|
Blm gene
|
$158.10 |
$158.10 |
$158.10 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$776.16 |
$776.16 |
$776.16 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$332.01 |
$332.01 |
$332.01 |
$1,320.21
|
|
Block plantar digital nerve
|
$805.65 |
$805.65 |
$805.65 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$5,487.20 |
$5,487.20 |
$5,487.20 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$3,675.50 |
$3,675.50 |
$3,675.50 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$90.60 |
$90.60 |
$90.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$190.05 |
$190.05 |
$190.05 |
$74.00
|
|
Blood Count (CBC) Test
|
$105.05 |
$105.05 |
$105.05 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$79.70 |
$79.70 |
$79.70 |
$62.28
|
|
Blood count spun microhematocrit
|
$17.00 |
$17.00 |
$17.00 |
$25.00
|
|
Blood Culture Test
|
$399.85 |
$399.85 |
$399.85 |
$146.16
|
|
Blood draw capillary 36416
|
$21.85 |
$21.85 |
$21.85 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$36.45 |
$36.45 |
$36.45 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$122.90 |
$122.90 |
$122.90 |
$226.50
|
|
Blood gases ph venous
|
$102.45 |
$102.45 |
$102.45 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$115.65 |
$115.65 |
$115.65 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$51.00 |
$51.00 |
$51.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$51.00 |
$51.00 |
$51.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$33.85 |
$33.85 |
$33.85 |
$34.98
|
|
Blood Transfusion
|
$1,502.30 |
$1,502.30 |
$1,502.30 |
$989.60
|
|
Blood typing abo
|
$22.70 |
$22.70 |
$22.70 |
$86.45
|
|
Blood typing ag donor ea ag
|
$144.75 |
$144.75 |
$144.75 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$57.95 |
$57.95 |
$57.95 |
$211.90
|
|
Blood typing rh (d)
|
$24.60 |
$24.60 |
$24.60 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$119.10 |
$119.10 |
$119.10 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$626.35 |
$626.35 |
$626.35 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$219.50 |
$219.50 |
$219.50 |
$407.94
|
|
Bone imaging multiple areas
|
$2,010.25 |
$2,010.25 |
$2,010.25 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$2,010.25 |
$2,010.25 |
$2,010.25 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$885.75 |
$885.75 |
$885.75 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,174.20 |
$1,174.20 |
$1,174.20 |
$1,010.08
|
|
Bone marrow imaging mult
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$923.00
|
|
Bone marrow interpretation
|
$2,130.15 |
$2,130.15 |
$2,130.15 |
$542.03
|
|
Bone survey-lead poisoning
|
$312.95 |
$312.95 |
$312.95 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$105.90 |
$105.90 |
$105.90 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$91.25 |
$91.25 |
$91.25 |
$82.55
|
|
(both sides) smear without diff wbc count
|
$29.65 |
$29.65 |
$29.65 |
$30.68
|
|
Bowel imaging
|
$1,340.65 |
$1,340.65 |
$1,340.65 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$169.00 |
$169.00 |
$169.00 |
$108.67
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$127.20 |
$127.20 |
$127.20 |
$105.30
|
|
Brace wrist classic lft sm
|
$147.20 |
$147.20 |
$147.20 |
$89.04
|
|
Brach/thor cath 1st
|
$1,744.20 |
$1,744.20 |
$1,744.20 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$1,859.35 |
$1,859.35 |
$1,859.35 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$2,050.00
|
|
Brach/thor cath addl
|
$577.30 |
$577.30 |
$577.30 |
$868.00
|
|
Braf gene
|
$521.15 |
$521.15 |
$521.15 |
$450.90
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,884.20 |
$1,884.20 |
$1,884.20 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,174.90 |
$2,174.90 |
$2,174.90 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,844.85 |
$1,844.85 |
$1,844.85 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,330.10 |
$1,330.10 |
$1,330.10 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,542.20 |
$5,542.20 |
$5,542.20 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$663.00 |
$663.00 |
$663.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$952.10 |
$952.10 |
$952.10 |
$871.80
|
|
Brief comunicaj tech-bsd svc
|
$28.75 |
$28.75 |
$28.75 |
$30.40
|
|
Br punct aspir ea add, l
|
$952.65 |
$952.65 |
$952.65 |
$357.51
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$180.31 |
$180.31 |
$180.31 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$195.20 |
$195.20 |
$195.20 |
$159.00
|
|
Bundled special stain group 2
|
$277.40 |
$277.40 |
$277.40 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$41.26 |
$41.26 |
$41.26 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$52.05 |
$52.05 |
$52.05 |
$80.64
|
|
Butorphanol tartrate 1 mg
|
$20.55 |
$20.55 |
$20.55 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$4,498.70 |
$4,498.70 |
$4,498.70 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$4,498.70 |
$4,498.70 |
$4,498.70 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$5,542.20 |
$5,542.20 |
$5,542.20 |
$1,670.79
|
|
Bx liver with other
|
$566.95 |
$566.95 |
$566.95 |
$601.53
|
|
Bx pleura pq ndl
|
$2,796.40 |
$2,796.40 |
$2,796.40 |
$1,608.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,039.90 |
$1,039.90 |
$1,039.90 |
$963.80
|
|
Bypass temp external fem-fem
|
$3,389.65 |
$3,389.65 |
$3,389.65 |
$1,938.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$60.45 |
$60.45 |
$60.45 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,041.20 |
$3,041.20 |
$3,041.20 |
$2,210.98
|
|
Calcium 24 hour urine
|
$159.05 |
$159.05 |
$159.05 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$50.47 |
$50.47 |
$50.47 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$99.49 |
$99.49 |
$99.49 |
$91.60
|
|
Calcium ionized
|
$31.25 |
$31.25 |
$31.25 |
$90.00
|
|
Calcium total
|
$133.20 |
$133.20 |
$133.20 |
$50.00
|
|
Calprotectin fecal
|
$340.20 |
$340.20 |
$340.20 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$325.00 |
$325.00 |
$325.00 |
$3,238.70
|
|
Carbamazepine total therapeutic drug level
|
$78.10 |
$78.10 |
$78.10 |
$122.85
|
|
Carbon dioxide
|
$99.25 |
$99.25 |
$99.25 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$96.45 |
$96.45 |
$96.45 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$85.65 |
$85.65 |
$85.65 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$3,965.35 |
$3,965.35 |
$3,965.35 |
$2,902.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$328.65 |
$328.65 |
$328.65 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$328.65 |
$328.65 |
$328.65 |
$204.54
|
|
Cardiolipin antibody iga
|
$30.75 |
$30.75 |
$30.75 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,126.35 |
$2,126.35 |
$2,126.35 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$131.70 |
$131.70 |
$131.70 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$63.10 |
$63.10 |
$63.10 |
$51.52
|
|
Carotene
|
$94.85 |
$94.85 |
$94.85 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$100.50 |
$100.50 |
$100.50 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$50.30 |
$50.30 |
$50.30 |
$65.00
|
|
Cast sup long arm adult fbrg
|
$46.00 |
$46.00 |
$46.00 |
$58.20
|
|
Cast sup long arm ped fbrgls
|
$23.00 |
$23.00 |
$23.00 |
$36.80
|
