|
Bld prd mix
|
$82.55 |
$82.55 |
$82.55 |
$139.21
|
|
Block tap inj(s) w/wo img bi
|
$936.32 |
$936.32 |
$936.32 |
$1,124.39
|
|
Block tap inj(s) w/wo img uni
|
$575.90 |
$575.90 |
$575.90 |
$1,064.00
|
|
Blood Clotting (PT/INR) Test
|
$34.45 |
$34.45 |
$34.45 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$42.90 |
$42.90 |
$42.90 |
$68.25
|
|
Blood Count (CBC) Test
|
$72.80 |
$72.80 |
$72.80 |
$66.40
|
|
Blood Count (CBC) Test (without differential)
|
$63.70 |
$63.70 |
$63.70 |
$52.43
|
|
Blood count spun microhematocrit
|
$33.80 |
$33.80 |
$33.80 |
$20.52
|
|
Blood Culture Test
|
$110.50 |
$110.50 |
$110.50 |
$112.80
|
|
Blood draw capillary 36416
|
$19,366.55 |
$19,366.55 |
$19,366.55 |
$22.08
|
|
Blood gases o2 saturation direct measurement
|
$209.30 |
$209.30 |
$209.30 |
$213.60
|
|
Blood gases ph venous
|
$76.05 |
$76.05 |
$76.05 |
$54.60
|
|
Blood, l/r, irradiated
|
$377.00 |
$377.00 |
$377.00 |
$122.58
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$59.15 |
$59.15 |
$59.15 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$50.70 |
$50.70 |
$50.70 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$46.15 |
$46.15 |
$46.15 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$44.85 |
$44.85 |
$44.85 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$50.05 |
$50.05 |
$50.05 |
$34.40
|
|
Blood split unit
|
$249.60 |
$249.60 |
$249.60 |
$247.80
|
|
Blood typing abo
|
$44.85 |
$44.85 |
$44.85 |
$72.00
|
|
Blood typing ag donor ea ag
|
$30.55 |
$30.55 |
$30.55 |
$131.95
|
|
Blood typing patient serum
|
$50.05 |
$50.05 |
$50.05 |
$76.80
|
|
Blood typing rbc ag non abo/rh ea
|
$124.80 |
$124.80 |
$124.80 |
$151.20
|
|
Blood typing rh (d)
|
$44.85 |
$44.85 |
$44.85 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$81.90 |
$81.90 |
$81.90 |
$70.20
|
|
Bone biopsy open superficial
|
$765.70 |
$765.70 |
$765.70 |
$3,965.54
|
|
Bone Density Scan (DEXA)
|
$255.45 |
$255.45 |
$255.45 |
$381.19
|
|
Bone/joint imaging ltd area
|
$983.45 |
$983.45 |
$983.45 |
$911.58
|
|
Boot j walker l
|
$96.85 |
$96.85 |
$96.85 |
$301.60
|
|
Boot softgait shrt m
|
$48.75 |
$48.75 |
$48.75 |
$100.80
|
|
Boot walker genesis full shell 3-strap s
|
$55.90 |
$55.90 |
$55.90 |
$179.82
|
|
Boot walker genesis mid-calf full shell s
|
$74.10 |
$74.10 |
$74.10 |
$308.33
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$147.55 |
$147.55 |
$147.55 |
$105.90
|
|
Borrelia miyamotoi amp prb
|
$148.20 |
$148.20 |
$148.20 |
$95.45
|
|
Brace ank air stirrup univ
|
$31.85 |
$31.85 |
$31.85 |
$60.48
|
|
Brace back pinnacle tlso 464
|
$486.20 |
$486.20 |
$486.20 |
$962.64
|
|
Brace ortho exos 28-50in sm
|
$362.70 |
$362.70 |
$362.70 |
$1,272.70
|
|
Brace oths wrist hnd fngr without
|
$167.70 |
$167.70 |
$167.70 |
$122.31
|
|
Brace tlso flex cust
|
$486.20 |
$486.20 |
$486.20 |
$346.45
|
|
Brace wrist classic lft sm
|
$187.85 |
$187.85 |
$187.85 |
$75.00
|
|
Braf gene
|
$451.75 |
$451.75 |
$451.75 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,477.80 |
$2,477.80 |
$2,477.80 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,209.35 |
$2,209.35 |
$2,209.35 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,454.05 |
$1,454.05 |
$1,454.05 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,827.50 |
$2,827.50 |
$2,827.50 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$2,119.20
|
|
Brain MRI (without contrast)
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$1,778.40
|
|
Bronchial challenge
|
$538.85 |
$538.85 |
$538.85 |
$784.20
|
|
Bundled special stain group 1 microorganisms
|
$3,549.81 |
$3,549.81 |
$3,549.81 |
$161.46
|
|
Bundled special stain group 2
|
$53.30 |
$53.30 |
$53.30 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$59.36 |
$59.36 |
$59.36 |
$19.01
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$7.88 |
$7.88 |
$7.88 |
$12.17
|
|
Buprenorphine oral 1mg
|
$3.25 |
$3.25 |
$3.25 |
$11.24
|
|
Butorphanol tartrate 1 mg
|
$98.86 |
$98.86 |
$98.86 |
$42.76
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$4,184.94
|
|
Bx skin incisnl ea sep/add l les
|
$120.25 |
$120.25 |
$120.25 |
$226.20
|
|
Bx skin punch ea sep/ addl les
|
$103.35 |
$103.35 |
$103.35 |
$206.55
|
|
Bx skin tangential ea sep/ addl les
|
$92.95 |
$92.95 |
$92.95 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$435.50 |
$435.50 |
$435.50 |
$1,677.14
|
|
Bx vulva or perineum/1 lesion 56605
|
$216.45 |
$216.45 |
$216.45 |
$980.00
|
|
C-1 esterase, berinert
|
$10,106.62 |
$10,106.62 |
$10,106.62 |
$5,314.37
|
|
C1 esterase inhibitor func - sendout
|
$197.60 |
$197.60 |
$197.60 |
$126.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$131.53 |
$131.53 |
$131.53 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$4,345.79
|
|
Calcium 24 hour urine
|
$54.60 |
$54.60 |
$54.60 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$19.01 |
$19.01 |
$19.01 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.13 |
$24.13 |
$24.13 |
$50.14
|
|
Calcium ionized
|
$94.25 |
$94.25 |
$94.25 |
$81.90
|
|
Calcium total
|
$59.15 |
$59.15 |
$59.15 |
$44.00
|
|
Calculus analysis qual
|
$109.85 |
$109.85 |
$109.85 |
$88.80
|
|
Calprotectin fecal
|
$170.95 |
$170.95 |
$170.95 |
$170.00
|
|
Candida dna
|
$55.25 |
$55.25 |
$55.25 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$120.25 |
$120.25 |
$120.25 |
$110.40
|
|
Carbohydrate deficient transf - sendout
|
$101.40 |
$101.40 |
$101.40 |
$123.49
|
|
Carbon dioxide
|
$54.60 |
$54.60 |
$54.60 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$141.69 |
$141.69 |
$141.69 |
$113.55
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$591.50 |
$591.50 |
$591.50 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$107.25 |
$107.25 |
$107.25 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$140.40 |
$140.40 |
$140.40 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,157.35 |
$2,157.35 |
$2,157.35 |
$2,501.08
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$207.35 |
$207.35 |
$207.35 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$89.05 |
$89.05 |
$89.05 |
$197.60
|
|
Cardiolipin antibody iga
|
$108.55 |
$108.55 |
$108.55 |
$129.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$1,445.60
|
|
Carotene
|
$111.80 |
$111.80 |
$111.80 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$603.20 |
$603.20 |
$603.20 |
$1,033.80
|
|
Carpal Tunnel Release Surgery
|
$3,737.51 |
$3,737.51 |
$3,737.51 |
$3,503.75
|
|
Car seat/bed test 60 minutes
|
$94.25 |
$94.25 |
$94.25 |
$140.00
|
|
Car seat/bed test additional 30 minutes
|
$52.65 |
$52.65 |
$52.65 |
$83.46
|
|
Catheterization collection of specimen single patient all places of service
|
$57.20 |
$57.20 |
$57.20 |
$58.50
|
|
Cauterization chemical granulation tissue
|
$61.10 |
$61.10 |
$61.10 |
$374.60
|
|
Cdna analysis for variants
|
$607.75 |
$607.75 |
$607.75 |
$620.00
|
|
Cebpa gene full sequence
|
$443.30 |
$443.30 |
$443.30 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$24.72 |
$24.72 |
$24.72 |
$28.52
|
|
Cefepime 1 gram solution for injection
|
$41.40 |
$41.40 |
$41.40 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$25.35 |
$25.35 |
$25.35 |
$44.67
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$21.97 |
$21.97 |
$21.97 |
$48.12
|
|
Ceftriaxone 1 gram solution for injection
|
$25.35 |
$25.35 |
$25.35 |
$51.80
|
|
#celiac hla-dq2
|
$269.75 |
$269.75 |
$269.75 |
$226.28
|
|
Cell count body fluid
|
$79.95 |
$79.95 |
$79.95 |
$56.44
|
