|
Bln 1.2 mono emrg 15x1.2
|
$8,299.76 |
$8,299.76 |
$8,299.76 |
$6,582.60
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,048.48 |
$2,048.48 |
$2,048.48 |
$4,790.40
|
|
Block brachial plexus w/cath plmt w/img
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$1,576.68
|
|
Block tap inj(s) w/wo img bi
|
$842.24 |
$842.24 |
$842.24 |
$1,122.44
|
|
Blood Clotting (PT/INR) Test
|
$12.88 |
$12.88 |
$12.88 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$13.44 |
$13.44 |
$13.44 |
$67.35
|
|
Blood Count (CBC) Test
|
$22.96 |
$22.96 |
$22.96 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$15.68 |
$15.68 |
$15.68 |
$52.43
|
|
Blood Culture Test
|
$56.56 |
$56.56 |
$56.56 |
$112.20
|
|
Blood draw capillary 36416
|
$11.76 |
$11.76 |
$11.76 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$80.64 |
$80.64 |
$80.64 |
$210.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$5.04 |
$5.04 |
$5.04 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$11.20 |
$11.20 |
$11.20 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$9.52 |
$9.52 |
$9.52 |
$31.20
|
|
Blood split unit
|
$171.36 |
$171.36 |
$171.36 |
$247.80
|
|
Blood typing abo
|
$20.16 |
$20.16 |
$20.16 |
$71.40
|
|
Blood typing ag donor ea ag
|
$38.08 |
$38.08 |
$38.08 |
$134.40
|
|
Blood typing patient serum
|
$36.40 |
$36.40 |
$36.40 |
$80.00
|
|
Blood typing rbc ag non abo/rh ea
|
$20.16 |
$20.16 |
$20.16 |
$156.21
|
|
Blood typing rh (d)
|
$20.72 |
$20.72 |
$20.72 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$310.24 |
$310.24 |
$310.24 |
$381.19
|
|
Bone imaging multiple areas
|
$591.92 |
$591.92 |
$591.92 |
$966.40
|
|
Bone/joint imaging ltd area
|
$533.12 |
$533.12 |
$533.12 |
$935.00
|
|
Bone marrow;aspiration only 38220
|
$581.28 |
$581.28 |
$581.28 |
$1,616.80
|
|
Bone marrow biopsyneedle/trocar 38221
|
$581.28 |
$581.28 |
$581.28 |
$1,497.75
|
|
Bone marrow imaging ltd
|
$431.76 |
$431.76 |
$431.76 |
$702.26
|
|
Bone marrow imaging mult
|
$258.72 |
$258.72 |
$258.72 |
$759.27
|
|
Bone marrow interpretation
|
$115.36 |
$115.36 |
$115.36 |
$542.03
|
|
Bone survey-lead poisoning
|
$216.72 |
$216.72 |
$216.72 |
$343.33
|
|
Bone tendon board add on
|
$2,424.24 |
$2,424.24 |
$2,424.24 |
$5,872.65
|
|
Bone void filler nanoss 10cc
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$3,780.00
|
|
Boot walker genesis full shell 3-strap s
|
$161.28 |
$161.28 |
$161.28 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$66.08 |
$66.08 |
$66.08 |
$105.90
|
|
Bowel imaging
|
$528.64 |
$528.64 |
$528.64 |
$1,077.60
|
|
Brach/thor cath 1st
|
$1,888.32 |
$1,888.32 |
$1,888.32 |
$2,223.00
|
|
Brach/thor cath 2nd
|
$2,032.24 |
$2,032.24 |
$2,032.24 |
$2,546.25
|
|
Brach/thor cath 3rd
|
$2,208.08 |
$2,208.08 |
$2,208.08 |
$3,168.80
|
|
Brach/thor cath addl
|
$779.52 |
$779.52 |
$779.52 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$57.68 |
$57.68 |
$57.68 |
$38.90
|
|
Brachy source yttrium-90
|
$19,629.68 |
$19,629.68 |
$19,629.68 |
$31,347.55
|
|
Brachytx isodose complex
|
$610.96 |
$610.96 |
$610.96 |
$1,484.81
|
|
Brachytx isodose intermed
|
$572.88 |
$572.88 |
$572.88 |
$991.80
|
|
Brachytx isodose plan simple
|
$371.28 |
$371.28 |
$371.28 |
$793.62
|
|
Braf gene
|
$223.44 |
$223.44 |
$223.44 |
$421.20
|
|
Brain flow imaging only
|
$559.44 |
$559.44 |
$559.44 |
$559.44
|
|
Brain image w/flow < 4 views
|
$720.16 |
$720.16 |
$720.16 |
$828.39
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,361.92 |
$1,361.92 |
$1,361.92 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,240.56 |
$2,240.56 |
$2,240.56 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,449.28 |
$1,449.28 |
$1,449.28 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,259.44 |
$1,259.44 |
$1,259.44 |
$1,765.28
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$639.52 |
$639.52 |
$639.52 |
$832.00
|
|
Bronchial allergy tests
|
$597.52 |
$597.52 |
$597.52 |
$701.47
|
|
Bronchial challenge
|
$252.00 |
$252.00 |
$252.00 |
$777.60
|
|
Br punct aspir ea add, l
|
$436.80 |
$436.80 |
$436.80 |
$423.60
|
|
Bundled special stain group 1 microorganisms
|
$64.40 |
$64.40 |
$64.40 |
$161.46
|
|
Bundled special stain group 2
|
$205.07 |
$205.07 |
$205.07 |
$169.60
|
|
Bundle his recording
|
$4,487.28 |
$4,487.28 |
$4,487.28 |
$4,972.50
|
|
Bur rotalink 2.15mm
|
$4,641.84 |
$4,641.84 |
$4,641.84 |
$8,485.20
|
|
Bx bone trocar/ndl deep
|
$1,742.72 |
$1,742.72 |
$1,742.72 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$1,861.44 |
$1,861.44 |
$1,861.44 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$1,650.88 |
$1,650.88 |
$1,650.88 |
$1,626.95
|
|
Bx breast add lesion strtctc
|
$2,512.16 |
$2,512.16 |
$2,512.16 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,174.88 |
$1,174.88 |
$1,174.88 |
$1,944.10
|
|
Bx pancreas pq ndl
|
$941.92 |
$941.92 |
$941.92 |
$1,767.94
|
|
Bx skin incisnl ea sep/add l les
|
$229.60 |
$229.60 |
$229.60 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$127.12 |
$127.12 |
$127.12 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$127.12 |
$127.12 |
$127.12 |
$206.55
|
|
Bx spinal cord pq ndl
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$1,907.07
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,174.88 |
$1,174.88 |
$1,174.88 |
$1,879.50
|
|
Bx thyroid/percutan core needle 60100
|
$436.24 |
$436.24 |
$436.24 |
$995.00
|
|
C1 esterase inhibitor func - sendout
|
$21.28 |
$21.28 |
$21.28 |
$123.49
|
|
Cable cath 22-pin diag
|
$2,196.32 |
$2,196.32 |
$2,196.32 |
$3,621.35
|
|
Cad breast MRI w/r&i
|
$132.16 |
$132.16 |
$132.16 |
$193.59
|
|
Calcium 24 hour urine
|
$20.72 |
$20.72 |
$20.72 |
$51.63
|
|
Calcium ionized
|
$38.64 |
$38.64 |
$38.64 |
$80.80
|
|
Calcium total
|
$8.40 |
$8.40 |
$8.40 |
$43.20
|
|
Calculi urinary-sendout
|
$8.96 |
$8.96 |
$8.96 |
$114.40
|
|
Caloric vstblr test w/rec
|
$315.28 |
$315.28 |
$315.28 |
$296.91
|
|
Calprotectin fecal
|
$50.40 |
$50.40 |
$50.40 |
$170.00
|
|
Candida dna
|
$25.20 |
$25.20 |
$25.20 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$13,440.00 |
$13,440.00 |
$13,440.00 |
$9,296.00
|
|
Carbamazepine total therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
$108.81
|
|
Carbon dioxide
|
$8.40 |
$8.40 |
$8.40 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$47.60 |
$47.60 |
$47.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$61.04 |
$61.04 |
$61.04 |
$125.00
|
|
Cardiac perf planar mult/ef/wm
|
$1,296.96 |
$1,296.96 |
$1,296.96 |
$2,334.46
|
|
Cardiac perf planar sgl/ef/wm
|
$980.56 |
$980.56 |
$980.56 |
$1,780.19
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,692.32 |
$1,692.32 |
$1,692.32 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$119.84 |
$119.84 |
$119.84 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$152.88 |
$152.88 |
$152.88 |
$208.00
|
|
Cardiac shunt imaging
|
$290.08 |
$290.08 |
$290.08 |
$860.63
|
|
Cardiolipin antibody iga
|
$57.12 |
$57.12 |
$57.12 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$992.32 |
$992.32 |
$992.32 |
$1,461.75
|
|
Cardioversion/elective/internal 92961
|
$1,031.52 |
$1,031.52 |
$1,031.52 |
$1,501.11
|
|
Carotene
|
$23.52 |
$23.52 |
$23.52 |
$66.00
|
