|
Blood Culture Test
|
$295.43 |
$295.43 |
$295.43 |
$144.65
|
|
Blood draw capillary 36416
|
$62.06 |
$62.06 |
$62.06 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$517.87 |
$517.87 |
$517.87 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$258.01 |
$258.01 |
$258.01 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$103.10 |
$103.10 |
$103.10 |
$33.57
|
|
Blood smear interpretation
|
$69.08 |
$69.08 |
$69.08 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$165.01 |
$165.01 |
$165.01 |
$37.44
|
|
Blood typing abo
|
$162.75 |
$162.75 |
$162.75 |
$83.82
|
|
Blood typing ag donor ea ag
|
$210.37 |
$210.37 |
$210.37 |
$166.80
|
|
Blood typing rh (d)
|
$121.49 |
$121.49 |
$121.49 |
$56.24
|
|
Bone Density Scan (DEXA)
|
$567.84 |
$567.84 |
$567.84 |
$395.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$488.03 |
$488.03 |
$488.03 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$260.93 |
$260.93 |
$260.93 |
$1,683.04
|
|
Brachytx isodose complex
|
$2,599.35 |
$2,599.35 |
$2,599.35 |
$1,631.00
|
|
Brachytx isodose intermed
|
$4,380.20 |
$4,380.20 |
$4,380.20 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$4,163.04 |
$4,163.04 |
$4,163.04 |
$817.20
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,908.13 |
$3,908.13 |
$3,908.13 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$5,941.03 |
$5,941.03 |
$5,941.03 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$4,391.63 |
$4,391.63 |
$4,391.63 |
$1,927.04
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$57.12 |
$57.12 |
$57.12 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$211.52 |
$211.52 |
$211.52 |
$164.89
|
|
Bundled special stain group 2
|
$238.37 |
$238.37 |
$238.37 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$175.50 |
$175.50 |
$175.50 |
$30.97
|
|
Buprenorph X-ray 100 mg or less
|
$7,018.98 |
$7,018.98 |
$7,018.98 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$53.69 |
$53.69 |
$53.69 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$4,836.85 |
$4,836.85 |
$4,836.85 |
$2,264.77
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$3,953.06 |
$3,953.06 |
$3,953.06 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,038.33 |
$2,038.33 |
$2,038.33 |
$2,910.00
|
|
Calcium 24 hour urine
|
$97.72 |
$97.72 |
$97.72 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$266.98 |
$266.98 |
$266.98 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$173.47 |
$173.47 |
$173.47 |
$92.91
|
|
Calcium ionized
|
$261.60 |
$261.60 |
$261.60 |
$86.35
|
|
Calcium total
|
$83.62 |
$83.62 |
$83.62 |
$48.75
|
|
Calprotectin fecal
|
$585.07 |
$585.07 |
$585.07 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$266.11 |
$266.11 |
$266.11 |
$113.25
|
|
Carbon dioxide
|
$106.92 |
$106.92 |
$106.92 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$125.58 |
$125.58 |
$125.58 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$154.67 |
$154.67 |
$154.67 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$326.49 |
$326.49 |
$326.49 |
$146.90
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,431.61 |
$2,431.61 |
$2,431.61 |
$1,504.08
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,602.58 |
$1,602.58 |
$1,602.58 |
$1,067.40
|
|
Cataract Surgery
|
$19,639.33 |
$19,639.33 |
$19,639.33 |
$3,173.34
|
|
Cauterization chemical granulation tissue
|
$942.01 |
$942.01 |
$942.01 |
$351.78
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$292.89 |
$292.89 |
$292.89 |
$42.00
|
|
Cefoxitin 1 gram intravenous solution
|
$101.28 |
$101.28 |
$101.28 |
$52.04
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$126.20 |
$126.20 |
$126.20 |
$51.66
|
|
Ceftriaxone 1 gram solution for injection
|
$173.29 |
$173.29 |
$173.29 |
$86.58
|
|
Cell count body fluid
|
$92.12 |
$92.12 |
$92.12 |
$63.52
|
|
Cell count w differential body fluid
|
$123.89 |
$123.89 |
$123.89 |
$95.55
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$11,151.58 |
$11,151.58 |
$11,151.58 |
$30,922.02
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$594.93 |
$594.93 |
$594.93 |
$3,358.00
|
|
Change cystostomy tube; complex 51710
|
$3,864.39 |
$3,864.39 |
$3,864.39 |
$1,546.40
|
|
Change cystostomy tube simple
|
$946.28 |
$946.28 |
$946.28 |
$479.00
|
|
Chest CT scan (with and without contrast)
|
$4,690.98 |
$4,690.98 |
$4,690.98 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$4,293.93 |
$4,293.93 |
$4,293.93 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,738.47 |
$3,738.47 |
$3,738.47 |
$1,350.03
|
|
Chest X-ray
|
$923.84 |
$923.84 |
$923.84 |
$294.06
|
|
Chest X-ray (single view)
|
$687.73 |
$687.73 |
$687.73 |
$229.08
|
|
Chloride
|
$120.30 |
$120.30 |
$120.30 |
$38.50
|
|
Chloride 24 hour urine
|
$129.84 |
$129.84 |
$129.84 |
$46.13
|
|
Chloroprocaine hcl injection
|
$56.07 |
$56.07 |
$56.07 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$117.87 |
$117.87 |
$117.87 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$221.89 |
$221.89 |
$221.89 |
$89.81
|
|
Cholesterol
|
$185.22 |
$185.22 |
$185.22 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$324.18 |
$324.18 |
$324.18 |
$115.70
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$141.07 |
$141.07 |
$141.07 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$127.11 |
$127.11 |
$127.11 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$718.76 |
$718.76 |
$718.76 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$191.70 |
$191.70 |
$191.70 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$36.14 |
$36.14 |
$36.14 |
$81.02
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,350.29 |
$1,350.29 |
$1,350.29 |
$480.80
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,300.33 |
$2,300.33 |
$2,300.33 |
$716.95
|
|
Clsd tx elbow dislocation child 24640
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$762.39 |
$762.39 |
$762.39 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,663.55 |
$2,663.55 |
$2,663.55 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,711.83 |
$8,711.83 |
$8,711.83 |
$1,893.86
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,445.05 |
$1,445.05 |
$1,445.05 |
$716.95
|
|
Clsd tx patella disloc without anes 27560
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$665.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$3,561.32 |
$3,561.32 |
$3,561.32 |
$506.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$692.03
|
|
Cltx tmprmand dislc comp
|
$8,402.81 |
$8,402.81 |
$8,402.81 |
$3,786.00
|
|
Cocaine 4 % nasal solution
|
$1,027.32 |
$1,027.32 |
$1,027.32 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$130.83 |
$130.83 |
$130.83 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$270.06 |
$270.06 |
$270.06 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$419.78 |
$419.78 |
$419.78 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$67.16 |
$67.16 |
$67.16 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$315.85 |
$315.85 |
$315.85 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$128.09 |
$128.09 |
$128.09 |
$159.95
|
|
Complement antigen each component c3
|
$304.41 |
$304.41 |
$304.41 |
$113.13
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$2,771.61 |
$2,771.61 |
$2,771.61 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,440.06 |
$1,440.06 |
$1,440.06 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,824.68 |
$1,824.68 |
$1,824.68 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,125.35 |
$2,125.35 |
$2,125.35 |
$590.20
|
|
Concentration infection agents any type
|
$110.38 |
$110.38 |
$110.38 |
$50.70
|
|
Condylomata destruction 56420
|
$1,597.38 |
$1,597.38 |
$1,597.38 |
$503.67
|
|
Control nosebleed pack+caut 30905
|
$906.38 |
$906.38 |
$906.38 |
$460.17
|
|
Control of nosebleedantersmpl 30901
|
$940.56 |
$940.56 |
$940.56 |
$385.45
|
|
Coombs direct
|
$153.56 |
$153.56 |
$153.56 |
$71.74
|