|
Assay of osteocalcin
|
$189.60 |
$189.60 |
$189.60 |
$92.50
|
|
Assay toxin or antitoxin
|
$480.00 |
$480.00 |
$480.00 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$435.60 |
$435.60 |
$435.60 |
$292.50
|
|
Ast/sgot
|
$80.40 |
$80.40 |
$80.40 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$30.60 |
$30.60 |
$30.60 |
$51.28
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$925.10
|
|
Avul nail plate addl
|
$28.80 |
$28.80 |
$28.80 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$273.00 |
$273.00 |
$273.00 |
$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
|
$295.20 |
$295.20 |
$295.20 |
$157.30
|
|
Bacterial meningitis antigen
|
$78.60 |
$78.60 |
$78.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$120.00 |
$120.00 |
$120.00 |
$278.40
|
|
Bausch health Ultrasound surg
|
$1,755.18 |
$1,755.18 |
$1,755.18 |
$744.25
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Beta-2 microglobulin
|
$55.80 |
$55.80 |
$55.80 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$6.60 |
$6.60 |
$6.60 |
$64.15
|
|
Bilateral n block inj occipital 64405
|
$144.00 |
$144.00 |
$144.00 |
$768.60
|
|
Bilirubin direct
|
$80.40 |
$80.40 |
$80.40 |
$50.00
|
|
Bilirubin total
|
$80.40 |
$80.40 |
$80.40 |
$52.57
|
|
Biopsy abdominal mass
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$1,718.60
|
|
Biopsy external ear 69100
|
$136.80 |
$136.80 |
$136.80 |
$416.52
|
|
Biopsy needle liver percutaneous
|
$1,323.60 |
$1,323.60 |
$1,323.60 |
$1,892.80
|
|
Biopsy of rectum wall anal approach 45100
|
$492.60 |
$492.60 |
$492.60 |
$3,245.23
|
|
Biopsy/removal lymph nodes
|
$658.20 |
$658.20 |
$658.20 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$179.40 |
$179.40 |
$179.40 |
$657.66
|
|
Bladder irrigate/lavage/instill 51700
|
$316.80 |
$316.80 |
$316.80 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$291.06 |
$291.06 |
$291.06 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$535.28 |
$535.28 |
$535.28 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$48.00 |
$48.00 |
$48.00 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$88.20 |
$88.20 |
$88.20 |
$73.44
|
|
Blood Count (CBC) Test
|
$74.40 |
$74.40 |
$74.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$57.60 |
$57.60 |
$57.60 |
$61.80
|
|
Blood Culture Test
|
$171.00 |
$171.00 |
$171.00 |
$145.80
|
|
Blood gases ph venous
|
$108.60 |
$108.60 |
$108.60 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$37.80 |
$37.80 |
$37.80 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$22.80 |
$22.80 |
$22.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$43.20 |
$43.20 |
$43.20 |
$38.61
|
|
Blood typing abo
|
$55.80 |
$55.80 |
$55.80 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$102.00 |
$102.00 |
$102.00 |
$199.50
|
|
Blood typing rh (d)
|
$58.80 |
$58.80 |
$58.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$37.20 |
$37.20 |
$37.20 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$559.80 |
$559.80 |
$559.80 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$1,013.50
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,887.80 |
$2,887.80 |
$2,887.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,887.80 |
$2,887.80 |
$2,887.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,782.00 |
$4,782.00 |
$4,782.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,403.80 |
$3,403.80 |
$3,403.80 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$814.20 |
$814.20 |
$814.20 |
$847.00
|
|
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
|
$127.20 |
$127.20 |
$127.20 |
$160.80
|
|
Bundled special stain group 2
|
$45.60 |
$45.60 |
$45.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$9.00 |
$9.00 |
$9.00 |
$32.88
|
|
Buprenorphine hydrochloride
|
$40.20 |
$40.20 |
$40.20 |
$41.79
|
|
Butorphanol tartrate 1 mg
|
$17.40 |
$17.40 |
$17.40 |
$39.09
|
|
Bx breast add lesion Ultrasound imag
|
$1,703.40 |
$1,703.40 |
$1,703.40 |
$1,692.64
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$553.80 |
$553.80 |
$553.80 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$385.80 |
$385.80 |
$385.80 |
$4,184.94
|
|
Bx liver with other
|
$252.00 |
$252.00 |
$252.00 |
$543.40
|
|
Bx of breast open 19101
|
$507.00 |
$507.00 |
$507.00 |
$4,531.42
|
|
Bx skin punch ea sep/ addl les
|
$94.20 |
$94.20 |
$94.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$51.00 |
$51.00 |
$51.00 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$986.40 |
$986.40 |
$986.40 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$420.00 |
$420.00 |
$420.00 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,012.60 |
$9,012.60 |
$9,012.60 |
$2,111.64
|
|
Calcium 24 hour urine
|
$105.60 |
$105.60 |
$105.60 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$42.00 |
$42.00 |
$42.00 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$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
|
$193.20 |
$193.20 |
$193.20 |
$90.00
|
|
Calcium total
|
$78.60 |
$78.60 |
$78.60 |
$50.00
|
|
Calculi urinary-sendout
|
$57.60 |
$57.60 |
$57.60 |
$68.05
|
|
Calprotectin fecal
|
$507.60 |
$507.60 |
$507.60 |
$169.95
|
|
Candida dna
|
$34.20 |
$34.20 |
$34.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$2,452.84 |
$2,452.84 |
$2,452.84 |
$34,218.66
|
|
Carbamazepine free
|
$78.60 |
$78.60 |
$78.60 |
$59.15
|
|
Carbamazepine free -sendout
|
$78.60 |
$78.60 |
$78.60 |
$47.94
|
|
Carbon dioxide
|
$9.00 |
$9.00 |
$9.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$55.20 |
$55.20 |
$55.20 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$216.00 |
$216.00 |
$216.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,915.80 |
$1,915.80 |
$1,915.80 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$319.20 |
$319.20 |
$319.20 |
$244.00
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$939.00 |
$939.00 |
$939.00 |
$1,396.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$776.40 |
$776.40 |
$776.40 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$226.80 |
$226.80 |
$226.80 |
$1,206.00
|
|
Cath cv dl inj 7fx16cm
|
$380.32 |
$380.32 |
$380.32 |
$3,889.06
|
|
Cath groshong MRI 8fr plstc port
|
$430.42 |
$430.42 |
$430.42 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$97.75 |
$97.75 |
$97.75 |
$2,173.58
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$470.40 |
$470.40 |
$470.40 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$261.60 |
$261.60 |
$261.60 |
$340.90
|
|
Cdna analysis for variants
|
$463.20 |
$463.20 |
$463.20 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$24.00 |
$24.00 |
$24.00 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
