|
Assay of urine sulfate
|
$29.60 |
$29.60 |
$29.60 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$359.20 |
$359.20 |
$359.20 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$27.20 |
$27.20 |
$27.20 |
$46.80
|
|
Ast/sgot
|
$36.80 |
$36.80 |
$36.80 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$26.57 |
$26.57 |
$26.57 |
$53.24
|
|
Automated diff wbc count
|
$32.80 |
$32.80 |
$32.80 |
$36.30
|
|
Avul nail plate addl
|
$232.80 |
$232.80 |
$232.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$501.60 |
$501.60 |
$501.60 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$2.40 |
$2.40 |
$2.40 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$31.44 |
$31.44 |
$31.44 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$22.04 |
$22.04 |
$22.04 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$100.95 |
$100.95 |
$100.95 |
$157.30
|
|
Baclofen eval charges
|
$121.60 |
$121.60 |
$121.60 |
$87.50
|
|
Bacterial meningitis antigen
|
$60.80 |
$60.80 |
$60.80 |
$66.30
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$111.20 |
$111.20 |
$111.20 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$872.80 |
$872.80 |
$872.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$616.80 |
$616.80 |
$616.80 |
$484.80
|
|
B cells total count
|
$156.00 |
$156.00 |
$156.00 |
$132.48
|
|
#_benzodiazconfur
|
$90.40 |
$90.40 |
$90.40 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$140.00 |
$140.00 |
$140.00 |
$82.55
|
|
Beta-2 microglobulin
|
$52.80 |
$52.80 |
$52.80 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$71.26 |
$71.26 |
$71.26 |
$65.00
|
|
Bfb train ea addl 15 min 90913
|
$66.40 |
$66.40 |
$66.40 |
$101.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$587.60
|
|
Bilicheck
|
$20.80 |
$20.80 |
$20.80 |
$27.60
|
|
Bilirubin direct
|
$30.40 |
$30.40 |
$30.40 |
$51.35
|
|
Bilirubin total
|
$31.20 |
$31.20 |
$31.20 |
$54.60
|
|
Biofeedback, pt
|
$124.00 |
$124.00 |
$124.00 |
$127.05
|
|
Biotinidase - quest
|
$53.60 |
$53.60 |
$53.60 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$250.40 |
$250.40 |
$250.40 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$525.60 |
$525.60 |
$525.60 |
$412.80
|
|
Blepharoplasty upper eyelid 15823
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$3,424.00
|
|
Blood Clotting (PT/INR) Test
|
$35.20 |
$35.20 |
$35.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$38.40 |
$38.40 |
$38.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$76.80 |
$76.80 |
$76.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$36.80 |
$36.80 |
$36.80 |
$62.28
|
|
Blood Culture Test
|
$66.40 |
$66.40 |
$66.40 |
$146.16
|
|
Blood draw capillary 36416
|
$20.00 |
$20.00 |
$20.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$25.60 |
$25.60 |
$25.60 |
$21.66
|
|
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
|
$20.00 |
$20.00 |
$20.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.00 |
$20.00 |
$20.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$22.40 |
$22.40 |
$22.40 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$34.40 |
$34.40 |
$34.40 |
$38.35
|
|
Blood Transfusion
|
$844.80 |
$844.80 |
$844.80 |
$989.60
|
|
Blood typing abo
|
$39.20 |
$39.20 |
$39.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$162.40 |
$162.40 |
$162.40 |
$207.60
|
|
Blood typing patient serum
|
$55.20 |
$55.20 |
$55.20 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$23.20 |
$23.20 |
$23.20 |
$211.90
|
|
Blood typing rh (d)
|
$39.20 |
$39.20 |
$39.20 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$44.00 |
$44.00 |
$44.00 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$315.20 |
$315.20 |
$315.20 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$474.40 |
$474.40 |
$474.40 |
$407.94
|
|
Bone imaging multiple areas
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,037.40
|
|
Bone survey-lead poisoning
|
$538.40 |
$538.40 |
$538.40 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$112.80 |
$112.80 |
$112.80 |
$93.60
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$122.40 |
$122.40 |
$122.40 |
$105.30
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,603.20 |
$3,603.20 |
$3,603.20 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,276.80 |
$2,276.80 |
$2,276.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,730.40 |
$3,730.40 |
$3,730.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,088.80 |
$3,088.80 |
$3,088.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$363.20 |
$363.20 |
$363.20 |
$274.65
|
|
Budesonide non-comp unit
|
$10.78 |
$10.78 |
$10.78 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$27.26 |
$27.26 |
$27.26 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$223.20 |
$223.20 |
$223.20 |
$159.00
|
|
Bundled special stain group 2
|
$169.60 |
$169.60 |
$169.60 |
$173.40
|
|
Calcium 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$32.41 |
$32.41 |
$32.41 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$32.99 |
$32.99 |
$32.99 |
$64.49
|
|
Calcium ionized
|
$76.00 |
$76.00 |
$76.00 |
$90.00
|
|
Calcium total
|
$36.00 |
$36.00 |
$36.00 |
$50.00
|
|
Calprotectin fecal
|
$117.60 |
$117.60 |
$117.60 |
$170.00
|
|
Carbamazepine free -sendout
|
$71.20 |
$71.20 |
$71.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
$122.85
|
|
Carbon dioxide
|
$27.20 |
$27.20 |
$27.20 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$107.20 |
$107.20 |
$107.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$169.60 |
$169.60 |
$169.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$208.80 |
$208.80 |
$208.80 |
$204.54
|
|
Cardiolipin antibody iga
|
$119.20 |
$119.20 |
$119.20 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,602.40 |
$1,602.40 |
$1,602.40 |
$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)
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$1,024.32
|
|
Ca screen;flexi sigmoidscope
|
$1,494.40 |
$1,494.40 |
$1,494.40 |
$1,278.72
|
|
Cataract Surgery
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$5,044.00
|
|
Cauterization chemical granulation tissue
|
$440.00 |
$440.00 |
$440.00 |
$340.90
|
|
Cdna analysis for variants
|
$452.00 |
$452.00 |
$452.00 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$92.11 |
$92.11 |
$92.11 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$29.44 |
$29.44 |
$29.44 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$30.20 |
$30.20 |
$30.20 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$244.32 |
$244.32 |
$244.32 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$114.90 |
$114.90 |
$114.90 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$112.57 |
$112.57 |
$112.57 |
$83.39
|
|
Cell count body fluid
|
$25.60 |
$25.60 |
$25.60 |
$63.52
|
|
Cell count w differential body fluid
|
$36.80 |
$36.80 |
$36.80 |
$92.56
|
