|
Blood typing abo
|
$40.00 |
$40.00 |
$40.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$13.60 |
$13.60 |
$13.60 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$274.40 |
$274.40 |
$274.40 |
$199.50
|
|
Blood typing rh (d)
|
$40.00 |
$40.00 |
$40.00 |
$57.14
|
|
Blue light cysto imag agent
|
$0.01 |
$0.01 |
$0.01 |
$1,898.40
|
|
Bone biopsy open superficial
|
$232.00 |
$232.00 |
$232.00 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$260.00 |
$260.00 |
$260.00 |
$397.28
|
|
Bone/joint imaging ltd area
|
$810.40 |
$810.40 |
$810.40 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$100.80 |
$100.80 |
$100.80 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$105.60 |
$105.60 |
$105.60 |
$1,570.80
|
|
Bone marrow harvest autolog
|
$294.40 |
$294.40 |
$294.40 |
$5,544.24
|
|
Bone marrow interpretation
|
$71.20 |
$71.20 |
$71.20 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$226.40 |
$226.40 |
$226.40 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$233.60 |
$233.60 |
$233.60 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$82.29 |
$82.29 |
$82.29 |
$2,825.96
|
|
Bpg axillary-pop/-tibial
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$1,847.50
|
|
Bpg ilio-celiac
|
$3,204.00 |
$3,204.00 |
$3,204.00 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$3,507.20 |
$3,507.20 |
$3,507.20 |
$2,192.00
|
|
Bpg iliorenal
|
$3,136.00 |
$3,136.00 |
$3,136.00 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$1,977.60 |
$1,977.60 |
$1,977.60 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$1,221.00
|
|
Brach/thor cath 1st
|
$353.60 |
$353.60 |
$353.60 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$468.00 |
$468.00 |
$468.00 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$581.60 |
$581.60 |
$581.60 |
$2,079.00
|
|
Brach/thor cath addl
|
$88.80 |
$88.80 |
$88.80 |
$868.00
|
|
Braf gene
|
$624.00 |
$624.00 |
$624.00 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,552.80 |
$2,552.80 |
$2,552.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$969.60 |
$969.60 |
$969.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,948.00 |
$1,948.00 |
$1,948.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$969.60 |
$969.60 |
$969.60 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$847.00
|
|
Breast reduction
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$7,126.06
|
|
Brief comunicaj tech-bsd svc
|
$24.00 |
$24.00 |
$24.00 |
$29.25
|
|
Bronchial challenge
|
$51.20 |
$51.20 |
$51.20 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$244.80 |
$244.80 |
$244.80 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$292.00 |
$292.00 |
$292.00 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$258.40 |
$258.40 |
$258.40 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$291.20 |
$291.20 |
$291.20 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$33.60 |
$33.60 |
$33.60 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$175.20 |
$175.20 |
$175.20 |
$160.80
|
|
Bundled special stain group 2
|
$280.00 |
$280.00 |
$280.00 |
$173.46
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$4.79 |
$4.79 |
$4.79 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$9.25 |
$9.25 |
$9.25 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$215.20 |
$215.20 |
$215.20 |
$82.82
|
|
Butorphanol tartrate 1 mg
|
$28.98 |
$28.98 |
$28.98 |
$39.09
|
|
Bx arm/elbow soft tissue supf 24065
|
$263.20 |
$263.20 |
$263.20 |
$1,935.63
|
|
Bx breast 1st lesion mr imag
|
$281.60 |
$281.60 |
$281.60 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$257.60 |
$257.60 |
$257.60 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$140.00 |
$140.00 |
$140.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$129.60 |
$129.60 |
$129.60 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$118.40 |
$118.40 |
$118.40 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$221.60 |
$221.60 |
$221.60 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$698.40 |
$698.40 |
$698.40 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$451.20 |
$451.20 |
$451.20 |
$4,184.94
|
|
Bx liver with other
|
$178.40 |
$178.40 |
$178.40 |
$543.40
|
|
Bx muscle
|
$168.00 |
$168.00 |
$168.00 |
$1,917.33
|
|
Bx of breast open 19101
|
$396.80 |
$396.80 |
$396.80 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$264.00 |
$264.00 |
$264.00 |
$3,876.00
|
|
Bx prostate trnsrctl u/s guid
|
$250.40 |
$250.40 |
$250.40 |
$4,050.75
|
|
Bx skin incisnl ea sep/add l les
|
$46.40 |
$46.40 |
$46.40 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$264.80 |
$264.80 |
$264.80 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$310.40 |
$310.40 |
$310.40 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$257.60 |
$257.60 |
$257.60 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$109.60 |
$109.60 |
$109.60 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$48.00 |
$48.00 |
$48.00 |
$465.09
|
|
Bypass graft/av fist patency
|
$285.60 |
$285.60 |
$285.60 |
$868.40
|
|
Bypass graft patency/patch
|
$351.20 |
$351.20 |
$351.20 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$420.00 |
$420.00 |
$420.00 |
$96.72
|
|
Cabgsingle artery graft 33533
|
$3,340.80 |
$3,340.80 |
$3,340.80 |
$4,567.20
|
|
Cabg venous & art 1 vein graft 33517
|
$329.60 |
$329.60 |
$329.60 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$722.40 |
$722.40 |
$722.40 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$955.20 |
$955.20 |
$955.20 |
$1,071.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$869.82 |
$869.82 |
$869.82 |
$2,111.64
|
|
Calcium 24 hour urine
|
$28.00 |
$28.00 |
$28.00 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.68 |
$1.68 |
$1.68 |
$2.70
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$35.28 |
$35.28 |
$35.28 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$18.84 |
$18.84 |
$18.84 |
$91.60
|
|
Calcium ionized
|
$56.80 |
$56.80 |
$56.80 |
$90.00
|
|
Calcium total
|
$16.80 |
$16.80 |
$16.80 |
$50.00
|
|
Calprotectin fecal
|
$340.00 |
$340.00 |
$340.00 |
$169.95
|
|
Cannula declotting 36861
|
$239.20 |
$239.20 |
$239.20 |
$5,855.00
|
|
Cantharidin top, applicator
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
$1,113.94
|
|
Canthotomy 67715
|
$179.20 |
$179.20 |
$179.20 |
$2,956.50
|
|
Capsaicin 8% patch
|
$8.00 |
$8.00 |
$8.00 |
$4,719.65
|
|
Capsulotomy mpj ea joint (sep proc)
|
$562.40 |
$562.40 |
$562.40 |
$3,545.97
|
|
Carbamazepine free
|
$116.00 |
$116.00 |
$116.00 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$25.60 |
$25.60 |
$25.60 |
$120.25
|
|
Carbohydrate urine - sendout
|
$582.40 |
$582.40 |
$582.40 |
$66.64
|
|
Carbon dioxide
|
$9.60 |
$9.60 |
$9.60 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$142.27 |
$142.27 |
$142.27 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$36.00 |
$36.00 |
$36.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$230.40 |
$230.40 |
$230.40 |
$144.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$232.00 |
$232.00 |
$232.00 |
$244.00
|
