|
Assay of breath ethanol
|
$25.60 |
$25.60 |
$25.60 |
$52.62
|
|
Assay of feces porphyrins
|
$122.40 |
$122.40 |
$122.40 |
$134.38
|
|
Assay of salicylate
|
$93.60 |
$93.60 |
$93.60 |
$96.50
|
|
Assay of sialic acid
|
$120.00 |
$120.00 |
$120.00 |
$92.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$37.60 |
$37.60 |
$37.60 |
$46.80
|
|
Ast/sgot
|
$25.60 |
$25.60 |
$25.60 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$60.72 |
$60.72 |
$60.72 |
$53.24
|
|
Automated diff wbc count
|
$28.80 |
$28.80 |
$28.80 |
$36.30
|
|
Avul nail plate addl
|
$144.80 |
$144.80 |
$144.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$305.60 |
$305.60 |
$305.60 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$62.22 |
$62.22 |
$62.22 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$24.50 |
$24.50 |
$24.50 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$93.44 |
$93.44 |
$93.44 |
$157.30
|
|
Bacterial meningitis antigen
|
$72.80 |
$72.80 |
$72.80 |
$66.30
|
|
Bacterial vaginosis pcr
|
$237.60 |
$237.60 |
$237.60 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$124.00 |
$124.00 |
$124.00 |
$102.20
|
|
Bausch health Ultrasound surg
|
$895.20 |
$895.20 |
$895.20 |
$768.50
|
|
B cells total count
|
$145.60 |
$145.60 |
$145.60 |
$132.48
|
|
Beta 2 glycoprotein 1 antibody iga
|
$80.80 |
$80.80 |
$80.80 |
$82.55
|
|
Beta-2 microglobulin
|
$123.20 |
$123.20 |
$123.20 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$65.20 |
$65.20 |
$65.20 |
$65.00
|
|
Bilateral n block inj occipital 64405
|
$736.80 |
$736.80 |
$736.80 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$420.80 |
$420.80 |
$420.80 |
$587.60
|
|
Bilirubin direct
|
$38.40 |
$38.40 |
$38.40 |
$51.35
|
|
Bilirubin total
|
$26.40 |
$26.40 |
$26.40 |
$54.60
|
|
Biotinidase - quest
|
$67.20 |
$67.20 |
$67.20 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$289.60 |
$289.60 |
$289.60 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$395.20 |
$395.20 |
$395.20 |
$412.80
|
|
Bln 30frx10mmx12cm renal nephromax
|
$218.40 |
$218.40 |
$218.40 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,320.21
|
|
Blood Clotting (PT/INR) Test
|
$33.60 |
$33.60 |
$33.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$41.60 |
$41.60 |
$41.60 |
$74.00
|
|
Blood Count (CBC) Test
|
$42.40 |
$42.40 |
$42.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$32.00 |
$32.00 |
$32.00 |
$62.28
|
|
Blood Culture Test
|
$65.60 |
$65.60 |
$65.60 |
$146.16
|
|
Blood draw capillary 36416
|
$13.60 |
$13.60 |
$13.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$27.20 |
$27.20 |
$27.20 |
$21.66
|
|
Blood gases ph venous
|
$49.60 |
$49.60 |
$49.60 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$17.60 |
$17.60 |
$17.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$43.20 |
$43.20 |
$43.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.00 |
$24.00 |
$24.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$39.20 |
$39.20 |
$39.20 |
$38.35
|
|
Blood Transfusion
|
$824.80 |
$824.80 |
$824.80 |
$989.60
|
|
Blood typing abo
|
$17.60 |
$17.60 |
$17.60 |
$86.45
|
|
Blood typing ag donor ea ag
|
$104.00 |
$104.00 |
$104.00 |
$207.60
|
|
Blood typing patient serum
|
$76.00 |
$76.00 |
$76.00 |
$70.29
|
|
Blood typing rh (d)
|
$17.60 |
$17.60 |
$17.60 |
$57.60
|
|
Bls-emergency
|
$978.40 |
$978.40 |
$978.40 |
$892.32
|
|
Bone Age X-ray (hand and wrist)
|
$232.80 |
$232.80 |
$232.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$472.80 |
$472.80 |
$472.80 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$532.80 |
$532.80 |
$532.80 |
$387.00
|
|
Boot softgait shrt m
|
$113.60 |
$113.60 |
$113.60 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$110.40 |
$110.40 |
$110.40 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$113.60 |
$113.60 |
$113.60 |
$93.60
|
|
(both sides) smear without diff wbc count
|
$18.40 |
$18.40 |
$18.40 |
$30.68
|
|
Bowel imaging
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$1,074.00
|
|
Brace ank aftr bioskn med lg
|
$96.00 |
$96.00 |
$96.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$62.40 |
$62.40 |
$62.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$59.20 |
$59.20 |
$59.20 |
$122.82
|
|
Brace back pinnacle tlso 464
|
$848.80 |
$848.80 |
$848.80 |
$2,632.87
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$142.40 |
$142.40 |
$142.40 |
$105.30
|
|
Brace wrist classic lft sm
|
$62.40 |
$62.40 |
$62.40 |
$89.04
|
|
Brain image w/flow 4 + views
|
$1,376.80 |
$1,376.80 |
$1,376.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,671.20 |
$3,671.20 |
$3,671.20 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,993.60 |
$2,993.60 |
$2,993.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,768.00 |
$3,768.00 |
$3,768.00 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$296.00 |
$296.00 |
$296.00 |
$274.65
|
|
Budesonide non-comp unit
|
$7.41 |
$7.41 |
$7.41 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$60.32 |
$60.32 |
$60.32 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$213.60 |
$213.60 |
$213.60 |
$159.00
|
|
Bundled special stain group 2
|
$175.20 |
$175.20 |
$175.20 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$76.80 |
$76.80 |
$76.80 |
$80.64
|
|
Caffeine citrate 20 mg/ml inj for po
|
$63.35 |
$63.35 |
$63.35 |
$46.09
|
|
Calcium 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$66.36 |
$66.36 |
$66.36 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.73 |
$66.73 |
$66.73 |
$64.49
|
|
Calcium ionized
|
$88.80 |
$88.80 |
$88.80 |
$90.00
|
|
Calcium total
|
$26.40 |
$26.40 |
$26.40 |
$50.00
|
|
Calprotectin fecal
|
$184.80 |
$184.80 |
$184.80 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$78.40 |
$78.40 |
$78.40 |
$122.85
|
|
Carbohydrate urine - sendout
|
$49.60 |
$49.60 |
$49.60 |
$66.64
|
|
Carbon dioxide
|
$33.60 |
$33.60 |
$33.60 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$60.80 |
$60.80 |
$60.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,508.80 |
$3,508.80 |
$3,508.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$256.00 |
$256.00 |
$256.00 |
$249.60
|
|
Cardiolipin antibody iga
|
$94.40 |
$94.40 |
$94.40 |
$107.25
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$122.40 |
$122.40 |
$122.40 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$60.80 |
$60.80 |
$60.80 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$1,024.32
|
|
Cath cv dl inj 7fx16cm
|
$340.80 |
$340.80 |
$340.80 |
$4,488.99
|
|
Catheterization collection of specimen single patient all places of service
|
$66.40 |
$66.40 |
$66.40 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$348.00 |
$348.00 |
$348.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$343.20 |
$343.20 |
$343.20 |
$2,549.50
|