|
Blood gases ph venous
|
$449.88 |
$449.88 |
$449.88 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$339.49 |
$339.49 |
$339.49 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$811.91 |
$811.91 |
$811.91 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$26.91 |
$26.91 |
$26.91 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$271.27 |
$271.27 |
$271.27 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$1,079.27 |
$1,079.27 |
$1,079.27 |
$37.44
|
|
Blood typing rbc ag non abo/rh ea
|
$210.96 |
$210.96 |
$210.96 |
$181.74
|
|
Bone imaging multiple areas
|
$9,626.80 |
$9,626.80 |
$9,626.80 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$6,699.69 |
$6,699.69 |
$6,699.69 |
$1,151.16
|
|
Bone marrow imaging body
|
$8,771.70 |
$8,771.70 |
$8,771.70 |
$973.73
|
|
Bone survey-lead poisoning
|
$3,377.43 |
$3,377.43 |
$3,377.43 |
$346.28
|
|
Boot j walker l
|
$2,336.64 |
$2,336.64 |
$2,336.64 |
$291.75
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$227.19 |
$227.19 |
$227.19 |
$1,683.04
|
|
Bowel imaging
|
$8,300.14 |
$8,300.14 |
$8,300.14 |
$1,186.25
|
|
Brace back pinnacle tlso 464
|
$2,336.64 |
$2,336.64 |
$2,336.64 |
$2,223.92
|
|
Brace fx hum ovr shldr lg
|
$7,211.08 |
$7,211.08 |
$7,211.08 |
$2,528.66
|
|
Brace oths wrist hnd fngr without
|
$162.21 |
$162.21 |
$162.21 |
$179.93
|
|
Brain image w/flow < 4 views
|
$8,434.67 |
$8,434.67 |
$8,434.67 |
$828.39
|
|
Brain image w/flow 4 + views
|
$11,938.66 |
$11,938.66 |
$11,938.66 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$23,154.92 |
$23,154.92 |
$23,154.92 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$21,051.90 |
$21,051.90 |
$21,051.90 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$19,135.74 |
$19,135.74 |
$19,135.74 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$22,942.18 |
$22,942.18 |
$22,942.18 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$6,092.03 |
$6,092.03 |
$6,092.03 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$18,294.82 |
$18,294.82 |
$18,294.82 |
$1,927.04
|
|
Breath recording infant
|
$834.13 |
$834.13 |
$834.13 |
$1,077.10
|
|
Bronchial challenge
|
$2,439.81 |
$2,439.81 |
$2,439.81 |
$835.20
|
|
Buprenorphine oral 1mg
|
$25.94 |
$25.94 |
$25.94 |
$11.95
|
|
C-1 esterase, berinert
|
$7,815.00 |
$7,815.00 |
$7,815.00 |
$5,694.60
|
|
Cadd pump refill
|
$3,938.72 |
$3,938.72 |
$3,938.72 |
$340.33
|
|
Caffeine citrate 20 mg/ml inj for po
|
$489.00 |
$489.00 |
$489.00 |
$43.81
|
|
Calcium 24 hour urine
|
$1,022.68 |
$1,022.68 |
$1,022.68 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$124.25 |
$124.25 |
$124.25 |
$59.40
|
|
Calcium total
|
$1,022.68 |
$1,022.68 |
$1,022.68 |
$48.75
|
|
Calculi urinary-sendout
|
$12.22 |
$12.22 |
$12.22 |
$68.05
|
|
Calculus analysis qual
|
$338.17 |
$338.17 |
$338.17 |
$29.60
|
|
Calprotectin fecal
|
$23.98 |
$23.98 |
$23.98 |
$170.00
|
|
Campylobacter antibody
|
$1,173.68 |
$1,173.68 |
$1,173.68 |
$66.61
|
|
Candida dna
|
$20.00 |
$20.00 |
$20.00 |
$66.05
|
|
Candida skin test
|
$1,676.19 |
$1,676.19 |
$1,676.19 |
$39.77
|
|
Carbohydrate urine - sendout
|
$69.37 |
$69.37 |
$69.37 |
$43.51
|
|
Carboxyhemoglobin quantitative
|
$104.90 |
$104.90 |
$104.90 |
$84.73
|
|
Cardiac perf planar mult/ef/wm
|
$18,413.86 |
$18,413.86 |
$18,413.86 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$11,162.42 |
$11,162.42 |
$11,162.42 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$24,424.74 |
$24,424.74 |
$24,424.74 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$361.58 |
$361.58 |
$361.58 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$342.39 |
$342.39 |
$342.39 |
$195.00
|
|
Cath stripping venous s&i
|
$1,471.07 |
$1,471.07 |
$1,471.07 |
$602.40
|
|
Cdna analysis for variants
|
$300.00 |
$300.00 |
$300.00 |
$564.86
|
|
Ceftazidime and avibactam
|
$1,567.28 |
$1,567.28 |
$1,567.28 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$82.19 |
$82.19 |
$82.19 |
$29.03
|
|
#celiac hla-dq8
|
$134.07 |
$134.07 |
$134.07 |
$246.88
|
|
Cell marker study
|
$76.48 |
$76.48 |
$76.48 |
$239.85
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$3,358.00
|
|
Chest CT scan (with and without contrast)
|
$18,357.12 |
$18,357.12 |
$18,357.12 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$15,050.91 |
$15,050.91 |
$15,050.91 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$16,107.82 |
$16,107.82 |
$16,107.82 |
$1,350.03
|
|
Chg radiologic exam esophagus double contrast
|
$3,148.50 |
$3,148.50 |
$3,148.50 |
$520.80
|
|
Chlamydia trachomatis ag if
|
$8.42 |
$8.42 |
$8.42 |
$30.40
|
|
Chlnggrphy intraop addl s&i
|
$1,140.98 |
$1,140.98 |
$1,140.98 |
$280.00
|
|
Chloramphenicol sodium injec
|
$94.00 |
$94.00 |
$94.00 |
$122.59
|
|
Chloride
|
$1,022.68 |
$1,022.68 |
$1,022.68 |
$38.50
|
|
Chloride 24 hour urine
|
$1,183.97 |
$1,183.97 |
$1,183.97 |
$46.13
|
|
Chloroprocaine hcl injection
|
$125.01 |
$125.01 |
$125.01 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$300.00 |
$300.00 |
$300.00 |
$333.01
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$5,204.85 |
$5,204.85 |
$5,204.85 |
$625.60
|
|
Chrom analysis
|
$427.50 |
$427.50 |
$427.50 |
$127.86
|
|
Chromo high res and frag x - sendout
|
$97.59 |
$97.59 |
$97.59 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$350.00 |
$350.00 |
$350.00 |
$448.80
|
|
Chromosome analysis 5
|
$1,395.12 |
$1,395.12 |
$1,395.12 |
$644.80
|
|
Chromosome count additional
|
$129.11 |
$129.11 |
$129.11 |
$110.00
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$61.49 |
$61.49 |
$61.49 |
$123.20
|
|
Cidofovir injection
|
$2,358.08 |
$2,358.08 |
$2,358.08 |
$1,099.26
|
|
Cine/video x-rays add-on
|
$651.06 |
$651.06 |
$651.06 |
$213.15
|
|
Cisplatin 1 mg/ml desensitization
|
$45.00 |
$45.00 |
$45.00 |
$127.11
|
|
Clot factor xii hageman
|
$104.73 |
$104.73 |
$104.73 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$10.00 |
$10.00 |
$10.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$99.23 |
$99.23 |
$99.23 |
$84.27
|
|
C motor evoked lwr limbs
|
$809.01 |
$809.01 |
$809.01 |
$621.00
|
|
C motor evoked uppr limbs
|
$809.01 |
$809.01 |
$809.01 |
$780.00
|
|
Coagulation time activated teg
|
$970.31 |
$970.31 |
$970.31 |
$50.05
|
|
Colistimethate sodium inj
|
$135.00 |
$135.00 |
$135.00 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.54 |
$27.54 |
$27.54 |
$46.88
|
|
Compatibility test each unit electronic
|
$1,560.13 |
$1,560.13 |
$1,560.13 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,073.59 |
$1,073.59 |
$1,073.59 |
$159.95
|
|
Compatibility test incubate
|
$106.70 |
$106.70 |
$106.70 |
$143.64
|
|
Complement fixation each
|
$9.95 |
$9.95 |
$9.95 |
$25.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$792.24
|
|
Connect omega .5mm
|
$605.04 |
$605.04 |
$605.04 |
$747.50
|
|
Consultation pathology during surgery
|
$141.53 |
$141.53 |
$141.53 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,855.82 |
$1,855.82 |
$1,855.82 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,133.07 |
$1,133.07 |
$1,133.07 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,630.94 |
$2,630.94 |
$2,630.94 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$1,230.67 |
$1,230.67 |
$1,230.67 |
$235.95
|
|
Contrast exam thoracic aorta
|
$721.60 |
$721.60 |
$721.60 |
$3,648.84
|
|
Contrast x-ray gallbladder
|
$1,974.31 |
$1,974.31 |
$1,974.31 |
$276.65
|
|
Coombs indirect qualitative each reagent red cell reference
|
$663.41 |
$663.41 |
$663.41 |
$100.29
|
|
Coombs indirect titer reference
|
$874.17 |
$874.17 |
$874.17 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$645.00 |
$645.00 |
$645.00 |
$258.83
|
