|
Blood occult peroxidase activity qualitative gastric
|
$29.70 |
$29.70 |
$29.70 |
$33.57
|
|
Blood smear interpretation
|
$57.20 |
$57.20 |
$57.20 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$116.05 |
$116.05 |
$116.05 |
$37.80
|
|
Blood typing abo
|
$68.75 |
$68.75 |
$68.75 |
$83.03
|
|
Blood typing ag donor ea ag
|
$393.80 |
$393.80 |
$393.80 |
$162.40
|
|
Blood typing rbc ag non abo/rh ea
|
$393.80 |
$393.80 |
$393.80 |
$181.74
|
|
Blood typing rh (d)
|
$41.80 |
$41.80 |
$41.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$153.45 |
$153.45 |
$153.45 |
$78.80
|
|
Bone Density Scan (DEXA)
|
$51.68 |
$51.68 |
$51.68 |
$395.00
|
|
Bone/joint imaging ltd area
|
$389.40 |
$389.40 |
$389.40 |
$1,155.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,372.15 |
$2,372.15 |
$2,372.15 |
$1,793.38
|
|
Bone survey-lead poisoning
|
$500.50 |
$500.50 |
$500.50 |
$356.85
|
|
Boot walker genesis mid-calf full shell s
|
$343.20 |
$343.20 |
$343.20 |
$135.85
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$69.85 |
$69.85 |
$69.85 |
$100.10
|
|
Bowel imaging
|
$873.95 |
$873.95 |
$873.95 |
$1,218.80
|
|
Brace ank air stirrup univ
|
$14.30 |
$14.30 |
$14.30 |
$56.65
|
|
Brace ankle stablizing lg
|
$132.00 |
$132.00 |
$132.00 |
$113.10
|
|
Brace fx hum ovr shldr sm
|
$14.30 |
$14.30 |
$14.30 |
$453.47
|
|
Brace knee hing pat open med
|
$178.86 |
$178.86 |
$178.86 |
$294.16
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$67.34 |
$67.34 |
$67.34 |
$510.88
|
|
Brace m arm board
|
$326.37 |
$326.37 |
$326.37 |
$153.81
|
|
Brace wrist classic lft sm
|
$73.26 |
$73.26 |
$73.26 |
$79.23
|
|
Brach/thor cath 1st
|
$2,926.00 |
$2,926.00 |
$2,926.00 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$2,926.00 |
$2,926.00 |
$2,926.00 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$952.60 |
$952.60 |
$952.60 |
$2,244.00
|
|
Brach/thor cath addl
|
$228.80 |
$228.80 |
$228.80 |
$881.40
|
|
Braf gene
|
$198.55 |
$198.55 |
$198.55 |
$432.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,317.60 |
$3,317.60 |
$3,317.60 |
$2,710.45
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,825.25
|
|
Brain MRI (with and without contrast)
|
$1,945.90 |
$1,945.90 |
$1,945.90 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$1,927.75 |
$1,927.75 |
$1,927.75 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,800.70 |
$1,800.70 |
$1,800.70 |
$1,973.40
|
|
Brcassure comprehensive panel-sendout
|
$1,581.25 |
$1,581.25 |
$1,581.25 |
$2,359.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$934.45 |
$934.45 |
$934.45 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$809.60 |
$809.60 |
$809.60 |
$834.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$315.15 |
$315.15 |
$315.15 |
$335.40
|
|
Br punct aspir ea add, l
|
$405.90 |
$405.90 |
$405.90 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$128.70 |
$128.70 |
$128.70 |
$166.15
|
|
Bundled special stain group 2
|
$73.70 |
$73.70 |
$73.70 |
$170.65
|
|
Buprenorphine and metabolite - sendout
|
$116.60 |
$116.60 |
$116.60 |
$99.72
|
|
Bx breast 1st lesion strtctc
|
$2,704.35 |
$2,704.35 |
$2,704.35 |
$3,742.20
|
|
Bx breast add lesion strtctc
|
$1,312.30 |
$1,312.30 |
$1,312.30 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$684.75 |
$684.75 |
$684.75 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$124.34 |
$124.34 |
$124.34 |
$1,374.91
|
|
Bx pancreas pq ndl
|
$1,119.80 |
$1,119.80 |
$1,119.80 |
$1,761.70
|
|
Bx skin incisnl ea sep/add l les
|
$637.45 |
$637.45 |
$637.45 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$507.65 |
$507.65 |
$507.65 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$507.65 |
$507.65 |
$507.65 |
$203.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,070.30 |
$1,070.30 |
$1,070.30 |
$1,038.80
|
|
Cable cath 22-pin diag
|
$154.46 |
$154.46 |
$154.46 |
$1,530.12
|
|
Calcium 24 hour urine
|
$55.55 |
$55.55 |
$55.55 |
$52.00
|
|
Calcium ionized
|
$74.80 |
$74.80 |
$74.80 |
$88.00
|
|
Calcium total
|
$48.40 |
$48.40 |
$48.40 |
$50.05
|
|
Calculi urinary-sendout
|
$160.60 |
$160.60 |
$160.60 |
$68.05
|
|
Calprotectin fecal
|
$80.30 |
$80.30 |
$80.30 |
$172.58
|
|
Campylobacter antibody
|
$81.40 |
$81.40 |
$81.40 |
$75.00
|
|
Candida dna
|
$68.75 |
$68.75 |
$68.75 |
$67.60
|
|
Cannula ercp contour 5-4-3 tip
|
$615.48 |
$615.48 |
$615.48 |
$19,500.00
|
|
Cap trach decann 15mm
|
$525.25 |
$525.25 |
$525.25 |
$1,842.60
|
|
Carbamazepine total therapeutic drug level
|
$141.35 |
$141.35 |
$141.35 |
$115.05
|
|
Carbon dioxide
|
$51.70 |
$51.70 |
$51.70 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$100.65 |
$100.65 |
$100.65 |
$86.45
|
|
Carcinoembryonic ag (cea)
|
$107.80 |
$107.80 |
$107.80 |
$147.71
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,863.40 |
$1,863.40 |
$1,863.40 |
$2,913.20
|
|
Cardiolipin antibody iga
|
$179.30 |
$179.30 |
$179.30 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$694.10 |
$694.10 |
$694.10 |
$1,511.94
|
|
Carotene
|
$51.70 |
$51.70 |
$51.70 |
$48.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$887.64 |
$887.64 |
$887.64 |
$1,079.81
|
|
Car seat/bed test 60 minutes
|
$127.05 |
$127.05 |
$127.05 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$40.70 |
$40.70 |
$40.70 |
$79.05
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$698.27 |
$698.27 |
$698.27 |
$459.03
|
|
Cath acuity innr ic130 6f 63cm
|
$587.95 |
$587.95 |
$587.95 |
$3,803.52
|
|
Cath adherent clot 10mm 6f 10
|
$1,720.40 |
$1,720.40 |
$1,720.40 |
$13,074.30
|
|
Cath cv dl inj 7fx16cm
|
$306.35 |
$306.35 |
$306.35 |
$2,712.53
|
|
Cath del ampltz 12f 45d 80cm
|
$65.45 |
$65.45 |
$65.45 |
$1,406.20
|
|
Cath epdrl brevi-stf 12in .043
|
$94.55 |
$94.55 |
$94.55 |
$1,877.15
|
|
Catheterization collection of specimen single patient all places of service
|
$62.70 |
$62.70 |
$62.70 |
$57.20
|
|
Cath groshong MRI 8fr plstc port
|
$347.88 |
$347.88 |
$347.88 |
$1,290.87
|
|
Cath hawkone s directional
|
$3,992.22 |
$3,992.22 |
$3,992.22 |
$6,285.56
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,012.55 |
$1,012.55 |
$1,012.55 |
$3,053.12
|
|
Cathj umbilical vein dx/ther nb
|
$144.65 |
$144.65 |
$144.65 |
$268.73
|
|
Cath left heart/lv gram
|
$8,844.00 |
$8,844.00 |
$8,844.00 |
$7,524.72
|
|
Cath lt/rt pulm art
|
$856.35 |
$856.35 |
$856.35 |
$1,527.00
|
|
Cath place 1st order venous 36011
|
$814.00 |
$814.00 |
$814.00 |
$1,492.70
|
|
Cath plc art ang/grft lt/rt hr
|
$10,833.35 |
$10,833.35 |
$10,833.35 |
$11,883.50
|
|
Cath plc art/angio/rt hrt cath
|
$6,448.75 |
$6,448.75 |
$6,448.75 |
$10,201.75
|
|
Cath plc art/grft/angio right hrt
|
$13,765.40 |
$13,765.40 |
$13,765.40 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$5,701.30 |
$5,701.30 |
$5,701.30 |
$6,356.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$84.70 |
$84.70 |
$84.70 |
$474.40
|
|
Cath steerable flex adv 12f
|
$287.84 |
$287.84 |
$287.84 |
$2,139.50
|
|
Cauterization chemical granulation tissue
|
$275.00 |
$275.00 |
$275.00 |
$354.00
|
|
#cbg+cort-cbg
|
$66.55 |
$66.55 |
$66.55 |
$66.55
|
|
Cdna analysis for variants
|
$253.55 |
$253.55 |
$253.55 |
$581.00
|
|
#celiac hla-dq8
|
$245.30 |
$245.30 |
$245.30 |
$246.88
|
|
Cell count body fluid
|
$100.10 |
$100.10 |
$100.10 |
$63.52
|
|
Cell count w differential body fluid
|
$106.70 |
$106.70 |
$106.70 |
$97.83
|
|
Cell function assay w/stim
|
$195.25 |
$195.25 |
$195.25 |
$335.20
|
|
Cervical or vaginal cancer screening g0101
|
$31.28 |
$31.28 |
$31.28 |
$102.38
|
|
#cf-97variants
|
$704.00 |
$704.00 |
$704.00 |
$612.26
|
|
Change cystostomy tube simple
|
$475.75 |
$475.75 |
$475.75 |
$497.50
|
