|
Biopsy of salivary gland 42400
|
$1,459.62 |
$1,459.62 |
$1,459.62 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,096.17 |
$1,096.17 |
$1,096.17 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$1,433.06 |
$1,433.06 |
$1,433.06 |
$661.80
|
|
Bladder Catheter Insertion (simple)
|
$286.42 |
$286.42 |
$286.42 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$261.03 |
$261.03 |
$261.03 |
$412.80
|
|
Blood Clotting (PT/INR) Test
|
$47.87 |
$47.87 |
$47.87 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$58.56 |
$58.56 |
$58.56 |
$74.00
|
|
Blood Count (CBC) Test
|
$52.29 |
$52.29 |
$52.29 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$38.30 |
$38.30 |
$38.30 |
$62.28
|
|
Blood count spun microhematocrit
|
$16.98 |
$16.98 |
$16.98 |
$25.00
|
|
Blood Culture Test
|
$70.70 |
$70.70 |
$70.70 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$19.90 |
$19.90 |
$19.90 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$73.64 |
$73.64 |
$73.64 |
$226.50
|
|
Blood gases ph venous
|
$23.37 |
$23.37 |
$23.37 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$50.64 |
$50.64 |
$50.64 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$23.65 |
$23.65 |
$23.65 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$28.75 |
$28.75 |
$28.75 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$29.85 |
$29.85 |
$29.85 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$28.75 |
$28.75 |
$28.75 |
$38.35
|
|
Blood split unit
|
$372.25 |
$372.25 |
$372.25 |
$282.88
|
|
Blood Transfusion
|
$361.82 |
$361.82 |
$361.82 |
$989.60
|
|
Blood typing abo
|
$33.53 |
$33.53 |
$33.53 |
$86.45
|
|
Blood typing ag donor ea ag
|
$499.93 |
$499.93 |
$499.93 |
$207.60
|
|
Blood typing patient serum
|
$72.05 |
$72.05 |
$72.05 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$607.58 |
$607.58 |
$607.58 |
$211.90
|
|
Blood typing rh (d)
|
$33.53 |
$33.53 |
$33.53 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$290.35 |
$290.35 |
$290.35 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$594.77 |
$594.77 |
$594.77 |
$407.94
|
|
Bone/joint imaging ltd area
|
$631.17 |
$631.17 |
$631.17 |
$1,037.40
|
|
Bone survey-lead poisoning
|
$313.89 |
$313.89 |
$313.89 |
$387.00
|
|
Borrelia antibody
|
$31.74 |
$31.74 |
$31.74 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$93.18 |
$93.18 |
$93.18 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$71.68 |
$71.68 |
$71.68 |
$82.55
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$90.04 |
$90.04 |
$90.04 |
$105.30
|
|
Brace wrist classic lft sm
|
$133.75 |
$133.75 |
$133.75 |
$89.04
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,544.71 |
$1,544.71 |
$1,544.71 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,185.37 |
$2,185.37 |
$2,185.37 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,435.40 |
$2,435.40 |
$2,435.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,516.47 |
$3,516.47 |
$3,516.47 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,782.27 |
$2,782.27 |
$2,782.27 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,435.40 |
$2,435.40 |
$2,435.40 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,890.45 |
$1,890.45 |
$1,890.45 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$269.75 |
$269.75 |
$269.75 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$480.02 |
$480.02 |
$480.02 |
$871.80
|
|
Brief alcohol misuse counsel
|
$260.83 |
$260.83 |
$260.83 |
$109.46
|
|
Brief comunicaj tech-bsd svc
|
$33.07 |
$33.07 |
$33.07 |
$30.40
|
|
Bronch ebus samplng 3/> node
|
$7,184.43 |
$7,184.43 |
$7,184.43 |
$4,746.40
|
|
Bronchoscopy w/markers
|
$18,947.23 |
$18,947.23 |
$18,947.23 |
$6,839.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$473.05 |
$473.05 |
$473.05 |
$571.00
|
|
Bundled special stain group 1 microorganisms
|
$208.43 |
$208.43 |
$208.43 |
$159.00
|
|
Bundled special stain group 2
|
$92.05 |
$92.05 |
$92.05 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$197.00 |
$197.00 |
$197.00 |
$80.64
|
|
Buprenorph X-ray 100 mg or less
|
$3,171.86 |
$3,171.86 |
$3,171.86 |
$3,864.00
|
|
Bx breast add lesion mr imag
|
$2,310.69 |
$2,310.69 |
$2,310.69 |
$1,695.00
|
|
Bx breast add lesion Ultrasound imag
|
$1,504.26 |
$1,504.26 |
$1,504.26 |
$1,670.79
|
|
Bx/curett of cervix w/scope 57454
|
$258.15 |
$258.15 |
$258.15 |
$515.50
|
|
Bx pleura pq ndl
|
$3,352.47 |
$3,352.47 |
$3,352.47 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$460.18 |
$460.18 |
$460.18 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$250.63 |
$250.63 |
$250.63 |
$230.75
|
|
Bx thyroid/percutan core needle 60100
|
$548.55 |
$548.55 |
$548.55 |
$963.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$1,110.40
|
|
Bypass temp external fem-fem
|
$1,106.66 |
$1,106.66 |
$1,106.66 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$25.49 |
$25.49 |
$25.49 |
$96.72
|
|
Cacna1a gen detc abnor allel
|
$324.97 |
$324.97 |
$324.97 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,827.62 |
$1,827.62 |
$1,827.62 |
$846.27
|
|
Cad breast MRI w/r&i
|
$168.28 |
$168.28 |
$168.28 |
$100.80
|
|
Cadd pump refill
|
$509.55 |
$509.55 |
$509.55 |
$386.60
|
|
Calcium 24 hour urine
|
$30.59 |
$30.59 |
$30.59 |
$53.00
|
|
Calcium ionized
|
$155.79 |
$155.79 |
$155.79 |
$90.00
|
|
Calcium total
|
$51.19 |
$51.19 |
$51.19 |
$50.00
|
|
Calculi urinary-sendout
|
$109.02 |
$109.02 |
$109.02 |
$66.00
|
|
Calprotectin fecal
|
$491.22 |
$491.22 |
$491.22 |
$170.00
|
|
Candida dna
|
$42.59 |
$42.59 |
$42.59 |
$61.10
|
|
Cannabinoids synthetic 1-3
|
$57.37 |
$57.37 |
$57.37 |
$57.20
|
|
Carbamazepine free
|
$107.92 |
$107.92 |
$107.92 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$113.80 |
$113.80 |
$113.80 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$289.80 |
$289.80 |
$289.80 |
$116.40
|
|
Carbohydrate urine - sendout
|
$13.51 |
$13.51 |
$13.51 |
$66.64
|
|
Carbon dioxide
|
$38.30 |
$38.30 |
$38.30 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$79.55 |
$79.55 |
$79.55 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$382.04 |
$382.04 |
$382.04 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,462.55 |
$2,462.55 |
$2,462.55 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$201.70 |
$201.70 |
$201.70 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$155.88 |
$155.88 |
$155.88 |
$204.54
|
|
Cardiolipin antibody iga
|
$268.09 |
$268.09 |
$268.09 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$936.83 |
$936.83 |
$936.83 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$38.23 |
$38.23 |
$38.23 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$19.06 |
$19.06 |
$19.06 |
$51.52
|
|
Carotene
|
$19.59 |
$19.59 |
$19.59 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$453.88 |
$453.88 |
$453.88 |
$1,024.32
|
|
Cast sup shrt leg ped fbrgls
|
$45.67 |
$45.67 |
$45.67 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$43.17 |
$43.17 |
$43.17 |
$36.00
|
|
Cast sup sht arm ped fbrglas
|
$20.81 |
$20.81 |
$20.81 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$26.98 |
$26.98 |
$26.98 |
$26.98
|
|
Cath cv dl inj 7fx16cm
|
$606.91 |
$606.91 |
$606.91 |
$4,488.99
|
|
Cauterization chemical granulation tissue
|
$445.44 |
$445.44 |
$445.44 |
$340.90
|
|
#cbg+cort-cbg
|
$56.48 |
$56.48 |
$56.48 |
$66.55
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$44.71 |
$44.71 |
$44.71 |
$36.21
|
|
Cdna analysis for variants
|
$597.26 |
$597.26 |
$597.26 |
$542.87
|
|
Cefepime 1 gram solution for injection
|
$2.49 |
$2.49 |
$2.49 |
$45.47
|
