|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$4,398.93 |
$4,398.93 |
$4,398.93 |
$161.46
|
|
Bundled special stain group 2
|
$3,716.91 |
$3,716.91 |
$3,716.91 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$21.61 |
$21.61 |
$21.61 |
$15.11
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.25 |
$3.25 |
$3.25 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$13.28 |
$13.28 |
$13.28 |
$12.17
|
|
Buprenorphine hydrochloride
|
$36.92 |
$36.92 |
$36.92 |
$14.40
|
|
Buprenorphine oral 1mg
|
$16.50 |
$16.50 |
$16.50 |
$11.24
|
|
Bx perianal mass
|
$6,822.33 |
$6,822.33 |
$6,822.33 |
$1,278.72
|
|
Bypass temp external fem-fem
|
$107.90 |
$107.90 |
$107.90 |
$2,650.40
|
|
C1 esterase inhibitor func - sendout
|
$205.40 |
$205.40 |
$205.40 |
$123.49
|
|
Cadd pump refill
|
$269.75 |
$269.75 |
$269.75 |
$378.45
|
|
Calcium 24 hour urine
|
$54.60 |
$54.60 |
$54.60 |
$51.63
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$38.39 |
$38.39 |
$38.39 |
$62.87
|
|
Calcium ionized
|
$84.50 |
$84.50 |
$84.50 |
$80.80
|
|
Calcium total
|
$61.10 |
$61.10 |
$61.10 |
$43.20
|
|
Calprotectin fecal
|
$176.80 |
$176.80 |
$176.80 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$141.05 |
$141.05 |
$141.05 |
$108.81
|
|
Carbon dioxide
|
$39.65 |
$39.65 |
$39.65 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$149.30 |
$149.30 |
$149.30 |
$59.36
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$423.15 |
$423.15 |
$423.15 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$104.00 |
$104.00 |
$104.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$150.80 |
$150.80 |
$150.80 |
$125.00
|
|
Cardiac perf planar sgl/ef/wm
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$1,780.19
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$206.05 |
$206.05 |
$206.05 |
$258.10
|
|
Cardiolipin antibody iga
|
$126.75 |
$126.75 |
$126.75 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,175.85 |
$1,175.85 |
$1,175.85 |
$1,461.75
|
|
Carotene
|
$104.65 |
$104.65 |
$104.65 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$761.80 |
$761.80 |
$761.80 |
$1,037.60
|
|
Carpal Tunnel Release Surgery
|
$5,802.33 |
$5,802.33 |
$5,802.33 |
$3,503.75
|
|
Cataract Surgery
|
$4,964.22 |
$4,964.22 |
$4,964.22 |
$2,715.20
|
|
Catheterization collection of specimen single patient all places of service
|
$57.85 |
$57.85 |
$57.85 |
$58.50
|
|
Cdna analysis for variants
|
$453.70 |
$453.70 |
$453.70 |
$609.80
|
|
Cebpa gene full sequence
|
$418.60 |
$418.60 |
$418.60 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$17.69 |
$17.69 |
$17.69 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$42.71 |
$42.71 |
$42.71 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$21.13 |
$21.13 |
$21.13 |
$42.00
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$817.08 |
$817.08 |
$817.08 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$33.25 |
$33.25 |
$33.25 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$8.75 |
$8.75 |
$8.75 |
$51.80
|
|
#celiac hla-dq2
|
$202.15 |
$202.15 |
$202.15 |
$226.87
|
|
Cell count body fluid
|
$66.30 |
$66.30 |
$66.30 |
$56.44
|
|
Cell count w differential body fluid
|
$85.15 |
$85.15 |
$85.15 |
$83.71
|
|
Cell cryopreserve/storage
|
$91.65 |
$91.65 |
$91.65 |
$58.50
|
|
Cell function assay w/stim
|
$235.95 |
$235.95 |
$235.95 |
$369.45
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$13,724.74 |
$13,724.74 |
$13,724.74 |
$5,262.00
|
|
#cf-97variants
|
$494.00 |
$494.00 |
$494.00 |
$748.16
|
|
Cftr gene dup/delet variants
|
$757.25 |
$757.25 |
$757.25 |
$870.40
|
|
Change cystostomy tube simple
|
$205.40 |
$205.40 |
$205.40 |
$426.63
|
|
Chemo extend IV infus w/pump
|
$510.90 |
$510.90 |
$510.90 |
$510.90
|
|
Chest 2 vws w oblique
|
$296.40 |
$296.40 |
$296.40 |
$334.02
|
|
Chest apical lordotic proj
|
$237.25 |
$237.25 |
$237.25 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,461.85 |
$1,461.85 |
$1,461.85 |
$1,166.90
|
|
Chest X-ray
|
$197.60 |
$197.60 |
$197.60 |
$265.85
|
|
Chest X-ray (single view)
|
$157.30 |
$157.30 |
$157.30 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$261.30 |
$261.30 |
$261.30 |
$150.40
|
|
Chlamydia culture
|
$98.15 |
$98.15 |
$98.15 |
$96.51
|
|
Chlamydia type
|
$35.75 |
$35.75 |
$35.75 |
$34.80
|
|
Chloride
|
$40.95 |
$40.95 |
$40.95 |
$37.48
|
|
Chloride 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$40.80
|
|
Chloroprocaine hcl injection
|
$64.44 |
$64.44 |
$64.44 |
$68.40
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$20.01 |
$20.01 |
$20.01 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$501.15 |
$501.15 |
$501.15 |
$546.01
|
|
Cholesterol
|
$53.30 |
$53.30 |
$53.30 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$121.55 |
$121.55 |
$121.55 |
$101.43
|
|
Chrom analysis
|
$98.80 |
$98.80 |
$98.80 |
$156.00
|
|
Chromatography
|
$107.25 |
$107.25 |
$107.25 |
$81.25
|
|
Chromogenic substrate assay
|
$184.60 |
$184.60 |
$184.60 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$238.55 |
$238.55 |
$238.55 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$512.20 |
$512.20 |
$512.20 |
$558.25
|
|
Chromosome count additional
|
$44.20 |
$44.20 |
$44.20 |
$120.90
|
|
Chromosome karyotype study
|
$37.70 |
$37.70 |
$37.70 |
$120.60
|
|
Cilastatin sodium injection
|
$98.69 |
$98.69 |
$98.69 |
$43.44
|
|
Cisplatin 1 mg/ml desensitization
|
$52.66 |
$52.66 |
$52.66 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$449.15 |
$449.15 |
$449.15 |
$606.06
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.83 |
$43.83 |
$43.83 |
$49.74
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$619.45 |
$619.45 |
$619.45 |
$650.40
|
|
Closed tx humerus fx without manip 23600
|
$685.75 |
$685.75 |
$685.75 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,190.15 |
$1,190.15 |
$1,190.15 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$296.40 |
$296.40 |
$296.40 |
$413.00
|
|
Closed tx orbit without manipulj
|
$414.05 |
$414.05 |
$414.05 |
$1,198.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,425.45 |
$1,425.45 |
$1,425.45 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$958.75 |
$958.75 |
$958.75 |
$3,540.97
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$448.50 |
$448.50 |
$448.50 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$507.65 |
$507.65 |
$507.65 |
$2,739.17
|
|
Clot factor xii hageman
|
$146.25 |
$146.25 |
$146.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$85.80 |
$85.80 |
$85.80 |
$81.25
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$633.10 |
$633.10 |
$633.10 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$501.15 |
$501.15 |
$501.15 |
$534.95
|
|
Clsd tx clavicle fracture w/manip 23505
|
$702.00 |
$702.00 |
$702.00 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$488.80 |
$488.80 |
$488.80 |
$482.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$415.35 |
$415.35 |
$415.35 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$258.05 |
$258.05 |
$258.05 |
$520.00
|
|
Clsd tx fracture of radius 25500
|
$462.80 |
$462.80 |
$462.80 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$285.35 |
$285.35 |
$285.35 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$386.75 |
$386.75 |
$386.75 |
$441.18
|