|
Blood Clotting (PTT) Test
|
$46.27 |
$46.27 |
$46.27 |
$72.15
|
|
Blood Count (CBC) Test
|
$74.90 |
$74.90 |
$74.90 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$49.00 |
$49.00 |
$49.00 |
$61.20
|
|
Blood Culture Test
|
$130.34 |
$130.34 |
$130.34 |
$145.80
|
|
Blood draw capillary 36416
|
$2.45 |
$2.45 |
$2.45 |
$20.40
|
|
Blood gases o2 saturation direct measurement
|
$103.53 |
$103.53 |
$103.53 |
$213.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$1.23 |
$1.23 |
$1.23 |
$55.90
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$21.98 |
$21.98 |
$21.98 |
$31.92
|
|
Blood occult peroxidase activity qualitative gastric
|
$21.98 |
$21.98 |
$21.98 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$15.26 |
$15.26 |
$15.26 |
$38.35
|
|
Blood typing abo
|
$29.75 |
$29.75 |
$29.75 |
$83.03
|
|
Blood typing ag donor ea ag
|
$30.10 |
$30.10 |
$30.10 |
$183.00
|
|
Blood typing rbc ag non abo/rh ea
|
$32.34 |
$32.34 |
$32.34 |
$196.95
|
|
Blood typing rh (d)
|
$31.08 |
$31.08 |
$31.08 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$5.95 |
$5.95 |
$5.95 |
$81.90
|
|
Bone imaging multiple areas
|
$466.55 |
$466.55 |
$466.55 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$329.00 |
$329.00 |
$329.00 |
$979.55
|
|
Bone marrow imaging body
|
$665.77 |
$665.77 |
$665.77 |
$1,051.20
|
|
Bone marrow imaging ltd
|
$501.13 |
$501.13 |
$501.13 |
$799.81
|
|
Bone survey-lead poisoning
|
$145.81 |
$145.81 |
$145.81 |
$366.00
|
|
Boot softgait shrt m
|
$17.57 |
$17.57 |
$17.57 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$0.49 |
$0.49 |
$0.49 |
$90.00
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$29.19 |
$29.19 |
$29.19 |
$2,825.96
|
|
(both sides) smear without diff wbc count
|
$11.27 |
$11.27 |
$11.27 |
$30.68
|
|
Bowel imaging
|
$58.52 |
$58.52 |
$58.52 |
$1,065.00
|
|
Brace back t-lso custom
|
$900.76 |
$900.76 |
$900.76 |
$3,517.55
|
|
Brace oths wrist hnd fngr without
|
$28.98 |
$28.98 |
$28.98 |
$231.80
|
|
Brace wrist classic lft sm
|
$10.15 |
$10.15 |
$10.15 |
$78.86
|
|
Brain flow imaging only
|
$199.43 |
$199.43 |
$199.43 |
$636.97
|
|
Brain image w/flow 4 + views
|
$360.01 |
$360.01 |
$360.01 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$785.54 |
$785.54 |
$785.54 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$731.08 |
$731.08 |
$731.08 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,074.92 |
$1,074.92 |
$1,074.92 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,111.46 |
$1,111.46 |
$1,111.46 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,026.06 |
$1,026.06 |
$1,026.06 |
$1,944.15
|
|
Bronchial challenge
|
$159.32 |
$159.32 |
$159.32 |
$724.50
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$37.17 |
$37.17 |
$37.17 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$6.84 |
$6.84 |
$6.84 |
$160.80
|
|
Bundled special stain group 2
|
$5.60 |
$5.60 |
$5.60 |
$170.65
|
|
Butorphanol tartrate 1 mg
|
$2.94 |
$2.94 |
$2.94 |
$39.20
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$2,111.64
|
|
Calcium 24 hour urine
|
$3.36 |
$3.36 |
$3.36 |
$52.80
|
|
Calcium ionized
|
$0.42 |
$0.42 |
$0.42 |
$89.25
|
|
Calcium total
|
$20.16 |
$20.16 |
$20.16 |
$50.00
|
|
Calprotectin fecal
|
$3.85 |
$3.85 |
$3.85 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$4,245.50 |
$4,245.50 |
$4,245.50 |
$28,006.00
|
|
Cap nerve 2x15mm
|
$6,181.70 |
$6,181.70 |
$6,181.70 |
$18,466.88
|
|
Cap trach decann 15mm
|
$224.84 |
$224.84 |
$224.84 |
$2,734.92
|
|
Carbamazepine total therapeutic drug level
|
$121.59 |
$121.59 |
$121.59 |
$115.29
|
|
Carbon dioxide
|
$12.46 |
$12.46 |
$12.46 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$149.38 |
$149.38 |
$149.38 |
$186.57
|
|
Carboxyhemoglobin quantitative
|
$9.87 |
$9.87 |
$9.87 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$39.62 |
$39.62 |
$39.62 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$535.01 |
$535.01 |
$535.01 |
$2,499.00
|
|
Cardiac shunt imaging
|
$176.89 |
$176.89 |
$176.89 |
$860.63
|
|
Cardiolipin antibody iga
|
$4.95 |
$4.95 |
$4.95 |
$106.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$491.68 |
$491.68 |
$491.68 |
$1,385.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$54.18 |
$54.18 |
$54.18 |
$102.00
|
|
Caregiver training strategies&tq ea addl 15 min
|
$27.09 |
$27.09 |
$27.09 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$321.58 |
$321.58 |
$321.58 |
$1,007.40
|
|
Car seat/bed test 60 minutes
|
$21.70 |
$21.70 |
$21.70 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$10.85 |
$10.85 |
$10.85 |
$65.00
|
|
Caspofungin acetate
|
$30.03 |
$30.03 |
$30.03 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$122.57 |
$122.57 |
$122.57 |
$814.63
|
|
Cath adherent clot 10mm 6f 10
|
$79.80 |
$79.80 |
$79.80 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$80.15 |
$80.15 |
$80.15 |
$5,752.27
|
|
Cath cv dl inj 7fx16cm
|
$1,277.29 |
$1,277.29 |
$1,277.29 |
$3,889.06
|
|
Cath groshong MRI 8fr plstc port
|
$397.32 |
$397.32 |
$397.32 |
$1,672.20
|
|
Cath malecot 28fr 4-wing ltx
|
$926.66 |
$926.66 |
$926.66 |
$2,122.44
|
|
Cath uret open tp 6fx70cm
|
$44.31 |
$44.31 |
$44.31 |
$554.52
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$9.24 |
$9.24 |
$9.24 |
$33.60
|
|
Cdna analysis for variants
|
$28.70 |
$28.70 |
$28.70 |
$529.10
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.98 |
$35.98 |
$35.98 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$6.72 |
$6.72 |
$6.72 |
$42.74
|
|
Cefotaxime sodium injection
|
$60.13 |
$60.13 |
$60.13 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$8.47 |
$8.47 |
$8.47 |
$74.57
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$0.91 |
$0.91 |
$0.91 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$5.81 |
$5.81 |
$5.81 |
$62.38
|
|
Ceftazidime and avibactam
|
$64.68 |
$64.68 |
$64.68 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$49.49 |
$49.49 |
$49.49 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$49.42 |
$49.42 |
$49.42 |
$27.49
|
|
Cell count w differential body fluid
|
$66.85 |
$66.85 |
$66.85 |
$92.56
|
|
Cerebrospinal fld flw imag
|
$144.62 |
$144.62 |
$144.62 |
$907.45
|
|
#cf-97variants
|
$13.65 |
$13.65 |
$13.65 |
$612.26
|
|
Chest 2 vws w oblique
|
$161.70 |
$161.70 |
$161.70 |
$375.90
|
|
Chest apical lordotic proj
|
$134.89 |
$134.89 |
$134.89 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$821.03 |
$821.03 |
$821.03 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$719.46 |
$719.46 |
$719.46 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$609.84 |
$609.84 |
$609.84 |
$1,350.03
|
|
Chest X-ray
|
$114.10 |
$114.10 |
$114.10 |
$294.29
|
|
Chest X-ray (single view)
|
$82.32 |
$82.32 |
$82.32 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$163.94 |
$163.94 |
$163.94 |
$504.40
|
|
Chloride
|
$11.20 |
$11.20 |
$11.20 |
$39.96
|
|
Chloride 24 hour urine
|
$2.87 |
$2.87 |
$2.87 |
$47.50
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$26.39 |
$26.39 |
$26.39 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$6.44 |
$6.44 |
$6.44 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$151.62 |
$151.62 |
$151.62 |
$602.40
|
|
Cholesterol
|
$18.62 |
$18.62 |
$18.62 |
$46.15
|
|
Cholesterol body fluid
|
$3.04 |
$3.04 |
$3.04 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$60.06 |
$60.06 |
$60.06 |
$115.80
|
