|
Biopsy/soft tissue/neck or thorax 21550
|
$1,424.50 |
$1,424.50 |
$1,424.50 |
$2,310.84
|
|
Bladder irrigate/lavage/instill 51700
|
$627.55 |
$627.55 |
$627.55 |
$440.70
|
|
Bln 1.2 mono emrg 15x1.2
|
$476.66 |
$476.66 |
$476.66 |
$8,172.05
|
|
Bln 30frx10mmx12cm renal nephromax
|
$773.06 |
$773.06 |
$773.06 |
$5,793.60
|
|
Bln inpact admiral 4x150x130cm
|
$2,560.98 |
$2,560.98 |
$2,560.98 |
$4,914.00
|
|
Block brachial plexus w/cath plmt w/img
|
$1,306.25 |
$1,306.25 |
$1,306.25 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,312.85 |
$1,312.85 |
$1,312.85 |
$1,576.68
|
|
Block plantar digital nerve
|
$601.15 |
$601.15 |
$601.15 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$1,413.50 |
$1,413.50 |
$1,413.50 |
$1,413.50
|
|
Block tap inj(s) w/wo img uni
|
$779.90 |
$779.90 |
$779.90 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$31.35 |
$31.35 |
$31.35 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$19.80 |
$19.80 |
$19.80 |
$73.15
|
|
Blood Count (CBC) Test
|
$75.35 |
$75.35 |
$75.35 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$59.40 |
$59.40 |
$59.40 |
$62.15
|
|
Blood Culture Test
|
$126.50 |
$126.50 |
$126.50 |
$145.60
|
|
Blood draw capillary 36416
|
$14.85 |
$14.85 |
$14.85 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$156.75 |
$156.75 |
$156.75 |
$226.50
|
|
Blood gases ph venous
|
$62.70 |
$62.70 |
$62.70 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$89.10 |
$89.10 |
$89.10 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$18.70 |
$18.70 |
$18.70 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$28.60 |
$28.60 |
$28.60 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$12.10 |
$12.10 |
$12.10 |
$37.05
|
|
Blood typing abo
|
$166.65 |
$166.65 |
$166.65 |
$83.03
|
|
Blood typing ag donor ea ag
|
$457.60 |
$457.60 |
$457.60 |
$166.80
|
|
Blood typing patient serum
|
$89.65 |
$89.65 |
$89.65 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$457.60 |
$457.60 |
$457.60 |
$181.74
|
|
Blood typing rh (d)
|
$159.50 |
$159.50 |
$159.50 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$43.45 |
$43.45 |
$43.45 |
$77.25
|
|
Bone biopsy open superficial
|
$6,503.75 |
$6,503.75 |
$6,503.75 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$304.15 |
$304.15 |
$304.15 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,881.00
|
|
Bone marrow imaging body
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$973.73
|
|
Bone marrow imaging ltd
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$728.85
|
|
Bone survey-lead poisoning
|
$304.15 |
$304.15 |
$304.15 |
$370.18
|
|
Boot j walker l
|
$180.46 |
$180.46 |
$180.46 |
$179.93
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$135.85 |
$135.85 |
$135.85 |
$96.72
|
|
(both sides) smear without diff wbc count
|
$11.00 |
$11.00 |
$11.00 |
$33.57
|
|
Bowel imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,200.00
|
|
Brace knee hing pat open med
|
$109.90 |
$109.90 |
$109.90 |
$246.72
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$202.94 |
$202.94 |
$202.94 |
$268.92
|
|
Brace knee postop tscope xl
|
$658.79 |
$658.79 |
$658.79 |
$1,343.91
|
|
Brace oths wrist hnd fngr without
|
$260.39 |
$260.39 |
$260.39 |
$237.83
|
|
Brace wrist classic lft sm
|
$66.19 |
$66.19 |
$66.19 |
$75.66
|
|
Brach/thor cath 1st
|
$1,686.85 |
$1,686.85 |
$1,686.85 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$1,940.40 |
$1,940.40 |
$1,940.40 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$3,131.15 |
$3,131.15 |
$3,131.15 |
$2,151.93
|
|
Brach/thor cath addl
|
$3,766.40 |
$3,766.40 |
$3,766.40 |
$854.40
|
|
Braf gene
|
$466.40 |
$466.40 |
$466.40 |
$421.00
|
|
Brain flow imaging only
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$636.97
|
|
Brain image w/flow 4 + views
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,857.35 |
$1,857.35 |
$1,857.35 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,769.35 |
$1,769.35 |
$1,769.35 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,685.20 |
$1,685.20 |
$1,685.20 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$1,843.60 |
$1,843.60 |
$1,843.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,672.00 |
$1,672.00 |
$1,672.00 |
$1,949.38
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,412.85 |
$2,412.85 |
$2,412.85 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$847.00 |
$847.00 |
$847.00 |
$865.26
|
|
Breath hydrogen test 91065
|
$607.75 |
$607.75 |
$607.75 |
$459.81
|
|
Bronchial challenge
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$835.20
|
|
Bronchoscopy w/markers
|
$4,022.15 |
$4,022.15 |
$4,022.15 |
$7,662.21
|
|
Br punct aspir ea add, l
|
$618.20 |
$618.20 |
$618.20 |
$380.50
|
|
Bundled special stain group 1 microorganisms
|
$127.60 |
$127.60 |
$127.60 |
$165.10
|
|
Bundled special stain group 2
|
$417.45 |
$417.45 |
$417.45 |
$169.00
|
|
Bundle his recording
|
$7,333.70 |
$7,333.70 |
$7,333.70 |
$5,410.00
|
|
Buprenorphine and metabolite - sendout
|
$76.45 |
$76.45 |
$76.45 |
$85.79
|
|
Burr hole implant ventricular cath/other device
|
$8,435.35 |
$8,435.35 |
$8,435.35 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$3,111.47 |
$3,111.47 |
$3,111.47 |
$7,201.94
|
|
Bx bone trocar/ndl deep
|
$2,209.35 |
$2,209.35 |
$2,209.35 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,412.85 |
$2,412.85 |
$2,412.85 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$2,412.85 |
$2,412.85 |
$2,412.85 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$237.05 |
$237.05 |
$237.05 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$237.05 |
$237.05 |
$237.05 |
$1,711.50
|
|
Bx breast add lesion Ultrasound imag
|
$237.05 |
$237.05 |
$237.05 |
$1,708.85
|
|
Bx/curett of cervix w/scope 57454
|
$610.50 |
$610.50 |
$610.50 |
$576.00
|
|
Bx pancreas pq ndl
|
$1,045.55 |
$1,045.55 |
$1,045.55 |
$1,780.47
|
|
Bx pleura pq ndl
|
$378.40 |
$378.40 |
$378.40 |
$1,742.30
|
|
Bx shoulder tissues supf 23065
|
$3,244.45 |
$3,244.45 |
$3,244.45 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$624.80 |
$624.80 |
$624.80 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$394.35 |
$394.35 |
$394.35 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$394.35 |
$394.35 |
$394.35 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$1,092.30 |
$1,092.30 |
$1,092.30 |
$1,038.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$227.15 |
$227.15 |
$227.15 |
$1,155.36
|
|
Bypass temp external fem-fem
|
$1,780.35 |
$1,780.35 |
$1,780.35 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$87.45 |
$87.45 |
$87.45 |
$103.35
|
|
Cable cath 22-pin diag
|
$1,101.74 |
$1,101.74 |
$1,101.74 |
$4,518.81
|
|
Cadd pump refill
|
$380.60 |
$380.60 |
$380.60 |
$360.00
|
|
Calcium 24 hour urine
|
$57.75 |
$57.75 |
$57.75 |
$51.75
|
|
Calcium ionized
|
$95.15 |
$95.15 |
$95.15 |
$88.40
|
|
Calcium total
|
$43.45 |
$43.45 |
$43.45 |
$48.75
|
|
Calprotectin fecal
|
$36.85 |
$36.85 |
$36.85 |
$169.20
|
|
Cannula ercp contour 5-4-3 tip
|
$13,352.53 |
$13,352.53 |
$13,352.53 |
$51,677.49
|
|
Canthotomy 67715
|
$3,741.65 |
$3,741.65 |
$3,741.65 |
$3,228.00
|
|
Cap nerve 2x15mm
|
$1,157.82 |
$1,157.82 |
$1,157.82 |
$24,217.08
|
|
Cap trach decann 15mm
|
$716.59 |
$716.59 |
$716.59 |
$3,973.20
|
|
Carbamazepine free -sendout
|
$30.80 |
$30.80 |
$30.80 |
$50.49
|
|
Carbamazepine total therapeutic drug level
|
$135.85 |
$135.85 |
$135.85 |
$117.74
|
|
Carbon dioxide
|
$45.65 |
$45.65 |
$45.65 |
$45.65
|