|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$989.00 |
$989.00 |
$989.00 |
$1,160.10
|
|
Autologous blood process
|
$166.40 |
$166.40 |
$166.40 |
$266.75
|
|
Avul nail plate addl
|
$124.80 |
$124.80 |
$124.80 |
$187.20
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$636.00 |
$636.00 |
$636.00 |
$326.27
|
|
Baclofen eval charges
|
$80.80 |
$80.80 |
$80.80 |
$87.50
|
|
Balloon dilate urtrl strix
|
$2,790.80 |
$2,790.80 |
$2,790.80 |
$2,118.00
|
|
B cells total count
|
$628.80 |
$628.80 |
$628.80 |
$131.30
|
|
Benign lesion paring 2-4
|
$243.20 |
$243.20 |
$243.20 |
$263.20
|
|
Benign lesion paring 4+
|
$284.40 |
$284.40 |
$284.40 |
$296.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$12.80 |
$12.80 |
$12.80 |
$82.20
|
|
Beta-2 microglobulin
|
$28.40 |
$28.40 |
$28.40 |
$84.75
|
|
Bfb train 1st 15min cntct 90912
|
$135.20 |
$135.20 |
$135.20 |
$150.00
|
|
Bfb train ea addl 15 min 90913
|
$75.20 |
$75.20 |
$75.20 |
$101.00
|
|
B-hexosaminidase ea assay
|
$151.20 |
$151.20 |
$151.20 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$339.20 |
$339.20 |
$339.20 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$1,149.20 |
$1,149.20 |
$1,149.20 |
$586.30
|
|
Biliary endo perq dx w/speci
|
$5,332.00 |
$5,332.00 |
$5,332.00 |
$5,038.80
|
|
Biliary endoscopy thru skin
|
$2,480.00 |
$2,480.00 |
$2,480.00 |
$3,120.25
|
|
Biliary endoscopy thru skin
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$5,463.60
|
|
Bilicheck
|
$8.40 |
$8.40 |
$8.40 |
$27.00
|
|
Bilirubin direct
|
$38.40 |
$38.40 |
$38.40 |
$50.40
|
|
Bilirubin total
|
$35.20 |
$35.20 |
$35.20 |
$53.84
|
|
Biofeedback, pt
|
$85.60 |
$85.60 |
$85.60 |
$127.05
|
|
Biopsy abdominal mass
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,716.00
|
|
Biopsy bone trocar/needle superficial
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,680.35
|
|
Biopsy cervixsingle/multiple 57500
|
$889.60 |
$889.60 |
$889.60 |
$1,266.48
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,614.80 |
$3,614.80 |
$3,614.80 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,632.98
|
|
Biopsy needle liver percutaneous
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,827.42
|
|
Biopsy needle lymph node superficial
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
$1,879.09
|
|
Biopsy of heart lining
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$3,640.00
|
|
Biopsy of prostate
|
$1,343.60 |
$1,343.60 |
$1,343.60 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,396.40 |
$1,396.40 |
$1,396.40 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,498.80 |
$2,498.80 |
$2,498.80 |
$2,092.00
|
|
Biopsy skin incisional single lesion
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$2,462.35
|
|
Biospy of bladder
|
$163.20 |
$163.20 |
$163.20 |
$835.00
|
|
Bladder irrigate/lavage/instill 51700
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$5,922.00 |
$5,922.00 |
$5,922.00 |
$8,648.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$8,527.68 |
$8,527.68 |
$8,527.68 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$151.20 |
$151.20 |
$151.20 |
$5,272.40
|
|
Block plantar digital nerve
|
$294.80 |
$294.80 |
$294.80 |
$524.04
|
|
Block tap inj(s) w/wo img bi
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$869.88
|
|
Blood Clotting (PT/INR) Test
|
$35.60 |
$35.60 |
$35.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$71.20 |
$71.20 |
$71.20 |
$73.80
|
|
Blood component/product noc
|
$0.00 |
$0.00 |
$0.00 |
$57.90
|
|
Blood Count (CBC) Test
|
$46.00 |
$46.00 |
$46.00 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$28.40 |
$28.40 |
$28.40 |
$61.80
|
|
Blood count spun microhematocrit
|
$48.00 |
$48.00 |
$48.00 |
$25.00
|
|
Blood Culture Test
|
$148.80 |
$148.80 |
$148.80 |
$145.60
|
|
Blood draw capillary 36416
|
$15.60 |
$15.60 |
$15.60 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$88.00 |
$88.00 |
$88.00 |
$226.20
|
|
Blood gases ph venous
|
$53.60 |
$53.60 |
$53.60 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$47.60 |
$47.60 |
$47.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$22.00 |
$22.00 |
$22.00 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.80 |
$8.80 |
$8.80 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$14.00 |
$14.00 |
$14.00 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$17.60 |
$17.60 |
$17.60 |
$38.35
|
|
Blood typing abo
|
$78.80 |
$78.80 |
$78.80 |
$84.75
|
|
Blood typing ag donor ea ag
|
$234.00 |
$234.00 |
$234.00 |
$204.84
|
|
Blood typing rbc ag non abo/rh ea
|
$165.60 |
$165.60 |
$165.60 |
$206.33
|
|
Blood typing rh (d)
|
$408.00 |
$408.00 |
$408.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$177.20 |
$177.20 |
$177.20 |
$86.33
|
|
Bone Density Scan (DEXA)
|
$452.80 |
$452.80 |
$452.80 |
$398.56
|
|
Bone imaging multiple areas
|
$767.20 |
$767.20 |
$767.20 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$704.40 |
$704.40 |
$704.40 |
$1,035.16
|
|
Bone marrow;aspiration only 38220
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,587.30
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,971.20 |
$1,971.20 |
$1,971.20 |
$1,667.40
|
|
Bone marrow imaging body
|
$657.60 |
$657.60 |
$657.60 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$329.20 |
$329.20 |
$329.20 |
$811.00
|
|
Bone marrow imaging mult
|
$432.00 |
$432.00 |
$432.00 |
$923.00
|
|
Bone marrow interpretation
|
$275.60 |
$275.60 |
$275.60 |
$542.03
|
|
Bone survey-lead poisoning
|
$201.60 |
$201.60 |
$201.60 |
$371.40
|
|
Bone tendon board add on
|
$892.08 |
$892.08 |
$892.08 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$2,879.94 |
$2,879.94 |
$2,879.94 |
$3,816.00
|
|
Boot walker genesis full shell 3-strap s
|
$172.62 |
$172.62 |
$172.62 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$38.22 |
$38.22 |
$38.22 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$35.60 |
$35.60 |
$35.60 |
$91.20
|
|
(both sides) smear without diff wbc count
|
$20.80 |
$20.80 |
$20.80 |
$30.68
|
|
Bowel imaging
|
$452.40 |
$452.40 |
$452.40 |
$1,065.53
|
|
Brace ank air stirrup univ
|
$21.42 |
$21.42 |
$21.42 |
$108.67
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$131.04 |
$131.04 |
$131.04 |
$411.01
|
|
Brace m arm board
|
$144.06 |
$144.06 |
$144.06 |
$162.50
|
|
Brace oths wrist hnd fngr without
|
$168.52 |
$168.52 |
$168.52 |
$250.88
|
|
Brace wrist classic lft sm
|
$55.44 |
$55.44 |
$55.44 |
$89.04
|
|
Brach/thor cath 1st
|
$946.40 |
$946.40 |
$946.40 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$1,111.60 |
$1,111.60 |
$1,111.60 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,983.11
|
|
Brach/thor cath addl
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$868.00
|
|
Brachy source yttrium-90
|
$23,812.74 |
$23,812.74 |
$23,812.74 |
$30,870.00
|
|
Brachy src nonstrand hdr ir-192
|
$111.72 |
$111.72 |
$111.72 |
$475.73
|
|
Brachytx isodose complex
|
$6,234.40 |
$6,234.40 |
$6,234.40 |
$1,699.92
|
|
Brachytx isodose intermed
|
$6,234.40 |
$6,234.40 |
$6,234.40 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$1,269.20 |
$1,269.20 |
$1,269.20 |
$1,039.80
|
|
Braf gene
|
$108.00 |
$108.00 |
$108.00 |
$436.47
|
|
Brain flow imaging only
|
$364.00 |
$364.00 |
$364.00 |
$677.66
|
