|
Aztreonam 1 gram solution for injection
|
$210.60 |
$210.60 |
$210.60 |
$157.30
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$497.88 |
$497.88 |
$497.88 |
$191.55
|
|
Baclofen eval charges
|
$739.17 |
$739.17 |
$739.17 |
$86.14
|
|
Bacterial meningitis antigen
|
$29.43 |
$29.43 |
$29.43 |
$68.40
|
|
Bactericidal level serum
|
$35.35 |
$35.35 |
$35.35 |
$82.50
|
|
Barrier skin flextend 2.25in floating flang new image
|
$11.97 |
$11.97 |
$11.97 |
$2.40
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$9.55 |
$9.55 |
$9.55 |
$30.00
|
|
Bartonella dna pcr-sendout
|
$238.35 |
$238.35 |
$238.35 |
$196.20
|
|
B cells total count
|
$30.66 |
$30.66 |
$30.66 |
$125.28
|
|
Bendamustine 100 mg intravenous powder for solution
|
$8,365.68 |
$8,365.68 |
$8,365.68 |
$3,101.94
|
|
Benztropine 1 mg/ml injection solution
|
$469.80 |
$469.80 |
$469.80 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$52.92 |
$52.92 |
$52.92 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$2,562.84 |
$2,562.84 |
$2,562.84 |
$4,905.00
|
|
Bilicheck
|
$238.93 |
$238.93 |
$238.93 |
$25.20
|
|
Biotinidase - quest
|
$74.15 |
$74.15 |
$74.15 |
$72.80
|
|
Bivalirudin
|
$6,244.56 |
$6,244.56 |
$6,244.56 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$3,809.16 |
$3,809.16 |
$3,809.16 |
$245.75
|
|
Blink reflex test
|
$797.56 |
$797.56 |
$797.56 |
$225.60
|
|
Blood Culture Test
|
$577.91 |
$577.91 |
$577.91 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$395.47 |
$395.47 |
$395.47 |
$220.35
|
|
Blood gases ph venous
|
$276.60 |
$276.60 |
$276.60 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$92.98 |
$92.98 |
$92.98 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$182.44 |
$182.44 |
$182.44 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$68.27 |
$68.27 |
$68.27 |
$37.44
|
|
Blood typing rh (d)
|
$155.36 |
$155.36 |
$155.36 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$235.40 |
$235.40 |
$235.40 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$792.54 |
$792.54 |
$792.54 |
$395.00
|
|
Bone imaging multiple areas
|
$6,554.52 |
$6,554.52 |
$6,554.52 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$4,734.68 |
$4,734.68 |
$4,734.68 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$4,312.56 |
$4,312.56 |
$4,312.56 |
$346.28
|
|
Bowel imaging
|
$7,046.94 |
$7,046.94 |
$7,046.94 |
$1,186.25
|
|
Brace afo lg left 6607
|
$222.98 |
$222.98 |
$222.98 |
$401.11
|
|
Brain flow imaging only
|
$7,952.45 |
$7,952.45 |
$7,952.45 |
$636.97
|
|
Brain image w/flow 4 + views
|
$8,197.01 |
$8,197.01 |
$8,197.01 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$13,010.23 |
$13,010.23 |
$13,010.23 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$12,288.47 |
$12,288.47 |
$12,288.47 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$10,844.97 |
$10,844.97 |
$10,844.97 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$22,792.97 |
$22,792.97 |
$22,792.97 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$19,466.37 |
$19,466.37 |
$19,466.37 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$19,466.37 |
$19,466.37 |
$19,466.37 |
$1,927.04
|
|
Bronchial challenge
|
$1,926.75 |
$1,926.75 |
$1,926.75 |
$835.20
|
|
Budesonide non-comp unit
|
$64.80 |
$64.80 |
$64.80 |
$32.78
|
|
Bundle his recording
|
$12,727.89 |
$12,727.89 |
$12,727.89 |
$5,157.39
|
|
Caffeine citrate 20 mg/ml inj for po
|
$131.76 |
$131.76 |
$131.76 |
$43.81
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$41.36 |
$41.36 |
$41.36 |
$59.40
|
|
Calcium ionized
|
$155.36 |
$155.36 |
$155.36 |
$86.35
|
|
Calcium total
|
$151.83 |
$151.83 |
$151.83 |
$48.75
|
|
Calculi urinary-sendout
|
$11.77 |
$11.77 |
$11.77 |
$68.05
|
|
Calculus analysis qual
|
$12.74 |
$12.74 |
$12.74 |
$29.60
|
|
Carbamazepine total therapeutic drug level
|
$200.09 |
$200.09 |
$200.09 |
$113.25
|
|
Carbohydrate urine - sendout
|
$7.06 |
$7.06 |
$7.06 |
$43.51
|
|
Carbon dioxide
|
$84.74 |
$84.74 |
$84.74 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$217.08 |
$217.08 |
$217.08 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$124.74 |
$124.74 |
$124.74 |
$432.25
|
|
Cardiac drug stress test
|
$957.29 |
$957.29 |
$957.29 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$9,648.91 |
$9,648.91 |
$9,648.91 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$412.24 |
$412.24 |
$412.24 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$413.42 |
$413.42 |
$413.42 |
$195.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,015.28 |
$2,015.28 |
$2,015.28 |
$1,582.20
|
|
Carotene
|
$17.03 |
$17.03 |
$17.03 |
$46.80
|
|
Ceftazidime and avibactam
|
$1,446.12 |
$1,446.12 |
$1,446.12 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$62.64 |
$62.64 |
$62.64 |
$29.03
|
|
Cell marker study
|
$41.09 |
$41.09 |
$41.09 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$6,643.75 |
$6,643.75 |
$6,643.75 |
$884.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$2,058.48 |
$2,058.48 |
$2,058.48 |
$3,358.00
|
|
#cf-97variants
|
$426.37 |
$426.37 |
$426.37 |
$612.26
|
|
Chemo ia infuse each addl hr
|
$668.67 |
$668.67 |
$668.67 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$668.67 |
$668.67 |
$668.67 |
$604.89
|
|
Chemo ia push tecnique
|
$668.67 |
$668.67 |
$668.67 |
$500.20
|
|
Chemo intralesional over 7
|
$456.06 |
$456.06 |
$456.06 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$456.06 |
$456.06 |
$456.06 |
$175.20
|
|
Chest 2 vws w oblique
|
$2,281.74 |
$2,281.74 |
$2,281.74 |
$373.20
|
|
Chest apical lordotic proj
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$18,580.02 |
$18,580.02 |
$18,580.02 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$15,717.36 |
$15,717.36 |
$15,717.36 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$15,279.66 |
$15,279.66 |
$15,279.66 |
$1,350.03
|
|
Chest X-ray
|
$1,716.66 |
$1,716.66 |
$1,716.66 |
$294.06
|
|
Chest X-ray (single view)
|
$1,669.74 |
$1,669.74 |
$1,669.74 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$902.70 |
$902.70 |
$902.70 |
$520.80
|
|
Chlamydia culture
|
$12.95 |
$12.95 |
$12.95 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$16.18 |
$16.18 |
$16.18 |
$30.40
|
|
Chloramphenicol sodium injec
|
$126.36 |
$126.36 |
$126.36 |
$122.59
|
|
Chloride
|
$84.74 |
$84.74 |
$84.74 |
$38.50
|
|
Chloride 24 hour urine
|
$60.03 |
$60.03 |
$60.03 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$313.20 |
$313.20 |
$313.20 |
$333.01
|
|
Chmotx admn plrl cav thrcnts
|
$668.67 |
$668.67 |
$668.67 |
$393.54
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$625.60
|
|
Cholesterol
|
$387.23 |
$387.23 |
$387.23 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$532.00 |
$532.00 |
$532.00 |
$115.70
|
|
Cholinesterase
|
$8.84 |
$8.84 |
$8.84 |
$38.69
|
|
Chrom analysis
|
$216.33 |
$216.33 |
$216.33 |
$127.86
|
|
Chromatography
|
$13.24 |
$13.24 |
$13.24 |
$80.60
|
|
Chromogenic substrate assay
|
$153.01 |
$153.01 |
$153.01 |
$183.52
|
|
Chromosome analys amniotic
|
$158.90 |
$158.90 |
$158.90 |
$436.00
|
|
Chromosome analysis 15-20 cell count
|
$263.18 |
$263.18 |
$263.18 |
$448.80
|
|
Chromosome analysis 45
|
$158.90 |
$158.90 |
$158.90 |
$367.29
|
|
Chromosome analysis 50-100
|
$479.34 |
$479.34 |
$479.34 |
$301.50
|
|
Chromosome analys placenta
|
$209.78 |
$209.78 |
$209.78 |
$642.00
|
|
Chromosome study additional
|
$263.18 |
$263.18 |
$263.18 |
$147.03
|
|
Chronic urticaria - sendout
|
$122.71 |
$122.71 |
$122.71 |
$89.70
|
