|
Assay of urine urobilinogen
|
$6.66 |
$6.66 |
$6.66 |
$7.45
|
|
Assay phosphatidylglycerol
|
$18.17 |
$18.17 |
$18.17 |
$114.40
|
|
Assay phosphohexose enzymes
|
$11.80 |
$11.80 |
$11.80 |
$127.23
|
|
Assay rbc glutathione
|
$10.38 |
$10.38 |
$10.38 |
$13.03
|
|
Assay toxin or antitoxin
|
$21.71 |
$21.71 |
$21.71 |
$83.85
|
|
Assess cyst contrast inject
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$4.70 |
$4.70 |
$4.70 |
$51.35
|
|
Ast/sgot
|
$5.70 |
$5.70 |
$5.70 |
$50.31
|
|
Athrectomy fem/pop/unilateral 37225
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$19,875.58
|
|
Atomic absorption
|
$17.49 |
$17.49 |
$17.49 |
$45.42
|
|
Attach ocular implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,440.96
|
|
Audiometry air + bone
|
$126.90 |
$126.90 |
$126.90 |
$173.18
|
|
Auditory function 60 min
|
$143.75 |
$143.75 |
$143.75 |
$210.40
|
|
Augmentation cheek bone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,988.80
|
|
Augmentation lower jaw bone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,465.11
|
|
Augmentation lower jaw bone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,547.81
|
|
Augmentation of facial bones
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,311.70
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$10,578.36
|
|
Autgrft implnt knee w/scope
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Autochondrocyte implant knee
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,123.20
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$924.72 |
$924.72 |
$924.72 |
$925.10
|
|
Automated diff wbc count
|
$7.12 |
$7.12 |
$7.12 |
$35.10
|
|
Av fistula revision
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,354.94
|
|
Av fuse uppr arm basilic
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Av fuse uppr arm cephalic
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,741.00
|
|
Av fusion direct any site
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,044.69
|
|
Av fusion/forearm vein 36820
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,983.35
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$348.80
|
|
Axillary lymphadenect/superficial 38740
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Bacterial meningitis antigen
|
$12.69 |
$12.69 |
$12.69 |
$72.14
|
|
Bacterial vaginosis pcr
|
$77.22 |
$77.22 |
$77.22 |
$300.08
|
|
Bactericidal level serum
|
$16.52 |
$16.52 |
$16.52 |
$89.00
|
|
#bac vag cand-c. albicans naa
|
$38.60 |
$38.60 |
$38.60 |
$118.65
|
|
Balloon dilate urtrl strix
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,044.97
|
|
Bartholin gland cyst/marsupializat 56440
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,520.47
|
|
Bartonella dna pcr-sendout
|
$38.60 |
$38.60 |
$38.60 |
$202.95
|
|
Basic vestibular evaluation
|
$318.57 |
$318.57 |
$318.57 |
$334.20
|
|
B cells total count
|
$41.50 |
$41.50 |
$41.50 |
$131.30
|
|
Bckdhb gene
|
$104.49 |
$104.49 |
$104.49 |
$131.09
|
|
Benign lesion paring 2-4
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$275.88
|
|
Benign lesion paring 4+
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$296.40
|
|
#_benzodiazconfur
|
$28.22 |
$28.22 |
$28.22 |
$100.10
|
|
Beta 2 glycoprotein 1 antibody iga
|
$28.00 |
$28.00 |
$28.00 |
$99.45
|
|
Beta-2 microglobulin
|
$17.80 |
$17.80 |
$17.80 |
$87.60
|
|
B-hexosaminidase ea assay
|
$18.56 |
$18.56 |
$18.56 |
$118.40
|
|
Bilateral n blobk inj pudendal 64430
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,559.68
|
|
Bilateral n block inj occipital 64405
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$895.00
|
|
Bilateral n block inj trigeminal 64400
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$676.00
|
|
Bile acids cholylglycine
|
$29.24 |
$29.24 |
$29.24 |
$53.60
|
|
Biliary endo perq dx w/speci
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,702.24
|
|
Biliary endoscopy thru skin
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,292.73
|
|
Biliary endoscopy thru skin
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,482.93
|
|
Biliary endoscopy thru skin
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,057.60
|
|
Biliary endoscopy thru skin
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,456.99
|
|
Bilicheck
|
$5.52 |
$5.52 |
$5.52 |
$25.76
|
|
Bilirubin direct
|
$5.52 |
$5.52 |
$5.52 |
$50.05
|
|
Bilirubin total
|
$5.52 |
$5.52 |
$5.52 |
$52.80
|
|
Binder abdominal lg 12 x 62-74
|
$9.00 |
$9.00 |
$9.00 |
$39.00
|
|
Biopsy abdominal mass
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,897.50
|
|
Biopsy arm/elbow soft tissue
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,285.96
|
|
Biopsy, bone open deep
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,642.33
|
|
Biopsy bone trocar/needle superficial
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,684.00
|
|
Biopsy cervixsingle/multiple 57500
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,268.54
|
|
Biopsy conjunctiva
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,549.65
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Biopsy external ear 69100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$510.40
|
|
Biopsy eyelid & lid margin
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$754.48
|
|
Biopsy eye muscle
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,121.25
|
|
Biopsy finger joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,545.97
|
|
Biopsy finger joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,858.61
|
|
Biopsy forearm soft tissues
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,252.66
|
|
Biopsy hand joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,545.97
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,170.64
|
|
Biopsy knee joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,743.15
|
|
Biopsy lower leg soft tissue
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,905.43
|
|
Biopsy lower leg soft tissue 27610
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,705.22
|
|
Biopsy muscle percutaneous needle
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,855.89
|
|
Biopsy of cornea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,747.43
|
|
Biopsy of epididymis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,415.44
|
|
Biopsy of foot joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,777.89
|
|
Biopsy of foot joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,591.33
|
|
Biopsy of hip joint
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,836.80
|
|
Biopsy of inestine 44100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,048.28
|
|
Biopsy of lip 40490
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$325.68
|
|
Biopsy of nail unit 11755
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$973.71
|
|
Biopsy of nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,063.50
|
|
Biopsy of ovary(s) 58900
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,962.80
|
|
Biopsy of penis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,361.18
|
|
Biopsy of penis 54100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,156.80
|
|
Biopsy of prostate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,412.22
|
|
Biopsy of prostate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,820.84
|
|
Biopsy of rectum wall anal approach 45100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,467.55
|
|
Biopsy of sacroiliac joint
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,087.99
|
|
Biopsy of salivary gland 42400
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,152.50
|
|
Biopsy of salivary glnd;incisional 42405
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,301.60
|
|
Biopsy of tear gland
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,682.42
|
