|
Abdominal X-ray (2 views)
|
$235.60 |
$235.60 |
$235.60 |
$318.20
|
|
Abdominal X-ray (single view)
|
$189.20 |
$189.20 |
$189.20 |
$260.00
|
|
Acute hepatitis panel
|
$264.00 |
$264.00 |
$264.00 |
$284.95
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$596.73 |
$596.73 |
$596.73 |
$193.40
|
|
Administration vaccine influenza virus
|
$39.60 |
$39.60 |
$39.60 |
$51.07
|
|
Ammonia
|
$73.20 |
$73.20 |
$73.20 |
$119.70
|
|
Amylase
|
$55.20 |
$55.20 |
$55.20 |
$90.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$590.38 |
$590.38 |
$590.38 |
$2,979.43
|
|
Ankle X-ray
|
$253.20 |
$253.20 |
$253.20 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$194.00 |
$194.00 |
$194.00 |
$282.96
|
|
Antinuclear antibodies
|
$101.60 |
$101.60 |
$101.60 |
$90.00
|
|
Aquatic exercise - group charge
|
$60.00 |
$60.00 |
$60.00 |
$87.45
|
|
Atropine 0.1 mg/ml injection syringe
|
$13.07 |
$13.07 |
$13.07 |
$53.24
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$80.00 |
$80.00 |
$80.00 |
$102.20
|
|
B cells total count
|
$94.80 |
$94.80 |
$94.80 |
$132.48
|
|
Bilirubin direct
|
$34.80 |
$34.80 |
$34.80 |
$51.35
|
|
Blood Clotting (PT/INR) Test
|
$38.80 |
$38.80 |
$38.80 |
$53.30
|
|
Blood Count (CBC) Test
|
$59.60 |
$59.60 |
$59.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$42.40 |
$42.40 |
$42.40 |
$62.28
|
|
Blood Culture Test
|
$91.60 |
$91.60 |
$91.60 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$18.80 |
$18.80 |
$18.80 |
$21.66
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$66.00 |
$66.00 |
$66.00 |
$93.60
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$100.00 |
$100.00 |
$100.00 |
$105.30
|
|
Carbamazepine total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
$122.85
|
|
Chest X-ray
|
$198.80 |
$198.80 |
$198.80 |
$294.06
|
|
Chest X-ray (single view)
|
$171.60 |
$171.60 |
$171.60 |
$236.60
|
|
Cholesterol (Lipid) Test
|
$102.00 |
$102.00 |
$102.00 |
$115.80
|
|
Cortisol total am
|
$88.00 |
$88.00 |
$88.00 |
$121.20
|
|
C-reactive protein
|
$43.20 |
$43.20 |
$43.20 |
$69.36
|
|
Creatine kinase
|
$49.20 |
$49.20 |
$49.20 |
$66.30
|
|
Culture anaerobic except blood
|
$55.20 |
$55.20 |
$55.20 |
$121.22
|
|
Culture screening strep group a
|
$52.00 |
$52.00 |
$52.00 |
$84.60
|
|
Culture urine each isolate
|
$30.80 |
$30.80 |
$30.80 |
$55.50
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.60 |
$0.60 |
$0.60 |
$20.76
|
|
Diabetes (HbA1c) Test
|
$22.00 |
$22.00 |
$22.00 |
$79.30
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$3.21 |
$3.21 |
$3.21 |
$18.32
|
|
Drug test def 1-7 classes
|
$143.20 |
$143.20 |
$143.20 |
$263.25
|
|
EKG (Tracing Only)
|
$143.60 |
$143.60 |
$143.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$168.00 |
$168.00 |
$168.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$231.20 |
$231.20 |
$231.20 |
$364.20
|
|
Electroconvulsive therapy 90870
|
$748.00 |
$748.00 |
$748.00 |
$1,235.00
|
|
Electrolyte panel
|
$47.60 |
$47.60 |
$47.60 |
$79.30
|
|
Epstein barr viral capsid antigen antibody igm
|
$20.00 |
$20.00 |
$20.00 |
$85.50
|
|
Established Patient Office Visit (level 4)
|
$198.00 |
$198.00 |
$198.00 |
$239.25
|
|
Estrogens total-sendout
|
$24.40 |
$24.40 |
$24.40 |
$97.50
|
|
Evaluation psychiatric diagnostic
|
$316.00 |
$316.00 |
$316.00 |
$318.24
|
|
Facial Bones X-ray (complete)
|
$218.00 |
$218.00 |
$218.00 |
$381.75
|
|
Family therapy with patient 50 min 90847
|
$198.80 |
$198.80 |
$198.80 |
$236.70
|
|
Ferritin
|
$84.00 |
$84.00 |
$84.00 |
$102.48
|
|
Fibrin degradation d dimer quantitative
|
$50.80 |
$50.80 |
$50.80 |
$120.64
|
|
Folic acid
|
$78.40 |
$78.40 |
$78.40 |
$101.50
|
|
Foot X-ray
|
$259.60 |
$259.60 |
$259.60 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$200.80 |
$200.80 |
$200.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$231.20 |
$231.20 |
$231.20 |
$324.00
|
|
Gamma glutamyltransferase
|
$48.40 |
$48.40 |
$48.40 |
$57.54
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$33.20 |
$33.20 |
$33.20 |
$23.12
|
|
Glucose blood quantitative
|
$19.20 |
$19.20 |
$19.20 |
$42.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$1.54 |
$1.54 |
$1.54 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$80.80 |
$80.80 |
$80.80 |
$105.30
|
|
Hand X-ray
|
$220.00 |
$220.00 |
$220.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$220.00 |
$220.00 |
$220.00 |
$294.90
|
|
Hcg qualitative
|
$72.80 |
$72.80 |
$72.80 |
$90.10
|
|
Hcg quantitative
|
$88.00 |
$88.00 |
$88.00 |
$139.20
|
|
Heel (Calcaneus) X-ray (both feet)
|
$180.40 |
$180.40 |
$180.40 |
$276.00
|
|
Hepatitis a antibody igm
|
$56.80 |
$56.80 |
$56.80 |
$89.44
|
|
Hepatitis b core antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$69.60 |
$69.60 |
$69.60 |
$77.50
|
|
Hepatitis c antibody
|
$90.40 |
$90.40 |
$90.40 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$36.00 |
$36.00 |
$36.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$38.00 |
$38.00 |
$38.00 |
$87.36
|
|
Hip X-ray
|
$189.20 |
$189.20 |
$189.20 |
$294.75
|
|
Hydralazine 20 mg/ml injection solution
|
$6.34 |
$6.34 |
$6.34 |
$48.00
|
|
Infect ag drug suscept pheno predict
|
$280.80 |
$280.80 |
$280.80 |
$325.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$282.80 |
$282.80 |
$282.80 |
$603.83
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$47.60 |
$47.60 |
$47.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$56.80 |
$56.80 |
$56.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$98.00 |
$98.00 |
$98.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe
|
$63.20 |
$63.20 |
$63.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$110.80 |
$110.80 |
$110.80 |
$141.95
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$114.40 |
$114.40 |
$114.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$99.60 |
$99.60 |
$99.60 |
$103.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$154.00 |
$154.00 |
$154.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$132.00 |
$132.00 |
$132.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$373.60 |
$373.60 |
$373.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$62.80 |
$62.80 |
$62.80 |
$304.20
|
|
Iron
|
$42.00 |
$42.00 |
$42.00 |
$75.00
|
|
Iron binding capacity
|
$45.20 |
$45.20 |
$45.20 |
$63.91
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$3.29 |
$3.29 |
$3.29 |
$23.52
|
|
Knee X-ray
|
$323.60 |
$323.60 |
$323.60 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$219.60 |
$219.60 |
$219.60 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$275.20 |
$275.20 |
$275.20 |
$363.60
|
|
Lead capillary
|
$48.40 |
$48.40 |
$48.40 |
$57.50
|
|
Levetiracetam therapeutic drug level
|
$77.20 |
$77.20 |
$77.20 |
$88.92
|
|
Lipase
|
$52.80 |
$52.80 |
$52.80 |
$93.58
|
|
Lithium therapeutic drug level
|
$54.00 |
$54.00 |
$54.00 |
$69.75
|
|
Liver Function Test
|
$66.80 |
$66.80 |
$66.80 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$2.26 |
$2.26 |
$2.26 |
$37.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$407.60 |
$407.60 |
$407.60 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$224.40 |
$224.40 |
$224.40 |
$338.40
|
|
Magnesium
|
$55.20 |
$55.20 |
$55.20 |
$73.00
|
