|
B cells total count
|
$190.80 |
$190.80 |
$190.80 |
$131.30
|
|
#_benzodiazconfur
|
$108.00 |
$108.00 |
$108.00 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$73.44 |
$73.44 |
$73.44 |
$78.50
|
|
Beta-2 microglobulin
|
$147.60 |
$147.60 |
$147.60 |
$85.94
|
|
Bilirubin direct
|
$62.64 |
$62.64 |
$62.64 |
$50.00
|
|
Bilirubin total
|
$72.00 |
$72.00 |
$72.00 |
$52.57
|
|
Bladder irrigate/lavage/instill 51700
|
$625.68 |
$625.68 |
$625.68 |
$408.00
|
|
Blood Clotting (PT/INR) Test
|
$69.84 |
$69.84 |
$69.84 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$99.36 |
$99.36 |
$99.36 |
$73.44
|
|
Blood Count (CBC) Test
|
$92.16 |
$92.16 |
$92.16 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$79.92 |
$79.92 |
$79.92 |
$61.80
|
|
Blood Culture Test
|
$249.84 |
$249.84 |
$249.84 |
$145.80
|
|
Blood draw capillary 36416
|
$31.68 |
$31.68 |
$31.68 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$283.68 |
$283.68 |
$283.68 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$54.00 |
$54.00 |
$54.00 |
$57.42
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$47.52 |
$47.52 |
$47.52 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$45.36 |
$45.36 |
$45.36 |
$34.00
|
|
Blood smear interpretation
|
$77.04 |
$77.04 |
$77.04 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$33.12 |
$33.12 |
$33.12 |
$38.61
|
|
Blood typing abo
|
$153.36 |
$153.36 |
$153.36 |
$83.03
|
|
Blood typing ag donor ea ag
|
$453.60 |
$453.60 |
$453.60 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$453.60 |
$453.60 |
$453.60 |
$199.50
|
|
Blood typing rh (d)
|
$50.40 |
$50.40 |
$50.40 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$70.56 |
$70.56 |
$70.56 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$479.52 |
$479.52 |
$479.52 |
$397.28
|
|
Bone imaging multiple areas
|
$1,316.16 |
$1,316.16 |
$1,316.16 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,006.56 |
$1,006.56 |
$1,006.56 |
$1,013.50
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$112.32 |
$112.32 |
$112.32 |
$94.80
|
|
Bowel imaging
|
$867.60 |
$867.60 |
$867.60 |
$1,065.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,850.56 |
$3,850.56 |
$3,850.56 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,505.68 |
$3,505.68 |
$3,505.68 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,770.56 |
$2,770.56 |
$2,770.56 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,960.72 |
$3,960.72 |
$3,960.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,562.56 |
$3,562.56 |
$3,562.56 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,881.44 |
$2,881.44 |
$2,881.44 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$3,735.36 |
$3,735.36 |
$3,735.36 |
$2,287.20
|
|
Bronchial challenge
|
$672.48 |
$672.48 |
$672.48 |
$777.60
|
|
Bundled special stain group 1 microorganisms
|
$141.12 |
$141.12 |
$141.12 |
$160.80
|
|
Bundled special stain group 2
|
$162.72 |
$162.72 |
$162.72 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$59.04 |
$59.04 |
$59.04 |
$82.82
|
|
C1 esterase inhibitor func - sendout
|
$138.96 |
$138.96 |
$138.96 |
$96.72
|
|
Calcium 24 hour urine
|
$72.00 |
$72.00 |
$72.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$64.49
|
|
Calcium ionized
|
$243.36 |
$243.36 |
$243.36 |
$90.00
|
|
Calcium total
|
$89.28 |
$89.28 |
$89.28 |
$50.00
|
|
Calculi urinary-sendout
|
$133.20 |
$133.20 |
$133.20 |
$68.05
|
|
Calculus analysis qual
|
$137.52 |
$137.52 |
$137.52 |
$70.50
|
|
Calprotectin fecal
|
$421.20 |
$421.20 |
$421.20 |
$169.95
|
|
Carbamazepine total therapeutic drug level
|
$628.56 |
$628.56 |
$628.56 |
$120.25
|
|
Carbon dioxide
|
$115.92 |
$115.92 |
$115.92 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$86.40 |
$86.40 |
$86.40 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$146.88 |
$146.88 |
$146.88 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,831.84 |
$3,831.84 |
$3,831.84 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$236.16 |
$236.16 |
$236.16 |
$244.00
|
|
Cardiolipin antibody iga
|
$319.68 |
$319.68 |
$319.68 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,413.36 |
$1,413.36 |
$1,413.36 |
$1,396.00
|
|
Carotene
|
$133.20 |
$133.20 |
$133.20 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$900.72 |
$900.72 |
$900.72 |
$1,018.68
|
|
Ca screen;flexi sigmoidscope
|
$2,499.12 |
$2,499.12 |
$2,499.12 |
$1,206.00
|
|
Catecholamines,fractionated, urine
|
$198.72 |
$198.72 |
$198.72 |
$117.14
|
|
Catheterization collection of specimen single patient all places of service
|
$17.28 |
$17.28 |
$17.28 |
$40.95
|
|
Cdna analysis for variants
|
$345.60 |
$345.60 |
$345.60 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$25.20 |
$25.20 |
$25.20 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$25.20 |
$25.20 |
$25.20 |
$44.03
|
|
Ceftazidime and avibactam
|
$162.81 |
$162.81 |
$162.81 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$25.20 |
$25.20 |
$25.20 |
$84.18
|
|
#celiac hla-dq2
|
$470.16 |
$470.16 |
$470.16 |
$225.12
|
|
Cell count w differential body fluid
|
$79.92 |
$79.92 |
$79.92 |
$93.23
|
|
#cf-97variants
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$622.20
|
|
Change cystostomy tube simple
|
$525.60 |
$525.60 |
$525.60 |
$451.00
|
|
Chest 2 vws w oblique
|
$232.56 |
$232.56 |
$232.56 |
$377.06
|
|
Chest apical lordotic proj
|
$529.92 |
$529.92 |
$529.92 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,456.64 |
$2,456.64 |
$2,456.64 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,892.16 |
$1,892.16 |
$1,892.16 |
$1,350.03
|
|
Chest X-ray
|
$293.04 |
$293.04 |
$293.04 |
$294.06
|
|
Chest X-ray (single view)
|
$232.56 |
$232.56 |
$232.56 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$128.16 |
$128.16 |
$128.16 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$809.28 |
$809.28 |
$809.28 |
$511.59
|
|
Chlamydia type
|
$69.84 |
$69.84 |
$69.84 |
$34.20
|
|
Chloride
|
$59.76 |
$59.76 |
$59.76 |
$40.95
|
|
Chloride 24 hour urine
|
$21.60 |
$21.60 |
$21.60 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$50.04 |
$50.04 |
$50.04 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$508.32 |
$508.32 |
$508.32 |
$602.40
|
|
Cholesterol
|
$70.56 |
$70.56 |
$70.56 |
$45.76
|
|
Cholesterol body fluid
|
$197.28 |
$197.28 |
$197.28 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$141.12 |
$141.12 |
$141.12 |
$115.80
|
|
Cholinesterase
|
$79.20 |
$79.20 |
$79.20 |
$38.69
|
|
Chromatography
|
$132.48 |
$132.48 |
$132.48 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$620.64 |
$620.64 |
$620.64 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$568.80 |
$568.80 |
$568.80 |
$512.20
|
|
Chromosome study additional
|
$220.32 |
$220.32 |
$220.32 |
$147.03
|
|
Chronic urticaria - sendout
|
$146.88 |
$146.88 |
$146.88 |
$75.00
|
|
Clearance of airways
|
$439.20 |
$439.20 |
$439.20 |
$208.86
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$632.88 |
$632.88 |
$632.88 |
$481.80
|
|
Clot factor xii hageman
|
$141.84 |
$141.84 |
$141.84 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$450.72 |
$450.72 |
$450.72 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$518.40 |
$518.40 |
$518.40 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$518.40 |
$518.40 |
$518.40 |
$419.29
|
|
Clsd tx elbow dislocation child 24640
|
$601.20 |
$601.20 |
$601.20 |
$462.80
|
