|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$560.80 |
$560.80 |
$560.80 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$959.20 |
$959.20 |
$959.20 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$526.40 |
$526.40 |
$526.40 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$660.00 |
$660.00 |
$660.00 |
$726.66
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$968.00 |
$968.00 |
$968.00 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$865.20
|
|
Assay alkaline phosphatase
|
$34.40 |
$34.40 |
$34.40 |
$42.60
|
|
Assay dir meas fr estradiol
|
$114.40 |
$114.40 |
$114.40 |
$67.62
|
|
Assay of interleukin-6 (il-6)
|
$70.40 |
$70.40 |
$70.40 |
$79.68
|
|
Assay of leflunomide
|
$86.40 |
$86.40 |
$86.40 |
$92.50
|
|
Assay of procainamide w/metab
|
$69.60 |
$69.60 |
$69.60 |
$70.50
|
|
Assay of urine sulfate
|
$22.40 |
$22.40 |
$22.40 |
$28.20
|
|
Ast/sgot
|
$21.60 |
$21.60 |
$21.60 |
$45.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$126.60 |
$126.60 |
$126.60 |
$53.24
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$201.60 |
$201.60 |
$201.60 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$3.25
|
|
Azithromycin 500 mg intravenous solution
|
$23.40 |
$23.40 |
$23.40 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$541.80 |
$541.80 |
$541.80 |
$157.30
|
|
Baclofen eval charges
|
$138.40 |
$138.40 |
$138.40 |
$87.50
|
|
Bacterial meningitis antigen
|
$48.00 |
$48.00 |
$48.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$292.00 |
$292.00 |
$292.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$140.00 |
$140.00 |
$140.00 |
$109.20
|
|
B cells total count
|
$157.60 |
$157.60 |
$157.60 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$239.40 |
$239.40 |
$239.40 |
$106.46
|
|
Beta 2 glycoprotein 1 antibody iga
|
$105.60 |
$105.60 |
$105.60 |
$82.20
|
|
Beta-2 microglobulin
|
$67.20 |
$67.20 |
$67.20 |
$84.75
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$358.00 |
$358.00 |
$358.00 |
$65.00
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,796.40 |
$5,796.40 |
$5,796.40 |
$2,674.22
|
|
B-hexosaminidase ea assay
|
$69.60 |
$69.60 |
$69.60 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$586.30
|
|
Bilicheck
|
$24.80 |
$24.80 |
$24.80 |
$27.00
|
|
Bilirubin direct
|
$24.80 |
$24.80 |
$24.80 |
$50.40
|
|
Bilirubin total
|
$10.00 |
$10.00 |
$10.00 |
$53.84
|
|
Binder abdominal lg 12 x 62-74
|
$80.80 |
$80.80 |
$80.80 |
$50.14
|
|
Biopsy abdominal mass
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$1,716.00
|
|
Biopsy bone trocar/needle superficial
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
$1,680.35
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,452.80 |
$1,452.80 |
$1,452.80 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$1,632.98
|
|
Biopsy needle liver percutaneous
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$1,827.42
|
|
Biopsy needle lymph node superficial
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$1,879.09
|
|
Biopsy of salivary gland 42400
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$2,092.00
|
|
Bivalirudin
|
$1,366.60 |
$1,366.60 |
$1,366.60 |
$1,038.91
|
|
Bladder irrigate/lavage/instill 51700
|
$475.20 |
$475.20 |
$475.20 |
$408.00
|
|
Bld prd mix
|
$653.60 |
$653.60 |
$653.60 |
$140.25
|
|
Blood Clotting (PT/INR) Test
|
$15.00 |
$15.00 |
$15.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$30.00 |
$30.00 |
$30.00 |
$73.80
|
|
Blood Count (CBC) Test
|
$15.00 |
$15.00 |
$15.00 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$15.00 |
$15.00 |
$15.00 |
$61.80
|
|
Blood Culture Test
|
$42.40 |
$42.40 |
$42.40 |
$145.60
|
|
Blood draw capillary 36416
|
$19.20 |
$19.20 |
$19.20 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$331.20 |
$331.20 |
$331.20 |
$226.20
|
|
Blood gases ph venous
|
$44.80 |
$44.80 |
$44.80 |
$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
|
$17.60 |
$17.60 |
$17.60 |
$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
|
$202.40 |
$202.40 |
$202.40 |
$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
|
|
Blood typing rh phenotype complete reference
|
$141.60 |
$141.60 |
$141.60 |
$86.33
|
|
Bone Density Scan (DEXA)
|
$237.00 |
$237.00 |
$237.00 |
$398.56
|
|
Bone imaging multiple areas
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,035.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$1,667.40
|
|
Bone marrow imaging ltd
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$811.00
|
|
Bone marrow interpretation
|
$3,230.40 |
$3,230.40 |
$3,230.40 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$70.40 |
$70.40 |
$70.40 |
$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
|
$6,469.00 |
$6,469.00 |
$6,469.00 |
$2,880.64
|
|
(both sides) smear without diff wbc count
|
$17.60 |
$17.60 |
$17.60 |
$30.68
|
|
Bowel imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,065.53
|
|
Brain flow imaging only
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$677.66
|
|
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)
|
$1,553.60 |
$1,553.60 |
$1,553.60 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$550.40 |
$550.40 |
$550.40 |
$863.10
|
|
Bronchial allergy tests
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$734.40
|
|
Bronchial challenge
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$805.90
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$2,132.40
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$46.40 |
$46.40 |
$46.40 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$210.40 |
$210.40 |
$210.40 |
$154.70
|
|
Bundled special stain group 2
|
$144.00 |
$144.00 |
$144.00 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$40.80 |
$40.80 |
$40.80 |
$33.08
|
|
Butorphanol tartrate 1 mg
|
$127.20 |
$127.20 |
$127.20 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,640.80 |
$2,640.80 |
$2,640.80 |
$2,347.69
|
|
Bx breast 1st lesion strtctc
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$867.20 |
$867.20 |
$867.20 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$858.40 |
$858.40 |
$858.40 |
$1,604.40
|
|
Bx breast pq tomo guide
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
$4,428.15
|
|
Bx pancreas pq ndl
|
$2,881.60 |
$2,881.60 |
$2,881.60 |
$1,585.20
|
|
Bx pleura pq ndl
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
$1,608.00
|
