|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$17.51 |
$17.51 |
$17.51 |
$52.65
|
|
Bilateral n block inj occipital 64405
|
$340.50 |
$340.50 |
$340.50 |
$822.40
|
|
Bilateral n block inj trigeminal 64400
|
$90.00 |
$90.00 |
$90.00 |
$537.60
|
|
Bilicheck
|
$12.75 |
$12.75 |
$12.75 |
$25.20
|
|
Bilirubin direct
|
$21.75 |
$21.75 |
$21.75 |
$43.60
|
|
Bilirubin total
|
$21.75 |
$21.75 |
$21.75 |
$49.77
|
|
Biopsy of penis 54100
|
$627.00 |
$627.00 |
$627.00 |
$2,005.00
|
|
Blood Clotting (PT/INR) Test
|
$23.25 |
$23.25 |
$23.25 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$23.25 |
$23.25 |
$23.25 |
$68.25
|
|
Blood Count (CBC) Test
|
$38.25 |
$38.25 |
$38.25 |
$66.60
|
|
Blood Count (CBC) Test (without differential)
|
$38.25 |
$38.25 |
$38.25 |
$56.40
|
|
Blood Culture Test
|
$39.00 |
$39.00 |
$39.00 |
$115.00
|
|
Blood draw capillary 36416
|
$12.00 |
$12.00 |
$12.00 |
$22.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.50 |
$40.50 |
$40.50 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$40.50 |
$40.50 |
$40.50 |
$32.50
|
|
Blood smear interpretation
|
$40.50 |
$40.50 |
$40.50 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$38.25 |
$38.25 |
$38.25 |
$34.80
|
|
Blood typing abo
|
$17.25 |
$17.25 |
$17.25 |
$73.51
|
|
Blood typing rh (d)
|
$28.50 |
$28.50 |
$28.50 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$33.00 |
$33.00 |
$33.00 |
$381.19
|
|
Bone/joint imaging ltd area
|
$36.75 |
$36.75 |
$36.75 |
$911.58
|
|
Boot j walker l
|
$58.50 |
$58.50 |
$58.50 |
$301.60
|
|
Boot mlti podous univ xlg
|
$177.75 |
$177.75 |
$177.75 |
$260.65
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$45.00 |
$45.00 |
$45.00 |
$107.25
|
|
Brace ank air stirrup univ
|
$119.25 |
$119.25 |
$119.25 |
$59.15
|
|
Brace wrist classic lft sm
|
$21.75 |
$21.75 |
$21.75 |
$67.86
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$70.50 |
$70.50 |
$70.50 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$138.75 |
$138.75 |
$138.75 |
$2,659.03
|
|
Brain MRI (without contrast)
|
$87.00 |
$87.00 |
$87.00 |
$1,790.00
|
|
Breast punct aspir cyst, bil
|
$159.00 |
$159.00 |
$159.00 |
$828.59
|
|
Bx/curett of cervix w/scope 57454
|
$216.00 |
$216.00 |
$216.00 |
$565.80
|
|
Bx skin tangential ea sep/ addl les
|
$98.25 |
$98.25 |
$98.25 |
$206.55
|
|
Calcium 24 hour urine
|
$43.50 |
$43.50 |
$43.50 |
$51.63
|
|
Calcium ionized
|
$50.25 |
$50.25 |
$50.25 |
$81.90
|
|
Calcium total
|
$21.75 |
$21.75 |
$21.75 |
$44.00
|
|
Carbamazepine total therapeutic drug level
|
$43.50 |
$43.50 |
$43.50 |
$110.40
|
|
Carbohydrate urine - sendout
|
$57.75 |
$57.75 |
$57.75 |
$39.62
|
|
Carboxyhemoglobin quantitative
|
$30.75 |
$30.75 |
$30.75 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$52.50 |
$52.50 |
$52.50 |
$125.45
|
|
Cardiac Stress Test
|
$157.50 |
$157.50 |
$157.50 |
$186.60
|
|
Cardiolipin antibody iga
|
$117.75 |
$117.75 |
$117.75 |
$129.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$190.50 |
$190.50 |
$190.50 |
$1,461.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$36.75 |
$36.75 |
$36.75 |
$1,036.00
|
|
Carpal Tunnel Release Surgery
|
$912.75 |
$912.75 |
$912.75 |
$3,503.75
|
|
Cauterization chemical granulation tissue
|
$84.75 |
$84.75 |
$84.75 |
$375.75
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$8.25 |
$8.25 |
$8.25 |
$28.52
|
|
Ceftriaxone 1 gram solution for injection
|
$3.00 |
$3.00 |
$3.00 |
$51.80
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$38.25 |
$38.25 |
$38.25 |
$30.60
|
|
Cell count body fluid
|
$27.00 |
$27.00 |
$27.00 |
$56.44
|
|
Cervical or vaginal cancer screening g0101
|
$93.75 |
$93.75 |
$93.75 |
$111.00
|
|
#cf-97variants
|
$597.75 |
$597.75 |
$597.75 |
$748.16
|
|
Chemo intralesional up to 7 96405
|
$231.00 |
$231.00 |
$231.00 |
$175.20
|
|
Chest CT scan (with and without contrast)
|
$81.75 |
$81.75 |
$81.75 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$72.75 |
$72.75 |
$72.75 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$60.75 |
$60.75 |
$60.75 |
$1,209.00
|
|
Chest X-ray
|
$73.50 |
$73.50 |
$73.50 |
$268.42
|
|
Chest X-ray (single view)
|
$11.25 |
$11.25 |
$11.25 |
$206.71
|
|
Chlamydia trachomatis ag if
|
$23.25 |
$23.25 |
$23.25 |
$30.40
|
|
Chloride
|
$16.50 |
$16.50 |
$16.50 |
$37.48
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$9.75 |
$9.75 |
$9.75 |
$51.16
|
|
Cholesterol
|
$23.25 |
$23.25 |
$23.25 |
$43.55
|
|
Cholesterol (Lipid) Test
|
$46.50 |
$46.50 |
$46.50 |
$102.00
|
|
Chromatography
|
$41.25 |
$41.25 |
$41.25 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$216.00 |
$216.00 |
$216.00 |
$562.25
|
|
Circumcise/surg/28 days or < 54160
|
$290.25 |
$290.25 |
$290.25 |
$1,479.87
|
|
Circumcision (newborn)
|
$267.00 |
$267.00 |
$267.00 |
$1,549.50
|
|
Claviculectomy partial
|
$1,234.50 |
$1,234.50 |
$1,234.50 |
$3,545.97
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.00 |
$3.00 |
$3.00 |
$121.87
|
|
Closed tx humerus fx without manip 23600
|
$259.50 |
$259.50 |
$259.50 |
$494.15
|
|
Clot factor xii hageman
|
$123.75 |
$123.75 |
$123.75 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$128.25 |
$128.25 |
$128.25 |
$91.80
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$531.00 |
$531.00 |
$531.00 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$259.50 |
$259.50 |
$259.50 |
$488.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$215.25 |
$215.25 |
$215.25 |
$426.82
|
|
Clsd tx elbow dislocation child 24640
|
$166.50 |
$166.50 |
$166.50 |
$520.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$267.75 |
$267.75 |
$267.75 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$802.50 |
$802.50 |
$802.50 |
$1,884.74
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$981.75 |
$981.75 |
$981.75 |
$1,771.43
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$204.00 |
$204.00 |
$204.00 |
$519.12
|
|
Clsd tx/metatarsal fx without manip 28470
|
$252.75 |
$252.75 |
$252.75 |
$414.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$229.50 |
$229.50 |
$229.50 |
$464.80
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$566.25 |
$566.25 |
$566.25 |
$476.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$68.25 |
$68.25 |
$68.25 |
$454.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$772.50 |
$772.50 |
$772.50 |
$1,632.60
|
|
Collection of venous blood by venipuncture
|
$12.00 |
$12.00 |
$12.00 |
$20.70
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$251.25 |
$251.25 |
$251.25 |
$929.66
|
|
Complement antigen each component c3
|
$34.50 |
$34.50 |
$34.50 |
$112.45
|
|
Concentration infection agents any type
|
$13.50 |
$13.50 |
$13.50 |
$48.68
|
|
Cont gluc mntr analysis i&r 95251
|
$36.75 |
$36.75 |
$36.75 |
$80.00
|
|
Control of nosebleed ant comp 30903
|
$241.50 |
$241.50 |
$241.50 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$243.00 |
$243.00 |
$243.00 |
$356.00
|
|
Coombs direct
|
$10.50 |
$10.50 |
$10.50 |
$71.50
|
|
Cortisol total am
|
$45.00 |
$45.00 |
$45.00 |
$118.40
|
|
Counseling smoke cess interm >10mins
|
$33.75 |
$33.75 |
$33.75 |
$57.85
|
|
#covid19rsv-rsv
|
$65.25 |
$65.25 |
$65.25 |
$140.80
|
|
C-peptide
|
$77.25 |
$77.25 |
$77.25 |
$115.05
|
|
C-reactive protein
|
$19.50 |
$19.50 |
$19.50 |
$56.40
|
|
C-reactive protein high sensitivity
|
$123.75 |
$123.75 |
$123.75 |
$91.65
|
|
Creatine kinase
|
$23.25 |
$23.25 |
$23.25 |
$55.00
|
|
Creatine kinase isoenzymes
|
$45.75 |
$45.75 |
$45.75 |
$64.28
|
