|
Blood Count (CBC) Test (without differential)
|
$84.00 |
$84.00 |
$84.00 |
$61.80
|
|
Blood count spun microhematocrit
|
$27.50 |
$27.50 |
$27.50 |
$25.00
|
|
Blood Culture Test
|
$199.50 |
$199.50 |
$199.50 |
$145.60
|
|
Blood draw capillary 36416
|
$18.50 |
$18.50 |
$18.50 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$210.50 |
$210.50 |
$210.50 |
$226.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$63.00 |
$63.00 |
$63.00 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$63.00 |
$63.00 |
$63.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$61.50 |
$61.50 |
$61.50 |
$34.65
|
|
Blood smear interpretation
|
$23.50 |
$23.50 |
$23.50 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$31.00 |
$31.00 |
$31.00 |
$38.35
|
|
Blood typing abo
|
$59.50 |
$59.50 |
$59.50 |
$84.75
|
|
Blood typing ag donor ea ag
|
$121.50 |
$121.50 |
$121.50 |
$204.84
|
|
Blood typing rbc ag non abo/rh ea
|
$121.50 |
$121.50 |
$121.50 |
$206.33
|
|
Blood typing rh (d)
|
$53.50 |
$53.50 |
$53.50 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$137.50 |
$137.50 |
$137.50 |
$86.33
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$10,160.00 |
$10,160.00 |
$10,160.00 |
$12,639.00
|
|
Bone Density Scan (DEXA)
|
$405.50 |
$405.50 |
$405.50 |
$398.56
|
|
Bone filler cerament 10cc
|
$17,216.50 |
$17,216.50 |
$17,216.50 |
$14,950.38
|
|
Bone imaging multiple areas
|
$1,045.50 |
$1,045.50 |
$1,045.50 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$1,035.16
|
|
Bone marrow;aspiration only 38220
|
$784.50 |
$784.50 |
$784.50 |
$1,587.30
|
|
Bone marrow biopsyneedle/trocar 38221
|
$769.00 |
$769.00 |
$769.00 |
$1,667.40
|
|
Bone survey-lead poisoning
|
$363.50 |
$363.50 |
$363.50 |
$371.40
|
|
Bone tendon board add on
|
$225.00 |
$225.00 |
$225.00 |
$7,448.27
|
|
Boot cast sandal rocker med
|
$7.50 |
$7.50 |
$7.50 |
$12.89
|
|
Boot j walker l
|
$141.00 |
$141.00 |
$141.00 |
$234.00
|
|
Boot mlti podous univ xlg
|
$126.00 |
$126.00 |
$126.00 |
$246.13
|
|
Boot softgait shrt m
|
$229.00 |
$229.00 |
$229.00 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$305.00 |
$305.00 |
$305.00 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$372.50 |
$372.50 |
$372.50 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$202.50 |
$202.50 |
$202.50 |
$91.20
|
|
(both sides) smear without diff wbc count
|
$33.50 |
$33.50 |
$33.50 |
$30.68
|
|
Brace afo lg left 6607
|
$292.00 |
$292.00 |
$292.00 |
$476.64
|
|
Brace ank air stirrup univ
|
$49.50 |
$49.50 |
$49.50 |
$108.67
|
|
Brace ankle stablizing lg
|
$43.00 |
$43.00 |
$43.00 |
$125.76
|
|
Brace back pinnacle tlso 464
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$2,531.50
|
|
Brace back t-lso custom
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$3,536.74
|
|
Brace fx hum ovr shldr sm
|
$61.50 |
$61.50 |
$61.50 |
$643.28
|
|
Brace halo bremer l2830
|
$152.50 |
$152.50 |
$152.50 |
$195.59
|
|
Brace knee extender plus 22-30in
|
$793.50 |
$793.50 |
$793.50 |
$767.20
|
|
Brace knee hing pat open med
|
$323.50 |
$323.50 |
$323.50 |
$231.92
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$269.50 |
$269.50 |
$269.50 |
$411.01
|
|
Brace knee support neoprene padded open patella med
|
$36.00 |
$36.00 |
$36.00 |
$215.70
|
|
Brace m arm board
|
$310.50 |
$310.50 |
$310.50 |
$162.50
|
|
Brace ortho exos 28-50in sm
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,125.50 |
$1,125.50 |
$1,125.50 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$300.50 |
$300.50 |
$300.50 |
$250.88
|
|
Brace wrist classic lft sm
|
$133.00 |
$133.00 |
$133.00 |
$89.04
|
|
Brach/thor cath 1st
|
$1,196.50 |
$1,196.50 |
$1,196.50 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$1,341.50 |
$1,341.50 |
$1,341.50 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,087.00 |
$1,087.00 |
$1,087.00 |
$1,983.11
|
|
Brach/thor cath addl
|
$641.00 |
$641.00 |
$641.00 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$59.50 |
$59.50 |
$59.50 |
$70.85
|
|
Brachy source palladium-103 nonstranded
|
$143.50 |
$143.50 |
$143.50 |
$121.68
|
|
Brachy source yttrium-90
|
$43,445.50 |
$43,445.50 |
$43,445.50 |
$30,870.00
|
|
Brachy src stranded c-131
|
$21,758.00 |
$21,758.00 |
$21,758.00 |
$210.96
|
|
Brain flow imaging only
|
$825.50 |
$825.50 |
$825.50 |
$677.66
|
|
Brain image w/flow 4 + views
|
$535.50 |
$535.50 |
$535.50 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,801.50 |
$1,801.50 |
$1,801.50 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$2,678.50 |
$2,678.50 |
$2,678.50 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$2,375.50 |
$2,375.50 |
$2,375.50 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$94.00 |
$94.00 |
$94.00 |
$127.73
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,730.50 |
$1,730.50 |
$1,730.50 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$844.50 |
$844.50 |
$844.50 |
$863.10
|
|
Bronchial challenge
|
$661.00 |
$661.00 |
$661.00 |
$805.90
|
|
Br punct aspir ea add, l
|
$423.00 |
$423.00 |
$423.00 |
$356.50
|
|
Bundled special stain group 1 microorganisms
|
$118.00 |
$118.00 |
$118.00 |
$154.70
|
|
Bundled special stain group 2
|
$120.00 |
$120.00 |
$120.00 |
$170.65
|
|
Bur rotalink 2.15mm
|
$9,437.00 |
$9,437.00 |
$9,437.00 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$2,741.50 |
$2,741.50 |
$2,741.50 |
$2,347.69
|
|
Bx breast 1st lesion strtctc
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$1,598.50 |
$1,598.50 |
$1,598.50 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$1,323.50 |
$1,323.50 |
$1,323.50 |
$1,604.40
|
|
Bx breast perq without image 19100
|
$813.50 |
$813.50 |
$813.50 |
$1,250.00
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$4,135.34
|
|
Bx pancreas pq ndl
|
$1,489.50 |
$1,489.50 |
$1,489.50 |
$1,585.20
|
|
Bx thyroid/percutan core needle 60100
|
$834.50 |
$834.50 |
$834.50 |
$957.60
|
|
C1 esterase inhibitor func - sendout
|
$192.50 |
$192.50 |
$192.50 |
$96.72
|
|
Cable cath 22-pin diag
|
$3,916.50 |
$3,916.50 |
$3,916.50 |
$4,946.50
|
|
Cable centrimag pressure
|
$6,993.50 |
$6,993.50 |
$6,993.50 |
$9,015.12
|
|
Cadd pump refill
|
$331.00 |
$331.00 |
$331.00 |
$380.00
|
|
Calcium 24 hour urine
|
$79.00 |
$79.00 |
$79.00 |
$52.00
|
|
Calcium ionized
|
$121.00 |
$121.00 |
$121.00 |
$89.88
|
|
Calcium total
|
$63.00 |
$63.00 |
$63.00 |
$50.00
|
|
Calprotectin fecal
|
$326.50 |
$326.50 |
$326.50 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$62,166.50 |
$62,166.50 |
$62,166.50 |
$42,021.72
|
|
Cap nerve 2x15mm
|
$68,339.00 |
$68,339.00 |
$68,339.00 |
$19,465.73
|
|
Cap trach decann 15mm
|
$5,968.00 |
$5,968.00 |
$5,968.00 |
$3,045.54
|
|
Carbamazepine total therapeutic drug level
|
$169.50 |
$169.50 |
$169.50 |
$122.85
|
|
Carbohydrate urine - sendout
|
$84.50 |
$84.50 |
$84.50 |
$66.64
|
|
Carbon dioxide
|
$44.00 |
$44.00 |
$44.00 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$97.00 |
$97.00 |
$97.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$155.50 |
$155.50 |
$155.50 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$183.00 |
$183.00 |
$183.00 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$92.00 |
$92.00 |
$92.00 |
$203.34
|
|
Cardiolipin antibody iga
|
$210.50 |
$210.50 |
$210.50 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$1,411.50
|
