|
Bilirubin total
|
$500.00 |
$500.00 |
$500.00 |
$54.60
|
|
Bio-connekt per square cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Biodfence dryflex, 1cm
|
$1.00 |
$1.00 |
$1.00 |
$127.14
|
|
Biovance 1 square cm
|
$1.00 |
$1.00 |
$1.00 |
$6,008.70
|
|
Biovance tri or 3l, sq cm
|
$1.00 |
$1.00 |
$1.00 |
$19,353.60
|
|
Blood Culture Test
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$150.00 |
$150.00 |
$150.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$226.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$215.00 |
$215.00 |
$215.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$548.00 |
$548.00 |
$548.00 |
$38.35
|
|
Blood typing abo
|
$433.00 |
$433.00 |
$433.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$21.00 |
$21.00 |
$21.00 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$288.00 |
$288.00 |
$288.00 |
$211.90
|
|
Blood typing rh (d)
|
$433.00 |
$433.00 |
$433.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$25.00 |
$25.00 |
$25.00 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$2,331.00 |
$2,331.00 |
$2,331.00 |
$407.94
|
|
Bone/joint imaging ltd area
|
$11,297.00 |
$11,297.00 |
$11,297.00 |
$1,037.40
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$114.00 |
$114.00 |
$114.00 |
$93.60
|
|
Bowel imaging
|
$9,123.00 |
$9,123.00 |
$9,123.00 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$283.00 |
$283.00 |
$283.00 |
$105.30
|
|
Braf gene
|
$568.00 |
$568.00 |
$568.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,030.00 |
$5,030.00 |
$5,030.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,024.00 |
$4,024.00 |
$4,024.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,902.00 |
$2,902.00 |
$2,902.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$5,030.00 |
$5,030.00 |
$5,030.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,024.00 |
$4,024.00 |
$4,024.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$1,948.00
|
|
Brcassure comprehensive panel-sendout
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$2,409.00
|
|
Bundled special stain group 1 microorganisms
|
$929.00 |
$929.00 |
$929.00 |
$159.00
|
|
Bundled special stain group 2
|
$462.00 |
$462.00 |
$462.00 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$46.05 |
$46.05 |
$46.05 |
$80.64
|
|
Butorphanol tartrate 1 mg
|
$24.00 |
$24.00 |
$24.00 |
$41.79
|
|
C1 esterase inhibitor func - sendout
|
$23.00 |
$23.00 |
$23.00 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,724.00 |
$7,724.00 |
$7,724.00 |
$2,210.98
|
|
Calcium 24 hour urine
|
$417.00 |
$417.00 |
$417.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$151.00 |
$151.00 |
$151.00 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$119.00 |
$119.00 |
$119.00 |
$64.49
|
|
Calcium ionized
|
$6.00 |
$6.00 |
$6.00 |
$90.00
|
|
Calprotectin fecal
|
$107.00 |
$107.00 |
$107.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$122.85
|
|
Carbon dioxide
|
$334.00 |
$334.00 |
$334.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$31.00 |
$31.00 |
$31.00 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$40.00 |
$40.00 |
$40.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$21,970.00 |
$21,970.00 |
$21,970.00 |
$2,917.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$4,619.00 |
$4,619.00 |
$4,619.00 |
$1,431.36
|
|
Carotid Artery Ultrasound (Duplex)
|
$5,761.00 |
$5,761.00 |
$5,761.00 |
$1,024.32
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$816.00 |
$816.00 |
$816.00 |
$602.45
|
|
Ceftazidime and avibactam
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$904.66
|
|
Cellesta or duo per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Chest Physiotherapy (first session)
|
$602.00 |
$602.00 |
$602.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$602.00 |
$602.00 |
$602.00 |
$134.50
|
|
Chest Ultrasound
|
$3,539.00 |
$3,539.00 |
$3,539.00 |
$463.88
|
|
Chg radiologic exam esophagus double contrast
|
$5,084.00 |
$5,084.00 |
$5,084.00 |
$520.80
|
|
Chlamydia type
|
$19.00 |
$19.00 |
$19.00 |
$34.98
|
|
Chloride
|
$122.00 |
$122.00 |
$122.00 |
$42.63
|
|
Chloride 24 hour urine
|
$7.00 |
$7.00 |
$7.00 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$186.00 |
$186.00 |
$186.00 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$20,339.00 |
$20,339.00 |
$20,339.00 |
$602.40
|
|
Cholesterol
|
$312.00 |
$312.00 |
$312.00 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$115.80
|
|
Chronic urticaria - sendout
|
$462.70 |
$462.70 |
$462.70 |
$75.71
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$278.00 |
$278.00 |
$278.00 |
$35.65
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$52.00 |
$52.00 |
$52.00 |
$85.37
|
|
#cmvcul-virus inoculation shell
|
$68.00 |
$68.00 |
$68.00 |
$89.76
|
|
Cmv pcr-sendout
|
$105.27 |
$105.27 |
$105.27 |
$175.70
|
|
Cogenex amnio memb per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Cold agglutinin titer
|
$4.00 |
$4.00 |
$4.00 |
$52.00
|
|
Coll-e-derm 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Compatibility test each unit antiglobulin technique
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$62.00 |
$62.00 |
$62.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$169.52
|
|
Compatibility test incubate
|
$62.00 |
$62.00 |
$62.00 |
$156.24
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$140.00 |
$140.00 |
$140.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,011.00 |
$2,011.00 |
$2,011.00 |
$226.50
|
|
Coombs indirect qualitative each reagent red cell reference
|
$361.00 |
$361.00 |
$361.00 |
$107.25
|
|
Coombs indirect titer reference
|
$17.00 |
$17.00 |
$17.00 |
$156.71
|
|
Cortisol total am
|
$971.00 |
$971.00 |
$971.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$256.00 |
$256.00 |
$256.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$164.00 |
$164.00 |
$164.00 |
$54.60
|
|
CPAP or BiPAP Setup (first day)
|
$2,077.00 |
$2,077.00 |
$2,077.00 |
$584.50
|
|
C-peptide
|
$274.00 |
$274.00 |
$274.00 |
$93.60
|
|
C-reactive protein
|
$257.00 |
$257.00 |
$257.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$257.00 |
$257.00 |
$257.00 |
$85.50
|
|
Creatine kinase
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$19.74 |
$19.74 |
$19.74 |
$56.20
|
|
Creatine kinase mb
|
$78.68 |
$78.68 |
$78.68 |
$113.63
|
|
Creatinine
|
$697.00 |
$697.00 |
$697.00 |
$46.20
|
|
Creatinine clearance urine
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$90.26
|
|
Crotalidae poly immune fab
|
$11,489.00 |
$11,489.00 |
$11,489.00 |
$5,760.00
|
|
Crystal identification light microscopy
|
$561.00 |
$561.00 |
$561.00 |
$66.43
|
|
CT guidance for needle placement
|
$13,176.00 |
$13,176.00 |
$13,176.00 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$150.00
|
|
Culture aerobic additional method definitive id each
|
$453.00 |
$453.00 |
$453.00 |
$72.00
|
|
Culture afb any source
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$537.00 |
$537.00 |
$537.00 |
$84.76
|
|
Culture anaerobic except blood
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$121.22
|
