|
Assay of fluoride
|
$174.60 |
$174.60 |
$174.60 |
$115.83
|
|
Assay of galactose
|
$34.80 |
$34.80 |
$34.80 |
$49.21
|
|
Assay of lrh hormone
|
$339.60 |
$339.60 |
$339.60 |
$210.60
|
|
Assay of neonatal thyroxine
|
$19.20 |
$19.20 |
$19.20 |
$13.33
|
|
Assay of osteocalcin
|
$253.20 |
$253.20 |
$253.20 |
$126.75
|
|
Assay of procainamide w/metab
|
$222.00 |
$222.00 |
$222.00 |
$63.07
|
|
Assay of PSA complexed
|
$262.80 |
$262.80 |
$262.80 |
$64.28
|
|
Assay of salicylate
|
$36.00 |
$36.00 |
$36.00 |
$83.85
|
|
Assay of somatostatin
|
$456.60 |
$456.60 |
$456.60 |
$118.20
|
|
Assay of urine sulfate
|
$45.00 |
$45.00 |
$45.00 |
$33.15
|
|
Assay toxin or antitoxin
|
$260.40 |
$260.40 |
$260.40 |
$70.92
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$284.40 |
$284.40 |
$284.40 |
$300.80
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$104.40 |
$104.40 |
$104.40 |
$43.55
|
|
Ast/sgot
|
$104.40 |
$104.40 |
$104.40 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$43.85 |
$43.85 |
$43.85 |
$25.04
|
|
Automated diff wbc count
|
$57.60 |
$57.60 |
$57.60 |
$33.80
|
|
Avul nail plate addl
|
$747.00 |
$747.00 |
$747.00 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$405.00 |
$405.00 |
$405.00 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$2.03 |
$2.03 |
$2.03 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$65.10 |
$65.10 |
$65.10 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$118.48 |
$118.48 |
$118.48 |
$157.83
|
|
Baclofen eval charges
|
$87.60 |
$87.60 |
$87.60 |
$84.35
|
|
Bacterial meningitis antigen
|
$234.00 |
$234.00 |
$234.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$433.20 |
$433.20 |
$433.20 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$97.20 |
$97.20 |
$97.20 |
$132.72
|
|
Bartonella dna pcr-sendout
|
$281.40 |
$281.40 |
$281.40 |
$234.50
|
|
B cells total count
|
$143.40 |
$143.40 |
$143.40 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$404.51 |
$404.51 |
$404.51 |
$605.43
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$58.21 |
$58.21 |
$58.21 |
$58.21
|
|
Benign lesion paring 2-4
|
$280.20 |
$280.20 |
$280.20 |
$275.88
|
|
Benign lesion paring 4+
|
$252.00 |
$252.00 |
$252.00 |
$276.75
|
|
Benztropine 1 mg/ml injection solution
|
$121.88 |
$121.88 |
$121.88 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$159.60 |
$159.60 |
$159.60 |
$108.55
|
|
Beta-2 microglobulin
|
$298.20 |
$298.20 |
$298.20 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$123.65 |
$123.65 |
$123.65 |
$50.56
|
|
Bilirubin direct
|
$93.00 |
$93.00 |
$93.00 |
$42.90
|
|
Bilirubin total
|
$92.40 |
$92.40 |
$92.40 |
$48.00
|
|
Binder abdominal lg 12 x 62-74
|
$56.40 |
$56.40 |
$56.40 |
$74.73
|
|
Biopsy, bone open deep
|
$4,456.80 |
$4,456.80 |
$4,456.80 |
$3,370.52
|
|
Biopsy muscle percutaneous needle
|
$1,738.20 |
$1,738.20 |
$1,738.20 |
$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
|
|
Biopsy skin incisional single lesion
|
$871.80 |
$871.80 |
$871.80 |
$674.00
|
|
Biotinidase - quest
|
$45.00 |
$45.00 |
$45.00 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$465.60 |
$465.60 |
$465.60 |
$420.80
|
|
Blood Clotting (PT/INR) Test
|
$93.00 |
$93.00 |
$93.00 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$148.80 |
$148.80 |
$148.80 |
$67.35
|
|
Blood Count (CBC) Test
|
$127.80 |
$127.80 |
$127.80 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$126.60 |
$126.60 |
$126.60 |
$52.43
|
|
Blood Culture Test
|
$271.80 |
$271.80 |
$271.80 |
$112.20
|
|
Blood draw capillary 36416
|
$42.00 |
$42.00 |
$42.00 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$225.00 |
$225.00 |
$225.00 |
$210.35
|
|
Blood gases ph venous
|
$137.40 |
$137.40 |
$137.40 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$112.80 |
$112.80 |
$112.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$57.60 |
$57.60 |
$57.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$77.40 |
$77.40 |
$77.40 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$70.20 |
$70.20 |
$70.20 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$77.40 |
$77.40 |
$77.40 |
$34.40
|
|
Blood typing abo
|
$88.20 |
$88.20 |
$88.20 |
$71.40
|
|
Blood typing ag donor ea ag
|
$152.40 |
$152.40 |
$152.40 |
$134.40
|
|
Blood typing rbc ag non abo/rh ea
|
$151.20 |
$151.20 |
$151.20 |
$156.21
|
|
Blood typing rh (d)
|
$84.60 |
$84.60 |
$84.60 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$410.40 |
$410.40 |
$410.40 |
$70.20
|
|
Bone biopsy open superficial
|
$5,343.60 |
$5,343.60 |
$5,343.60 |
$3,965.54
|
|
Bone Density Scan (DEXA)
|
$463.20 |
$463.20 |
$463.20 |
$381.19
|
|
Bone survey-lead poisoning
|
$501.00 |
$501.00 |
$501.00 |
$343.33
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$336.00 |
$336.00 |
$336.00 |
$105.90
|
|
Brace afo lg left 6607
|
$59.40 |
$59.40 |
$59.40 |
$70.65
|
|
Brace wrist classic lft sm
|
$25.20 |
$25.20 |
$25.20 |
$92.25
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,489.40 |
$2,489.40 |
$2,489.40 |
$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)
|
$1,866.60 |
$1,866.60 |
$1,866.60 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$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
|
$907.80 |
$907.80 |
$907.80 |
$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
|
$204.60 |
$204.60 |
$204.60 |
$161.46
|
|
Bundled special stain group 2
|
$187.20 |
$187.20 |
$187.20 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$44.35 |
$44.35 |
$44.35 |
$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
|
|
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
|
|
Bx skin incisnl ea sep/add l les
|
$871.80 |
$871.80 |
$871.80 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$489.00 |
$489.00 |
$489.00 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$489.00 |
$489.00 |
$489.00 |
$206.55
|
|
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
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,345.79 |
$4,345.79 |
$4,345.79 |
$4,148.53
|
|
Calcium 24 hour urine
|
$134.40 |
$134.40 |
$134.40 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.90 |
$41.90 |
$41.90 |
$50.14
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$91.04 |
$91.04 |
$91.04 |
$62.87
|
|
Calcium ionized
|
$225.00 |
$225.00 |
$225.00 |
$80.80
|
|
Calcium total
|
$91.20 |
$91.20 |
$91.20 |
$43.20
|
|
Calculi urinary-sendout
|
$324.00 |
$324.00 |
$324.00 |
$114.40
|
