|
Arterial blood draw/perc 36620
|
$691.20 |
$691.20 |
$691.20 |
$478.96
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,540.00 |
$2,540.00 |
$2,540.00 |
$3,226.20
|
|
Assay dir meas fr estradiol
|
$68.00 |
$68.00 |
$68.00 |
$68.00
|
|
Assay of feces porphyrins
|
$122.40 |
$122.40 |
$122.40 |
$134.38
|
|
Assay of salicylate
|
$104.00 |
$104.00 |
$104.00 |
$96.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$44.00 |
$44.00 |
$44.00 |
$46.80
|
|
Ast/sgot
|
$25.60 |
$25.60 |
$25.60 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$63.40 |
$63.40 |
$63.40 |
$53.24
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$370.40 |
$370.40 |
$370.40 |
$188.16
|
|
Automated diff wbc count
|
$40.00 |
$40.00 |
$40.00 |
$36.30
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$233.60 |
$233.60 |
$233.60 |
$326.27
|
|
Azacitidine injection
|
$452.43 |
$452.43 |
$452.43 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$62.17 |
$62.17 |
$62.17 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$47.66 |
$47.66 |
$47.66 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$97.03 |
$97.03 |
$97.03 |
$157.30
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$124.80 |
$124.80 |
$124.80 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$878.40 |
$878.40 |
$878.40 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$526.40 |
$526.40 |
$526.40 |
$484.80
|
|
Bausch health Ultrasound surg
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$768.50
|
|
Bcg vaccine intravesical
|
$1,263.63 |
$1,263.63 |
$1,263.63 |
$371.84
|
|
Behavior counsel obesity 15min medicare g0447
|
$61.60 |
$61.60 |
$61.60 |
$105.00
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,476.30 |
$1,476.30 |
$1,476.30 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$3,233.78 |
$3,233.78 |
$3,233.78 |
$4,898.13
|
|
#_benzodiazconfur
|
$121.60 |
$121.60 |
$121.60 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$96.00 |
$96.00 |
$96.00 |
$82.55
|
|
Beta-2 microglobulin
|
$97.60 |
$97.60 |
$97.60 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$66.59 |
$66.59 |
$66.59 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,121.45 |
$3,121.45 |
$3,121.45 |
$5,737.97
|
|
Bfb train 1st 15min cntct 90912
|
$141.60 |
$141.60 |
$141.60 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$104.00 |
$104.00 |
$104.00 |
$101.00
|
|
Bilateral n block inj trigeminal 64400
|
$505.60 |
$505.60 |
$505.60 |
$587.60
|
|
Bilicheck
|
$26.40 |
$26.40 |
$26.40 |
$27.60
|
|
Bilirubin direct
|
$23.20 |
$23.20 |
$23.20 |
$51.35
|
|
Bilirubin total
|
$28.00 |
$28.00 |
$28.00 |
$54.60
|
|
Biofeedback, pt
|
$122.40 |
$122.40 |
$122.40 |
$127.05
|
|
Biopsy needle liver percutaneous
|
$1,554.40 |
$1,554.40 |
$1,554.40 |
$1,895.76
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$2,115.00
|
|
Biotinidase - quest
|
$72.80 |
$72.80 |
$72.80 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$196.00 |
$196.00 |
$196.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$504.80 |
$504.80 |
$504.80 |
$412.80
|
|
Bln 30frx10mmx12cm renal nephromax
|
$510.40 |
$510.40 |
$510.40 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$1,320.21
|
|
Blood Clotting (PT/INR) Test
|
$32.00 |
$32.00 |
$32.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$34.40 |
$34.40 |
$34.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$49.60 |
$49.60 |
$49.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$31.20 |
$31.20 |
$31.20 |
$62.28
|
|
Blood Culture Test
|
$72.80 |
$72.80 |
$72.80 |
$146.16
|
|
Blood draw capillary 36416
|
$13.60 |
$13.60 |
$13.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$19.20 |
$19.20 |
$19.20 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$240.80 |
$240.80 |
$240.80 |
$226.50
|
|
Blood gases ph venous
|
$36.00 |
$36.00 |
$36.00 |
$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
|
$20.80 |
$20.80 |
$20.80 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$27.20 |
$27.20 |
$27.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$27.20 |
$27.20 |
$27.20 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$20.00 |
$20.00 |
$20.00 |
$38.35
|
|
Blood Transfusion
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$989.60
|
|
Blood typing abo
|
$19.20 |
$19.20 |
$19.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$123.20 |
$123.20 |
$123.20 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$80.00 |
$80.00 |
$80.00 |
$211.90
|
|
Blood typing rh (d)
|
$19.20 |
$19.20 |
$19.20 |
$57.60
|
|
Bls-emergency
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$892.32
|
|
Bone Density Scan (DEXA)
|
$501.60 |
$501.60 |
$501.60 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$1,037.40
|
|
Bone survey-lead poisoning
|
$392.00 |
$392.00 |
$392.00 |
$387.00
|
|
Boot j walker l
|
$75.20 |
$75.20 |
$75.20 |
$234.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$98.40 |
$98.40 |
$98.40 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,626.34 |
$2,626.34 |
$2,626.34 |
$2,915.40
|
|
Bowel imaging
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$52.00 |
$52.00 |
$52.00 |
$108.67
|
|
Brace back pinnacle tlso 464
|
$3,612.80 |
$3,612.80 |
$3,612.80 |
$2,632.87
|
|
Brace knee extender plus 22-30in
|
$225.60 |
$225.60 |
$225.60 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$133.60 |
$133.60 |
$133.60 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$41.60 |
$41.60 |
$41.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$52.00 |
$52.00 |
$52.00 |
$89.04
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,888.80 |
$2,888.80 |
$2,888.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,024.00 |
$4,024.00 |
$4,024.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,939.20 |
$2,939.20 |
$2,939.20 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,393.60 |
$2,393.60 |
$2,393.60 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$187.20 |
$187.20 |
$187.20 |
$274.65
|
|
Budesonide non-comp unit
|
$11.52 |
$11.52 |
$11.52 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$91.60 |
$91.60 |
$91.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$224.00 |
$224.00 |
$224.00 |
$159.00
|
|
Bundled special stain group 2
|
$164.00 |
$164.00 |
$164.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$70.48 |
$70.48 |
$70.48 |
$32.47
|
|
Bx thyroid/percutan core needle 60100
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$963.80
|
|
Cabergoline, oral 0.25mg
|
$1.20 |
$1.20 |
$1.20 |
$66.09
|
|
Cadd pump refill
|
$522.40 |
$522.40 |
$522.40 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$64.51 |
$64.51 |
$64.51 |
$46.09
|
|
Calcium 24 hour urine
|
$28.00 |
$28.00 |
$28.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$67.52 |
$67.52 |
$67.52 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.74 |
$66.74 |
$66.74 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$156.40 |
$156.40 |
$156.40 |
$91.60
|
|
Calcium ionized
|
$98.40 |
$98.40 |
$98.40 |
$90.00
|
|
Calcium total
|
$26.40 |
$26.40 |
$26.40 |
$50.00
|
