|
Arm CT Scan (with contrast, both arms)
|
$1,006.80 |
$1,006.80 |
$1,006.80 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$833.40 |
$833.40 |
$833.40 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$180.00 |
$180.00 |
$180.00 |
$426.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$199.20 |
$199.20 |
$199.20 |
$609.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$418.80 |
$418.80 |
$418.80 |
$494.40
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$3,262.20 |
$3,262.20 |
$3,262.20 |
$4,670.40
|
|
Arthrt ac sc jt exp/rmvl fb
|
$3,138.00 |
$3,138.00 |
$3,138.00 |
$3,786.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,492.20 |
$1,492.20 |
$1,492.20 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$238.80 |
$238.80 |
$238.80 |
$441.30
|
|
Aspir/inj thyroid cyst 60300
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$872.50
|
|
Assay acid phosphatase
|
$99.60 |
$99.60 |
$99.60 |
$38.22
|
|
Assay of adp & amp
|
$335.40 |
$335.40 |
$335.40 |
$169.65
|
|
Assay of breath ethanol
|
$39.00 |
$39.00 |
$39.00 |
$52.62
|
|
Assay of estrogen
|
$619.20 |
$619.20 |
$619.20 |
$208.74
|
|
Assay of feces porphyrins
|
$390.00 |
$390.00 |
$390.00 |
$134.38
|
|
Assay of fluoride
|
$122.40 |
$122.40 |
$122.40 |
$96.85
|
|
Assay of lap enzyme
|
$134.40 |
$134.40 |
$134.40 |
$72.00
|
|
Assay of osteocalcin
|
$317.40 |
$317.40 |
$317.40 |
$93.60
|
|
Assay of procainamide w/metab
|
$205.20 |
$205.20 |
$205.20 |
$73.80
|
|
Assay of progesterone
|
$523.80 |
$523.80 |
$523.80 |
$261.31
|
|
Assay of tyrosine
|
$129.60 |
$129.60 |
$129.60 |
$56.10
|
|
Assay of urine sulfate
|
$27.60 |
$27.60 |
$27.60 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$225.00 |
$225.00 |
$225.00 |
$300.00
|
|
Assess cyst contrast inject
|
$77.40 |
$77.40 |
$77.40 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$45.00 |
$45.00 |
$45.00 |
$46.80
|
|
Ast/sgot
|
$46.20 |
$46.20 |
$46.20 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$28.20 |
$28.20 |
$28.20 |
$53.24
|
|
Automated diff wbc count
|
$108.00 |
$108.00 |
$108.00 |
$36.30
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$157.20 |
$157.20 |
$157.20 |
$326.27
|
|
Azithromycin 500 mg intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$85.20 |
$85.20 |
$85.20 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$160.80 |
$160.80 |
$160.80 |
$157.30
|
|
Baclofen eval charges
|
$69.60 |
$69.60 |
$69.60 |
$87.50
|
|
Bacterial meningitis antigen
|
$133.20 |
$133.20 |
$133.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$341.40 |
$341.40 |
$341.40 |
$287.04
|
|
Bactericidal level serum
|
$275.40 |
$275.40 |
$275.40 |
$121.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$90.60 |
$90.60 |
$90.60 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$523.80 |
$523.80 |
$523.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$395.40 |
$395.40 |
$395.40 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$349.20 |
$349.20 |
$349.20 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$381.00 |
$381.00 |
$381.00 |
$195.25
|
|
B cells total count
|
$283.80 |
$283.80 |
$283.80 |
$132.48
|
|
Bedside drainage bag
|
$12.00 |
$12.00 |
$12.00 |
$19.10
|
|
Behavior counsel obesity 15min medicare g0447
|
$165.60 |
$165.60 |
$165.60 |
$105.00
|
|
Benign lesion paring 2-4
|
$39.00 |
$39.00 |
$39.00 |
$264.60
|
|
Benign lesion paring 4+
|
$141.00 |
$141.00 |
$141.00 |
$298.50
|
|
#_benzodiazconfur
|
$217.80 |
$217.80 |
$217.80 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$193.80 |
$193.80 |
$193.80 |
$82.55
|
|
Beta-2 microglobulin
|
$189.60 |
$189.60 |
$189.60 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$24.00 |
$24.00 |
$24.00 |
$65.00
|
|
Bilateral n block inj occipital 64405
|
$646.20 |
$646.20 |
$646.20 |
$820.97
|
|
Bilirubin direct
|
$46.20 |
$46.20 |
$46.20 |
$51.35
|
|
Bilirubin total
|
$46.20 |
$46.20 |
$46.20 |
$54.60
|
|
Biopsy abdominal mass
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$1,722.60
|
|
Biopsy muscle percutaneous needle
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$1,895.76
|
|
Biopsy of prostate
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$2,419.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,345.20 |
$1,345.20 |
$1,345.20 |
$2,462.35
|
|
Bladder Catheter Insertion (simple)
|
$328.80 |
$328.80 |
$328.80 |
$232.30
|
|
Bladder irrigation tubing
|
$65.40 |
$65.40 |
$65.40 |
$12.32
|
|
Bln 30frx10mmx12cm renal nephromax
|
$407.40 |
$407.40 |
$407.40 |
$5,330.60
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$16.20 |
$16.20 |
$16.20 |
$34.40
|
|
Block tap inj(s) w/wo img bi
|
$2,994.60 |
$2,994.60 |
$2,994.60 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$1,811.40 |
$1,811.40 |
$1,811.40 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$40.80 |
$40.80 |
$40.80 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$40.80 |
$40.80 |
$40.80 |
$74.00
|
|
Blood Count (CBC) Test
|
$79.20 |
$79.20 |
$79.20 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$40.20 |
$40.20 |
$40.20 |
$62.28
|
|
Blood Culture Test
|
$56.40 |
$56.40 |
$56.40 |
$146.16
|
|
Blood draw capillary 36416
|
$33.60 |
$33.60 |
$33.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$18.00 |
$18.00 |
$18.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$195.00 |
$195.00 |
$195.00 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$58.20 |
$58.20 |
$58.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$32.40 |
$32.40 |
$32.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$30.00 |
$30.00 |
$30.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$11.40 |
$11.40 |
$11.40 |
$34.98
|
|
Blood smear interpretation
|
$79.20 |
$79.20 |
$79.20 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$58.20 |
$58.20 |
$58.20 |
$38.35
|
|
Blood Transfusion
|
$790.80 |
$790.80 |
$790.80 |
$989.60
|
|
Blood typing abo
|
$88.80 |
$88.80 |
$88.80 |
$86.45
|
|
Blood typing ag donor ea ag
|
$106.20 |
$106.20 |
$106.20 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$134.40 |
$134.40 |
$134.40 |
$211.90
|
|
Blood typing rh (d)
|
$80.40 |
$80.40 |
$80.40 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$214.20 |
$214.20 |
$214.20 |
$88.00
|
|
Blood volume
|
$580.20 |
$580.20 |
$580.20 |
$1,039.20
|
|
Bone Age X-ray (hand and wrist)
|
$100.20 |
$100.20 |
$100.20 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$212.40 |
$212.40 |
$212.40 |
$407.94
|
|
Bone imaging (3d)
|
$705.00 |
$705.00 |
$705.00 |
$1,261.00
|
|
Bone imaging multiple areas
|
$559.20 |
$559.20 |
$559.20 |
$1,194.00
|
|
Bone marrow;aspiration only 38220
|
$972.60 |
$972.60 |
$972.60 |
$1,618.00
|
|
Bone mineral single photon
|
$96.00 |
$96.00 |
$96.00 |
$442.40
|
|
Bone survey-lead poisoning
|
$247.20 |
$247.20 |
$247.20 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$92.40 |
$92.40 |
$92.40 |
$93.60
|
|
(both sides) smear without diff wbc count
|
$57.00 |
$57.00 |
$57.00 |
$30.68
|
|
Bowel imaging
|
$587.40 |
$587.40 |
$587.40 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$111.00 |
$111.00 |
$111.00 |
$105.30
|
|
Brain flow imaging only
|
$575.40 |
$575.40 |
$575.40 |
$677.66
|
|
Brain image w/flow 4 + views
|
$683.40 |
$683.40 |
$683.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,168.80 |
$4,168.80 |
$4,168.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$2,136.60
|
