|
Brace wrist classic lft sm
|
$99.20 |
$99.20 |
$99.20 |
$89.04
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,977.60 |
$3,977.60 |
$3,977.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,096.00 |
$3,096.00 |
$3,096.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,494.40 |
$4,494.40 |
$4,494.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,381.60 |
$3,381.60 |
$3,381.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,087.20 |
$3,087.20 |
$3,087.20 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$288.00 |
$288.00 |
$288.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$871.80
|
|
Bronchial allergy tests
|
$876.80 |
$876.80 |
$876.80 |
$746.46
|
|
Bronchial challenge
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$820.05
|
|
Budesonide non-comp unit
|
$19.61 |
$19.61 |
$19.61 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$62.62 |
$62.62 |
$62.62 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$412.00 |
$412.00 |
$412.00 |
$159.00
|
|
Bundled special stain group 2
|
$288.00 |
$288.00 |
$288.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$66.24 |
$66.24 |
$66.24 |
$32.47
|
|
Bx breast perq without image 19100
|
$2,585.60 |
$2,585.60 |
$2,585.60 |
$1,312.15
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$4,184.94
|
|
Bx thyroid/percutan core needle 60100
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$56.80 |
$56.80 |
$56.80 |
$96.72
|
|
Cadd pump refill
|
$629.60 |
$629.60 |
$629.60 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$63.72 |
$63.72 |
$63.72 |
$46.09
|
|
Calcium 24 hour urine
|
$43.20 |
$43.20 |
$43.20 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$66.40 |
$66.40 |
$66.40 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.16 |
$66.16 |
$66.16 |
$64.49
|
|
Calcium ionized
|
$140.80 |
$140.80 |
$140.80 |
$90.00
|
|
Calcium total
|
$34.40 |
$34.40 |
$34.40 |
$50.00
|
|
Calprotectin fecal
|
$107.20 |
$107.20 |
$107.20 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$416.00 |
$416.00 |
$416.00 |
$44,000.00
|
|
Carbamazepine free
|
$71.20 |
$71.20 |
$71.20 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$128.80 |
$128.80 |
$128.80 |
$122.85
|
|
Carbon dioxide
|
$36.80 |
$36.80 |
$36.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$232.61 |
$232.61 |
$232.61 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$101.60 |
$101.60 |
$101.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,348.80 |
$3,348.80 |
$3,348.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$272.00 |
$272.00 |
$272.00 |
$249.60
|
|
Cardiolipin antibody iga
|
$128.80 |
$128.80 |
$128.80 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,783.20 |
$1,783.20 |
$1,783.20 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$122.40 |
$122.40 |
$122.40 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$60.80 |
$60.80 |
$60.80 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,165.60 |
$1,165.60 |
$1,165.60 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$96.00 |
$96.00 |
$96.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Caspofungin acetate
|
$565.30 |
$565.30 |
$565.30 |
$633.91
|
|
Cath cv dl inj 7fx16cm
|
$701.60 |
$701.60 |
$701.60 |
$4,488.99
|
|
Catheterization collection of specimen single patient all places of service
|
$16.80 |
$16.80 |
$16.80 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$1,962.40 |
$1,962.40 |
$1,962.40 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$549.60 |
$549.60 |
$549.60 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$102.40 |
$102.40 |
$102.40 |
$573.88
|
|
Cdna analysis for variants
|
$529.60 |
$529.60 |
$529.60 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$97.29 |
$97.29 |
$97.29 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$64.47 |
$64.47 |
$64.47 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$125.25 |
$125.25 |
$125.25 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$120.39 |
$120.39 |
$120.39 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$123.78 |
$123.78 |
$123.78 |
$83.39
|
|
Cell count body fluid
|
$107.20 |
$107.20 |
$107.20 |
$63.52
|
|
Cell count w differential body fluid
|
$60.00 |
$60.00 |
$60.00 |
$92.56
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$8,848.12 |
$8,848.12 |
$8,848.12 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$841.92 |
$841.92 |
$841.92 |
$3,011.40
|
|
Change cystostomy tube simple
|
$701.60 |
$701.60 |
$701.60 |
$477.60
|
|
Chemodenervation/face muscl/unilat 64612
|
$529.60 |
$529.60 |
$529.60 |
$600.00
|
|
Chest 2 vws w oblique
|
$260.80 |
$260.80 |
$260.80 |
$375.60
|
|
Chest apical lordotic proj
|
$247.20 |
$247.20 |
$247.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,041.60 |
$3,041.60 |
$3,041.60 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,748.80 |
$2,748.80 |
$2,748.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$234.40 |
$234.40 |
$234.40 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$149.60 |
$149.60 |
$149.60 |
$134.50
|
|
Chest Ultrasound
|
$594.40 |
$594.40 |
$594.40 |
$463.88
|
|
Chest X-ray
|
$340.00 |
$340.00 |
$340.00 |
$294.06
|
|
Chest X-ray (single view)
|
$253.60 |
$253.60 |
$253.60 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$214.40 |
$214.40 |
$214.40 |
$150.40
|
|
Chlamydia culture
|
$132.00 |
$132.00 |
$132.00 |
$91.00
|
|
Chloramphenicol sodium injec
|
$71.40 |
$71.40 |
$71.40 |
$113.84
|
|
Chloride
|
$28.80 |
$28.80 |
$28.80 |
$42.63
|
|
Chloride 24 hour urine
|
$53.60 |
$53.60 |
$53.60 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$76.85 |
$76.85 |
$76.85 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$602.40
|
|
Cholesterol
|
$38.40 |
$38.40 |
$38.40 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$100.00 |
$100.00 |
$100.00 |
$115.80
|
|
Chorion biopsy
|
$955.20 |
$955.20 |
$955.20 |
$1,392.05
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
Chromatography
|
$44.00 |
$44.00 |
$44.00 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$139.20 |
$139.20 |
$139.20 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$306.40 |
$306.40 |
$517.11
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
$382.85
|
|
Chromosome analysis 5
|
$644.80 |
$644.80 |
$644.80 |
$644.80
|
|
Chromosome study additional
|
$186.40 |
$186.40 |
$186.40 |
$151.09
|
|
Chronic urticaria - sendout
|
$100.00 |
$100.00 |
$100.00 |
$75.71
|
|
Cilastatin sodium injection
|
$84.42 |
$84.42 |
$84.42 |
$77.40
|
|
Cisplatin 1 mg/ml desensitization
|
$197.01 |
$197.01 |
$197.01 |
$205.56
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$121.43 |
$121.43 |
$121.43 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$420.80 |
$420.80 |
$420.80 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$421.60 |
$421.60 |
$421.60 |
$478.53
|
|
Closed tx humerus fx without manip 23600
|
$419.20 |
$419.20 |
$419.20 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$400.80 |
$400.80 |
$400.80 |
$386.40
|
