|
Blood Clotting (PT/INR) Test
|
$30.60 |
$30.60 |
$30.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$44.40 |
$44.40 |
$44.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$42.60 |
$42.60 |
$42.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$46.80 |
$46.80 |
$46.80 |
$62.28
|
|
Blood Culture Test
|
$73.80 |
$73.80 |
$73.80 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$18.00 |
$18.00 |
$18.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$130.20 |
$130.20 |
$130.20 |
$226.50
|
|
Blood gases ph venous
|
$65.40 |
$65.40 |
$65.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$74.40 |
$74.40 |
$74.40 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$13.80 |
$13.80 |
$13.80 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.80 |
$19.80 |
$19.80 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$34.20 |
$34.20 |
$34.20 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$27.00 |
$27.00 |
$27.00 |
$38.35
|
|
Blood Transfusion
|
$311.40 |
$311.40 |
$311.40 |
$989.60
|
|
Blood typing abo
|
$21.60 |
$21.60 |
$21.60 |
$86.45
|
|
Blood typing ag donor ea ag
|
$91.80 |
$91.80 |
$91.80 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$24.00 |
$24.00 |
$24.00 |
$211.90
|
|
Blood typing rh (d)
|
$75.00 |
$75.00 |
$75.00 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$145.80 |
$145.80 |
$145.80 |
$252.75
|
|
Bone biopsy open superficial
|
$515.40 |
$515.40 |
$515.40 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$351.60 |
$351.60 |
$351.60 |
$407.94
|
|
Bone/joint imaging ltd area
|
$595.80 |
$595.80 |
$595.80 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$279.00 |
$279.00 |
$279.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$207.00 |
$207.00 |
$207.00 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$301.20 |
$301.20 |
$301.20 |
$387.00
|
|
Boot heel care softcare one sz
|
$49.80 |
$49.80 |
$49.80 |
$24.00
|
|
Boot softgait shrt m
|
$107.40 |
$107.40 |
$107.40 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$80.40 |
$80.40 |
$80.40 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$3,991.20 |
$3,991.20 |
$3,991.20 |
$2,915.40
|
|
Bowel imaging
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$1,074.00
|
|
Brace afo lg left 6607
|
$383.40 |
$383.40 |
$383.40 |
$461.76
|
|
Brace ank air stirrup univ
|
$232.80 |
$232.80 |
$232.80 |
$108.67
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$107.40 |
$107.40 |
$107.40 |
$105.30
|
|
Brace wrist classic lft sm
|
$283.80 |
$283.80 |
$283.80 |
$89.04
|
|
Braf gene
|
$737.40 |
$737.40 |
$737.40 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$977.40 |
$977.40 |
$977.40 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$419.40 |
$419.40 |
$419.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$140.40 |
$140.40 |
$140.40 |
$274.65
|
|
Breath hydrogen test 91065
|
$196.20 |
$196.20 |
$196.20 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$31,562.40 |
$31,562.40 |
$31,562.40 |
$22,383.57
|
|
Brief comunicaj tech-bsd svc
|
$18.60 |
$18.60 |
$18.60 |
$30.40
|
|
Bronchial challenge
|
$114.60 |
$114.60 |
$114.60 |
$820.05
|
|
Bundled special stain group 1 microorganisms
|
$220.80 |
$220.80 |
$220.80 |
$159.00
|
|
Bundled special stain group 2
|
$180.60 |
$180.60 |
$180.60 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$99.00 |
$99.00 |
$99.00 |
$80.64
|
|
Buprenorphine hydrochloride
|
$20.40 |
$20.40 |
$20.40 |
$42.08
|
|
Buprenorphine oral 1mg
|
$9.60 |
$9.60 |
$9.60 |
$10.70
|
|
Butorphanol tartrate 1 mg
|
$6.00 |
$6.00 |
$6.00 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$363.00 |
$363.00 |
$363.00 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$421.80 |
$421.80 |
$421.80 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$337.80 |
$337.80 |
$337.80 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$334.20 |
$334.20 |
$334.20 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$183.00 |
$183.00 |
$183.00 |
$1,312.15
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$939.00 |
$939.00 |
$939.00 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$411.00 |
$411.00 |
$411.00 |
$4,184.94
|
|
Bx liver with other
|
$213.00 |
$213.00 |
$213.00 |
$601.53
|
|
Bx muscle
|
$347.40 |
$347.40 |
$347.40 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$262.20 |
$262.20 |
$262.20 |
$3,213.60
|
|
Bx of breast open 19101
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$4,531.42
|
|
Bx skin incisnl ea sep/add l les
|
$46.80 |
$46.80 |
$46.80 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$258.60 |
$258.60 |
$258.60 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$39.00 |
$39.00 |
$39.00 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$293.40 |
$293.40 |
$293.40 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$93.60 |
$93.60 |
$93.60 |
$963.80
|
|
Bypass temp external fem-fem
|
$74.40 |
$74.40 |
$74.40 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$119.40 |
$119.40 |
$119.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$35,520.60 |
$35,520.60 |
$35,520.60 |
$27,013.07
|
|
Cable cath 22-pin diag
|
$570.60 |
$570.60 |
$570.60 |
$4,946.50
|
|
Caffeine citrate 20 mg/ml inj for po
|
$6.60 |
$6.60 |
$6.60 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,067.40 |
$4,067.40 |
$4,067.40 |
$2,210.98
|
|
Calcium 24 hour urine
|
$44.40 |
$44.40 |
$44.40 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$29.40 |
$29.40 |
$29.40 |
$64.49
|
|
Calcium ionized
|
$94.80 |
$94.80 |
$94.80 |
$90.00
|
|
Calcium total
|
$40.20 |
$40.20 |
$40.20 |
$50.00
|
|
Calculi urinary-sendout
|
$124.20 |
$124.20 |
$124.20 |
$66.00
|
|
Calculus analysis qual
|
$138.60 |
$138.60 |
$138.60 |
$81.90
|
|
Caloric vstblr test w/rec
|
$13.80 |
$13.80 |
$13.80 |
$315.28
|
|
Calprotectin fecal
|
$178.80 |
$178.80 |
$178.80 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$3,813.00 |
$3,813.00 |
$3,813.00 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$3,820.20 |
$3,820.20 |
$3,820.20 |
$18,466.88
|
|
Capsulectomy/capsulotomy hip
|
$1,843.80 |
$1,843.80 |
$1,843.80 |
$3,738.80
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$507.00 |
$507.00 |
$507.00 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$754.20 |
$754.20 |
$754.20 |
$3,594.44
|
|
Carbamazepine total therapeutic drug level
|
$100.80 |
$100.80 |
$100.80 |
$122.85
|
|
Carbon dioxide
|
$37.80 |
$37.80 |
$37.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$16.20 |
$16.20 |
$16.20 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$75.00 |
$75.00 |
$75.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$129.60 |
$129.60 |
$129.60 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,367.40 |
$1,367.40 |
$1,367.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$110.40 |
$110.40 |
$110.40 |
$249.60
|
|
Cardiac Stress Test
|
$233.40 |
$233.40 |
$233.40 |
$214.50
|
|
Cardiolipin antibody iga
|
$345.00 |
$345.00 |
$345.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$807.60 |
$807.60 |
$807.60 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$102.00 |
$102.00 |
$102.00 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$50.40 |
$50.40 |
$50.40 |
$51.52
|
