|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$6.48 |
$6.48 |
$6.48 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$135.36 |
$135.36 |
$135.36 |
$160.80
|
|
Bundled special stain group 2
|
$144.72 |
$144.72 |
$144.72 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$12.96 |
$12.96 |
$12.96 |
$32.88
|
|
Bx breast 1st lesion strtctc
|
$4,266.72 |
$4,266.72 |
$4,266.72 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$2,132.64 |
$2,132.64 |
$2,132.64 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,499.76 |
$1,499.76 |
$1,499.76 |
$1,692.64
|
|
Bx skin incisnl ea sep/add l les
|
$200.16 |
$200.16 |
$200.16 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$221.04 |
$221.04 |
$221.04 |
$227.13
|
|
Bx thyroid/percutan core needle 60100
|
$759.60 |
$759.60 |
$759.60 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$74.16 |
$74.16 |
$74.16 |
$96.72
|
|
Cad breast MRI w/r&i
|
$120.96 |
$120.96 |
$120.96 |
$122.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$248.83 |
$248.83 |
$248.83 |
$2,111.64
|
|
Calcium 24 hour urine
|
$51.84 |
$51.84 |
$51.84 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.12 |
$0.12 |
$0.12 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.35 |
$0.35 |
$0.35 |
$64.49
|
|
Calcium ionized
|
$45.36 |
$45.36 |
$45.36 |
$90.00
|
|
Calcium total
|
$89.28 |
$89.28 |
$89.28 |
$50.00
|
|
Calculi urinary-sendout
|
$200.88 |
$200.88 |
$200.88 |
$68.05
|
|
Calprotectin fecal
|
$60.48 |
$60.48 |
$60.48 |
$169.95
|
|
Candida dna
|
$117.36 |
$117.36 |
$117.36 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$540.00 |
$540.00 |
$540.00 |
$34,218.66
|
|
Carbamazepine free
|
$38.88 |
$38.88 |
$38.88 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$145.44 |
$145.44 |
$145.44 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$116.64 |
$116.64 |
$116.64 |
$139.00
|
|
Carbon dioxide
|
$72.00 |
$72.00 |
$72.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$159.12 |
$159.12 |
$159.12 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$103.68 |
$103.68 |
$103.68 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,409.76 |
$1,409.76 |
$1,409.76 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$308.88 |
$308.88 |
$308.88 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$185.76 |
$185.76 |
$185.76 |
$196.50
|
|
Cardiolipin antibody iga
|
$113.76 |
$113.76 |
$113.76 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$707.04 |
$707.04 |
$707.04 |
$1,396.00
|
|
Carotene
|
$38.16 |
$38.16 |
$38.16 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,520.64 |
$1,520.64 |
$1,520.64 |
$1,018.68
|
|
Ca screen;flexi sigmoidscope
|
$1,781.28 |
$1,781.28 |
$1,781.28 |
$1,206.00
|
|
Cath ablt clsfast 7fx100cmx
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$108.00 |
$108.00 |
$108.00 |
$6,463.80
|
|
Cath adherent clot 10mm 6f 10
|
$108.00 |
$108.00 |
$108.00 |
$18,560.00
|
|
Cath cv dl inj 7fx16cm
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$162.72 |
$162.72 |
$162.72 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$540.00 |
$540.00 |
$540.00 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$108.00 |
$108.00 |
$108.00 |
$2,173.58
|
|
Cath uret open tp 6fx70cm
|
$54.00 |
$54.00 |
$54.00 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$233.28 |
$233.28 |
$233.28 |
$340.90
|
|
Cdna analysis for variants
|
$552.96 |
$552.96 |
$552.96 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$21.82 |
$21.82 |
$21.82 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$9.86 |
$9.86 |
$9.86 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$20.74 |
$20.74 |
$20.74 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$13.45 |
$13.45 |
$13.45 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$8.99 |
$8.99 |
$8.99 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$40.32 |
$40.32 |
$40.32 |
$84.18
|
|
#celiac hla-dq2
|
$537.12 |
$537.12 |
$537.12 |
$225.12
|
|
#celiac hla-dq8
|
$537.12 |
$537.12 |
$537.12 |
$246.88
|
|
Cell count body fluid
|
$111.60 |
$111.60 |
$111.60 |
$63.63
|
|
Cell count w differential body fluid
|
$178.56 |
$178.56 |
$178.56 |
$93.23
|
|
#cf-97variants
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$622.20
|
|
Change cystostomy tube simple
|
$365.76 |
$365.76 |
$365.76 |
$451.00
|
|
Change of windpipe airway 31502
|
$492.48 |
$492.48 |
$492.48 |
$388.00
|
|
Chest 2 vws w oblique
|
$417.60 |
$417.60 |
$417.60 |
$377.06
|
|
Chest apical lordotic proj
|
$396.00 |
$396.00 |
$396.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,741.76 |
$2,741.76 |
$2,741.76 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,139.12 |
$2,139.12 |
$2,139.12 |
$1,350.03
|
|
Chest X-ray
|
$396.00 |
$396.00 |
$396.00 |
$294.06
|
|
Chest X-ray (single view)
|
$342.00 |
$342.00 |
$342.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$168.48 |
$168.48 |
$168.48 |
$147.95
|
|
Chlamydia culture
|
$238.32 |
$238.32 |
$238.32 |
$93.90
|
|
Chlamydia type
|
$31.68 |
$31.68 |
$31.68 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$226.80 |
$226.80 |
$226.80 |
$301.40
|
|
Chloride
|
$72.00 |
$72.00 |
$72.00 |
$40.95
|
|
Chloride 24 hour urine
|
$169.92 |
$169.92 |
$169.92 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$99.86 |
$99.86 |
$99.86 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$770.40 |
$770.40 |
$770.40 |
$602.40
|
|
Cholesterol
|
$79.20 |
$79.20 |
$79.20 |
$45.76
|
|
Cholesterol body fluid
|
$197.28 |
$197.28 |
$197.28 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$229.68 |
$229.68 |
$229.68 |
$115.80
|
|
Cholinesterase
|
$46.08 |
$46.08 |
$46.08 |
$38.69
|
|
Chromatography
|
$84.24 |
$84.24 |
$84.24 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$256.32 |
$256.32 |
$256.32 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$542.16 |
$542.16 |
$542.16 |
$512.20
|
|
Chromosome study additional
|
$100.80 |
$100.80 |
$100.80 |
$147.03
|
|
Chronic urticaria - sendout
|
$213.12 |
$213.12 |
$213.12 |
$75.00
|
|
Clearance of airways
|
$219.60 |
$219.60 |
$219.60 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.76 |
$32.76 |
$32.76 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$152.06 |
$152.06 |
$152.06 |
$81.90
|
|
Closed tx humerus fx with manip 23605
|
$3,247.20 |
$3,247.20 |
$3,247.20 |
$2,211.05
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$461.52 |
$461.52 |
$461.52 |
$376.96
|
|
Closed tx vert fx w/manj
|
$3,504.24 |
$3,504.24 |
$3,504.24 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$310.32 |
$310.32 |
$310.32 |
$481.80
|
|
Clot factor xii hageman
|
$38.16 |
$38.16 |
$38.16 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$446.40 |
$446.40 |
$446.40 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,159.92 |
$1,159.92 |
$1,159.92 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$259.20 |
$259.20 |
$259.20 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$281.52 |
$281.52 |
$281.52 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$259.20 |
$259.20 |
$259.20 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$259.20 |
$259.20 |
$259.20 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$446.40 |
$446.40 |
$446.40 |
$520.80
|
