|
Blood Culture Test
|
$75.00 |
$75.00 |
$75.00 |
$146.16
|
|
Blood draw capillary 36416
|
$7.80 |
$7.80 |
$7.80 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$7.80 |
$7.80 |
$7.80 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$299.40 |
$299.40 |
$299.40 |
$226.50
|
|
Blood gases ph venous
|
$83.40 |
$83.40 |
$83.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$22.20 |
$22.20 |
$22.20 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.40 |
$20.40 |
$20.40 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$55.80 |
$55.80 |
$55.80 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$40.80 |
$40.80 |
$40.80 |
$38.35
|
|
Blood split unit
|
$315.00 |
$315.00 |
$315.00 |
$282.88
|
|
Blood Transfusion
|
$416.40 |
$416.40 |
$416.40 |
$989.60
|
|
Blood typing abo
|
$33.00 |
$33.00 |
$33.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$128.40 |
$128.40 |
$128.40 |
$207.60
|
|
Blood typing patient serum
|
$169.20 |
$169.20 |
$169.20 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$49.80 |
$49.80 |
$49.80 |
$211.90
|
|
Blood typing rh (d)
|
$66.60 |
$66.60 |
$66.60 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$85.20 |
$85.20 |
$85.20 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$115.80 |
$115.80 |
$115.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$240.00 |
$240.00 |
$240.00 |
$407.94
|
|
Bone marrow interpretation
|
$140.40 |
$140.40 |
$140.40 |
$542.03
|
|
Bone survey-lead poisoning
|
$462.60 |
$462.60 |
$462.60 |
$387.00
|
|
Boot j walker l
|
$1,594.20 |
$1,594.20 |
$1,594.20 |
$234.00
|
|
Boot walker genesis full shell 3-strap s
|
$831.00 |
$831.00 |
$831.00 |
$439.09
|
|
Borrelia antibody
|
$224.40 |
$224.40 |
$224.40 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$91.20 |
$91.20 |
$91.20 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$201.00 |
$201.00 |
$201.00 |
$82.55
|
|
Brace ank air stirrup univ
|
$302.40 |
$302.40 |
$302.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$302.40 |
$302.40 |
$302.40 |
$122.82
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$141.00 |
$141.00 |
$141.00 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$189.00 |
$189.00 |
$189.00 |
$257.45
|
|
Brace wrist classic lft sm
|
$223.20 |
$223.20 |
$223.20 |
$89.04
|
|
Braf gene
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,892.40 |
$1,892.40 |
$1,892.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,884.20 |
$2,884.20 |
$2,884.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,566.60 |
$4,566.60 |
$4,566.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$1,948.00
|
|
Brca1&2 gen ful dup/del alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$960.96
|
|
Brca1 dna gene analy known fam var
|
$235.80 |
$235.80 |
$235.80 |
$517.85
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,637.00 |
$2,637.00 |
$2,637.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$108.00 |
$108.00 |
$108.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$808.20 |
$808.20 |
$808.20 |
$871.80
|
|
Bronchoscopy/lung bx each 31628
|
$4,327.80 |
$4,327.80 |
$4,327.80 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$4,327.80 |
$4,327.80 |
$4,327.80 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$4,300.20 |
$4,300.20 |
$4,300.20 |
$2,168.40
|
|
Br punct aspir ea add, l
|
$401.40 |
$401.40 |
$401.40 |
$357.51
|
|
Budesonide non-comp unit
|
$1,807.20 |
$1,807.20 |
$1,807.20 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$19.60 |
$19.60 |
$19.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$49.80 |
$49.80 |
$49.80 |
$159.00
|
|
Bundled special stain group 2
|
$49.80 |
$49.80 |
$49.80 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.80 |
$0.80 |
$0.80 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$13.80 |
$13.80 |
$13.80 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$25.00 |
$25.00 |
$25.00 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$7,360.20 |
$7,360.20 |
$7,360.20 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$7,360.20 |
$7,360.20 |
$7,360.20 |
$3,864.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$3,576.00 |
$3,576.00 |
$3,576.00 |
$1,312.15
|
|
Bx skin punch ea sep/ addl les
|
$706.20 |
$706.20 |
$706.20 |
$230.75
|
|
Bx thyroid/percutan core needle 60100
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$963.80
|
|
Bypass temp external fem-fem
|
$1,757.40 |
$1,757.40 |
$1,757.40 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$213.60 |
$213.60 |
$213.60 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,437.60 |
$9,437.60 |
$9,437.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$41.40 |
$41.40 |
$41.40 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.80 |
$0.80 |
$0.80 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.80 |
$0.80 |
$0.80 |
$91.60
|
|
Calcium ionized
|
$75.00 |
$75.00 |
$75.00 |
$90.00
|
|
Calcium total
|
$33.00 |
$33.00 |
$33.00 |
$50.00
|
|
Calprotectin fecal
|
$316.80 |
$316.80 |
$316.80 |
$170.00
|
|
Candida dna
|
$370.20 |
$370.20 |
$370.20 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$13.80 |
$13.80 |
$13.80 |
$44,000.00
|
|
Cap trach decann 15mm
|
$405.00 |
$405.00 |
$405.00 |
$3,238.70
|
|
Carbamazepine free
|
$163.80 |
$163.80 |
$163.80 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$83.40 |
$83.40 |
$83.40 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$127.20 |
$127.20 |
$127.20 |
$116.40
|
|
Carbohydrate urine - sendout
|
$36.60 |
$36.60 |
$36.60 |
$66.64
|
|
Carbon dioxide
|
$30.00 |
$30.00 |
$30.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$30.00 |
$30.00 |
$30.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$91.20 |
$91.20 |
$91.20 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,540.20 |
$1,540.20 |
$1,540.20 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$121.20 |
$121.20 |
$121.20 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$91.20 |
$91.20 |
$91.20 |
$204.54
|
|
Cardiolipin antibody iga
|
$125.40 |
$125.40 |
$125.40 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$793.20 |
$793.20 |
$793.20 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$105.00 |
$105.00 |
$105.00 |
$97.01
|
|
Carotene
|
$177.60 |
$177.60 |
$177.60 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$499.20 |
$499.20 |
$499.20 |
$1,024.32
|
|
Ca screen;flexi sigmoidscope
|
$598.20 |
$598.20 |
$598.20 |
$1,278.72
|
|
Caspofungin acetate
|
$2,155.20 |
$2,155.20 |
$2,155.20 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$161.40 |
$161.40 |
$161.40 |
$830.58
|
|
Cath baloon occl urnry 34f 7x2x65
|
$1,946.40 |
$1,946.40 |
$1,946.40 |
$6,882.20
|
|
Cath council tip 16fr 5cc
|
$27.00 |
$27.00 |
$27.00 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$4,488.99
|
|
Cath entrl fd nutri 5fr 40cm
|
$14.40 |
$14.40 |
$14.40 |
$18.40
|
|
Catheterization collection of specimen single patient all places of service
|
$100.20 |
$100.20 |
$100.20 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$2,371.80 |
$2,371.80 |
$2,371.80 |
$1,690.71
|
|
Cath indw foley 3 way
|
$81.00 |
$81.00 |
$81.00 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$50.40 |
$50.40 |
$50.40 |
$13.23
|
|
Cath malecot 28fr 4-wing ltx
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$453.00 |
$453.00 |
$453.00 |
$64.06
|
