|
Blood draw capillary 36416
|
$7.60 |
$7.60 |
$7.60 |
$20.00
|
|
Blood gases ph venous
|
$68.00 |
$68.00 |
$68.00 |
$61.92
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$12.20 |
$12.20 |
$12.20 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$18.60 |
$18.60 |
$18.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$18.60 |
$18.60 |
$18.60 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$31.80 |
$31.80 |
$31.80 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$31.80 |
$31.80 |
$31.80 |
$38.16
|
|
Blood split unit
|
$198.80 |
$198.80 |
$198.80 |
$245.19
|
|
Blood typing abo
|
$66.00 |
$66.00 |
$66.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$105.00 |
$105.00 |
$105.00 |
$179.30
|
|
Blood typing patient serum
|
$12.20 |
$12.20 |
$12.20 |
$67.10
|
|
Blood typing rbc ag non abo/rh ea
|
$105.00 |
$105.00 |
$105.00 |
$190.00
|
|
Blood typing rh (d)
|
$63.40 |
$63.40 |
$63.40 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$71.40 |
$71.40 |
$71.40 |
$81.90
|
|
Blood volume
|
$379.60 |
$379.60 |
$379.60 |
$704.60
|
|
Bone Density Scan (DEXA)
|
$237.20 |
$237.20 |
$237.20 |
$398.56
|
|
Bone imaging (3d)
|
$455.20 |
$455.20 |
$455.20 |
$1,261.00
|
|
Bone imaging multiple areas
|
$250.40 |
$250.40 |
$250.40 |
$1,172.26
|
|
Bone/joint imaging ltd area
|
$276.40 |
$276.40 |
$276.40 |
$1,000.00
|
|
Bone marrow;aspiration only 38220
|
$423.40 |
$423.40 |
$423.40 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$423.40 |
$423.40 |
$423.40 |
$1,770.73
|
|
Bone survey-lead poisoning
|
$158.00 |
$158.00 |
$158.00 |
$389.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$209.20 |
$209.20 |
$209.20 |
$92.88
|
|
Borrelia miyamotoi amp prb
|
$22.60 |
$22.60 |
$22.60 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$166.52 |
$166.52 |
$166.52 |
$2,840.38
|
|
(both sides) smear without diff wbc count
|
$5.80 |
$5.80 |
$5.80 |
$30.68
|
|
Bowel imaging
|
$302.40 |
$302.40 |
$302.40 |
$1,065.00
|
|
Brach/thor cath 1st
|
$471.80 |
$471.80 |
$471.80 |
$1,888.32
|
|
Brach/thor cath 2nd
|
$478.20 |
$478.20 |
$478.20 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$635.60 |
$635.60 |
$635.60 |
$2,151.93
|
|
Brach/thor cath addl
|
$484.80 |
$484.80 |
$484.80 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$47.60 |
$47.60 |
$47.60 |
$65.45
|
|
Brachy source yttrium-90
|
$5,039.40 |
$5,039.40 |
$5,039.40 |
$31,103.54
|
|
Brachytx isodose complex
|
$505.20 |
$505.20 |
$505.20 |
$1,631.00
|
|
Brachytx isodose intermed
|
$406.20 |
$406.20 |
$406.20 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$282.80 |
$282.80 |
$282.80 |
$851.50
|
|
Braf gene
|
$85.40 |
$85.40 |
$85.40 |
$427.50
|
|
Brain image w/flow 4 + views
|
$426.40 |
$426.40 |
$426.40 |
$1,355.20
|
|
Brain imaging (3d)
|
$536.40 |
$536.40 |
$536.40 |
$1,255.15
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$880.80 |
$880.80 |
$880.80 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,207.60 |
$1,207.60 |
$1,207.60 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$817.00 |
$817.00 |
$817.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$1,946.40
|
|
Brcassure comprehensive panel-sendout
|
$718.60 |
$718.60 |
$718.60 |
$2,160.80
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,641.20 |
$1,641.20 |
$1,641.20 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$244.20 |
$244.20 |
$244.20 |
$847.00
|
|
Bronchial allergy tests
|
$258.00 |
$258.00 |
$258.00 |
$746.46
|
|
Bronchial challenge
|
$203.20 |
$203.20 |
$203.20 |
$761.40
|
|
Bronchoscopy clear airways 31645
|
$935.80 |
$935.80 |
$935.80 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$961.00 |
$961.00 |
$961.00 |
$2,597.70
|
|
Br punct aspir ea add, l
|
$93.00 |
$93.00 |
$93.00 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.50 |
$7.50 |
$7.50 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$12.60 |
$12.60 |
$12.60 |
$161.46
|
|
Bundled special stain group 2
|
$90.40 |
$90.40 |
$90.40 |
$169.60
|
|
Bundle his recording
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$5,151.25
|
|
Buprenorphine and metabolite - sendout
|
$64.20 |
$64.20 |
$64.20 |
$80.25
|
|
Buprenorphine hydrochloride
|
$30.44 |
$30.44 |
$30.44 |
$42.08
|
|
Buprenorphine oral 1mg
|
$8.09 |
$8.09 |
$8.09 |
$10.32
|
|
Busulfan injection
|
$277.53 |
$277.53 |
$277.53 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$30.80 |
$30.80 |
$30.80 |
$37.50
|
|
Bx arm/elbow soft tissue supf 24065
|
$892.80 |
$892.80 |
$892.80 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$889.40 |
$889.40 |
$889.40 |
$2,264.77
|
|
Bx breast 1st lesion strtctc
|
$1,430.80 |
$1,430.80 |
$1,430.80 |
$3,735.03
|
|
Bx breast add lesion strtctc
|
$441.20 |
$441.20 |
$441.20 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$789.60 |
$789.60 |
$789.60 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$520.40 |
$520.40 |
$520.40 |
$1,312.15
|
|
Bx liver with other
|
$866.40 |
$866.40 |
$866.40 |
$554.45
|
|
Bx pancreas pq ndl
|
$530.00 |
$530.00 |
$530.00 |
$1,635.24
|
|
Bx perianal mass
|
$177.00 |
$177.00 |
$177.00 |
$1,501.50
|
|
Bx pleura pq ndl
|
$361.20 |
$361.20 |
$361.20 |
$1,633.46
|
|
Bx shoulder tissues supf 23065
|
$574.40 |
$574.40 |
$574.40 |
$1,917.33
|
|
Bx skin punch ea sep/ addl les
|
$39.80 |
$39.80 |
$39.80 |
$230.02
|
|
Bx skin tangential ea sep/ addl les
|
$70.80 |
$70.80 |
$70.80 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$519.20 |
$519.20 |
$519.20 |
$1,908.09
|
|
Bx thigh/knee soft tiss supf 27323
|
$937.00 |
$937.00 |
$937.00 |
$2,086.51
|
|
Bx thyroid/percutan core needle 60100
|
$232.60 |
$232.60 |
$232.60 |
$963.86
|
|
Bx vulva or perineum/1 lesion 56605
|
$157.00 |
$157.00 |
$157.00 |
$1,148.20
|
|
Bypass temp external fem-fem
|
$830.80 |
$830.80 |
$830.80 |
$1,828.50
|
|
C1 esterase inhibitor func - sendout
|
$138.40 |
$138.40 |
$138.40 |
$87.00
|
|
Cabergoline, oral 0.25mg
|
$1.35 |
$1.35 |
$1.35 |
$65.85
|
|
Cadd pump refill
|
$146.00 |
$146.00 |
$146.00 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$48.66 |
$48.66 |
$48.66 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$832.59 |
$832.59 |
$832.59 |
$2,132.00
|
|
Calcium 24 hour urine
|
$47.20 |
$47.20 |
$47.20 |
$52.80
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$53.40 |
$53.40 |
$53.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$25.05 |
$25.05 |
$25.05 |
$91.60
|
|
Calcium ionized
|
$74.00 |
$74.00 |
$74.00 |
$88.00
|
|
Calcium total
|
$26.20 |
$26.20 |
$26.20 |
$50.00
|
|
Calprotectin fecal
|
$135.40 |
$135.40 |
$135.40 |
$167.40
|
|
Cannabinoids synthetic 4-6
|
$111.60 |
$111.60 |
$111.60 |
$18.40
|
|
Cannula ercp contour 5-4-3 tip
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$36,313.87
|
|
Canthotomy 67715
|
$1,319.40 |
$1,319.40 |
$1,319.40 |
$2,968.65
|
|
Capecitabine, oral, 50 mg
|
$8.12 |
$8.12 |
$8.12 |
$50.86
|
|
Cap trach decann 15mm
|
$101.20 |
$101.20 |
$101.20 |
$3,120.00
|
|
Carbamazepine free
|
$24.80 |
$24.80 |
$24.80 |
$50.40
|
|
Carbamazepine free -sendout
|
$15.40 |
$15.40 |
$15.40 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$77.60 |
$77.60 |
$77.60 |
$115.05
|
|
Carbohydrate deficient transf - sendout
|
$59.20 |
$59.20 |
$59.20 |
$121.80
|
