|
Blood smear interpretation
|
$69.08 |
$69.08 |
$69.08 |
$79.20
|
|
Blood smear microscopic w manual differential wbc count
|
$122.23 |
$122.23 |
$122.23 |
$37.05
|
|
Blood typing abo
|
$200.00 |
$200.00 |
$200.00 |
$83.03
|
|
Blood typing rh (d)
|
$120.44 |
$120.44 |
$120.44 |
$57.10
|
|
Bone Density Scan (DEXA)
|
$948.54 |
$948.54 |
$948.54 |
$395.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$527.99 |
$527.99 |
$527.99 |
$96.72
|
|
Borrelia miyamotoi amp prb
|
$184.50 |
$184.50 |
$184.50 |
$91.25
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$713.97 |
$713.97 |
$713.97 |
$2,105.38
|
|
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)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$7,480.33 |
$7,480.33 |
$7,480.33 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,610.68 |
$5,610.68 |
$5,610.68 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$1,949.38
|
|
Brcassure comprehensive panel-sendout
|
$15,185.96 |
$15,185.96 |
$15,185.96 |
$2,299.75
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$39.64 |
$39.64 |
$39.64 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$380.34 |
$380.34 |
$380.34 |
$165.10
|
|
Bundled special stain group 2
|
$323.23 |
$323.23 |
$323.23 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$101.97 |
$101.97 |
$101.97 |
$39.23
|
|
Buprenorphine and metabolite - sendout
|
$112.48 |
$112.48 |
$112.48 |
$85.79
|
|
Buprenorph X-ray 100 mg or less
|
$2,531.81 |
$2,531.81 |
$2,531.81 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$33.61 |
$33.61 |
$33.61 |
$43.70
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$10,344.50 |
$10,344.50 |
$10,344.50 |
$25,362.42
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$742.30 |
$742.30 |
$742.30 |
$2,802.31
|
|
Calcium 24 hour urine
|
$97.72 |
$97.72 |
$97.72 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$621.90 |
$621.90 |
$621.90 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$384.07 |
$384.07 |
$384.07 |
$91.04
|
|
Calcium ionized
|
$273.99 |
$273.99 |
$273.99 |
$88.40
|
|
Calcium total
|
$83.62 |
$83.62 |
$83.62 |
$48.75
|
|
Calprotectin fecal
|
$358.31 |
$358.31 |
$358.31 |
$169.20
|
|
Carbon dioxide
|
$73.26 |
$73.26 |
$73.26 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$311.89 |
$311.89 |
$311.89 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$108.47 |
$108.47 |
$108.47 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$328.52 |
$328.52 |
$328.52 |
$146.25
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$399.62 |
$399.62 |
$399.62 |
$258.10
|
|
Cardiolipin antibody iga
|
$311.81 |
$311.81 |
$311.81 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,315.14 |
$3,315.14 |
$3,315.14 |
$1,519.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,834.79 |
$1,834.79 |
$1,834.79 |
$1,068.06
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$684.37 |
$684.37 |
$684.37 |
$50.70
|
|
Cefoxitin 1 gram intravenous solution
|
$47.26 |
$47.26 |
$47.26 |
$63.20
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$56.49 |
$56.49 |
$56.49 |
$59.79
|
|
Ceftriaxone 1 gram solution for injection
|
$383.64 |
$383.64 |
$383.64 |
$81.36
|
|
Cell count w differential body fluid
|
$110.82 |
$110.82 |
$110.82 |
$97.83
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$29,273.94 |
$29,273.94 |
$29,273.94 |
$30,629.12
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,797.52 |
$1,797.52 |
$1,797.52 |
$3,868.18
|
|
Change cystostomy tube simple
|
$864.22 |
$864.22 |
$864.22 |
$527.34
|
|
Chest apical lordotic proj
|
$1,356.45 |
$1,356.45 |
$1,356.45 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$2,829.03 |
$2,829.03 |
$2,829.03 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$3,347.79 |
$3,347.79 |
$3,347.79 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$2,845.58 |
$2,845.58 |
$2,845.58 |
$1,350.03
|
|
Chest X-ray
|
$474.26 |
$474.26 |
$474.26 |
$302.90
|
|
Chest X-ray (single view)
|
$395.22 |
$395.22 |
$395.22 |
$246.94
|
|
Chloride
|
$165.99 |
$165.99 |
$165.99 |
$39.05
|
|
Chloride 24 hour urine
|
$139.88 |
$139.88 |
$139.88 |
$46.13
|
|
Chloroprocaine hcl injection
|
$34.74 |
$34.74 |
$34.74 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$70.83 |
$70.83 |
$70.83 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$127.04 |
$127.04 |
$127.04 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,580.88 |
$1,580.88 |
$1,580.88 |
$625.60
|
|
Cholesterol
|
$147.24 |
$147.24 |
$147.24 |
$46.15
|
|
Cholesterol body fluid
|
$273.50 |
$273.50 |
$273.50 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$320.23 |
$320.23 |
$320.23 |
$115.70
|
|
Chromatography
|
$106.49 |
$106.49 |
$106.49 |
$77.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$308.47 |
$308.47 |
$308.47 |
$60.00
|
|
Cisplatin 1 mg/ml desensitization
|
$316.43 |
$316.43 |
$316.43 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,340.55 |
$2,340.55 |
$2,340.55 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$426.60 |
$426.60 |
$426.60 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$27.87 |
$27.87 |
$27.87 |
$81.90
|
|
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
|
$234.98 |
$234.98 |
$234.98 |
$508.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,711.83 |
$8,711.83 |
$8,711.83 |
$1,893.86
|
|
Clsd tx humerus fract without manip 24500
|
$1,464.27 |
$1,464.27 |
$1,464.27 |
$558.40
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$692.03
|
|
Cocaine 4 % nasal solution
|
$2,337.58 |
$2,337.58 |
$2,337.58 |
$807.71
|
|
Collection blood specimen from completely implantable venous access device
|
$549.83 |
$549.83 |
$549.83 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$232.41 |
$232.41 |
$232.41 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$62.48 |
$62.48 |
$62.48 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$265.61 |
$265.61 |
$265.61 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$226.21 |
$226.21 |
$226.21 |
$169.52
|
|
Complement antigen each component c3
|
$238.26 |
$238.26 |
$238.26 |
$111.15
|
|
Complx repair fccmnaxghf 13131
|
$2,771.61 |
$2,771.61 |
$2,771.61 |
$942.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,125.35 |
$2,125.35 |
$2,125.35 |
$576.66
|
|
Concentration infection agents any type
|
$99.14 |
$99.14 |
$99.14 |
$51.32
|
|
Consultation/report referred material w/preparation of slides
|
$1,678.23 |
$1,678.23 |
$1,678.23 |
$239.85
|
|
Control of nosebleedantersmpl 30901
|
$940.56 |
$940.56 |
$940.56 |
$385.45
|
|
Coombs direct
|
$192.57 |
$192.57 |
$192.57 |
$73.26
|
|
Cortisol total am
|
$360.71 |
$360.71 |
$360.71 |
$122.20
|
|
#covid19rsv-rsv
|
$532.47 |
$532.47 |
$532.47 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$170.16 |
$170.16 |
$170.16 |
$65.36
|
|
C-peptide
|
$125.19 |
$125.19 |
$125.19 |
$100.00
|
|
C-reactive protein
|
$173.90 |
$173.90 |
$173.90 |
$63.00
|
|
C-reactive protein high sensitivity
|
$336.72 |
$336.72 |
$336.72 |
$91.65
|
|
Creatine kinase
|
$249.80 |
$249.80 |
$249.80 |
$59.78
|
|
Creatine kinase mb
|
$384.23 |
$384.23 |
$384.23 |
$111.00
|
|
Creatinine
|
$158.09 |
$158.09 |
$158.09 |
$44.10
|
|
Creatinine 24 hour urine
|
$215.58 |
$215.58 |
$215.58 |
$59.80
|
|
#creutz-prot.,western blot
|
$219.80 |
$219.80 |
$219.80 |
$173.00
|
|
Critical care 30-74 minutes
|
$3,187.80 |
$3,187.80 |
$3,187.80 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,597.43 |
$1,597.43 |
$1,597.43 |
$777.00
|