|
Brace knee support neoprene padded open patella med
|
$80.40 |
$80.40 |
$80.40 |
$91.20
|
|
Brace wrist classic lft sm
|
$22.80 |
$22.80 |
$22.80 |
$92.25
|
|
Braf gene
|
$365.40 |
$365.40 |
$365.40 |
$421.20
|
|
Brain flow imaging only
|
$3,070.20 |
$3,070.20 |
$3,070.20 |
$559.44
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,765.28
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,157.20 |
$3,157.20 |
$3,157.20 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$735.60 |
$735.60 |
$735.60 |
$832.00
|
|
Br punct aspir ea add, l
|
$509.40 |
$509.40 |
$509.40 |
$423.60
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$39.43 |
$39.43 |
$39.43 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$241.80 |
$241.80 |
$241.80 |
$161.46
|
|
Bundled special stain group 2
|
$227.40 |
$227.40 |
$227.40 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$39.23 |
$39.23 |
$39.23 |
$15.11
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$11.72 |
$11.72 |
$11.72 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.17 |
$12.17 |
$12.17 |
$12.17
|
|
Buprenorphine hydrochloride
|
$43.94 |
$43.94 |
$43.94 |
$14.40
|
|
Buprenorphine oral 1mg
|
$11.24 |
$11.24 |
$11.24 |
$11.24
|
|
Butorphanol tartrate 1 mg
|
$43.70 |
$43.70 |
$43.70 |
$42.76
|
|
Bx breast add lesion Ultrasound imag
|
$3,157.20 |
$3,157.20 |
$3,157.20 |
$1,944.10
|
|
Bx pleura pq ndl
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,764.77
|
|
Bx skin incisnl ea sep/add l les
|
$843.00 |
$843.00 |
$843.00 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$473.40 |
$473.40 |
$473.40 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$473.40 |
$473.40 |
$473.40 |
$206.55
|
|
C1 esterase inhibitor func - sendout
|
$303.60 |
$303.60 |
$303.60 |
$123.49
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$355.02 |
$355.02 |
$355.02 |
$355.02
|
|
Cadd pump refill
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$378.45
|
|
Caffeine citrate 20 mg/ml inj for po
|
$47.78 |
$47.78 |
$47.78 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,345.79 |
$4,345.79 |
$4,345.79 |
$4,148.53
|
|
Calcium 24 hour urine
|
$132.00 |
$132.00 |
$132.00 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$127.36 |
$127.36 |
$127.36 |
$50.14
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$62.87 |
$62.87 |
$62.87 |
$62.87
|
|
Calcium ionized
|
$228.00 |
$228.00 |
$228.00 |
$80.80
|
|
Calcium total
|
$89.40 |
$89.40 |
$89.40 |
$43.20
|
|
Calculi urinary-sendout
|
$268.80 |
$268.80 |
$268.80 |
$114.40
|
|
Calculus analysis qual
|
$174.60 |
$174.60 |
$174.60 |
$88.80
|
|
Calprotectin fecal
|
$357.00 |
$357.00 |
$357.00 |
$170.00
|
|
Campylobacter antibody
|
$136.80 |
$136.80 |
$136.80 |
$63.70
|
|
Candida dna
|
$60.60 |
$60.60 |
$60.60 |
$66.05
|
|
Carbamazepine free
|
$171.00 |
$171.00 |
$171.00 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$270.00 |
$270.00 |
$270.00 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$375.60 |
$375.60 |
$375.60 |
$123.49
|
|
Carbon dioxide
|
$75.60 |
$75.60 |
$75.60 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$232.80 |
$232.80 |
$232.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$307.20 |
$307.20 |
$307.20 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,173.00 |
$4,173.00 |
$4,173.00 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$318.60 |
$318.60 |
$318.60 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$289.80 |
$289.80 |
$289.80 |
$208.00
|
|
Cardiolipin antibody iga
|
$282.00 |
$282.00 |
$282.00 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,716.20 |
$2,716.20 |
$2,716.20 |
$1,461.75
|
|
Carfilzomib 10 mg intravenous solution
|
$97.12 |
$97.12 |
$97.12 |
$91.43
|
|
Carotene
|
$120.00 |
$120.00 |
$120.00 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$1,037.60
|
|
Catecholamines,fractionated, urine
|
$295.20 |
$295.20 |
$295.20 |
$70.67
|
|
Catheterization collection of specimen single patient all places of service
|
$120.00 |
$120.00 |
$120.00 |
$58.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$855.60 |
$855.60 |
$855.60 |
$505.90
|
|
Cauterization chemical granulation tissue
|
$442.80 |
$442.80 |
$442.80 |
$374.60
|
|
Cdna analysis for variants
|
$576.60 |
$576.60 |
$576.60 |
$609.80
|
|
Cebpa gene full sequence
|
$742.80 |
$742.80 |
$742.80 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$63.49 |
$63.49 |
$63.49 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$101.92 |
$101.92 |
$101.92 |
$39.95
|
|
Cefotaxime sodium injection
|
$40.63 |
$40.63 |
$40.63 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$44.67 |
$44.67 |
$44.67 |
$42.00
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$79.92 |
$79.92 |
$79.92 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$153.25 |
$153.25 |
$153.25 |
$51.80
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$42.25 |
$42.25 |
$42.25 |
$19.80
|
|
#celiac hla-dq8
|
$295.80 |
$295.80 |
$295.80 |
$246.88
|
|
Cell count body fluid
|
$120.00 |
$120.00 |
$120.00 |
$56.44
|
|
Cell count w differential body fluid
|
$183.60 |
$183.60 |
$183.60 |
$83.71
|
|
Cell function assay w/stim
|
$426.00 |
$426.00 |
$426.00 |
$369.45
|
|
Cell marker study
|
$732.00 |
$732.00 |
$732.00 |
$265.80
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$45.46 |
$45.46 |
$45.46 |
$48.19
|
|
Cerebrospinal fld flw imag
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$884.00
|
|
#cf-97variants
|
$841.80 |
$841.80 |
$841.80 |
$748.16
|
|
Change g-tube to g-j perc
|
$2,124.60 |
$2,124.60 |
$2,124.60 |
$2,198.40
|
|
Chest 2 vws w oblique
|
$235.80 |
$235.80 |
$235.80 |
$334.02
|
|
Chest apical lordotic proj
|
$227.40 |
$227.40 |
$227.40 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,014.80 |
$2,014.80 |
$2,014.80 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,611.60 |
$1,611.60 |
$1,611.60 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$1,166.90
|
|
Chest X-ray
|
$195.00 |
$195.00 |
$195.00 |
$265.85
|
|
Chest X-ray (single view)
|
$153.60 |
$153.60 |
$153.60 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$252.00 |
$252.00 |
$252.00 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$520.80 |
$520.80 |
$520.80 |
$555.00
|
|
Chlamydia culture
|
$187.80 |
$187.80 |
$187.80 |
$96.51
|
|
Chlamydia type
|
$18.60 |
$18.60 |
$18.60 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$364.80 |
$364.80 |
$364.80 |
$252.99
|
|
Chloride
|
$78.00 |
$78.00 |
$78.00 |
$37.48
|
|
Chloride 24 hour urine
|
$96.60 |
$96.60 |
$96.60 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$51.16 |
$51.16 |
$51.16 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$628.80 |
$628.80 |
$628.80 |
$546.01
|
|
Cholesterol
|
$104.40 |
$104.40 |
$104.40 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$288.60 |
$288.60 |
$288.60 |
$101.43
|
|
Cholinesterase
|
$150.00 |
$150.00 |
$150.00 |
$49.40
|
|
Chrom analysis
|
$187.20 |
$187.20 |
$187.20 |
$156.00
|
|
Chromatogram assay sugars
|
$187.80 |
$187.80 |
$187.80 |
$86.42
|
|
Chromatography
|
$175.80 |
$175.80 |
$175.80 |
$81.25
|
