|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$461.00 |
$461.00 |
$461.00 |
$191.55
|
|
Baclofen eval charges
|
$802.00 |
$802.00 |
$802.00 |
$86.14
|
|
Bacterial meningitis antigen
|
$29.25 |
$29.25 |
$29.25 |
$68.40
|
|
Bactericidal level serum
|
$35.00 |
$35.00 |
$35.00 |
$82.50
|
|
Barrier skin flextend 2.25in floating flang new image
|
$11.96 |
$11.96 |
$11.96 |
$2.40
|
|
Bartonella dna pcr-sendout
|
$236.25 |
$236.25 |
$236.25 |
$196.20
|
|
B cells total count
|
$30.50 |
$30.50 |
$30.50 |
$125.28
|
|
Bendamustine 100 mg intravenous powder for solution
|
$7,745.50 |
$7,745.50 |
$7,745.50 |
$3,101.94
|
|
Benztropine 1 mg/ml injection solution
|
$435.00 |
$435.00 |
$435.00 |
$121.88
|
|
Beta-2 microglobulin
|
$107.00 |
$107.00 |
$107.00 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$49.00 |
$49.00 |
$49.00 |
$75.12
|
|
Bilicheck
|
$236.75 |
$236.75 |
$236.75 |
$25.20
|
|
Bilirubin direct
|
$152.25 |
$152.25 |
$152.25 |
$49.29
|
|
Biotinidase - quest
|
$73.50 |
$73.50 |
$73.50 |
$72.80
|
|
Bivalirudin
|
$5,782.00 |
$5,782.00 |
$5,782.00 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$3,527.00 |
$3,527.00 |
$3,527.00 |
$245.75
|
|
Blink reflex test
|
$849.50 |
$849.50 |
$849.50 |
$225.60
|
|
Blood Culture Test
|
$633.25 |
$633.25 |
$633.25 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$424.50 |
$424.50 |
$424.50 |
$220.35
|
|
Blood gases ph venous
|
$296.75 |
$296.75 |
$296.75 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$92.00 |
$92.00 |
$92.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$199.25 |
$199.25 |
$199.25 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$783.75 |
$783.75 |
$783.75 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$75.00 |
$75.00 |
$75.00 |
$37.44
|
|
Blood typing rh (d)
|
$154.25 |
$154.25 |
$154.25 |
$56.24
|
|
Bone Density Scan (DEXA)
|
$1,149.50 |
$1,149.50 |
$1,149.50 |
$395.00
|
|
Bone imaging multiple areas
|
$7,000.25 |
$7,000.25 |
$7,000.25 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$5,057.00 |
$5,057.00 |
$5,057.00 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$6,248.00 |
$6,248.00 |
$6,248.00 |
$346.28
|
|
Boot j walker l
|
$472.90 |
$472.90 |
$472.90 |
$291.75
|
|
Bowel imaging
|
$7,525.25 |
$7,525.25 |
$7,525.25 |
$1,186.25
|
|
Brace ank air stirrup univ
|
$89.62 |
$89.62 |
$89.62 |
$56.65
|
|
Braf gene
|
$128.25 |
$128.25 |
$128.25 |
$421.20
|
|
Brain image w/flow 4 + views
|
$8,756.25 |
$8,756.25 |
$8,756.25 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$13,887.75 |
$13,887.75 |
$13,887.75 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$13,116.00 |
$13,116.00 |
$13,116.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$11,576.00 |
$11,576.00 |
$11,576.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$24,331.00 |
$24,331.00 |
$24,331.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$20,779.00 |
$20,779.00 |
$20,779.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$20,779.00 |
$20,779.00 |
$20,779.00 |
$1,927.04
|
|
Bronchial challenge
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$835.20
|
|
Bundle his recording
|
$14,930.00 |
$14,930.00 |
$14,930.00 |
$5,157.39
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$44.25 |
$44.25 |
$44.25 |
$45.30
|
|
Calcium ionized
|
$171.50 |
$171.50 |
$171.50 |
$86.35
|
|
Calcium total
|
$165.50 |
$165.50 |
$165.50 |
$48.75
|
|
Calculi urinary-sendout
|
$11.00 |
$11.00 |
$11.00 |
$68.05
|
|
Calculus analysis qual
|
$12.75 |
$12.75 |
$12.75 |
$29.60
|
|
Capecitabine, oral, 50 mg
|
$30.00 |
$30.00 |
$30.00 |
$46.43
|
|
Carbamazepine total therapeutic drug level
|
$218.00 |
$218.00 |
$218.00 |
$113.25
|
|
Carbohydrate urine - sendout
|
$7.00 |
$7.00 |
$7.00 |
$43.51
|
|
Carbon dioxide
|
$92.00 |
$92.00 |
$92.00 |
$44.82
|
|
Carcinoembryonic ag (cea)
|
$81.00 |
$81.00 |
$81.00 |
$146.90
|
|
Cardiac drug stress test
|
$1,103.50 |
$1,103.50 |
$1,103.50 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$10,305.75 |
$10,305.75 |
$10,305.75 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$392.00 |
$392.00 |
$392.00 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$393.00 |
$393.00 |
$393.00 |
$195.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$1,582.20
|
|
Carotene
|
$17.00 |
$17.00 |
$17.00 |
$46.80
|
|
Cath ext adhere actv m 28mm
|
$18.19 |
$18.19 |
$18.19 |
$1.80
|
|
#cbg+cort-cbg
|
$23.75 |
$23.75 |
$23.75 |
$66.55
|
|
Ceftazidime and avibactam
|
$1,338.50 |
$1,338.50 |
$1,338.50 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$58.00 |
$58.00 |
$58.00 |
$29.03
|
|
Cell marker study
|
$40.75 |
$40.75 |
$40.75 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$7,096.00 |
$7,096.00 |
$7,096.00 |
$884.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$3,358.00
|
|
#cf-97variants
|
$422.50 |
$422.50 |
$422.50 |
$612.26
|
|
Chemo ia infuse each addl hr
|
$513.25 |
$513.25 |
$513.25 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$513.25 |
$513.25 |
$513.25 |
$604.89
|
|
Chemo ia push tecnique
|
$513.25 |
$513.25 |
$513.25 |
$500.20
|
|
Chemo intralesional over 7
|
$350.50 |
$350.50 |
$350.50 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$350.50 |
$350.50 |
$350.50 |
$175.20
|
|
Chemotx admn pertl cav impl
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$507.17
|
|
Chest 2 vws w oblique
|
$780.75 |
$780.75 |
$780.75 |
$373.20
|
|
Chest apical lordotic proj
|
$408.75 |
$408.75 |
$408.75 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$23,459.25 |
$23,459.25 |
$23,459.25 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$19,844.25 |
$19,844.25 |
$19,844.25 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$19,290.75 |
$19,290.75 |
$19,290.75 |
$1,350.03
|
|
Chest X-ray
|
$408.75 |
$408.75 |
$408.75 |
$294.06
|
|
Chest X-ray (single view)
|
$408.75 |
$408.75 |
$408.75 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$3,619.00 |
$3,619.00 |
$3,619.00 |
$520.80
|
|
Chlamydia culture
|
$13.00 |
$13.00 |
$13.00 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$16.00 |
$16.00 |
$16.00 |
$30.40
|
|
Chloramphenicol sodium injec
|
$117.00 |
$117.00 |
$117.00 |
$122.59
|
|
Chloride
|
$92.00 |
$92.00 |
$92.00 |
$38.50
|
|
Chloride 24 hour urine
|
$66.25 |
$66.25 |
$66.25 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$290.00 |
$290.00 |
$290.00 |
$333.01
|
|
Chmotx admn plrl cav thrcnts
|
$513.25 |
$513.25 |
$513.25 |
$393.54
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$3,251.00 |
$3,251.00 |
$3,251.00 |
$625.60
|
|
Cholesterol
|
$424.50 |
$424.50 |
$424.50 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$584.50 |
$584.50 |
$584.50 |
$115.70
|
|
Cholinesterase
|
$8.75 |
$8.75 |
$8.75 |
$38.69
|
|
Chrom analysis
|
$214.50 |
$214.50 |
$214.50 |
$127.86
|
|
Chromatography
|
$13.25 |
$13.25 |
$13.25 |
$80.60
|
|
Chromogenic substrate assay
|
$110.75 |
$110.75 |
$110.75 |
$183.52
|
|
Chromosome analys amniotic
|
$157.50 |
$157.50 |
$157.50 |
$436.00
|
|
Chromosome analysis 15-20 cell count
|
$260.75 |
$260.75 |
$260.75 |
$448.80
|
|
Chromosome analysis 45
|
$157.50 |
$157.50 |
$157.50 |
$367.29
|
|
Chromosome analysis 5
|
$204.50 |
$204.50 |
$204.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$475.00 |
$475.00 |
$475.00 |
$301.50
|
|
Chromosome analys placenta
|
$208.00 |
$208.00 |
$208.00 |
$642.00
|
