|
Bundled special stain group 2
|
$120.90 |
$120.90 |
$120.90 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$10.94 |
$10.94 |
$10.94 |
$21.61
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$17.13 |
$17.13 |
$17.13 |
$12.17
|
|
Buprenorphine oral 1mg
|
$11.95 |
$11.95 |
$11.95 |
$11.24
|
|
C1 esterase inhibitor func - sendout
|
$211.90 |
$211.90 |
$211.90 |
$128.70
|
|
Calcium 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$22.97 |
$22.97 |
$22.97 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$21.87 |
$21.87 |
$21.87 |
$53.39
|
|
Calcium ionized
|
$83.20 |
$83.20 |
$83.20 |
$81.90
|
|
Calcium total
|
$37.05 |
$37.05 |
$37.05 |
$44.00
|
|
Calculi urinary-sendout
|
$81.90 |
$81.90 |
$81.90 |
$112.40
|
|
Calprotectin fecal
|
$194.35 |
$194.35 |
$194.35 |
$170.95
|
|
Campylobacter antibody
|
$66.30 |
$66.30 |
$66.30 |
$63.70
|
|
Candida dna
|
$68.25 |
$68.25 |
$68.25 |
$67.73
|
|
Carbamazepine total therapeutic drug level
|
$105.30 |
$105.30 |
$105.30 |
$110.40
|
|
Carbohydrate deficient transf - sendout
|
$100.10 |
$100.10 |
$100.10 |
$123.49
|
|
Carbon dioxide
|
$35.10 |
$35.10 |
$35.10 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$72.80 |
$72.80 |
$72.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$125.45 |
$125.45 |
$125.45 |
$125.45
|
|
Cardiolipin antibody iga
|
$85.80 |
$85.80 |
$85.80 |
$129.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,596.40 |
$1,596.40 |
$1,596.40 |
$1,461.75
|
|
Carotene
|
$106.60 |
$106.60 |
$106.60 |
$74.97
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,149.85 |
$1,149.85 |
$1,149.85 |
$1,036.00
|
|
Catheterization collection of specimen single patient all places of service
|
$69.55 |
$69.55 |
$69.55 |
$58.50
|
|
Cauterization chemical granulation tissue
|
$125.45 |
$125.45 |
$125.45 |
$375.75
|
|
Cdna analysis for variants
|
$482.95 |
$482.95 |
$482.95 |
$620.00
|
|
Cebpa gene full sequence
|
$485.55 |
$485.55 |
$485.55 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$25.60 |
$25.60 |
$25.60 |
$28.52
|
|
Cefepime 1 gram solution for injection
|
$26.25 |
$26.25 |
$26.25 |
$39.95
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,182.58 |
$1,182.58 |
$1,182.58 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$48.12 |
$48.12 |
$48.12 |
$48.12
|
|
Ceftazidime and avibactam
|
$1,907.87 |
$1,907.87 |
$1,907.87 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$75.77 |
$75.77 |
$75.77 |
$51.80
|
|
#celiac hla-dq2
|
$254.80 |
$254.80 |
$254.80 |
$226.28
|
|
Cell count body fluid
|
$55.90 |
$55.90 |
$55.90 |
$56.44
|
|
Cell count w differential body fluid
|
$96.20 |
$96.20 |
$96.20 |
$85.15
|
|
Cell cryopreserve/storage
|
$78.00 |
$78.00 |
$78.00 |
$58.50
|
|
Cell function assay w/stim
|
$399.10 |
$399.10 |
$399.10 |
$372.45
|
|
Cell marker study
|
$228.15 |
$228.15 |
$228.15 |
$273.70
|
|
#cf-97variants
|
$423.80 |
$423.80 |
$423.80 |
$748.16
|
|
Cftr gene dup/delet variants
|
$779.35 |
$779.35 |
$779.35 |
$870.40
|
|
Change cystostomy tube simple
|
$206.70 |
$206.70 |
$206.70 |
$426.63
|
|
Chemo extend IV infus w/pump
|
$668.20 |
$668.20 |
$668.20 |
$521.30
|
|
Chest 2 vws w oblique
|
$365.95 |
$365.95 |
$365.95 |
$334.02
|
|
Chest apical lordotic proj
|
$291.20 |
$291.20 |
$291.20 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,673.10 |
$1,673.10 |
$1,673.10 |
$1,209.00
|
|
Chest X-ray
|
$274.95 |
$274.95 |
$274.95 |
$268.42
|
|
Chest X-ray (single view)
|
$222.95 |
$222.95 |
$222.95 |
$206.71
|
|
Chlamydia culture
|
$94.90 |
$94.90 |
$94.90 |
$97.20
|
|
Chlamydia type
|
$39.65 |
$39.65 |
$39.65 |
$34.92
|
|
Chloride
|
$37.05 |
$37.05 |
$37.05 |
$37.48
|
|
Chloride 24 hour urine
|
$44.20 |
$44.20 |
$44.20 |
$40.80
|
|
Cholesterol
|
$36.40 |
$36.40 |
$36.40 |
$43.55
|
|
Cholesterol (Lipid) Test
|
$105.95 |
$105.95 |
$105.95 |
$102.00
|
|
Cholinesterase
|
$49.40 |
$49.40 |
$49.40 |
$49.40
|
|
Chrom analysis
|
$81.90 |
$81.90 |
$81.90 |
$156.00
|
|
Chromatography
|
$69.55 |
$69.55 |
$69.55 |
$81.25
|
|
Chromogenic substrate assay
|
$220.35 |
$220.35 |
$220.35 |
$189.00
|
|
Chromo high res and frag x - sendout
|
$233.35 |
$233.35 |
$233.35 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$566.80 |
$566.80 |
$566.80 |
$562.25
|
|
Chromosome count additional
|
$46.15 |
$46.15 |
$46.15 |
$120.90
|
|
Chromosome karyotype study
|
$41.60 |
$41.60 |
$41.60 |
$120.60
|
|
Chronic urticaria - sendout
|
$113.10 |
$113.10 |
$113.10 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$133.90 |
$133.90 |
$133.90 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$35.00 |
$35.00 |
$35.00 |
$43.80
|
|
C-kit mutation liquid tumor - sendout
|
$488.15 |
$488.15 |
$488.15 |
$606.06
|
|
Clearance of airways
|
$191.10 |
$191.10 |
$191.10 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$63.43 |
$63.43 |
$63.43 |
$49.74
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$589.55 |
$589.55 |
$589.55 |
$650.40
|
|
Closed tx humerus fx with manip 23605
|
$995.15 |
$995.15 |
$995.15 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$585.65 |
$585.65 |
$585.65 |
$494.15
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$441.35 |
$441.35 |
$441.35 |
$480.80
|
|
Clot factor xii hageman
|
$131.95 |
$131.95 |
$131.95 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$116.35 |
$116.35 |
$116.35 |
$84.50
|
|
Clot factor xiii fibrin stab
|
$125.45 |
$125.45 |
$125.45 |
$91.80
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$716.95 |
$716.95 |
$716.95 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$479.05 |
$479.05 |
$479.05 |
$488.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$335.40 |
$335.40 |
$335.40 |
$426.82
|
|
Clsd tx elbow dislocation child 24640
|
$304.20 |
$304.20 |
$304.20 |
$520.00
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,461.85 |
$1,461.85 |
$1,461.85 |
$2,680.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$276.25 |
$276.25 |
$276.25 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$245.70 |
$245.70 |
$245.70 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$588.25 |
$588.25 |
$588.25 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$1,884.74
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$889.20 |
$889.20 |
$889.20 |
$1,771.43
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$553.80 |
$553.80 |
$553.80 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$541.45 |
$541.45 |
$541.45 |
$688.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$380.25 |
$380.25 |
$380.25 |
$414.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$587.60 |
$587.60 |
$587.60 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$553.15 |
$553.15 |
$553.15 |
$614.25
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$410.80 |
$410.80 |
$410.80 |
$464.80
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$488.15 |
$488.15 |
$488.15 |
$476.80
|
|
Clsd tx/scapular fx without manip 23570
|
$434.20 |
$434.20 |
$434.20 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$877.50 |
$877.50 |
$877.50 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$780.00 |
$780.00 |
$780.00 |
$2,211.05
|
|
Clsd tx toe dislocation without anes28660
|
$281.45 |
$281.45 |
$281.45 |
$400.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$882.70 |
$882.70 |
$882.70 |
$1,632.60
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$622.05 |
$622.05 |
$622.05 |
$716.95
|
