|
Blood Clotting (PT/INR) Test
|
$101.15 |
$101.15 |
$101.15 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$117.10 |
$117.10 |
$117.10 |
$74.00
|
|
Blood Count (CBC) Test
|
$130.40 |
$130.40 |
$130.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$101.15 |
$101.15 |
$101.15 |
$62.28
|
|
Blood Culture Test
|
$158.35 |
$158.35 |
$158.35 |
$146.16
|
|
Blood draw capillary 36416
|
$27.85 |
$27.85 |
$27.85 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$20.30 |
$20.30 |
$20.30 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$207.60 |
$207.60 |
$207.60 |
$226.50
|
|
Blood gases ph venous
|
$235.50 |
$235.50 |
$235.50 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$108.20 |
$108.20 |
$108.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$99.85 |
$99.85 |
$99.85 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$15.95 |
$15.95 |
$15.95 |
$34.98
|
|
Blood smear interpretation
|
$220.00 |
$220.00 |
$220.00 |
$71.76
|
|
Blood Transfusion
|
$805.15 |
$805.15 |
$805.15 |
$989.60
|
|
Blood typing abo
|
$87.85 |
$87.85 |
$87.85 |
$86.45
|
|
Blood typing ag donor ea ag
|
$352.65 |
$352.65 |
$352.65 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$100.80 |
$100.80 |
$100.80 |
$211.90
|
|
Blood typing rh (d)
|
$87.85 |
$87.85 |
$87.85 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$148.80 |
$148.80 |
$148.80 |
$88.00
|
|
Bls-emergency
|
$1,218.15 |
$1,218.15 |
$1,218.15 |
$892.32
|
|
Bone Age X-ray (hand and wrist)
|
$282.10 |
$282.10 |
$282.10 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$956.80 |
$956.80 |
$956.80 |
$407.94
|
|
Bone imaging multiple areas
|
$2,031.00 |
$2,031.00 |
$2,031.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$756.80 |
$756.80 |
$756.80 |
$1,037.40
|
|
Bone marrow interpretation
|
$2,130.15 |
$2,130.15 |
$2,130.15 |
$542.03
|
|
Bone survey-lead poisoning
|
$1,620.95 |
$1,620.95 |
$1,620.95 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$223.15 |
$223.15 |
$223.15 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$87.70 |
$87.70 |
$87.70 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$552.08 |
$552.08 |
$552.08 |
$2,915.40
|
|
(both sides) smear without diff wbc count
|
$95.80 |
$95.80 |
$95.80 |
$30.68
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$188.00 |
$188.00 |
$188.00 |
$105.30
|
|
Braf gene
|
$536.35 |
$536.35 |
$536.35 |
$450.90
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,139.80 |
$2,139.80 |
$2,139.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,301.70 |
$3,301.70 |
$3,301.70 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,105.85 |
$3,105.85 |
$3,105.85 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,492.10 |
$1,492.10 |
$1,492.10 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$4,562.20 |
$4,562.20 |
$4,562.20 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,093.85 |
$1,093.85 |
$1,093.85 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$725.30 |
$725.30 |
$725.30 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$871.80 |
$871.80 |
$871.80 |
$871.80
|
|
Bronchial challenge
|
$445.30 |
$445.30 |
$445.30 |
$820.05
|
|
Bronchoscopy w/fb removal 31635
|
$986.65 |
$986.65 |
$986.65 |
$2,447.43
|
|
Br punct aspir ea add, l
|
$871.80 |
$871.80 |
$871.80 |
$357.51
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$131.30 |
$131.30 |
$131.30 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$214.25 |
$214.25 |
$214.25 |
$159.00
|
|
Bundled special stain group 2
|
$167.45 |
$167.45 |
$167.45 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$18.52 |
$18.52 |
$18.52 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$188.65 |
$188.65 |
$188.65 |
$80.64
|
|
Buprenorphine X-ray over 100 mg
|
$2,596.50 |
$2,596.50 |
$2,596.50 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$2,596.50 |
$2,596.50 |
$2,596.50 |
$3,864.00
|
|
Butorphanol tartrate 1 mg
|
$70.26 |
$70.26 |
$70.26 |
$41.79
|
|
Bx breast 1st lesion strtctc
|
$2,488.50 |
$2,488.50 |
$2,488.50 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$168.50 |
$168.50 |
$168.50 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$167.65 |
$167.65 |
$167.65 |
$1,670.79
|
|
Bx skin incisnl ea sep/add l les
|
$26.75 |
$26.75 |
$26.75 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$26.75 |
$26.75 |
$26.75 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$26.75 |
$26.75 |
$26.75 |
$206.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,002.80 |
$1,002.80 |
$1,002.80 |
$963.80
|
|
Bypass temp external fem-fem
|
$3,560.95 |
$3,560.95 |
$3,560.95 |
$1,938.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$70,432.45 |
$70,432.45 |
$70,432.45 |
$27,013.07
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,452.60 |
$2,452.60 |
$2,452.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$163.65 |
$163.65 |
$163.65 |
$53.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$228.88 |
$228.88 |
$228.88 |
$91.60
|
|
Calcium ionized
|
$308.70 |
$308.70 |
$308.70 |
$90.00
|
|
Calcium total
|
$94.75 |
$94.75 |
$94.75 |
$50.00
|
|
Calprotectin fecal
|
$421.90 |
$421.90 |
$421.90 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$800.00 |
$800.00 |
$800.00 |
$44,000.00
|
|
Canthotomy 67715
|
$205.60 |
$205.60 |
$205.60 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$18,466.88
|
|
Carbamazepine total therapeutic drug level
|
$304.70 |
$304.70 |
$304.70 |
$122.85
|
|
Carbon dioxide
|
$95.80 |
$95.80 |
$95.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$290.65 |
$290.65 |
$290.65 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$197.00 |
$197.00 |
$197.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$346.05 |
$346.05 |
$346.05 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,625.90 |
$1,625.90 |
$1,625.90 |
$2,917.00
|
|
Cardiolipin antibody iga
|
$304.70 |
$304.70 |
$304.70 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$328.00 |
$328.00 |
$328.00 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$114.30 |
$114.30 |
$114.30 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$61.50 |
$61.50 |
$61.50 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$4,337.66 |
$4,337.66 |
$4,337.66 |
$6,306.47
|
|
Carotene
|
$172.30 |
$172.30 |
$172.30 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,877.25 |
$1,877.25 |
$1,877.25 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$169.85 |
$169.85 |
$169.85 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$86.90 |
$86.90 |
$86.90 |
$65.00
|
|
Catheterization collection of specimen single patient all places of service
|
$18.60 |
$18.60 |
$18.60 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$195.00 |
$195.00 |
$195.00 |
$1,690.71
|
|
Cathj umbilical vein dx/ther nb
|
$46.80 |
$46.80 |
$46.80 |
$246.00
|
|
Cath malecot 28fr 4-wing ltx
|
$751.77 |
$751.77 |
$751.77 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$171.65 |
$171.65 |
$171.65 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$36.45 |
$36.45 |
$36.45 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$335.60 |
$335.60 |
$335.60 |
$340.90
|
|
#cbg+cort-cbg
|
$108.95 |
$108.95 |
$108.95 |
$66.55
|
|
Cdna analysis for variants
|
$480.45 |
$480.45 |
$480.45 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$94.08 |
$94.08 |
$94.08 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$68.99 |
$68.99 |
$68.99 |
$45.47
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$31.68 |
$31.68 |
$31.68 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$194.69 |
$194.69 |
$194.69 |
$83.39
|
|
Cell count body fluid
|
$472.35 |
$472.35 |
$472.35 |
$63.52
|
|
Cell count w differential body fluid
|
$191.65 |
$191.65 |
$191.65 |
$92.56
|
|
Cell function assay w/stim
|
$310.50 |
$310.50 |
$310.50 |
$325.76
|
