|
Bilateral n block inj trigeminal 64400
|
$1,454.14 |
$1,454.14 |
$1,454.14 |
$667.26
|
|
Bilirubin direct
|
$125.96 |
$125.96 |
$125.96 |
$49.31
|
|
Bilirubin total
|
$201.83 |
$201.83 |
$201.83 |
$51.50
|
|
Block paracervical nrv
|
$3,291.50 |
$3,291.50 |
$3,291.50 |
$819.50
|
|
Blood Clotting (PT/INR) Test
|
$268.91 |
$268.91 |
$268.91 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$309.30 |
$309.30 |
$309.30 |
$73.15
|
|
Blood Count (CBC) Test
|
$327.19 |
$327.19 |
$327.19 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$261.47 |
$261.47 |
$261.47 |
$62.15
|
|
Blood Culture Test
|
$353.45 |
$353.45 |
$353.45 |
$145.60
|
|
Blood draw capillary 36416
|
$34.12 |
$34.12 |
$34.12 |
$22.40
|
|
Blood gases ph venous
|
$238.32 |
$238.32 |
$238.32 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$262.94 |
$262.94 |
$262.94 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$101.27 |
$101.27 |
$101.27 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$158.65 |
$158.65 |
$158.65 |
$37.05
|
|
Blood typing abo
|
$252.57 |
$252.57 |
$252.57 |
$83.03
|
|
Blood typing ag donor ea ag
|
$117.28 |
$117.28 |
$117.28 |
$166.80
|
|
Blood typing rh (d)
|
$236.80 |
$236.80 |
$236.80 |
$57.10
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$107.03 |
$107.03 |
$107.03 |
$96.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$749.44 |
$749.44 |
$749.44 |
$2,105.38
|
|
Brachytx isodose complex
|
$2,649.10 |
$2,649.10 |
$2,649.10 |
$1,631.00
|
|
Brachytx isodose intermed
|
$4,464.03 |
$4,464.03 |
$4,464.03 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$4,242.71 |
$4,242.71 |
$4,242.71 |
$817.20
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,804.73 |
$3,804.73 |
$3,804.73 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$6,436.22 |
$6,436.22 |
$6,436.22 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$5,007.33 |
$5,007.33 |
$5,007.33 |
$1,949.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$161.03 |
$161.03 |
$161.03 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$818.89 |
$818.89 |
$818.89 |
$165.10
|
|
Bundled special stain group 2
|
$911.41 |
$911.41 |
$911.41 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$511.12 |
$511.12 |
$511.12 |
$39.23
|
|
Buprenorph X-ray 100 mg or less
|
$17,891.05 |
$17,891.05 |
$17,891.05 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$149.13 |
$149.13 |
$149.13 |
$43.70
|
|
C1 esterase inhibitor func - sendout
|
$108.81 |
$108.81 |
$108.81 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$11,581.66 |
$11,581.66 |
$11,581.66 |
$25,362.42
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$5,179.39 |
$5,179.39 |
$5,179.39 |
$2,802.31
|
|
Calcium 24 hour urine
|
$159.70 |
$159.70 |
$159.70 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$717.72 |
$717.72 |
$717.72 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$316.88 |
$316.88 |
$316.88 |
$91.04
|
|
Calcium ionized
|
$54.94 |
$54.94 |
$54.94 |
$88.40
|
|
Calcium total
|
$85.22 |
$85.22 |
$85.22 |
$48.75
|
|
Calprotectin fecal
|
$718.62 |
$718.62 |
$718.62 |
$169.20
|
|
Carbamazepine free
|
$226.15 |
$226.15 |
$226.15 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$299.98 |
$299.98 |
$299.98 |
$117.74
|
|
Carbon dioxide
|
$91.50 |
$91.50 |
$91.50 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$327.91 |
$327.91 |
$327.91 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$110.54 |
$110.54 |
$110.54 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$305.76 |
$305.76 |
$305.76 |
$146.25
|
|
Cardiolipin antibody iga
|
$326.35 |
$326.35 |
$326.35 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,378.59 |
$3,378.59 |
$3,378.59 |
$1,519.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,167.11 |
$1,167.11 |
$1,167.11 |
$1,068.06
|
|
Cath cv dl inj 7fx16cm
|
$2,267.34 |
$2,267.34 |
$2,267.34 |
$4,691.52
|
|
Cauterization chemical granulation tissue
|
$849.66 |
$849.66 |
$849.66 |
$369.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$545.27 |
$545.27 |
$545.27 |
$50.70
|
|
Cefoxitin 1 gram intravenous solution
|
$241.32 |
$241.32 |
$241.32 |
$63.20
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$306.58 |
$306.58 |
$306.58 |
$59.79
|
|
Ceftriaxone 1 gram solution for injection
|
$316.54 |
$316.54 |
$316.54 |
$81.36
|
|
Cell count body fluid
|
$93.87 |
$93.87 |
$93.87 |
$63.63
|
|
Cell count w differential body fluid
|
$170.12 |
$170.12 |
$170.12 |
$97.83
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$32,777.30 |
$32,777.30 |
$32,777.30 |
$30,629.12
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,998.48 |
$1,998.48 |
$1,998.48 |
$3,868.18
|
|
Change cystostomy tube; complex 51710
|
$3,938.35 |
$3,938.35 |
$3,938.35 |
$1,403.09
|
|
Change cystostomy tube simple
|
$880.76 |
$880.76 |
$880.76 |
$527.34
|
|
Chest CT scan (with and without contrast)
|
$2,883.17 |
$2,883.17 |
$2,883.17 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$2,485.28 |
$2,485.28 |
$2,485.28 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$2,198.94 |
$2,198.94 |
$2,198.94 |
$1,350.03
|
|
Chest X-ray
|
$953.85 |
$953.85 |
$953.85 |
$302.90
|
|
Chest X-ray (single view)
|
$863.03 |
$863.03 |
$863.03 |
$246.94
|
|
Chloride
|
$54.70 |
$54.70 |
$54.70 |
$39.05
|
|
Chloroprocaine hcl injection
|
$157.39 |
$157.39 |
$157.39 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$333.01 |
$333.01 |
$333.01 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$654.49 |
$654.49 |
$654.49 |
$91.92
|
|
Cholesterol body fluid
|
$434.76 |
$434.76 |
$434.76 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$266.10 |
$266.10 |
$266.10 |
$115.70
|
|
Chromatography
|
$108.53 |
$108.53 |
$108.53 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$1,428.65 |
$1,428.65 |
$1,428.65 |
$433.01
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$255.32 |
$255.32 |
$255.32 |
$60.00
|
|
Cisplatin 1 mg/ml desensitization
|
$332.68 |
$332.68 |
$332.68 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,491.84 |
$2,491.84 |
$2,491.84 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$351.52 |
$351.52 |
$351.52 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$81.25 |
$81.25 |
$81.25 |
$81.90
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$2,977.34 |
$2,977.34 |
$2,977.34 |
$432.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,376.13 |
$1,376.13 |
$1,376.13 |
$487.69
|
|
Clot factor xii hageman
|
$134.39 |
$134.39 |
$134.39 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$139.09 |
$139.09 |
$139.09 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,344.36 |
$2,344.36 |
$2,344.36 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$543.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$1,472.70 |
$1,472.70 |
$1,472.70 |
$444.36
|
|
Clsd tx elbow dislocation child 24640
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,511.98 |
$1,511.98 |
$1,511.98 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,714.51 |
$2,714.51 |
$2,714.51 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,878.56 |
$8,878.56 |
$8,878.56 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,827.71
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,472.70 |
$1,472.70 |
$1,472.70 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,472.70 |
$1,472.70 |
$1,472.70 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$446.40
|
|
Clsd tx patella disloc without anes 27560
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$705.60
|
|
Clsd tx shoulder dislc/fx 23665
|
$8,878.56 |
$8,878.56 |
$8,878.56 |
$2,055.00
|
|
Clsd tx toe dislocation without anes28660
|
$1,885.66 |
$1,885.66 |
$1,885.66 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$487.80
|
|
Cocaine 4 % nasal solution
|
$2,401.79 |
$2,401.79 |
$2,401.79 |
$807.71
|
