|
Assay of salicylate
|
$188.00 |
$188.00 |
$188.00 |
$96.50
|
|
Assay of tyrosine
|
$98.40 |
$98.40 |
$98.40 |
$56.10
|
|
Assay of urine sulfate
|
$13.60 |
$13.60 |
$13.60 |
$28.20
|
|
Ast/sgot
|
$50.40 |
$50.40 |
$50.40 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$27.40 |
$27.40 |
$27.40 |
$53.24
|
|
Avul nail plate addl
|
$148.00 |
$148.00 |
$148.00 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$428.80 |
$428.80 |
$428.80 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$2.85 |
$2.85 |
$2.85 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$62.22 |
$62.22 |
$62.22 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$20.50 |
$20.50 |
$20.50 |
$46.31
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$112.80 |
$112.80 |
$112.80 |
$102.20
|
|
B cells total count
|
$139.20 |
$139.20 |
$139.20 |
$132.48
|
|
Beta 2 glycoprotein 1 antibody iga
|
$109.60 |
$109.60 |
$109.60 |
$82.55
|
|
Beta-2 microglobulin
|
$54.40 |
$54.40 |
$54.40 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$30.27 |
$30.27 |
$30.27 |
$65.00
|
|
Bilirubin direct
|
$51.20 |
$51.20 |
$51.20 |
$51.35
|
|
Bilirubin total
|
$51.20 |
$51.20 |
$51.20 |
$54.60
|
|
Bladder Catheter Insertion (simple)
|
$270.40 |
$270.40 |
$270.40 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$536.00 |
$536.00 |
$536.00 |
$412.80
|
|
Blood Clotting (PT/INR) Test
|
$52.00 |
$52.00 |
$52.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$56.80 |
$56.80 |
$56.80 |
$74.00
|
|
Blood Count (CBC) Test
|
$89.60 |
$89.60 |
$89.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$65.60 |
$65.60 |
$65.60 |
$62.28
|
|
Blood Culture Test
|
$119.20 |
$119.20 |
$119.20 |
$146.16
|
|
Blood draw capillary 36416
|
$24.00 |
$24.00 |
$24.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$26.40 |
$26.40 |
$26.40 |
$21.66
|
|
Blood gases ph venous
|
$91.20 |
$91.20 |
$91.20 |
$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
|
$46.40 |
$46.40 |
$46.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$47.20 |
$47.20 |
$47.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$20.00 |
$20.00 |
$20.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$32.80 |
$32.80 |
$32.80 |
$38.35
|
|
Blood Transfusion
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$989.60
|
|
Blood typing abo
|
$55.20 |
$55.20 |
$55.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$126.40 |
$126.40 |
$126.40 |
$207.60
|
|
Blood typing patient serum
|
$100.80 |
$100.80 |
$100.80 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$56.80 |
$56.80 |
$56.80 |
$211.90
|
|
Blood typing rh (d)
|
$55.20 |
$55.20 |
$55.20 |
$57.60
|
|
Bls-emergency
|
$971.20 |
$971.20 |
$971.20 |
$892.32
|
|
Bone Density Scan (DEXA)
|
$484.80 |
$484.80 |
$484.80 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$1,037.40
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$154.40 |
$154.40 |
$154.40 |
$93.60
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$131.20 |
$131.20 |
$131.20 |
$105.30
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,037.60 |
$3,037.60 |
$3,037.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,638.40 |
$2,638.40 |
$2,638.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,704.80 |
$3,704.80 |
$3,704.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$371.20 |
$371.20 |
$371.20 |
$274.65
|
|
Budesonide non-comp unit
|
$10.88 |
$10.88 |
$10.88 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$24.71 |
$24.71 |
$24.71 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$144.00 |
$144.00 |
$144.00 |
$159.00
|
|
Bundled special stain group 2
|
$93.60 |
$93.60 |
$93.60 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$26.48 |
$26.48 |
$26.48 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$124.00 |
$124.00 |
$124.00 |
$80.64
|
|
Calcium 24 hour urine
|
$44.80 |
$44.80 |
$44.80 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$30.64 |
$30.64 |
$30.64 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$31.04 |
$31.04 |
$31.04 |
$64.49
|
|
Calcium ionized
|
$99.20 |
$99.20 |
$99.20 |
$90.00
|
|
Calcium total
|
$43.20 |
$43.20 |
$43.20 |
$50.00
|
|
Calprotectin fecal
|
$140.80 |
$140.80 |
$140.80 |
$170.00
|
|
Carbamazepine free -sendout
|
$71.20 |
$71.20 |
$71.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$104.80 |
$104.80 |
$104.80 |
$122.85
|
|
Carbon dioxide
|
$46.40 |
$46.40 |
$46.40 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$88.80 |
$88.80 |
$88.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$152.00 |
$152.00 |
$152.00 |
$145.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$248.00 |
$248.00 |
$248.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$195.20 |
$195.20 |
$195.20 |
$204.54
|
|
Cardiolipin antibody iga
|
$84.80 |
$84.80 |
$84.80 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,174.40 |
$1,174.40 |
$1,174.40 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$136.00 |
$136.00 |
$136.00 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$67.20 |
$67.20 |
$67.20 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,078.40 |
$1,078.40 |
$1,078.40 |
$1,024.32
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$71.62 |
$71.62 |
$71.62 |
$39.52
|
|
Cefoxitin 1 gram intravenous solution
|
$38.83 |
$38.83 |
$38.83 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$263.40 |
$263.40 |
$263.40 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$28.43 |
$28.43 |
$28.43 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$91.97 |
$91.97 |
$91.97 |
$83.39
|
|
Cell count body fluid
|
$23.20 |
$23.20 |
$23.20 |
$63.52
|
|
Cell count w differential body fluid
|
$72.00 |
$72.00 |
$72.00 |
$92.56
|
|
Change cystostomy tube simple
|
$596.00 |
$596.00 |
$596.00 |
$477.60
|
|
Chest 2 vws w oblique
|
$478.40 |
$478.40 |
$478.40 |
$375.60
|
|
Chest CT scan (with and without contrast)
|
$2,877.60 |
$2,877.60 |
$2,877.60 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,164.80 |
$2,164.80 |
$2,164.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$1,303.15
|
|
Chest Ultrasound
|
$543.20 |
$543.20 |
$543.20 |
$463.88
|
|
Chest X-ray
|
$328.00 |
$328.00 |
$328.00 |
$294.06
|
|
Chest X-ray (single view)
|
$284.00 |
$284.00 |
$284.00 |
$236.60
|
|
Chloride
|
$47.20 |
$47.20 |
$47.20 |
$42.63
|
|
Chloride 24 hour urine
|
$28.80 |
$28.80 |
$28.80 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$796.00 |
$796.00 |
$796.00 |
$602.40
|
|
Cholesterol
|
$48.00 |
$48.00 |
$48.00 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$102.40 |
$102.40 |
$102.40 |
$115.80
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
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
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$51.20 |
$51.20 |
$51.20 |
$35.65
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$69.76 |
$69.76 |
$69.76 |
$55.20
|
