|
Biopsy muscle percutaneous needle
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$1,798.20
|
|
Biopsy needle lymph node superficial
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$1,793.38
|
|
Bladder irrigate/lavage/instill 51700
|
$398.40 |
$398.40 |
$398.40 |
$420.80
|
|
Blood Clotting (PT/INR) Test
|
$78.00 |
$78.00 |
$78.00 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$119.40 |
$119.40 |
$119.40 |
$67.35
|
|
Blood Count (CBC) Test
|
$113.40 |
$113.40 |
$113.40 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$100.20 |
$100.20 |
$100.20 |
$52.43
|
|
Blood Culture Test
|
$228.00 |
$228.00 |
$228.00 |
$112.20
|
|
Blood draw capillary 36416
|
$32.40 |
$32.40 |
$32.40 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$220.80 |
$220.80 |
$220.80 |
$210.35
|
|
Blood gases ph venous
|
$109.20 |
$109.20 |
$109.20 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$89.40 |
$89.40 |
$89.40 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$39.60 |
$39.60 |
$39.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$63.00 |
$63.00 |
$63.00 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$86.40 |
$86.40 |
$86.40 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$63.00 |
$63.00 |
$63.00 |
$34.40
|
|
Blood typing abo
|
$49.80 |
$49.80 |
$49.80 |
$71.40
|
|
Blood typing ag donor ea ag
|
$134.40 |
$134.40 |
$134.40 |
$134.40
|
|
Blood typing rbc ag non abo/rh ea
|
$133.20 |
$133.20 |
$133.20 |
$156.21
|
|
Blood typing rh (d)
|
$57.60 |
$57.60 |
$57.60 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$438.00 |
$438.00 |
$438.00 |
$381.19
|
|
Bone survey-lead poisoning
|
$612.00 |
$612.00 |
$612.00 |
$343.33
|
|
Boot softgait shrt m
|
$94.20 |
$94.20 |
$94.20 |
$113.72
|
|
Boot walker genesis full shell 3-strap s
|
$129.00 |
$129.00 |
$129.00 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$269.40 |
$269.40 |
$269.40 |
$105.90
|
|
Brace afo lg left 6607
|
$49.80 |
$49.80 |
$49.80 |
$70.65
|
|
Brace knee support neoprene padded open patella med
|
$88.20 |
$88.20 |
$88.20 |
$91.20
|
|
Brace wrist classic lft sm
|
$24.60 |
$24.60 |
$24.60 |
$92.25
|
|
Braf gene
|
$299.40 |
$299.40 |
$299.40 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,600.60 |
$3,600.60 |
$3,600.60 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$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
|
$1,451.40 |
$1,451.40 |
$1,451.40 |
$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
|
$39.79 |
$39.79 |
$39.79 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$266.40 |
$266.40 |
$266.40 |
$161.46
|
|
Bundled special stain group 2
|
$245.40 |
$245.40 |
$245.40 |
$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
|
$44.15 |
$44.15 |
$44.15 |
$42.76
|
|
Bx breast add lesion Ultrasound imag
|
$3,157.20 |
$3,157.20 |
$3,157.20 |
$1,944.10
|
|
C1 esterase inhibitor func - sendout
|
$153.60 |
$153.60 |
$153.60 |
$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
|
$87.60 |
$87.60 |
$87.60 |
$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
|
$91.04 |
$91.04 |
$91.04 |
$62.87
|
|
Calcium ionized
|
$179.40 |
$179.40 |
$179.40 |
$80.80
|
|
Calcium total
|
$73.80 |
$73.80 |
$73.80 |
$43.20
|
|
Calprotectin fecal
|
$329.40 |
$329.40 |
$329.40 |
$170.00
|
|
Candida dna
|
$77.40 |
$77.40 |
$77.40 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$214.20 |
$214.20 |
$214.20 |
$108.81
|
|
Carbon dioxide
|
$70.20 |
$70.20 |
$70.20 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$203.40 |
$203.40 |
$203.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$277.80 |
$277.80 |
$277.80 |
$125.00
|
|
Cardiolipin antibody iga
|
$177.00 |
$177.00 |
$177.00 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,434.20 |
$2,434.20 |
$2,434.20 |
$1,461.75
|
|
Carotene
|
$97.80 |
$97.80 |
$97.80 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
$1,037.60
|
|
Catheterization collection of specimen single patient all places of service
|
$84.60 |
$84.60 |
$84.60 |
$58.50
|
|
Cauterization chemical granulation tissue
|
$426.60 |
$426.60 |
$426.60 |
$374.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$63.49 |
$63.49 |
$63.49 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$99.98 |
$99.98 |
$99.98 |
$39.95
|
|
Cefotaxime sodium injection
|
$39.42 |
$39.42 |
$39.42 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$66.71 |
$66.71 |
$66.71 |
$42.00
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$111.57 |
$111.57 |
$111.57 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$153.25 |
$153.25 |
$153.25 |
$51.80
|
|
#celiac hla-dq8
|
$295.20 |
$295.20 |
$295.20 |
$246.88
|
|
Cell count body fluid
|
$134.40 |
$134.40 |
$134.40 |
$56.44
|
|
Cell count w differential body fluid
|
$126.00 |
$126.00 |
$126.00 |
$83.71
|
|
#cf-97variants
|
$981.60 |
$981.60 |
$981.60 |
$748.16
|
|
Chest 2 vws w oblique
|
$300.60 |
$300.60 |
$300.60 |
$334.02
|
|
Chest apical lordotic proj
|
$250.80 |
$250.80 |
$250.80 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,549.80 |
$1,549.80 |
$1,549.80 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,166.90
|
|
Chest X-ray
|
$248.40 |
$248.40 |
$248.40 |
$265.85
|
|
Chest X-ray (single view)
|
$169.20 |
$169.20 |
$169.20 |
$192.50
|
|
Chlamydia culture
|
$42.60 |
$42.60 |
$42.60 |
$96.51
|
|
Chlamydia type
|
$19.20 |
$19.20 |
$19.20 |
$34.80
|
|
Chloride
|
$62.40 |
$62.40 |
$62.40 |
$37.48
|
|
Chloride 24 hour urine
|
$69.00 |
$69.00 |
$69.00 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$53.03 |
$53.03 |
$53.03 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$698.40 |
$698.40 |
$698.40 |
$546.01
|
|
Cholesterol
|
$77.40 |
$77.40 |
$77.40 |
$40.95
|
|
Cholesterol body fluid
|
$366.00 |
$366.00 |
$366.00 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$215.40 |
$215.40 |
$215.40 |
$101.43
|
|
Chromatogram assay sugars
|
$69.60 |
$69.60 |
$69.60 |
$86.42
|
|
Chromatography
|
$129.00 |
$129.00 |
$129.00 |
$81.25
|
|
Chromogenic substrate assay
|
$266.40 |
$266.40 |
$266.40 |
$188.40
|
|
Chromosome analysis 15-20 cell count
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$558.25
|
|
Chronic urticaria - sendout
|
$198.00 |
$198.00 |
$198.00 |
$100.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$62.97 |
$62.97 |
$62.97 |
$35.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clot factor xii hageman
|
$223.20 |
$223.20 |
$223.20 |
$125.00
|
