|
Avulsion nail plate partial/complete simple single nail plate
|
$242.88 |
$242.88 |
$242.88 |
$333.00
|
|
Azathioprine 50 mg tablet
|
$3.33 |
$3.33 |
$3.33 |
$3.87
|
|
Azithromycin 500 mg intravenous solution
|
$66.57 |
$66.57 |
$66.57 |
$39.19
|
|
Azithromycin dihydrate, oral
|
$114.16 |
$114.16 |
$114.16 |
$48.23
|
|
Aztreonam 1 gram solution for injection
|
$158.74 |
$158.74 |
$158.74 |
$157.30
|
|
Baclofen eval charges
|
$24.75 |
$24.75 |
$24.75 |
$85.00
|
|
Bacterial meningitis antigen
|
$77.55 |
$77.55 |
$77.55 |
$65.16
|
|
Bacterial vaginosis pcr
|
$165.33 |
$165.33 |
$165.33 |
$265.20
|
|
#bac vag cand-c. albicans naa
|
$82.83 |
$82.83 |
$82.83 |
$105.00
|
|
Balloon dilate urtrl strix
|
$371.25 |
$371.25 |
$371.25 |
$2,082.30
|
|
B cells total count
|
$184.47 |
$184.47 |
$184.47 |
$133.91
|
|
Benign lesion paring 2-4
|
$87.78 |
$87.78 |
$87.78 |
$268.80
|
|
Benign lesion paring 4+
|
$118.47 |
$118.47 |
$118.47 |
$319.20
|
|
#_benzodiazconfur
|
$88.77 |
$88.77 |
$88.77 |
$117.15
|
|
Beta 2 glycoprotein 1 antibody iga
|
$97.68 |
$97.68 |
$97.68 |
$84.24
|
|
Beta-2 microglobulin
|
$80.52 |
$80.52 |
$80.52 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$242.12 |
$242.12 |
$242.12 |
$65.93
|
|
Bilateral n block inj occipital 64405
|
$203.28 |
$203.28 |
$203.28 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,119.69 |
$1,119.69 |
$1,119.69 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$1,763.52 |
$1,763.52 |
$1,763.52 |
$5,307.00
|
|
Biliary endoscopy thru skin
|
$1,759.89 |
$1,759.89 |
$1,759.89 |
$4,477.92
|
|
Biliary endoscopy thru skin
|
$1,044.78 |
$1,044.78 |
$1,044.78 |
$3,294.20
|
|
Biliary endoscopy thru skin
|
$1,660.89 |
$1,660.89 |
$1,660.89 |
$5,461.50
|
|
Bilicheck
|
$51.81 |
$51.81 |
$51.81 |
$25.20
|
|
Bilirubin direct
|
$93.39 |
$93.39 |
$93.39 |
$49.31
|
|
Bilirubin total
|
$93.39 |
$93.39 |
$93.39 |
$50.65
|
|
Biofeedback, pt
|
$127.05 |
$127.05 |
$127.05 |
$129.12
|
|
Biopsy abdominal mass
|
$2,711.61 |
$2,711.61 |
$2,711.61 |
$1,870.93
|
|
Biopsy bone trocar/needle superficial
|
$2,926.44 |
$2,926.44 |
$2,926.44 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,175.13 |
$1,175.13 |
$1,175.13 |
$2,928.80
|
|
Biopsy lower leg soft tissue
|
$2,299.44 |
$2,299.44 |
$2,299.44 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$2,775.30 |
$2,775.30 |
$2,775.30 |
$1,727.04
|
|
Biopsy needle liver percutaneous
|
$2,510.31 |
$2,510.31 |
$2,510.31 |
$1,917.33
|
|
Biopsy needle lymph node superficial
|
$2,943.27 |
$2,943.27 |
$2,943.27 |
$1,848.17
|
|
Biopsy of heart lining
|
$884.07 |
$884.07 |
$884.07 |
$3,724.63
|
|
Biopsy of prostate
|
$3,444.21 |
$3,444.21 |
$3,444.21 |
$2,412.22
|
|
Biopsy of rectum wall anal approach 45100
|
$2,575.65 |
$2,575.65 |
$2,575.65 |
$3,245.23
|
|
Biopsy of salivary gland 42400
|
$2,955.81 |
$2,955.81 |
$2,955.81 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,386.69 |
$4,386.69 |
$4,386.69 |
$2,175.51
|
|
Biopsy skin incisional single lesion
|
$337.26 |
$337.26 |
$337.26 |
$678.13
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,086.49 |
$3,086.49 |
$3,086.49 |
$2,462.35
|
|
Bladder irrigate/lavage/instill 51700
|
$619.74 |
$619.74 |
$619.74 |
$430.56
|
|
Block femoral nerve cont infusion cath w/img
|
$716.76 |
$716.76 |
$716.76 |
$1,661.40
|
|
Block plantar digital nerve
|
$241.56 |
$241.56 |
$241.56 |
$540.80
|
|
Blood Clotting (PT/INR) Test
|
$79.86 |
$79.86 |
$79.86 |
$49.68
|
|
Blood Clotting (PTT) Test
|
$103.62 |
$103.62 |
$103.62 |
$69.85
|
|
Blood Count (CBC) Test
|
$147.18 |
$147.18 |
$147.18 |
$71.50
|
|
Blood Count (CBC) Test (without differential)
|
$110.22 |
$110.22 |
$110.22 |
$59.40
|
|
Blood count spun microhematocrit
|
$29.70 |
$29.70 |
$29.70 |
$21.84
|
|
Blood Culture Test
|
$377.19 |
$377.19 |
$377.19 |
$136.80
|
|
Blood draw capillary 36416
|
$2.64 |
$2.64 |
$2.64 |
$20.40
|
|
Blood gases o2 saturation direct measurement
|
$368.28 |
$368.28 |
$368.28 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$137.28 |
$137.28 |
$137.28 |
$56.07
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$111.21 |
$111.21 |
$111.21 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$143.55 |
$143.55 |
$143.55 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$72.93 |
$72.93 |
$72.93 |
$33.57
|
|
Blood smear interpretation
|
$59.40 |
$59.40 |
$59.40 |
$76.16
|
|
Blood smear microscopic w manual differential wbc count
|
$42.57 |
$42.57 |
$42.57 |
$37.44
|
|
Blood split unit
|
$153.12 |
$153.12 |
$153.12 |
$250.00
|
|
Blood typing abo
|
$165.00 |
$165.00 |
$165.00 |
$82.39
|
|
Blood typing ag donor ea ag
|
$186.12 |
$186.12 |
$186.12 |
$176.15
|
|
Blood typing rbc ag non abo/rh ea
|
$170.28 |
$170.28 |
$170.28 |
$190.00
|
|
Blood typing rh (d)
|
$53.79 |
$53.79 |
$53.79 |
$55.92
|
|
Blood typing rh phenotype complete reference
|
$124.08 |
$124.08 |
$124.08 |
$79.67
|
|
Bone biopsy open superficial
|
$3,746.82 |
$3,746.82 |
$3,746.82 |
$4,225.20
|
|
Bone Density Scan (DEXA)
|
$1,139.49 |
$1,139.49 |
$1,139.49 |
$398.56
|
|
Bone imaging multiple areas
|
$1,688.94 |
$1,688.94 |
$1,688.94 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$1,058.97 |
$1,058.97 |
$1,058.97 |
$1,105.90
|
|
Bone marrow;aspiration only 38220
|
$527.34 |
$527.34 |
$527.34 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,503.15 |
$1,503.15 |
$1,503.15 |
$1,703.35
|
|
Bone marrow imaging body
|
$1,286.67 |
$1,286.67 |
$1,286.67 |
$1,057.81
|
|
Bone marrow interpretation
|
$1,480.05 |
$1,480.05 |
$1,480.05 |
$542.03
|
|
Bone survey-lead poisoning
|
$2,596.44 |
$2,596.44 |
$2,596.44 |
$392.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$104.28 |
$104.28 |
$104.28 |
$90.00
|
|
Bowel imaging
|
$1,886.28 |
$1,886.28 |
$1,886.28 |
$1,106.57
|
|
Brach/thor cath 1st
|
$469.92 |
$469.92 |
$469.92 |
$1,894.20
|
|
Brach/thor cath 2nd
|
$641.85 |
$641.85 |
$641.85 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$713.13 |
$713.13 |
$713.13 |
$2,151.93
|
|
Brach/thor cath addl
|
$713.79 |
$713.79 |
$713.79 |
$868.00
|
|
Brachy source yttrium-90
|
$26,382.84 |
$26,382.84 |
$26,382.84 |
$31,103.54
|
|
Brain flow imaging only
|
$867.57 |
$867.57 |
$867.57 |
$636.97
|
|
Brain image w/flow 4 + views
|
$1,077.45 |
$1,077.45 |
$1,077.45 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$703.23 |
$703.23 |
$703.23 |
$2,780.05
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$826.65 |
$826.65 |
$826.65 |
$1,884.20
|
|
Brain MRI (with and without contrast)
|
$1,035.54 |
$1,035.54 |
$1,035.54 |
$2,925.65
|
|
Brain MRI (with contrast)
|
$879.12 |
$879.12 |
$879.12 |
$2,251.70
|
|
Brain MRI (without contrast)
|
$708.18 |
$708.18 |
$708.18 |
$1,932.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,325.28 |
$1,325.28 |
$1,325.28 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$429.99 |
$429.99 |
$429.99 |
$847.00
|
|
Bronchoscopy clear airways 31645
|
$1,241.46 |
$1,241.46 |
$1,241.46 |
$2,766.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$1,404.29
|
|
Bronchoscopy/lung bx each 31628
|
$3,266.01 |
$3,266.01 |
$3,266.01 |
$4,080.94
|
|
Bronchoscopy/needle bx each 31629
|
$1,832.16 |
$1,832.16 |
$1,832.16 |
$4,171.00
|
|
Bronchoscopy treat blockage
|
$2,570.70 |
$2,570.70 |
$2,570.70 |
$4,885.33
|
|
Bronchoscopy w/biopsy(s) 31625
|
$990.66 |
$990.66 |
$990.66 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,112.10 |
$1,112.10 |
$1,112.10 |
$2,626.00
|
|
Br punct aspir ea add, l
|
$255.75 |
$255.75 |
$255.75 |
$361.80
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$48.39 |
$48.39 |
$48.39 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$101.31 |
$101.31 |
$101.31 |
$161.46
|
|
Bundled special stain group 2
|
$83.16 |
$83.16 |
$83.16 |
$168.55
|
