|
Bacterial meningitis antigen
|
$116.40 |
$116.40 |
$116.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$433.20 |
$433.20 |
$433.20 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$105.00 |
$105.00 |
$105.00 |
$132.72
|
|
Bartonella dna pcr-sendout
|
$281.40 |
$281.40 |
$281.40 |
$234.50
|
|
Benztropine 1 mg/ml injection solution
|
$121.88 |
$121.88 |
$121.88 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$177.60 |
$177.60 |
$177.60 |
$108.55
|
|
Beta-2 microglobulin
|
$231.60 |
$231.60 |
$231.60 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$123.65 |
$123.65 |
$123.65 |
$50.56
|
|
Bilirubin direct
|
$115.20 |
$115.20 |
$115.20 |
$42.90
|
|
Bilirubin total
|
$73.80 |
$73.80 |
$73.80 |
$48.00
|
|
Binder abdominal lg 12 x 62-74
|
$56.40 |
$56.40 |
$56.40 |
$74.73
|
|
Biopsy muscle percutaneous needle
|
$1,549.80 |
$1,549.80 |
$1,549.80 |
$1,798.20
|
|
Biopsy needle lymph node superficial
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$1,793.38
|
|
Biopsy of prostate
|
$4,686.60 |
$4,686.60 |
$4,686.60 |
$2,412.22
|
|
Biotinidase - quest
|
$181.20 |
$181.20 |
$181.20 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$370.20 |
$370.20 |
$370.20 |
$420.80
|
|
Blood Clotting (PT/INR) Test
|
$93.00 |
$93.00 |
$93.00 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$120.60 |
$120.60 |
$120.60 |
$67.35
|
|
Blood Count (CBC) Test
|
$117.00 |
$117.00 |
$117.00 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$93.00 |
$93.00 |
$93.00 |
$52.43
|
|
Blood count spun microhematocrit
|
$49.80 |
$49.80 |
$49.80 |
$20.40
|
|
Blood Culture Test
|
$211.80 |
$211.80 |
$211.80 |
$112.20
|
|
Blood draw capillary 36416
|
$30.60 |
$30.60 |
$30.60 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$225.00 |
$225.00 |
$225.00 |
$210.35
|
|
Blood gases ph venous
|
$127.80 |
$127.80 |
$127.80 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$104.40 |
$104.40 |
$104.40 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$46.20 |
$46.20 |
$46.20 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$52.80 |
$52.80 |
$52.80 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$51.60 |
$51.60 |
$51.60 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$75.00 |
$75.00 |
$75.00 |
$34.40
|
|
Blood typing abo
|
$59.40 |
$59.40 |
$59.40 |
$71.40
|
|
Blood typing ag donor ea ag
|
$114.00 |
$114.00 |
$114.00 |
$134.40
|
|
Blood typing rbc ag non abo/rh ea
|
$108.60 |
$108.60 |
$108.60 |
$156.21
|
|
Blood typing rh (d)
|
$84.60 |
$84.60 |
$84.60 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$463.20 |
$463.20 |
$463.20 |
$381.19
|
|
Bone/joint imaging ltd area
|
$1,422.60 |
$1,422.60 |
$1,422.60 |
$935.00
|
|
Bone survey-lead poisoning
|
$501.00 |
$501.00 |
$501.00 |
$343.33
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$192.00 |
$192.00 |
$192.00 |
$105.90
|
|
Bowel imaging
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$1,077.60
|
|
Braf gene
|
$333.00 |
$333.00 |
$333.00 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,489.40 |
$2,489.40 |
$2,489.40 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,412.60 |
$2,412.60 |
$2,412.60 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$1,765.28
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,946.60 |
$2,946.60 |
$2,946.60 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$942.60 |
$942.60 |
$942.60 |
$832.00
|
|
Br punct aspir ea add, l
|
$519.00 |
$519.00 |
$519.00 |
$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
|
$132.60 |
$132.60 |
$132.60 |
$161.46
|
|
Bundled special stain group 2
|
$184.80 |
$184.80 |
$184.80 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$877.92 |
$877.92 |
$877.92 |
$15.11
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.17 |
$12.17 |
$12.17 |
$12.17
|
|
Butorphanol tartrate 1 mg
|
$42.76 |
$42.76 |
$42.76 |
$42.76
|
|
Bx breast 1st lesion strtctc
|
$3,814.80 |
$3,814.80 |
$3,814.80 |
$3,735.03
|
|
Bx breast add lesion strtctc
|
$3,814.80 |
$3,814.80 |
$3,814.80 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$2,946.60 |
$2,946.60 |
$2,946.60 |
$1,944.10
|
|
C1 esterase inhibitor func - sendout
|
$192.00 |
$192.00 |
$192.00 |
$123.49
|
|
Caffeine citrate 20 mg/ml inj for po
|
$47.78 |
$47.78 |
$47.78 |
$47.78
|
|
Calcium 24 hour urine
|
$14.40 |
$14.40 |
$14.40 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$83.14 |
$83.14 |
$83.14 |
$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
|
$127.80 |
$127.80 |
$127.80 |
$80.80
|
|
Calcium total
|
$70.20 |
$70.20 |
$70.20 |
$43.20
|
|
Calprotectin fecal
|
$378.00 |
$378.00 |
$378.00 |
$170.00
|
|
Candida dna
|
$69.60 |
$69.60 |
$69.60 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$204.00 |
$204.00 |
$204.00 |
$108.81
|
|
Carbon dioxide
|
$67.80 |
$67.80 |
$67.80 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$198.00 |
$198.00 |
$198.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$288.60 |
$288.60 |
$288.60 |
$125.00
|
|
Cardiac perf planar mult/ef/wm
|
$4,064.40 |
$4,064.40 |
$4,064.40 |
$2,334.46
|
|
Cardiac perf planar sgl/ef/wm
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
$1,780.19
|
|
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
|
$288.60 |
$288.60 |
$288.60 |
$258.10
|
|
Cardiac Stress Test
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$196.20
|
|
Cardiolipin antibody iga
|
$70.20 |
$70.20 |
$70.20 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$1,461.75
|
|
Carotene
|
$127.20 |
$127.20 |
$127.20 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,037.60
|
|
Catheterization collection of specimen single patient all places of service
|
$83.40 |
$83.40 |
$83.40 |
$58.50
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$63.49 |
$63.49 |
$63.49 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$67.10 |
$67.10 |
$67.10 |
$39.95
|
|
Cefotaxime sodium injection
|
$40.63 |
$40.63 |
$40.63 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$99.38 |
$99.38 |
$99.38 |
$42.00
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$102.39 |
$102.39 |
$102.39 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$153.25 |
$153.25 |
$153.25 |
$51.80
|
|
#celiac hla-dq8
|
$302.40 |
$302.40 |
$302.40 |
$246.88
|
|
Cell count w differential body fluid
|
$126.60 |
$126.60 |
$126.60 |
$83.71
|
|
Cell function assay w/stim
|
$370.20 |
$370.20 |
$370.20 |
$369.45
|
|
#cf-97variants
|
$864.60 |
$864.60 |
$864.60 |
$748.16
|
|
Chest 2 vws w oblique
|
$271.20 |
$271.20 |
$271.20 |
$334.02
|
|
Chest apical lordotic proj
|
$249.60 |
$249.60 |
$249.60 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,186.80 |
$1,186.80 |
$1,186.80 |
$1,166.90
|
|
Chest X-ray
|
$246.00 |
$246.00 |
$246.00 |
$265.85
|
|
Chest X-ray (single view)
|
$130.80 |
$130.80 |
$130.80 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$231.00 |
$231.00 |
$231.00 |
$150.40
|
|
Chlamydia culture
|
$40.80 |
$40.80 |
$40.80 |
$96.51
|
