|
Clearance of airways
|
$295.20 |
$295.20 |
$295.20 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.00 |
$145.00 |
$145.00 |
$55.20
|
|
Cllr miami j sm
|
$188.66 |
$188.66 |
$188.66 |
$552.23
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$540.00 |
$540.00 |
$540.00 |
$657.28
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$747.20 |
$747.20 |
$747.20 |
$416.16
|
|
Clsd tx hip disloc without anes 27265
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
$631.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$777.60 |
$777.60 |
$777.60 |
$496.80
|
|
Collar cerv patriot adlt
|
$164.00 |
$164.00 |
$164.00 |
$134.66
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$100.00 |
$100.00 |
$100.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$5.00 |
$5.00 |
$5.00 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$653.60 |
$653.60 |
$653.60 |
$172.00
|
|
Compatibility test each unit electronic
|
$653.60 |
$653.60 |
$653.60 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$653.60 |
$653.60 |
$653.60 |
$167.17
|
|
Complement antigen each component c3
|
$49.60 |
$49.60 |
$49.60 |
$110.00
|
|
Concentration infection agents any type
|
$27.20 |
$27.20 |
$27.20 |
$51.32
|
|
Consultation pathology during surgery frozen section first tissue block
|
$463.20 |
$463.20 |
$463.20 |
$224.87
|
|
Consultation/report referred slides prepared elsewhere
|
$143.20 |
$143.20 |
$143.20 |
$176.15
|
|
Contrast baths charges
|
$84.80 |
$84.80 |
$84.80 |
$74.25
|
|
Control of nosebleed ant comp 30903
|
$384.00 |
$384.00 |
$384.00 |
$396.00
|
|
Coombs direct
|
$238.40 |
$238.40 |
$238.40 |
$76.44
|
|
Cortisol acth stimulation test - sendout
|
$136.00 |
$136.00 |
$136.00 |
$146.25
|
|
Cortisol total am
|
$68.00 |
$68.00 |
$68.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$187.60 |
$187.60 |
$187.60 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$190.40 |
$190.40 |
$190.40 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$60.00 |
$60.00 |
$60.00 |
$54.12
|
|
Covid-19 administration immunization im inj 1st/only component
|
$58.40 |
$58.40 |
$58.40 |
$49.13
|
|
C-reactive protein
|
$20.00 |
$20.00 |
$20.00 |
$68.38
|
|
Creatine kinase
|
$27.20 |
$27.20 |
$27.20 |
$65.60
|
|
Creatine kinase mb
|
$47.20 |
$47.20 |
$47.20 |
$113.63
|
|
Creatinine
|
$15.00 |
$15.00 |
$15.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Creatinine clearance urine
|
$39.20 |
$39.20 |
$39.20 |
$89.28
|
|
Crystal identification light microscopy
|
$30.40 |
$30.40 |
$30.40 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$691.20 |
$691.20 |
$691.20 |
$637.41
|
|
Cta lower extremity without & w/contrast (both sides)
|
$528.50 |
$528.50 |
$528.50 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$538.00 |
$538.00 |
$538.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$517.50 |
$517.50 |
$517.50 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$531.50 |
$531.50 |
$531.50 |
$1,912.50
|
|
CT Angiogram of the Head
|
$538.00 |
$538.00 |
$538.00 |
$1,946.10
|
|
CT lower extremity w/contrast (both sides)
|
$475.50 |
$475.50 |
$475.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$285.50 |
$285.50 |
$285.50 |
$1,398.82
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$525.00 |
$525.00 |
$525.00 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$437.50 |
$437.50 |
$437.50 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$242.50 |
$242.50 |
$242.50 |
$2,295.00
|
|
CT thoracic spine without contrast
|
$286.50 |
$286.50 |
$286.50 |
$1,430.20
|
|
CT upper extremity without contrast (both sides)
|
$285.50 |
$285.50 |
$285.50 |
$1,404.36
|
|
Culture aerobic additional method definitive id each
|
$33.60 |
$33.60 |
$33.60 |
$71.40
|
|
Culture afb any source
|
$44.00 |
$44.00 |
$44.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$32.80 |
$32.80 |
$32.80 |
$84.76
|
|
Culture anaerobic except blood
|
$38.40 |
$38.40 |
$38.40 |
$120.54
|
|
Culture body fluid
|
$35.20 |
$35.20 |
$35.20 |
$126.00
|
|
Culture fungi definitive id mold
|
$44.00 |
$44.00 |
$44.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$42.40 |
$42.40 |
$42.40 |
$79.50
|
|
Culture fungi other (except blood)
|
$34.40 |
$34.40 |
$34.40 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$32.80 |
$32.80 |
$32.80 |
$74.40
|
|
Culture quantitative aerobic other source
|
$40.00 |
$40.00 |
$40.00 |
$90.35
|
|
Culture typing immunologic
|
$21.60 |
$21.60 |
$21.60 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$872.00 |
$872.00 |
$872.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$143.20 |
$143.20 |
$143.20 |
$138.40
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$20.00 |
$20.00 |
$20.00 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$54.40 |
$54.40 |
$54.40 |
$72.15
|
|
Cyclosporine modified 25 mg capsule
|
$4.00 |
$4.00 |
$4.00 |
$7.48
|
|
Cytomegalovirus (cmv) antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$204.80 |
$204.80 |
$204.80 |
$159.45
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,312.40 |
$1,312.40 |
$1,312.40 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,891.60 |
$4,891.60 |
$4,891.60 |
$6,273.69
|
|
Decalcification
|
$103.20 |
$103.20 |
$103.20 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$387.20 |
$387.20 |
$387.20 |
$546.84
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$279.20 |
$279.20 |
$279.20 |
$182.40
|
|
Design mlc device for imrt
|
$7,554.40 |
$7,554.40 |
$7,554.40 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$182.40 |
$182.40 |
$182.40 |
$93.84
|
|
Dexamethasone 4 mg tablet
|
$3.40 |
$3.40 |
$3.40 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$19.40 |
$19.40 |
$19.40 |
$21.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$33.40 |
$33.40 |
$33.40 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$92.00 |
$92.00 |
$92.00 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$25.00 |
$25.00 |
$25.00 |
$79.20
|
|
Dialysis one evaluation
|
$464.80 |
$464.80 |
$464.80 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$248.80 |
$248.80 |
$248.80 |
$77.25
|
|
Digoxin total therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$102.07
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$33.80 |
$33.80 |
$33.80 |
$18.35
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$366.40 |
$366.40 |
$366.40 |
$98.29
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$121.00 |
$121.00 |
$121.00 |
$67.28
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$131.60 |
$131.60 |
$131.60 |
$84.80
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$18,762.68 |
$18,762.68 |
$18,762.68 |
$8,040.27
|
|
Drug test def 1-7 classes
|
$202.40 |
$202.40 |
$202.40 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$253.60 |
$253.60 |
$253.60 |
$280.95
|
|
Dup scan/hemodialysis access 93990
|
$448.00 |
$448.00 |
$448.00 |
$486.02
|
|
Ecg 12 lead tracing only
|
$314.40 |
$314.40 |
$314.40 |
$226.50
|
|
Echocardiogram (Heart Ultrasound)
|
$3,666.40 |
$3,666.40 |
$3,666.40 |
$1,977.50
|
|
Eeg recording awake and asleep
|
$838.40 |
$838.40 |
$838.40 |
$929.00
|
|
Ehrlicha chaffeensis amp prb
|
$162.40 |
$162.40 |
$162.40 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$142.40 |
$142.40 |
$142.40 |
$81.00
|
|
Electrolyte panel
|
$34.40 |
$34.40 |
$34.40 |
$78.65
|
|
Endoscopy swallow (fees) vid
|
$278.40 |
$278.40 |
$278.40 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$145.20 |
$145.20 |
$145.20 |
$116.08
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$110.80 |
$110.80 |
$110.80 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$114.60 |
$114.60 |
$114.60 |
$25.61
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$400.40 |
$400.40 |
$400.40 |
$31.80
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,534.20 |
$2,534.20 |
$2,534.20 |
$856.06
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$105.60 |
$105.60 |
$105.60 |
$227.20
|