|
Azathioprine 50 mg tablet
|
$1.66 |
$1.66 |
$1.66 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$79.92 |
$79.92 |
$79.92 |
$52.69
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$475.45 |
$475.45 |
$475.45 |
$920.45
|
|
Baclofen eval charges
|
$35.24 |
$35.24 |
$35.24 |
$86.14
|
|
Bacterial meningitis antigen
|
$113.41 |
$113.41 |
$113.41 |
$68.40
|
|
Bacterial vaginosis pcr
|
$110.26 |
$110.26 |
$110.26 |
$298.04
|
|
Bactericidal level serum
|
$30.71 |
$30.71 |
$30.71 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$79.18 |
$79.18 |
$79.18 |
$112.80
|
|
Benztropine 1 mg/ml injection solution
|
$53.93 |
$53.93 |
$53.93 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$62.53 |
$62.53 |
$62.53 |
$75.12
|
|
Bfb train 1st 15min cntct 90912
|
$79.46 |
$79.46 |
$79.46 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$79.46 |
$79.46 |
$79.46 |
$112.00
|
|
Bilirubin direct
|
$10.92 |
$10.92 |
$10.92 |
$49.29
|
|
Bilirubin total
|
$49.77 |
$49.77 |
$49.77 |
$51.39
|
|
Bivalirudin
|
$3.48 |
$3.48 |
$3.48 |
$1,246.70
|
|
Bld prd mix
|
$26.46 |
$26.46 |
$26.46 |
$139.21
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$32.65 |
$32.65 |
$32.65 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$21.46 |
$21.46 |
$21.46 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$88.06 |
$88.06 |
$88.06 |
$72.15
|
|
Blood Count (CBC) Test
|
$51.25 |
$51.25 |
$51.25 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$46.62 |
$46.62 |
$46.62 |
$62.28
|
|
Blood Culture Test
|
$99.07 |
$99.07 |
$99.07 |
$144.65
|
|
Blood draw capillary 36416
|
$4.35 |
$4.35 |
$4.35 |
$22.32
|
|
Blood gases ph venous
|
$8.51 |
$8.51 |
$8.51 |
$63.70
|
|
Blood, l/r, irradiated
|
$98.05 |
$98.05 |
$98.05 |
$238.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$40.33 |
$40.33 |
$40.33 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$14.80 |
$14.80 |
$14.80 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$14.80 |
$14.80 |
$14.80 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$15.91 |
$15.91 |
$15.91 |
$33.57
|
|
Blood smear interpretation
|
$45.14 |
$45.14 |
$45.14 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$10.45 |
$10.45 |
$10.45 |
$37.44
|
|
Blood typing abo
|
$36.45 |
$36.45 |
$36.45 |
$83.82
|
|
Blood typing ag donor ea ag
|
$27.94 |
$27.94 |
$27.94 |
$166.80
|
|
Blood typing patient serum
|
$13.51 |
$13.51 |
$13.51 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$35.43 |
$35.43 |
$35.43 |
$181.74
|
|
Blood typing rh (d)
|
$38.57 |
$38.57 |
$38.57 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$66.60 |
$66.60 |
$66.60 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$313.02 |
$313.02 |
$313.02 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,436.06 |
$1,436.06 |
$1,436.06 |
$1,151.16
|
|
Bone marrow imaging ltd
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$723.00
|
|
Bone marrow interpretation
|
$1,666.48 |
$1,666.48 |
$1,666.48 |
$439.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$15.36 |
$15.36 |
$15.36 |
$98.57
|
|
Bowel imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,186.25
|
|
Braf gene
|
$225.70 |
$225.70 |
$225.70 |
$421.20
|
|
Brain image w/flow 4 + views
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$911.87 |
$911.87 |
$911.87 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$606.15 |
$606.15 |
$606.15 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$820.11 |
$820.11 |
$820.11 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$888.93 |
$888.93 |
$888.93 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$590.15 |
$590.15 |
$590.15 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$1,127.02 |
$1,127.02 |
$1,127.02 |
$1,927.04
|
|
Bronchial allergy tests
|
$550.01 |
$550.01 |
$550.01 |
$731.72
|
|
Bronchial challenge
|
$946.55 |
$946.55 |
$946.55 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$32.65 |
$32.65 |
$32.65 |
$164.89
|
|
Bundled special stain group 2
|
$44.03 |
$44.03 |
$44.03 |
$169.60
|
|
Buprenorphine and metabolite - sendout
|
$15.54 |
$15.54 |
$15.54 |
$99.72
|
|
Buprenorphine oral 1mg
|
$0.76 |
$0.76 |
$0.76 |
$11.95
|
|
Butorphanol tartrate 1 mg
|
$37.37 |
$37.37 |
$37.37 |
$39.89
|
|
Caffeine citrate 20 mg/ml inj for po
|
$10.73 |
$10.73 |
$10.73 |
$43.81
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,017.24 |
$2,017.24 |
$2,017.24 |
$2,910.00
|
|
Calcium 24 hour urine
|
$42.37 |
$42.37 |
$42.37 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$25.07 |
$25.07 |
$25.07 |
$45.30
|
|
Calcium ionized
|
$41.35 |
$41.35 |
$41.35 |
$86.35
|
|
Calcium total
|
$8.14 |
$8.14 |
$8.14 |
$48.75
|
|
Calprotectin fecal
|
$51.99 |
$51.99 |
$51.99 |
$170.00
|
|
Candida dna
|
$29.67 |
$29.67 |
$29.67 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$88.15 |
$88.15 |
$88.15 |
$113.25
|
|
Carbon dioxide
|
$4.63 |
$4.63 |
$4.63 |
$44.82
|
|
Carboxyhemoglobin quantitative
|
$32.56 |
$32.56 |
$32.56 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$41.90 |
$41.90 |
$41.90 |
$146.90
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,493.51 |
$1,493.51 |
$1,493.51 |
$2,792.00
|
|
Cardiolipin antibody iga
|
$17.02 |
$17.02 |
$17.02 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,128.13 |
$1,128.13 |
$1,128.13 |
$1,504.08
|
|
Card MRI veloc flow mapping
|
$180.10 |
$180.10 |
$180.10 |
$492.05
|
|
Carotene
|
$3.15 |
$3.15 |
$3.15 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$12.67 |
$12.67 |
$12.67 |
$48.75
|
|
Cath infuse micro 150cm rapidtransit
|
$12.40 |
$12.40 |
$12.40 |
$14.86
|
|
Cdna analysis for variants
|
$98.05 |
$98.05 |
$98.05 |
$564.86
|
|
Cebpa gene full sequence
|
$111.00 |
$111.00 |
$111.00 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$40.09 |
$40.09 |
$40.09 |
$42.00
|
|
Cefepime 1 gram solution for injection
|
$59.78 |
$59.78 |
$59.78 |
$39.95
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$4.63 |
$4.63 |
$4.63 |
$634.46
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$39.96 |
$39.96 |
$39.96 |
$51.66
|
|
Ceftazidime and avibactam
|
$523.39 |
$523.39 |
$523.39 |
$935.40
|
|
Ceftriaxone 1 gram solution for injection
|
$55.18 |
$55.18 |
$55.18 |
$86.58
|
|
Cell count body fluid
|
$11.29 |
$11.29 |
$11.29 |
$63.52
|
|
Cell count w differential body fluid
|
$83.71 |
$83.71 |
$83.71 |
$95.55
|
|
Cell function assay w/stim
|
$129.50 |
$129.50 |
$129.50 |
$335.20
|
|
Cell marker study
|
$37.74 |
$37.74 |
$37.74 |
$239.85
|
|
Chemo adm cns w/lmbr punct
|
$920.93 |
$920.93 |
$920.93 |
$722.70
|
|
Chest 2 vws w oblique
|
$214.23 |
$214.23 |
$214.23 |
$373.20
|
|
Chest apical lordotic proj
|
$195.73 |
$195.73 |
$195.73 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$738.98 |
$738.98 |
$738.98 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$693.10 |
$693.10 |
$693.10 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$647.32 |
$647.32 |
$647.32 |
$1,350.03
|
|
Chest X-ray
|
$177.42 |
$177.42 |
$177.42 |
$294.06
|
|
Chest X-ray (single view)
|
$163.73 |
$163.73 |
$163.73 |
$229.08
|
|
Chlamydia culture
|
$37.00 |
$37.00 |
$37.00 |
$94.90
|
|
Chlamydia type
|
$21.37 |
$21.37 |
$21.37 |
$34.75
|
