|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$24.36 |
$24.36 |
$24.36 |
$15.11
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$3.25 |
$3.25 |
$3.25 |
$12.17
|
|
Buprenorphine oral 1mg
|
$4.02 |
$4.02 |
$4.02 |
$11.24
|
|
Butorphanol tartrate 1 mg
|
$50.53 |
$50.53 |
$50.53 |
$42.76
|
|
Bx breast perq without image 19100
|
$242.45 |
$242.45 |
$242.45 |
$1,250.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$4,184.94
|
|
Bx/exc lymph node/open/superfic 38500
|
$631.15 |
$631.15 |
$631.15 |
$4,135.34
|
|
Bx of breast open 19101
|
$549.90 |
$549.90 |
$549.90 |
$4,390.01
|
|
Bx skin incisnl ea sep/add l les
|
$100.75 |
$100.75 |
$100.75 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$83.85 |
$83.85 |
$83.85 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$67.60 |
$67.60 |
$67.60 |
$206.55
|
|
C1 esterase inhibitor func - sendout
|
$205.40 |
$205.40 |
$205.40 |
$123.49
|
|
Calcium 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$17.63 |
$17.63 |
$17.63 |
$50.14
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$60.98 |
$60.98 |
$60.98 |
$62.87
|
|
Calcium ionized
|
$74.75 |
$74.75 |
$74.75 |
$80.80
|
|
Calcium total
|
$50.70 |
$50.70 |
$50.70 |
$43.20
|
|
Calculi urinary-sendout
|
$114.40 |
$114.40 |
$114.40 |
$114.40
|
|
Calprotectin fecal
|
$183.30 |
$183.30 |
$183.30 |
$170.00
|
|
Campylobacter antibody
|
$63.70 |
$63.70 |
$63.70 |
$63.70
|
|
Candida dna
|
$35.75 |
$35.75 |
$35.75 |
$66.05
|
|
Carbamazepine free
|
$64.35 |
$64.35 |
$64.35 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$92.30 |
$92.30 |
$92.30 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$85.80 |
$85.80 |
$85.80 |
$123.49
|
|
Carbon dioxide
|
$35.10 |
$35.10 |
$35.10 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$59.36 |
$59.36 |
$59.36 |
$59.36
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$432.25 |
$432.25 |
$432.25 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$89.05 |
$89.05 |
$89.05 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$146.25 |
$146.25 |
$146.25 |
$125.00
|
|
Cardiolipin antibody iga
|
$118.30 |
$118.30 |
$118.30 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,095.90 |
$1,095.90 |
$1,095.90 |
$1,461.75
|
|
Carmustine 100 mg intravenous powder for solution
|
$396.46 |
$396.46 |
$396.46 |
$1,596.90
|
|
Carotene
|
$106.60 |
$106.60 |
$106.60 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$905.45 |
$905.45 |
$905.45 |
$1,037.60
|
|
Carpal Tunnel Release Surgery
|
$4,364.94 |
$4,364.94 |
$4,364.94 |
$3,503.75
|
|
Catheterization collection of specimen single patient all places of service
|
$48.75 |
$48.75 |
$48.75 |
$58.50
|
|
Cauterization chemical granulation tissue
|
$114.40 |
$114.40 |
$114.40 |
$374.60
|
|
Cdna analysis for variants
|
$444.60 |
$444.60 |
$444.60 |
$609.80
|
|
Cebpa gene full sequence
|
$438.10 |
$438.10 |
$438.10 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$18.06 |
$18.06 |
$18.06 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$19.61 |
$19.61 |
$19.61 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$24.70 |
$24.70 |
$24.70 |
$42.00
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$834.66 |
$834.66 |
$834.66 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$29.50 |
$29.50 |
$29.50 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$18.52 |
$18.52 |
$18.52 |
$51.80
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$18.05 |
$18.05 |
$18.05 |
$19.80
|
|
#celiac hla-dq2
|
$250.25 |
$250.25 |
$250.25 |
$226.87
|
|
Cell count body fluid
|
$53.30 |
$53.30 |
$53.30 |
$56.44
|
|
Cell count w differential body fluid
|
$55.25 |
$55.25 |
$55.25 |
$83.71
|
|
Cell cryopreserve/storage
|
$37.70 |
$37.70 |
$37.70 |
$58.50
|
|
Cell function assay w/stim
|
$326.95 |
$326.95 |
$326.95 |
$369.45
|
|
Cell marker study
|
$84.50 |
$84.50 |
$84.50 |
$265.80
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,938.09 |
$1,938.09 |
$1,938.09 |
$120.37
|
|
#cf-97variants
|
$487.50 |
$487.50 |
$487.50 |
$748.16
|
|
Cftr gene dup/delet variants
|
$757.25 |
$757.25 |
$757.25 |
$870.40
|
|
Chest 2 vws w oblique
|
$304.20 |
$304.20 |
$304.20 |
$334.02
|
|
Chest apical lordotic proj
|
$260.65 |
$260.65 |
$260.65 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$939.90 |
$939.90 |
$939.90 |
$1,166.90
|
|
Chest X-ray
|
$219.70 |
$219.70 |
$219.70 |
$265.85
|
|
Chest X-ray (single view)
|
$134.55 |
$134.55 |
$134.55 |
$192.50
|
|
Chlamydia culture
|
$74.75 |
$74.75 |
$74.75 |
$96.51
|
|
Chlamydia type
|
$34.45 |
$34.45 |
$34.45 |
$34.80
|
|
Chloramphenicol sodium injec
|
$150.21 |
$150.21 |
$150.21 |
$126.46
|
|
Chloride
|
$40.95 |
$40.95 |
$40.95 |
$37.48
|
|
Chloride 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$20.44 |
$20.44 |
$20.44 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$432.90 |
$432.90 |
$432.90 |
$546.01
|
|
Cholecystectomy w/cholangiography 47605
|
$1,788.15 |
$1,788.15 |
$1,788.15 |
$2,758.40
|
|
Cholesterol
|
$49.40 |
$49.40 |
$49.40 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$71.50 |
$71.50 |
$71.50 |
$101.43
|
|
Cholinesterase
|
$49.40 |
$49.40 |
$49.40 |
$49.40
|
|
Chrom analysis
|
$81.90 |
$81.90 |
$81.90 |
$156.00
|
|
Chromatography
|
$122.85 |
$122.85 |
$122.85 |
$81.25
|
|
Chromogenic substrate assay
|
$184.60 |
$184.60 |
$184.60 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$190.45 |
$190.45 |
$190.45 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$541.45 |
$541.45 |
$541.45 |
$558.25
|
|
Chromosome analysis 5
|
$394.55 |
$394.55 |
$394.55 |
$719.23
|
|
Chromosome count additional
|
$44.85 |
$44.85 |
$44.85 |
$120.90
|
|
Chromosome karyotype study
|
$37.70 |
$37.70 |
$37.70 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$137.80 |
$137.80 |
$137.80 |
$136.09
|
|
Cilastatin sodium injection
|
$100.81 |
$100.81 |
$100.81 |
$43.44
|
|
Cisplatin 1 mg/ml desensitization
|
$100.23 |
$100.23 |
$100.23 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$497.25 |
$497.25 |
$497.25 |
$606.06
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.29 |
$40.29 |
$40.29 |
$49.74
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$250.90 |
$250.90 |
$250.90 |
$413.00
|
|
Clot factor xii hageman
|
$102.05 |
$102.05 |
$102.05 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$84.50 |
$84.50 |
$84.50 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$107.25 |
$107.25 |
$107.25 |
$84.27
|
|
Clozapine, 25 mg
|
$9.28 |
$9.28 |
$9.28 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$601.90 |
$601.90 |
$601.90 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$488.80 |
$488.80 |
$488.80 |
$482.40
|
|
Clsd tx elbow dislocation child 24640
|
$248.30 |
$248.30 |
$248.30 |
$520.00
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$243.10 |
$243.10 |
$243.10 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$354.25 |
$354.25 |
$354.25 |
$441.18
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$655.20 |
$655.20 |
$655.20 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,132.95 |
$1,132.95 |
$1,132.95 |
$1,884.74
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$1,771.43
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$683.80 |
$683.80 |
$683.80 |
$688.00
|
