|
Beta-2 microglobulin
|
$8.96 |
$8.96 |
$8.96 |
$85.94
|
|
Bilirubin direct
|
$4.48 |
$4.48 |
$4.48 |
$50.00
|
|
Bilirubin total
|
$10.08 |
$10.08 |
$10.08 |
$52.57
|
|
Biopsy abdominal mass
|
$433.16 |
$433.16 |
$433.16 |
$1,718.60
|
|
Biopsy needle liver percutaneous
|
$433.16 |
$433.16 |
$433.16 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$433.16 |
$433.16 |
$433.16 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$303.80 |
$303.80 |
$303.80 |
$1,145.90
|
|
Bld prd mix
|
$36.12 |
$36.12 |
$36.12 |
$139.21
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$647.67 |
$647.67 |
$647.67 |
$1,427.17
|
|
Blood Clotting (PT/INR) Test
|
$7.84 |
$7.84 |
$7.84 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$12.04 |
$12.04 |
$12.04 |
$73.44
|
|
Blood Count (CBC) Test
|
$22.96 |
$22.96 |
$22.96 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$13.16 |
$13.16 |
$13.16 |
$61.80
|
|
Blood Culture Test
|
$20.72 |
$20.72 |
$20.72 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$56.28 |
$56.28 |
$56.28 |
$220.35
|
|
Blood gases ph venous
|
$17.08 |
$17.08 |
$17.08 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$6.44 |
$6.44 |
$6.44 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$6.44 |
$6.44 |
$6.44 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$6.44 |
$6.44 |
$6.44 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$7.00 |
$7.00 |
$7.00 |
$38.61
|
|
Blood typing abo
|
$139.72 |
$139.72 |
$139.72 |
$83.03
|
|
Blood typing patient serum
|
$14.00 |
$14.00 |
$14.00 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$140.00 |
$140.00 |
$140.00 |
$199.50
|
|
Blood typing rh (d)
|
$13.72 |
$13.72 |
$13.72 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$33.60 |
$33.60 |
$33.60 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$94.64 |
$94.64 |
$94.64 |
$397.28
|
|
Bone/joint imaging ltd area
|
$211.68 |
$211.68 |
$211.68 |
$1,013.50
|
|
Bone survey-lead poisoning
|
$97.16 |
$97.16 |
$97.16 |
$390.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$52.08 |
$52.08 |
$52.08 |
$94.80
|
|
Bowel imaging
|
$179.76 |
$179.76 |
$179.76 |
$1,065.00
|
|
Brace ankle stablizing lg
|
$78.96 |
$78.96 |
$78.96 |
$116.35
|
|
Brace oths wrist hnd fngr without
|
$104.61 |
$104.61 |
$104.61 |
$245.00
|
|
Brace wrist classic lft sm
|
$22.93 |
$22.93 |
$22.93 |
$81.62
|
|
Braf gene
|
$72.80 |
$72.80 |
$72.80 |
$427.50
|
|
Brain image < 4 views
|
$359.80 |
$359.80 |
$359.80 |
$549.70
|
|
Brain image 4+ views
|
$232.96 |
$232.96 |
$232.96 |
$952.80
|
|
Brain image w/flow 4 + views
|
$232.96 |
$232.96 |
$232.96 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$489.16 |
$489.16 |
$489.16 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$325.92 |
$325.92 |
$325.92 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$299.32 |
$299.32 |
$299.32 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$707.28 |
$707.28 |
$707.28 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$566.44 |
$566.44 |
$566.44 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$496.16 |
$496.16 |
$496.16 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$966.28 |
$966.28 |
$966.28 |
$2,287.20
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$1.68 |
$1.68 |
$1.68 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$75.04 |
$75.04 |
$75.04 |
$160.80
|
|
Bundled special stain group 2
|
$61.32 |
$61.32 |
$61.32 |
$173.46
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$6.44 |
$6.44 |
$6.44 |
$14.27
|
|
Butorphanol tartrate 1 mg
|
$11.48 |
$11.48 |
$11.48 |
$39.09
|
|
Bx pancreas pq ndl
|
$433.16 |
$433.16 |
$433.16 |
$1,588.50
|
|
Bx pleura pq ndl
|
$866.32 |
$866.32 |
$866.32 |
$1,608.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$463.68 |
$463.68 |
$463.68 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$303.80 |
$303.80 |
$303.80 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$21.28 |
$21.28 |
$21.28 |
$96.72
|
|
Cable cath 22-pin diag
|
$693.00 |
$693.00 |
$693.00 |
$4,946.50
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$51.52 |
$51.52 |
$51.52 |
$2,111.64
|
|
Calcium 24 hour urine
|
$4.76 |
$4.76 |
$4.76 |
$53.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.09 |
$0.09 |
$0.09 |
$91.60
|
|
Calcium ionized
|
$10.64 |
$10.64 |
$10.64 |
$90.00
|
|
Calcium total
|
$10.36 |
$10.36 |
$10.36 |
$50.00
|
|
Calprotectin fecal
|
$74.76 |
$74.76 |
$74.76 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$669.90 |
$669.90 |
$669.90 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$18,466.88
|
|
Carbamazepine total therapeutic drug level
|
$29.40 |
$29.40 |
$29.40 |
$120.25
|
|
Carbon dioxide
|
$9.80 |
$9.80 |
$9.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$30.52 |
$30.52 |
$30.52 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$12.32 |
$12.32 |
$12.32 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$568.96 |
$568.96 |
$568.96 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$74.20 |
$74.20 |
$74.20 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$74.20 |
$74.20 |
$74.20 |
$196.50
|
|
Cardiolipin antibody iga
|
$12.88 |
$12.88 |
$12.88 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$283.64 |
$283.64 |
$283.64 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$73.08 |
$73.08 |
$73.08 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$36.96 |
$36.96 |
$36.96 |
$51.50
|
|
Carotene
|
$10.64 |
$10.64 |
$10.64 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$172.20 |
$172.20 |
$172.20 |
$1,018.68
|
|
Cath acuity innr ic130 6f 63cm
|
$359.35 |
$359.35 |
$359.35 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$159.21 |
$159.21 |
$159.21 |
$18,560.00
|
|
Cath cv dl inj 7fx16cm
|
$709.24 |
$709.24 |
$709.24 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$5.04 |
$5.04 |
$5.04 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$889.35 |
$889.35 |
$889.35 |
$1,653.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$4,160.00
|
|
Cath malecot 28fr 4-wing ltx
|
$1,480.51 |
$1,480.51 |
$1,480.51 |
$2,173.58
|
|
Cath steerable flex adv 12f
|
$315.00 |
$315.00 |
$315.00 |
$2,925.00
|
|
Cefoxitin 1 gram intravenous solution
|
$30.24 |
$30.24 |
$30.24 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$3.90 |
$3.90 |
$3.90 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$5.04 |
$5.04 |
$5.04 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$7.84 |
$7.84 |
$7.84 |
$84.18
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$7.56 |
$7.56 |
$7.56 |
$29.45
|
|
Cell count body fluid
|
$9.52 |
$9.52 |
$9.52 |
$63.63
|
|
Cell count w differential body fluid
|
$6.44 |
$6.44 |
$6.44 |
$93.23
|
|
#cf-97variants
|
$61.88 |
$61.88 |
$61.88 |
$622.20
|
|
Chest 2 vws w oblique
|
$77.56 |
$77.56 |
$77.56 |
$377.06
|
|
Chest apical lordotic proj
|
$74.20 |
$74.20 |
$74.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$667.24 |
$667.24 |
$667.24 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$523.04 |
$523.04 |
$523.04 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$445.20 |
$445.20 |
$445.20 |
$1,350.03
|
|
Chest X-ray
|
$69.44 |
$69.44 |
$69.44 |
$294.06
|
|
Chest X-ray (single view)
|
$45.36 |
$45.36 |
$45.36 |
$239.04
|
