|
Cytopath tbs c/v manual
|
$29.61 |
$29.61 |
$29.61 |
$57.94
|
|
Dalbavancin 500 mg intravenous solution
|
$2,617.80 |
$2,617.80 |
$2,617.80 |
$3,643.02
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$232.95 |
$232.95 |
$232.95 |
$324.00
|
|
Dch validity tests
|
$61.11 |
$61.11 |
$61.11 |
$25.00
|
|
Debridement (>20 cm) charge pt
|
$224.91 |
$224.91 |
$224.91 |
$262.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$487.62 |
$487.62 |
$487.62 |
$510.95
|
|
Desmopressin 4 mcg/ml injection solution
|
$151.85 |
$151.85 |
$151.85 |
$151.85
|
|
Developmental screen/score/document 96110
|
$279.34 |
$279.34 |
$279.34 |
$136.64
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$119.00 |
$119.00 |
$119.00 |
$196.30
|
|
Dexamethasone 4 mg tablet
|
$8.34 |
$8.34 |
$8.34 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$70.66 |
$70.66 |
$70.66 |
$23.27
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$103.66 |
$103.66 |
$103.66 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$105.03 |
$105.03 |
$105.03 |
$71.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$102.98 |
$102.98 |
$102.98 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$103.66 |
$103.66 |
$103.66 |
$57.38
|
|
Diabetes (HbA1c) Test
|
$95.13 |
$95.13 |
$95.13 |
$77.37
|
|
Dialysis one evaluation
|
$1,499.40 |
$1,499.40 |
$1,499.40 |
$827.97
|
|
Digital analysis of eeg
|
$371.70 |
$371.70 |
$371.70 |
$625.95
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$70.66 |
$70.66 |
$70.66 |
$62.20
|
|
Digoxin total therapeutic drug level
|
$89.46 |
$89.46 |
$89.46 |
$99.35
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.91 |
$0.91 |
$0.91 |
$1.51
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$70.66 |
$70.66 |
$70.66 |
$20.55
|
|
Dna antibody native/double stranded
|
$200.45 |
$200.45 |
$200.45 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$70.66 |
$70.66 |
$70.66 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$100.93 |
$100.93 |
$100.93 |
$64.77
|
|
Dornase alfa non-comp unit
|
$199.69 |
$199.69 |
$199.69 |
$479.80
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$168.22 |
$168.22 |
$168.22 |
$89.34
|
|
Drug test prsmv instrmnt
|
$62.79 |
$62.79 |
$62.79 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$280.95 |
$280.95 |
$280.95 |
$286.55
|
|
Ecg 12 lead tracing only
|
$76.23 |
$76.23 |
$76.23 |
$243.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$274.05 |
$274.05 |
$274.05 |
$737.10
|
|
Eeg monitor/record/awake/drowsy 95816
|
$955.71 |
$955.71 |
$955.71 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$808.29 |
$808.29 |
$808.29 |
$911.00
|
|
Eeg recording awake and asleep
|
$1,246.14 |
$1,246.14 |
$1,246.14 |
$994.00
|
|
Electrical stimulation/unattended 97014
|
$66.00 |
$66.00 |
$66.00 |
$82.20
|
|
Electrolyte panel
|
$78.12 |
$78.12 |
$78.12 |
$88.78
|
|
Endoscopy swallow (fees) vid
|
$286.65 |
$286.65 |
$286.65 |
$408.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$654.68 |
$654.68 |
$654.68 |
$109.71
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$70.66 |
$70.66 |
$70.66 |
$441.60
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$779.63 |
$779.63 |
$779.63 |
$840.97
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,377.04 |
$1,377.04 |
$1,377.04 |
$780.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$655.90 |
$655.90 |
$655.90 |
$268.61
|
|
Euglobulin lysis
|
$154.98 |
$154.98 |
$154.98 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$286.65 |
$286.65 |
$286.65 |
$375.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$323.82 |
$323.82 |
$323.82 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$242.55 |
$242.55 |
$242.55 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$318.50 |
$318.50 |
$318.50 |
$324.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$12.88 |
$12.88 |
$12.88 |
$104.80
|
|
Factor ix
|
$190.89 |
$190.89 |
$190.89 |
$139.75
|
|
Factor viii
|
$98.91 |
$98.91 |
$98.91 |
$152.10
|
|
Family therapy without pt 50min 90846
|
$333.90 |
$333.90 |
$333.90 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$333.90 |
$333.90 |
$333.90 |
$231.60
|
|
#fecal-sodium
|
$34.65 |
$34.65 |
$34.65 |
$38.50
|
|
Ferritin
|
$95.13 |
$95.13 |
$95.13 |
$103.27
|
|
Fetal fibronectin
|
$500.85 |
$500.85 |
$500.85 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$94.50 |
$94.50 |
$94.50 |
$85.23
|
|
Fetal hemoglobin rosette
|
$63.63 |
$63.63 |
$63.63 |
$73.15
|
|
Fibrin degradation d dimer quantitative
|
$20.16 |
$20.16 |
$20.16 |
$111.55
|
|
Fibrinogen activity
|
$132.30 |
$132.30 |
$132.30 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$34.02 |
$34.02 |
$34.02 |
$69.55
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$42.84 |
$42.84 |
$42.84 |
$61.10
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,183.60 |
$1,183.60 |
$1,183.60 |
$998.68
|
|
Flow cytometry interp 16 or more
|
$127.89 |
$127.89 |
$127.89 |
$208.80
|
|
Flow cytometry marker each additional
|
$99.54 |
$99.54 |
$99.54 |
$102.00
|
|
Flow cytometry one marker technical component
|
$148.05 |
$148.05 |
$148.05 |
$276.90
|
|
#flow interp 9 - 15 markers
|
$104.58 |
$104.58 |
$104.58 |
$202.15
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$138.25 |
$138.25 |
$138.25 |
$79.71
|
|
Fluoroguide needle placement
|
$365.40 |
$365.40 |
$365.40 |
$535.00
|
|
Folic acid
|
$14.49 |
$14.49 |
$14.49 |
$87.50
|
|
Fondaparinux sodium
|
$330.34 |
$330.34 |
$330.34 |
$150.24
|
|
Foot X-ray
|
$441.00 |
$441.00 |
$441.00 |
$364.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$70.66 |
$70.66 |
$70.66 |
$94.85
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$294.70 |
$294.70 |
$294.70 |
$190.45
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$401.80 |
$401.80 |
$401.80 |
$178.75
|
|
Fresh frozen plasma thawing ea un
|
$641.97 |
$641.97 |
$641.97 |
$117.61
|
|
Frozen plasma, pooled, sd
|
$510.30 |
$510.30 |
$510.30 |
$122.15
|
|
Furosemide 10 mg/ml injection solution
|
$70.66 |
$70.66 |
$70.66 |
$19.53
|
|
Gammaglobulin iga
|
$56.70 |
$56.70 |
$56.70 |
$77.35
|
|
Gammaglobulin ige
|
$107.10 |
$107.10 |
$107.10 |
$85.00
|
|
Gamma glutamyltransferase
|
$13.86 |
$13.86 |
$13.86 |
$55.28
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$70.66 |
$70.66 |
$70.66 |
$44.64
|
|
Gentamicin peak therapeutic drug level
|
$90.09 |
$90.09 |
$90.09 |
$118.30
|
|
Ghs antibodies (torch) igm
|
$82.11 |
$82.11 |
$82.11 |
$77.85
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$214.20 |
$214.20 |
$214.20 |
$133.00
|
|
Ghs community re-entry 15 minutes
|
$85.79 |
$85.79 |
$85.79 |
$87.60
|
|
Ghs hgb stability-thal
|
$159.39 |
$159.39 |
$159.39 |
$85.28
|
|
Ghs inhibitor screen
|
$200.97 |
$200.97 |
$200.97 |
$158.76
|
|
Ghs o2 uptake rest & indirect
|
$366.03 |
$366.03 |
$366.03 |
$197.43
|
|
Ghs ot prosthetic training/15 min
|
$96.05 |
$96.05 |
$96.05 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$82.12 |
$82.12 |
$82.12 |
$101.50
|
|
Ghs ot work hardening-additional hours
|
$66.00 |
$66.00 |
$66.00 |
$111.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,244.50 |
$3,244.50 |
$3,244.50 |
$3,705.80
|
|
Ghs pr without cont pulse ox
|
$105.21 |
$105.21 |
$105.21 |
$157.30
|
|
Ghs pt - work hardening/int 2hrs
|
$127.59 |
$127.59 |
$127.59 |
$230.40
|
|
Ghs sedimentation rate
|
$46.62 |
$46.62 |
$46.62 |
$45.50
|
|
Ghs semen analysis fert
|
$116.55 |
$116.55 |
$116.55 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$192.15 |
$192.15 |
$192.15 |
$59.90
|
|
Ghs sleep study unattended
|
$359.80 |
$359.80 |
$359.80 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$293.58 |
$293.58 |
$293.58 |
$249.60
|
