,852.40 |
$1,862.25 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,376.00 |
$1,595.60 |
$1,676.35 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,348.80 |
$1,383.20 |
$1,490.45 |
|
|
Brain MRI (with and without contrast)
|
$1,762.80 |
$2,116.00 |
$3,790.80 |
|
|
Brain MRI (with contrast)
|
$1,376.00 |
$1,672.40 |
$2,905.50 |
|
|
Brain MRI (without contrast)
|
$1,402.00 |
$1,436.40 |
$2,473.25 |
|
|
Brcassure comprehensive panel-sendout
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
|
|
Breast punct aspir cyst, bil
|
$332.40 |
$332.40 |
$439.60 |
|
|
Bronchial allergy tests
|
$461.50 |
$461.50 |
$461.50 |
|
|
Bronchial challenge
|
$453.70 |
$453.70 |
$553.60 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Bundled special stain group 1 microorganisms
|
$45.20 |
$48.00 |
$8,144.64 |
|
|
Bundled special stain group 2
|
$35.20 |
$36.00 |
$12,774.55 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$19.01 |
$19.01 |
$19.01 |
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$5.48 |
$5.48 |
$5.48 |
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$7.88 |
$7.88 |
$7.88 |
|
|
Buprenorphine oral 1mg
|
$3.25 |
$3.25 |
$3.25 |
|
|
Butorphanol tartrate 1 mg
|
$136.28 |
$136.28 |
$136.28 |
|
|
Bx bone trocar/ndl deep
|
$650.00 |
$650.00 |
$650.00 |
|
|
Bx breast add lesion Ultrasound imag
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$15,385.23 |
$15,385.23 |
$15,385.23 |
|
|
Bx prostate trnsrctl u/s guid
|
$11,295.06 |
$11,295.06 |
$11,295.06 |
|
|
Bx thyroid/percutan core needle 60100
|
$406.00 |
$406.00 |
$406.00 |
|
|
C1 esterase inhibitor func - sendout
|
$78.80 |
$78.80 |
$90.40 |
|
|
Cadd pump refill
|
$184.60 |
$184.60 |
$184.60 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$50.70 |
$50.70 |
$50.70 |
|
|
Calcium 24 hour urine
|
$26.80 |
$34.40 |
$57.85 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$22.18 |
$22.18 |
$22.18 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.13 |
$24.13 |
$24.13 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$53.66 |
$53.66 |
$53.66 |
|
|
Calcium ionized
|
$34.80 |
$72.80 |
$82.80 |
|
|
Calcium total
|
$30.80 |
$46.15 |
$52.40 |
|
|
Calculi urinary-sendout
|
$112.40 |
$112.40 |
$112.40 |
|
|
Calprotectin fecal
|
$46.40 |
$144.40 |
$234.65 |
|
|
Campylobacter antibody
|
$63.20 |
$63.20 |
$63.20 |
|
|
Candida dna
|
$43.20 |
$43.20 |
$92.30 |
|
|
Carbamazepine total therapeutic drug level
|
$56.40 |
$76.00 |
$146.90 |
|
|
Carbohydrate urine - sendout
|
$51.60 |
$51.60 |
$51.60 |
|
|
Carbon dioxide
|
$32.50 |
$40.80 |
$44.00 |
|
|
Carboplatin 10 mg/ml desensitization
|
$113.55 |
$113.55 |
$113.55 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,347.74 |
$1,347.74 |
$1,347.74 |
|
|
Carboxyhemoglobin quantitative
|
$45.20 |
$46.40 |
$50.70 |
|
|
Carcinoembryonic ag (cea)
|
$49.20 |
$74.00 |
$122.85 |
|
|
Cardiac perf planar sgl/ef/wm
|
$1,231.60 |
$1,231.60 |
$1,231.60 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$837.20 |
$2,024.00 |
$2,146.30 |
|
