|
Blood gases ph venous
|
$38.40 |
$38.40 |
$38.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$32.00 |
$32.00 |
$32.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$62.40 |
$62.40 |
$62.40 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$26.40 |
$26.40 |
$26.40 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$41.60 |
$41.60 |
$41.60 |
$38.35
|
|
Blood Transfusion
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$989.60
|
|
Blood typing abo
|
$49.60 |
$49.60 |
$49.60 |
$86.45
|
|
Blood typing ag donor ea ag
|
$160.00 |
$160.00 |
$160.00 |
$207.60
|
|
Blood typing patient serum
|
$147.20 |
$147.20 |
$147.20 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$54.40 |
$54.40 |
$54.40 |
$211.90
|
|
Blood typing rh (d)
|
$43.20 |
$43.20 |
$43.20 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$189.60 |
$189.60 |
$189.60 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$432.00 |
$432.00 |
$432.00 |
$407.94
|
|
Bone imaging multiple areas
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,234.40 |
$1,234.40 |
$1,234.40 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,247.20 |
$1,247.20 |
$1,247.20 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$616.00 |
$616.00 |
$616.00 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$578.40 |
$578.40 |
$578.40 |
$387.00
|
|
Boot softgait shrt m
|
$164.00 |
$164.00 |
$164.00 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$168.00 |
$168.00 |
$168.00 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,271.24 |
$2,271.24 |
$2,271.24 |
$2,915.40
|
|
(both sides) smear without diff wbc count
|
$51.20 |
$51.20 |
$51.20 |
$30.68
|
|
Bowel imaging
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$129.60 |
$129.60 |
$129.60 |
$105.30
|
|
Braf gene
|
$460.00 |
$460.00 |
$460.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,588.80 |
$3,588.80 |
$3,588.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,924.80 |
$2,924.80 |
$2,924.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,972.00 |
$3,972.00 |
$3,972.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,116.00 |
$3,116.00 |
$3,116.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,757.60 |
$2,757.60 |
$2,757.60 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$291.20 |
$291.20 |
$291.20 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$871.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$6,521.24 |
$6,521.24 |
$6,521.24 |
$22,383.57
|
|
Bronchial allergy tests
|
$299.20 |
$299.20 |
$299.20 |
$746.46
|
|
Bronchial challenge
|
$835.20 |
$835.20 |
$835.20 |
$820.05
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$35.22 |
$35.22 |
$35.22 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$217.60 |
$217.60 |
$217.60 |
$159.00
|
|
Bundled special stain group 2
|
$178.40 |
$178.40 |
$178.40 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$39.94 |
$39.94 |
$39.94 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$124.00 |
$124.00 |
$124.00 |
$80.64
|
|
Buprenorphine hydrochloride
|
$39.45 |
$39.45 |
$39.45 |
$42.08
|
|
Butorphanol tartrate 1 mg
|
$39.77 |
$39.77 |
$39.77 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$3,495.20 |
$3,495.20 |
$3,495.20 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,028.80 |
$2,028.80 |
$2,028.80 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$992.80 |
$992.80 |
$992.80 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$909.60 |
$909.60 |
$909.60 |
$1,670.79
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,444.80 |
$2,444.80 |
$2,444.80 |
$2,168.40
|
|
Bx thyroid/percutan core needle 60100
|
$1,212.80 |
$1,212.80 |
$1,212.80 |
$963.80
|
|
C1 esterase inhibitor func - sendout
|
$56.80 |
$56.80 |
$56.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$4,230.62 |
$4,230.62 |
$4,230.62 |
$27,013.07
|
|
Cadd pump refill
|
$555.20 |
$555.20 |
$555.20 |
$386.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$432.51 |
$432.51 |
$432.51 |
$2,210.98
|
|
Calcium 24 hour urine
|
$52.00 |
$52.00 |
$52.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$36.93 |
$36.93 |
$36.93 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$40.73 |
$40.73 |
$40.73 |
$64.49
|
|
Calcium ionized
|
$98.40 |
$98.40 |
$98.40 |
$90.00
|
|
Calcium total
|
$52.00 |
$52.00 |
$52.00 |
$50.00
|
|
Calprotectin fecal
|
$206.40 |
$206.40 |
$206.40 |
$170.00
|
|
Canakinumab injection
|
$25,655.88 |
$25,655.88 |
$25,655.88 |
$35,959.82
|
|
Candida dna
|
$101.60 |
$101.60 |
$101.60 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$44,000.00
|
|
Cap trach decann 15mm
|
$384.80 |
$384.80 |
$384.80 |
$3,238.70
|
|
Carbamazepine total therapeutic drug level
|
$104.80 |
$104.80 |
$104.80 |
$122.85
|
|
Carbon dioxide
|
$30.40 |
$30.40 |
$30.40 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$336.15 |
$336.15 |
$336.15 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$128.00 |
$128.00 |
$128.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,594.40 |
$1,594.40 |
$1,594.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$244.00 |
$244.00 |
$244.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$243.20 |
$243.20 |
$243.20 |
$204.54
|
|
Cardiolipin antibody iga
|
$119.20 |
$119.20 |
$119.20 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,659.20 |
$1,659.20 |
$1,659.20 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$132.80 |
$132.80 |
$132.80 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$66.40 |
$66.40 |
$66.40 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$4,178.06 |
$4,178.06 |
$4,178.06 |
$6,306.47
|
|
Carotid Artery Ultrasound (Duplex)
|
$981.60 |
$981.60 |
$981.60 |
$1,024.32
|
|
Cath ablt clsfast 7fx100cmx
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$320.00 |
$320.00 |
$320.00 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$100.00 |
$100.00 |
$100.00 |
$19,800.55
|
|
Cath cv dl inj 7fx16cm
|
$414.40 |
$414.40 |
$414.40 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$420.00 |
$420.00 |
$420.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$792.80 |
$792.80 |
$792.80 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$313.60 |
$313.60 |
$313.60 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$72.80 |
$72.80 |
$72.80 |
$573.88
|
|
Cdna analysis for variants
|
$452.00 |
$452.00 |
$452.00 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$75.51 |
$75.51 |
$75.51 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$38.11 |
$38.11 |
$38.11 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$40.40 |
$40.40 |
$40.40 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$214.08 |
$214.08 |
$214.08 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$37.93 |
$37.93 |
$37.93 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$38.05 |
$38.05 |
$38.05 |
$83.39
|
|
#celiac hla-dq2
|
$136.80 |
$136.80 |
$136.80 |
$225.12
|
|
Cell count body fluid
|
$82.40 |
$82.40 |
$82.40 |
$63.52
|
|
Cell count w differential body fluid
|
$86.40 |
$86.40 |
$86.40 |
$92.56
|
|
Cell cryopreserve/storage
|
$44.80 |
$44.80 |
$44.80 |
$62.72
|
