|
Assay of thiocyanate
|
$106.00 |
$106.00 |
$106.00 |
$66.50
|
|
Assay of tyrosine
|
$30.00 |
$30.00 |
$30.00 |
$57.50
|
|
Assay of urine sulfate
|
$20.50 |
$20.50 |
$20.50 |
$27.60
|
|
Assay toxin or antitoxin
|
$28.00 |
$28.00 |
$28.00 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$292.50
|
|
Assess cyst contrast inject
|
$805.50 |
$805.50 |
$805.50 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$67.50 |
$67.50 |
$67.50 |
$49.20
|
|
Ast/sgot
|
$244.00 |
$244.00 |
$244.00 |
$45.90
|
|
Atn1 gene detc abnor alleles
|
$661.50 |
$661.50 |
$661.50 |
$309.60
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$186.60
|
|
Atxn1 gene detc abnor allele
|
$413.00 |
$413.00 |
$413.00 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$413.00 |
$413.00 |
$413.00 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$413.00 |
$413.00 |
$413.00 |
$225.42
|
|
Atxn7 gene detc abnor allele
|
$413.00 |
$413.00 |
$413.00 |
$225.42
|
|
Atxn8os gen detc abnor allel
|
$413.00 |
$413.00 |
$413.00 |
$225.42
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$11,446.50 |
$11,446.50 |
$11,446.50 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,533.00 |
$14,533.00 |
$14,533.00 |
$10,409.76
|
|
Autologous blood op salvage
|
$2,036.50 |
$2,036.50 |
$2,036.50 |
$910.70
|
|
Autologous blood process
|
$409.50 |
$409.50 |
$409.50 |
$266.75
|
|
Automated diff wbc count
|
$77.00 |
$77.00 |
$77.00 |
$36.30
|
|
Av fistula revision
|
$2,609.50 |
$2,609.50 |
$2,609.50 |
$6,440.94
|
|
Avul nail plate addl
|
$345.50 |
$345.50 |
$345.50 |
$200.16
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$579.00 |
$579.00 |
$579.00 |
$322.50
|
|
Baclofen eval charges
|
$234.50 |
$234.50 |
$234.50 |
$85.80
|
|
Bacterial meningitis antigen
|
$264.00 |
$264.00 |
$264.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$419.00 |
$419.00 |
$419.00 |
$283.90
|
|
#bac vag cand-c. albicans naa
|
$275.00 |
$275.00 |
$275.00 |
$109.20
|
|
Balloon dilate urtrl strix
|
$2,276.50 |
$2,276.50 |
$2,276.50 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$185.00 |
$185.00 |
$185.00 |
$195.60
|
|
Battery elec/combo vad, rep
|
$299.00 |
$299.00 |
$299.00 |
$862.16
|
|
B cells total count
|
$244.00 |
$244.00 |
$244.00 |
$129.35
|
|
Benign lesion paring 2-4
|
$585.00 |
$585.00 |
$585.00 |
$264.85
|
|
Benign lesion paring 4+
|
$393.50 |
$393.50 |
$393.50 |
$303.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$142.00 |
$142.00 |
$142.00 |
$80.80
|
|
Beta-2 microglobulin
|
$288.00 |
$288.00 |
$288.00 |
$85.94
|
|
Bfb train 1st 15min cntct 90912
|
$590.50 |
$590.50 |
$590.50 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$296.50 |
$296.50 |
$296.50 |
$98.80
|
|
B-hexosaminidase ea assay
|
$50.00 |
$50.00 |
$50.00 |
$124.00
|
|
Bilateral n blobk inj pudendal 64430
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$1,396.25
|
|
Bilateral n block inj occipital 64405
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$799.70
|
|
Bilateral n block inj trigeminal 64400
|
$672.00 |
$672.00 |
$672.00 |
$577.60
|
|
Biliary endo perq dx w/speci
|
$731.50 |
$731.50 |
$731.50 |
$5,080.00
|
|
Bilirubin direct
|
$237.50 |
$237.50 |
$237.50 |
$49.86
|
|
Bilirubin total
|
$173.00 |
$173.00 |
$173.00 |
$54.60
|
|
Biopsy abdominal mass
|
$1,887.50 |
$1,887.50 |
$1,887.50 |
$1,722.60
|
|
Biopsy arm/elbow soft tissue
|
$3,943.00 |
$3,943.00 |
$3,943.00 |
$3,386.84
|
|
Biopsy, bone open deep
|
$4,456.00 |
$4,456.00 |
$4,456.00 |
$3,994.09
|
|
Biopsy bone trocar/needle superficial
|
$1,537.00 |
$1,537.00 |
$1,537.00 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$3,085.50 |
$3,085.50 |
$3,085.50 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$3,829.50 |
$3,829.50 |
$3,829.50 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$3,587.50 |
$3,587.50 |
$3,587.50 |
$1,870.74
|
|
Biopsy needle lymph node superficial
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$1,878.14
|
|
Biopsy of heart lining
|
$3,926.50 |
$3,926.50 |
$3,926.50 |
$3,724.63
|
|
Biopsy of prostate
|
$3,039.50 |
$3,039.50 |
$3,039.50 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,139.00
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,261.50 |
$4,261.50 |
$4,261.50 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,626.50 |
$4,626.50 |
$4,626.50 |
$2,462.35
|
|
Biopsy vestibule of mouth 40808
|
$635.50 |
$635.50 |
$635.50 |
$635.50
|
|
Biotinidase - quest
|
$33.50 |
$33.50 |
$33.50 |
$68.00
|
|
Bladder irrigate/lavage/instill 51700
|
$702.00 |
$702.00 |
$702.00 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$2,774.00 |
$2,774.00 |
$2,774.00 |
$8,624.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,758.00 |
$2,758.00 |
$2,758.00 |
$5,206.00
|
|
Block brachial plexus w/cath plmt w/img
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
$1,545.50
|
|
Block femoral nerve cont infusion cath w/img
|
$2,965.50 |
$2,965.50 |
$2,965.50 |
$1,723.97
|
|
Block plantar digital nerve
|
$612.50 |
$612.50 |
$612.50 |
$540.80
|
|
Block tap inj(s) w/wo img bi
|
$5,923.50 |
$5,923.50 |
$5,923.50 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$4,580.00 |
$4,580.00 |
$4,580.00 |
$869.88
|
|
Blood Clotting (PT/INR) Test
|
$134.50 |
$134.50 |
$134.50 |
$53.71
|
|
Blood Clotting (PTT) Test
|
$160.50 |
$160.50 |
$160.50 |
$73.80
|
|
Blood component/product noc
|
$385.00 |
$385.00 |
$385.00 |
$57.90
|
|
Blood Count (CBC) Test
|
$145.50 |
$145.50 |
$145.50 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$95.50 |
$95.50 |
$95.50 |
$63.45
|
|
Blood Culture Test
|
$337.50 |
$337.50 |
$337.50 |
$143.88
|
|
Blood draw capillary 36416
|
$17.50 |
$17.50 |
$17.50 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$466.00 |
$466.00 |
$466.00 |
$225.00
|
|
Blood gases ph venous
|
$122.50 |
$122.50 |
$122.50 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$107.00 |
$107.00 |
$107.00 |
$57.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$82.00 |
$82.00 |
$82.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$76.00 |
$76.00 |
$76.00 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$66.00 |
$66.00 |
$66.00 |
$38.35
|
|
Blood split unit
|
$347.50 |
$347.50 |
$347.50 |
$276.75
|
|
Blood typing abo
|
$152.50 |
$152.50 |
$152.50 |
$83.85
|
|
Blood typing rbc ag non abo/rh ea
|
$145.50 |
$145.50 |
$145.50 |
$203.28
|
|
Blood typing rh (d)
|
$110.00 |
$110.00 |
$110.00 |
$57.14
|
|
Bone biopsy open superficial
|
$6,431.00 |
$6,431.00 |
$6,431.00 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$638.00 |
$638.00 |
$638.00 |
$395.00
|
|
Bone imaging (3d)
|
$2,105.50 |
$2,105.50 |
$2,105.50 |
$1,261.00
|
|
Bone/joint imaging ltd area
|
$2,382.50 |
$2,382.50 |
$2,382.50 |
$1,044.50
|
|
Bone marrow;aspiration only 38220
|
$2,112.50 |
$2,112.50 |
$2,112.50 |
$1,587.30
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,664.84
|
|
Bone marrow harvest allogen
|
$5,355.50 |
$5,355.50 |
$5,355.50 |
$4,654.20
|
|
Bone marrow imaging body
|
$1,485.50 |
$1,485.50 |
$1,485.50 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$817.00 |
$817.00 |
$817.00 |
$817.00
|
|
Bone marrow imaging mult
|
$1,321.00 |
$1,321.00 |
$1,321.00 |
$934.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$55.00 |
$55.00 |
$55.00 |
$94.40
|
|
(both sides) smear without diff wbc count
|
$49.00 |
$49.00 |
$49.00 |
$30.68
|
|
Bowel imaging
|
$2,666.00 |
$2,666.00 |
$2,666.00 |
$1,077.60
|
