|
Assay of tyrosine
|
$38.40 |
$38.40 |
$38.40 |
$56.10
|
|
Assay of urine sulfate
|
$56.80 |
$56.80 |
$56.80 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$419.20 |
$419.20 |
$419.20 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$41.60 |
$41.60 |
$41.60 |
$46.80
|
|
Ast/sgot
|
$58.40 |
$58.40 |
$58.40 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$60.65 |
$60.65 |
$60.65 |
$53.24
|
|
Automated diff wbc count
|
$33.60 |
$33.60 |
$33.60 |
$36.30
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$300.00 |
$300.00 |
$300.00 |
$326.27
|
|
Azithromycin 500 mg intravenous solution
|
$62.34 |
$62.34 |
$62.34 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$38.24 |
$38.24 |
$38.24 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$77.81 |
$77.81 |
$77.81 |
$157.30
|
|
Baclofen eval charges
|
$125.60 |
$125.60 |
$125.60 |
$87.50
|
|
Bacterial vaginosis pcr
|
$329.60 |
$329.60 |
$329.60 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$126.40 |
$126.40 |
$126.40 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,291.20 |
$1,291.20 |
$1,291.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$988.00 |
$988.00 |
$988.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$672.00 |
$672.00 |
$672.00 |
$484.80
|
|
Bausch health Ultrasound surg
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$768.50
|
|
B cells total count
|
$150.40 |
$150.40 |
$150.40 |
$132.48
|
|
#_benzodiazconfur
|
$117.60 |
$117.60 |
$117.60 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$400.80 |
$400.80 |
$400.80 |
$82.55
|
|
Beta-2 microglobulin
|
$104.80 |
$104.80 |
$104.80 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$64.04 |
$64.04 |
$64.04 |
$65.00
|
|
Bilirubin direct
|
$43.20 |
$43.20 |
$43.20 |
$51.35
|
|
Bilirubin total
|
$43.20 |
$43.20 |
$43.20 |
$54.60
|
|
Biotinidase - quest
|
$55.20 |
$55.20 |
$55.20 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$204.00 |
$204.00 |
$204.00 |
$232.30
|
|
Bln 30frx10mmx12cm renal nephromax
|
$308.80 |
$308.80 |
$308.80 |
$5,330.60
|
|
Blood Clotting (PT/INR) Test
|
$59.20 |
$59.20 |
$59.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$85.60 |
$85.60 |
$85.60 |
$74.00
|
|
Blood Count (CBC) Test
|
$101.60 |
$101.60 |
$101.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$98.40 |
$98.40 |
$98.40 |
$62.28
|
|
Blood Culture Test
|
$84.00 |
$84.00 |
$84.00 |
$146.16
|
|
Blood draw capillary 36416
|
$14.40 |
$14.40 |
$14.40 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$25.60 |
$25.60 |
$25.60 |
$21.66
|
|
Blood gases ph venous
|
$216.80 |
$216.80 |
$216.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$76.00 |
$76.00 |
$76.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.80 |
$40.80 |
$40.80 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$36.00 |
$36.00 |
$36.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$40.80 |
$40.80 |
$40.80 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$48.00 |
$48.00 |
$48.00 |
$38.35
|
|
Blood Transfusion
|
$987.20 |
$987.20 |
$987.20 |
$989.60
|
|
Blood typing abo
|
$98.40 |
$98.40 |
$98.40 |
$86.45
|
|
Blood typing patient serum
|
$112.00 |
$112.00 |
$112.00 |
$70.29
|
|
Blood typing rh (d)
|
$92.80 |
$92.80 |
$92.80 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$369.60 |
$369.60 |
$369.60 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$538.40 |
$538.40 |
$538.40 |
$407.94
|
|
Bone imaging multiple areas
|
$1,662.40 |
$1,662.40 |
$1,662.40 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$1,037.40
|
|
Boot softgait shrt m
|
$75.20 |
$75.20 |
$75.20 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$73.60 |
$73.60 |
$73.60 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$164.00 |
$164.00 |
$164.00 |
$93.60
|
|
Bowel imaging
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$44.00 |
$44.00 |
$44.00 |
$108.67
|
|
Brace ankle stablizing lg
|
$52.00 |
$52.00 |
$52.00 |
$122.82
|
|
Brace back pinnacle tlso 464
|
$376.00 |
$376.00 |
$376.00 |
$2,632.87
|
|
Brace knee support neoprene padded open patella med
|
$85.60 |
$85.60 |
$85.60 |
$215.70
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$131.20 |
$131.20 |
$131.20 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$36.80 |
$36.80 |
$36.80 |
$257.45
|
|
Brace wrist classic lft sm
|
$48.80 |
$48.80 |
$48.80 |
$89.04
|
|
Brain image w/flow 4 + views
|
$1,602.40 |
$1,602.40 |
$1,602.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,208.80 |
$4,208.80 |
$4,208.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,430.40 |
$3,430.40 |
$3,430.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,836.00 |
$2,836.00 |
$2,836.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,156.00 |
$4,156.00 |
$4,156.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,430.40 |
$3,430.40 |
$3,430.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,007.20 |
$3,007.20 |
$3,007.20 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$386.40 |
$386.40 |
$386.40 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$842.40 |
$842.40 |
$842.40 |
$871.80
|
|
Budesonide non-comp unit
|
$19.61 |
$19.61 |
$19.61 |
$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
|
$225.60 |
$225.60 |
$225.60 |
$159.00
|
|
Bundled special stain group 2
|
$172.80 |
$172.80 |
$172.80 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$62.48 |
$62.48 |
$62.48 |
$32.47
|
|
C1 esterase inhibitor func - sendout
|
$215.20 |
$215.20 |
$215.20 |
$96.72
|
|
Caffeine citrate 20 mg/ml inj for po
|
$63.34 |
$63.34 |
$63.34 |
$46.09
|
|
Calcium 24 hour urine
|
$52.80 |
$52.80 |
$52.80 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$66.40 |
$66.40 |
$66.40 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.17 |
$66.17 |
$66.17 |
$64.49
|
|
Calcium ionized
|
$112.80 |
$112.80 |
$112.80 |
$90.00
|
|
Calcium total
|
$58.40 |
$58.40 |
$58.40 |
$50.00
|
|
Calprotectin fecal
|
$255.20 |
$255.20 |
$255.20 |
$170.00
|
|
Candida dna
|
$90.40 |
$90.40 |
$90.40 |
$61.10
|
|
Carbamazepine total therapeutic drug level
|
$112.00 |
$112.00 |
$112.00 |
$122.85
|
|
Carbon dioxide
|
$56.80 |
$56.80 |
$56.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$131.20 |
$131.20 |
$131.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$2,768.80 |
$2,768.80 |
$2,768.80 |
$2,902.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$254.40 |
$254.40 |
$254.40 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$250.40 |
$250.40 |
$250.40 |
$204.54
|
|
Cardiolipin antibody iga
|
$207.20 |
$207.20 |
$207.20 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$129.60 |
$129.60 |
$129.60 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$64.80 |
$64.80 |
$64.80 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$1,024.32
|
|
Cath cv dl inj 7fx16cm
|
$343.20 |
$343.20 |
$343.20 |
$4,488.99
|
|
Cath malecot 28fr 4-wing ltx
|
$282.40 |
$282.40 |
$282.40 |
$2,549.50
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$78.57 |
$78.57 |
$78.57 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$61.89 |
$61.89 |
$61.89 |
$45.47
|
