|
Bowel imaging
|
$6,753.27 |
$6,753.27 |
$6,753.27 |
$1,186.25
|
|
Brace afo dbl upright cust
|
$1,447.97 |
$1,447.97 |
$1,447.97 |
$965.03
|
|
Brace halo bremer l2830
|
$718.48 |
$718.48 |
$718.48 |
$291.75
|
|
Brace kafo dbl upright cust
|
$7,442.55 |
$7,442.55 |
$7,442.55 |
$3,966.59
|
|
Braf gene
|
$203.76 |
$203.76 |
$203.76 |
$421.20
|
|
Brain image w/flow 4 + views
|
$7,181.66 |
$7,181.66 |
$7,181.66 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,977.28 |
$7,977.28 |
$7,977.28 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,485.45 |
$4,485.45 |
$4,485.45 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$8,501.27 |
$8,501.27 |
$8,501.27 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,489.16 |
$7,489.16 |
$7,489.16 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$6,805.36 |
$6,805.36 |
$6,805.36 |
$1,927.04
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$60.00 |
$60.00 |
$60.00 |
$12.78
|
|
Butorphanol tartrate 1 mg
|
$56.75 |
$56.75 |
$56.75 |
$39.89
|
|
Cadd pump refill
|
$216.00 |
$216.00 |
$216.00 |
$340.33
|
|
Calcium 24 hour urine
|
$655.92 |
$655.92 |
$655.92 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$75.60 |
$75.60 |
$75.60 |
$59.40
|
|
Calcium ionized
|
$363.10 |
$363.10 |
$363.10 |
$86.35
|
|
Calcium total
|
$1,061.48 |
$1,061.48 |
$1,061.48 |
$48.75
|
|
Calprotectin fecal
|
$178.00 |
$178.00 |
$178.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$1,726.18 |
$1,726.18 |
$1,726.18 |
$113.25
|
|
Carbon dioxide
|
$721.80 |
$721.80 |
$721.80 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$30.10 |
$30.10 |
$30.10 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$352.85 |
$352.85 |
$352.85 |
$84.73
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,377.15 |
$7,377.15 |
$7,377.15 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$405.90 |
$405.90 |
$405.90 |
$254.80
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,355.50 |
$2,355.50 |
$2,355.50 |
$1,582.20
|
|
Carotene
|
$14.47 |
$14.47 |
$14.47 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$4,996.97 |
$4,996.97 |
$4,996.97 |
$1,067.40
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$564.86
|
|
Cefotaxime sodium injection
|
$50.50 |
$50.50 |
$50.50 |
$40.63
|
|
Ceftazidime and avibactam
|
$1,495.75 |
$1,495.75 |
$1,495.75 |
$935.40
|
|
Cell marker study
|
$66.11 |
$66.11 |
$66.11 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$6,477.28 |
$6,477.28 |
$6,477.28 |
$884.00
|
|
Chemo ia push tecnique
|
$311.00 |
$311.00 |
$311.00 |
$500.20
|
|
Chest 2 vws w oblique
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$373.20
|
|
Chest apical lordotic proj
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$20,660.39 |
$20,660.39 |
$20,660.39 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$20,330.28 |
$20,330.28 |
$20,330.28 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$8,274.74 |
$8,274.74 |
$8,274.74 |
$1,350.03
|
|
Chest X-ray
|
$2,920.89 |
$2,920.89 |
$2,920.89 |
$294.06
|
|
Chest X-ray (single view)
|
$2,704.20 |
$2,704.20 |
$2,704.20 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$204.19 |
$204.19 |
$204.19 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$2,688.09 |
$2,688.09 |
$2,688.09 |
$520.80
|
|
Chlnggrphy intraop addl s&i
|
$1,607.58 |
$1,607.58 |
$1,607.58 |
$280.00
|
|
Chloramphenicol sodium injec
|
$476.00 |
$476.00 |
$476.00 |
$122.59
|
|
Chloride
|
$878.46 |
$878.46 |
$878.46 |
$38.50
|
|
Chloride 24 hour urine
|
$509.51 |
$509.51 |
$509.51 |
$46.13
|
|
Chloroprocaine hcl injection
|
$481.05 |
$481.05 |
$481.05 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$893.10 |
$893.10 |
$893.10 |
$333.01
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,256.14 |
$4,256.14 |
$4,256.14 |
$625.60
|
|
Cholesterol body fluid
|
$519.76 |
$519.76 |
$519.76 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$1,401.15 |
$1,401.15 |
$1,401.15 |
$115.70
|
|
Cholinesterase challenge
|
$443.62 |
$443.62 |
$443.62 |
$298.60
|
|
Chromatography
|
$15.48 |
$15.48 |
$15.48 |
$80.60
|
|
Chromogenic substrate assay
|
$95.00 |
$95.00 |
$95.00 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$175.00 |
$175.00 |
$175.00 |
$448.80
|
|
Chromosome analysis 5
|
$250.00 |
$250.00 |
$250.00 |
$644.80
|
|
Chromosome count additional
|
$30.00 |
$30.00 |
$30.00 |
$110.00
|
|
Chromosome karyotype study
|
$35.00 |
$35.00 |
$35.00 |
$102.72
|
|
Cidofovir injection
|
$4,980.00 |
$4,980.00 |
$4,980.00 |
$1,099.26
|
|
Cisplatin 1 mg/ml desensitization
|
$24.40 |
$24.40 |
$24.40 |
$127.11
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$81.02
|
|
Clot factor xii hageman
|
$75.00 |
$75.00 |
$75.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$75.00 |
$75.00 |
$75.00 |
$47.30
|
|
Cmv pcr-sendout
|
$104.08 |
$104.08 |
$104.08 |
$172.25
|
|
Coagulation time activated teg
|
$814.04 |
$814.04 |
$814.04 |
$50.05
|
|
Cold agglutinin titer
|
$5.00 |
$5.00 |
$5.00 |
$49.40
|
|
Colistimethate sodium inj
|
$1,206.25 |
$1,206.25 |
$1,206.25 |
$84.22
|
|
Compatibility test each unit electronic
|
$1,339.66 |
$1,339.66 |
$1,339.66 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,339.66 |
$1,339.66 |
$1,339.66 |
$159.95
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,517.45 |
$2,517.45 |
$2,517.45 |
$1,000.10
|
|
Concentration infection agents any type
|
$789.15 |
$789.15 |
$789.15 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,125.25 |
$1,125.25 |
$1,125.25 |
$792.24
|
|
Consultation pathology during surgery
|
$219.62 |
$219.62 |
$219.62 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,144.92 |
$1,144.92 |
$1,144.92 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$480.23 |
$480.23 |
$480.23 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$720.34 |
$720.34 |
$720.34 |
$210.80
|
|
Consultation/report referred slides prepared elsewhere
|
$219.62 |
$219.62 |
$219.62 |
$176.15
|
|
Consult comp w/report rfrd material
|
$240.00 |
$240.00 |
$240.00 |
$345.71
|
|
Coombs indirect qualitative each reagent red cell reference
|
$367.49 |
$367.49 |
$367.49 |
$100.29
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$582.71 |
$582.71 |
$582.71 |
$110.00
|
|
Covid-19 lab test non-cdc
|
$51.31 |
$51.31 |
$51.31 |
$56.44
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
|
Crbrospnl fld flw imag cistern
|
$4,759.50 |
$4,759.50 |
$4,759.50 |
$1,409.85
|
|
C-reactive protein
|
$518.29 |
$518.29 |
$518.29 |
$61.10
|
|
Creatine kinase
|
$1,390.90 |
$1,390.90 |
$1,390.90 |
$58.30
|
|
Creatine kinase isoenzymes
|
$9.20 |
$9.20 |
$9.20 |
$49.40
|
|
Creatine kinase mb
|
$1,696.89 |
$1,696.89 |
$1,696.89 |
$105.95
|
|
Creatinine
|
$814.04 |
$814.04 |
$814.04 |
$42.50
|
|
Creatinine clearance urine
|
$1,912.12 |
$1,912.12 |
$1,912.12 |
$85.80
|
|
#creutz-prot.,western blot
|
$221.78 |
$221.78 |
$221.78 |
$179.28
|
|
Crotalidae poly immune fab
|
$10,703.50 |
$10,703.50 |
$10,703.50 |
$6,208.33
|
|
Crystal identification light microscopy
|
$616.39 |
$616.39 |
$616.39 |
$58.50
|
|
Csf leakage imaging
|
$3,484.45 |
$3,484.45 |
$3,484.45 |
$1,433.25
|
|
Cta abdomen without & /or w/contrast
|
$23,281.96 |
$23,281.96 |
$23,281.96 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$23,281.96 |
$23,281.96 |
$23,281.96 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$17,450.83 |
$17,450.83 |
$17,450.83 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$29,409.66 |
$29,409.66 |
$29,409.66 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$21,615.91 |
$21,615.91 |
$21,615.91 |
$2,017.89
|
