|
Assay of lap enzyme
|
$1,241.49 |
$1,241.49 |
$1,241.49 |
$73.50
|
|
Assay of pregnanetriol
|
$1,872.66 |
$1,872.66 |
$1,872.66 |
$85.85
|
|
Assay of procainamide
|
$567.15 |
$567.15 |
$567.15 |
$114.91
|
|
Assay of procainamide w/metab
|
$558.25 |
$558.25 |
$558.25 |
$70.50
|
|
Assay of progesterone
|
$2,538.09 |
$2,538.09 |
$2,538.09 |
$285.19
|
|
Assay of sialic acid
|
$680.29 |
$680.29 |
$680.29 |
$92.50
|
|
Assay of somatostatin
|
$1,402.28 |
$1,402.28 |
$1,402.28 |
$165.00
|
|
Assay of thiocyanate
|
$1,016.73 |
$1,016.73 |
$1,016.73 |
$65.00
|
|
Assay of urine sulfate
|
$299.20 |
$299.20 |
$299.20 |
$29.04
|
|
Assay of urine urobilinogen
|
$504.65 |
$504.65 |
$504.65 |
$13.18
|
|
Assay phosphatidylglycerol
|
$847.04 |
$847.04 |
$847.04 |
$134.16
|
|
Assay toxin or antitoxin
|
$1,135.81 |
$1,135.81 |
$1,135.81 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$724.45 |
$724.45 |
$724.45 |
$292.50
|
|
Ast/sgot
|
$379.60 |
$379.60 |
$379.60 |
$45.65
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$978.84 |
$978.84 |
$978.84 |
$186.60
|
|
Autologous blood process
|
$298.61 |
$298.61 |
$298.61 |
$262.50
|
|
Azathioprine 50 mg tablet
|
$32.70 |
$32.70 |
$32.70 |
$3.46
|
|
Baclofen eval charges
|
$232.05 |
$232.05 |
$232.05 |
$85.00
|
|
Bartonella dna pcr-sendout
|
$2,331.17 |
$2,331.17 |
$2,331.17 |
$195.66
|
|
Battery elec/combo vad, rep
|
$20,223.00 |
$20,223.00 |
$20,223.00 |
$1,489.00
|
|
#_benzodiazconfur
|
$681.78 |
$681.78 |
$681.78 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$846.77 |
$846.77 |
$846.77 |
$103.20
|
|
Beta-2 microglobulin
|
$1,055.43 |
$1,055.43 |
$1,055.43 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$132.27 |
$132.27 |
$132.27 |
$64.15
|
|
Bilirubin direct
|
$735.36 |
$735.36 |
$735.36 |
$49.86
|
|
Binder abdominal lg 12 x 62-74
|
$293.00 |
$293.00 |
$293.00 |
$49.68
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$7,012.71 |
$7,012.71 |
$7,012.71 |
$2,716.95
|
|
Bivalirudin
|
$615.86 |
$615.86 |
$615.86 |
$1,019.23
|
|
Blood clot lysis time
|
$111.65 |
$111.65 |
$111.65 |
$47.06
|
|
Blood Clotting (PTT) Test
|
$668.39 |
$668.39 |
$668.39 |
$73.15
|
|
Blood Count (CBC) Test (without differential)
|
$766.65 |
$766.65 |
$766.65 |
$61.80
|
|
Blood Culture Test
|
$592.47 |
$592.47 |
$592.47 |
$145.60
|
|
Blood gases o2 saturation direct measurement
|
$3,152.87 |
$3,152.87 |
$3,152.87 |
$220.35
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$168.21 |
$168.21 |
$168.21 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$282.86 |
$282.86 |
$282.86 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$260.51 |
$260.51 |
$260.51 |
$38.61
|
|
Blood typing abo
|
$282.86 |
$282.86 |
$282.86 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$710.07 |
$710.07 |
$710.07 |
$199.50
|
|
Blood typing rh (d)
|
$172.70 |
$172.70 |
$172.70 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$826.19 |
$826.19 |
$826.19 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$841.67 |
$841.67 |
$841.67 |
$397.28
|
|
Bone/joint imaging ltd area
|
$4,682.55 |
$4,682.55 |
$4,682.55 |
$1,013.50
|
|
Bone marrow imaging ltd
|
$4,415.04 |
$4,415.04 |
$4,415.04 |
$811.00
|
|
Bone marrow interpretation
|
$1,597.29 |
$1,597.29 |
$1,597.29 |
$542.03
|
|
Bone survey-lead poisoning
|
$2,115.52 |
$2,115.52 |
$2,115.52 |
$390.00
|
|
Boot softgait shrt m
|
$371.00 |
$371.00 |
$371.00 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$823.00 |
$823.00 |
$823.00 |
$173.88
|
|
Borrelia antibody
|
$1,829.51 |
$1,829.51 |
$1,829.51 |
$77.84
|
|
Bowel imaging
|
$4,635.92 |
$4,635.92 |
$4,635.92 |
$1,065.00
|
|
Brace afo lg left 6607
|
$3,163.00 |
$3,163.00 |
$3,163.00 |
$461.76
|
|
Brace back pinnacle tlso 464
|
$3,702.00 |
$3,702.00 |
$3,702.00 |
$2,283.03
|
|
Brace back t-lso custom
|
$17,198.00 |
$17,198.00 |
$17,198.00 |
$3,517.55
|
|
Brace kafo dbl upright cust
|
$10,087.00 |
$10,087.00 |
$10,087.00 |
$3,609.22
|
|
Brace knee extender plus 22-30in
|
$59.00 |
$59.00 |
$59.00 |
$676.06
|
|
Brace knee hing pat open med
|
$798.00 |
$798.00 |
$798.00 |
$213.82
|
|
Brace oths wrist hnd fngr without
|
$753.50 |
$753.50 |
$753.50 |
$245.00
|
|
Brace tlso flex cust
|
$10,338.00 |
$10,338.00 |
$10,338.00 |
$573.43
|
|
Brachy source iodine-125 nonstranded
|
$336.00 |
$336.00 |
$336.00 |
$66.76
|
|
Brain flow imaging only
|
$4,098.45 |
$4,098.45 |
$4,098.45 |
$636.97
|
|
Brain image 4+ views
|
$3,882.49 |
$3,882.49 |
$3,882.49 |
$952.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,994.56 |
$6,994.56 |
$6,994.56 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$6,046.73 |
$6,046.73 |
$6,046.73 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,959.61 |
$4,959.61 |
$4,959.61 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$12,336.83 |
$12,336.83 |
$12,336.83 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$8,652.28 |
$8,652.28 |
$8,652.28 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$7,289.34 |
$7,289.34 |
$7,289.34 |
$1,976.82
|
|
Bronchial challenge
|
$4,212.97 |
$4,212.97 |
$4,212.97 |
$777.60
|
|
Budesonide non-comp con
|
$96.64 |
$96.64 |
$96.64 |
$604.80
|
|
Budesonide non-comp unit
|
$145.57 |
$145.57 |
$145.57 |
$20.57
|
|
Bundled special stain group 2
|
$431.70 |
$431.70 |
$431.70 |
$173.40
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$16.38 |
$16.38 |
$16.38 |
$11.72
|
|
Buprenorphine oral 1mg
|
$29.96 |
$29.96 |
$29.96 |
$10.50
|
|
C1 esterase inhibitor func - sendout
|
$690.72 |
$690.72 |
$690.72 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$6,096.48 |
$6,096.48 |
$6,096.48 |
$2,111.64
|
|
Calcium 24 hour urine
|
$351.32 |
$351.32 |
$351.32 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$4.14 |
$4.14 |
$4.14 |
$2.70
|
|
Calcium ionized
|
$372.16 |
$372.16 |
$372.16 |
$89.88
|
|
Calcium total
|
$351.32 |
$351.32 |
$351.32 |
$50.00
|
|
Calprotectin fecal
|
$672.86 |
$672.86 |
$672.86 |
$169.95
|
|
Campylobacter antibody
|
$556.74 |
$556.74 |
$556.74 |
$77.83
|
|
Candida dna
|
$318.55 |
$318.55 |
$318.55 |
$62.50
|
|
Candida skin test
|
$376.63 |
$376.63 |
$376.63 |
$58.76
|
|
Capecitabine, oral, 50 mg
|
$122.58 |
$122.58 |
$122.58 |
$59.42
|
|
Carbamazepine free
|
$625.21 |
$625.21 |
$625.21 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$1,312.97 |
$1,312.97 |
$1,312.97 |
$120.25
|
|
Carbohydrate urine - sendout
|
$250.09 |
$250.09 |
$250.09 |
$66.64
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,610.90 |
$1,610.90 |
$1,610.90 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$872.33 |
$872.33 |
$872.33 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$918.47 |
$918.47 |
$918.47 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$8,777.32 |
$8,777.32 |
$8,777.32 |
$2,626.88
|
|
Car ion chnnlpath inc 10 gns
|
$4,616.18 |
$4,616.18 |
$4,616.18 |
$1,038.57
|
|
Carotene
|
$1,016.73 |
$1,016.73 |
$1,016.73 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$4,345.74 |
$4,345.74 |
$4,345.74 |
$1,007.40
|
|
Catecholamines,fractionated, urine
|
$727.94 |
$727.94 |
$727.94 |
$117.14
|
|
Catheterization collection of specimen single patient all places of service
|
$321.55 |
$321.55 |
$321.55 |
$40.95
|
|
Cath ext adhere actv m 28mm
|
$11.00 |
$11.00 |
$11.00 |
$1.81
|
|
Cath stripping venous s&i
|
$4,217.41 |
$4,217.41 |
$4,217.41 |
$682.34
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,757.96 |
$1,757.96 |
$1,757.96 |
$606.21
|
|
Ceftazidime and avibactam
|
$2,900.55 |
$2,900.55 |
$2,900.55 |
$904.66
|
