|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$312.65 |
$312.65 |
$312.65 |
$687.20
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$280.15 |
$280.15 |
$280.15 |
$650.37
|
|
Aspirate pleura without imaging 32554
|
$415.35 |
$415.35 |
$415.35 |
$1,196.52
|
|
Assay of adp & amp
|
$126.75 |
$126.75 |
$126.75 |
$169.65
|
|
Assay of feces porphyrins
|
$165.10 |
$165.10 |
$165.10 |
$166.20
|
|
Assay of galactose
|
$11.05 |
$11.05 |
$11.05 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$107.90 |
$107.90 |
$107.90 |
$82.80
|
|
Assay of leflunomide
|
$147.55 |
$147.55 |
$147.55 |
$112.70
|
|
Assay of lrh hormone
|
$144.95 |
$144.95 |
$144.95 |
$210.60
|
|
Assay of osteocalcin
|
$102.70 |
$102.70 |
$102.70 |
$126.75
|
|
Assay of prostaglandin
|
$296.40 |
$296.40 |
$296.40 |
$186.20
|
|
Assay of salicylate
|
$108.55 |
$108.55 |
$108.55 |
$83.85
|
|
Assay of somatostatin
|
$182.00 |
$182.00 |
$182.00 |
$118.20
|
|
Assay of thiocyanate
|
$59.15 |
$59.15 |
$59.15 |
$55.25
|
|
Assay of tyrosine
|
$66.95 |
$66.95 |
$66.95 |
$56.00
|
|
Assay of urine sulfate
|
$42.90 |
$42.90 |
$42.90 |
$33.15
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$285.35 |
$285.35 |
$285.35 |
$300.80
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$51.35 |
$51.35 |
$51.35 |
$43.55
|
|
Assistive tech assessment, ot
|
$83.20 |
$83.20 |
$83.20 |
$96.08
|
|
Ast/sgot
|
$34.45 |
$34.45 |
$34.45 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$21.87 |
$21.87 |
$21.87 |
$25.04
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$118.95 |
$118.95 |
$118.95 |
$200.40
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$157.30 |
$157.30 |
$157.30 |
$356.00
|
|
Azithromycin 500 mg intravenous solution
|
$32.51 |
$32.51 |
$32.51 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$157.83 |
$157.83 |
$157.83 |
$157.83
|
|
Baclofen eval charges
|
$110.50 |
$110.50 |
$110.50 |
$84.35
|
|
Bacterial meningitis antigen
|
$72.15 |
$72.15 |
$72.15 |
$66.30
|
|
Bacterial vaginosis pcr
|
$231.40 |
$231.40 |
$231.40 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$89.05 |
$89.05 |
$89.05 |
$132.72
|
|
B cells total count
|
$118.30 |
$118.30 |
$118.30 |
$131.30
|
|
Beta 2 glycoprotein 1 antibody iga
|
$117.00 |
$117.00 |
$117.00 |
$108.55
|
|
Beta-2 microglobulin
|
$94.25 |
$94.25 |
$94.25 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$14.45 |
$14.45 |
$14.45 |
$50.56
|
|
B-hexosaminidase ea assay
|
$156.00 |
$156.00 |
$156.00 |
$104.25
|
|
Bilateral n block inj trigeminal 64400
|
$453.70 |
$453.70 |
$453.70 |
$530.00
|
|
Bilirubin direct
|
$37.05 |
$37.05 |
$37.05 |
$42.90
|
|
Bilirubin total
|
$65.65 |
$65.65 |
$65.65 |
$48.00
|
|
Biotinidase - quest
|
$63.70 |
$63.70 |
$63.70 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$440.70 |
$440.70 |
$440.70 |
$420.80
|
|
Blood Clotting (PT/INR) Test
|
$40.30 |
$40.30 |
$40.30 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$70.85 |
$70.85 |
$70.85 |
$67.35
|
|
Blood Count (CBC) Test
|
$63.70 |
$63.70 |
$63.70 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$57.20 |
$57.20 |
$57.20 |
$52.43
|
|
Blood count spun microhematocrit
|
$20.80 |
$20.80 |
$20.80 |
$20.40
|
|
Blood Culture Test
|
$109.85 |
$109.85 |
$109.85 |
$112.20
|
|
Blood draw capillary 36416
|
$69.55 |
$69.55 |
$69.55 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$151.45 |
$151.45 |
$151.45 |
$210.35
|
|
Blood gases ph venous
|
$50.70 |
$50.70 |
$50.70 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$46.80 |
$46.80 |
$46.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$32.50 |
$32.50 |
$32.50 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$32.50 |
$32.50 |
$32.50 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$36.40 |
$36.40 |
$36.40 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$37.05 |
$37.05 |
$37.05 |
$34.40
|
|
Blood typing abo
|
$85.80 |
$85.80 |
$85.80 |
$71.40
|
|
Blood typing ag donor ea ag
|
$176.15 |
$176.15 |
$176.15 |
$134.40
|
|
Blood typing patient serum
|
$50.70 |
$50.70 |
$50.70 |
$80.00
|
|
Blood typing rbc ag non abo/rh ea
|
$188.50 |
$188.50 |
$188.50 |
$156.21
|
|
Blood typing rh (d)
|
$69.55 |
$69.55 |
$69.55 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$98.15 |
$98.15 |
$98.15 |
$381.19
|
|
Boot walker genesis full shell 3-strap s
|
$113.10 |
$113.10 |
$113.10 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$130.65 |
$130.65 |
$130.65 |
$105.90
|
|
Borrelia miyamotoi amp prb
|
$153.40 |
$153.40 |
$153.40 |
$95.45
|
|
Brace afo lg left 6607
|
$23.40 |
$23.40 |
$23.40 |
$70.65
|
|
Brace wrist classic lft sm
|
$22.10 |
$22.10 |
$22.10 |
$92.25
|
|
Braf gene
|
$415.35 |
$415.35 |
$415.35 |
$421.20
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,568.15 |
$2,568.15 |
$2,568.15 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,474.55 |
$2,474.55 |
$2,474.55 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,915.55 |
$1,915.55 |
$1,915.55 |
$1,765.28
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$14.22 |
$14.22 |
$14.22 |
$15.11
|
|
C1 esterase inhibitor func - sendout
|
$211.90 |
$211.90 |
$211.90 |
$123.49
|
|
Calcium 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$27.61 |
$27.61 |
$27.61 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$21.87 |
$21.87 |
$21.87 |
$50.14
|
|
Calcium ionized
|
$76.70 |
$76.70 |
$76.70 |
$80.80
|
|
Calcium total
|
$34.45 |
$34.45 |
$34.45 |
$43.20
|
|
Calprotectin fecal
|
$194.35 |
$194.35 |
$194.35 |
$170.00
|
|
Campylobacter antibody
|
$66.30 |
$66.30 |
$66.30 |
$63.70
|
|
Candida dna
|
$68.25 |
$68.25 |
$68.25 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$105.30 |
$105.30 |
$105.30 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$100.10 |
$100.10 |
$100.10 |
$123.49
|
|
Carbon dioxide
|
$35.10 |
$35.10 |
$35.10 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$72.80 |
$72.80 |
$72.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$130.65 |
$130.65 |
$130.65 |
$125.00
|
|
Cardiolipin antibody iga
|
$85.15 |
$85.15 |
$85.15 |
$126.14
|
|
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 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$732.55 |
$732.55 |
$732.55 |
$1,037.60
|
|
Catheterization collection of specimen single patient all places of service
|
$69.55 |
$69.55 |
$69.55 |
$58.50
|
|
Cdna analysis for variants
|
$500.50 |
$500.50 |
$500.50 |
$609.80
|
|
Cebpa gene full sequence
|
$485.55 |
$485.55 |
$485.55 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$25.60 |
$25.60 |
$25.60 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$21.00 |
$21.00 |
$21.00 |
$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
|
$41.79 |
$41.79 |
$41.79 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$75.77 |
$75.77 |
$75.77 |
$51.80
|
|
#celiac hla-dq2
|
$254.80 |
$254.80 |
$254.80 |
$226.87
|
|
Cell count body fluid
|
$55.90 |
$55.90 |
$55.90 |
$56.44
|
|
Cell count w differential body fluid
|
$99.45 |
$99.45 |
$99.45 |
$83.71
|
