|
Biopsy of rectum wall anal approach 45100
|
$445.60 |
$445.60 |
$445.60 |
$3,467.55
|
|
Biopsy of urethra
|
$239.20 |
$239.20 |
$239.20 |
$2,874.36
|
|
Biopsy/removal lymph nodes
|
$652.80 |
$652.80 |
$652.80 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,434.40 |
$1,434.40 |
$1,434.40 |
$2,211.08
|
|
Biopsy roof of mouth
|
$216.80 |
$216.80 |
$216.80 |
$1,639.57
|
|
Biopsy skin incisional single lesion
|
$232.80 |
$232.80 |
$232.80 |
$657.30
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$394.40 |
$394.40 |
$394.40 |
$2,263.43
|
|
Biopsy tongue anterior two-thirds
|
$280.00 |
$280.00 |
$280.00 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$265.60 |
$265.60 |
$265.60 |
$2,386.41
|
|
Biopsy vestibule of mouth 40808
|
$251.20 |
$251.20 |
$251.20 |
$644.67
|
|
Biospy of bladder
|
$96.80 |
$96.80 |
$96.80 |
$1,470.24
|
|
Bladder irrigate/lavage/instill 51700
|
$113.60 |
$113.60 |
$113.60 |
$422.51
|
|
Blink reflex test
|
$119.20 |
$119.20 |
$119.20 |
$225.60
|
|
Block femoral nerve cont infusion cath w/img
|
$812.80 |
$812.80 |
$812.80 |
$1,576.68
|
|
Block paracervical nrv
|
$120.80 |
$120.80 |
$120.80 |
$948.00
|
|
Block plantar digital nerve
|
$73.60 |
$73.60 |
$73.60 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$123.20 |
$123.20 |
$123.20 |
$1,143.35
|
|
Blood Clotting (PT/INR) Test
|
$114.40 |
$114.40 |
$114.40 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$114.40 |
$114.40 |
$114.40 |
$77.00
|
|
Blood Count (CBC) Test
|
$103.20 |
$103.20 |
$103.20 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$62.40 |
$62.40 |
$62.40 |
$64.00
|
|
Blood count spun microhematocrit
|
$9.60 |
$9.60 |
$9.60 |
$20.78
|
|
Blood Culture Test
|
$140.80 |
$140.80 |
$140.80 |
$146.40
|
|
Blood draw capillary 36416
|
$20.80 |
$20.80 |
$20.80 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$265.60 |
$265.60 |
$265.60 |
$220.80
|
|
Blood gases ph venous
|
$104.80 |
$104.80 |
$104.80 |
$64.28
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$67.20 |
$67.20 |
$67.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$56.80 |
$56.80 |
$56.80 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$68.00 |
$68.00 |
$68.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$51.20 |
$51.20 |
$51.20 |
$33.92
|
|
Blood smear microscopic w manual differential wbc count
|
$66.40 |
$66.40 |
$66.40 |
$38.35
|
|
Blood split unit
|
$222.40 |
$222.40 |
$222.40 |
$247.80
|
|
Blood typing abo
|
$64.80 |
$64.80 |
$64.80 |
$83.03
|
|
Blood typing ag donor ea ag
|
$140.80 |
$140.80 |
$140.80 |
$162.40
|
|
Blood typing rbc ag non abo/rh ea
|
$87.20 |
$87.20 |
$87.20 |
$181.74
|
|
Blood typing rh (d)
|
$48.00 |
$48.00 |
$48.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$96.00 |
$96.00 |
$96.00 |
$79.67
|
|
Bone biopsy open superficial
|
$208.80 |
$208.80 |
$208.80 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$368.00 |
$368.00 |
$368.00 |
$395.00
|
|
Bone marrow interpretation
|
$436.00 |
$436.00 |
$436.00 |
$436.00
|
|
Bone survey-lead poisoning
|
$314.40 |
$314.40 |
$314.40 |
$360.80
|
|
Borrelia antibody
|
$60.00 |
$60.00 |
$60.00 |
$60.60
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$274.40 |
$274.40 |
$274.40 |
$100.10
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,105.38 |
$2,105.38 |
$2,105.38 |
$1,670.13
|
|
(both sides) smear without diff wbc count
|
$20.00 |
$20.00 |
$20.00 |
$33.57
|
|
Braf gene
|
$547.20 |
$547.20 |
$547.20 |
$432.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$2,676.04
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$1,830.00
|
|
Brain MRI (with and without contrast)
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$2,874.95
|
|
Brain MRI (with contrast)
|
$2,014.40 |
$2,014.40 |
$2,014.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$1,949.38
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$441.60 |
$441.60 |
$441.60 |
$834.40
|
|
Breast reduction
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$5,741.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$11,724.73 |
$11,724.73 |
$11,724.73 |
$24,679.59
|
|
Bronchial allergy tests
|
$52.80 |
$52.80 |
$52.80 |
$746.46
|
|
Bronchial challenge
|
$296.00 |
$296.00 |
$296.00 |
$875.94
|
|
Br punct aspir ea add, l
|
$196.00 |
$196.00 |
$196.00 |
$387.96
|
|
Budesonide non-comp unit
|
$47.71 |
$47.71 |
$47.71 |
$32.78
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$70.50 |
$70.50 |
$70.50 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$89.60 |
$89.60 |
$89.60 |
$166.15
|
|
Bundled special stain group 2
|
$276.80 |
$276.80 |
$276.80 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$71.42 |
$71.42 |
$71.42 |
$30.97
|
|
Buprenorphine and metabolite - sendout
|
$67.20 |
$67.20 |
$67.20 |
$99.72
|
|
Buprenorphine oral 1mg
|
$20.61 |
$20.61 |
$20.61 |
$11.95
|
|
Buprenorphine X-ray over 100 mg
|
$1,756.00 |
$1,756.00 |
$1,756.00 |
$7,236.00
|
|
Buprenorph X-ray 100 mg or less
|
$1,756.00 |
$1,756.00 |
$1,756.00 |
$7,018.98
|
|
Bx bone trocar/ndl deep
|
$561.60 |
$561.60 |
$561.60 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$860.00 |
$860.00 |
$860.00 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$860.00 |
$860.00 |
$860.00 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$860.00 |
$860.00 |
$860.00 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$231.20 |
$231.20 |
$231.20 |
$1,374.91
|
|
Bx/curett of cervix w/scope 57454
|
$252.00 |
$252.00 |
$252.00 |
$594.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$785.60 |
$785.60 |
$785.60 |
$4,184.94
|
|
Bx/exc lymph node/open/superfic 38500
|
$503.20 |
$503.20 |
$503.20 |
$4,135.34
|
|
Bx liver with other
|
$152.00 |
$152.00 |
$152.00 |
$548.87
|
|
Bx muscle
|
$319.20 |
$319.20 |
$319.20 |
$1,855.89
|
|
Bx of breast open 19101
|
$496.00 |
$496.00 |
$496.00 |
$4,390.01
|
|
Bx of cervix w/scope leep 57460
|
$475.20 |
$475.20 |
$475.20 |
$3,876.00
|
|
Bx perianal mass
|
$360.00 |
$360.00 |
$360.00 |
$1,397.50
|
|
Bx prst8 ndl sat sampling
|
$564.00 |
$564.00 |
$564.00 |
$4,096.52
|
|
Bx shoulder tissues supf 23065
|
$993.60 |
$993.60 |
$993.60 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$104.80 |
$104.80 |
$104.80 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$88.00 |
$88.00 |
$88.00 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$76.00 |
$76.00 |
$76.00 |
$203.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$379.20 |
$379.20 |
$379.20 |
$1,793.38
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$505.60 |
$505.60 |
$505.60 |
$1,793.38
|
|
Bx soft tissue back/flank deep 21925
|
$744.00 |
$744.00 |
$744.00 |
$2,271.01
|
|
Bx soft tissue back/flank supf 21920
|
$220.80 |
$220.80 |
$220.80 |
$1,907.07
|
|
Bx thigh/knee soft tiss supf 27323
|
$407.20 |
$407.20 |
$407.20 |
$2,070.13
|
|
Bx thyroid/percutan core needle 60100
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$1,038.80
|
|
Bx vag mucos smpl (sep proc)
|
$154.40 |
$154.40 |
$154.40 |
$1,266.48
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$1,148.20
|
|
Bx vulva or perineum/ea add lesion 56606
|
$56.80 |
$56.80 |
$56.80 |
$465.09
|
|
C1 esterase inhibitor func - sendout
|
$104.00 |
$104.00 |
$104.00 |
$112.01
|
|
Cadd pump refill
|
$213.60 |
$213.60 |
$213.60 |
$340.33
|
|
Calcium 24 hour urine
|
$77.60 |
$77.60 |
$77.60 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$242.58 |
$242.58 |
$242.58 |
$45.30
|
