|
3d recon without postprocess indpndt
|
$1,097.70 |
$1,097.70 |
$1,097.70 |
$485.00
|
|
5% dextrose and 0.45% saline
|
$69.40 |
$69.40 |
$69.40 |
$48.00
|
|
5% dextrose with potassium
|
$183.24 |
$183.24 |
$183.24 |
$85.20
|
|
Abdominal MRI (with and without contrast)
|
$11,267.20 |
$11,267.20 |
$11,267.20 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$11,202.27 |
$11,202.27 |
$11,202.27 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$7,970.93 |
$7,970.93 |
$7,970.93 |
$2,050.14
|
|
Acetazolamide 500 mg solution for injection
|
$1,398.89 |
$1,398.89 |
$1,398.89 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$48.20 |
$48.20 |
$48.20 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$4,888.30 |
$4,888.30 |
$4,888.30 |
$216.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$110.65 |
$110.65 |
$110.65 |
$41.67
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$452.65 |
$452.65 |
$452.65 |
$63.48
|
|
Administration vaccine influenza virus
|
$104.83 |
$104.83 |
$104.83 |
$50.43
|
|
_afb org id by sequencing rflx ast-sendout
|
$461.44 |
$461.44 |
$461.44 |
$315.00
|
|
Albumin (human), 5%, 250 ml
|
$2,791.51 |
$2,791.51 |
$2,791.51 |
$243.59
|
|
Albuterol ipratrop non-comp
|
$50.28 |
$50.28 |
$50.28 |
$5.40
|
|
Amantadine (symmetrel)-sendout
|
$47.24 |
$47.24 |
$47.24 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$70.20 |
$70.20 |
$70.20 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$68.04 |
$68.04 |
$68.04 |
$37.14
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$110.61 |
$110.61 |
$110.61 |
$45.02
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$490.68 |
$490.68 |
$490.68 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$5,296.95 |
$5,296.95 |
$5,296.95 |
$543.85
|
|
Anastrozole 1 mg
|
$230.03 |
$230.03 |
$230.03 |
$22.40
|
|
An fluoro guide for cvp
|
$1,683.26 |
$1,683.26 |
$1,683.26 |
$515.00
|
|
Anti mog serum - sendout
|
$718.97 |
$718.97 |
$718.97 |
$159.00
|
|
Aquaporin-4 antibody elisa
|
$1,547.05 |
$1,547.05 |
$1,547.05 |
$148.80
|
|
Argatroban nonesrd use 1mg
|
$2,524.99 |
$2,524.99 |
$2,524.99 |
$866.80
|
|
Artery xray each vessel 7577426
|
$6,693.57 |
$6,693.57 |
$6,693.57 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$7,380.32 |
$7,380.32 |
$7,380.32 |
$4,446.00
|
|
Artery x-rays arms/legs 75716-26
|
$7,490.45 |
$7,490.45 |
$7,490.45 |
$3,729.00
|
|
Artery x-rays lungs
|
$9,500.00 |
$9,500.00 |
$9,500.00 |
$3,535.57
|
|
Azathioprine 50 mg tablet
|
$50.28 |
$50.28 |
$50.28 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$264.03 |
$264.03 |
$264.03 |
$35.06
|
|
Bacterial vaginosis pcr
|
$403.32 |
$403.32 |
$403.32 |
$278.40
|
|
Benztropine 1 mg/ml injection solution
|
$1,477.47 |
$1,477.47 |
$1,477.47 |
$103.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$191.74 |
$191.74 |
$191.74 |
$64.15
|
|
Bilirubin direct
|
$613.00 |
$613.00 |
$613.00 |
$50.00
|
|
Blood gases o2 saturation direct measurement
|
$315.08 |
$315.08 |
$315.08 |
$220.35
|
|
Blood typing rh phenotype complete reference
|
$31.00 |
$31.00 |
$31.00 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$1,060.22 |
$1,060.22 |
$1,060.22 |
$397.28
|
|
Bone/joint imaging ltd area
|
$3,169.01 |
$3,169.01 |
$3,169.01 |
$1,013.50
|
|
Brain flow imaging only
|
$4,677.32 |
$4,677.32 |
$4,677.32 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,980.43 |
$6,980.43 |
$6,980.43 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$6,529.38 |
$6,529.38 |
$6,529.38 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,415.71 |
$6,415.71 |
$6,415.71 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$10,547.33 |
$10,547.33 |
$10,547.33 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$9,349.34 |
$9,349.34 |
$9,349.34 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$5,921.36 |
$5,921.36 |
$5,921.36 |
$1,977.27
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$30.33 |
$30.33 |
$30.33 |
$23.92
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$188.04 |
$188.04 |
$188.04 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$207.95 |
$207.95 |
$207.95 |
$82.82
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$13,933.03 |
$13,933.03 |
$13,933.03 |
$2,111.64
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$93.90 |
$93.90 |
$93.90 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$185.17 |
$185.17 |
$185.17 |
$91.60
|
|
Calprotectin fecal
|
$78.52 |
$78.52 |
$78.52 |
$169.95
|
|
Capecitabine, oral, 50 mg
|
$264.60 |
$264.60 |
$264.60 |
$59.42
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$518.00 |
$518.00 |
$518.00 |
$513.08
|
|
Cardiac MRI w/stress img
|
$2,457.62 |
$2,457.62 |
$2,457.62 |
$1,474.98
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$788.65 |
$788.65 |
$788.65 |
$244.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,974.86 |
$1,974.86 |
$1,974.86 |
$1,396.00
|
|
Card MRI veloc flow mapping
|
$3,931.75 |
$3,931.75 |
$3,931.75 |
$600.50
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$66.00 |
$66.00 |
$66.00 |
$37.70
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$3,167.39 |
$3,167.39 |
$3,167.39 |
$606.21
|
|
Ceftazidime and avibactam
|
$1,265.72 |
$1,265.72 |
$1,265.72 |
$904.66
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$110.00 |
$110.00 |
$110.00 |
$29.45
|
|
Cerebrospinal fld flw imag
|
$1,823.61 |
$1,823.61 |
$1,823.61 |
$938.50
|
|
Chest 2 vws w oblique
|
$1,060.22 |
$1,060.22 |
$1,060.22 |
$377.06
|
|
Chest apical lordotic proj
|
$1,060.22 |
$1,060.22 |
$1,060.22 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$7,404.72 |
$7,404.72 |
$7,404.72 |
$1,975.00
|
|
Chg radiologic exam esophagus double contrast
|
$960.05 |
$960.05 |
$960.05 |
$511.59
|
|
Chlamydia type
|
$22.28 |
$22.28 |
$22.28 |
$34.20
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$2,354.53 |
$2,354.53 |
$2,354.53 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$180.14 |
$180.14 |
$180.14 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,435.41 |
$1,435.41 |
$1,435.41 |
$602.40
|
|
Chromatography
|
$72.24 |
$72.24 |
$72.24 |
$81.25
|
|
Cidofovir injection
|
$3,302.23 |
$3,302.23 |
$3,302.23 |
$1,295.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$431.76 |
$431.76 |
$431.76 |
$81.90
|
|
#cmvcul-virus inoculation shell
|
$78.24 |
$78.24 |
$78.24 |
$100.80
|
|
Co2 monitor per day
|
$1,573.37 |
$1,573.37 |
$1,573.37 |
$450.60
|
|
Cocaine 4 % nasal solution
|
$771.75 |
$771.75 |
$771.75 |
$629.41
|
|
Compatibility test each unit electronic
|
$633.35 |
$633.35 |
$633.35 |
$172.26
|
|
Compatibility test incubate
|
$521.84 |
$521.84 |
$521.84 |
$155.40
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$3,322.20
|
|
Consultation pathology during surgery
|
$259.95 |
$259.95 |
$259.95 |
$100.00
|
|
Contrast exam abdominl aorta 75625-26
|
$5,700.44 |
$5,700.44 |
$5,700.44 |
$3,458.54
|
|
Coombs indirect qualitative each reagent red cell reference
|
$22.88 |
$22.88 |
$22.88 |
$102.90
|
|
Cosyntropin 0.25 mg solution for injection
|
$512.37 |
$512.37 |
$512.37 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$263.61 |
$263.61 |
$263.61 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$141.28 |
$141.28 |
$141.28 |
$55.90
|
|
Crbrospnl fld flw imag cistern
|
$2,569.30 |
$2,569.30 |
$2,569.30 |
$1,240.80
|
|
C-reactive protein
|
$530.00 |
$530.00 |
$530.00 |
$68.38
|
|
CT guidance for needle placement
|
$6,096.06 |
$6,096.06 |
$6,096.06 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$2,670.71 |
$2,670.71 |
$2,670.71 |
$171.60
|
|
CT limited or localized follow-up study
|
$2,381.73 |
$2,381.73 |
$2,381.73 |
$642.75
|
|
CT neck soft tissue without & w/contrast
|
$5,989.30 |
$5,989.30 |
$5,989.30 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$5,527.31 |
$5,527.31 |
$5,527.31 |
$1,728.18
|
|
CT scan for localization
|
$3,598.35 |
$3,598.35 |
$3,598.35 |
$1,205.14
|
|
CT thoracic spine w/contrast
|
$6,377.65 |
$6,377.65 |
$6,377.65 |
$1,690.32
|
|
CT thorax low dose for lung screening without contrast
|
$822.37 |
$822.37 |
$822.37 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,136.31 |
$1,136.31 |
$1,136.31 |
$2,027.52
|
|
Culture afb any source
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$109.20
|