|
Brain image 4+ views
|
$6,825.38 |
$6,825.38 |
$6,825.38 |
$746.61
|
|
Brain image w/flow < 4 views
|
$12,102.51 |
$12,102.51 |
$12,102.51 |
$828.39
|
|
Brain image w/flow 4 + views
|
$8,563.61 |
$8,563.61 |
$8,563.61 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$9,017.72 |
$9,017.72 |
$9,017.72 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$8,322.17 |
$8,322.17 |
$8,322.17 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,483.48 |
$7,483.48 |
$7,483.48 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$9,308.81 |
$9,308.81 |
$9,308.81 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$8,322.89 |
$8,322.89 |
$8,322.89 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$7,665.63 |
$7,665.63 |
$7,665.63 |
$1,927.04
|
|
Bundled special stain group 1 microorganisms
|
$3,575.90 |
$3,575.90 |
$3,575.90 |
$164.89
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$56.57 |
$56.57 |
$56.57 |
$17.13
|
|
Buprenorphine hydrochloride
|
$58.28 |
$58.28 |
$58.28 |
$42.14
|
|
Buprenorphine oral 1mg
|
$4.90 |
$4.90 |
$4.90 |
$11.95
|
|
Butorphanol tartrate 1 mg
|
$137.03 |
$137.03 |
$137.03 |
$39.89
|
|
Caffeine citrate 20 mg/ml inj for po
|
$24.64 |
$24.64 |
$24.64 |
$43.81
|
|
Calcium 24 hour urine
|
$77.29 |
$77.29 |
$77.29 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$74.40 |
$74.40 |
$74.40 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$53.12 |
$53.12 |
$53.12 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$52.99 |
$52.99 |
$52.99 |
$92.91
|
|
Calcium ionized
|
$147.04 |
$147.04 |
$147.04 |
$86.35
|
|
Calcium total
|
$1,746.25 |
$1,746.25 |
$1,746.25 |
$48.75
|
|
Calculi urinary-sendout
|
$10.00 |
$10.00 |
$10.00 |
$68.05
|
|
Calprotectin fecal
|
$100.00 |
$100.00 |
$100.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$1,638.96 |
$1,638.96 |
$1,638.96 |
$113.25
|
|
Carbohydrate urine - sendout
|
$127.48 |
$127.48 |
$127.48 |
$43.51
|
|
Carbon dioxide
|
$524.44 |
$524.44 |
$524.44 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$179.15 |
$179.15 |
$179.15 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$393.36 |
$393.36 |
$393.36 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$195.31 |
$195.31 |
$195.31 |
$146.90
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$9,282.46 |
$9,282.46 |
$9,282.46 |
$2,792.00
|
|
Cardiac shunt imaging
|
$11,830.84 |
$11,830.84 |
$11,830.84 |
$860.63
|
|
Carotene
|
$7.20 |
$7.20 |
$7.20 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$5,351.78 |
$5,351.78 |
$5,351.78 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$432.08 |
$432.08 |
$432.08 |
$48.75
|
|
Cath stripping venous s&i
|
$8,621.99 |
$8,621.99 |
$8,621.99 |
$602.40
|
|
Cefotaxime sodium injection
|
$43.26 |
$43.26 |
$43.26 |
$40.63
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$587.71 |
$587.71 |
$587.71 |
$634.46
|
|
Ceftazidime and avibactam
|
$1,462.79 |
$1,462.79 |
$1,462.79 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$192.13 |
$192.13 |
$192.13 |
$29.03
|
|
Cell count body fluid
|
$1,618.12 |
$1,618.12 |
$1,618.12 |
$63.52
|
|
Cell count w differential body fluid
|
$634.71 |
$634.71 |
$634.71 |
$95.55
|
|
#cf-97variants
|
$57.02 |
$57.02 |
$57.02 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$1,583.97 |
$1,583.97 |
$1,583.97 |
$722.70
|
|
Chest 2 vws w oblique
|
$2,379.95 |
$2,379.95 |
$2,379.95 |
$373.20
|
|
Chest apical lordotic proj
|
$5,428.04 |
$5,428.04 |
$5,428.04 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$30,741.28 |
$30,741.28 |
$30,741.28 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$19,717.23 |
$19,717.23 |
$19,717.23 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$14,870.14 |
$14,870.14 |
$14,870.14 |
$1,350.03
|
|
Chest X-ray
|
$2,379.95 |
$2,379.95 |
$2,379.95 |
$294.06
|
|
Chest X-ray (single view)
|
$896.03 |
$896.03 |
$896.03 |
$229.08
|
|
Chlnggrphy intraop addl s&i
|
$2,426.57 |
$2,426.57 |
$2,426.57 |
$280.00
|
|
Chloride
|
$688.39 |
$688.39 |
$688.39 |
$38.50
|
|
Chloride 24 hour urine
|
$739.02 |
$739.02 |
$739.02 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$217.35 |
$217.35 |
$217.35 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$157.28 |
$157.28 |
$157.28 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$5,712.89 |
$5,712.89 |
$5,712.89 |
$625.60
|
|
Cholesterol
|
$1,746.25 |
$1,746.25 |
$1,746.25 |
$46.15
|
|
Cholesterol body fluid
|
$4.89 |
$4.89 |
$4.89 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$1,880.34 |
$1,880.34 |
$1,880.34 |
$115.70
|
|
Chromosome analysis 45
|
$190.93 |
$190.93 |
$190.93 |
$367.29
|
|
Chromosome analysis 5
|
$189.86 |
$189.86 |
$189.86 |
$644.80
|
|
Chromosome analysis 50-100
|
$261.00 |
$261.00 |
$261.00 |
$301.50
|
|
Chromosome count additional
|
$20.41 |
$20.41 |
$20.41 |
$110.00
|
|
Chromosome karyotype study
|
$25.00 |
$25.00 |
$25.00 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$14.49 |
$14.49 |
$14.49 |
$123.20
|
|
Cilastatin sodium injection
|
$418.93 |
$418.93 |
$418.93 |
$65.86
|
|
Cine/video x-rays add-on
|
$4,827.00 |
$4,827.00 |
$4,827.00 |
$213.15
|
|
Cllr miami j sm
|
$1,005.10 |
$1,005.10 |
$1,005.10 |
$219.42
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$80.66 |
$80.66 |
$80.66 |
$81.02
|
|
Clot factor xiii fibrin scrn
|
$99.23 |
$99.23 |
$99.23 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$57.02 |
$57.02 |
$57.02 |
$84.27
|
|
Cmv pcr-sendout
|
$167.00 |
$167.00 |
$167.00 |
$172.25
|
|
Co2 monitor per day
|
$218.17 |
$218.17 |
$218.17 |
$388.85
|
|
Coagulation time activated teg
|
$327.45 |
$327.45 |
$327.45 |
$50.05
|
|
Cold agglutinin titer
|
$5.00 |
$5.00 |
$5.00 |
$49.40
|
|
Collar cerv ascend 172 reg
|
$71.76 |
$71.76 |
$71.76 |
$174.01
|
|
Collection of venous blood by venipuncture
|
$214.57 |
$214.57 |
$214.57 |
$21.66
|
|
Compatibility test each unit electronic
|
$1,743.84 |
$1,743.84 |
$1,743.84 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$595.97 |
$595.97 |
$595.97 |
$159.95
|
|
Concentration infection agents any type
|
$9.68 |
$9.68 |
$9.68 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$726.05 |
$726.05 |
$726.05 |
$792.24
|
|
Consultation pathology during surgery
|
$451.42 |
$451.42 |
$451.42 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$653.60 |
$653.60 |
$653.60 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$2,881.59 |
$2,881.59 |
$2,881.59 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$4,428.15 |
$4,428.15 |
$4,428.15 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$7,404.83 |
$7,404.83 |
$7,404.83 |
$235.95
|
|
Contrast exam thoracic aorta
|
$21,309.56 |
$21,309.56 |
$21,309.56 |
$3,648.84
|
|
Contrast x-ray gallbladder
|
$3,361.47 |
$3,361.47 |
$3,361.47 |
$276.65
|
|
Cortisol total am
|
$171.01 |
$171.01 |
$171.01 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$137.36 |
$137.36 |
$137.36 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$385.74 |
$385.74 |
$385.74 |
$57.60
|
|
Covid-19 lab test non-cdc
|
$51.31 |
$51.31 |
$51.31 |
$56.44
|
|
C-peptide
|
$197.40 |
$197.40 |
$197.40 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$2,031.51 |
$2,031.51 |
$2,031.51 |
$1,409.85
|
|
C-reactive protein
|
$352.20 |
$352.20 |
$352.20 |
$61.10
|
|
Creatine kinase
|
$1,123.44 |
$1,123.44 |
$1,123.44 |
$58.30
|
|
Creatine kinase isoenzymes
|
$16.24 |
$16.24 |
$16.24 |
$49.40
|
|
Creatine kinase mb
|
$1,936.97 |
$1,936.97 |
$1,936.97 |
$105.95
|
|
Creatinine
|
$896.95 |
$896.95 |
$896.95 |
$42.50
|
|
Creatinine clearance urine
|
$1,090.69 |
$1,090.69 |
$1,090.69 |
$85.80
|
