|
Blood Culture Test
|
$51.20 |
$51.20 |
$51.20 |
$145.60
|
|
Blood draw capillary 36416
|
$16.00 |
$16.00 |
$16.00 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$393.60 |
$393.60 |
$393.60 |
$226.20
|
|
Blood gases ph venous
|
$55.20 |
$55.20 |
$55.20 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$36.00 |
$36.00 |
$36.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.80 |
$16.80 |
$16.80 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$15.00 |
$15.00 |
$15.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$21.60 |
$21.60 |
$21.60 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$18.40 |
$18.40 |
$18.40 |
$38.35
|
|
Blood split unit
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$282.88
|
|
Blood typing abo
|
$146.00 |
$146.00 |
$146.00 |
$84.75
|
|
Blood typing ag donor ea ag
|
$166.40 |
$166.40 |
$166.40 |
$204.84
|
|
Blood typing rbc ag non abo/rh ea
|
$257.60 |
$257.60 |
$257.60 |
$206.33
|
|
Blood typing rh (d)
|
$43.00 |
$43.00 |
$43.00 |
$57.14
|
|
Bone biopsy open superficial
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$3,851.40
|
|
Bone Density Scan (DEXA)
|
$237.00 |
$237.00 |
$237.00 |
$398.56
|
|
Bone/joint imaging ltd area
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,035.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,457.60 |
$1,457.60 |
$1,457.60 |
$1,667.40
|
|
Bone marrow imaging ltd
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$811.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$84.80 |
$84.80 |
$84.80 |
$91.20
|
|
Borrelia miyamotoi amp prb
|
$162.40 |
$162.40 |
$162.40 |
$81.20
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$78.20 |
$78.20 |
$78.20 |
$2,880.64
|
|
(both sides) smear without diff wbc count
|
$18.40 |
$18.40 |
$18.40 |
$30.68
|
|
Brace ank air stirrup univ
|
$124.80 |
$124.80 |
$124.80 |
$108.67
|
|
Brace m arm board
|
$53.60 |
$53.60 |
$53.60 |
$162.50
|
|
Brace wrist classic lft sm
|
$89.60 |
$89.60 |
$89.60 |
$89.04
|
|
Brach/thor cath 1st
|
$924.80 |
$924.80 |
$924.80 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$1,733.60 |
$1,733.60 |
$1,733.60 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,983.11
|
|
Brach/thor cath addl
|
$231.20 |
$231.20 |
$231.20 |
$868.00
|
|
Brachy source yttrium-90
|
$39,247.20 |
$39,247.20 |
$39,247.20 |
$30,870.00
|
|
Braf gene
|
$739.20 |
$739.20 |
$739.20 |
$436.47
|
|
Brain image w/flow 4 + views
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$734.50 |
$734.50 |
$734.50 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$473.50 |
$473.50 |
$473.50 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$701.50 |
$701.50 |
$701.50 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$635.50 |
$635.50 |
$635.50 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$455.00 |
$455.00 |
$455.00 |
$1,932.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,100.00 |
$4,100.00 |
$4,100.00 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$863.10
|
|
Bronchial allergy tests
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$734.40
|
|
Bronchial challenge
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$805.90
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$11.20 |
$11.20 |
$11.20 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$211.20 |
$211.20 |
$211.20 |
$154.70
|
|
Bundled special stain group 2
|
$171.20 |
$171.20 |
$171.20 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$36.80 |
$36.80 |
$36.80 |
$33.08
|
|
Butorphanol tartrate 1 mg
|
$40.00 |
$40.00 |
$40.00 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,640.80 |
$2,640.80 |
$2,640.80 |
$2,347.69
|
|
Bx breast 1st lesion strtctc
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$867.20 |
$867.20 |
$867.20 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$1,604.40
|
|
Bx skin punch ea sep/ addl les
|
$99.20 |
$99.20 |
$99.20 |
$230.30
|
|
Bx thyroid/percutan core needle 60100
|
$699.20 |
$699.20 |
$699.20 |
$957.60
|
|
Bypass temp external fem-fem
|
$5,223.20 |
$5,223.20 |
$5,223.20 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$60.00 |
$60.00 |
$60.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$629.64 |
$629.64 |
$629.64 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$140.80 |
$140.80 |
$140.80 |
$100.80
|
|
Caffeine citrate 20 mg/ml inj for po
|
$18.00 |
$18.00 |
$18.00 |
$46.64
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,672.40 |
$1,672.40 |
$1,672.40 |
$2,177.05
|
|
Calcium 24 hour urine
|
$24.80 |
$24.80 |
$24.80 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$34.20 |
$34.20 |
$34.20 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$30.40 |
$30.40 |
$30.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$58.00 |
$58.00 |
$58.00 |
$91.60
|
|
Calcium ionized
|
$68.00 |
$68.00 |
$68.00 |
$89.88
|
|
Calcium total
|
$25.60 |
$25.60 |
$25.60 |
$50.00
|
|
Calprotectin fecal
|
$98.40 |
$98.40 |
$98.40 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$5,544.00 |
$5,544.00 |
$5,544.00 |
$42,021.72
|
|
Canthotomy 67715
|
$4,180.80 |
$4,180.80 |
$4,180.80 |
$3,014.70
|
|
Capecitabine, oral, 50 mg
|
$45.80 |
$45.80 |
$45.80 |
$60.00
|
|
Cap nerve 2x15mm
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$19,465.73
|
|
Cap trach decann 15mm
|
$1,046.60 |
$1,046.60 |
$1,046.60 |
$3,045.54
|
|
Carbamazepine free
|
$55.20 |
$55.20 |
$55.20 |
$59.15
|
|
Carbamazepine free -sendout
|
$77.60 |
$77.60 |
$77.60 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$60.80 |
$60.80 |
$60.80 |
$122.85
|
|
Carbon dioxide
|
$24.00 |
$24.00 |
$24.00 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$148.80 |
$148.80 |
$148.80 |
$197.57
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$708.80 |
$708.80 |
$708.80 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$61.60 |
$61.60 |
$61.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$65.00 |
$65.00 |
$65.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$276.00 |
$276.00 |
$276.00 |
$248.00
|
|
Cardiolipin antibody iga
|
$127.20 |
$127.20 |
$127.20 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$1,411.50
|
|
Card MRI veloc flow mapping
|
$200.00 |
$200.00 |
$200.00 |
$601.90
|
|
Carotene
|
$38.40 |
$38.40 |
$38.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$997.10
|
|
Car seat/bed test 60 minutes
|
$137.60 |
$137.60 |
$137.60 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$55.20 |
$55.20 |
$55.20 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$242.40 |
$242.40 |
$242.40 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$6,736.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$216.90 |
$216.90 |
$216.90 |
$6,386.85
|
|
Cath access del ds spyscop 2.0
|
$3,867.60 |
$3,867.60 |
$3,867.60 |
$5,244.39
|
|
Cath acuity innr ic130 6f 63cm
|
$1,004.85 |
$1,004.85 |
$1,004.85 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$1,202.26 |
$1,202.26 |
$1,202.26 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$4,020.72 |
$4,020.72 |
$4,020.72 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$1,197.24 |
$1,197.24 |
$1,197.24 |
$4,231.00
|
|
Cath cv dl inj 7fx16cm
|
$35,640.00 |
$35,640.00 |
$35,640.00 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$204.60 |
$204.60 |
$204.60 |
$2,451.84
|
