|
Blood Count (CBC) Test
|
$42.75 |
$42.75 |
$42.75 |
$72.50
|
|
Blood Count (CBC) Test (without differential)
|
$36.75 |
$36.75 |
$36.75 |
$60.50
|
|
Blood Culture Test
|
$97.50 |
$97.50 |
$97.50 |
$140.80
|
|
Blood draw capillary 36416
|
$9.50 |
$9.50 |
$9.50 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$88.50 |
$88.50 |
$88.50 |
$220.35
|
|
Blood gases ph venous
|
$15.75 |
$15.75 |
$15.75 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$11.00 |
$11.00 |
$11.00 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$24.00 |
$24.00 |
$24.00 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$24.00 |
$24.00 |
$24.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.00 |
$24.00 |
$24.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$8.75 |
$8.75 |
$8.75 |
$38.16
|
|
Blood split unit
|
$175.50 |
$175.50 |
$175.50 |
$250.00
|
|
Blood typing abo
|
$39.25 |
$39.25 |
$39.25 |
$83.03
|
|
Blood typing ag donor ea ag
|
$155.25 |
$155.25 |
$155.25 |
$179.30
|
|
Blood typing patient serum
|
$14.25 |
$14.25 |
$14.25 |
$69.95
|
|
Blood typing rbc ag non abo/rh ea
|
$325.50 |
$325.50 |
$325.50 |
$190.00
|
|
Blood typing rh (d)
|
$39.25 |
$39.25 |
$39.25 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$51.00 |
$51.00 |
$51.00 |
$81.90
|
|
Bls-emergency
|
$545.50 |
$545.50 |
$545.50 |
$892.32
|
|
Bone Density Scan (DEXA)
|
$225.00 |
$225.00 |
$225.00 |
$403.20
|
|
Bone imaging (3d)
|
$373.00 |
$373.00 |
$373.00 |
$1,261.00
|
|
Bone/joint imaging ltd area
|
$279.00 |
$279.00 |
$279.00 |
$1,063.65
|
|
Bone marrow;aspiration only 38220
|
$499.75 |
$499.75 |
$499.75 |
$1,664.84
|
|
Bone marrow biopsyneedle/trocar 38221
|
$499.75 |
$499.75 |
$499.75 |
$1,793.38
|
|
Bone survey-lead poisoning
|
$204.50 |
$204.50 |
$204.50 |
$392.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$137.50 |
$137.50 |
$137.50 |
$93.50
|
|
Borrelia miyamotoi amp prb
|
$28.25 |
$28.25 |
$28.25 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$208.15 |
$208.15 |
$208.15 |
$2,880.64
|
|
Bowel imaging
|
$279.25 |
$279.25 |
$279.25 |
$1,089.88
|
|
Brace ankle stablizing lg
|
$24.75 |
$24.75 |
$24.75 |
$110.51
|
|
Brace wrist classic lft sm
|
$8.75 |
$8.75 |
$8.75 |
$79.23
|
|
Brach/thor cath 1st
|
$600.75 |
$600.75 |
$600.75 |
$1,972.10
|
|
Brach/thor cath 2nd
|
$758.50 |
$758.50 |
$758.50 |
$2,079.35
|
|
Brach/thor cath 3rd
|
$400.50 |
$400.50 |
$400.50 |
$2,151.93
|
|
Brach/thor cath addl
|
$491.00 |
$491.00 |
$491.00 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$103.00 |
$103.00 |
$103.00 |
$64.48
|
|
Brachy source yttrium-90
|
$6,299.25 |
$6,299.25 |
$6,299.25 |
$30,655.90
|
|
Brachy src nonstrand hdr ir-192
|
$214.25 |
$214.25 |
$214.25 |
$473.52
|
|
Brachytx isodose complex
|
$512.50 |
$512.50 |
$512.50 |
$1,641.90
|
|
Brachytx isodose intermed
|
$456.00 |
$456.00 |
$456.00 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$298.50 |
$298.50 |
$298.50 |
$929.40
|
|
Braf gene
|
$106.75 |
$106.75 |
$106.75 |
$427.05
|
|
Brain image w/flow 4 + views
|
$377.00 |
$377.00 |
$377.00 |
$1,355.20
|
|
Brain imaging (3d)
|
$670.50 |
$670.50 |
$670.50 |
$1,255.15
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$963.00 |
$963.00 |
$963.00 |
$2,121.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$930.25 |
$930.25 |
$930.25 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,701.50 |
$1,701.50 |
$1,701.50 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$950.25 |
$950.25 |
$950.25 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$918.75 |
$918.75 |
$918.75 |
$1,952.65
|
|
Brcassure comprehensive panel-sendout
|
$1,026.50 |
$1,026.50 |
$1,026.50 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,051.50 |
$2,051.50 |
$2,051.50 |
$3,076.15
|
|
Breast punct aspir cyst, bil
|
$305.25 |
$305.25 |
$305.25 |
$863.10
|
|
Bronchial allergy tests
|
$274.50 |
$274.50 |
$274.50 |
$746.46
|
|
Bronchial challenge
|
$360.25 |
$360.25 |
$360.25 |
$765.50
|
|
Bronchoscopy clear airways 31645
|
$1,169.75 |
$1,169.75 |
$1,169.75 |
$2,766.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,152.75 |
$1,152.75 |
$1,152.75 |
$2,624.16
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.38 |
$9.38 |
$9.38 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$15.75 |
$15.75 |
$15.75 |
$161.46
|
|
Bundled special stain group 2
|
$15.75 |
$15.75 |
$15.75 |
$170.65
|
|
Buprenorphine and metabolite - sendout
|
$80.25 |
$80.25 |
$80.25 |
$85.14
|
|
Buprenorphine hydrochloride
|
$38.05 |
$38.05 |
$38.05 |
$42.08
|
|
Buprenorphine oral 1mg
|
$10.12 |
$10.12 |
$10.12 |
$10.74
|
|
Bur rotalink 2.15mm
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$7,754.17
|
|
Busulfan injection
|
$346.91 |
$346.91 |
$346.91 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$38.51 |
$38.51 |
$38.51 |
$39.73
|
|
Bx arm/elbow soft tissue supf 24065
|
$811.50 |
$811.50 |
$811.50 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$1,059.75 |
$1,059.75 |
$1,059.75 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,778.25 |
$2,778.25 |
$2,778.25 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$1,788.50 |
$1,788.50 |
$1,788.50 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$728.00 |
$728.00 |
$728.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$551.50 |
$551.50 |
$551.50 |
$1,816.50
|
|
Bx breast add lesion Ultrasound imag
|
$987.00 |
$987.00 |
$987.00 |
$1,827.50
|
|
Bx breast perq without image 19100
|
$650.50 |
$650.50 |
$650.50 |
$1,336.50
|
|
Bx breast pq tomo guide
|
$1,292.50 |
$1,292.50 |
$1,292.50 |
$4,531.42
|
|
Bx muscle
|
$1,059.75 |
$1,059.75 |
$1,059.75 |
$2,271.01
|
|
Bx pancreas pq ndl
|
$637.00 |
$637.00 |
$637.00 |
$1,687.20
|
|
Bx perianal mass
|
$210.25 |
$210.25 |
$210.25 |
$1,507.83
|
|
Bx pleura pq ndl
|
$446.00 |
$446.00 |
$446.00 |
$1,637.90
|
|
Bx skin punch ea sep/ addl les
|
$74.25 |
$74.25 |
$74.25 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$89.00 |
$89.00 |
$89.00 |
$206.55
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,063.25 |
$1,063.25 |
$1,063.25 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$589.75 |
$589.75 |
$589.75 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$636.75 |
$636.75 |
$636.75 |
$2,366.40
|
|
Bx thyroid/percutan core needle 60100
|
$247.75 |
$247.75 |
$247.75 |
$995.00
|
|
Bypass temp external fem-fem
|
$1,131.50 |
$1,131.50 |
$1,131.50 |
$1,970.15
|
|
C1 esterase inhibitor func - sendout
|
$54.50 |
$54.50 |
$54.50 |
$86.00
|
|
Cabergoline, oral 0.25mg
|
$1.69 |
$1.69 |
$1.69 |
$65.85
|
|
Cad breast MRI w/r&i
|
$33.25 |
$33.25 |
$33.25 |
$126.48
|
|
Cadd pump refill
|
$182.50 |
$182.50 |
$182.50 |
$371.28
|
|
Caffeine citrate 20 mg/ml inj for po
|
$60.82 |
$60.82 |
$60.82 |
$47.24
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,040.74 |
$1,040.74 |
$1,040.74 |
$2,210.98
|
|
Calcium 24 hour urine
|
$58.50 |
$58.50 |
$58.50 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.75 |
$66.75 |
$66.75 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$31.31 |
$31.31 |
$31.31 |
$92.91
|
|
Calcium ionized
|
$62.50 |
$62.50 |
$62.50 |
$87.20
|
|
Calcium total
|
$50.50 |
$50.50 |
$50.50 |
$50.00
|
|
Calprotectin fecal
|
$214.75 |
$214.75 |
$214.75 |
$165.00
|
|
Cannabinoids synthetic 4-6
|
$72.50 |
$72.50 |
$72.50 |
$18.40
|
|
Canthotomy 67715
|
$1,649.25 |
$1,649.25 |
$1,649.25 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$10.15 |
$10.15 |
$10.15 |
$50.86
|
