|
Assay of osteocalcin
|
$183.60 |
$183.60 |
$183.60 |
$92.50
|
|
Assay of procainamide
|
$224.40 |
$224.40 |
$224.40 |
$114.91
|
|
Assay toxin or antitoxin
|
$462.00 |
$462.00 |
$462.00 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$733.20 |
$733.20 |
$733.20 |
$292.50
|
|
Ast/sgot
|
$116.40 |
$116.40 |
$116.40 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$30.60 |
$30.60 |
$30.60 |
$51.28
|
|
Avul nail plate addl
|
$152.40 |
$152.40 |
$152.40 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$260.40 |
$260.40 |
$260.40 |
$318.75
|
|
Azathioprine 50 mg tablet
|
$3.60 |
$3.60 |
$3.60 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$145.80 |
$145.80 |
$145.80 |
$157.30
|
|
Bacterial meningitis antigen
|
$100.20 |
$100.20 |
$100.20 |
$66.30
|
|
Bausch health Ultrasound surg
|
$970.20 |
$970.20 |
$970.20 |
$744.25
|
|
Benign lesion paring 2-4
|
$303.00 |
$303.00 |
$303.00 |
$257.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Beta-2 microglobulin
|
$163.80 |
$163.80 |
$163.80 |
$85.94
|
|
Bilateral n block inj occipital 64405
|
$144.00 |
$144.00 |
$144.00 |
$768.60
|
|
Bilirubin direct
|
$85.20 |
$85.20 |
$85.20 |
$50.00
|
|
Bilirubin total
|
$118.80 |
$118.80 |
$118.80 |
$52.57
|
|
Bladder irrigate/lavage/instill 51700
|
$369.60 |
$369.60 |
$369.60 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$479.37 |
$479.37 |
$479.37 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$351.74 |
$351.74 |
$351.74 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$115.80 |
$115.80 |
$115.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$256.80 |
$256.80 |
$256.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$72.00 |
$72.00 |
$72.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$55.20 |
$55.20 |
$55.20 |
$61.80
|
|
Blood Culture Test
|
$178.80 |
$178.80 |
$178.80 |
$145.80
|
|
Blood gases ph venous
|
$109.80 |
$109.80 |
$109.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$252.60 |
$252.60 |
$252.60 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$124.80 |
$124.80 |
$124.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$84.60 |
$84.60 |
$84.60 |
$38.61
|
|
Blood typing abo
|
$54.60 |
$54.60 |
$54.60 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$87.00 |
$87.00 |
$87.00 |
$199.50
|
|
Blood typing rh (d)
|
$74.40 |
$74.40 |
$74.40 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$170.40 |
$170.40 |
$170.40 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$118.20 |
$118.20 |
$118.20 |
$1,508.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Brain image w/flow 4 + views
|
$1,717.80 |
$1,717.80 |
$1,717.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,051.60 |
$3,051.60 |
$3,051.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,409.00 |
$5,409.00 |
$5,409.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,239.00 |
$4,239.00 |
$4,239.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$1,977.27
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$304.20 |
$304.20 |
$304.20 |
$160.80
|
|
Bundled special stain group 2
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$30.60 |
$30.60 |
$30.60 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$27.00 |
$27.00 |
$27.00 |
$82.82
|
|
Buprenorphine hydrochloride
|
$40.20 |
$40.20 |
$40.20 |
$41.79
|
|
Butorphanol tartrate 1 mg
|
$14.40 |
$14.40 |
$14.40 |
$39.09
|
|
Calcium 24 hour urine
|
$139.80 |
$139.80 |
$139.80 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$80.70 |
$80.70 |
$80.70 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$81.00 |
$81.00 |
$81.00 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$153.00 |
$153.00 |
$153.00 |
$91.60
|
|
Calcium ionized
|
$204.00 |
$204.00 |
$204.00 |
$90.00
|
|
Calcium total
|
$82.80 |
$82.80 |
$82.80 |
$50.00
|
|
Calculi urinary-sendout
|
$57.00 |
$57.00 |
$57.00 |
$68.05
|
|
Calprotectin fecal
|
$498.60 |
$498.60 |
$498.60 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$3,649.72 |
$3,649.72 |
$3,649.72 |
$34,218.66
|
|
Carbamazepine free
|
$76.80 |
$76.80 |
$76.80 |
$59.15
|
|
Carbamazepine free -sendout
|
$186.00 |
$186.00 |
$186.00 |
$47.94
|
|
Carboxyhemoglobin quantitative
|
$313.20 |
$313.20 |
$313.20 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$443.40 |
$443.40 |
$443.40 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,023.20 |
$2,023.20 |
$2,023.20 |
$2,626.88
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$780.60 |
$780.60 |
$780.60 |
$1,396.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$819.60 |
$819.60 |
$819.60 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$3,608.80
|
|
Cath cv dl inj 7fx16cm
|
$360.61 |
$360.61 |
$360.61 |
$3,889.06
|
|
Cath groshong MRI 8fr plstc port
|
$529.20 |
$529.20 |
$529.20 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$420.71 |
$420.71 |
$420.71 |
$2,173.58
|
|
Cath uret open tp 6fx70cm
|
$0.86 |
$0.86 |
$0.86 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$249.60 |
$249.60 |
$249.60 |
$340.90
|
|
#cbg+cort-cbg
|
$34.20 |
$34.20 |
$34.20 |
$73.10
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.10 |
$35.10 |
$35.10 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
Cell count w differential body fluid
|
$126.00 |
$126.00 |
$126.00 |
$93.23
|
|
Change cystostomy tube simple
|
$417.60 |
$417.60 |
$417.60 |
$451.00
|
|
Chemo adm cns w/lmbr punct
|
$433.20 |
$433.20 |
$433.20 |
$665.40
|
|
Chest CT scan (with and without contrast)
|
$3,404.40 |
$3,404.40 |
$3,404.40 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,847.60 |
$2,847.60 |
$2,847.60 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,080.20 |
$2,080.20 |
$2,080.20 |
$1,350.03
|
|
Chest X-ray
|
$302.40 |
$302.40 |
$302.40 |
$294.06
|
|
Chest X-ray (single view)
|
$258.60 |
$258.60 |
$258.60 |
$239.04
|
|
Chloride 24 hour urine
|
$98.40 |
$98.40 |
$98.40 |
$49.50
|
|
Cholesterol
|
$116.40 |
$116.40 |
$116.40 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$210.60 |
$210.60 |
$210.60 |
$115.80
|
|
Chromatography
|
$199.20 |
$199.20 |
$199.20 |
$81.25
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.80 |
$58.80 |
$58.80 |
$55.20
|
|
Closed tx humerus fx without manip 23600
|
$464.40 |
$464.40 |
$464.40 |
$494.15
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$2,520.60
|
|
Clos txnose fx without stablz 21315
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
$2,326.08
|
|
Clot factor xiii fibrin scrn
|
$186.00 |
$186.00 |
$186.00 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$287.40 |
$287.40 |
$287.40 |
$641.90
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$271.20 |
$271.20 |
$271.20 |
$401.00
|
|
Clsd tx elbow dislocation child 24640
|
$287.40 |
$287.40 |
$287.40 |
$462.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$288.00 |
$288.00 |
$288.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$1,571.25
|
