|
Arm or Leg Ultrasound (limited, left side)
|
$592.00 |
$592.00 |
$592.00 |
$426.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$700.00 |
$700.00 |
$700.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$688.00 |
$688.00 |
$688.00 |
$494.40
|
|
Aspirate pleura without imaging 32554
|
$1,134.40 |
$1,134.40 |
$1,134.40 |
$1,195.15
|
|
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 interleukin-6 (il-6)
|
$137.60 |
$137.60 |
$137.60 |
$79.00
|
|
Assay of osteocalcin
|
$355.20 |
$355.20 |
$355.20 |
$93.60
|
|
Assay of salicylate
|
$104.00 |
$104.00 |
$104.00 |
$96.50
|
|
Assay of urine sulfate
|
$28.80 |
$28.80 |
$28.80 |
$28.20
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$78.40 |
$78.40 |
$78.40 |
$46.80
|
|
Ast/sgot
|
$85.60 |
$85.60 |
$85.60 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$62.84 |
$62.84 |
$62.84 |
$53.24
|
|
Automated diff wbc count
|
$75.20 |
$75.20 |
$75.20 |
$36.30
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$416.00 |
$416.00 |
$416.00 |
$326.27
|
|
Azacitidine injection
|
$1,102.88 |
$1,102.88 |
$1,102.88 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$62.36 |
$62.36 |
$62.36 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$34.90 |
$34.90 |
$34.90 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$80.84 |
$80.84 |
$80.84 |
$157.30
|
|
Bacterial vaginosis pcr
|
$389.60 |
$389.60 |
$389.60 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$130.40 |
$130.40 |
$130.40 |
$102.20
|
|
B cells total count
|
$151.20 |
$151.20 |
$151.20 |
$132.48
|
|
Benign lesion paring 2-4
|
$268.80 |
$268.80 |
$268.80 |
$264.60
|
|
Benign lesion paring 4+
|
$252.00 |
$252.00 |
$252.00 |
$298.50
|
|
#_benzodiazconfur
|
$117.60 |
$117.60 |
$117.60 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$179.20 |
$179.20 |
$179.20 |
$82.55
|
|
Beta-2 microglobulin
|
$194.40 |
$194.40 |
$194.40 |
$85.20
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,200.03 |
$3,200.03 |
$3,200.03 |
$5,737.97
|
|
Bilirubin direct
|
$85.60 |
$85.60 |
$85.60 |
$51.35
|
|
Bilirubin total
|
$85.60 |
$85.60 |
$85.60 |
$54.60
|
|
Biopsy needle lymph node superficial
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$1,890.72
|
|
Biospy of bladder
|
$4,692.00 |
$4,692.00 |
$4,692.00 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$282.40 |
$282.40 |
$282.40 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$504.80 |
$504.80 |
$504.80 |
$412.80
|
|
Bln 30frx10mmx12cm renal nephromax
|
$342.40 |
$342.40 |
$342.40 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$668.80 |
$668.80 |
$668.80 |
$1,320.21
|
|
Block plantar digital nerve
|
$339.20 |
$339.20 |
$339.20 |
$540.00
|
|
Blood Clotting (PT/INR) Test
|
$78.40 |
$78.40 |
$78.40 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$114.40 |
$114.40 |
$114.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$133.60 |
$133.60 |
$133.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$85.60 |
$85.60 |
$85.60 |
$62.28
|
|
Blood Culture Test
|
$149.60 |
$149.60 |
$149.60 |
$146.16
|
|
Blood draw capillary 36416
|
$20.80 |
$20.80 |
$20.80 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$20.80 |
$20.80 |
$20.80 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$377.60 |
$377.60 |
$377.60 |
$226.50
|
|
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
|
$51.20 |
$51.20 |
$51.20 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$53.60 |
$53.60 |
$53.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$70.40 |
$70.40 |
$70.40 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$76.80 |
$76.80 |
$76.80 |
$38.35
|
|
Blood Transfusion
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$989.60
|
|
Blood typing abo
|
$47.20 |
$47.20 |
$47.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$109.60 |
$109.60 |
$109.60 |
$207.60
|
|
Blood typing patient serum
|
$278.40 |
$278.40 |
$278.40 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$180.80 |
$180.80 |
$180.80 |
$211.90
|
|
Blood typing rh (d)
|
$60.00 |
$60.00 |
$60.00 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$369.60 |
$369.60 |
$369.60 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$819.20 |
$819.20 |
$819.20 |
$407.94
|
|
Bone imaging multiple areas
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$1,037.40
|
|
Bone survey-lead poisoning
|
$621.60 |
$621.60 |
$621.60 |
$387.00
|
|
Boot j walker l
|
$83.20 |
$83.20 |
$83.20 |
$234.00
|
|
Boot softgait shrt m
|
$84.80 |
$84.80 |
$84.80 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$83.20 |
$83.20 |
$83.20 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$83.20 |
$83.20 |
$83.20 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$239.20 |
$239.20 |
$239.20 |
$93.60
|
|
Bowel imaging
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$46.40 |
$46.40 |
$46.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$54.40 |
$54.40 |
$54.40 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$66.40 |
$66.40 |
$66.40 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$178.40 |
$178.40 |
$178.40 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$37.60 |
$37.60 |
$37.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$57.60 |
$57.60 |
$57.60 |
$89.04
|
|
Brain image w/flow 4 + views
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,066.40 |
$4,066.40 |
$4,066.40 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,313.60 |
$3,313.60 |
$3,313.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,952.80 |
$2,952.80 |
$2,952.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,155.20 |
$4,155.20 |
$4,155.20 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$416.00 |
$416.00 |
$416.00 |
$274.65
|
|
Breath hydrogen test 91065
|
$475.20 |
$475.20 |
$475.20 |
$462.00
|
|
Bronchial challenge
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$820.05
|
|
Budesonide non-comp unit
|
$20.69 |
$20.69 |
$20.69 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$60.44 |
$60.44 |
$60.44 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$225.60 |
$225.60 |
$225.60 |
$159.00
|
|
Bundled special stain group 2
|
$236.80 |
$236.80 |
$236.80 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$60.80 |
$60.80 |
$60.80 |
$32.47
|
|
C1 esterase inhibitor func - sendout
|
$56.80 |
$56.80 |
$56.80 |
$96.72
|
|
Cadd pump refill
|
$514.40 |
$514.40 |
$514.40 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$81.12 |
$81.12 |
$81.12 |
$46.09
|
|
Calcium 24 hour urine
|
$88.00 |
$88.00 |
$88.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$66.40 |
$66.40 |
$66.40 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.17 |
$66.17 |
$66.17 |
$64.49
|
|
Calcium ionized
|
$159.20 |
$159.20 |
$159.20 |
$90.00
|
|
Calcium total
|
$85.60 |
$85.60 |
$85.60 |
$50.00
|
|
Calprotectin fecal
|
$422.40 |
$422.40 |
$422.40 |
$170.00
|
|
Carbamazepine free
|
$71.20 |
$71.20 |
$71.20 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$144.80 |
$144.80 |
$144.80 |
$122.85
|
|
Carbon dioxide
|
$64.00 |
$64.00 |
$64.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$171.20 |
$171.20 |
$171.20 |
$84.73
|
