|
Arm or Leg Ultrasound (limited, left side)
|
$586.40 |
$586.40 |
$586.40 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$604.00 |
$604.00 |
$604.00 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$726.40 |
$726.40 |
$726.40 |
$609.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$636.00 |
$636.00 |
$636.00 |
$494.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,813.60 |
$4,813.60 |
$4,813.60 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$353.60 |
$353.60 |
$353.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$771.20 |
$771.20 |
$771.20 |
$1,195.15
|
|
Assay of breath ethanol
|
$84.80 |
$84.80 |
$84.80 |
$52.62
|
|
Assay of salicylate
|
$108.80 |
$108.80 |
$108.80 |
$96.50
|
|
Assay of urine sulfate
|
$14.40 |
$14.40 |
$14.40 |
$28.20
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$60.80 |
$60.80 |
$60.80 |
$46.80
|
|
Ast/sgot
|
$69.60 |
$69.60 |
$69.60 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$60.64 |
$60.64 |
$60.64 |
$53.24
|
|
Automated diff wbc count
|
$32.00 |
$32.00 |
$32.00 |
$36.30
|
|
Avul nail plate addl
|
$624.80 |
$624.80 |
$624.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$425.60 |
$425.60 |
$425.60 |
$326.27
|
|
Azacitidine injection
|
$1,091.33 |
$1,091.33 |
$1,091.33 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$64.95 |
$64.95 |
$64.95 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$37.20 |
$37.20 |
$37.20 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$103.10 |
$103.10 |
$103.10 |
$157.30
|
|
Bacterial vaginosis pcr
|
$129.60 |
$129.60 |
$129.60 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$120.00 |
$120.00 |
$120.00 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$880.80 |
$880.80 |
$880.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$652.00 |
$652.00 |
$652.00 |
$484.80
|
|
B cells total count
|
$145.60 |
$145.60 |
$145.60 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$1,526.12 |
$1,526.12 |
$1,526.12 |
$2,036.75
|
|
Benign lesion paring 2-4
|
$287.20 |
$287.20 |
$287.20 |
$264.60
|
|
Benign lesion paring 4+
|
$229.60 |
$229.60 |
$229.60 |
$298.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$97.60 |
$97.60 |
$97.60 |
$82.55
|
|
Beta-2 microglobulin
|
$82.40 |
$82.40 |
$82.40 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$65.93 |
$65.93 |
$65.93 |
$65.00
|
|
Bilirubin direct
|
$52.00 |
$52.00 |
$52.00 |
$51.35
|
|
Bilirubin total
|
$52.00 |
$52.00 |
$52.00 |
$54.60
|
|
Biopsy external ear 69100
|
$455.20 |
$455.20 |
$455.20 |
$416.52
|
|
Biopsy needle lymph node superficial
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,890.72
|
|
Biopsy skin incisional single lesion
|
$1,138.40 |
$1,138.40 |
$1,138.40 |
$661.80
|
|
Biotinidase - quest
|
$75.20 |
$75.20 |
$75.20 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$297.60 |
$297.60 |
$297.60 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$520.00 |
$520.00 |
$520.00 |
$412.80
|
|
Bld prd mix
|
$160.80 |
$160.80 |
$160.80 |
$140.25
|
|
Bln 30frx10mmx12cm renal nephromax
|
$560.00 |
$560.00 |
$560.00 |
$5,330.60
|
|
Block plantar digital nerve
|
$315.20 |
$315.20 |
$315.20 |
$540.00
|
|
Blood Clotting (PT/INR) Test
|
$83.20 |
$83.20 |
$83.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$88.00 |
$88.00 |
$88.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$119.20 |
$119.20 |
$119.20 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$84.00 |
$84.00 |
$84.00 |
$62.28
|
|
Blood count spun microhematocrit
|
$28.80 |
$28.80 |
$28.80 |
$25.00
|
|
Blood Culture Test
|
$133.60 |
$133.60 |
$133.60 |
$146.16
|
|
Blood draw capillary 36416
|
$28.00 |
$28.00 |
$28.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$26.40 |
$26.40 |
$26.40 |
$21.66
|
|
Blood gases ph venous
|
$48.80 |
$48.80 |
$48.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$52.80 |
$52.80 |
$52.80 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$52.80 |
$52.80 |
$52.80 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$52.80 |
$52.80 |
$52.80 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$56.80 |
$56.80 |
$56.80 |
$38.35
|
|
Blood Transfusion
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$989.60
|
|
Blood typing abo
|
$72.00 |
$72.00 |
$72.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$134.40 |
$134.40 |
$134.40 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$136.00 |
$136.00 |
$136.00 |
$211.90
|
|
Blood typing rh (d)
|
$58.40 |
$58.40 |
$58.40 |
$57.60
|
|
Bls-emergency
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$892.32
|
|
Bone Age X-ray (hand and wrist)
|
$354.40 |
$354.40 |
$354.40 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$580.80 |
$580.80 |
$580.80 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,291.20 |
$1,291.20 |
$1,291.20 |
$1,037.40
|
|
Boot softgait shrt m
|
$94.40 |
$94.40 |
$94.40 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$92.00 |
$92.00 |
$92.00 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$171.20 |
$171.20 |
$171.20 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,339.00 |
$2,339.00 |
$2,339.00 |
$2,915.40
|
|
Bowel imaging
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,074.00
|
|
Brace afo lg left 6607
|
$144.00 |
$144.00 |
$144.00 |
$461.76
|
|
Brace ank air stirrup univ
|
$52.00 |
$52.00 |
$52.00 |
$108.67
|
|
Brace ankle stablizing lg
|
$116.80 |
$116.80 |
$116.80 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$244.00 |
$244.00 |
$244.00 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$130.40 |
$130.40 |
$130.40 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$33.60 |
$33.60 |
$33.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$52.00 |
$52.00 |
$52.00 |
$89.04
|
|
Brain image w/flow 4 + views
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,985.60 |
$3,985.60 |
$3,985.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,214.40 |
$4,214.40 |
$4,214.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,083.20 |
$3,083.20 |
$3,083.20 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$359.20 |
$359.20 |
$359.20 |
$274.65
|
|
Bronchial challenge
|
$588.80 |
$588.80 |
$588.80 |
$820.05
|
|
Br punct aspir ea add, l
|
$500.00 |
$500.00 |
$500.00 |
$357.51
|
|
Budesonide non-comp unit
|
$14.71 |
$14.71 |
$14.71 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$72.20 |
$72.20 |
$72.20 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$196.00 |
$196.00 |
$196.00 |
$159.00
|
|
Bundled special stain group 2
|
$164.00 |
$164.00 |
$164.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$62.44 |
$62.44 |
$62.44 |
$32.47
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$7,581.60 |
$7,581.60 |
$7,581.60 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$6,068.00 |
$6,068.00 |
$6,068.00 |
$4,184.94
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$1,110.40
|
|
Caffeine citrate 20 mg/ml inj for po
|
$81.28 |
$81.28 |
$81.28 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$318.40 |
$318.40 |
$318.40 |
$2,210.98
|
|
Calcium 24 hour urine
|
$54.40 |
$54.40 |
$54.40 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$3.00
|
