|
Baclofen eval charges
|
$115.92 |
$115.92 |
$115.92 |
$85.00
|
|
Bacterial vaginosis pcr
|
$294.48 |
$294.48 |
$294.48 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$100.08 |
$100.08 |
$100.08 |
$105.00
|
|
B cells total count
|
$185.76 |
$185.76 |
$185.76 |
$131.30
|
|
Bebtelovimab injection
|
$360.72 |
$360.72 |
$360.72 |
$450.48
|
|
#_benzodiazconfur
|
$87.12 |
$87.12 |
$87.12 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$97.20 |
$97.20 |
$97.20 |
$78.50
|
|
Beta-2 microglobulin
|
$113.76 |
$113.76 |
$113.76 |
$85.94
|
|
Bilirubin direct
|
$78.48 |
$78.48 |
$78.48 |
$50.00
|
|
Bilirubin total
|
$69.84 |
$69.84 |
$69.84 |
$52.57
|
|
Bladder irrigate/lavage/instill 51700
|
$262.80 |
$262.80 |
$262.80 |
$408.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$432.00 |
$432.00 |
$432.00 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,427.17
|
|
Blood Clotting (PT/INR) Test
|
$74.16 |
$74.16 |
$74.16 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$120.96 |
$120.96 |
$120.96 |
$73.44
|
|
Blood Count (CBC) Test
|
$111.60 |
$111.60 |
$111.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$84.24 |
$84.24 |
$84.24 |
$61.80
|
|
Blood Culture Test
|
$252.00 |
$252.00 |
$252.00 |
$145.80
|
|
Blood draw capillary 36416
|
$42.48 |
$42.48 |
$42.48 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$324.72 |
$324.72 |
$324.72 |
$220.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$47.52 |
$47.52 |
$47.52 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$59.04 |
$59.04 |
$59.04 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$49.68 |
$49.68 |
$49.68 |
$38.61
|
|
Blood typing abo
|
$142.56 |
$142.56 |
$142.56 |
$83.03
|
|
Blood typing ag donor ea ag
|
$453.60 |
$453.60 |
$453.60 |
$190.80
|
|
Blood typing patient serum
|
$74.88 |
$74.88 |
$74.88 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$453.60 |
$453.60 |
$453.60 |
$199.50
|
|
Blood typing rh (d)
|
$56.88 |
$56.88 |
$56.88 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$85.68 |
$85.68 |
$85.68 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$586.08 |
$586.08 |
$586.08 |
$397.28
|
|
Bone imaging multiple areas
|
$1,380.24 |
$1,380.24 |
$1,380.24 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,380.24 |
$1,380.24 |
$1,380.24 |
$1,013.50
|
|
Bone survey-lead poisoning
|
$280.08 |
$280.08 |
$280.08 |
$390.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$203.76 |
$203.76 |
$203.76 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$114.48 |
$114.48 |
$114.48 |
$68.88
|
|
Bowel imaging
|
$1,355.04 |
$1,355.04 |
$1,355.04 |
$1,065.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,718.08 |
$3,718.08 |
$3,718.08 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,034.08 |
$3,034.08 |
$3,034.08 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,815.92 |
$2,815.92 |
$2,815.92 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,238.64 |
$4,238.64 |
$4,238.64 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,246.48 |
$3,246.48 |
$3,246.48 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,026.16 |
$3,026.16 |
$3,026.16 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,197.52 |
$3,197.52 |
$3,197.52 |
$3,043.44
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$12.96 |
$12.96 |
$12.96 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$176.40 |
$176.40 |
$176.40 |
$160.80
|
|
Bundled special stain group 2
|
$164.88 |
$164.88 |
$164.88 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.26 |
$0.26 |
$0.26 |
$32.88
|
|
Bx breast 1st lesion mr imag
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$3,256.00
|
|
C1 esterase inhibitor func - sendout
|
$249.12 |
$249.12 |
$249.12 |
$96.72
|
|
Cad breast MRI w/r&i
|
$248.40 |
$248.40 |
$248.40 |
$122.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,456.00 |
$3,456.00 |
$3,456.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$138.96 |
$138.96 |
$138.96 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.12 |
$0.12 |
$0.12 |
$45.49
|
|
Calcium ionized
|
$142.56 |
$142.56 |
$142.56 |
$90.00
|
|
Calcium total
|
$74.16 |
$74.16 |
$74.16 |
$50.00
|
|
Calprotectin fecal
|
$256.32 |
$256.32 |
$256.32 |
$169.95
|
|
Candida dna
|
$100.08 |
$100.08 |
$100.08 |
$62.50
|
|
Canthotomy 67715
|
$3,319.20 |
$3,319.20 |
$3,319.20 |
$2,956.50
|
|
Carbamazepine free
|
$67.68 |
$67.68 |
$67.68 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$123.12 |
$123.12 |
$123.12 |
$120.25
|
|
Carbon dioxide
|
$47.52 |
$47.52 |
$47.52 |
$44.00
|
|
Carcinoembryonic ag (cea)
|
$177.84 |
$177.84 |
$177.84 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,038.32 |
$2,038.32 |
$2,038.32 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$185.76 |
$185.76 |
$185.76 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$184.32 |
$184.32 |
$184.32 |
$196.50
|
|
Cardiolipin antibody iga
|
$160.56 |
$160.56 |
$160.56 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,447.92 |
$1,447.92 |
$1,447.92 |
$1,396.00
|
|
Carotene
|
$53.28 |
$53.28 |
$53.28 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$848.16 |
$848.16 |
$848.16 |
$1,018.68
|
|
Ca screen;flexi sigmoidscope
|
$2,044.08 |
$2,044.08 |
$2,044.08 |
$1,206.00
|
|
Cath cv dl inj 7fx16cm
|
$583.20 |
$583.20 |
$583.20 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$123.84 |
$123.84 |
$123.84 |
$40.95
|
|
Cath malecot 28fr 4-wing ltx
|
$432.00 |
$432.00 |
$432.00 |
$2,173.58
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$289.44 |
$289.44 |
$289.44 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$14.40 |
$14.40 |
$14.40 |
$554.52
|
|
Cdna analysis for variants
|
$1,016.64 |
$1,016.64 |
$1,016.64 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$10.80 |
$10.80 |
$10.80 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$8.55 |
$8.55 |
$8.55 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$20.88 |
$20.88 |
$20.88 |
$74.82
|
|
Ceftriaxone 1 gram solution for injection
|
$33.12 |
$33.12 |
$33.12 |
$84.18
|
|
#celiac hla-dq2
|
$815.04 |
$815.04 |
$815.04 |
$225.12
|
|
#celiac hla-dq8
|
$815.04 |
$815.04 |
$815.04 |
$246.88
|
|
Cell count w differential body fluid
|
$149.04 |
$149.04 |
$149.04 |
$93.23
|
|
#cf-97variants
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$622.20
|
|
Change of windpipe airway 31502
|
$467.28 |
$467.28 |
$467.28 |
$388.00
|
|
Chest 2 vws w oblique
|
$413.28 |
$413.28 |
$413.28 |
$377.06
|
|
Chest apical lordotic proj
|
$334.80 |
$334.80 |
$334.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,843.28 |
$2,843.28 |
$2,843.28 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,487.60 |
$2,487.60 |
$2,487.60 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,982.88 |
$1,982.88 |
$1,982.88 |
$1,350.03
|
|
Chest X-ray
|
$388.80 |
$388.80 |
$388.80 |
$294.06
|
|
Chest X-ray (single view)
|
$337.68 |
$337.68 |
$337.68 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$164.16 |
$164.16 |
$164.16 |
$147.95
|
|
Chlamydia culture
|
$92.16 |
$92.16 |
$92.16 |
$93.90
|
|
Chlamydia type
|
$48.96 |
$48.96 |
$48.96 |
$34.20
|
|
Chloride
|
$47.52 |
$47.52 |
$47.52 |
$40.95
|
|
Chloride 24 hour urine
|
$90.72 |
$90.72 |
$90.72 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$840.96 |
$840.96 |
$840.96 |
$602.40
|
|
Cholesterol
|
$80.64 |
$80.64 |
$80.64 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$215.28 |
$215.28 |
$215.28 |
$115.80
|
