|
Bartonella dna pcr-sendout
|
$4,350.28 |
$4,350.28 |
$4,350.28 |
$196.20
|
|
Belt ostomy lg 34-65in
|
$133.00 |
$133.00 |
$133.00 |
$5.20
|
|
Benztropine 1 mg/ml injection solution
|
$666.79 |
$666.79 |
$666.79 |
$121.88
|
|
Beta-2 microglobulin
|
$1,376.78 |
$1,376.78 |
$1,376.78 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$28.35 |
$28.35 |
$28.35 |
$75.12
|
|
Bfb train 1st 15min cntct 90912
|
$452.61 |
$452.61 |
$452.61 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$452.61 |
$452.61 |
$452.61 |
$112.00
|
|
Bilirubin direct
|
$1,009.38 |
$1,009.38 |
$1,009.38 |
$49.29
|
|
Bilirubin total
|
$1,009.38 |
$1,009.38 |
$1,009.38 |
$51.39
|
|
Biopsy of heart lining
|
$10,022.13 |
$10,022.13 |
$10,022.13 |
$3,868.50
|
|
Bivalirudin
|
$7,681.72 |
$7,681.72 |
$7,681.72 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$93.25 |
$93.25 |
$93.25 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$874.63 |
$874.63 |
$874.63 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$812.34 |
$812.34 |
$812.34 |
$62.28
|
|
Blood Culture Test
|
$1,341.19 |
$1,341.19 |
$1,341.19 |
$144.65
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$569.53 |
$569.53 |
$569.53 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$569.53 |
$569.53 |
$569.53 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$525.04 |
$525.04 |
$525.04 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$1,058.97 |
$1,058.97 |
$1,058.97 |
$37.44
|
|
Blood typing abo
|
$288.58 |
$288.58 |
$288.58 |
$83.82
|
|
Blood typing patient serum
|
$450.07 |
$450.07 |
$450.07 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$441.13 |
$441.13 |
$441.13 |
$181.74
|
|
Blood typing rh (d)
|
$424.61 |
$424.61 |
$424.61 |
$56.24
|
|
Bone Density Scan (DEXA)
|
$2,568.33 |
$2,568.33 |
$2,568.33 |
$395.00
|
|
Bone imaging multiple areas
|
$3,528.07 |
$3,528.07 |
$3,528.07 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$6,519.61 |
$6,519.61 |
$6,519.61 |
$1,151.16
|
|
Bone marrow imaging body
|
$10,024.80 |
$10,024.80 |
$10,024.80 |
$973.73
|
|
Bone marrow interpretation
|
$378.83 |
$378.83 |
$378.83 |
$439.78
|
|
Bone survey-lead poisoning
|
$6,968.13 |
$6,968.13 |
$6,968.13 |
$346.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$1,109.81 |
$1,109.81 |
$1,109.81 |
$98.57
|
|
(both sides) smear without diff wbc count
|
$302.56 |
$302.56 |
$302.56 |
$33.57
|
|
Bowel imaging
|
$5,310.53 |
$5,310.53 |
$5,310.53 |
$1,186.25
|
|
Brace ank air stirrup univ
|
$301.00 |
$301.00 |
$301.00 |
$56.65
|
|
Brace ankle stablizing lg
|
$387.00 |
$387.00 |
$387.00 |
$113.10
|
|
Brachy source yttrium-90
|
$73,177.56 |
$73,177.56 |
$73,177.56 |
$32,024.61
|
|
Brachy src nonstrand hdr ir-192
|
$13,878.00 |
$13,878.00 |
$13,878.00 |
$378.98
|
|
Braf gene
|
$625.47 |
$625.47 |
$625.47 |
$421.20
|
|
Brain flow imaging only
|
$5,835.62 |
$5,835.62 |
$5,835.62 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$20,488.72 |
$20,488.72 |
$20,488.72 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$14,792.79 |
$14,792.79 |
$14,792.79 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$14,792.79 |
$14,792.79 |
$14,792.79 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$20,488.72 |
$20,488.72 |
$20,488.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,792.79 |
$14,792.79 |
$14,792.79 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$14,794.04 |
$14,794.04 |
$14,794.04 |
$1,927.04
|
|
Bronchial challenge
|
$16,034.60 |
$16,034.60 |
$16,034.60 |
$835.20
|
|
Bundled special stain group 2
|
$1,981.91 |
$1,981.91 |
$1,981.91 |
$169.60
|
|
Bypass temp external fem-fem
|
$1,975.22 |
$1,975.22 |
$1,975.22 |
$2,428.80
|
|
Caffeine citrate 20 mg/ml inj for po
|
$335.66 |
$335.66 |
$335.66 |
$43.81
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,386.88 |
$7,386.88 |
$7,386.88 |
$2,910.00
|
|
Calcium 24 hour urine
|
$991.59 |
$991.59 |
$991.59 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$5.09 |
$5.09 |
$5.09 |
$2.47
|
|
Calcium total
|
$908.95 |
$908.95 |
$908.95 |
$48.75
|
|
Calculi urinary-sendout
|
$1,309.40 |
$1,309.40 |
$1,309.40 |
$68.05
|
|
Calculus analysis qual
|
$1,229.31 |
$1,229.31 |
$1,229.31 |
$29.60
|
|
Calprotectin fecal
|
$1,957.75 |
$1,957.75 |
$1,957.75 |
$170.00
|
|
Capecitabine, oral, 50 mg
|
$7.56 |
$7.56 |
$7.56 |
$46.43
|
|
Carbamazepine free
|
$1,103.17 |
$1,103.17 |
$1,103.17 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$1,310.68 |
$1,310.68 |
$1,310.68 |
$113.25
|
|
Carbohydrate urine - sendout
|
$762.76 |
$762.76 |
$762.76 |
$43.51
|
|
Carbon dioxide
|
$877.18 |
$877.18 |
$877.18 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$581.70 |
$581.70 |
$581.70 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$601.31 |
$601.31 |
$601.31 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$1,634.85 |
$1,634.85 |
$1,634.85 |
$146.90
|
|
Cardiac MRI w/stress img
|
$12,856.78 |
$12,856.78 |
$12,856.78 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$29,465.41 |
$29,465.41 |
$29,465.41 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$6,383.58 |
$6,383.58 |
$6,383.58 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$6,553.95 |
$6,553.95 |
$6,553.95 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,250.32 |
$1,250.32 |
$1,250.32 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$233.35 |
$233.35 |
$233.35 |
$195.00
|
|
Cardioversion/elective/internal 92961
|
$9,215.94 |
$9,215.94 |
$9,215.94 |
$1,001.38
|
|
Carotene
|
$919.13 |
$919.13 |
$919.13 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$12,137.83 |
$12,137.83 |
$12,137.83 |
$1,067.40
|
|
Catheter declot mechanical
|
$13,351.49 |
$13,351.49 |
$13,351.49 |
$1,838.28
|
|
Cdna analysis for variants
|
$2,325.14 |
$2,325.14 |
$2,325.14 |
$564.86
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$435.46 |
$435.46 |
$435.46 |
$29.03
|
|
#celiac hla-dq2
|
$625.47 |
$625.47 |
$625.47 |
$226.28
|
|
Cerebrospinal fld flw imag
|
$13,341.82 |
$13,341.82 |
$13,341.82 |
$884.00
|
|
Cftr gene dup/delet variants
|
$742.42 |
$742.42 |
$742.42 |
$849.00
|
|
Chemo adm cns w/lmbr punct
|
$1,241.51 |
$1,241.51 |
$1,241.51 |
$722.70
|
|
Chemo ia infusion up to 1 hr
|
$1,628.46 |
$1,628.46 |
$1,628.46 |
$604.89
|
|
Chemo ia push tecnique
|
$419.65 |
$419.65 |
$419.65 |
$500.20
|
|
Chest 2 vws w oblique
|
$3,297.64 |
$3,297.64 |
$3,297.64 |
$373.20
|
|
Chest apical lordotic proj
|
$3,258.60 |
$3,258.60 |
$3,258.60 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$15,523.22 |
$15,523.22 |
$15,523.22 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$13,068.31 |
$13,068.31 |
$13,068.31 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$9,461.45 |
$9,461.45 |
$9,461.45 |
$1,350.03
|
|
Chest X-ray
|
$2,021.67 |
$2,021.67 |
$2,021.67 |
$294.06
|
|
Chg pr pul rehab for copd patients
|
$525.34 |
$525.34 |
$525.34 |
$150.00
|
|
Chlamydia culture
|
$1,578.91 |
$1,578.91 |
$1,578.91 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$934.38 |
$934.38 |
$934.38 |
$30.40
|
|
Chlamydia type
|
$857.23 |
$857.23 |
$857.23 |
$34.75
|
|
Chloramphenicol sodium injec
|
$416.18 |
$416.18 |
$416.18 |
$122.59
|
|
Chloride 24 hour urine
|
$1,178.47 |
$1,178.47 |
$1,178.47 |
$46.13
|
|
Chloroprocaine hcl injection
|
$53.98 |
$53.98 |
$53.98 |
$78.26
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$255.15 |
$255.15 |
$255.15 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,715.96 |
$4,715.96 |
$4,715.96 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$18,825.44 |
$18,825.44 |
$18,825.44 |
$3,856.84
|
|
Cholesterol
|
$877.18 |
$877.18 |
$877.18 |
$46.15
|
|
Cholesterol body fluid
|
$1,903.09 |
$1,903.09 |
$1,903.09 |
$92.80
|
