|
Azithromycin 500 mg intravenous solution
|
$19.70 |
$19.70 |
$19.70 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$6.39 |
$6.39 |
$6.39 |
$157.83
|
|
Baclofen eval charges
|
$37.43 |
$37.43 |
$37.43 |
$84.35
|
|
Bacterial meningitis antigen
|
$315.24 |
$315.24 |
$315.24 |
$66.30
|
|
Bendamustine 100 mg intravenous powder for solution
|
$63.87 |
$63.87 |
$63.87 |
$66.40
|
|
Benztropine 1 mg/ml injection solution
|
$67.17 |
$67.17 |
$67.17 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$47.10 |
$47.10 |
$47.10 |
$108.55
|
|
Beta-2 microglobulin
|
$76.91 |
$76.91 |
$76.91 |
$84.00
|
|
Bfb train 1st 15min cntct 90912
|
$42.50 |
$42.50 |
$42.50 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$42.50 |
$42.50 |
$42.50 |
$107.25
|
|
Bilirubin direct
|
$49.31 |
$49.31 |
$49.31 |
$42.90
|
|
Bilirubin total
|
$59.54 |
$59.54 |
$59.54 |
$48.00
|
|
Biopsy abdominal mass
|
$1,480.32 |
$1,480.32 |
$1,480.32 |
$1,857.60
|
|
Biopsy muscle percutaneous needle
|
$1,480.32 |
$1,480.32 |
$1,480.32 |
$1,798.20
|
|
Biopsy needle liver percutaneous
|
$1,499.64 |
$1,499.64 |
$1,499.64 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,282.16 |
$1,282.16 |
$1,282.16 |
$1,793.38
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,379.96 |
$1,379.96 |
$1,379.96 |
$2,175.51
|
|
Bladder irrigate/lavage/instill 51700
|
$150.78 |
$150.78 |
$150.78 |
$420.80
|
|
Bld prd mix
|
$79.34 |
$79.34 |
$79.34 |
$139.21
|
|
Blood Clotting (PT/INR) Test
|
$40.08 |
$40.08 |
$40.08 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$34.04 |
$34.04 |
$34.04 |
$67.35
|
|
Blood Count (CBC) Test
|
$74.75 |
$74.75 |
$74.75 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$52.43 |
$52.43 |
$52.43 |
$52.43
|
|
Blood Culture Test
|
$101.00 |
$101.00 |
$101.00 |
$112.20
|
|
Blood draw capillary 36416
|
$14.34 |
$14.34 |
$14.34 |
$20.80
|
|
Blood gases ph venous
|
$88.98 |
$88.98 |
$88.98 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$10.13 |
$10.13 |
$10.13 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$43.50 |
$43.50 |
$43.50 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$46.43 |
$46.43 |
$46.43 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$63.21 |
$63.21 |
$63.21 |
$31.20
|
|
Blood split unit
|
$119.88 |
$119.88 |
$119.88 |
$247.80
|
|
Blood typing abo
|
$83.03 |
$83.03 |
$83.03 |
$71.40
|
|
Blood typing ag donor ea ag
|
$204.84 |
$204.84 |
$204.84 |
$134.40
|
|
Blood typing patient serum
|
$157.07 |
$157.07 |
$157.07 |
$80.00
|
|
Blood typing rbc ag non abo/rh ea
|
$140.87 |
$140.87 |
$140.87 |
$156.21
|
|
Blood typing rh (d)
|
$70.43 |
$70.43 |
$70.43 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$297.68 |
$297.68 |
$297.68 |
$70.20
|
|
Bone Density Scan (DEXA)
|
$161.37 |
$161.37 |
$161.37 |
$381.19
|
|
Bone/joint imaging ltd area
|
$468.23 |
$468.23 |
$468.23 |
$935.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,288.76 |
$1,288.76 |
$1,288.76 |
$1,497.75
|
|
Bone marrow interpretation
|
$45.99 |
$45.99 |
$45.99 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$210.80 |
$210.80 |
$210.80 |
$105.90
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2.15 |
$2.15 |
$2.15 |
$103.66
|
|
Bowel imaging
|
$674.18 |
$674.18 |
$674.18 |
$1,077.60
|
|
Braf gene
|
$470.76 |
$470.76 |
$470.76 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,187.03 |
$1,187.03 |
$1,187.03 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$780.39 |
$780.39 |
$780.39 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$1,592.39 |
$1,592.39 |
$1,592.39 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,384.82 |
$1,384.82 |
$1,384.82 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$1,146.95 |
$1,146.95 |
$1,146.95 |
$1,765.28
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,012.38 |
$3,012.38 |
$3,012.38 |
$3,012.38
|
|
Breathing response hypoxia
|
$80.40 |
$80.40 |
$80.40 |
$173.18
|
|
Bronch ebus samplng 1/2 node
|
$5,916.11 |
$5,916.11 |
$5,916.11 |
$4,740.00
|
|
Bronch ebus samplng 3/> node
|
$9,637.35 |
$9,637.35 |
$9,637.35 |
$5,532.00
|
|
Bronchial challenge
|
$536.54 |
$536.54 |
$536.54 |
$777.60
|
|
Bronchoscopy bronch stents
|
$2,270.39 |
$2,270.39 |
$2,270.39 |
$7,668.85
|
|
Bronchoscopy/lung bx addl 31632
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$4,286.73
|
|
Bronchoscopy/needle bx addl 31633
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$1,872.75
|
|
Bronchoscopy/needle bx each 31629
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$4,286.73
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$2,672.16
|
|
Bronchoscopy w/markers
|
$1,184.22 |
$1,184.22 |
$1,184.22 |
$9,704.27
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$3.24 |
$3.24 |
$3.24 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$48.47 |
$48.47 |
$48.47 |
$161.46
|
|
Bundled special stain group 2
|
$30.56 |
$30.56 |
$30.56 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.21 |
$0.21 |
$0.21 |
$15.11
|
|
Butorphanol tartrate 1 mg
|
$15.95 |
$15.95 |
$15.95 |
$42.76
|
|
Bx bone trocar/ndl deep
|
$1,258.23 |
$1,258.23 |
$1,258.23 |
$2,264.77
|
|
Bx of breast open 19101
|
$2,665.62 |
$2,665.62 |
$2,665.62 |
$4,390.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,066.79 |
$1,066.79 |
$1,066.79 |
$995.00
|
|
C1 esterase inhibitor func - sendout
|
$115.20 |
$115.20 |
$115.20 |
$123.49
|
|
Calcium 24 hour urine
|
$32.96 |
$32.96 |
$32.96 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
$50.14
|
|
Calcium ionized
|
$59.28 |
$59.28 |
$59.28 |
$80.80
|
|
Calcium total
|
$32.96 |
$32.96 |
$32.96 |
$43.20
|
|
Calprotectin fecal
|
$328.46 |
$328.46 |
$328.46 |
$170.00
|
|
Candida dna
|
$55.59 |
$55.59 |
$55.59 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$82.74 |
$82.74 |
$82.74 |
$108.81
|
|
Carbon dioxide
|
$67.25 |
$67.25 |
$67.25 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$28.37 |
$28.37 |
$28.37 |
$59.36
|
|
Carboxyhemoglobin quantitative
|
$72.24 |
$72.24 |
$72.24 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$63.50 |
$63.50 |
$63.50 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,895.25 |
$1,895.25 |
$1,895.25 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$125.21 |
$125.21 |
$125.21 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$92.70 |
$92.70 |
$92.70 |
$208.00
|
|
Cardiolipin antibody iga
|
$147.66 |
$147.66 |
$147.66 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,045.47 |
$1,045.47 |
$1,045.47 |
$1,461.75
|
|
Carotene
|
$82.01 |
$82.01 |
$82.01 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$571.19 |
$571.19 |
$571.19 |
$1,037.60
|
|
Catheterization collection of specimen single patient all places of service
|
$86.18 |
$86.18 |
$86.18 |
$58.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,355.18 |
$1,355.18 |
$1,355.18 |
$505.90
|
|
#cbg+cort-cbg
|
$15.15 |
$15.15 |
$15.15 |
$80.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$3.29 |
$3.29 |
$3.29 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$6.45 |
$6.45 |
$6.45 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$12.90 |
$12.90 |
$12.90 |
$42.00
|
|
Ceftriaxone 1 gram solution for injection
|
$2.33 |
$2.33 |
$2.33 |
$51.80
|
|
#celiac hla-dq8
|
$540.35 |
$540.35 |
$540.35 |
$246.88
|
|
Cell count body fluid
|
$87.72 |
$87.72 |
$87.72 |
$56.44
|
|
Cell count w differential body fluid
|
$93.23 |
$93.23 |
$93.23 |
$83.71
|