|
Bowel imaging
|
$9,018.13 |
$9,018.13 |
$9,018.13 |
$1,186.25
|
|
Brace afo lg left 6607
|
$181.49 |
$181.49 |
$181.49 |
$401.11
|
|
Brace back pinnacle tlso 464
|
$4,751.09 |
$4,751.09 |
$4,751.09 |
$2,223.92
|
|
Brace knee extender plus 22-30in
|
$2,409.65 |
$2,409.65 |
$2,409.65 |
$505.05
|
|
Braf gene
|
$45.15 |
$45.15 |
$45.15 |
$421.20
|
|
Brain image 4+ views
|
$9,477.93 |
$9,477.93 |
$9,477.93 |
$746.61
|
|
Brain image w/flow 4 + views
|
$10,669.78 |
$10,669.78 |
$10,669.78 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$9,492.00 |
$9,492.00 |
$9,492.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$8,633.00 |
$8,633.00 |
$8,633.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$9,324.00 |
$9,324.00 |
$9,324.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$14,186.00 |
$14,186.00 |
$14,186.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$13,135.00 |
$13,135.00 |
$13,135.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$12,087.00 |
$12,087.00 |
$12,087.00 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,287.20
|
|
Bronchial challenge
|
$1,955.36 |
$1,955.36 |
$1,955.36 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$778.84 |
$778.84 |
$778.84 |
$164.89
|
|
Buprenorphine hydrochloride
|
$113.15 |
$113.15 |
$113.15 |
$42.14
|
|
Caffeine citrate 20 mg/ml inj for po
|
$24.64 |
$24.64 |
$24.64 |
$43.81
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$59.40 |
$59.40 |
$59.40 |
$59.40
|
|
Calcium total
|
$863.85 |
$863.85 |
$863.85 |
$48.75
|
|
Calculus analysis qual
|
$11.05 |
$11.05 |
$11.05 |
$29.60
|
|
Calprotectin fecal
|
$162.90 |
$162.90 |
$162.90 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$1,196.81 |
$1,196.81 |
$1,196.81 |
$113.25
|
|
Carbon dioxide
|
$757.26 |
$757.26 |
$757.26 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$61.39 |
$61.39 |
$61.39 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$179.15 |
$179.15 |
$179.15 |
$432.25
|
|
Cardiac drug stress test
|
$1,551.29 |
$1,551.29 |
$1,551.29 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,811.63 |
$5,811.63 |
$5,811.63 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,058.75 |
$1,058.75 |
$1,058.75 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$38.72 |
$38.72 |
$38.72 |
$195.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,562.99 |
$2,562.99 |
$2,562.99 |
$1,582.20
|
|
Carotene
|
$7.52 |
$7.52 |
$7.52 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$7,675.03 |
$7,675.03 |
$7,675.03 |
$1,067.40
|
|
Cath stripping venous s&i
|
$14,010.59 |
$14,010.59 |
$14,010.59 |
$602.40
|
|
Cell marker study
|
$109.44 |
$109.44 |
$109.44 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$8,460.32 |
$8,460.32 |
$8,460.32 |
$884.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,566.68 |
$5,566.68 |
$5,566.68 |
$3,358.00
|
|
#cf-97variants
|
$57.02 |
$57.02 |
$57.02 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$732.00 |
$732.00 |
$732.00 |
$722.70
|
|
Chest 2 vws w oblique
|
$4,460.06 |
$4,460.06 |
$4,460.06 |
$373.20
|
|
Chest apical lordotic proj
|
$3,702.60 |
$3,702.60 |
$3,702.60 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$24,201.21 |
$24,201.21 |
$24,201.21 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$24,339.65 |
$24,339.65 |
$24,339.65 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$19,891.21 |
$19,891.21 |
$19,891.21 |
$1,350.03
|
|
Chest X-ray
|
$2,450.25 |
$2,450.25 |
$2,450.25 |
$294.06
|
|
Chest X-ray (single view)
|
$2,153.80 |
$2,153.80 |
$2,153.80 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$3,096.39 |
$3,096.39 |
$3,096.39 |
$520.80
|
|
Chlnggrphy intraop addl s&i
|
$815.54 |
$815.54 |
$815.54 |
$280.00
|
|
Chloride
|
$855.82 |
$855.82 |
$855.82 |
$38.50
|
|
Chloride 24 hour urine
|
$629.92 |
$629.92 |
$629.92 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$5,088.15 |
$5,088.15 |
$5,088.15 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$110.95 |
$110.95 |
$110.95 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$6,458.98 |
$6,458.98 |
$6,458.98 |
$625.60
|
|
Cholesterol (Lipid) Test
|
$1,397.77 |
$1,397.77 |
$1,397.77 |
$115.70
|
|
Cholinesterase
|
$8.28 |
$8.28 |
$8.28 |
$38.69
|
|
Chromatography
|
$16.97 |
$16.97 |
$16.97 |
$80.60
|
|
Chromosome analysis 15-20 cell count
|
$317.75 |
$317.75 |
$317.75 |
$448.80
|
|
Chromosome count additional
|
$77.76 |
$77.76 |
$77.76 |
$110.00
|
|
Chromosome karyotype study
|
$102.72 |
$102.72 |
$102.72 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$23.62 |
$23.62 |
$23.62 |
$123.20
|
|
Cilastatin sodium injection
|
$469.47 |
$469.47 |
$469.47 |
$65.86
|
|
Cisplatin 1 mg/ml desensitization
|
$26.87 |
$26.87 |
$26.87 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$3,839.79 |
$3,839.79 |
$3,839.79 |
$576.60
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$210.98 |
$210.98 |
$210.98 |
$81.02
|
|
Clot factor xiii fibrin scrn
|
$10.00 |
$10.00 |
$10.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$70.00 |
$70.00 |
$70.00 |
$84.27
|
|
Clotting assay whole blood
|
$357.90 |
$357.90 |
$357.90 |
$105.95
|
|
Cmv pcr-sendout
|
$69.00 |
$69.00 |
$69.00 |
$172.25
|
|
Coagulation time activated teg
|
$958.64 |
$958.64 |
$958.64 |
$50.05
|
|
Cold agglutinin titer
|
$740.34 |
$740.34 |
$740.34 |
$49.40
|
|
Colistimethate sodium inj
|
$909.55 |
$909.55 |
$909.55 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$196.28 |
$196.28 |
$196.28 |
$46.88
|
|
Collar cerv adlt perfit ace extric
|
$510.41 |
$510.41 |
$510.41 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$71.76 |
$71.76 |
$71.76 |
$174.01
|
|
Compatibility test each unit electronic
|
$1,018.71 |
$1,018.71 |
$1,018.71 |
$167.17
|
|
Compatibility test incubate
|
$1,015.75 |
$1,015.75 |
$1,015.75 |
$143.64
|
|
Complement fixation each
|
$11.54 |
$11.54 |
$11.54 |
$25.70
|
|
Compl oph exam general anes
|
$32,729.29 |
$32,729.29 |
$32,729.29 |
$2,584.50
|
|
Concentration infection agents any type
|
$15.17 |
$15.17 |
$15.17 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,276.18 |
$1,276.18 |
$1,276.18 |
$792.24
|
|
Consultation pathology during surgery
|
$119.71 |
$119.71 |
$119.71 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$645.57 |
$645.57 |
$645.57 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$863.02 |
$863.02 |
$863.02 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$210.80
|
|
Contrast exam thoracic aorta
|
$14,146.11 |
$14,146.11 |
$14,146.11 |
$3,648.84
|
|
Contrast x-ray gallbladder
|
$4,300.34 |
$4,300.34 |
$4,300.34 |
$276.65
|
|
Coombs indirect titer reference
|
$1,091.89 |
$1,091.89 |
$1,091.89 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,593.74 |
$1,593.74 |
$1,593.74 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$110.00
|
|
#covid19rsv-rsv
|
$47.00 |
$47.00 |
$47.00 |
$140.80
|
|
Crbrospnl fld flw imag cistern
|
$3,312.98 |
$3,312.98 |
$3,312.98 |
$1,409.85
|
|
C-reactive protein high sensitivity
|
$15.83 |
$15.83 |
$15.83 |
$91.20
|
|
Creatine kinase
|
$612.16 |
$612.16 |
$612.16 |
$58.30
|
|
Creatine kinase isoenzymes
|
$5.64 |
$5.64 |
$5.64 |
$49.40
|
|
Creatine kinase mb
|
$1,271.69 |
$1,271.69 |
$1,271.69 |
$105.95
|
|
Creatinine
|
$481.44 |
$481.44 |
$481.44 |
$42.50
|
|
Creatinine clearance urine
|
$1,107.98 |
$1,107.98 |
$1,107.98 |
$85.80
|
|
#creutz-prot.,western blot
|
$335.00 |
$335.00 |
$335.00 |
$179.28
|
|
Critical care 30-74 minutes
|
$11,262.90 |
$11,262.90 |
$11,262.90 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$5,618.80 |
$5,618.80 |
$5,618.80 |
$756.00
|
