|
Azithromycin 500 mg intravenous solution
|
$25.03 |
$25.03 |
$25.03 |
$52.69
|
|
Aztreonam 1 gram solution for injection
|
$124.26 |
$124.26 |
$124.26 |
$157.30
|
|
Baclofen eval charges
|
$61.30 |
$61.30 |
$61.30 |
$86.14
|
|
Bacterial meningitis antigen
|
$25.61 |
$25.61 |
$25.61 |
$68.40
|
|
Bacterial vaginosis pcr
|
$154.96 |
$154.96 |
$154.96 |
$298.04
|
|
B cells total count
|
$218.53 |
$218.53 |
$218.53 |
$125.28
|
|
#_benzodiazconfur
|
$154.96 |
$154.96 |
$154.96 |
$99.72
|
|
Beta 2 glycoprotein 1 antibody iga
|
$81.32 |
$81.32 |
$81.32 |
$97.21
|
|
Beta-2 microglobulin
|
$103.94 |
$103.94 |
$103.94 |
$84.66
|
|
Bilateral n block inj trigeminal 64400
|
$346.97 |
$346.97 |
$346.97 |
$593.45
|
|
Bilirubin direct
|
$38.03 |
$38.03 |
$38.03 |
$49.29
|
|
Bilirubin total
|
$44.07 |
$44.07 |
$44.07 |
$51.39
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,821.72 |
$2,821.72 |
$2,821.72 |
$3,201.83
|
|
Bladder irrigate/lavage/instill 51700
|
$392.67 |
$392.67 |
$392.67 |
$418.20
|
|
Bln dil 900ml preperitnl
|
$1,396.01 |
$1,396.01 |
$1,396.01 |
$726.10
|
|
Blood Clotting (PT/INR) Test
|
$37.12 |
$37.12 |
$37.12 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$37.57 |
$37.57 |
$37.57 |
$72.15
|
|
Blood Count (CBC) Test
|
$53.89 |
$53.89 |
$53.89 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$43.10 |
$43.10 |
$43.10 |
$62.28
|
|
Blood Culture Test
|
$84.37 |
$84.37 |
$84.37 |
$144.65
|
|
Blood draw capillary 36416
|
$10.34 |
$10.34 |
$10.34 |
$22.32
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$77.25 |
$77.25 |
$77.25 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$30.68 |
$30.68 |
$30.68 |
$33.57
|
|
Blood smear interpretation
|
$36.21 |
$36.21 |
$36.21 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$25.35 |
$25.35 |
$25.35 |
$37.44
|
|
Blood typing abo
|
$51.61 |
$51.61 |
$51.61 |
$83.82
|
|
Blood typing ag donor ea ag
|
$116.61 |
$116.61 |
$116.61 |
$166.80
|
|
Blood typing patient serum
|
$98.22 |
$98.22 |
$98.22 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$49.01 |
$49.01 |
$49.01 |
$181.74
|
|
Blood typing rh (d)
|
$28.08 |
$28.08 |
$28.08 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$61.43 |
$61.43 |
$61.43 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$470.80 |
$470.80 |
$470.80 |
$395.00
|
|
Bone/joint imaging ltd area
|
$779.29 |
$779.29 |
$779.29 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$1,508.78 |
$1,508.78 |
$1,508.78 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,312.94 |
$1,312.94 |
$1,312.94 |
$1,822.36
|
|
Bone marrow interpretation
|
$115.25 |
$115.25 |
$115.25 |
$439.78
|
|
Bone survey-lead poisoning
|
$343.33 |
$343.33 |
$343.33 |
$346.28
|
|
Boot j walker l
|
$280.35 |
$280.35 |
$280.35 |
$291.75
|
|
Boot walker genesis full shell 3-strap s
|
$287.30 |
$287.30 |
$287.30 |
$325.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$160.55 |
$160.55 |
$160.55 |
$98.57
|
|
Borrelia miyamotoi amp prb
|
$78.59 |
$78.59 |
$78.59 |
$91.25
|
|
Bowel imaging
|
$668.07 |
$668.07 |
$668.07 |
$1,186.25
|
|
Brace ank aftr bioskn med lg
|
$94.06 |
$94.06 |
$94.06 |
$88.74
|
|
Brace ank air stirrup univ
|
$67.28 |
$67.28 |
$67.28 |
$56.65
|
|
Brace ankle stablizing lg
|
$101.34 |
$101.34 |
$101.34 |
$113.10
|
|
Brace knee 32in univ t-scope short lt/rt
|
$806.78 |
$806.78 |
$806.78 |
$600.98
|
|
Brace knee extender plus 22-30in
|
$382.53 |
$382.53 |
$382.53 |
$505.05
|
|
Brace knee hing pat open med
|
$69.94 |
$69.94 |
$69.94 |
$294.16
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$182.91 |
$182.91 |
$182.91 |
$510.88
|
|
Brace knee postop tscope xl
|
$650.33 |
$650.33 |
$650.33 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$69.94 |
$69.94 |
$69.94 |
$212.97
|
|
Brace m arm board
|
$104.65 |
$104.65 |
$104.65 |
$153.81
|
|
Brace oths wrist hnd fngr without
|
$62.99 |
$62.99 |
$62.99 |
$179.93
|
|
Brace wrist classic lft sm
|
$194.29 |
$194.29 |
$194.29 |
$79.23
|
|
Brain image w/flow < 4 views
|
$946.27 |
$946.27 |
$946.27 |
$828.39
|
|
Brain image w/flow 4 + views
|
$1,168.90 |
$1,168.90 |
$1,168.90 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,486.90 |
$2,486.90 |
$2,486.90 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,291.84 |
$2,291.84 |
$2,291.84 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,096.84 |
$2,096.84 |
$2,096.84 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,486.90 |
$2,486.90 |
$2,486.90 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,955.98 |
$1,955.98 |
$1,955.98 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$2,096.84 |
$2,096.84 |
$2,096.84 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$3,798.15 |
$3,798.15 |
$3,798.15 |
$2,287.20
|
|
Bundled special stain group 1 microorganisms
|
$154.25 |
$154.25 |
$154.25 |
$164.89
|
|
Bundled special stain group 2
|
$161.85 |
$161.85 |
$161.85 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$4.62 |
$4.62 |
$4.62 |
$30.97
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,052.73 |
$3,052.73 |
$3,052.73 |
$2,910.00
|
|
Calcium 24 hour urine
|
$56.94 |
$56.94 |
$56.94 |
$52.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$53.92 |
$53.92 |
$53.92 |
$92.91
|
|
Calcium ionized
|
$128.70 |
$128.70 |
$128.70 |
$86.35
|
|
Calcium total
|
$30.75 |
$30.75 |
$30.75 |
$48.75
|
|
Calculi urinary-sendout
|
$127.21 |
$127.21 |
$127.21 |
$68.05
|
|
Calprotectin fecal
|
$169.52 |
$169.52 |
$169.52 |
$170.00
|
|
Candida dna
|
$60.06 |
$60.06 |
$60.06 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$4,401.74 |
$4,401.74 |
$4,401.74 |
$19,500.00
|
|
Cap trach decann 15mm
|
$969.48 |
$969.48 |
$969.48 |
$1,842.60
|
|
Carbamazepine free
|
$153.40 |
$153.40 |
$153.40 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$137.22 |
$137.22 |
$137.22 |
$113.25
|
|
Carbohydrate urine - sendout
|
$55.12 |
$55.12 |
$55.12 |
$43.51
|
|
Carbon dioxide
|
$22.10 |
$22.10 |
$22.10 |
$44.82
|
|
Carboxyhemoglobin quantitative
|
$59.41 |
$59.41 |
$59.41 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$84.37 |
$84.37 |
$84.37 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$1,393.73 |
$1,393.73 |
$1,393.73 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$1,171.04 |
$1,171.04 |
$1,171.04 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,224.47 |
$1,224.47 |
$1,224.47 |
$2,792.00
|
|
Cardiac shunt imaging
|
$590.14 |
$590.14 |
$590.14 |
$860.63
|
|
Cardiolipin antibody iga
|
$179.73 |
$179.73 |
$179.73 |
$114.40
|
|
Carotene
|
$86.97 |
$86.97 |
$86.97 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$607.88 |
$607.88 |
$607.88 |
$1,067.40
|
|
Carpal Tunnel Release Surgery
|
$49.53 |
$49.53 |
$49.53 |
$3,899.19
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$299.39 |
$299.39 |
$299.39 |
$459.03
|
|
Cath epdrl brevi-stf 12in .043
|
$6,023.16 |
$6,023.16 |
$6,023.16 |
$1,877.15
|
|
Cath groshong MRI 8fr plstc port
|
$2,778.82 |
$2,778.82 |
$2,778.82 |
$1,290.87
|
|
Cath malecot 28fr 4-wing ltx
|
$618.41 |
$618.41 |
$618.41 |
$1,882.80
|
|
#cbg+cort-cbg
|
$56.68 |
$56.68 |
$56.68 |
$66.55
|
|
Cdna analysis for variants
|
$1,549.54 |
$1,549.54 |
$1,549.54 |
$564.86
|
|
Cebpa gene full sequence
|
$292.83 |
$292.83 |
$292.83 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$33.58 |
$33.58 |
$33.58 |
$42.00
|
|
Cefepime 1 gram solution for injection
|
$91.82 |
$91.82 |
$91.82 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$13.65 |
$13.65 |
$13.65 |
$52.04
|
