|
Avulsion nail plate partial/complete simple single nail plate
|
$690.40 |
$690.40 |
$690.40 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$2.60 |
$2.60 |
$2.60 |
$3.25
|
|
Azithromycin 500 mg intravenous solution
|
$6.20 |
$6.20 |
$6.20 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$87.80 |
$87.80 |
$87.80 |
$157.30
|
|
Baclofen eval charges
|
$156.00 |
$156.00 |
$156.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$48.00 |
$48.00 |
$48.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$292.00 |
$292.00 |
$292.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$140.00 |
$140.00 |
$140.00 |
$109.20
|
|
Bartonella dna pcr-sendout
|
$145.60 |
$145.60 |
$145.60 |
$189.55
|
|
B cells total count
|
$188.00 |
$188.00 |
$188.00 |
$131.30
|
|
Benign lesion paring 2-4
|
$224.80 |
$224.80 |
$224.80 |
$263.20
|
|
Benztropine 1 mg/ml injection solution
|
$75.40 |
$75.40 |
$75.40 |
$106.46
|
|
Beta 2 glycoprotein 1 antibody iga
|
$105.60 |
$105.60 |
$105.60 |
$82.20
|
|
Beta-2 microglobulin
|
$67.20 |
$67.20 |
$67.20 |
$84.75
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$112.60 |
$112.60 |
$112.60 |
$65.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$586.30
|
|
Bilirubin direct
|
$24.80 |
$24.80 |
$24.80 |
$50.40
|
|
Bilirubin total
|
$10.00 |
$10.00 |
$10.00 |
$53.84
|
|
Binder abdominal lg 12 x 62-74
|
$80.80 |
$80.80 |
$80.80 |
$50.14
|
|
Biopsy muscle percutaneous needle
|
$4,412.80 |
$4,412.80 |
$4,412.80 |
$1,632.98
|
|
Biopsy needle lymph node superficial
|
$3,426.40 |
$3,426.40 |
$3,426.40 |
$1,879.09
|
|
Biopsy of salivary gland 42400
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,992.80 |
$1,992.80 |
$1,992.80 |
$2,092.00
|
|
Bladder irrigate/lavage/instill 51700
|
$945.60 |
$945.60 |
$945.60 |
$408.00
|
|
Bld prd mix
|
$653.60 |
$653.60 |
$653.60 |
$140.25
|
|
Blood Clotting (PT/INR) Test
|
$15.00 |
$15.00 |
$15.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$30.00 |
$30.00 |
$30.00 |
$73.80
|
|
Blood Count (CBC) Test
|
$15.00 |
$15.00 |
$15.00 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$15.00 |
$15.00 |
$15.00 |
$61.80
|
|
Blood Culture Test
|
$51.20 |
$51.20 |
$51.20 |
$145.60
|
|
Blood draw capillary 36416
|
$16.00 |
$16.00 |
$16.00 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$393.60 |
$393.60 |
$393.60 |
$226.20
|
|
Blood gases ph venous
|
$55.20 |
$55.20 |
$55.20 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$36.00 |
$36.00 |
$36.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.80 |
$16.80 |
$16.80 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$15.00 |
$15.00 |
$15.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$21.60 |
$21.60 |
$21.60 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$18.40 |
$18.40 |
$18.40 |
$38.35
|
|
Blood split unit
|
$861.60 |
$861.60 |
$861.60 |
$282.88
|
|
Blood typing abo
|
$146.00 |
$146.00 |
$146.00 |
$84.75
|
|
Blood typing ag donor ea ag
|
$166.40 |
$166.40 |
$166.40 |
$204.84
|
|
Blood typing rbc ag non abo/rh ea
|
$257.60 |
$257.60 |
$257.60 |
$206.33
|
|
Blood typing rh (d)
|
$43.00 |
$43.00 |
$43.00 |
$57.14
|
|
Bone biopsy open superficial
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$3,851.40
|
|
Bone Density Scan (DEXA)
|
$237.00 |
$237.00 |
$237.00 |
$398.56
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$84.80 |
$84.80 |
$84.80 |
$91.20
|
|
Borrelia miyamotoi amp prb
|
$162.40 |
$162.40 |
$162.40 |
$81.20
|
|
Bowel imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,065.53
|
|
Brace ank air stirrup univ
|
$124.80 |
$124.80 |
$124.80 |
$108.67
|
|
Brace wrist classic lft sm
|
$89.60 |
$89.60 |
$89.60 |
$89.04
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$473.50 |
$473.50 |
$473.50 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$701.50 |
$701.50 |
$701.50 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$635.50 |
$635.50 |
$635.50 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$455.00 |
$455.00 |
$455.00 |
$1,932.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,100.00 |
$4,100.00 |
$4,100.00 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$863.10
|
|
Bronchial allergy tests
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$734.40
|
|
Bronchial challenge
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$805.90
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$12.40 |
$12.40 |
$12.40 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$211.20 |
$211.20 |
$211.20 |
$154.70
|
|
Bundled special stain group 2
|
$171.20 |
$171.20 |
$171.20 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$7.00 |
$7.00 |
$7.00 |
$33.08
|
|
Bx breast 1st lesion strtctc
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$867.20 |
$867.20 |
$867.20 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$1,604.40
|
|
Bx skin punch ea sep/ addl les
|
$99.20 |
$99.20 |
$99.20 |
$230.30
|
|
Bx thyroid/percutan core needle 60100
|
$699.20 |
$699.20 |
$699.20 |
$957.60
|
|
C1 esterase inhibitor func - sendout
|
$60.00 |
$60.00 |
$60.00 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,672.40 |
$1,672.40 |
$1,672.40 |
$2,177.05
|
|
Calcium 24 hour urine
|
$24.80 |
$24.80 |
$24.80 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$34.20 |
$34.20 |
$34.20 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$30.40 |
$30.40 |
$30.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$58.00 |
$58.00 |
$58.00 |
$91.60
|
|
Calcium ionized
|
$68.00 |
$68.00 |
$68.00 |
$89.88
|
|
Calcium total
|
$25.60 |
$25.60 |
$25.60 |
$50.00
|
|
Calprotectin fecal
|
$98.40 |
$98.40 |
$98.40 |
$170.00
|
|
Carbamazepine free
|
$55.20 |
$55.20 |
$55.20 |
$59.15
|
|
Carbamazepine free -sendout
|
$77.60 |
$77.60 |
$77.60 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$60.80 |
$60.80 |
$60.80 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$75.20 |
$75.20 |
$75.20 |
$116.40
|
|
Carbon dioxide
|
$24.00 |
$24.00 |
$24.00 |
$42.66
|
|
Carboxyhemoglobin quantitative
|
$61.60 |
$61.60 |
$61.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$65.00 |
$65.00 |
$65.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,880.48
|
|
Cardiolipin antibody iga
|
$127.20 |
$127.20 |
$127.20 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$1,411.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$997.10
|
|
Catheterization collection of specimen single patient all places of service
|
$36.00 |
$36.00 |
$36.00 |
$40.95
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$275.20 |
$275.20 |
$275.20 |
$462.80
|
|
Cauterization chemical granulation tissue
|
$712.00 |
$712.00 |
$712.00 |
$340.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$13.00 |
$13.00 |
$13.00 |
$40.39
|
|
Cefepime 1 gram solution for injection
|
$17.80 |
$17.80 |
$17.80 |
$44.99
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$16.00 |
$16.00 |
$16.00 |
$59.79
|
|
Ceftriaxone 1 gram solution for injection
|
$17.40 |
$17.40 |
$17.40 |
$84.15
|
|
Cell count body fluid
|
$23.20 |
$23.20 |
$23.20 |
$63.52
|
|
Cell count w differential body fluid
|
$28.00 |
$28.00 |
$28.00 |
$93.23
|
|
#cf-97variants
|
$1,275.20 |
$1,275.20 |
$1,275.20 |
$612.26
|
|
Change cystostomy tube simple
|
$564.80 |
$564.80 |
$564.80 |
$473.00
|
|
Chest 2 vws w oblique
|
$501.60 |
$501.60 |
$501.60 |
$373.60
|
|
Chest apical lordotic proj
|
$416.00 |
$416.00 |
$416.00 |
$309.65
|
