ASSAY DIPROPYLACETIC ACD TOT |
92.75 |
ASSAY OF BREATH ETHANOL |
62.5 |
ASSAY OF DIGOXIN TOTAL |
142.5 |
ASSAY OF FECES PORPHYRINS |
185.5 |
ASSAY OF VOLATILES |
123.5 |
BLD TYPING SEROLOGIC RH PHNT |
119.5 |
BLOOD TYPING RBC ANTIGENS |
247 |
BLOOD TYPING SEROLOGIC ABO |
119.5 |
BLOOD TYPING SEROLOGIC RH(D) |
119.5 |
BREAST TOMOSYNTHESIS BI |
59 |
CONTRAST X-RAY GALLBLADDER |
570 |
DRAIN/INJ MAJOR JOINT/BURSA W/O US |
648.75 |
DRAIN/INJ MAJOR JOINT/BURSA W/O US |
973.25 |
DRUG SCREEN QUANT GABAPENTIN |
58.25 |
DXA BONE DENSITY STUDY |
622.5 |
FETAL CHRMOML ANEUPLOIDY |
1,082.25 |
FLT3 GENE |
235 |
FLT3 GENE ANALYSIS |
117.75 |
FRACTURE ASSESSMENT VIA DXA |
132 |
HPV HIGH-RISK TYPES |
357 |
HPV TYPES 16 & 18 ONLY |
85.5 |
IADNA-DNA/RNA PROBE TQ 12-25 |
706.75 |
IMMUNOHISTO ANTIBODY ADDL SLIDE |
88.25 |
IMMUNOHISTO ANTIBODY SLIDE |
287.25 |
INSITU HYBRIDIZATION (FISH) |
317 |
INSITU HYBRIDIZATION AUTO |
263.25 |
INSITU HYBRIDIZATION MANUAL |
301 |
MYELOGRAPHY LUMBAR INJECTION |
4,808.75 |
NEG PRESS WOUND TX <=50 CM |
168 |
NEG PRESS WOUND TX <=50 CM |
205.5 |
NEG PRESS WOUND TX >50 CM |
320 |
NEG PRESS WOUND TX >50 CM |
392.5 |
QUANTITATIVE ASSAY DRUG |
91.25 |
TUMOR IMMUNOHISTOCHEM/COMPUT |
287.25 |
TUMOR IMMUNOHISTOCHEM/MANUAL |
247 |
ULTRASOUND BREAST COMPLETE |
947 |
ULTRASOUND BREAST COMPLETE |
1,894.75 |
ULTRASOUND BREAST LIMITED |
985 |
ULTRASOUND BREAST LIMITED |
1,970.75 |
UNLISTED PX SMALL INTESTINE |
3,347.00 |
014104 LASER FIBERGUIDE 270 |
1,723.25 |
1′ REPR/SUTR LEG FLEXOR TENDON |
3,270.00 |
12 LEAD EKG; TRACING ONLY |
219.25 |
17-HYDROXYPREGNENOLONE |
95 |
2 PC DRAINABLE OST POUCH |
8 |
2 PC DRAINABLE OST POUCH |
18.5 |
2 PC DRAINABLE OST POUCH |
22 |
3 HR GLUCOSE TOLERANCE GEST-E |
275 |
3 HR GLUCOSE TOLERANCE-E |
370.25 |
3D RENDER W/INTRP POSTPROCES |
58.25 |
3D RENDER W/INTRP POSTPROCES |
1,189.50 |
4 HR GLUCOSE TOLERANCE-E |
465.5 |
5 HIAA, RANDOM URINE-E |
69.25 |
5 HR GLUCOSE TOLERANCE-E |
560.75 |
5% DEXTROSE/NORMAL SALINE 500 ML=1 UNIT |
65.75 |
5% DEXTROSE/WATER (500 ML = 1 UNIT) |
65.75 |
5-HIAA |
48.75 |
AB ID RBC EA PANEL EA TECHN |
285.75 |
AB ID; LEUKOCYTE AB |
87 |
AB ID; PLATELET AB |
66 |
AB ID; PLATELET IG ASSAY |
28.75 |
AB: HBCAB – IGM AB |
61.5 |
AB: HBSAB |
142 |
AB: THYROGLOBULIN |
82.25 |
AB; ACTINOMYCES |
72.25 |
AB; ADENOVIRUS |
52.25 |
AB; ASPERGILLUS |
71.5 |
AB; BACTERIUM NES |
348.25 |
AB; BARTONELLA |
52.75 |
AB; BLASTOMYCES |
55 |
AB; BORDETELLA |
67.25 |
AB; BRUCELLA |
107.75 |
AB; CANDIDA |
238.5 |
AB; CHLAMYDIA |
50.75 |
AB; CHLAMYDIA IGM |
52.75 |
AB; CMV |
50.75 |
AB; CMV IGM |
49.25 |
AB; COCCIDIOIDES |
50 |
AB; COXIELLA BRUNETII |
61.5 |
AB; COXIELLA BRUNETII |
273 |
AB; CRYPTOCOCCUS |
55.75 |
AB; EB EARLY AG VIRUS |
102.75 |
AB; EB VCA |
65.75 |
AB; EBNA |
65.75 |
AB; ENCEPHALITIS CALIF |
53 |
AB; ENCEPHALITIS E EQUINE |
53 |
AB; ENCEPHALITIS ST. LOUIS |
53 |
AB; ENCEPHALITIS W EQUINE |
53 |
AB; ENTEROVIRUS |
179 |
AB; ENTEROVIRUS |
476.75 |
AB; ERLICHIA |
85.75 |
AB; ERLICHIA |
172.75 |
AB; FRANCISELLA TULARENSIS |
42.5 |
AB; FRANCISELLA TULARENSIS |
84.5 |
AB; FUNGUS NES |
52.5 |
AB; HBCAB – TOTAL |
125.5 |
AB; HBEAB |
80 |
AB; HELICOBACTER PYLORI |
70.75 |
AB; HELMINTH NES |
59.25 |
AB; HEMOPHILUS INFLUENZA |
72 |
AB; HISTOPLASMA |
82 |
AB; HIV-1 |
30.5 |
AB; HIV-2 |
57 |
AB; HSV 1 |
69.25 |
AB; HSV NON-SPECIFIC |
61.75 |
AB; HSV TYPE 2 |
154.5 |
AB; INFLUENZA VIRUS |
57 |
AB; LEGIONELLA |
238.5 |
AB; LEPTOSPIRA |
99 |
AB; LISTERIA MONOCYTOGENES |
117.5 |
AB; LYME’S (WB) CONFIRM |
161.5 |
AB; LYME’S DISEASE |
82 |
AB; MUMPS |
67.25 |
AB; MYCOPLASMA |
57 |
AB; PARVOVIRUS |
117.75 |
AB; PROTOZOA NES |
42.5 |
AB; RICKETTSIA |
48 |
AB; RUBELLA |
184 |
AB; RUBEOLA |
101.75 |
AB; TETANUS |
65 |
AB; TOXOPLASMA |
134.5 |
AB; TOXOPLASMA IGM |
196.5 |
AB; TRICHINELLA |
67.75 |
AB; VARICELLA-ZOSTER |
196.25 |
AB; VIRUS NES |
55 |
AB; YERSINIA |
49 |
ABD PARACENTESIS |
694.75 |
ABD PARACENTESIS W/IMAGING |
694.75 |
ABL1 GENE |
426.25 |
ABO/RH-E |
238.75 |
ABSC LOCALIZ; WB |
2,114.25 |
ABSCESS FISTULA/SINUS TRACT STUDY |
1,210.25 |
ABSCLOCALIZ; SPECT |
2,114.25 |
ABSORBATACK 5MM FIXATION |
3,126.75 |
ABSORBATACK SHORT DEVICE |
1,976.75 |
ACETONE ASSAY |
70 |
ACJ BILATERAL W/WO WEIGHTS |
699 |
ACTH |
163.75 |
ACTH |
1,307.50 |
ACTIVATED PROTEIN C RESISTANCE |
154.5 |
ACUTE GI BLEED STUDY |
1,069.50 |
ACUTE HEPATITIS PANEL |
766 |
ACYLCARNITINES; QUAN |
201.25 |
ADALIMUMAB AB-E |
128.25 |
ADAPTER <Y CONNECTER LG 1/4X1 |
36 |
ADAPTER PORTEX BRONCHIAL |
33.25 |
ADMIN FLU VIRUS VACCINE |
133.5 |
ADMIN PNEUMONIA VACCINE |
133.5 |
ADRENAL ANDROGEN PROFILE-E |
485 |
AEROB BACTERIA CULTURE STOOL |
162.5 |
AEROB BACTERIAL BLOOD CULTURE |
159 |
AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE |
87.75 |
AEROCHAMBER INHALER |
49.25 |
AEROSOL MASK |
184 |
AEROSOL PENTAMIDEN FOR P. CARINII |
484.75 |
AEROSOL SPUTUM COLLECT |
164 |
AFP TETRA SEND OUT-E |
381.25 |
AG DETECT NOS IA MULT |
51.5 |
AGENT NOS ASSAY W/OPTIC |
99.25 |
AIRWAY INHALATION TREATMENT |
245.75 |
ALDOLASE |
204.25 |
ALDOSTERONE |
364.5 |
ALDOSTERONE/RENIN-E |
479 |
ALEXIS RETRACTOR (ORTHO) C8303 |
352.5 |
ALEXIS WOUND RETRACTOR MEDIUM |
99.75 |
ALEXIS WOUND RETRACTOR SMALL |
99.75 |
ALKALINE PHOS ISOE SEND OUT-E |
140.5 |
ALKALINE PHOSPHATASE |
91.25 |
ALKALINE PHOSPHATASE ISOENZYM |
49.25 |
ALLERG SP IGG QUAN OR SEMIQUAN |
21 |
ALLG SPEC IGE RECOMB EA |
41.5 |
ALPHA-1-ANTITRYPS PHENO SEND-E |
308 |
ALPHA-1-ANTITRYPSIN; PHENOTYPE |
137.25 |
ALPHA-1-ANTITRYPSIN; TOTAL |
170.75 |
ALPHA-FETOPROTEIN L3 |
149.5 |
ALPHA-FETOPROTEIN SERUM |
147.25 |
ALYS NPGT W/O PRGRMG |
281 |
ALYS SMPL SP/PN NPGT W/PRGRM |
307 |
AMIKACIN |
152.75 |
AMINO ACIDS 6/> QUAN EA |
264 |
AMINO ACIDS; SGL QUAN EA |
71.75 |
AMMONIA |
148.75 |
AMNIOFILL ALLOGRAFT AF1000 |
5,055.75 |
AMNIOFIX MEMBRANE ALLOGRAFT |
4,750.50 |
AMNIOFIX MEMBRANE GRAFT |
3,134.75 |
AMPLIF NA PROBE NOS AGENT |
91.25 |
AMPLIF NA PROBE NOS AGENT |
182 |
AMYLASE |
96.25 |
AMYLASE |
191.75 |
ANAEROB BACT CULTURE W ID |
194.25 |
ANALYZE SP INF PUMP W/REPROG |
709.5 |
ANCHOR SWIVELOCK SP AR2324BSLM |
2,500.25 |
ANCHOR/SCREW BN/BN TIS/BN |
50 |
ANCHOR/SCREW BN/BN TIS/BN |
53 |
ANCHOR/SCREW BN/BN TIS/BN |
53.5 |
ANCHOR/SCREW BN/BN TIS/BN |
56 |
ANCHOR/SCREW BN/BN TIS/BN |
58.25 |
ANCHOR/SCREW BN/BN TIS/BN |
64.75 |
ANCHOR/SCREW BN/BN TIS/BN |
68.75 |
ANCHOR/SCREW BN/BN TIS/BN |
82.25 |
ANCHOR/SCREW BN/BN TIS/BN |
89.75 |
ANCHOR/SCREW BN/BN TIS/BN |
101.5 |
ANCHOR/SCREW BN/BN TIS/BN |
110.75 |
ANCHOR/SCREW BN/BN TIS/BN |
113.75 |
ANCHOR/SCREW BN/BN TIS/BN |
115.25 |
ANCHOR/SCREW BN/BN TIS/BN |
147.75 |
ANCHOR/SCREW BN/BN TIS/BN |
156.25 |
ANCHOR/SCREW BN/BN TIS/BN |
185.75 |
ANCHOR/SCREW BN/BN TIS/BN |
197.75 |
ANCHOR/SCREW BN/BN TIS/BN |
199.75 |
ANCHOR/SCREW BN/BN TIS/BN |
206.75 |
ANCHOR/SCREW BN/BN TIS/BN |
285.5 |
ANCHOR/SCREW BN/BN TIS/BN |
285.75 |
ANCHOR/SCREW BN/BN TIS/BN |
311.5 |
ANCHOR/SCREW BN/BN TIS/BN |
315.75 |
ANCHOR/SCREW BN/BN TIS/BN |
318 |
ANCHOR/SCREW BN/BN TIS/BN |
365 |
ANCHOR/SCREW BN/BN TIS/BN |
369.5 |
ANCHOR/SCREW BN/BN TIS/BN |
375 |
ANCHOR/SCREW BN/BN TIS/BN |
393 |
ANCHOR/SCREW BN/BN TIS/BN |
442.25 |
ANCHOR/SCREW BN/BN TIS/BN |
462 |
ANCHOR/SCREW BN/BN TIS/BN |
472 |
ANCHOR/SCREW BN/BN TIS/BN |
497.75 |
ANCHOR/SCREW BN/BN TIS/BN |
587.25 |
ANCHOR/SCREW BN/BN TIS/BN |
587.5 |
ANCHOR/SCREW BN/BN TIS/BN |
595.25 |
ANCHOR/SCREW BN/BN TIS/BN |
614.5 |
ANCHOR/SCREW BN/BN TIS/BN |
628.75 |
ANCHOR/SCREW BN/BN TIS/BN |
654.25 |
ANCHOR/SCREW BN/BN TIS/BN |
674.5 |
ANCHOR/SCREW BN/BN TIS/BN |
683.75 |
ANCHOR/SCREW BN/BN TIS/BN |
704.5 |
ANCHOR/SCREW BN/BN TIS/BN |
721.25 |
ANCHOR/SCREW BN/BN TIS/BN |
725.5 |
ANCHOR/SCREW BN/BN TIS/BN |
735.25 |
ANCHOR/SCREW BN/BN TIS/BN |
742.75 |
ANCHOR/SCREW BN/BN TIS/BN |
743 |
ANCHOR/SCREW BN/BN TIS/BN |
815.5 |
ANCHOR/SCREW BN/BN TIS/BN |
1,328.25 |
ANCHOR/SCREW BN/BN TIS/BN |
1,368.75 |
ANCHOR/SCREW BN/BN TIS/BN |
1,394.75 |
ANCHOR/SCREW BN/BN TIS/BN |
1,416.75 |
ANCHOR/SCREW BN/BN TIS/BN |
1,674.25 |
ANCHOR/SCREW BN/BN TIS/BN |
1,900.25 |
ANCHOR/SCREW BN/BN TIS/BN |
2,008.75 |
ANCHOR/SCREW BN/BN TIS/BN |
2,061.75 |
ANCHOR/SCREW BN/BN TIS/BN |
2,239.75 |
ANCHOR/SCREW BN/BN TIS/BN |
3,796.25 |
ANCHOR/SCREW BN/BN TIS/BN |
5,180.50 |
ANCHOR/SCREW BN/BN TIS/BN |
5,977.50 |
ANDROSTENEDIONE |
95 |
ANES SUPPLIES ADD’L 15 MINS |
113 |
ANES SUPPLIES-0-30 MINS |
333.5 |
ANES.GEN SUPP-MAJOR 0-30MIN |
259 |
ANES.GEN SUPP-MAJOR 31-60MIN |
227.75 |
ANES.GEN SUPP-MAJOR 61-90 MIN |
247 |
ANES.GEN SUPP-MAJOR 91-120 MI |
259 |
ANES.GEN SUPP-MAJOR ADD’1/2HR |
66.5 |
ANESTH CAT OR MRI SCAN |
236 |
ANGIOTENSIN I – CONVERTING ENZYME |
198.5 |
ANKLE ARTHROGRAM |
935 |
ANKLE ARTHROGRAPHY INJ |
593.75 |
ANKLE CONTROL ORTHO PRE OTS |
139.25 |
ANL SP INF PMP W/MDREPRG&FIL |
709.5 |
ANTI ENA ANTIBODIES SEND OUT-E |
119.5 |
ANTI-CARDIOLIPIN IGG/M SENDO-E |
141.25 |
ANTINEUTRO CYTO PANEL SEND-E |
154.5 |
ANTINEUTROPHIL CYTOPL AB PAN-E |
266.25 |
ANTINUCLEAR AB (ANA); |
162.75 |
ANTINUCLEAR AB (ANA); TITER |
147.25 |
ANTI-PHOSPHATIDYLSERINE AB |
204.75 |
ANTIPHOSPHOLIPID SYNDROME-E |
632 |
ANTITHROMBIN III ACTIVITY ASSAY |
100.25 |
ANTITHROMBIN III ANTIGEN ASSAY |
271.75 |
ANTITRYPSIN PROFILE-E |
311.25 |
APC GENE FULL SEQUENCE |
876.5 |
APHASIA ASSESMENT PER HR |
511 |
APOLIPOPROTEIN EACH |
100.25 |
APOLIPOPROTEIN EACH |
200.25 |
APPLY FINGER SPLINT; STATIC |
339.75 |
APPLY INTERSTIT RADIAT COMPL |
8,812.00 |
APPLY LONG ARM SPLINT |
595.5 |
APPLY LONG LEG CAST |
446.75 |
APPLY LONG LEG SPLINT |
693 |
APPLY MULTLAY COMPRS LWR LEG |
149 |
APPLY MULTLAY COMPRS LWR LEG |
298 |
APPLY SH LEG CAST |
333.75 |
APPLY SHORT ARM SPLINT; STATIC |
558.75 |
APPLY SHORT LEG SPLINT |
577.5 |
AQUATIC THERAPY/EXERCISES EA 15 MINS |
195.75 |
ARISTA FLEXTIP |
54.25 |
ARISTA HEMOSTAT |
419.5 |
ARSENIC |
98.5 |
ARSENIC EXPOSURE-E |
119 |
ARTERIAL CATH – SAMPLE/MONITOR/TRANSFUSE |
194.75 |
ARTERIAL LINE INSERT-ICU |
251.25 |
ARTERIAL LINE INSERTION |
282.5 |
ARTERIAL PUNCTURE BLOOD FOR DX |
194.75 |
ARTHRITIS PANEL-E |
477.25 |
ARTHROGRAM -LEFT SHOULDER-E |
2,400.25 |
ARTHROGRAM-RIGHT SHOULDER-E |
2,400.25 |
ARTHROSCOPE,SHOULDER ABDUCT SY |
63.75 |
ASCORBIC ACID BLOOD |
109.25 |
ASO ; TITER |
79.25 |
ASO; SCREEN |
50.75 |
ASPERGILLUS AB PANEL SEND OU-E |
214.5 |
ASPERGILLUS AG IA |
51.5 |
ASPIR/INJ THYROID CYST |
634.75 |
ASPIRATE PLEURA W/ IMAGING |
1,082.50 |
ASPIRATE/INJ GANGLION CYST |
648.75 |
ASSAY CARBOXYHB QUANT |
87 |
ASSAY FOR CALPROTECTIN FECAL |
48.75 |
ASSAY IGA/IGD/IGG/IGM EACH |
40 |
ASSAY LIPOPROTEIN PLA2 |
90.75 |
ASSAY NONENDOCRINE RECEPTOR |
229 |
ASSAY OF BLOOD LIPOPROTEIN LDL |
67.25 |
ASSAY OF BLOOD LIPOPROTEIN VLDL |
33 |
ASSAY OF HOMOCYSTINE |
215 |
ASSAY OF IGE |
223.75 |
ASSAY OF LIPOPROTEIN(A) |
117.75 |
ASSAY OF PROTEIN SERUM |
58.25 |
ASSAY OF RIBOFLAVIN (VITAMIN B-2) |
348.25 |
ASSAY OF SERUM ALBUMIN |
54.5 |
ASSAY OF SERUM POTASSIUM |
49.25 |
ASSAY OF SERUM SODIUM |
58.25 |
ASSAY OF SIROLIMUS |
256.5 |
ASSAY OF THIAMINE (VITAMIN B-1) |
138.75 |
ASSAY PH BODY FLUID NOS |
54.5 |
AST OR SGOT |
74.5 |
ATC STRENGTH & CONDIT COACHING |
11,056.25 |
ATHLETIC TRAINER COVERAGE 1 HR |
40.25 |
ATHLETIC TRAINING BASIC |
12,668.50 |
ATHLETIC TRAINING TOURN COVE-M |
291.5 |
ATL SCRN CYTOPATH W RVW BY TECH |
149 |
AUTOIMMUNE RHEUMATOID ARTHR |
796.5 |
AUTOM URINALYSIS WO MICRO |
38 |
AUTOM URINE DIP W MICRO |
72.5 |
AUTOMATED RBC COUNT |
21.25 |
AUTOPSY GROSS & MICRO W BR |
1,093.25 |
B PERTUSSIS IGG/M/A AB SENDO-E |
201.5 |
BABESIA MICROTI ABS-E |
84.75 |
BACT CULTURE – URINE; QUAN COUNT |
120.25 |
BACTERIA FILTER |
37.25 |
BACTERIAL ANTIGEN PANEL SEND-E |
397 |
BACTERIAL CULTURE – OTHR SOURCE |
94 |
BAG LEG DISP LG |
58.25 |
BAG LEG DISP MED |
31.5 |
BAG OSTOMY 2 1/4 (UROSTOMY) |
18.5 |
BAG URI METER DRAINAGE |
63.75 |
BAG URINARY DRAINAGE |
31.5 |
BAG URINE COLLECTOR PED STER |
22 |
BALLOON DILATOR 10-11-12 |
1,118.75 |
BALLOON KIT 5 X 10,15F 887510 |
1,296.50 |
BALLOON KIT 6 X 10,18F 887610 |
1,296.50 |
BANDAGE ACE 6IN DL |
70.75 |
BANDAGE ACE N/S 2 IN |
9.5 |
BANDAGE ACE N/S 3 IN |
22 |
BANDAGE ACE N/S 4 IN |
22 |
BANDAGE ACE N/S 4 IN-WC |
19 |
BANDAGE ACE N/S 6 IN |
29.5 |
BANDAGE ACE N/S 6 IN-WC |
25 |
BANDAGE ACE STERILE 4 IN |
48.5 |
BANDAGE ACE STERILE 6 IN |
54.5 |
BANDAGE COBAN 1 IN |
10.5 |
BANDAGE COBAN 2 IN |
16.5 |
BANDAGE COBAN 3 IN |
18.5 |
BANDAGE COBAN 4 IN |
22 |
BANDAGE COBAN 6 IN |
28 |
BANDAGE COBAN ELASTIC 4 IN-WC |
19 |
BARTONELLA AB PANEL SEND OUT-E |
211 |
BC – AEROBIC – ADDTL ID |
99.25 |
BC – ANAEROBE – ADDTL ID |
109.75 |
B-CELL CD20-E |
349.75 |
BCR ABL CML/ALL-E |
683.5 |
BCR/ABL1 GENE MAJOR BP |
362.75 |
BCR/ABL1 GENE MINOR BP |
320.75 |
BE COLON W AIR & BARIUM |
1,603.50 |
BED HOLD-ER 2N |
2,416.75 |
BED HOLD-ER 2S STRESS |
1,800.50 |
BED HOLD-ER 3S |
2,416.75 |
BED HOLD-ER INTENSIVE CARE |
4,945.25 |
BED HOLD-ER PROGRESSIVE CARE |
3,759.00 |
BEHAV CHNG SMOKING 3-10 MIN |
36.5 |
BEHAVRAL QUALIT ANALYS VOICE |
7.25 |
BEHAVRAL QUALIT ANALYS VOICE |
421.25 |
BETA 2 GLYCOPROTEIN I AB EA |
88.75 |
BETA-2 MICROGLOBULIN |
190 |
BETA-2-GLYCOPROTEIN I SEND O-E |
265.75 |
BF PERINEAL MUSCLES OR SPINCTER |
169.25 |
BILAT SELCTV RENAL VENOGRAM |
3,973.50 |
BILE ACIDS; TOTAL |
117 |
BILIRUBIN PROFILE-E |
135.25 |
BINDER,BREAST LARGE |
101.25 |
BINDER,BREAST MEDIUM |
101.25 |
BINDER,BREAST SMALL |
101.25 |
BINDER,BREAST X-LRG |
101.25 |
BINDER,BREAST XX-LARGE |
101.25 |
BIOFEEDBACK ANY MODALITY |
83.75 |
BIOPATCH 4152 |
26.75 |
BIOPSY THYROID PERC CORE NEEDLE |
1,872.25 |
BIO-PUSHLOCK 3.5MM ANCHOR |
3,067.25 |
BIOTINIDASE EA SPECIMEN |
70.25 |
BIOVAC SUCTION DEVICE |
396.75 |
BIPOLAR PENCIL DISP 23G |
159.25 |
BIRTHING CLASS |
26.75 |
BIRTHING CLASS |
36.25 |
BITBLOCKS 1.63 DISPOSABLE BB-2 |
15 |
BITE BLOCK HP M1828A |
16.5 |
BL SMEAR W/DIFF WBC COUNT |
49.5 |
BLADE (3M) L124 29X85 |
127.75 |
BLADE (Z) LG 32.0 63.5 |
372.75 |
BLADE (Z) SAG MICRO 09.5 25.5 |
56 |
BLADE 11.5 X 5.5 2296-3-410 |
169.5 |
BLADE 18.5 X 9.0 2296-3-105 |
169.5 |
BLADE 25.0 X 5.5 2296-3-414 |
169.75 |
BLADE 25.0 X 9.0 2296-3-111 |
169.5 |
BLADE 4.5 FULL RADIUS |
188.75 |
BLADE 5.5 RAZORCUT |
129.5 |
BLADE ALCON 15 DEG |
41.5 |
BLADE ALCON SLIT KNIFE |
76.75 |
BLADE ARTHROTOME ACROM 4.0 |
336 |
BLADE ARTHROTOME ACROM 5.5 |
278 |
BLADE ARTHROTOME INCISOR 4.5 |
192 |
BLADE ARTHROTOME INCISOR 4.5CR |
472 |
BLADE ARTHROTOME RAZORCUT 4.5 |
342 |
BLADE ARTHROTOME SYNOVATOR 4.5 |
336 |
BLADE BEAVE 67 |
9 |
BLADE DERMATOME |
156.25 |
BLADE EYE SHARP ALL AROUND ST |
46.5 |
BLADE KNIFE MICRO ENT SPEAR ED |
135 |
BLADE OSC CURVED MICRO 13.5X2 |
311.5 |
BLADE OSC LG BRAZ/RIB 19.5X.09 |
187.25 |
BLADE OSCILLATING |
142.75 |
BLADE RECIP 9.4 54.5 5052-259 |
139 |
BLADE RECIP MAXI 12.5 X 73.5 |
26 |
BLADE RECIPROCATING 277-96-277 |
349.5 |
BLADE SAG MICRO 9.5 X 25.5 |
148 |
BLADE SAGITTEL SAW 4118-127-90 |
278 |
BLADE SAW GIGLE |
35 |
BLADE SINUS 40 CRVD 18-84006 |
637 |
BLADE SINUS TRICUT 18-84004 |
786.5 |
BLADE SLIT KNIFE 4.5 |
86 |
BLADE TRICUT 2.9MM |
621.5 |
BLAST/COCI/CRY/HISTO AB SEND-E |
242.25 |
BLEEDING TIME |
44 |
BLEPHAROTOMY DRAIN ABSC EYELID |
565.25 |
BLOOD CLOT FACTOR VIII TEST |
145.25 |
BLOOD GAS MIXED WO O2 SAT |
49.5 |
BLOOD GAS PH ONLY |
144 |
BLOOD GASES W/02 SATURATION |
232.75 |
BLOOD OSMOLALITY |
109.25 |
BM IMAGING; LIMITED |
525.25 |
BM SMR INTERP |
609.5 |
BONE BX TR/NDL; SUPERF |
1,520.50 |
BONE IMAGING 3 PHASE |
2,853.75 |
BONE SCAN MULTI AND BONE SPE-E |
6,132.75 |
BONE SCAN SINGL AND BONE SPE-E |
6,227.25 |
BONE SCAN TOTAL AND BONE SPE-E |
5,275.25 |
BONE/JOINT; LIMITED |
2,948.25 |
BONE/JOINT; MULTI AREAS |
2,853.75 |
BONE/JOINT; SPECT (3D) |
3,279.25 |
BONE/JOINT; WB |
1,996.25 |
BOWL CEMENT MIXER |
323.25 |
BRAF GENE |
291.25 |
BRAIN IMAGE W/FLOW 4 + VIEWS |
1,903.00 |
BRAIN IMAGING (3D) |
1,636.75 |
BRAIN PET; METABOLIC EVAL |
6,826.75 |
BRAIN VASCULAR FLOW ONLY |
1,105.00 |
BRCA1&2 GEN FULL SEQ DUP/DEL |
3,375.25 |
BRCA2 GENE KNOWN FAMIL VRNT |
211 |
BRIDGE LOOP OSTOMY |
10.5 |
BRONCHOSCOPY |
2,081.00 |
BRONCHOSCOPY AT BEDSIDE-ICU |
2,140.50 |
BRONCHOSCOPY W FLOUROSCOPY |
2,739.75 |
BRONCHOSCOPY W/ BIOPSY |
2,081.00 |
BRONCHOSCOPY W/ BIOPSY-MAB |
2,081.00 |
BRONCHOSPASM – PRE & POST BD |
536.75 |
BRUSH CYSTOLOGY/BRONCH |
60 |
BRUSH URO BX 3FR 115CM |
228 |
BRUSHINGS-BRONCH |
1,522.00 |
BUR 4.0MM OVAL |
287.25 |
BUR CRVD SEPTO 3.2 18833121HS |
961.5 |
BX BREAST 1ST LESION MR IMAG |
1,368.25 |
BX BREAST 1ST LESION STRTCTC |
1,567.25 |
BX BREAST 1ST LESION US IMAG |
1,568.25 |
BX BREAST ADD LESION MR IMAG |
116.25 |
BX BREAST ADD LESION STRTCTC |
108.25 |
BX BREAST ADD LESION US IMAG |
109 |
BX PANCREAS PERC NEEDLE |
2,314.50 |
C DIFF AMPLIFIED PROBE |
91.25 |
C REP S/A/L; EA ADD 5 CM/< |
1,195.50 |
C TRACH/N GONOR CONFIRM-E |
297.5 |
C TX PATELLAR DISLOCATION; WO ANESTH |
232.5 |
C0 DIFFUSE CAPACITY |
501 |
CABLE CERCLAGE 1.8MM X 25IN |
1,590.25 |
CAD BREAST MRI |
274 |
CADMIUM |
50.75 |
CAH PROFILE-E |
858 |
CALCITONIN |
328 |
CALCIUM; IONIZED |
134.5 |
CALCIUM; TOTAL |
70.75 |
CALCIUM; URINE QUAN TIMED |
83.25 |
CALR GENE COM VARIANTS |
373 |
CANALITH REPOSITIONING PROC |
213.25 |
CANCELLED PROC MED/IV GIV-AC |
110.75 |
CANCELLED PROC MED/IV GIV-MAB |
110.75 |
CANDIDA ANTIGEN AB PANEL-E |
576 |
CANDIDA NA AMPLIFIED PROBE |
108 |
CANDIDA NA DIRECT PROBE |
62.5 |
CANNULA 7MM X 7CM WORKING |
225.5 |
CANNULA 8.25MM X 7CM TWIST IN |
212.5 |
CAPNOGRAPHY EQUIP-MAB |
170.5 |
CAPNOGRAPHY EQUIP-PC |
170.5 |
CAPNOGRAPHY EQUIP-SDC |
170.5 |
CAPSULE POLISHER TERRY SQUEEGE |
15 |
CARB DEFICIENT TRANSRERRIN |
56 |
CARBAMAZEPINE; FREE |
231.5 |
CARBAMAZEPINE; TOTAL |
286 |
CARBON DIOXIDE (CO2) |
50.75 |
CARD PET PERFUS; MULTIPLE |
4,364.75 |
CARD PET PERFUS; SINGLE |
4,364.75 |
CARDIAC ENZYMES-E |
153.5 |
CARDIAC PET METABOL EVAL |
5,595.25 |
CARDIAC REHAB |
160 |
CARDIAC REHAB PHASE I |
181.25 |
CARDIAC REHAB/MONITOR |
273 |
CARDIOLIPIN AB EA IG CLASS |
70.75 |
CARDIOVERSION ELECTRIC EXT |
3,437.25 |
CARNITINE QUAN EA |
320.25 |
CAROTENE |
134.25 |
CAROTID DUPLEX SCAN; BILAT |
1,101.75 |
CAROTID DUPLEX SCAN; UNIL/LIMIT |
689 |
CARPAL TUNNEL TX INJ |
648.75 |
CARTER THOMASON DEVICE #CTXL |
835 |
CAST PLASTER – LONG ARM |
398.25 |
CAST PLASTER – SHORT ARM |
201.5 |
CAST PLASTER – SHORT LEG |
219.5 |
CAST PLASTER APPLICATION |
115.75 |
CAST SCOTCHCAST – 2 IN ROLL |
60.25 |
CAST SCOTCHCAST – 3 IN ROLL |
67.5 |
CAST SCOTCHCAST – 4 IN ROLL |
127.75 |
CAST SCOTCHCAST – 5 IN ROLL |
68 |
CAST SCOTCHCAST APPLICATION |
412.25 |
CATECHOLAMINES FRACTIONATED |
78.25 |
CATECHOLOMINES FREE,RANDOM-E |
98.5 |
CATH ASH SPLIT 11.5F X 8 |
443.25 |
CATH BI-POLAR PACE FR 5.0 |
676.75 |
CATH CAUDE SIZE 14 FR |
56 |
CATH CAUDE SIZE 16 FR |
80 |
CATH CAUDE SIZE 18 FR |
71 |
CATH CAUDE SIZE 20 FR |
71 |
CATH DELEE SUCTION |
39.25 |
CATH DIALYSIS CATH 14 FRX24CM |
625 |
CATH DRAIN PLUG |
8 |
CATH FEMALE CATH KIT |
54.5 |
CATH FOLEY WIPE,SURE TEMP |
4.5 |
CATH FOR SPECIMEN COLLECT SGL PT |
37.25 |
CATH FORTE ACCESS SHEATH B7016 |
456 |
CATH HEMODIALYSIS LONG-TERM |
1,548.00 |
CATH HEMODIALYSIS LONG-TERM |
1,952.25 |
CATH HEMODIALYSIS LONG-TERM |
2,002.75 |
CATH INDW FOLEY 2 WAY SILICONE |
12.75 |
CATH INDW FOLEY 2 WAY SILICONE |
14 |
CATH INDW FOLEY 2 WAY SILICONE |
15.25 |
CATH INDW FOLEY 2 WAY SILICONE |
69.75 |
CATH INDW FOLEY 2 WAY SILICONE |
94 |
CATH INDW FOLEY 2 WAY SILICONE |
109 |
CATH INDW FOLEY 2 WAY SILICONE |
110.5 |
CATH INDW FOLEY 2 WAY SILICONE |
116.25 |
CATH INDW FOLEY 2 WAY SILICONE |
131.75 |
CATH INDW FOLEY 2 WAY SILICONE |
140.5 |
CATH INDW FOLEY 2 WAY SILICONE |
164.75 |
CATH INDW FOLEY 3 WAY |
48.5 |
CATH INDW FOLEY 3 WAY |
63.75 |
CATH INDW FOLEY 3 WAY |
67.5 |
CATH INDW FOLEY 3 WAY |
74.25 |
CATH INDW FOLEY 3 WAY |
75.75 |
CATH INDW FOLEY 3 WAY |
90.5 |
CATH INDW FOLEY 3 WAY |
98.75 |
CATH INDW FOLEY 3 WAY |
103.5 |
CATH INDW FOLEY 3 WAY |
113.5 |
CATH INFANT KIT SFR |
15 |
CATH INTER UTERINE PRES (IUPC) |
223.25 |
CATH MELKER ER CRIC TUBE |
614.5 |
CATH PHILLIPS FOLLOWER 8 FR |
274 |
CATH PHILLIPS FOLLOWER 18 FR |
231.75 |
CATH PHILLIPS FOLLOWER 20 FR |
231.75 |
CATH PHILLIPS FOLLOWER 22 FR |
231.75 |
CATH PHILLPS FOLLOWER 16 FR |
231.75 |
CATH SILICONE 30 CC 20 FR |
157.5 |
CATH SINUS IRRIGATION LC7065 |
696 |
CATH THORACIC #28 |
32.75 |
CATH THORACIC #32 |
60 |
CATH THORACIC #40 |
67 |
CATH URET FIL SPIRAL TIP 3 FR |
144.75 |
CATH URET FIL SPIRAL TIP 4 FR |
126 |
CATH URET FIL SPIRAL TIP 5 FR |
126 |
CATH URET FILIFORM STRA TIP 4 |
144.75 |
CATH URET FILIFORM STRA TIP 5 |
144.75 |
CATHETER URETERAL |
10.5 |
CATHETER URETERAL |
16.5 |
CATHETER URETERAL |
18.5 |
CATHETER URETERAL |
33.5 |
CATHETER URETERAL |
120 |
CATHETER URETERAL |
177 |
CAUTERY BOVIE |
86.25 |
CAUTERY BOVIE CLEANER |
10 |
CAUTERY BOVIE TIP BALL 6 IN |
28.25 |
CAUTERY BOVIE TIP-BALL |
14.75 |
CAUTERY BOVIE TIP-EXT. BLADE |
62.5 |
CAUTERY BOVIE TIP-NEEDLE |
22 |
CAUTERY CORD TUR |
14.25 |
CAUTERY CORD TUR |
14.5 |
CAUTERY CUTTING LOOP 26 OR/3 |
287.75 |
CAUTERY DAC CIRON |
95 |
CAUTERY ELECTROVAC |
58.25 |
CAUTERY OF CERVIX; ELECTRO/THERMAL |
2,748.00 |
CBC W AUTO DIFF & W MAN DIFF-E |
109.25 |
CBC WITH MANUAL DIFF-E |
109.25 |
CCP ANTIBODY |
184 |
CD4/CD8 SEND OUT-E |
359 |
CEA |
222.25 |
CEBPA GENE FULL SEQUENCE |
426.25 |
CELIAC DISEASE AB SEND OUT-E |
268.75 |
CELIAC DISEASE COMPREHENSIVE-E |
375.25 |
CELIAC HLA PANEL-E |
758.25 |
CELL ENUMERATION & ID |
922.5 |
CELL FUNCTION ASSAY W/STIM |
288.5 |
CELL FUNCTION ASSAY W/STIM |
416.25 |
CEMENT BONE PALACOS |
478.5 |
CENTRAL LINE TRIPLE W/POW PORT |
538 |
CEREBR SEIZURE 8-CH; EA 24 HRS |
1,440.50 |
CERULOPLASMIN |
142 |
CERV COL SR FOAM 2PC PRE OTS |
202.25 |
CERV SR 2PC THOR EXT PRE OTS |
396.75 |
CERVICAL DILATION BALLOON |
170.25 |
CFTR GENE COM VARIANTS |
679.5 |
CHANGE OF CYSTOSTOMY TUBE; SIMPLE |
392 |
CHANGE TUBE/CATH NEPHRO PR-E |
3,145.75 |
CHEM CAUT OF GRANLTJ TISSUE |
170 |
CHEM CAUT OF GRANLTJ TISSUE |
243.25 |
CHEMILUMINESCENT ASSAY |
37 |
CHEMILUMINESCENT ASSAY |
110 |
CHEMO ANTI-NEOPL SQ/IM |
387 |
CHEMO CNS (INTRATHECAL) W LP |
740.75 |
CHEMO HORMON ANTINEOPL SQ/IM |
362.5 |
CHEMO INTRALESIONAL UP TO 7 |
343.5 |
CHEMO IV INFUS EACH ADDL SEQ =<1 HR |
417.75 |
CHEMO IV INFUSION 1 HR |
702.75 |
CHEMO IV INFUSION ADDL HR |
569.25 |
CHEMO IV PUSH ADDL DRUG |
470.75 |
CHEMO IV PUSH SNGL DRUG |
472.75 |
CHEMO PROLONG 8+ HRS INFUSE W/PUMP |
1,150.00 |
CHEMODENERV MUSC MIGRAINE |
600 |
CHEST PT; INIT OR EVAL |
245.75 |
CHEST PT; SUBSEQUENT |
159 |
CHILDBIRTH CLASS-NO SHOW |
36.25 |
CHLAMYDIA AB PANEL SEND OUT-E |
310 |
CHLAMYDIA ANTIBODY PANEL-E |
461.5 |
CHLAMYDIA CULTURE |
482.75 |
CHLAMYDIA PNEU IGG/A/M SENDO-E |
154 |
CHLAMYDIA T AMPLIF NA PROBE |
148.75 |
CHLAMYDIA/GC SEND OUT-E |
297.5 |
CHLORAPREP HI LITE ORANGE |
41.25 |
CHLORAPREP ONE STEP |
20.5 |
CHLORIDE; BLOOD |
45 |
CHLORIDE; OTHER |
34.75 |
CHLORIDE; URINE |
69.25 |
CHOLANGIOGRAM ADDTL INTRAOP |
614.5 |
CHOLANGIOGRAM INTRAOP |
1,113.50 |
CHOLESTEROL COUNSELING 30 MIN |
25.75 |
CHOLINESTERASE; RBC |
25.25 |
CHOLINESTERASE; SERUM |
25.25 |
CHROM ANALY; 15-20 CELLS |
278.25 |
CHROM ANALY; 20-25 CELLS |
299.5 |
CHROM ANALY; 5 CELLS |
419.75 |
CHROM ANALY; ADDTL KARYOT EA STUDY |
62 |
CHROM ANALY; AF/CV 15 CELLS |
551.25 |
CHROMIUM |
189.75 |
CHROMIUM & COBALT-E |
412.5 |
CHROMOSOME ANALYSIS SEND OUT-E |
538 |
CHROMOSOME,LEUKEMIA/LYMPH-E |
705 |
CHRONIC LEUKEMIA PANEL SENDO-E |
661.5 |
CINE OR VIDEO SPEECH EVAL |
268 |
CIRCULAR HEM STAPLER |
1,862.75 |
CIRCUMCISION |
518.5 |
CIRCUMCISON PROC AND SET-E |
609 |
CITRATE |
117.75 |
CK TOTAL ISOENZYMES SEND OUT-E |
146.5 |
CL TX “NURSEMAID ELBOW” W MANIP |
888.25 |
CL TX ANKLE DISLOCATION; WO ANESTH |
883.75 |
CL TX ARTFX MCP/IP JNT; W MANIP |
2,634.75 |
CL TX C HUMERUS FX W MANIP |
1,633.00 |
CL TX CMC DISL W M EA |
1,797.50 |
CL TX CMC DISLOC THUMB W MANIP |
527 |
CL TX CMC FX DISLOC THUMB W MANIP |
1,633.00 |
CL TX DISTL FIB FX W MANIP |
2,415.00 |
CL TX EC HUMERUS FX W MANIP |
3,120.00 |
CL TX FX GT PHALANX(S); W MANIP |
813 |
CL TX FX PHALANX/PHALANG; W MANIP |
822.5 |
CL TX HUMERUS FX W MANIP |
1,633.00 |
CL TX IP JNT D W MANIP ; WO ANESTH |
1,889.50 |
CL TX IP JOINT DISL; WO ANESTH |
1,010.75 |
CL TX IP JT D W MANIP; W ANESTH |
2,298.25 |
CL TX KNEE DISL; W ANESTHESIA |
2,937.50 |
CL TX KNEE DISL; WO ANESTH |
318.75 |
CL TX MC FX SGL; W MANIP |
1,756.75 |
CL TX MCP DISLOC SGL W MANIP |
1,933.50 |
CL TX MTP JNT DISLOC; WO ANESTH |
1,010.75 |
CL TX PATELLAR DISLOCATION; W ANESTH |
1,800.25 |
CL TX PHALANG SHFT FX; W MANIP |
1,914.00 |
CL TX POST HIP DISLOC WO ANESTH |
318.75 |
CL TX POSTOP HIP DISLOC W ANESTH |
1,800.25 |
CL TX PROX FIB/SHAFT FX W MANIP |
2,462.25 |
CL TX PROX TIB-FIB JNT DISL; WO ANESTH |
2,559.25 |
CL TX PROX TIBIAL FX W SK TRACTION |
3,270.00 |
CL TX RADIAL HD/NECK FX; W MANIP |
2,082.00 |
CL TX RADIAL SHFT FX W MANIP |
2,790.75 |
CL TX SC/TC FEMUR FX W MANIP |
1,657.00 |
CL TX SCAPULAR FX; W MANIP |
3,309.25 |
CL TX SHDR DISLOC W NK FX W MANIP |
3,065.50 |
CL TX SHLDR DISL W MANI; WO ANESTH |
629.25 |
CL TX SHLDR DISL W MANIP; W ANESTH |
2,868.00 |
CL TX SHLDR DISLOC & FX GT; W MAN |
1,981.00 |
CL TX TARSAL BONE DISLO; WO ANESTH |
225.25 |
CL TX TIB SHFT FX W MANIP |
3,338.00 |
CL TX TMJ DISLOCATION; INITIAL |
1,712.00 |
CL TX TMT JNT DISL; WO ANESTHESIA |
1,254.00 |
CL TX TRIMALL ANKLE FX; W MANIP |
3,548.50 |
CL TX WB DSTL TIB FX W MANIP |
3,866.00 |
CLAVICLE COMPLETE |
654.5 |
CLIP FIXING DEVICE DISP HX-200 |
225.25 |
CLIP LIGATION |
154.75 |
CLIP RESOLUTION 360 235CM |
763.5 |
CLL PROFILE,FISH SEND OUT-E |
524.5 |
CLOTH CHLORHEXADINE GLUC |
13.5 |
CLOTTING INHIBITOR PROTEIN S FREE |
154.5 |
CLOTTING INHIBITOR; PROTEIN C ACTIVITY |
123.25 |
CLOTTING INHIBITOR; PROTEIN C AG |
116.25 |
CLOTTING INHIBITOR; PROTEIN S TOTAL |
195.75 |
CLOTTING: FACTOR VIII VW FACTOR AG |
122 |
CLOTTING; FACTOR II PROTHROMBIN SPECIF |
122 |
CLOTTING; FACTOR IX |
215 |
CLOTTING; FACTOR V |
121.25 |
CLOTTING; FACTOR VII |
105.5 |
CLOTTING; FACTOR VIII RISTOCETIN COFACT |
154.5 |
CLOTTING; FACTOR X |
109.75 |
CLOTTING; FACTOR XI |
134.5 |
CLOTTING; FACTOR XII |
61.75 |
CLOTTING; FACTOR XIII SCREEN SOLUBLE |
253.5 |
CLTX BIMALLEOLAR ANKLE FRACT W MNP |
3,411.25 |
CLTX BIMALLEOLAR ANKLE FRACT WO MNP |
761 |
CLTX DSTL RDL FX/EPIPHYSL SEP W MNP |
1,859.00 |
CLTX MED ANKLE FX W/MNPJ |
2,803.00 |
CML PROFILE,FISH REFL SEND O-E |
278.25 |
CML PROFILE,FISH SEND OUT-E |
640.25 |
CMV IGG&IBM,CSF-E |
100 |
CNTRL POST EPISTAX INIT |
1,586.50 |
CO EXPIRED GAS BY IR |
376.25 |
COAGULATION PROFILE-E |
235.5 |
COGNITIVE SKILLS DEVELOPMENT |
10.75 |
COGNITIVE SKILLS DEVELOPMENT |
159.25 |
COL CHROMOTOGRAPHY QUAL/QUAN |
67.5 |
COLD AGGLUTININ; SCREEN |
44 |
COLD AGGLUTININ; TITER |
192.5 |
COLLAGEN BASED WOUND FILLER |
21 |
COLLAGEN BINDING ASSAY-E |
178 |
COLLAGEN CROSS LINKS |
79.5 |
COLLAGEN DRESSING <=16 SQ IN |
21 |
COLLECTION FEE DOT |
41.75 |
COLLECTION FEE SENDOUT |
41.75 |
COLLECTION FEE, HAIR |
41.75 |
COLLECTION FEE,AMBRY-MAB |
15 |
COLLECTION FEE,MYRIAD |
15 |
COLLECTION FEE,MYRIAD-MAB |
15 |
COLON W POLYPECTOMY |
4,640.00 |
COLON W POLYPECTOMY-MAB |
4,640.00 |
COLONIC DISP BALLOON 15MM CRE |
1,189.25 |
COLONIC DISP BALLOON 5847 |
866.5 |
COLONIC DISP BALLOON 8MM 5846 |
1,189.25 |
COLONOS W ABLATION SPLENIC |
1,857.25 |
COLONOS W ABLATION SPLENIC-MAB |
1,857.25 |
COLONOS W BL CONT |
1,857.25 |
COLONOS W BL CONT SPLENIC |
1,857.25 |
COLONOS W BL CONT SPLENIC-MAB |
1,857.25 |
COLONOS W BL CONT-MAB |
1,857.25 |
COLONOSCOPY DIL W BALLOON |
1,857.25 |
COLONOSCOPY DIL W BALLOON-MAB |
1,857.25 |
COLONOSCOPY REMOVAL FB |
1,857.25 |
COLONOSCOPY REMOVAL FB-MAB |
1,857.25 |
COLONOSCOPY SCREEN/DIAG |
3,577.50 |
COLONOSCOPY SCREEN/DIAG-MAB |
3,577.50 |
COLONOSCOPY SUBMUCOUS INJ-AMB |
1,203.50 |
COLONOSCOPY SUBMUCOUS INJ-MAB |
1,203.50 |
COLONOSCOPY W BIOPSY |
4,640.00 |
COLONOSCOPY W BIOPSY-MAB |
4,640.00 |
COLPOPERINEORRHAPHY |
3,890.75 |
COLPORRHAPHY |
3,890.75 |
COLPOTOMY; W DR OF PELVIC ABSCESS |
2,796.75 |
COMMUNITY/WORK REINTEGRATION |
10.75 |
COMMUNITY/WORK REINTEGRATION |
159.25 |
COMPATIBILITY TEST ANTIGLOB |
312.75 |
COMPATIBILITY TEST SPIN |
312.75 |
COMPL ACUTE ABDOMEN |
620.75 |
COMPL AUTOM CBC W PLT |
59.75 |
COMPL CBC W PLT W AUTOM DIFF |
97.75 |
COMPL RPLCMT PICC RS&I |
1,593.25 |
COMPLEMENT; AG EA |
158.75 |
COMPLEMENT; FCN ACTIVITY EA |
123.5 |
COMPLEMENT; TOT HEMOLYTIC (CH50) |
282.25 |
COMPREHEN METABOLIC PANEL |
268 |
CONCENTRATION FOR INFECT AGNT |
63.25 |
CONN TISS HUMAN (INC FASCIA) |
1,502.25 |
CONN TISS HUMAN (INC FASCIA) |
4,732.50 |
CONT POSTIVE AIRWAY PRESSURE |
35.75 |
CONTINUOUS AEROSOL SET UP |
184 |
CONTINUOUS PULSE OX |
540.25 |
CONTRAST BATH THERAPY EA 15 MINS |
7 |
CONTRAST BATH THERAPY EA 15 MINS |
102.5 |
CONTRAST X-RAY BLADDER 3+ VIEWS |
896.5 |
CONTRAST X-RAY EXAM OF COLON |
1,004.50 |
CONTRAST X-RAY SPINE 2+ REGIONS |
5,463.75 |
CONTROL NASAL HEMORRH ANT COMPLEX |
193.75 |
CONTROL NASAL HEMORRH ANT SIMPLE |
790.5 |
CONTROL OROPHARYNGEAL HEMORRH; SIMPLE |
1,114.50 |
CONTRST X-RAY UPPR GI TRACT |
1,205.00 |
CONTRST X-RAY URINARY TRACT |
720.5 |
COOMBS TEST INDIRECT QUAL |
164 |
COOMBS TEST INDIRECT TITER |
164 |
COOMBS; DIRECT |
195.75 |
COPPER |
53 |
COPPER,URINE PANEL SEND OUT-E |
73.5 |
CORD BLOOD GAS PANEL-E |
99 |
CORNEAL LIGHT SHIELD |
5.25 |
CORTISOL FREE, 2 TEST PANEL-E |
114.25 |
CORTISOL; FREE |
198.5 |
CORTISOL; TOTAL |
69.75 |
CORTISOL; TOTAL |
208.75 |
COVID-19 DIAGNOSTIC TEST PCR METHODOLOGY; TOTAL |
119.25 |
COVID-19 SPECIMEN COLLECTION, SKILLED NURSING FACILITY |
28.25 |
CP CERV/VAG; ATL; MANUAL SCRN |
140.5 |
CP SMR OTHR; SCRN & INT |
91 |
C-PEPTIDE |
345.75 |
CPK: ISOENZYMES |
65.75 |
CPK: MB FRACTION ONLY |
162.75 |
CPK; TOTAL |
81 |
CPR |
739 |
CRASH CART ADULT |
439.5 |
CRASH CART INFANT |
361 |
CRE 12-15MM ESOPH BLAS |
1,309.75 |
CRE BALLOON 12-13.5-15 5848 |
1,110.25 |
CRE ESOPH BLAS 15-18MM |
1,300.25 |
CRE ESOPH BLAS 18-20MM |
1,110.25 |
C-REACTIVE PROTEIN |
13 |
C-REACTIVE PROTEIN HS |
396.25 |
CREATINE |
51.5 |
CREATININE; BLOOD |
54.5 |
CREATININE; CLEARANCE |
131.5 |
CREATININE; NOT BLOOD |
20.5 |
CREP E/N/E/L; 1.1-2.5CM |
1,541.75 |
CREP E/N/E/L; 2.6-7.5CM |
1,618.50 |
CREP E/N/E/L; EA ADDTL 5 CM/< |
1,280.00 |
CREP F/G/H/F; 1-2.5CM |
941.25 |
CREP F/G/H/F; 2.6-7.5CM |
1,468.25 |
CREP H/A/G/EXTR; EA ADD 5 CM/< |
1,244.25 |
CREP S/A/L; 2.6-7.5CM |
2,451.50 |
CREUTZSELDT-JAKOB, CSF-E |
112.75 |
CRITICAL CARE 1ST HOUR |
3,410.75 |
CRITICAL CARE ADDL 30 MIN |
1,610.75 |
CRYOGLOBULIN – QUAL/SEMI QUAN |
63.25 |
CRYOPRECIPITATE EA UNIT |
1,298.75 |
CRYPTOSPOR AG BY IFA |
132.5 |
CRYPTOSPORIDIUM AG IA |
71 |
CRYPTOSPORIDIUM/ISO SMEAR-E |
84 |
CSF FLOW; CISTEROGRAM |
2,829.00 |
CSF IGG INDEX PANEL SEND OUT-E |
199.75 |
CSF PROTEIN ELECTROPHORESIS-E |
130.75 |
CT – HEAD/BRAIN W & WO CONTRAST |
3,087.00 |
CT – HEAD/BRAIN W CONTRAST |
2,595.50 |
CT – HEAD/BRAIN WO CONTRAST |
2,375.00 |
CT – LIMITED OR FOLLOW-UP STUDY |
1,660.75 |
CT – MF W CONTR |
2,380.25 |
CT – MF W&WO CONTR |
2,499.50 |
CT – MF WO CONTR |
2,267.00 |
CT – ORBIT SELLA MID/INNER EAR W & WO |
2,499.50 |
CT – ORBIT SELLA MID/INNER EAR W CONTR |
2,380.25 |
CT – ORBIT SELLA MID/INNER EAR WO CONT |
2,267.00 |
CT – ST NECK W CONTR |
2,649.50 |
CT – ST NECK W&WO CONTR |
2,499.50 |
CT – ST NECK WO CONTR |
2,267.00 |
CT ABD & PELV 1/> REGNS |
6,497.00 |
CT ABD & PELV W/CONTRAST |
5,217.25 |
CT ABD & PELVIS |
4,555.50 |
CT ABD W AND WO CONTRAST |
3,382.50 |
CT ABD W CONTRAST |
2,745.50 |
CT ABD WO CONTRAST |
2,400.50 |
CT ANGIO ABD&PELV W/O&W/DYE |
5,457.25 |
CT ANGIO ABDOM W/O & W/DYE |
3,949.25 |
CT ANGIO ABDOMINAL ARTERIES |
4,931.25 |
CT ANGIO CHEST/ABD/PELV-E |
9,433.75 |
CT ANGIO LWR EXTR W/O&W/DYE |
3,017.50 |
CT ANGIO UPR EXTRM W/O&W/DYE |
2,834.75 |
CT ANGIOGRAPH PELV W/O&W/DYE |
3,564.75 |
CT ANGIOGRAPHY CHEST |
3,976.50 |
CT ANGIOGRAPHY HEAD |
3,923.50 |
CT ANGIOGRAPHY NECK |
2,955.25 |
CT BRAIN PERFUSION STUDY-E |
3,087.00 |
CT CERV SPINE W & WO CONTR |
2,902.00 |
CT CERV SPINE W CONTR |
2,763.75 |
CT CERV SPINE WO CONTR |
2,631.75 |
CT CHEST & ABD W/WO CONTR-E |
6,073.00 |
CT CHEST W CONTR/ ABD W/WO-E |
5,861.75 |
CT CHEST/ABD W CONTRACT-E |
5,225.00 |
CT CHEST/ABD W/O CONTRAST-E |
4,594.25 |
CT CHEST/ABD/PELVIS W CONT-E |
7,696.75 |
CT CHEST/ABD/PELVIS W/O CONT-E |
6,749.25 |
CT C-SPINE & T-SPINE W/O CON-E |
5,263.50 |
CT C-SPINE &T-SPINE W CONT-E |
5,527.50 |
CT GUIDED NDL BC RENAL RT PR-E |
3,982.75 |
CT GUIDED NDL BX ABD PROFILE-E |
3,984.50 |
CT GUIDED NDL BX BONE PROFIL-E |
3,970.50 |
CT GUIDED NDL BX LIVER PROFI-E |
3,924.50 |
CT GUIDED NDL BX LUNG LT PRO-E |
3,982.75 |
CT GUIDED NDL BX LUNG RT PRO-E |
3,982.75 |
CT GUIDED NDL BX PANCREAS PR-E |
4,764.75 |
CT GUIDED NDL BX PELVIS PROF-E |
3,970.50 |
CT GUIDED NDL BX RENAL LT PR-E |
3,982.75 |
CT GUIDED NDL BX S TIS NECK-E |
4,330.75 |
CT HEAD/FAC BONES W/O C AX O-E |
4,641.75 |
CT L EXTR W AND WO CONTRAST |
2,547.75 |
CT L EXTR W CONTRAST |
2,426.25 |
CT L EXTR WO CONTRAST |
2,311.00 |
CT LS W & WO CONTRAST |
2,902.00 |
CT LS W CONTRAST |
2,763.75 |
CT LS WO CONTRAST |
2,631.75 |
CT PELVIS; W & WO CONTR |
2,436.25 |
CT PELVIS; W CONTR |
2,733.50 |
CT PELVIS; WO CONTR |
2,383.50 |
CT SCAN FOR NEEDLE BIOPSY |
2,450.25 |
CT SCAN FOR THERAPY GUIDE |
2,914.25 |
CT THORACIC SPINE W & WO CONTR |
2,902.00 |
CT THORACIC SPINE W CONTR |
2,763.75 |
CT THORACIC SPINE WO CONTR |
2,631.75 |
CT THORAX; W & WO CONTRAST |
2,690.75 |
CT THORAX; W CONTRAST |
2,479.50 |
CT THORAX; WO CONTRAST |
2,193.75 |
CT T-SPINE, L-SPINE W CONT-E |
5,527.50 |
CT T-SPINE,L-SPINE W/O CONT-E |
5,263.50 |
CT: U EXTR W AND WO CONTRAST |
2,499.50 |
CT; U EXTR W CONTRAST |
2,380.25 |
CT; U EXTR WO CONTRAST |
2,267.00 |
CTRL POST EPISTAX SQ |
345 |
CULT FUNGUS W P ID; SKIN HR NL |
29.5 |
CULTURE P PATHOG – SCREEN |
28.25 |
CULTURE TYPE IMMUNOLOGIC |
78.5 |
CULTURE,STOOL PROFILE 4 TEST-E |
460.25 |
CUSHION CHAIR SOFTCARE CC476CE |
84.5 |
CVSLR STRESS TEST; TRACING |
1,217.75 |
CYANIDE |
37 |
CYCLOSPORINE |
61.75 |
CYSTATIN C |
29.25 |
CYSTO PACK CS/5 |
119.5 |
CYSTOGRAM PROFILE-E |
2,018.75 |
CYTOGEN M ARRAY COPY NO&SNP |
1,489.50 |
CYTOMEGALOV AMPLIF NA PROBE |
75 |
CYTOMEGALOVIRUS IGG&IGM SEND-E |
100 |
CYTOMEGALOVIRUS NA QUAN |
446.75 |
CYTOPATH C/V AUTO FLUID REDO |
106 |
CYTOPATH CELL ENHANCE TECH |
217.75 |
CYTP DX EVAL FNA 1ST EA SITE |
235.25 |
CYTP URINE 3-5 PROBES CMPTR |
580 |
DAVINCI CANNULA SEAL 8MM |
50.5 |
DAVINCI OBTURATOR 8MM |
83.25 |
DAVINCI VESSEL SEALER |
2,075.50 |
D-DIMER- QUAL/SEMIQUAN |
76.25 |
DEB SUBQ TISSUE 20 SQ CM/< |
762.25 |
DEBRIDE NAIL 1-5 |
61 |
DECALCIFICATION |
142.5 |
DECANTER BAG POUR SPOUT |
30.5 |
DECLOT VASCULAR DEVICE |
658.25 |
DECOMPRESS; UNSPECIFIED NERVE(S) |
4,389.75 |
DEEP BONE BX TRCR/NDL |
1,575.00 |
DEEP I&D THIGH/KNEE |
2,420.75 |
DELTA ALA |
91.5 |
DEOXYCORTISOL 11 |
99.25 |
DEOXYPYRIDINOLINE-E |
100 |
DESOXYCORTICOSTERONE 11 |
99.25 |
DESTR W NEUROLYTIC; INTERCOSTAL NRV |
1,794.00 |
DESTR W NEUROLYT TRIGEM NRV; INF ALV BR |
1,794.00 |
DESTR W NEUROLYTIC; CELIAC PLEXUS |
1,794.00 |
DESTR W NEUROLYTIC; OTHER PERIPH NRV |
1,794.00 |
DESTR W NEUROLYTIC; PUDENDA NRV |
1,794.00 |
DESTROY C/TH FACET JNT ADDL |
961.25 |
DESTROY C/TH FACET JNT ADDL |
1,442.00 |
DESTROY CERV/THOR FACET JNT |
4,389.75 |
DESTROY CERV/THOR FACET JNT |
6,584.75 |
DESTROY L/S FACET JNT ADDL |
961.25 |
DESTROY L/S FACET JNT ADDL |
1,442.00 |
DESTROY LUMB/SAC FACET JNT |
4,389.75 |
DESTROY LUMB/SAC FACET JNT |
6,584.75 |
DHEA |
107.75 |
DHEA-S |
280.5 |
DIALYSIS CATH INSERT-2N |
251.25 |
DIALYSIS CATH INSERT-3S |
251.25 |
DIALYSIS CATH INSERT-ICU |
251.25 |
DIALYSIS CATH INSERT-PCU |
251.25 |
DIALYSIS ONE EVALUATION |
969.5 |
DIFF CELL COUNT NOT BLOOD |
101.75 |
DIGITAL ANALYSIS OF EEG |
991.25 |
DIL URETHR STRICT FILIF/FOLLOW; MALE 1ST |
2,525.50 |
DILATE FOR STRICTURE/OBSTR |
334 |
DIRECT BILIRUBIN |
99 |
DIRECT IMMUNOFLUO PANEL-E |
448 |
DIRECT REFER HOSPITAL OBSERV |
1,590.75 |
DM OP SMT GRP PER 30 MIN |
64.25 |
DM OP SMT INDIV PER 30 MIN |
117.25 |
DNA AB |
65.75 |
DNA AB; NATIVE OR DS |
104.75 |
DNA AB; SS |
246.25 |
DNA/RNA; MULTI ORG – AMP PR |
251.25 |
DONOR PUNCH 8.0MM |
472.25 |
DONOR PUNCH SET 8.5MM |
472.25 |
DOPPLER COLOR FLOW |
666.75 |
DOPPLER ECHO; COMPLETE |
726.5 |
DR ABSC CYST HEMAT-MOUTH; SIMPLE |
723.25 |
DR ABSC CYST HEMATOM – DENTOALVEOLAR |
347 |
DR EXT EAR ABSCESS/HEMATOMA; SIMPLE |
723.25 |
DRAIN CEREBRO SPINAL FLUID |
1,424.25 |
DRAIN ENT SILASTIC 2X3 |
142.75 |
DRAIN EXTERNAL AUDITORY CANAL ABSCESS |
723.25 |
DRAIN FINGER ABSC; COMPLICATED |
1,707.00 |
DRAIN FINGER ABSC; SIMPLE |
673.5 |
DRAIN HEYER SCHULTE 10FR FLAT |
71 |
DRAIN HEYER SCHULTE RES 400 |
221.25 |
DRAIN J-VAC RESEVOIR SM 150CC |
145.25 |
DRAIN J-VAC TUBING #10 FLAT |
104 |
DRAIN J-VAC TUBING #15 |
80 |
DRAIN J-VAC TUBING #19 |
129.75 |
DRAIN ORTHOSILASTIC 2X3 |
143 |
DRAIN/INJ INTER JOINT/BURSA W/O US |
648.75 |
DRAIN/INJ INTER JOINT/BURSA W/O US |
973.25 |
DRAIN/INJ MAJOR JOINT/BURSA W/US |
648.75 |
DRAIN/INJ SMALL JOINT/BURSA W/O US |
648.75 |
DRAIN/INJ SMALL JOINT/BURSA W/O US |
973.25 |
DRAINAGE OF ABSCESS OF PALATE UVULA |
442 |
DRAINAGE OF SCROTAL WALL ABSCESS |
2,245.50 |
DRAPE ARTHROSCOPE KNEE |
73.75 |
DRAPE STERI 1060 EYE/INCISE |
14.75 |
DRAW BLOOD OFF VENOUS DEVICE |
170.5 |
DRAWING FEE PATERNITY TESTING |
88.75 |
DRESS/DEBRID P-THICK BURN M |
168 |
DRESS/DEBRID P-THICK BURN M |
597.25 |
DRESS/DEBRID P-THICK BURN S |
170 |
DRESS/DEBRID P-THICK BURN S |
568 |
DRILL (DVR) 2.0MM FDB20 |
474.5 |
DRILL (HIP) 30MM |
305.25 |
DRILL (S/H) 1.5MM STRYKER J |
248.75 |
DRILL (S/H) 2.0MM STRYKER J |
194.5 |
DRILL BIT 2.5MM X 100MM 09023 |
266.25 |
DRILL BIT 2.5MM X 110MM |
326.75 |
DRILL BIT 2.7MM X 100MM |
221.25 |
DRILL BIT 3.5MM X 110MM |
206.75 |
DRILL(S/H) 1.5MM MINI QUICK |
280.5 |
DRSG 2 X 2 SPLIT EA |
8.75 |
DRSG 4 X 4 SPLIT EA |
9.5 |
DRSG 4 X 4 STERILE EA |
9.75 |
DRSG 4 X 4 STER-WOUND CENTER |
9 |
DRSG 4 X 4 X 12 PLY STER |
3.5 |
DRSG 4 X 4 X 12 PLY STER-WC |
2 |
DRSG 4X12 PICO WOUND SYSTEM |
759 |
DRSG 4X4 AQUACELL AG HYDRAFIB |
44 |
DRSG 4X4 AQUACELL AG HYDRAFIBE |
54.5 |
DRSG 4X8X12 RAYTEC |
15 |
DRSG 6X6 PICO WOUND SYSTEM |
759 |
DRSG 6X8 PICO WOUND SYSTEM |
759 |
DRSG ABD 8 X 7 1/2 STER EA |
9.5 |
DRSG ABD STER 8 X 7 1/2-WOUND |
9 |
DRSG ACTACOAT 7 |
89 |
DRSG ADAPTIC 3 X 16 EA |
24 |
DRSG ADAPTIC 3 X 3 EA |
9.5 |
DRSG ADAPTIC 3 X 3 STER |
9 |
DRSG ADAPTIC 3 X 8 EA |
29.5 |
DRSG ADAPTIC 3 X 8 STER |
25 |
DRSG AQUACEL |
28.75 |
DRSG AQUACEL 9CM X 15CM |
8.25 |
DRSG AQUACEL AG 9X30CM |
122.25 |
DRSG AQUACEL FOAM 10X10-WOUND |
19.75 |
DRSG AQUACEL FOAM 15X20-WOUND |
35.25 |
DRSG AQUACEL FOAM 8X8-WOUND |
12 |
DRSG COBAN |
20.25 |
DRSG COBAN 4IN 2084S |
10.5 |
DRSG COBAN 6IN STERILE 1586S |
20.5 |
DRSG COMPRESSION-PROFORE |
64 |
DRSG CURAGEL HYDOGEL 2X3 |
16.5 |
DRSG DERMABOND TOPICAL SKIN GL |
142 |
DRSG DERMABOND TOPICAL SKIN GL |
170.5 |
DRSG DUODERM 2 X 4 EX THIN |
37.25 |
DRSG DUODERM 4 X 4 |
22 |
DRSG DUODERM 4 X 4 EXTRA THI |
22 |
DRSG DUODERM 5 X 5 SIGNADRESS |
28.75 |
DRSG DUODERM CGF 4X4 187660 WC |
13 |
DRSG DUODERM SIGNAL 4 X 4 |
18.5 |
DRSG DUODERM THIN 4X4 |
9 |
DRSG DUODERM THIN 4X4 |
10.75 |
DRSG EXTRA SUTURES |
80 |
DRSG GAUZE PLAIN 1 IN |
55 |
DRSG GAUZE PLAIN 1 IN |
67.5 |
DRSG GAUZE PLAIN 1/2 IN |
80 |
DRSG GAUZE PLAIN 1/2 IN-WOUND |
67 |
DRSG GRANUFOAM MD BLACK |
207.5 |
DRSG HEAVY DRAINAGE EA |
28 |
DRSG IODAFORM GAUZE 1 IN |
90.5 |
DRSG IODAFORM GAUZE 1/2 IN |
58.25 |
DRSG IODAFORM GAUZE 2 IN |
48.5 |
DRSG IODOFORM 5% 1/4 IN-WC |
5 |
DRSG IODOFORM GAUZE 5% 1 IN |
89 |
DRSG IODOFORM GAUZE 5% 1/2 IN |
48 |
DRSG KERLIX FLUFFS |
31.5 |
DRSG KERLIX ROLL |
28 |
DRSG KERLIX ROLL-WC |
28 |
DRSG LYOFOAM 4 X 4 WOUND CENTE |
9 |
DRSG MEPILEX AG 4X4 28710 |
33 |
DRSG MEPILEX BORDER 10X10CM |
14 |
DRSG MEPILEX BORDER 10X10CM |
15.75 |
DRSG MEPILEX BORDER 3X3 295200 |
11 |
DRSG MEPILEX BORDER 3X3 295200 |
11.25 |
DRSG MEPITEL SILICONE |
59 |
DRSG NASAL RAPID RHINO |
245.75 |
DRSG OWENS 3X8 |
62.5 |
DRSG PRISMA MATRIX 4.34 SQ |
49 |
DRSG RHINO NASAL PAC 5.5CM |
104.5 |
DRSG RHINO NASAL PAC 7.5CM |
110.25 |
DRSG ROPE AQUACELL HYDRAFIBER |
64 |
DRSG SILVERCEL 4 X 4 WC |
40 |
DRSG SPANDAGE 10 X 24 |
58.25 |
DRSG SPANDAGE 9 X 24 |
28 |
DRSG TEGADERM TRANSPARENT XLG |
15 |
DRSG TELFA EA 3 X 4 |
9.5 |
DRSG TELFA EA 3 X 8 |
9.5 |
DRSG TRANSP TEGADERM 4 X 5 1/2 |
5 |
DRSG TRANSPARENT 2 X 3 |
9.5 |
DRSG UNA BOOT |
48.75 |
DRSG VAG PACKING |
95.5 |
DRSG VASELINE GAUZE 1/2 X 72 |
22 |
DRSG VASELINE GAUZE 3 X 9 |
18.5 |
DRSG XERO FORM 1 X 8 |
13.5 |
DRSG XERO FORM 5 X 9 |
18.5 |
DRUG SCR 10 PANEL-MHC |
59.25 |
DRUG SCR COURT 10 |
171.25 |
DRUG SCR DOT SEND OUT |
59.25 |
DRUG SCR NON DOT SEND OUT |
59.25 |
DRUG SCR,URINE 7 PANEL CORP |
59.25 |
DRUG SCREEN QUAN LAMOTRIGINE |
47 |
DRUG SCREEN QUANT CLOZAPINE |
49 |
DRUG SCREEN QUANT EVEROLIMUS |
82.5 |
DRUG SCREEN QUANT ZONISAMIDE |
47.25 |
DRUG SCRN QUAN LEVETIRACETAM |
47 |
DRUG SCRN QUAN MYCOPHENOLATE |
47 |
DRUG SCRN QUANT OXCARBAZEPIN |
63.75 |
DRUG TEST DEF 1-7 CLASSES |
147.75 |
DRUG TEST DEF 8-14 CLASSES |
147.75 |
DRUG TEST PRSMV CHEM ANLYZR |
147.75 |
DRUG TEST PRSMV CHEM ANLYZR |
413.25 |
DRUG TEST PRSMV CHEM ANLYZR |
472 |
DRUG TEST PRSMV CHEM ANLYZR |
531 |
DRUG TEST PRSMV CHEM ANLYZR |
619.75 |
DRUG TEST PRSMV CHEM ANLYZR |
678.5 |
DRUG TEST PRSMV DIR OPT OBS |
53.5 |
DT VACCINE UNDER 7 YRS IM |
143.75 |
DUCTOGRAM MAM SINGLE DUCT PR-E |
1,391.75 |
DUCTOGRAM MAMM MULTIDUCT PRO-E |
2,160.25 |
DUPLEX A IVC IL/BPG; COMPL |
726.75 |
DUPLEX EXT VEINS; BILAT |
956 |
DUPLEX EXT VEINS; UNIL/LIMIT |
753.75 |
DUPLEX LE ART/BPG; BILAT |
1,050.50 |
DUPLEX LE ART/BPG; UNIL/LIMIT |
619 |
DUPLEX UE ART/BPG; BILAT |
807.5 |
DUPLEX UE ART/BPG; UNIL/LIMIT |
502.25 |
DX BONE MARROW ASPIRATIONS |
1,658.50 |
DX BONE MARROW BIOPSIES |
1,658.50 |
DX MAMMO INCL CAD BI |
519.75 |
DX MAMMO INCL CAD BI |
638.75 |
DX MAMMO INCL CAD UNI |
519.75 |
DX PAP SMR; AUTOM SCRN |
43 |
DXA BONE DENSITY AXIAL 1+ SITES |
622.5 |
DXA BONE DENSITY/PERIPHERAL 1+ SITES |
132 |
EBUS-BRONCH W/ ENDOBRONCH US |
6,414.75 |
EBVCA IGG IGM EVALUATR SEND-E |
196.75 |
ECG UP TO 48 HRS RECORDING |
859.25 |
ECG UP TO 48 HRS SCANNING ANALYSIS REPORT |
842.25 |
ECHELON STAPLER / CUTTER EC60A |
1,120.00 |
ECHO EXAM OF ABDOMEN |
1,256.25 |
ECHO EXAM OF HEAD |
1,358.00 |
ECHO TRANSESOPHAGEAL COMPLETE |
977.25 |
EEG 41-60 MINUTES |
1,371.75 |
EEG AWAKE & ASLEEP |
1,678.00 |
EEG AWAKE & DROWSY |
1,434.75 |
EEG COMA OR SLEEP ONLY |
1,486.00 |
EEG OVER 1 HOUR |
1,555.25 |
EGD DIAGNOSTIC BRUSH WASH |
2,304.25 |
EGD DILATATION W BALLON |
2,453.75 |
EGD DILATATION W BALLON-MAB |
2,453.75 |
EGD GAST |
1,785.50 |
EGD GAST-MAB |
1,785.50 |
EGD PLUS DIL ACH |
2,300.25 |
EGD PLUS DIL ESO STRICTURE |
2,531.00 |
EGD REMOVAL FB |
2,453.75 |
EGD REMOVAL FB-MAB |
2,453.75 |
EGD W BANDING |
2,453.75 |
EGD W BANDING-MAB |
2,453.75 |
EGD W BIOPSY |
3,027.00 |
EGD W BIOPSY-MAB |
3,027.00 |
EGD W BLEED CONTROL |
2,453.75 |
EGD W BLEED CONTROL-MAB |
2,453.75 |
EGD W DILATORS |
2,453.75 |
EGD W DILATORS-MAB |
2,453.75 |
EGD W FEEDING TUBE |
1,481.25 |
EGD W FEEDING TUBE-MAB |
1,481.25 |
EGD W POLYPECTOMY |
3,027.00 |
EGD W POLYPECTOMY-MAB |
3,027.00 |
EGD W STENT PLACEMENT |
5,284.25 |
EGFR GENE COM VARIANTS |
511 |
ELBOW ARTHROGRAM |
935 |
ELBOW ARTHROGRAM INJ |
580 |
ELECTRIC CURRENT THERAPY EA 15 MINS |
12.75 |
ELECTRIC CURRENT THERAPY EA 15 MINS |
187 |
ELECTRICAL STIMULATION EA 15 MINS |
14 |
ELECTRICAL STIMULATION EA 15 MINS |
205 |
ELECTRODE ADULT SPLIT ARTHREX |
74.5 |
ELECTRODE CLEARVAC 60-6829-005 |
89.75 |
ELECTRODE RESECTOSCOPE ROLLER |
614 |
ELECTROLYTE PANEL |
149 |
ELECTROLYTES STOOL(NA,K,CL)-E |
123.75 |
ELECTROPHORESIS NES |
106 |
EMERG DIALYSIS ESRD PT |
1,084.50 |
EMERGENCY DEPT VISIT |
312.25 |
EMERGENCY DEPT VISIT |
557 |
EMERGENCY DEPT VISIT |
1,013.50 |
EMERGENCY DEPT VISIT |
1,614.50 |
EMERGENCY DEPT VISIT |
2,433.75 |
EMPLOYEE PUNCTURE PROFILE-E |
466.25 |
EMPLOYEE PUNCTURE-E |
1,040.00 |
ENA ANY METHOD |
59.75 |
ENA ANY METHOD |
415.25 |
ENDO CATH – BIL & PANCR D |
1,613.50 |
ENDO CLIP APPLIER 5MM EL5ML |
855.5 |
ENDO CUTTER 60MM LONG |
2,005.25 |
ENDO DR FOG PREVENTION KIT |
17 |
ENDO LINEAR CUTTER 45 MM ATS45 |
1,255.25 |
ENDO LOOP O-VICRYL |
66.25 |
ENDO RELOAD 45MM |
386.75 |
ENDO RELOAD 45MM BLUE |
386.75 |
ENDO RELOAD 45MM BLUE TR45B |
1,210.75 |
ENDO RELOAD 45MM WHITE TR45W |
1,210.00 |
ENDO RETRIEVAL POUCH 5MM |
199.25 |
ENDO TRUMPET TUBING |
135.5 |
ENDO W ABLATION DUODENUM |
2,453.75 |
ENDO W ABLATION DUODENUM-MAB |
2,453.75 |
ENDO W BLEED CONT DUODENUM |
2,453.75 |
ENDO W BLEED CONT DUODENUM-MAB |
2,453.75 |
ENDO W BLEED CONT ILEUM |
2,453.75 |
ENDO W BLEED CONT ILEUM-MAB |
2,453.75 |
ENDO W BLEED CONT UPPER GI |
2,453.75 |
ENDO W BLEED CONT UPPER GI-MAB |
2,453.75 |
ENDO W THERMAL TX UPPER GI |
3,186.50 |
ENDO W THERMAL TX UPPER GI-MAB |
3,186.50 |
ENDO-CATCH SPECIMEN POUCH |
1,366.25 |
ENDOSCOPY-EXT. OBSERVATION. |
238.75 |
ENDOSCRUB2 SHEATH 30D.19-1201 |
248 |
ENDOSCRUB2 SHEATH O D.19-12000 |
279.5 |
ENDO-STAPLE CLIP |
321.75 |
ENDOSTITCH 2-0 POLYSORB 170053 |
277.5 |
ENTEROSCOPY |
2,147.00 |
ENTEROSCOPY-MAB |
2,147.00 |
ENTEROVIRUS PROBE&REVRS TRNS |
96.25 |
ENZYME ACTIVITY BC; NOT RA |
67.5 |
ENZYME ACTIVITY BC; NOT RA |
206.75 |
ENZYME HISTOCHEMISTRY |
609.5 |
EP INTRACARD FIX-CURVE GUIDNG INTROD/SHEATH |
109.5 |
EPIDISC TM PERF PATCH KIT |
560 |
EPIFIX 1 SQ CM |
559 |
EPIFIX 1 SQ CM |
1,117.00 |
EPIFIX 1 SQ CM |
1,675.00 |
EPIFIX 1 SQ CM |
2,233.00 |
EPIFIX 1 SQ CM |
3,419.00 |
EPIFIX 1 SQ CM |
4,465.00 |
EPIFIX 1 SQ CM |
5,023.00 |
EQUIP GAYMER THERMIA UNIT-ER |
264.25 |
EQUIP K-PAD WITH MOTOR SETUP |
234.5 |
EQUIP SCD SLEEVE SET UP |
272.5 |
EQUIP-BLOOD WARMER-ER |
223.25 |
EQUIP-HARMONIC SCALPEL |
392.25 |
EQUIP-I/A CAVITRON |
254.25 |
ER PARACENTESIS |
694.75 |
ERYTHROPOIETIN |
195.5 |
ESOPHAGOGAS-JEJUNOSC W DIL-MAB |
2,147.00 |
ESOPHAGOGASTRO-JEJUNOSCO W DIL |
2,147.00 |
ESOPHAGOGASTRO-JEJUNOSCOPY |
2,147.00 |
ESOPHAGOGASTRO-JEJUNOSCOPY-MAB |
2,147.00 |
ESOPHAGOSCOPY W ABLATION |
2,147.00 |
ESOPHAGOSCOPY W ABLATION-MAB |
2,147.00 |
ESOPHAGOSCOPY W BLEED CONT |
2,147.00 |
ESOPHAGOSCOPY W BLEED CONT-MAB |
2,147.00 |
ESOPHAGUS-PH |
1,174.00 |
ESOPHAGUS-PH PROLONGED |
1,629.00 |
ESOPHOGRAM |
581.75 |
ESOPHOSCOPY DIAG |
1,562.25 |
ESOPHOSCOPY DIAG-MAB |
1,562.25 |
ESTRADIOL |
136.5 |
ESTRADIOL,FREE-E |
195.25 |
ESTRIOL UNCONJUGATED |
123.75 |
ESTROGENS FRACTION, SEND OUT-E |
289.25 |
ESTROGENS; TOTAL |
87.5 |
ESTRONE |
152.75 |
ETHOSUXIMIDE |
59.5 |
ETHYLENE GLYCOL |
58 |
EVAC SU HEMATOMA |
270.75 |
EVAL AMNIOTIC FLUID PROTEIN |
133.5 |
EVAL OF FNA; INT & REP |
249.75 |
EVALUATE SPEECH PRODUCTION |
7.25 |
EVALUATE SPEECH PRODUCTION |
421.25 |
EVALUATE SWALLOWING FUNCTION |
9.5 |
EVALUATE SWALLOWING FUNCTION |
421.25 |
EVALUATION OF SPEECH FLUENCY |
7.25 |
EVALUATION OF SPEECH FLUENCY |
421.25 |
EVALUATION OF WHEEZING |
750.25 |
EVICEL APPLICATOR 45CM 3909 |
153.25 |
EXAM SYNOVIAL FLUID CRYSTALS |
105.5 |
EXC FACE-MM B9+MARG 1.1-2 CM |
1,329.75 |
EXCHANGE NEPHROSTOMY CATH |
2,009.75 |
EXHALED NITRIC OXIDE MEAS |
78.25 |
EXPL KNEE W DRAIN/REM FB |
3,355.00 |
EXPL P WND; EXTREM |
3,033.25 |
EXPL/REM FB IPH JOINT EA |
1,770.50 |
EXTENSOR TENDON REPAIR EACH |
3,237.25 |
EXTERNAL PACEMAKER-ICU |
148.5 |
EXTERNAL PACEMAKER-PCU |
148.5 |
F18 FDG =< 45 MCI |
194.5 |
F2 GENE |
185.25 |
F5 GENE |
172 |
FACTOR 8 VWF MULTIMRIC |
124.25 |
FACTOR INHIBITOR TEST |
52 |
FANCC GENE |
47.25 |
FAT/LIPIDS FECES; QUAL |
60.5 |
FAT/LIPIDS FECES; QUAN |
98.5 |
FATTY ACIDS NONESTERIFIED |
128.75 |
FBP W NON-STRESS TEST |
2,196.00 |
FBP WO NON-STRESS |
1,664.50 |
FECAL LEUKO CNT QUAL/SEMIQUAN |
52.25 |
FEM 60/ROD 3.2 |
416.5 |
FEM GD/ROD 2.4 SMOOTH |
187.25 |
FEMORAL N BLOCK SGL |
1,424.25 |
FEMORAL N BLOCK SGL |
2,136.50 |
FERRITIN |
175.5 |
FETAL CONTRACTION STRESS TEST |
964.75 |
FETAL FIBRONECTIN CV SEMIQUAN |
415 |
FETAL HGB SCREENING TEST |
24 |
FETAL NON-STRESS TEST |
772.25 |
FFP THAWING EA UNIT |
247 |
FIBERSTICK #2 AR-7209 |
267.5 |
FIBERWIRE #2 1BLUE/1WHITE |
118.25 |
FIBERWIRE #2 W/BLUE TAPERED |
118.25 |
FIBRIN SEALANT EVICEL #3907 |
1,519.00 |
FIBRINOGEN EVAL PROFILE-E |
333.75 |
FIBRINOGEN PANEL-E |
90.5 |
FIBRINOGEN; ACTIVITY |
36.5 |
FIBRINOGEN; ANTIGEN |
54.25 |
FILSHIE CLIP |
338.5 |
FIRST RESPONDER EXPOSURE-E |
201.25 |
FISH CHARCKOT-E |
481.25 |
FISH MICRODELETION-E |
216.75 |
FISH NO CULTURE-E |
896.25 |
FISTULAGRAM PROFILE-E |
1,722.00 |
FLEXI-SEAL FECAL MANAGEMENT KI |
2,458.25 |
FLOSEAL HEMOSTATIC SEALANT |
738.25 |
FLOW CYTOMETRY EA ADDTL MARKER |
62.5 |
FLOW CYTOMETRY EA ADDTL MARKER |
374 |
FLOW CYTOMETRY EA ADDTL MARKER |
498.75 |
FLOW CYTOMETRY PNH PANEL-E |
1,216.00 |
FLOW CYTOMETRY TC 1ST MARKER |
287.5 |
FLT3 PANEL-E |
352.75 |
FLUORESCENT AB; SCRN EA AB |
67.25 |
FLUORESCENT AB; SCRN EA AB |
201.25 |
FLUORESCENT AB; TITER EA AB |
51.75 |
FLUORESCENT AB; TITER EA AB |
154.5 |
FLUOROGUIDE FOR SPINE INJECT |
186.25 |
FLUOROGUIDE FOR VEIN DEVICE |
1,075.50 |
FLUOROSCOPE EXAM EXTENSIVE |
859.25 |
FLUOROSCOPY <1 HR PHYS/QHP |
486.25 |
FMR1 GENE DETECTION |
273.5 |
FNA BX W/O IMG GDN 1ST LES |
423 |
FNA W/IMAGE |
1,872.25 |
FOLATE, RBC SEND OUT-E |
81 |
FOLEY TRAY SURE TEMP |
95.25 |
FOLIC ACID; RBC |
59.75 |
FOLIC ACID; SERUM |
212 |
FOOT COVER LG AV IMPULSE 5075 |
417 |
FOOT COVER MD AV IMPULSE 5065 |
417 |
FORCE TRIVERSE DEVICE |
167.5 |
FORCEPS COLD 000569 |
58.25 |
FORCEPS RADIAL JAW 1524 |
167.5 |
FORESKIN MANIPULATION |
318.75 |
FREE INSULIN |
100.25 |
FREE K+L LT CHAINS SEND OUT-E |
492.25 |
FREE L/HIP GUIDE PIN THREADED |
43.75 |
FREE THYROXINE |
149.75 |
FREE THYROXINE INDEX-E |
57.25 |
FRESH FROZEN PLASMA THAW-PAN-E |
488 |
FUNGAL AB BY CF-E |
339.75 |
FUNGUS CULTURE BLOOD |
29.5 |
FUNGUS CULTURE DEF I.D YEAST |
80.75 |
FUNGUS CULTURE DEF ID MOLD |
98.75 |
FUNGUS CULTURE NOT BLOOD |
29.5 |
FUNNEL KELLER KS-001 |
486.5 |
G-6-PD AND RBC PANEL SEND OU-E |
180.75 |
G6PD; QUAN |
159.5 |
GAD-BASE MR CONTRAST NOS PER 1 ML |
24.25 |
GAIT TRAINING THERAPY EA 15 MINS |
140 |
GALACTOSE |
102.75 |
GARDNERELLA DIR NA PROBE |
62.5 |
GASTRIC EMPTYING IMAG STUDY |
1,437.75 |
GASTRIC REFLUX SCAN |
1,607.00 |
GASTRIN |
213.25 |
GAUZE <=16 IN NO W/SAL W/O B |
30 |
GELPORT ACCESS DEVICE C8XX2 |
1,892.75 |
GENET VIRUS ISOLATE HSV |
75.5 |
GENOTYPE DNA HEPATITIS B |
476.5 |
GENTAMICIN |
142 |
G-ESOPH REFLUX W MUCOSAL PH |
1,856.50 |
GI TRACT CAPSULE ENDOSCOPY |
3,912.25 |
GIARDIA & CONCENTRATION-E |
132.5 |
GIARDIA AG BY IF |
69.5 |
GLIADIN ANTIBODIES SEND OUT-E |
134.5 |
GLIDE SHEET FOR IOL |
5 |
GLOBULIN PROFILE-E |
112.5 |
GLUCAGON |
55.25 |
GLUCOSE BODY FLUID NOT BLOOD |
61.75 |
GLUCOSE TOLERANCE 2 HR-E |
275 |
GLUCOSE TOLERANCE TEST (GTT) 3 SPECM |
180 |
GLUCOSE; BLD BY MONITOR DEVICE |
54.5 |
GLUCOSE; POST GLUCOSE DOSE |
164 |
GLUCOSE; QUAN BLOOD |
44.75 |
GLUTAMYLTRANSFERASE GAMMA |
70.75 |
GLUTATHIONE |
73.25 |
GLYCATED PROTEIN |
83.25 |
GLYCOSYLATED HEMOGLOBIN TEST |
114 |
GOLF EVALUATION (1)-M52 |
151.75 |
GONADOTROPIN; FSH |
289.75 |
GONADOTROPIN; LUTEINIZING HORMONE |
344.75 |
GOWN XX-LG MICROCOOL 92056 |
47.5 |
GRAFT ALLOMATRIX C PUTTY |
2,882.75 |
GRAFT ALLOMATRIX INJ PUTTY |
3,417.00 |
GROWTH HORMONE HUMAN |
232.75 |
GRP NUTRITION THERAPY; EA 30M |
22.5 |
GTT-ADDED SAMPLES |
95.25 |
GUIDE CATHET FLUID DRAINAGE |
1,219.25 |
GUIDE WIRE |
106.25 |
GUIDE WIRE |
108.25 |
GUIDE WIRE |
131 |
GUIDE WIRE |
162.5 |
GUIDE WIRE |
165.5 |
GUIDE WIRE |
165.75 |
GUIDE WIRE |
303.25 |
GUIDE WIRE |
315.5 |
GUIDE WIRE |
440 |
GYN/SCOPE PACK CS/5 |
117.75 |
H PYLORI (C-13) BREATH TEST |
164.75 |
H PYLORI DRUG ADMIN |
24.5 |
H PYLORI IGG IGM IGA SEND OU-E |
212 |
HAMS; AUTO SCRN EA |
93.25 |
HANDLING FEE-QUEST |
8.75 |
HANDPIECE,ECHELON FLEX |
1,035.25 |
HAPTOGLOBIN; QUAN |
127.5 |
HARMONIC SHEARS & 7 DEVICE |
2,349.25 |
HARMONIC SHEARS ACE36E |
2,573.00 |
HBA1/HBA2 GENE |
321.75 |
HBG; METHEMOGLOBIN QUAN |
158.5 |
HBV CORE AB IGG/IGM-E |
186.75 |
HCG; QUAL |
128.5 |
HCG; QUAN |
29.75 |
HCV FIBROSURE-E |
654.75 |
HCV GENOSURE-E |
1,033.50 |
HCV NSSA RESISTANCE-E |
1,033.50 |
HEAVY METAL PANEL 5 TESTS-E |
304.75 |
HEAVY METAL PROFILE SENDOUT-E |
284.5 |
HEAVY METAL PROFILE UA-E |
254.25 |
HEAVY METAL QUANT EACH NES |
223 |
HEEL BOOT MED HCB204ML |
187.75 |
HELICOBACTER PYLORI CULTURE-E |
80.25 |
HEMATOCRIT |
21.25 |
HEMODIALYSIS ONE EVALUATION |
968 |
HEMOLYSINS/AGGLUTININS |
93.25 |
HEMORROIDECTOMY |
2,512.50 |
HEMORROIDECTOMY-MAB |
2,512.50 |
HEPARIN ASSAY |
135.5 |
HEPATIC FUNCTION PANEL |
162.75 |
HEPATITIS A ANTIBODY |
175 |
HEPATITIS A IGM ANTIBODY |
105.5 |
HEPATITIS B SCREEN-MH-E |
411.5 |
HEPATITIS B SURFACE AG IA |
144.25 |
HEPATITIS BE AG IA |
46.5 |
HEPATITIS BE ANTIGEN/AB-E |
126.5 |
HEPATITIS C – DNA OR RNA |
697.75 |
HEPATITIS C AB |
123.5 |
HEPATITIS C CONFIRMATION |
66 |
HEPATITIS C PROBE&RVRS TRNSC |
78.25 |
HEPATITIS C REVRS TRNSCRPJ |
308 |
HEPATOBIL SYST IMAGE W/DRUG |
2,384.00 |
HEPATOBILIARY SYSTEM IMAGING |
2,384.00 |
HEP-B AMPLIF NA PROBE |
83.25 |
HEP-B NA QUAN |
284.75 |
HERPES S AMPLIF NA PROBE |
91 |
HERPES S AMPLIF NA PROBE |
181.75 |
HERPES SIMPLEX VIRUS I,II-E |
285 |
HEXA GENE |
167.75 |
HEXAGNAL PHOSPH PLTLT NEUTRL |
23.5 |
HFE GENE |
502.25 |
HGB CHROMATOGRAPHY |
98.75 |
HGB FRAC PROFILE SEND OUT-E |
171.25 |
HGB; PLASMA |
45 |
HGH AB |
63.5 |
HIP (D) FEM HEAD 28MM 01.5 GR |
2,772.25 |
HIP (D) FEM HEAD 28MM 05.0 BR |
2,771.00 |
HIP (D) FEM HEAD 28MM 08.5 BL |
2,771.00 |
HIP (D) SUMMIT STEM STD SIZE 5 |
16,728.75 |
HIP (Z) KIENCTIV NECK K |
3,334.00 |
HIP (Z) KINECTIV FEM STEM 13.5 |
11,421.50 |
HIP (Z) KINECTIV NECK B |
3,334.00 |
HIP (Z) KINECTIV NECK G2 |
3,334.00 |
HIP (Z) KINECTIV STEM SIZE 5 |
11,764.00 |
HIP (Z) VERSYS FEM HEAD +0 32 |
2,258.25 |
HIP (Z/MOD M) BIPOL SHELL 42MM |
2,428.00 |
HIP (Z/MOD M) BIPOL SHELL 43M |
2,357.50 |
HIP (Z/MOD M) BIPOL SHELL 44 |
2,241.75 |
HIP (Z/MOD M) LINER 42/43 |
1,495.75 |
HIP (Z/MOD M) LINER 44/45/46 |
1,495.00 |
HIP (Z/MOD M) LINER 47/48/49 |
1,495.00 |
HIP (Z/MOD M) LINER 50/51/52 |
1,495.00 |
HIP (Z/MOD M) LINER 53/54/55 |
1,451.00 |
HIP ARTHROGRAM |
1,287.00 |
HIP ARTHROGRAPHY INJ WO ANESTH |
672.5 |
HIP LONGEVITY LINER STND 32 56 |
3,993.00 |
HIP SHELL TRAB POR CLUSTER 50 |
4,135.75 |
HIP SHELL TRAB POR CLUSTER 52 |
4,259.75 |
HIP SHELL TRAB POR CLUSTER 56 |
7,780.25 |
HIP SHELL TRAB POR CLUSTER 58 |
4,259.75 |
HIP SHELL TRABECUALR METAL 60 |
4,135.75 |
HIP SHELL TRABECULAR METAL 54 |
4,259.75 |
HIP TRIL LINER 10 DEG 32MM |
2,841.50 |
HIP TRILOGY 32MM STND 50/52/5 |
3,196.50 |
HISTAMINE |
91 |
HISTOCHEMICAL STAINS ADD-ON |
77.5 |
HISTOPLASMA AB 3 TEST PANEL-E |
245.75 |
HISTOPLASMA CAPSUL AG IA |
142.5 |
HIV CONFIRMATION 1 & 2-E |
87.5 |
HIV-1 AG W/HIV-1 & HIV-2 AB |
117.75 |
HIV-1 QUANT&REVRSE TRNSCRPJ |
999.75 |
HIV-1/HIV-2 SINGLE RESULT |
57 |
HLA I TYPING 1 ANTIGEN LR |
209.25 |
HLA II TYPE 1 AG EQUIV LR |
387 |
HLA II TYPING 1 ALLELE HR |
400 |
HLA II TYPING 1 LOC HR |
436.25 |
HLA II TYPING AG EQUIV LR |
473.25 |
HOCM <=149 MG/ML IODINE. 1ML |
9.25 |
HOME SLEEP TEST/TYPE 3 PORTA |
743.5 |
HOMOGENIZ TISS FOR CULTURE |
71 |
HOSPITAL OBSERVATION PER HR |
169.25 |
HOSPITAL OUTPT CLINIC VISIT |
115 |
HOT OR COLD PACKS THERAPY 1+ AREAS |
109.25 |
HPYLORI STOOL IA |
182.5 |
HSV 1 & 2 AB IGG-E |
223.5 |
HSV 1/2 PCR SEND OUT-E |
182 |
HSV AND VZV PCR PANEL-E |
273 |
HT MUSCLE IMAGE SPECT MULT |
6,095.75 |
HT MUSCLE IMAGE SPECT SING |
2,526.75 |
HTA UTERINE ABLATION SYSTEM |
3,692.00 |
HUMAN EPIDIDYMIS PROTEIN 4 |
88.5 |
HYDRATE IV INFUSION ADD-ON |
293.5 |
HYDRATION IV INFUSION INIT 31-60 MINS |
513.5 |
HYDROGEL DRSG GEL FILLER |
107.75 |
HYDROXYPROGESTERONE 17-D |
95 |
HYPERSENSITIVITY PNEUMO-E |
307.5 |
HYPOXIA RESPONSE CURVE |
316 |
HYSTEROGR/SIS CONTR/SALINE INJ |
511.75 |
HYSTEROSALPINGOGRAM |
1,505.25 |
HYSTEROSALPINGOGRAM PROFILE-E |
2,017.00 |
I & D EPIDIDYMIS TESTIS/SCROTAL SP |
2,911.75 |
I & D OF BARTHOLIN’S GLAND ABSCESS |
1,072.75 |
I & D OF VULVA OR PERINEAL ABSCESS |
537.5 |
I&D ABSC; COMPL OR MULTI |
1,046.50 |
I&D ABSC; SMPL OR SGL |
187 |
I&D ABSC; SMPL OR SGL |
996.5 |
I&D ABSCESS; PERITONSILLAR |
1,235.75 |
I&D CPLX POSTOP WND INF |
2,882.00 |
I&D HEMATOMA/FLUID |
1,353.00 |
I&D HEMATOMA/FLUID |
2,933.75 |
I&D OF SUBMUCOSAL ABSCESS; RECTUM |
2,164.75 |
I&D PILONID CYS; SMPL |
1,552.75 |
I&D; PERIANAL ABSCESS |
1,433.75 |
I&D; PERIRECTAL OR ISCHIAL ABSCESS |
2,965.75 |
I131 IODIDE CAP RX PER 1 MCI |
56 |
IA INFECTIOUS AGENT AB QUAN |
65 |
IA INFECTIOUS AGENT AB QUAN |
908.5 |
IA INFECTIOUS AGENT AB QUAN |
1,492.50 |
IA INFECTIOUS AGENT SGL STEP |
122 |
IA QUANT; CA 125 |
88.5 |
IA QUANT; CA 15-3 (27.29) |
88.5 |
IA QUANT; CA 19-9 |
88.5 |
IA; OTHER TUMOR AG QUAN EA |
136.5 |
ID; GEL QUAL; EA AB/AG |
111.5 |
IGG 1 2 3 OR 4 EACH |
72.5 |
IGG SUBCLASSES 1-4 SEND OUT-E |
330 |
IGH GENE REARRANGE AMP METH |
366.5 |
IGK REARRANGEABN CLONAL POP |
275.5 |
ILESOSCOPY |
1,087.25 |
ILESOSCOPY-MAB |
1,087.25 |
IMAGE CATH FLUID COLXN VISC |
1,566.75 |
IMAGE CATH FLUID PERI/RETRO |
1,566.75 |
IMMOB ARM SHOULDER UNIV |
72.5 |
IMMUNE COMPLEX ASSAY; |
47.5 |
IMMUNE COMPLEX ASSAY; |
94.5 |
IMMUNFIX E-PHORSIS/URINE/CSF |
123.5 |
IMMUNIZATION ADM; EA ADDTL VACCINE |
54.5 |
IMMUNIZATION ADMIN 1 VACCINE |
133 |
IMMUNIZATION ADMIN 1 VACCINE |
133.5 |
IMMUNOASSAY NONANTIBODY |
67.25 |
IMMUNOASSAY NONANTIBODY |
134.25 |
IMMUNOASSAY NONANTIBODY |
268.25 |
IMMUNOASSAY QUANT NOS NONAB |
56 |
IMMUNOASSAY QUANT NOS NONAB |
167.75 |
IMMUNOASSAY QUANT NOS NONAB |
279 |
IMMUNOASSAY QUANT NOS NONAB |
446.25 |
IMMUNOFLUOR ANTB 1ST STAIN |
287.5 |
IMMUNOFLUOR ANTB ADDL STAIN |
40.25 |
IMMUNOFLUOR ANTB ADDL STAIN |
160.5 |
IMMUNOGLOBULINS (G,A,M)-E |
119.75 |
IMMUNOHISTO ANTB 1ST STAIN |
456.5 |
IMPACT TOOTH REMOV SOFT TISS |
2,177.25 |
IMPL INDWELLING PORT |
847.25 |
IMPL INDWELLING PORT |
2,426.50 |
IMPL INDWELLING PORT |
3,270.50 |
IMPL INDWELLING PORT |
3,346.75 |
IMPL NEUROSTIM LEAD TEST KIT |
2,229.75 |
IMPLANTABLE TISSUE MARKER |
2,948.00 |
IN111 CAPROMAB =< 10 MCI |
4,622.50 |
INC & REM FB SQ; SMPL |
358.75 |
INC/REPL SPINE NSTIM PG/RCVR |
75,936.75 |
INCISE THROMBOSED HEMORRHOID EXT |
433.25 |
INDWELLING CATHETER FOLEY TYPE |
33.25 |
INDWELLING CATHETER FOLEY TYPE |
41 |
INDWELLING CATHETER FOLEY TYPE |
45.5 |
INDWELLING CATHETER FOLEY TYPE |
52.25 |
INDWELLING CATHETER FOLEY TYPE |
61.75 |
INDWELLING CATHETER FOLEY TYPE |
101.75 |
INF BURSA I&D – UA/ELBOW |
2,136.50 |
INFLAM BOWEL DIS PANEL SEND-E |
155 |
INFLIXIMAB/ANTIINFLIXIMAB AB-E |
128.25 |
INFLU A/H1N1 SEND OUT-E |
359 |
INFLUENZA A/B AB-E |
114 |
INFLUENZA DNA AMP PROBE |
304.75 |
INFLUENZA IA W DO |
214.5 |
INFLUENZA VIRUS A AN B PCR-E |
609.5 |
INFRARED THERAPY 1+ AREAS |
29.75 |
INHIBIN A |
81 |
INIT NUTRITION THERAPY; EACH 15M |
68.5 |
INIT TX 1ST DEGR BURN |
205.5 |
INJ ANESTH ; GREATER OCCIPITAL NERVE |
648.75 |
INJ ANESTH ; GREATER OCCIPITAL NERVE |
1,297.25 |
INJ ANESTH; FACIAL NERVE |
740.25 |
INJ ANESTH ; TRIGEMINAL NERVE |
648.75 |
INJ ANESTH ; VAGUS NERVE |
648.75 |
INJ ANESTH; AXILLARY NERVE |
1,794.00 |
INJ ANESTH; AXILLARY NERVE |
2,690.75 |
INJ ANESTH; CELIAC PLEXUS |
1,794.00 |
INJ ANESTH; CERVICAL PLEXUS |
1,424.25 |
INJ ANESTH; INTERCOST NRV MULTI/REGION |
1,794.00 |
INJ ANESTH; INTERCOSTAL NERVE SGL |
1,424.25 |
INJ ANESTH; LUMB/THOR (SYMPATHETIC) |
1,794.00 |
INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH |
1,424.25 |
INJ ANESTH; PHRENIC NERVE |
1,794.00 |
INJ ANESTH; PUDENDAL NERVE |
1,794.00 |
INJ ANESTH; SPHENOPALATINE GANGLION |
648.75 |
INJ ANESTH; STELLATE GANGLION |
1,794.00 |
INJ ANESTH; STELLATE GANGLION |
2,371.50 |
INJ ANESTH; SUPRASCAPULAR NERVE |
1,424.25 |
INJ ANESTH; SUPRASCAPULAR NERVE |
2,136.50 |
INJ EPIDURAL BLOOD OR CLOT PATCH |
1,424.25 |
INJ FOR CYSTOGRAM |
1,122.25 |
INJ FOR SIALOGRAPHY |
494 |
INJ FORAMEN EPIDURAL ADD-ON |
844 |
INJ FORAMEN EPIDURAL ADD-ON |
844.25 |
INJ FORAMEN EPIDURAL ADD-ON |
1,266.50 |
INJ FORAMEN EPIDURAL C/T |
1,794.00 |
INJ FORAMEN EPIDURAL C/T |
2,371.50 |
INJ FORAMEN EPIDURAL L/S |
1,794.00 |
INJ FORAMEN EPIDURAL L/S |
2,690.75 |
INJ NEUROLYTIC; EPIDURAL CERV/THORACIC |
1,794.25 |
INJ NEUROLYTIC; EPIDURAL LUMB/CAUDAL |
1,794.25 |
INJ NEUROLYTIC; SUBARACHNOID |
1,794.25 |
INJ PARAVERT F JNT C/T 1 LEV |
1,794.00 |
INJ PARAVERT F JNT C/T 1 LEV |
2,371.50 |
INJ PARAVERT F JNT C/T 2 LEV |
915.25 |
INJ PARAVERT F JNT C/T 2 LEV |
1,829.50 |
INJ PARAVERT F JNT C/T 3 LEV |
915.25 |
INJ PARAVERT F JNT C/T 3 LEV |
1,829.50 |
INJ PARAVERT F JNT L/S 1 LEV |
1,794.00 |
INJ PARAVERT F JNT L/S 1 LEV |
2,690.75 |
INJ PARAVERT F JNT L/S 2 LEV |
915.25 |
INJ PARAVERT F JNT L/S 2 LEV |
1,829.50 |
INJ PARAVERT F JNT L/S 3 LEV |
915.25 |
INJ PARAVERT F JNT L/S 3 LEV |
1,829.50 |
INJ SGL TENDON SHTH OR LIGAMENT |
648.75 |
INJ TENDON ORIGIN/INSERT |
648.75 |
INJ TRIGGER POINT 1/2 MUSCL |
648.75 |
INJECT TRIGGER POINTS 3/> |
648.75 |
INJECTION FOR CHOLANGIOGRAM |
3,839.00 |
INJECTION FOR KNEE X-RAY |
561 |
INJECTION INTO SKIN LESIONS =<7 |
427.75 |
INS NON-TUNNEL CV CATH 5 YRS/> |
2,512.00 |
INS PACK FOR NON-OB VAG HEMORRHAGE |
264.25 |
INS TEMP BLADDER CATH |
473.25 |
INSERT CERVICAL DILATOR |
605 |
INSERT BLADDER CATHETER |
212.25 |
INSERT CATH PLEURA W/ IMAGE |
918 |
INSERT CATH PLEURA W/O IMAGE |
1,790.25 |
INSERT ELECTRD/PM CATH SNGL |
9,739.00 |
INSERT O2 THERMO CATH-ICU |
1,215.00 |
INSERTER-DILAMEZINSERT |
141.75 |
INSERTION OF CHEST TUBE |
1,953.75 |
INSITU HYBRIDIZATION (FISH) |
142.25 |
INSJ PICC <5 YR W/O IMAGING |
1,311.25 |
INSJ PICC 5 YR+ W/O IMAGING |
2,441.75 |
INSTRUMENT-SINGLE |
54.5 |
INSULIN AB |
86.5 |
INSULIN,FREE AND TOTAL-E |
158.25 |
INSULIN; TOTAL |
58.25 |
INSULIN; TOTAL |
173.75 |
INTEGRATED INFUSION SYSTEM 506 |
186.25 |
INTEGRATED SCREEN 2 SEND OUT-E |
381.25 |
INTEGUSEAL MICROBIAL SEALANT |
185.5 |
INTERCEED GAUZE 3X4 |
888.5 |
INTERROG EVL PM/LDLS PM IP |
84.5 |
INTMD WND REPAIR FACE/MM =< 2.5 CM |
417 |
INTMD WND REPAIR FACE/MM 2.6-5.0 CM |
418.25 |
INTMD WND REPAIR FACE/MM 7.6-12.5 CM |
2,664.50 |
INTMD WND REPAIR N-HF/GENIT |
608.25 |
INTMD WND REPAIR N-HF/GENIT |
1,737.50 |
INTMD WND REPAIR N-HF/GENIT =< 2.5 CM |
1,433.75 |
INTMD WND REPAIR S/A/T/EXT |
376 |
INTMD WND REPAIR S/A/T/EXT |
774.25 |
INTMD WND REPAIR S/A/T/EXT |
853.25 |
INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM |
813 |
INTRINSIC FACTOR AB |
92.75 |
INTRO NDL ICATH UPR/LXTR ART |
2,638.75 |
INTRO/SHEATH NON-LASER |
117.5 |
INTRO/SHEATH NON-LASER |
357.5 |
INTROD LONG GI TUBE |
852 |
INTRODUCER SUPRAPUBIC CATH16FR |
80 |
INTUBATION ET EMERGENT |
1,270.25 |
IO MAP OF SENT LYMPH NODE |
468.75 |
IODINE I-123 SOD IODIDE PER 100 UCI TO 999 UCI |
338.25 |
IOL ALCON |
441.25 |
IRIS FLEXIBLE RET. GRIESHABER |
489.75 |
IRON |
55.75 |
IRON BINDING CAPACITY |
86 |
IRON/TIBC-E |
141.75 |
IRRIG DRUG DELIVERY DEVICE |
418 |
IRRIGATE CORPORA CAVERNOSA FOR PRIAPISM |
1,808.00 |
ISLET CELL AB |
114.25 |
IV 1.5 DIALYSIS 2500 CC |
65.75 |
IV 1.5 DIALYSIS 3 LITER |
57.75 |
IV 2.5 DIALYSIS 2500 CC |
35.5 |
IV 2.5 DIALYSIS 3 LITERS |
65.75 |
IV 2B7116 ST H20 2000 ML |
47 |
IV 4.25 DIALYSIS 2500 CC |
40 |
IV LOW CALCIUM 1.5 DIANEAL |
145 |
IV LOW CALCIUM 2.5 DIANEAL |
149.75 |
IV SOLUTION-OR (ANES) |
21.5 |
IVP W/WO TOMO/KUB |
1,397.50 |
JAK2 GENE |
311.25 |
JOHN CUNNINGHAM ANTIBODY |
47 |
JOINT DEVICE (IMPLANTABLE) |
1,215.75 |
JOINT DEVICE (IMPLANTABLE) |
1,460.75 |
JOINT DEVICE (IMPLANTABLE) |
1,910.00 |
JOINT DEVICE (IMPLANTABLE) |
1,992.50 |
JOINT DEVICE (IMPLANTABLE) |
2,092.00 |
JOINT DEVICE (IMPLANTABLE) |
2,176.00 |
JOINT DEVICE (IMPLANTABLE) |
2,176.25 |
JOINT DEVICE (IMPLANTABLE) |
2,192.50 |
JOINT DEVICE (IMPLANTABLE) |
2,215.50 |
JOINT DEVICE (IMPLANTABLE) |
2,241.50 |
JOINT DEVICE (IMPLANTABLE) |
2,241.75 |
JOINT DEVICE (IMPLANTABLE) |
2,284.75 |
JOINT DEVICE (IMPLANTABLE) |
2,357.50 |
JOINT DEVICE (IMPLANTABLE) |
2,362.50 |
JOINT DEVICE (IMPLANTABLE) |
2,433.50 |
JOINT DEVICE (IMPLANTABLE) |
2,637.75 |
JOINT DEVICE (IMPLANTABLE) |
2,696.50 |
JOINT DEVICE (IMPLANTABLE) |
2,757.25 |
JOINT DEVICE (IMPLANTABLE) |
2,840.25 |
JOINT DEVICE (IMPLANTABLE) |
2,856.00 |
JOINT DEVICE (IMPLANTABLE) |
2,921.25 |
JOINT DEVICE (IMPLANTABLE) |
2,941.50 |
JOINT DEVICE (IMPLANTABLE) |
3,196.50 |
JOINT DEVICE (IMPLANTABLE) |
3,306.00 |
JOINT DEVICE (IMPLANTABLE) |
3,334.00 |
JOINT DEVICE (IMPLANTABLE) |
3,408.00 |
JOINT DEVICE (IMPLANTABLE) |
3,807.75 |
JOINT DEVICE (IMPLANTABLE) |
4,230.25 |
JOINT DEVICE (IMPLANTABLE) |
4,235.25 |
JOINT DEVICE (IMPLANTABLE) |
4,259.75 |
JOINT DEVICE (IMPLANTABLE) |
4,270.75 |
JOINT DEVICE (IMPLANTABLE) |
4,323.25 |
JOINT DEVICE (IMPLANTABLE) |
4,639.00 |
JOINT DEVICE (IMPLANTABLE) |
4,663.50 |
JOINT DEVICE (IMPLANTABLE) |
4,663.75 |
JOINT DEVICE (IMPLANTABLE) |
4,668.75 |
JOINT DEVICE (IMPLANTABLE) |
4,706.00 |
JOINT DEVICE (IMPLANTABLE) |
4,721.00 |
JOINT DEVICE (IMPLANTABLE) |
4,935.50 |
JOINT DEVICE (IMPLANTABLE) |
5,106.00 |
JOINT DEVICE (IMPLANTABLE) |
5,252.25 |
JOINT DEVICE (IMPLANTABLE) |
5,613.25 |
JOINT DEVICE (IMPLANTABLE) |
5,617.50 |
JOINT DEVICE (IMPLANTABLE) |
5,735.25 |
JOINT DEVICE (IMPLANTABLE) |
6,059.00 |
JOINT DEVICE (IMPLANTABLE) |
6,458.75 |
JOINT DEVICE (IMPLANTABLE) |
6,617.00 |
JOINT DEVICE (IMPLANTABLE) |
6,815.25 |
JOINT DEVICE (IMPLANTABLE) |
7,008.00 |
JOINT DEVICE (IMPLANTABLE) |
7,081.75 |
JOINT DEVICE (IMPLANTABLE) |
7,089.50 |
JOINT DEVICE (IMPLANTABLE) |
7,099.50 |
JOINT DEVICE (IMPLANTABLE) |
8,270.75 |
JOINT DEVICE (IMPLANTABLE) |
8,519.25 |
JOINT DEVICE (IMPLANTABLE) |
9,137.50 |
JOINT DEVICE (IMPLANTABLE) |
9,543.00 |
JOINT DEVICE (IMPLANTABLE) |
9,925.25 |
JOINT DEVICE (IMPLANTABLE) |
14,101.50 |
JOINT DEVICE (IMPLANTABLE) |
14,103.75 |
JOINT DEVICE (IMPLANTABLE) |
16,728.75 |
K FLOW/FUNCT IMAGE MULTIPLE |
1,102.50 |
K FLOW/FUNCT IMAGE W/DRUG |
1,917.00 |
K FLOW/FUNCT IMAGE W/O DRUG |
1,917.00 |
K-B STAIN FOR FETAL HGB |
75 |
KETOSTEROIDS 17; TOTAL |
54.75 |
KIDNEY IMAGING (3D) |
1,521.00 |
KIDNEY IMAGING MORPHOL |
1,385.25 |
KIDNEY IMAGING WITH FLOW |
926.25 |
KIDNEY STONE SATURATION 24HR-E |
398.25 |
KIT GENE TARGETED SEQ ANALYS |
426.25 |
KNEE (NEX) CR ART YLW 14MM |
2,856.00 |
KNEE (Z/NEX) CR ART GRN 10MM |
2,941.50 |
KNEE (Z/NEX) CR ART GRN 12MM |
4,804.00 |
KNEE (Z/NEX) CR ART YLW 10MM |
2,941.50 |
KNEE (Z/NEX) PATELLA 32MM |
2,433.50 |
KNEE (Z/NEX) PATELLA 35MM |
1,765.25 |
KNEE AC ART SURFACE 10 YEL 3/ |
4,235.75 |
KNEE AC ART SURFACE 12 GRN 5/6 |
2,941.50 |
KNEE AC ART SURFACE 12 YEL 3/4 |
2,941.50 |
KNEE AC ART SURFACE 14 GRN 5/ |
2,856.00 |
KNEE ARTHROGRAM |
1,045.00 |
KNEE PROLONG ART BLUE 10MM C/ |
5,106.00 |
KNEE; BOTH KNEES STANDING AP |
329.25 |
KO IMMOB CANVAS LONG PRE OTS |
119.75 |
KOH FOR FUNGI/PARASITES/MITES |
103.5 |
KRAS GENE VARIANTS EXON 2 |
358.5 |
K-WIRE (S) CANN 1.25 150 |
32 |
K-WIRE 1.6MM X 150MM |
181.75 |
KWIRES (DVR) 0.062 STAINLESS |
86 |
LABOR & DELIVERY CHARGE |
6,724.25 |
LACTATE |
215 |
LACTATE DEHYDROGENASE |
72.5 |
LACTOFERRIN FECAL (QUAL) |
61.75 |
LACTOFERRIN FECAL (QUANT) |
64.25 |
LACTOSE TOLERANCE PROFILE-E |
134.25 |
LAP CHOLE PACK CS/5 |
406 |
LAPROSCOPIC PROCEDURE |
1,304.00 |
LARYNGOSCOPY TELESCOPIC |
486.5 |
LASER FIBERGUIDE 400 DUR400DBX |
1,723.25 |
LASER FIBERGUIDE 600 DUR600DB |
1,673.50 |
LASER FIBERS |
1,194.75 |
LASER FIBERS |
1,520.50 |
LASER FIBERS |
1,629.25 |
LDCT FOR LUNG CA SCREEN |
359.25 |
LDH ISOENZYMES PANEL SENDOUT-E |
145 |
LDH; ISOENZYMES |
72.5 |
LEAD |
63.25 |
LENS ALCON 15.0 SN60WF |
182.25 |
LENS ALCON 22.0 SN60WF |
182.25 |
LENS ALCON 22.5 SN60WF |
182.25 |
LENS ALCON 23.5 SN60WF |
182.25 |
LENS ALCON MA60AC 30.0 |
687.75 |
LENS ALCON SN60AT 12.5 |
751 |
LENS ALCON SN60AT 20.0 |
751 |
LENS ALCON SN60AT 21.0 |
751 |
LENS ALCON SN60AT 24.0 |
197.5 |
LENS ALCON SN60AT 24.5 |
751 |
LENS ALLERGAN AR40E 10.0 |
626.25 |
LENS ALLERGAN AR40E 10.5 |
626.25 |
LENS ALLERGAN AR40E 11.5 |
626.25 |
LENS ALLERGAN AR40E 14.0 |
626.25 |
LENS ALLERGAN AR40E 17.5 |
626.25 |
LENS ALLERGAN AR40E 18.0 |
626.5 |
LENS ALLERGAN AR40E 18.5 |
626.5 |
LENS INTRAOCULAR 10.0 ZCBOO |
203.5 |
LENS INTRAOCULAR 10.5 ZCBOO |
203.5 |
LENS INTRAOCULAR 23.0 ZCBOO |
203.5 |
LENS-IOL MODEL AUOOTO |
434.5 |
LEUKEMIA PHEN TRIAGE SEND-E |
661.5 |
LEUKOCYTE ALK PHOS W COUNT |
204.25 |
LEUKOCYTE POOR BLOOD EA UNIT |
1,179.75 |
LHR TEST |
73.75 |
LIGASURE MARYLAND SEALER |
2,137.00 |
LIGASURE SMALL JAW |
1,852.25 |
LIMITED TUMOR LOCALIZ/RP DISTRIB |
966.5 |
LINEAR STAPLER RELOAD XR60B |
538.25 |
LIPASE |
142.5 |
LIPID PANEL |
175.5 |
LIPID PROFILE PANEL-E |
242.75 |
LIPOPROTEIN BLD HR FRACTION |
238.5 |
LIPOPROTEIN BLD QUAN PART |
87.5 |
LIPOPROTEIN; HDL |
109.25 |
LITHIUM |
125.5 |
LITHOVUE URETEROSCOPE |
3,370.50 |
LIVER – SPECT (3D) |
1,973.75 |
LIVER & SPLEEN; STATIC ONLY |
1,374.25 |
LOCALIZ INFLAMM; LIMITED AREA |
1,423.50 |
LOCM 200-299MG/ML IODINE 1ML |
10 |
LOCM 300-399MG/ML IODINE 1ML |
9.75 |
LOCM 300-399MG/ML IODINE 1ML |
10 |
LOW COST SKIN SUBSTITUTE APP |
179 |
LOW COST SKIN SUBSTITUTE APP |
179 |
LOW COST SKIN SUBSTITUTE APP |
536 |
LUNG PERFUSION IMAGING |
1,206.50 |
LUNG VENTILAT&PERFUS IMAGING |
3,388.00 |
LUPUS ANTICOAGULANT COMP PAN-E |
196.25 |
LUPUS PROFILE-E |
644.25 |
LUTEINIZING RELEASING FACTOR |
69.5 |
LYME WESTERN BLOT CSF SENDO-E |
322.75 |
LYME WESTERN BLOT SEND OUT-E |
322.75 |
LYMES AMPLIFIED NA PROBE |
108 |
LYMPH OR LN NM SCAN |
1,705.25 |
LYSIS OF ADH MULTI 1 DAY |
2,425.00 |
M PNEUM AB IGG&IGM SEND OUT-E |
114 |
M/PHMTRC ALYS ISHQUANT/SEMIQ |
164 |
M/PHMTRC ALYS ISHQUANT/SEMIQ |
399.5 |
MACROSCOPIC EXAM ARTHROPOD |
45.75 |
MACROSCOPIC EXAM PARASITE |
48.25 |
MAG DUAL ANTIBODY SEND OUT-E |
112 |
MAGNESIUM |
83.25 |
MAGNETIC IMAGE BONE MARROW |
3,069.25 |
MAJOR SUR & REC 0-30 MIN(OB)-E |
4,800.50 |
MAJOR SUR & REC 31-60MIN(OB)-E |
7,653.25 |
MAJOR SUR & REC 61-90MIN(OB)-E |
10,556.25 |
MAJOR SUR & REC91-120MIN(OB)-E |
13,453.00 |
MAJOR SURG 61- 90 MIN (OB) |
9,098.00 |
MAJOR SURG ADDITIONAL PROC |
4,114.25 |
MAJOR SURG EA ADD’L 1/2 HR (OB |
2,886.25 |
MAJOR SURG&REC ADD 1/2HR(OB)-E |
2,952.50 |
MAJOR SURG(OB) EACH ADD’L 15 M |
1,444.25 |
MAJOR SURGER 31- 60 MIN (OB) |
6,214.50 |
MAJOR SURGERY 91-120 MIN (OB) |
11,982.75 |
MAJOR SURGERY 0- 30 MIN (OB) |
3,330.25 |
MAMM BIL DIAG 3D-MDC-E |
578.75 |
MAMM BIL DIAG 3D-MH-E |
578.75 |
MAMM BIL SCR W BIL DIAG-MDC-E |
1,113.00 |
MAMM BIL SCR W BIL DIAG-MH-E |
1,113.00 |
MAMM BIL SCR W LT DIAG-MDC-E |
1,113.00 |
MAMM BIL SCR W LT DIAG-MH-E |
1,113.00 |
MAMM BIL SCR W RT DIAG-MDC-E |
1,113.00 |
MAMM BIL SCR W RT DIAG-MH-E |
1,113.00 |
MAMM BIL SCR/BIL DIAG 3D-MDC-E |
1,230.50 |
MAMM BIL SCR/BIL DIAG 3D-MH-E |
1,230.50 |
MAMM BIL SCR/LT DIAG 3D-MDC-E |
1,230.50 |
MAMM BIL SCR/LT DIAG 3D-MH-E |
1,230.50 |
MAMM BIL SCR/RT DIAG 3D-MDC-E |
1,230.50 |
MAMM BIL SCR/RT DIAG 3D-MH-E |
1,230.50 |
MAMM BIL SCREEN 3D-MH-E |
652 |
MAMM BIL SCREEN3D-MDC-E |
652 |
MAMM UNI DIAG LT 3D-MDC-E |
578.75 |
MAMM UNI DIAG LT 3D-MH-E |
578.75 |
MAMM UNI DIAG RT 3D-MDC-E |
578.75 |
MAMM UNI DIAG RT 3D-MH-E |
578.75 |
MAMM UNI SCREEN LT 3D-MDC-E |
652 |
MAMM UNI SCREEN LT 3D-MH-E |
652 |
MAMM UNI SCREEN RT 3D-MDC-E |
652 |
MAMM UNI SCREEN RT 3D-MH-E |
652 |
MAMMARY DUCT INJ |
622.25 |
MANGANESE |
99 |
MANGANESE,URINE-E |
119.5 |
MANIPULATOR UTERINE VCARE LG |
363 |
MANIPULATOR UTERINE VCARE STND |
363.5 |
MANUAL RETICULOCYTE COUNT |
77.75 |
MANUAL THERAPY EA 15 MINS |
12 |
MANUAL THERAPY EA 15 MINS |
173 |
MASS SPECTROMETRY QUAL/QUAN |
86.75 |
MASSAGE THERAPY EA 15 MINS |
11 |
MASSAGE THERAPY EA 15 MINS |
162.25 |
MASTISOL LIQUID ADHESIVE VIAL |
9.5 |
MASTOTOMY W EXPL DEEP |
2,393.25 |
MATERNAL SCREEN 1ST TRI SEND-E |
126.75 |
MCG; DNA PROBE EA |
61.75 |
MCG; DNA PROBE EA |
123.25 |
MCG; DNA PROBE EA |
246.25 |
MCG; DNA PROBE EA |
369.25 |
MCG; DNA PROBE EA |
430.75 |
MCG; DNA PROBE EA |
615.25 |
MCG; IP SITU 100-300 CELLS |
155.25 |
MCG; IP SITU 100-300 CELLS |
465.5 |
MCG; IP SITU 100-300 CELLS |
775.75 |
MCG; IP SITU 25-99 CELLS |
80 |
MCG; SITU HYBRID 10-30 CELLS |
80 |
MDC-PLAIN FILM POSTURAL STUD-E |
998.75 |
MDS PROFILE,FISH SEND OUT-E |
401.25 |
MEASLES/MUMPS/RUBELLA IMMUNE-E |
352.75 |
MECHANICAL CHEST WALL OSCILL |
457 |
MECHANICAL TRACTION THERAPY 1+ AREAS |
187 |
MECKELS DIVERT EXAM |
1,230.50 |
MECONIUM DRUG SCREEN WARDE-E |
138.5 |
MEPITEL SILICONE DRESSING-SPD |
69.75 |
MERCURY QUAN |
72.25 |
MERCURY,RANDOM UA-E |
92.75 |
MESH (IMPLANTABLE) |
342.5 |
MESH (IMPLANTABLE) |
479.25 |
MESH (IMPLANTABLE) |
621.25 |
MESH (IMPLANTABLE) |
1,314.00 |
MESH (IMPLANTABLE) |
1,464.75 |
MESH (IMPLANTABLE) |
1,618.75 |
MESH (IMPLANTABLE) |
1,893.25 |
MESH (IMPLANTABLE) |
1,911.25 |
MESH (IMPLANTABLE) |
2,035.00 |
MESH (IMPLANTABLE) |
2,140.75 |
MESH (IMPLANTABLE) |
2,266.00 |
MESH (IMPLANTABLE) |
2,316.50 |
MESH (IMPLANTABLE) |
2,320.25 |
MESH (IMPLANTABLE) |
2,435.00 |
MESH (IMPLANTABLE) |
2,766.25 |
MESH (IMPLANTABLE) |
3,074.75 |
MESH (IMPLANTABLE) |
4,411.00 |
MESH COMPOSIX LRG 13.8 X 17.8 |
5,795.75 |
MESH COMPOSIX SMALL 8CM X 12C |
2,571.25 |
MESH PERFIX PLUG LG |
805.25 |
MESH PERFIX PLUG MED |
805.25 |
MESH PERFIX PLUG SMALL |
805.25 |
MESH PERFIX PLUG X-L |
803 |
METABOLIC PANEL TOTAL CA |
208.5 |
METABOLIC SYNDROME PROFILE-E |
252.25 |
METANEPHRINES |
72.25 |
MIC CYSTOLOGY BRUSHES 60317 |
48.5 |
MIC GASTROSTOMY FOG TUBE 0100- |
464 |
MIC PEG KIT 20FR 0160-20 |
464 |
MICRO EZ 4.5 FR |
197.75 |
MICROBE SUSCEPTIBLE MIC |
148.75 |
MICROEZ 6FR 7CM |
197.75 |
MICROLINE METZENBAUM TIPS 3142 |
234.5 |
MICROSOMAL AB EACH |
75.75 |
MIDLINE INFUSION CATH |
372 |
MINERVA ABLATION SYSTEM |
2,606.75 |
MINOR NURSING PROCEDURE-AC |
398.75 |
MINOR NURSING PROCEDURE-MAB |
398.75 |
MINOR PROC LEVEL I-AC |
2,613.00 |
MINOR PROC LEVEL II-AC |
2,961.25 |
MINOR SURG PROC LEVEL II-RAD |
2,961.25 |
MINOR SURG PROC LEVEL I-RAD |
2,613.00 |
MLH1 GENE DUP/DELETE VARIANT |
259 |
MLH1 GENE FULL SEQ |
867.25 |
MM PROFILE,FISH SEND OUT-E |
1,206.50 |
MNT EA 15 M AFTER 2ND REFRL |
39 |
MOD SED SAME PHYS/QHP <5 YRS |
207 |
MOD SED SAME PHYS/QHP 5/>YRS |
207 |
MOPATH PROCEDURE LEVEL 1 |
299.5 |
MOPATH PROCEDURE LEVEL 2 |
419 |
MOPATH PROCEDURE LEVEL 3 |
310 |
MOPATH PROCEDURE LEVEL 4 |
238 |
MOPATH PROCEDURE LEVEL 5 |
588 |
MOPATH PROCEDURE LEVEL 6 |
716.25 |
MOPATH PROCEDURE LEVEL 6 |
2,148.50 |
MOPATH PROCEDURE LEVEL 7 |
1,551.50 |
MOPATH PROCEDURE LEVEL 8 |
1,087.00 |
MOPATH PROCEDURE LEVEL 9 |
3,794.50 |
MOPATH PROCEDURE LEVEL 9 |
7,589.00 |
MOTION FLUORO SWALLOW FCN |
9.5 |
MOTION FLUORO SWALLOW FCN |
421.25 |
MRA ABD W CONTRAST |
4,090.50 |
MRA ABD W/WO CONTRAST |
4,383.00 |
MRA ABD WO CONTRAST |
3,224.50 |
MRA CHEST W/WO CONTR |
2,318.00 |
MRA W/DYE UPPER EXTREMITY |
4,090.50 |
MRA W/O DYE UPPER EXTR |
3,224.50 |
MRA W/O&W/DYE UPPER EXTR |
4,383.00 |
MRA; HEAD W & WO CONTRAST |
4,383.00 |
MRA; HEAD W CONTRAST |
3,541.25 |
MRA; HEAD; WO CONTRAST |
3,224.50 |
MRA; NECK W & WO CONTRAST |
4,383.00 |
MRA; NECK W CONTRAST |
4,090.50 |
MRA; NECK WO CONTRAST |
3,546.75 |
MRI – LE JNT WO CONTR |
3,372.00 |
MRI – LE JNT WO CONTR |
4,836.50 |
MRI – LEXTREM W CONTR |
4,090.50 |
MRI – LEXTREM WO CONTR |
3,224.50 |
MRI ABD & PELVIS W/WO CONT-E |
8,766.00 |
MRI ABDOMEN W & WO CONTRAST |
4,383.00 |
MRI ABDOMEN W CONTRAST |
3,718.50 |
MRI ABDOMEN WO CONTRAST |
3,224.50 |
MRI BRAIN & CERVIAL W/WO CON-E |
8,869.75 |
MRI BRAIN & OBRITS W/WO CONT-E |
9,307.75 |
MRI BRAIN W & WO CONTRAST |
4,486.75 |
MRI BRAIN W CONTRAST |
4,090.50 |
MRI BRAIN W/WO & SPINAL SURV-E |
17,731.75 |
MRI BRAIN WO CONTRAST |
3,546.75 |
MRI BREAST BIL W CONT W CAD-E |
3,285.50 |
MRI BREAST BIL W/WO CONTR W-E |
3,594.75 |
MRI BREAST BILAT W CONTR |
3,011.50 |
MRI BREAST BILAT W/WO CONTR |
3,320.75 |
MRI BREAST C- BILATERAL |
3,162.25 |
MRI BREAST C- UNILATERAL |
2,817.50 |
MRI BREAST LT W CONT W CA-E |
2,957.25 |
MRI BREAST LT W/WO CONT W CA-E |
3,232.50 |
MRI BREAST RT W CONT W CA-E |
2,957.25 |
MRI BREAST RT W/WO CONT W CA-E |
3,232.50 |
MRI BREAST UNIL W CONTRAST |
2,683.25 |
MRI BREAST UNIL W/WO CONTR |
2,958.50 |
MRI CERV SPINE W & WO CONTR |
4,383.00 |
MRI CERV/THOR/LUMB W/O C-E |
9,673.25 |
MRI CERVIAL & LUMBAR W/WO CO-E |
8,862.25 |
MRI CERVICAL & THORACIC W/WO-E |
8,766.00 |
MRI CERVICAL/THORA/LUMB W/WO-E |
13,245.25 |
MRI CHEST W & WO CONTRAST |
4,383.00 |
MRI CHEST W CONTRAST |
4,090.50 |
MRI CHEST WO CONTRAST |
3,224.50 |
MRI GUIDANCE NDL PLMT RS&I |
1,144.00 |
MRI LE JNT W CONTR |
3,386.00 |
MRI LE JNT W CONTR |
5,078.50 |
MRI LE JNT W&WO CONTR |
3,555.25 |
MRI LE JNT W&WO CONTR |
5,332.75 |
MRI LEXTREM W&WO CONTR |
4,383.00 |
MRI LUMB SPINE W & WO CONTR |
4,479.25 |
MRI OF TMJ(S) |
2,790.00 |
MRI ORBIT/FACE/NECK W/O DYE |
3,546.75 |
MRI ORBT/FAC/NCK W/O & W/DYE |
4,821.00 |
MRI PELVIS W & WO CONTRAST |
4,383.00 |
MRI PELVIS W CONTRAST |
4,090.50 |
MRI PELVIS WO CONTRAST |
3,224.50 |
MRI SPINE CERV; WO CONTR |
3,224.50 |
MRI SPINE CERVICAL W CONTR |
3,718.50 |
MRI SPINE LUMBAR W CONTR |
3,718.50 |
MRI SPINE LUMBAR WO CONTR |
3,224.50 |
MRI SPINE THORACIC W CONTR |
3,718.50 |
MRI SPINE THORACIC WO CONTR |
3,224.50 |
MRI THORAC SPINE W & WO CONTR |
4,383.00 |
MRI THORACIC & LUMB W/WO CO-E |
8,862.25 |
MRI U EXT NOT JOINT W CONTRAST |
4,090.50 |
MRI U EXT NOT JOINT WO CONTRAST |
3,224.50 |
MRI U EXTR; ANY JOINT W CONTRAST |
4,089.50 |
MRI U EXTR; ANY JOINT WO CONTRAST |
3,224.50 |
MRI U EXTR; NOT JOINT W&WO CONTR |
4,383.00 |
MRI UE ANY JOINT W & WO CONTRAST |
4,383.00 |
MR-STAPH DNA AMP PROBE |
65.5 |
MSH2 GENE DUP/DELETE VARIANT |
274 |
MSH2 GENE FULL SEQ |
490.5 |
MSH6 GENE DUP/DELETE VARIANT |
305.75 |
MSH6 GENE FULL SEQ |
824.25 |
MSLT/MWT; GLOBAL |
5,959.75 |
MTHFR GENE |
374.25 |
MUCIN SYNORVIAL FLUID |
46.5 |
MUGA; SGL W WM & EF |
2,213.75 |
MUMPS VIRUS ANITBODIES-SENDO-E |
134.5 |
MURAMIDASE |
175 |
MUSCLE BX; PERC NDL |
1,567.25 |
MUSCLE TEST; EXTREM OR TRUNK |
71 |
MYASTHENIA GRAVIS 2 TEST PAN-E |
125 |
MYCOPLASMA AMPLIF NA PROBE |
543.5 |
MYELIN BASIC PROTEIN CSF |
237.25 |
MYELOGRAM CERVICAL |
4,749.25 |
MYELOGRAM LUMBAR PROFILE-E |
9,029.25 |
MYELOGRAM LUMBOSACRAL |
4,220.75 |
MYELOGRAM THORACIC |
3,488.50 |
MYELOGRAPHY LUMBAR INJECTION |
4,808.75 |
MYELOGRAPHY LUMBAR INJECTION |
4,808.75 |
MYOCARDIAL STRAIN IMAGING |
741 |
MYOGLOBIN |
123.5 |
N BLOCK INJ COMMON DIGIT |
649 |
N BLOCK SGL SCIATIC NRV |
1,424.25 |
N BLOCK SGL SCIATIC NRV |
2,136.50 |
N EOSINOPHIL SMEAR |
39.5 |
NA QUAN NOS AGENT |
282.75 |
NASAL CANNULA |
35.75 |
NASOPHARYNGOSCOPY W ENDOSCOPE |
385.25 |
NATRIURETIC PEPTIDE |
318.25 |
N-AUTOM URINALYS WO MICRO |
38 |
NB INJ HYPOGAS PLXS |
1,794.00 |
NEEDLE ANTERIOR CHAMBER-EYE |
66.25 |
NEEDLE ASPIRATION NA-411D-132 |
256.75 |
NEEDLE BIOPSY CHEST LINING |
1,532.75 |
NEEDLE BX LIVER; PERCUTANEOUS |
1,474.25 |
NEEDLE BX TRU-CUT DISP |
126.5 |
NEEDLE BX TRU-CUT LONG |
61 |
NEEDLE COAPTITE 14.6IN 21G |
177.75 |
NEEDLE GRIPPER SAFETY 20G 1 (H |
22.25 |
NEEDLE GRIPPER SAFETY 20G 3/4 |
22.25 |
NEEDLE GRIPPER SAFETY 22G 5/8 |
20 |
NEEDLE INSUFFLATION 120 C2201 |
172.5 |
NEEDLE INSUFFLATION 150 02202 |
166 |
NEEDLE JAFFEE-EYE |
42 |
NEEDLE JAMSHIDI 8 GA X 4 |
170.5 |
NEEDLE LOCALIZATION BY XRAY |
186.25 |
NEEDLE RETROBULBULAR 23GA 1.5 |
38 |
NEEDLE SAFETY PAC 20 G 3/4 (P |
35.75 |
NEEDLE SCORPION AR-13990N |
1,027.75 |
NEISSERIA AMPLIF NA PROBE |
148.75 |
NEPHELOMETRY EA ANALYTE NES |
246.25 |
NERVE BLOCK ILIOING/ILIOHYPOGASTRIC |
1,424.25 |
NERVE BLOCK SET 18GX2 CNB200T |
137.5 |
NEUROMUSCULAR REEDUCATION EA 15 MINS |
15 |
NEUROMUSCULAR REEDUCATION EA 15 MINS |
224 |
NEUROPATHY PROFILE II SENDO-E |
537.25 |
NICKEL |
38.75 |
NJX CHEMONUCLEOLYSIS LMBR |
4,389.75 |
NJX INTERLAMINAR CRV/THRC |
1,424.25 |
NJX INTERLAMINAR CRV/THRC |
1,424.25 |
NJX INTERLAMINAR LMBR/SAC |
1,424.25 |
NJX INTERLAMINAR LMBR/SAC |
1,424.25 |
NJX PX NFROSGRM &/URTRGRM |
740.5 |
NJX PX NFROSGRM &/URTRGRM |
740.5 |
NK CELLS TOTAL COUNT |
128.75 |
NMR LIPO PROFILE SEND OUT-E |
263 |
NON WND ELECT STIM |
5.75 |
NON WND ELECT STIM |
166.75 |
NONAUTO ERYTHROCYTE SED RATE |
64.25 |
NON-ELECTRONIC SPIROMETER |
223.75 |
NON-OB TRANSVAG US |
1,131.75 |
NONSELECT CATH – CAROTID/VERTEBRAL ART |
1,707.25 |
NON-VASC BALLOON DILATN CATH |
2,360.50 |
NORMAL SALINE SOLUTION INFUS 250 CC |
65.75 |
NOSE TO RECTUM FOR FB CHILD |
335.25 |
NPM1 GENE |
319.25 |
NRAS GENE VARIANTS EXON 2&3 |
382.75 |
NRML SALINE INFUSION 1000 CC |
65.75 |
NTX TELEOPETIDE-E |
100 |
NUCLEUS HYDRODISECTOR |
38 |
O2 UPTAKE DIRECT SIMPLE |
622.75 |
OB LIMITED AND TRANS VAG-MDC-E |
2,357.25 |
OB US < 14 WKS ADDL FETUS |
201.5 |
OB US < 14 WKS SINGLE FETUS |
1,507.75 |
OB US >= 14 WKS ADDL FETUS |
298.5 |
OB US >= 14 WKS SNGL FETUS |
1,658.25 |
OB US LIMITED 1+ FETUS(S) |
1,279.50 |
OB US NUCHAL MEAS 1 GEST |
595.5 |
OB US NUCHAL MEAS ADD-ON |
595.5 |
OBSTETRIC PANEL |
857.75 |
OBSTETRIC PANEL MCR-E |
857.75 |
OCCULT BLD FECES 1-3 TESTS |
77.75 |
OCCULT BLD IA SCRN |
77.75 |
OCCULT BLOOD FECES |
77.75 |
OCCULT BLOOD OTHER SOURCES |
49.25 |
OCTREOSCAN-E |
3,760.75 |
OFFICE/OUTPATIENT VISIT EST |
227.25 |
OFFICE/OUTPATIENT VISIT EST |
239.5 |
OFFICE/OUTPATIENT VISIT EST |
249.75 |
OFFICE/OUTPATIENT VISIT EST |
260.5 |
OFFICE/OUTPATIENT VISIT EST |
289.75 |
OFFICE/OUTPATIENT VISIT EST |
800.25 |
OFFICE/OUTPATIENT VISIT EST |
874.75 |
OFFICE/OUTPATIENT VISIT EST |
955 |
OFFICE/OUTPATIENT VISIT EST |
1,043.25 |
OFFICE/OUTPATIENT VISIT EST |
1,149.25 |
OFFICE/OUTPATIENT VISIT NEW |
115 |
OFFICE/OUTPATIENT VISIT NEW |
184 |
OFFICE/OUTPATIENT VISIT NEW |
227.25 |
OFFICE/OUTPATIENT VISIT NEW |
239.5 |
OFFICE/OUTPATIENT VISIT NEW |
249.75 |
OFFICE/OUTPATIENT VISIT NEW |
260.5 |
OFFICE/OUTPATIENT VISIT NEW |
289.75 |
OFFICE/OUTPATIENT VISIT NEW |
800.25 |
OFFICE/OUTPATIENT VISIT NEW |
874.75 |
OFFICE/OUTPATIENT VISIT NEW |
955 |
OFFICE/OUTPATIENT VISIT NEW |
1,043.25 |
OFFICE/OUTPATIENT VISIT NEW |
1,149.25 |
OLIGOCLONAL BANDS |
94.25 |
ONCO (OVAR) FIVE PROTEINS |
906.75 |
ONCO (OVAR) TWO PROTEINS |
461.5 |
ONCOLOGY BREAST MRNA |
4,558.75 |
ONCOLOGY TUM UNKNOWN ORIGIN |
3,937.50 |
ONE-WAY ALLOW PRORATED TRIP |
22 |
OPEN TX RADIAL & ULNAR SHAFT FX FIXJ RADIUS/ULNA |
7,685.50 |
OR USAGE CHARGE |
240.5 |
ORAL RADIOPHARM RX |
2,136.75 |
ORGAN/TISSUE PROCURE OPER ROOM |
602.75 |
ORGANIC ACID SINGLE QUANT |
342.75 |
ORTHOTIC MGMT&TRAINJ 1ST ENC |
10.25 |
ORTHOTIC MGMT&TRAINJ 1ST ENC |
151.75 |
OSMOLALITY; URINE |
77.75 |
OSTEOCALCIN |
66.75 |
OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS |
55 |
OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS |
86.75 |
OT EVAL HIGH COMPLEX 60 MIN |
8.25 |
OT EVAL HIGH COMPLEX 60 MIN |
471.5 |
OT EVAL LOW COMPLEX 30 MIN |
8.25 |
OT EVAL LOW COMPLEX 30 MIN |
471.5 |
OT EVAL MOD COMPLEX 45 MIN |
8.25 |
OT EVAL MOD COMPLEX 45 MIN |
471.5 |
OT RE-EVAL EST PLAN CARE |
3.75 |
OT RE-EVAL EST PLAN CARE |
224 |
OTHER SOURCE ALBUMIN QUAN EA |
65.75 |
OVA & PARASITES DIR SMR W ID |
269.25 |
OXALATE |
184.5 |
OXYGEN CHARGE DAILY |
154.25 |
OXYGEN SETUP-ER |
184 |
OXYGEN UPTAKE REST INDIRECT |
226.75 |
OXYGEN-NASAL AND MASK SET UP |
154.25 |
OXYGEN-PORTABLE |
41.25 |
PACK BASIC GEN |
193.5 |
PACK CAT CUSTOM R/L |
1,290.25 |
PACK C-SECTION |
456.75 |
PACK CUSTOM TOTAL KNEE |
410 |
PACK SHOULDER ARTHOSCOPY/KIM |
369 |
PACK UNIVERSAL DRAPES / GOWN |
63 |
PACU ADD’L 15 MIN |
338.5 |
PACU CHARGE 01-30 MINS |
924.5 |
PAD DISPERSIVE CAUTERY ADULT S |
35.75 |
PAD MAGNETIC INSTR-MAG OR |
81.5 |
PAIN CLINIC PACK |
24 |
PANCREATIC ELASTASE FECAL |
284 |
PANORAMIC X-RAY OF JAWS |
424.75 |
PAP IG LABCORP-E |
373 |
PAP W/ CHLAMYDIA&GONOCOCCUS-E |
438 |
PAP W/ HIGH RISK HPV-E |
794.75 |
PAP,HIGH RISK HPV REFLUX-E |
505.75 |
PAPPA SERUM |
97 |
PARACENTESIS-2N |
694.75 |
PARACENTESIS-AC |
694.75 |
PARACENTESIS-ICU |
694.75 |
PARACENTESIS-LTC |
694.75 |
PARAFFIN BATH THERAPY 1+ AREAS |
8.75 |
PARAFFIN BATH THERAPY 1+ AREAS |
166.5 |
PARANEOPLASTIC AB EVAL SENDO-E |
809.5 |
PARANEOPLASTIC AUTOANTIBODY-E |
155 |
PARATHORMONE |
301 |
PARATHYRD PLANAR W/SPECT&CT |
1,044.75 |
PARATHYRD PLANAR W/WO SUBTRJ |
1,044.75 |
PARATHYROID PLANAR IMAGING |
903 |
PARVOVIRUS B19 IGG,IGM SENDO-E |
235.5 |
PASSPORT BUTTON CANULA 8MM 3C |
106.75 |
PASSPORT BUTTON CANULA 8MM 4C |
145 |
PATH CONSULT DURING SURGERY |
215.25 |
PATH CONSULT INTRAOP ADDL |
133.75 |
PDGFRA GENE |
426.25 |
PEG TUBE CHANGE |
1,018.75 |
PEG TUBE CHANGE-MAB |
1,018.75 |
PEG TUBE INSERT |
1,975.00 |
PEG TUBE INSERT-MAB |
1,975.00 |
PEG TUBE REM BY INCIS (IP ONLY |
5,412.00 |
PEG TUBE REMOVAL BY GASTROSCOP |
1,561.50 |
PEG TUBE REMOVAL-GASTROSCO-MAB |
1,561.50 |
PEG TUBE REPLACEMENT BY ENDOSC |
1,976.00 |
PEG TUBE REPLACEMENT-MAB |
1,976.00 |
PELVIMETRY W/WO PLACENTAL LOCALIZATION |
599.5 |
PERC ASP OR INJ OF RENAL CYST/PELVIS |
1,532.75 |
PERC ASP OR INJ OF RENAL CYST/PELVIS |
1,592.25 |
PERC BX OR EXC LN; SUPERFICIAL |
1,566.75 |
PERC IMPL NS ELECTRODE ARRAY; EPIDURAL |
12,904.25 |
PERC N BX ABD OR RETROPERITONEAL MASS |
1,534.25 |
PERCUT BX LUNG/MEDIASTINUM |
1,532.75 |
PERCUT/NEEDLE INSERT PROS |
1,862.75 |
PERCUTANEOUS CHOLECYSTOSTOMY |
3,839.00 |
PERCUTANEOUS DISKECTOMY |
11,657.00 |
PERICARDIOCENTESIS; INITIAL |
903.75 |
PERITON-VENOUS SHUNT PATENCY |
1,236.75 |
PERQ DEV BREAST 1ST MR GUIDE |
663 |
PERQ DEV BREAST 1ST US IMAG |
723.25 |
PERQ DEV BREAST ADD MR GUIDE |
68.25 |
PERQ DEV BREAST ADD US IMAG |
78.5 |
PERQ DEVICE BREAST 1ST IMAG |
723.25 |
PERQ DEVICE BREAST EA IMAG |
78.5 |
PERQ LAMOT/LAM LUMBAR |
7,110.75 |
PET IMAGE W/CT FULL BODY |
7,184.25 |
PET IMAGE W/CT SKULL-THIGH |
6,937.00 |
PHENOBARBITAL |
60 |
PHENOTYPE INFECT AGENT DRUG |
335.75 |
PHENYLALANINE BLOOD |
374.5 |
PHENYTOIN FREE & TOTAL SENDO-E |
758.25 |
PHENYTOIN; FREE |
579.75 |
PHENYTOIN; TOTAL |
178.5 |
PHILADELPHIA PROFILE-E |
683.5 |
PHLEBOTOMY THERAPEUTIC |
468.5 |
PHOSPHATE |
40 |
PHYSICAL PERFORM EA 15M |
62 |
PIN (Z) 1.6 X 6 SMOOTH GUIDE |
81.5 |
PIN (Z) 1.6 X 6IN P/THD GUIDE |
68.75 |
PIN GUARD WHITE 0.45 |
15.25 |
PIN GUARDS BLUE |
18.25 |
PIN GUARDS GREEN |
22.5 |
PIN KIRSCH/UNTHR .062 X 9 IN |
57 |
PIN K-WIRE 4IN .035 |
87.25 |
PIN K-WIRE 4IN .045 |
87.25 |
PIN K-WIRE 4IN .054 |
71 |
PIN K-WIRE 4IN .062 |
87.25 |
PINWORM EXAM |
41.5 |
PLACE NEEDLE INTRAOSSEOUS INFUSION |
3,043.75 |
PLACE DEVICE/MARKER NON PRO |
1,477.25 |
PLAIN FILM POSTURAL STUDY-E |
998.75 |
PLASMA 1 DONOR FRZ W/IN 8 HR |
241.25 |
PLASMINOGEN ACTIVATOR |
88.5 |
PLASMINOGEN ANTIGEN LEVEL |
15.75 |
PLATELET AB 3TEST PANEL SEND-E |
197.5 |
PLATELETS PHERESIS LR EA UNIT |
1,557.75 |
PLATELETS PHERESIS LR IRRAD EA UNIT |
1,419.25 |
PLMT NEPHROSTOMY CATHETER |
2,083.75 |
PLMT NEPHROSTOMY CATHETER |
2,164.75 |
PML/RARALPHA COM BREAKPOINTS |
365.5 |
POLAR PAD MULTIUSE C04740 |
188 |
POLAR PAD SHOULDER X-LG C04905 |
233.75 |
POLYSOM 6/> YRS 4/> PARAM |
6,095.75 |
POLYSOM 6/>YRS CPAP 4/> PARM |
6,709.50 |
PORPHOBILINOGEN URINE; QUAN |
36.5 |
PORPHYRINS QUANT UA SEND OUT-E |
89.25 |
POS AIRWAY PRESSURE CPAP |
797 |
POSITIVE EXP PRESSURE DEVICE |
88.75 |
POST OP SDC > 2HRS 2N |
2,280.25 |
POST OP SDC > 2HRS 3N |
2,280.25 |
POST OP SDC > 2HRS 3S |
2,280.25 |
POST OP SDC > 2HRS PED |
2,280.25 |
POST OP SDC > 2HRS-ICU |
2,280.25 |
POST OP/PACU2 0-2 HRS-AC |
1,336.25 |
POST OP/PACU2 OVER 2HRS-AC |
881 |
POUCHOSCOPY |
1,562.25 |
POUCHOSCOPY W BX |
2,648.75 |
POUCHOSCOPY W BX-MAB |
2,648.75 |
POUCHOSCOPY-MAB |
1,562.25 |
PRE DIABETES COUNSELING 30 MIN |
25.75 |
PRE EMPLOYMENT LIFT TEST |
118 |
PRE EMPLOYMENT SCREEN – OT |
77.75 |
PRE EMPLOYMENT SCREEN DETAILED |
237.75 |
PRE EMPLOYMENT SCREEN G L RR |
110.5 |
PRE OP ASSESSMENT-AC |
110.75 |
PRE OP PREP & ASSESSMENT-AC |
574.5 |
PREALBUMIN |
138.75 |
PREGNENOLONE |
200.5 |
PRETREAT RBC; CHEM OR DRUGS |
84.5 |
PRETREAT RBC; DGS |
164 |
PRETREAT RBC; ENZYMES |
247 |
PRIMIDONE |
76 |
PRIMIDONE/MYSOLIN PANEL SEND-E |
136 |
PROBE ABLATION NS2000 NOASURE |
3,375.50 |
PROBE COVER W/NEEDLE GUIDE |
95 |
PROBE GOLD 7FR 6007 |
824.75 |
PROBE STIMULATOR 82-25103 |
463.25 |
PROBE-APC CIRCULAR |
804 |
PROBE-APC STRAIGHT |
804 |
PROCALCITONIN (PCT) |
171.75 |
PROCTOSCOPY |
1,221.50 |
PROCTOSIGMOIDOSC W ABLATIO-MAB |
2,613.00 |
PROCTOSIGMOIDOSC W ABLATION |
2,613.00 |
PROCTOSIGMOIDOSC W BL CONT-MAB |
1,446.25 |
PROCTOSIGMOIDOSC W BX-MAB |
1,446.25 |
PROCTOSIGMOIDOSCOPY-MAB |
1,221.50 |
PROFILE, FISH SEND OUT-E |
770.5 |
PROGESTERONE ASSAY |
87.75 |
PROINSULIN |
368.75 |
PROLACTIN ASSAY |
304.5 |
PROMETHEUS CELIAC SEROLOGY-E |
383.25 |
PROMETHEUS CHROHN PANEL-E |
1,025.50 |
PROMETHEUS IBCAUSE-E |
920 |
PROMETHEUS IBD DIAG PANEL-E |
1,518.00 |
PROMETHEUS THIOPURINE-E |
274 |
PROMETHEUS TPMT-E |
274 |
PROMETHIUS CELIAC PLUS-E |
931 |
PROSTAGLANDIN EACH |
104 |
PROSTATE BIOPSY, ANY MTHD |
732.5 |
PROSTH IMPL NOS |
5,169.25 |
PROSTHETIC TRAINJ 1ST ENC |
10.25 |
PROSTHETIC TRAINJ 1ST ENC |
151.5 |
PROTEIN ELECTROPHO,U PANEL-E |
252 |
PROTEIN ELECTROPHORESIS-E |
125.25 |
PROTEIN E-PHORESIS/URINE/CSF |
70.75 |
PROTEIN S PROFILE SEND OUT-E |
350 |
PROTEIN WB; IM ID FOR BANDS |
47.75 |
PROTEIN WESTERN BLOT |
162.75 |
PROTEIN; EP FRACT & QUAN |
67.25 |
PROTHROMBIN TIME; |
64 |
PROTOPORPHYRIN RBC; QUAN |
32.5 |
PSA FREE PANEL-SEND OUT-E |
182 |
PSA SCREENING |
160.5 |
PSA; FREE |
104 |
PSA; TOTAL |
78.25 |
PT EVAL HIGH COMPLEX 45 MIN |
471.5 |
PT EVAL LOW COMPLEX 20 MIN |
471.5 |
PT EVAL MOD COMPLEX 30 MIN |
471.5 |
PT MIXING STUDY-E |
160 |
PT RE-EVAL EST PLAN CARE |
224 |
PT; SUBSTITUTION PLASMA FRACTIONS EA |
96.25 |
PTEN GENE DUP/DELET VARIANT |
385.25 |
PTEN GENE FULL SEQUENCE |
775.75 |
PTT; PLASMA OR WHOLE BLOOD |
91.25 |
PTT; SUBSTITUTION PLASMA FRACTIONS EA |
30.5 |
PULM FUNCT TEST OSCILLOMETRY |
320.25 |
PULM FUNCT TST PLETHYSMOGRAP |
661.5 |
PULM FUNCTION TEST BY GAS |
733.25 |
PULMONARY REHAB W EXER |
114.5 |
PULMONARY STRESS TESTING |
197.5 |
PULSAVAC IRRIGATOR 00515047500 |
274 |
PULSE OX SGL |
196.5 |
PUNCT ASP – ABSC HEMAT CYST |
392.5 |
PUNCT ASP BRST CYST – INITIAL |
634.75 |
PUNCTURE SHUNT OR RSVR FOR ASP OR INJ |
1,424.25 |
PYRUVATE |
181 |
QUAL HETEROPHILE AB |
190.75 |
QUAL ORGANIC ACIDS EA SPECIM |
99 |
QUAN RHEUM FACTOR |
190.75 |
QUAN URINE PORPHYRINS |
52.75 |
RA TRACER ID OF SENTINL NODE |
643 |
RABIES IG INJECTION IM/SQ |
323 |
RADIOPH RX BY IV ADMIN |
1,050.00 |
RAPID FIRE MULTI BAND LIGATOR |
1,410.75 |
RBC AB ELUTION EA |
164 |
RBC AB SCRN EA TECHIQ |
174.75 |
RBC LR IRRADIATED EACH UNIT |
1,297.75 |
RE-ASSESS NUTRITION THER; EA 15M |
39 |
REBREATHER MASKS |
154.25 |
RECOVERY ROOM OB 0- 30 MIN |
601 |
RECOVERY ROOM OB 31- 60 MIN |
1,211.25 |
RECOVERY ROOM OB 61- 90 MIN |
1,397.50 |
RECOVERY ROOM OB 91-120 MIN |
1,444.50 |
REF CONSULT PREP ELSEWHERE |
140 |
REF CONSULT W SLIDE PREP |
287.25 |
REFILL/MAINT PORTABLE PUMP |
639.25 |
RELIEVA INFLATION DEVICE BID30 |
314.5 |
RELOAD 60MM GREEN ECHELON SUTU |
748.75 |
RELOADS CONTOUR BLUE |
1,183.00 |
REM DEEP FB OF FOOT |
2,105.50 |
REM DEEP FB THIGH OR KNEE |
2,524.25 |
REM FB CONEAL W SLIT LAMP |
526.25 |
REM FB CONJUNCTIVA; EMBEDDED |
353.75 |
REM FB CONJUNCTIVA; SUPERFICIAL |
131.25 |
REM FB EXT AUDITORY CANAL; WO ANESTH |
902.25 |
REM FB EXT EYE; CORNEAL WO SLIT LAMP |
394 |
REM FB FOOT; SQ |
1,564.50 |
REM FB IN; BY LAT RHINECTOMY |
1,393.00 |
REM FB INTRANASAL; OFFICE |
197.5 |
REM FB MUSCLE; SMPL |
1,394.50 |
REM GAUNTLET BOOT OR BODY CAST |
430.25 |
REM I-NASAL LES INT APPR |
2,915.00 |
REM IO FB ANTCHAMB/LENS |
3,678.50 |
REM SKIN TAGS; <=15 LESIONS |
168 |
REM SKIN TAGS; <=15 LESIONS |
205.5 |
REM TUNNELED CVAD W PORT/PUMP |
2,119.50 |
REMOTE PT 30 DAY ECG REV/REPORT |
769.25 |
REMOVAL DUCT GLBLDR CALCULI |
2,904.25 |
REMOVAL OF NAIL BED |
837.25 |
REMOVAL OF SUPPORT IMPLANT |
1,710.00 |
REMOVE DRUG IMPLANT |
353.75 |
REMOVE EMBEDDED FB EYELID |
425 |
REMOVE FECAL IMPACTION OR FB |
2,007.25 |
REMOVE FOREIGN BODY IN SCROTUM |
2,911.75 |
REMOVE FOREIGN BODY PHARYNX |
321 |
REMOVE FULL ARM OR LEG CAST |
333.75 |
REMOVE IMPACTED EAR WAX UNI |
79.5 |
REMOVE IMPACTED EAR WAX UNI |
214 |
REMOVE IUD |
337.75 |
REMOVE RENAL TUBE W/FLUORO |
1,084.75 |
REMOVE SPINE ELTRD PERQ ARAY |
4,389.75 |
RENAL BIOPSY PERQ |
1,532.75 |
RENAL FUNCTION PANEL |
240.25 |
RENIN |
114.5 |
RENIN VEIN SAMPLING |
5,262.50 |
REP DEV URINARY W/SLING |
2,212.50 |
REP DEV URINARY W/SLING |
2,615.75 |
REP DEV URINARY W/SLING |
4,612.25 |
REP DEV URINARY W/SLING |
5,706.25 |
REP ET HAND; WO FG EA TENDON |
3,249.50 |
REP FLXR TENDON NOT ZONE 2 WO GRFT EA |
5,351.00 |
REP LAC; CORNEA NONPERFOR W/WO REM FB |
3,721.25 |
REP LACERAT 2.5 CM/<; FLR-MOUTH/ANT 2/3 |
1,358.75 |
REP LACERAT-TONGUE FLR-MOUTH > 2.6/CPLX |
1,098.00 |
REPAIR BLOOD VESSEL DIRECT; UPR EXTREM |
4,390.25 |
REPAIR LIP FT; VERMILION ONLY |
1,073.50 |
REPAIR NAIL BED |
1,123.50 |
REPLACE G/C TUBE PERC |
938.75 |
REPTILASE TEST |
149.75 |
RESP FCN/STRENGH 2/> INDIV |
128 |
RESP MS THERAPY/15 MIN |
118 |
RETROBULBAR INJECTION; MEDICATION |
754.25 |
RETROGRADE PYELOGRAM |
1,462.00 |
REV OR REM IMPL SPINAL NS PG OR RECEIVER |
7,554.00 |
REVISE SPINE ELTRD PERQ ARAY |
16,130.00 |
RHO D IMMUNE GLOBULIN INJ 300 MICROGRAMS (1500 IU) |
583.5 |
RIA NONANTIBODY |
58 |
RINGERS LACTATE INFUSION TO 1000 CC |
65.75 |
ROOM,BORDER BABY-NURSERY |
2,416.75 |
ROOM,ISOLATION-2N |
2,416.75 |
ROOM,MED NEC PRIVATE-3S |
2,416.75 |
ROOM,PRIVATE-2N |
2,416.75 |
ROOM,PRIVATE-3S |
2,416.75 |
ROOM,PRIVATE-LTC4 |
635.25 |
ROOM,PRIVATE-LTC5 |
635.25 |
ROOM,PRIVATE-PEDS |
2,416.75 |
ROOM,PRIVATE-SKILLED |
2,601.25 |
ROOM,PT REQUEST PRIVATE-3S |
2,558.50 |
ROOM,SEMI PRIV-2N |
2,416.75 |
ROOM,SEMI PRIV-2S STRESS |
1,800.50 |
ROOM,SEMI PRIV-3N OB |
2,416.75 |
ROOM,SEMI PRIV-3S |
2,416.75 |
ROOM,SEMI PRIV-LTC4 |
635.25 |
ROOM,SEMI PRIV-LTC5 |
635.25 |
ROOM,SEMI PRIV-OB OVERFLOW |
2,416.75 |
ROOM,SEMI PRIV-PEDS |
2,416.75 |
ROOM,SEMI PRIV-SKILLED |
2,601.25 |
ROOM,SPECIAL-ICU |
2,416.75 |
ROOM-INTENSIVE CARE |
4,945.25 |
ROOM-NURSERY |
2,416.75 |
ROOM-PROGRESSIVE CARE UNIT |
3,759.00 |
ROTAVIRUS AG IA |
310 |
ROTH RETRIEVAL NET 00711050 |
414 |
ROTH RETRIEVAL NET 00715050 |
485 |
ROTH RETRIEVAL NET PED |
472 |
ROUTINE VENIPUNCTURE |
22.25 |
RSV IA W DIR OBSERV |
279 |
RUBEOLA AB IGG, IGM SEND OUT-E |
203.5 |
RUMI OCCLUDER BALLOON # CP0-6 |
225.5 |
RUMI UTERINE BLUE TIP UMB678 |
231.5 |
RUMI UTERINE GREEN TIP UMG670 |
231.5 |
RUMI UTERINE PURPLE TIP UML516 |
277.5 |
RUMI UTERINE WHITE TIP UMW676 |
184 |
RUSSELL VIPER VENOM TIME; DILUTED |
41.5 |
RX CL ELBOW DISLOC WO ANESTH |
327.5 |
SALIVARY GLAND FUNCTION |
458.5 |
SC THER INFUSION RESET PUMP |
306.25 |
SCALPEL #10 |
22 |
SCALPEL #11 |
22 |
SCALPEL #15 |
22 |
SCALPEL #20 |
18.5 |
SCAPULA COMPLETE |
656 |
SCISSOR 5MM DIRECT DRIV CB030 |
281.25 |
SCOPE WARMER CLEARIFY |
136.5 |
SCR MAMMO BI INCL CAD |
504 |
SCR MAMMO BI INCL CAD |
593.25 |
SCS,LEAD CABLE,BOSTON SC-PC |
513.5 |
SCS,MULT LEAD CABLE,ST JUDE-PC |
790.5 |
SCS,MULTI LEAD CABLE,MED TR-PC |
684.5 |
SCS,PATIENT KIT,BOSTON SC-PC |
394 |
SEECLEAR MAX SMOKE EVACUATION |
100.5 |
SELENIUM |
149.75 |
SELF CARE MNGMENT TRAINING |
12.25 |
SELF CARE MNGMENT TRAINING |
179.25 |
SEMEN ANAL SPERM DETECTION |
245 |
SENSITIVITY – AGAR DILUTION/AGENT |
40.25 |
SENSITIVITY – DISK PER PLATE |
138.75 |
SENSOR A-2000 BIS ASPECT MED |
159 |
SENSORY INTEGRATION |
38 |
SENSTITIVITY – ENZYME DETECT |
77 |
SEROTONIN |
379.25 |
SERPINA1 GENE |
140.5 |
SERUM IMMUNOFIXATION ELECTROPHORES |
117.75 |
SERUM PRETX; DILUTION |
44 |
SERUM PRETX; DRUG INCUBATE |
164 |
SERUM PRETX; INHIBITOR INCUBATE |
164 |
SERUM PRETX; RC ABSORPT |
77.25 |
SERUM/WB TOT CHOLEST |
82 |
SEX HORMONE BINDING GLOBULIN |
220.5 |
SFT TISS BX – NECK/THORAX |
1,880.75 |
SGL NBI BRACHIAL PLEXUS |
1,794.00 |
SGL NBI BRACHIAL PLEXUS |
2,690.75 |
SGL QUAN EXPIRED GAS |
561.5 |
SGL VW SPINE XR |
498.75 |
SHIA REG EDUC SPEECH 1/2 HR |
42.75 |
SHIA REG EDUC SPEECH PER HOUR |
83.5 |
SHIGA-LIKE TOXIN AG IA |
51.5 |
SHOULDER ARTHROGRAM |
1,733.00 |
SHOULDER ARTHROGRAM INJ |
667.25 |
SHUNT SERIES-E |
1,719.50 |
SIALAGRAM PROFILE LT-E |
1,340.50 |
SIALAGRAM PROFILE RT-E |
1,340.50 |
SIALOGRAM |
846.75 |
SICKLING OF RBC REDUCTION |
72.5 |
SIGMOID FLEX |
1,242.50 |
SIGMOID FLEX W BIOPSY |
1,881.00 |
SIGMOID FLEX W BIOPSY-MAB |
1,881.00 |
SIGMOID FLEX W BLEED CONT |
1,221.50 |
SIGMOID FLEX W BLEED CONT-MAB |
1,221.50 |
SIGMOID FLEX W DILATATION |
1,373.50 |
SIGMOID FLEX W DILATION-MAB |
1,373.50 |
SIGMOID FLEX W FB REMOVAL |
1,373.50 |
SIGMOID FLEX W FB REMOVAL-MAB |
1,373.50 |
SIGMOID FLEX W POLYPECTOMY |
1,881.00 |
SIGMOID FLEX W POLYPECTOMY-MAB |
1,881.00 |
SIGMOID FLEX-MAB |
1,242.50 |
SIGMOIDOSCOPY W ABLATION |
1,221.50 |
SIGMOIDOSCOPY W ABLATION-MAB |
1,221.50 |
SIGMOIDOSCOPY W BLEED CONT |
1,221.50 |
SIGMOIDOSCOPY W BLEED CONT-MAB |
1,221.50 |
SIJ ANESTH/STEROID INJ |
1,577.00 |
SIJ ANESTH/STEROID INJ |
2,371.50 |
SILASTIC NAIL |
436 |
SILVADENE -WOUND CENTER |
34 |
SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL |
410 |
SINUS TRACT INJ; DX |
511.75 |
SJOGREN ANIT SEND OUT-E |
119.5 |
SKIN BARRIER WITH FLANGE |
22 |
SKIN BARRIER WITH FLANGE |
28 |
SKIN BARRIER WITH FLANGE |
37.25 |
SKIN GRAFT CARRIER |
93.5 |
SKIN SUB GRAFT F/N/HF/G ADDL |
31 |
SKIN SUB GRAFT FACE/NK/HF/G |
1,622.00 |
SKIN SUB GRAFT T/A/L ADD-ON |
21 |
SKIN SUB GRAFT TRNK/ARM/LEG |
1,622.00 |
SKIN TEST; TB ID |
91.25 |
SLCTV WND DEBRIDEM ADDL 20 CM/< |
3.25 |
SLCTV WND DEBRIDEM ADDL 20 CM/< |
14 |
SLCTV WND DEBRIDEM ADDL 20 CM/< |
183.75 |
SLCTV WND DEBRIDEM 20 CM OR < |
5.25 |
SLCTV WND DEBRIDEM 20 CM OR < |
248 |
SLCTV WND DEBRIDEM 20 CM OR < |
293 |
SLEEVE EXPRESS KNEE LG 9789 |
210.5 |
SLEEVE EXPRESS KNEE MD 9529 |
156.25 |
SLEEVE FOOT REGULAR 5897 |
61.75 |
SLEEVE SCD FOOT LARGE 5898 |
137 |
SLEEVE SCD FOOT REGULAR 5897 |
130.5 |
SLIT PREPUCE DORSAL OR LAT; NOT NEWBORN |
2,938.50 |
SMEAR – GRAM OR GIEMSA |
52.25 |
SMEAR – INFECTIOUS WET MOUNT |
61 |
SMEAR SPECIAL STAIN |
98 |
SMEAR; FLUORESCENT OR AFB STAIN |
21 |
SNARE POLYPECTOMY DSII 60415 |
82.75 |
SNARE POLYPECTOMY ROTATOR |
144 |
SODIUM OTHER SOURCE |
40 |
SODIUM; URINE |
40 |
SOLUTION-2B7126 SOD CHL 2000IR |
39.25 |
SOLUTION-2B7357 SORBITAL 3% |
47 |
SOLUTION-IV SOL STER H20 1500 |
38 |
SOLUTION-STER SALINE |
28 |
SOMATOMEDIN |
412 |
SP CONSULT; 1ST TB W FS SGL SP |
258.5 |
SP-BILITRAC RETRIEVAL BOOLON |
674.25 |
SPECIAL STAINS GROUP 1 |
164 |
SPECIAL STAINS GROUP 2 |
198.5 |
SPECTROPHOTOMETRY ANALYTE NES |
16.25 |
SPEECH SOUND LANG COMPREHEN |
7.25 |
SPEECH SOUND LANG COMPREHEN |
421.25 |
SPEECH THERAPY 1/4 HR-OVID HEA |
37.25 |
SPEECH THERAPY CONSULT SERV-30 |
67 |
SPEECH/HEARING THERAPY GROUP |
113.25 |
SPEECH/HEARING THERAPY INDIV |
10.25 |
SPEECH/HEARING THERAPY INDIV |
446.5 |
SP-ELECTRODE TEN/EMS-M52 |
139.5 |
SPIN/BRAIN PUMP REFIL & MAIN |
509.75 |
SPINAL INJ OCCLUDED AV MALFORM |
1,794.25 |
SPINAL PUNCTURE LUMBAR DIAGNOSTIC |
1,465.00 |
SPINAL/EPIDURAL ANES |
199.5 |
SPIROMETRY |
463.25 |
SPL AVULSE NP; SGL |
228 |
SPLINT DENVER LG |
267.5 |
SPLINT DENVER SM |
267.5 |
SPLINT INTRANASAL AIRWAY DOYLE |
199.5 |
SPLINT-PLASTER ARM |
323.5 |
SPLINT-PLASTER LEG |
323.5 |
SPONGE INST WIPE |
10.75 |
SPONGE NEURO 0.5 X 3 |
23.25 |
SPONGE WECK CELLS |
17 |
SPONGE-TONSIL STERILE |
9.5 |
SP-THERABAND O.T. |
45 |
SREP F/E/N/L/MM; 12.6-20.0CM |
702 |
SREP F/E/N/L/MM; 2.5CM/< |
577.5 |
SREP F/E/N/L/MM; 2.6-5.0CM |
606.5 |
SREP F/E/N/L/MM; 20.1-30.0CM |
736.5 |
SREP F/E/N/L/MM; 5.1-7.5CM |
637 |
SREP F/E/N/L/MM; 7.6-12.5CM |
668.5 |
SREP S/N/A/G/TR/E; 12.6-20.0CM |
668.5 |
SREP S/N/A/G/TR/E; 2.5CM/< |
577.5 |
SREP S/N/A/G/TR/E; 20.1-30.0CM |
702 |
SREP S/N/A/G/TR/E; 7.6-12.5CM |
637 |
SREPS/N/A/G/TR/E; 2.6-7.5CM |
624 |
ST BX BACK/FLANK; SUPERF |
1,520.50 |
ST BX; HIP/PELVIS; SUPERFICIAL |
1,520.50 |
STAPLE CEEA CURVED 28 |
1,063.00 |
STAPLE CEEA CURVED PREM 25 |
1,224.75 |
STAPLE ENDOCLIP LG |
1,718.75 |
STAPLE GIA MF 60 X 3.8 |
421 |
STAPLE GIA MF 80 X 3.8 |
553.75 |
STAPLE GIA MF RE 60X3.8 |
228 |
STAPLE GIA MF RE 80X3.8 |
421.75 |
STAPLE PURSTRING 65 |
709.5 |
STAPLE RELOAD 60MM BLUE ECHEL |
748.75 |
STAPLE RELOAD 60MM WHITE ECHE |
424.5 |
STAPLE SURGICLIP LG |
227.5 |
STAPLE SURGICLIP MED |
513 |
STAPLE SURGICLIP SM |
220.5 |
STAPLE TA DISP LONG 90 X 4.8 |
459.5 |
STAPLE TA MF RELOAD UNIT55X3. |
451.75 |
STAPLER CONTOUR BLUE |
2,286.25 |
STAPLER SKIN ROYAL 35 SPD |
31.5 |
STELLANT SYRINGE KIT-DUAL |
42.25 |
STENT 4.7 X 24 778424 |
826 |
STENT 4.7 X 26 778426 |
826 |
STENT COATED/COV W/DEL SYS |
5,853.00 |
STENT NON-COR TEM W/O DEL |
328.25 |
STENT UR 6FR X 24CM 778624 |
344.5 |
STENT UR 6FR X 26 CM 77826 |
745.75 |
STENT UR 6FR X 28CM 778628 |
1,677.50 |
STERILE EYE PAD |
9.5 |
STERILE SALINE SOLN 500 ML=1 UNIT |
65.75 |
STOCKING-TEDS 3071 |
107.75 |
STOCKING-TEDS 3130 |
107.75 |
STOCKING-TEDS 3222 |
26.75 |
STOCKING-TEDS 3310 |
98.75 |
STOCKING-TEDS 3416 |
239.75 |
STOCKING-TEDS 3549 |
164.75 |
STOCKING-TEDS 3634 |
135 |
STOCKING-TEDS 3728 |
139 |
STOCKING-TEDS 3856 |
174.75 |
STOCKING-TEDS 3922 |
313.75 |
STOCKING-TEDS 7071 |
45.5 |
STOCKING-TEDS 7115 |
45.5 |
STOCKING-TEDS 7203 |
67.5 |
STOCKING-TEDS 7480 |
73 |
STOCKING-TEDS 7594 |
61.75 |
STOCKING-TEDS 7604 |
45.5 |
STOCKING-TEDS 7802 |
78.75 |
STONE BASKET |
584 |
STONE EXTR FLAT WIRE 039815 |
1,466.75 |
STONE EXTR HELICAL 040490 |
598 |
STONE EXTRACTOR |
744.75 |
STONE EXTRACTOR |
753.25 |
STONE/EXTR FORCEPS 3.5FR 65CM |
754 |
STONE/EXTR HELICAL 3WIRE 115CM |
1,302.25 |
STONE/EXTR HELICAL 4WIRE 65CM |
1,089.00 |
STONE; QUAN CHEMICAL |
324.25 |
STRAP ANKLE OR FOOT |
149 |
STRAP ANKLE OR FOOT |
298 |
STRAPPING; ELBOW OR WRIST |
214 |
STRAPPING; HAND OR FINGER |
214 |
STRAPPING; SHOULDER |
453.25 |
STREP A AMPLIF NA PROBE |
125.75 |
STREP A ASSAY W/OPTIC |
127.75 |
STREP B DNA AMP PROBE |
91.25 |
STREP B IA W DO |
99.25 |
STRESS TTE COMPLETE |
917 |
SUCTION CANNISTER 1200 (OR) |
46.5 |
SUCTION SYSTEM 24HR 6904 |
98.25 |
SUCTION TIP POOL |
37.25 |
SUGARS; SINGLE QUAL EA SPECIMEN |
21.5 |
SUPERV HNDL LOAD – RAD SOURCE |
2,734.25 |
SURG MINUTES-EA ADD’L 15 |
1,714.75 |
SURG PATH LEVEL-I GROSS ONLY |
83.75 |
SURG PATH LVL 2 |
345.75 |
SURGERY MINUTES-0-30 MINS |
3,955.00 |
SURGICEL FIBRILLAR 4 X 4 |
491.75 |
SURGICEL SNOW ABSORBABLE HEMO |
381 |
SURGICEL-WC |
94.5 |
SURGIFISH RETRACTOR |
70.75 |
SUTURE 2-0 VICRYL J317H |
10.25 |
SUTURE 3-0 SILK C017T |
64.75 |
SUTURE 9-0 VICRYL V402G |
118.25 |
SUTURE CAPIO PROLENE |
148.25 |
SUTURE CHROMIC 0 812H |
15.25 |
SUTURE CHROMIC 2-0 CG883 |
18.25 |
SUTURE CHROMIC 2-0 G123H |
18.75 |
SUTURE CHROMIC 2-0 L113G |
17 |
SUTURE CHROMIC 3-0 G122H |
18.25 |
SUTURE CHROMIC 3-0 L112G |
18.25 |
SUTURE ENDO AUTO STITCH |
206.75 |
SUTURE ETHIBOND 0 CX21D |
80.25 |
SUTURE ETHILON 10-0 7756G |
84.5 |
SUTURE ETHILON 2-0 664H |
13.75 |
SUTURE ETHILON 3-0 1669H |
11 |
SUTURE ETHILON 3-0 663H |
13.75 |
SUTURE ETHILON 5-0 1668H |
30 |
SUTURE FIBERLINK 2 AR-7235 |
330 |
SUTURE FIBERTAPE 2MM AR-7237-7 |
304.25 |
SUTURE MONOCRYL 3-0 Y497G |
24 |
SUTURE MONOCRYL 4-0 Y4966 |
24 |
SUTURE PDS 0 LOOP Z990G |
31.25 |
SUTURE PLAIN 3-0 G322H |
15.25 |
SUTURE PLAIN 3-0 L102G |
17 |
SUTURE PROLENE 0 8690H |
15.25 |
SUTURE PROLENE 4-0 |
13 |
SUTURE QUILL 2 PDO # RA 1058Q |
118.25 |
SUTURE QUILL 3-0 #YA1016Q |
94.5 |
SUTURE QUILL O PDO #RA 1030Q |
213.75 |
SUTURE RAPIDE 5-O VICRYL VR844 |
29.25 |
SUTURE S/O 1 PDS Z880G |
31.75 |
SUTURE S/O 2-0 PROLENE C-822G |
89.75 |
SUTURE S/O PDS (Z-341 H) |
35.25 |
SUTURE S/O PDS (Z-497 G) |
52 |
SUTURE S/O TEVDEK 7-588W |
42.5 |
SUTURE S/O VICRYL J-489 G |
28.5 |
SUTURE S/O/E MILD CH (363-23) |
78.25 |
SUTURE S/O/EY PLAIN (770) |
80.25 |
SUTURE S/O/EY SILK (1732 G) |
57 |
SUTURE S/O/EY SILK 780 G |
5.25 |
SUTURE S/O/EY VICRYL (J-566G) |
42 |
SUTURE SILK 3-0 CR C013D |
59.25 |
SUTURE SURGIGUT 4-0 1643G |
27.75 |
SUTURE SURGIGUT 4-0 GG121 |
10.75 |
SUTURE SURGIPRO VP-522 |
32 |
SUTURE SURGIPRO VP-581 |
36.25 |
SUTURE SURGIPROV VP-977 |
36.25 |
SUTURE TIGERTAPE 2 AR-7237-7T |
304.25 |
SUTURE TIGERTAPE LOOP |
116.5 |
SUTURE VICRYL 0 |
13.75 |
SUTURE VICRYL 0 J334H |
17 |
SUTURE VICRYL 2-0 J333H |
13.75 |
SUTURE VICRYL 2-0 J339H |
13.75 |
SUTURE VICRYL 3-0 J332H |
17 |
SUTURE VICRYL 3-0 J344H |
17 |
SUTURE VICRYL 3-0 REEL J205G |
18.75 |
SUTURE VICRYL 4-0 J304H |
15.25 |
SUTURE VICRYL 4-0 J682H |
32 |
SUTURE VICRYL 6-0 J578G |
86 |
SUTURE VICRYL CT-1 1 J347H |
17 |
SUTURE VICRYL UNDYED 2-0 J269H |
13.75 |
SUTURE VICRYL UNDYED 2-O J259H |
13.75 |
SUTURE VLOC |
68.75 |
SUTURE V-LOC |
120.75 |
SUTURE VLOC 90 2-0 |
68.75 |
SWALLOWING FCN W CINE/VIDEO |
953 |
SWAN GANZ (PA CATH) INSERT-ICU |
1,105.75 |
SYNTHETIC IMPLNT URINARY 1ML |
1,403.50 |
SYPHILIS TEST NON-TREP QUAL |
18.75 |
T & B LYMPHOCYTE/NAT KILLER-E |
487.75 |
T CELLS; ABSOL CD4 AND CD8 |
199.25 |
T CELLS; ABSOL CD4 COUNT |
82.25 |
T CELLS; TOTAL COUNT |
160 |
T3 OR T4 OR THBR |
28 |
T3; FREE |
133 |
T3; REVERSE |
136.5 |
T3; TOTAL |
128.5 |
TACROLIMUS |
64.5 |
TARGETED GENOMIC SEQ ANALYS |
3,749.25 |
TB TEST CELL IMMUN MEASURE |
262.5 |
TC99M EXAMETAZIME =< 25 MCI |
2,393.00 |
TC99M LABELED RBC =< 30 MCI |
3,286.50 |
TC99M MAA =< 10 MCI |
426.5 |
TC99M MEBROFENIN =< 15 MCI |
914.5 |
TC99M MEDRONATE =< 30 MCI |
354.5 |
TC99M MERTIATIDE =< 15 MCI |
6,574.00 |
TC99M PERTECHNETATE PER 1 MCI |
10 |
TC99M SESTAMIBI |
619 |
TC99M SULFUR COLLOID =< 20 MCI |
4,289.00 |
TECHNETIUM TC99M AEROSOL =< 75 MCI |
2,656.50 |
TEE CONGENITAL; GLOBAL |
2,223.75 |
TEETH; PARTIAL EXAM < FULL MOUTH |
603.25 |
TEMP TRANS PACER INSERT-ICU |
1,428.25 |
TEMP TRANS PACER INSERT-PCU |
1,428.25 |
TEMP TRANS PACER INSERT-TWO NO |
1,428.25 |
TEMP TRANSCUTAN PACING |
701.5 |
TENOTOMY SQ TOE; SINGLE |
2,008.00 |
TESTICULAR IMAGING W/FLOW |
3,335.00 |
TESTOSTERONE BIO PANEL SENDO-E |
218.25 |
TESTOSTERONE,FREE/TOTAL SEND-E |
217.75 |
TESTOSTERONE; FREE |
108.5 |
TESTOSTERONE; TOTAL |
109.75 |
THEOPHYLLINE |
109.25 |
THER/DIAG CONCURRENT INF |
225.25 |
THER/PROPH/DIAG INJ IV PUSH |
362.5 |
THER/PROPH/DIAG INJ SC/IM |
139.5 |
THER/PROPH/DIAG IV INF ADDON |
286.25 |
THER/PROPH/DIAG IV INF INIT =<1 HR |
569.75 |
THERAPEUTIC ACTIVITIES |
11.5 |
THERAPEUTIC ACTIVITIES |
171.25 |
THERAPEUTIC CONSULT |
– |
THERAPEUTIC EXERCISES EA 15 MINS |
12.25 |
THERAPEUTIC EXERCISES EA 15 MINS |
180.75 |
THERAPEUTIC REHAB GROUP |
126.75 |
THERMIA BAIR HUGGER-FL BDY CO |
27.25 |
THIN PREP PAP HPV-LABCORP-E |
521.75 |
THORA SEAL |
458.25 |
THORACENTESIS KIT |
204.75 |
THROMBIN TIME; PLASMA |
93.75 |
THROMBOPLASTIN INHIBITION TISSUE |
30.5 |
THROMBOTIC PANEL-E |
731.5 |
THYROGLOBULIN |
63.25 |
THYROGLOBULIN QN PANEL SENDO-E |
145.25 |
THYROID IMAGING W/BLOOD FLOW |
795 |
THYROID IMAGING W/BLOOD FLOW |
1,349.00 |
THYROID METS; LIMITED |
795 |
THYROID METS; WHOLE BODY |
795.75 |
THYROID STIMULATING HORMONE |
204 |
THYROID STIMULATING IMMUNOGLOBULINS |
552.5 |
THYROID UPTAKE MEASUREMENT |
668.25 |
THYROXINE BINDING GLOBULIN |
190.5 |
THYROXINE; TOTAL |
29.5 |
TISSUE CULTURE; BM BLD CELLS |
282 |
TISSUE CULTURE; LYMPHOCYTE |
259.75 |
TISSUE EXAM BY PATHOLOGIST LVL 3 |
362.5 |
TISSUE EXAM BY PATHOLOGIST LVL 4 |
364.5 |
TISSUE EXAM BY PATHOLOGIST LVL 5 |
397.75 |
TISSUE EXAM BY PATHOLOGIST LVL 6 |
609.5 |
TL PAP W AUTO SCRN & MANUAL RSCR |
224.25 |
TL201 THALLIUM PER 1 MCI |
462.25 |
TMJ JOINT – BILATERAL |
635.5 |
TOBRAMYCIN |
117.75 |
TOCOPHEROL ALPHA (VIT E) |
72.5 |
TOMOGRAM |
800.75 |
TOMOSYNTHESIS, MAMMO |
59 |
TOPIRAMATE |
100.25 |
TOTAL BILIRUBIN |
36.25 |
TOTAL PROTEIN OTHER SPECIMEN |
60 |
TOTAL VITAL CAPACITY |
240.5 |
TPMT GENE COM VARIANTS |
434.25 |
TRANSCORTIN |
44.75 |
TRANSDUCER-PATIENT MOUNT |
312 |
TRANSDUCER-POLE MOUNT |
257 |
TRANSFERASE; ALANINE AMINO |
74.5 |
TRANSFERRIN |
140 |
TRANSFUSION BLOOD OR BLOOD COMPONENTS |
1,788.00 |
TRANSGLUTAMINASE IGA/G SENDO-E |
134.5 |
TRANSRECTAL US |
1,436.25 |
TRANSVAGINAL OB US |
1,078.00 |
TRAY CHOL/KARLAN BALLOON CTH 4 |
356 |
TRAY COOK RADIAL |
85.75 |
TRAY LAP CHOLE ROBART/SCHULZ |
982 |
TRAY LAP/CHOL AZMEH/VACH |
595.75 |
TRAY LOWER GYN |
300.25 |
TRAY MEDIZIV (EDUIDURAL) |
232.75 |
TRAY PICC DUAL LUMEN 5 FR |
1,009.75 |
TRAY PICC POWER 5FR |
954.75 |
TRAY PICC TRIPLE LUMEN POWE 6F |
1,173.50 |
TRAY TROCAR OB/GYN |
428.75 |
TRAY WITHOUT CATH |
37.25 |
TRAY-ARROW ART LINE KIT |
193.25 |
TRAY-ARROW MULTI LUMEN |
469.5 |
TRAY-ARROW PERCUTANEOUS 8.5 |
270.25 |
TRAY-ARROW RADIAL ARTERY |
80 |
TRAY-CHEST TUBE ASSERTION |
294.75 |
TRAY-CLOSED SYSTEM 16 FR |
131.75 |
TRAY-ENT TRAY |
191 |
TRAY-EPIDURAL W/GLASS LOR |
121.75 |
TRAY-INSTRUMENT CIRC SET |
90.5 |
TRAY-INSTRUMENT EPISIOTOMY S |
117.5 |
TRAY-INTRODUCER SET 12 FR |
224.25 |
TRAY-IRRIGATION W/PISTON |
18.5 |
TRAY-LUMBAR (SPINAL) ADULT |
236.75 |
TRAY-LUMBAR (SPINAL) INFANT |
164.75 |
TRAY-NOSE |
31.5 |
TRAY-SPINAL ANESTHESIA |
206.75 |
TRAY-SUTURE SET (AMB CARE) |
148.5 |
TRAY-SUTURE SET (ER) |
180.75 |
TRAY-SUTURE SET FINE FACIAL LA |
196.75 |
TRAY-SUTURE SET-HAND |
191 |
TRAY-THORACENTESIS W CATH |
156 |
TRAY-TRACHEOSTOMY TRAY |
264 |
TRAY-URETHRAL CATH 14 FR |
37.25 |
TRAY-UROLOGY |
29.5 |
TRAY-VAGINAL EXAM |
191 |
TRB@ GENE REARRANGE AMPLIFY |
403.5 |
TREAT CLAVICLE FRACTURE |
7,110.75 |
TREAT SWALLOWING DYSFUNCTION |
10.25 |
TREAT SWALLOWING DYSFUNCTION |
446.5 |
TREATMENT OF BLADDER LESION |
393.25 |
TREPHINE X-HAIR 8MM |
432.75 |
TREPONEMA PALLIDUM |
41.25 |
TRG GENE REARRANGEMENT ANAL |
427.75 |
TRICHOMONAS VAGIN DIR PROBE |
62.5 |
TRICHOMONAS VAGINALIS AMPLIF |
86.5 |
TRIGLYCERIDES |
98.5 |
TRIPOD RETRIEVAL FORCEP FG-45U |
2,235.50 |
TROCAR 11 X 100 OPTICAL CFR33 |
172.75 |
TROCAR 11MM CANNULA SEAL CFS12 |
79 |
TROCAR 11MM FIRST ENTRY CFF33 |
191 |
TROCAR 11MM X-CEL |
267.5 |
TROCAR 12 X 100 OPTICAL CFR73 |
79 |
TROCAR 12MM EXCEL B12LT |
410.25 |
TROCAR 12MM FIRST ENTRY CFF73 |
191 |
TROCAR 12X150MM |
566 |
TROCAR 5 100 FIRST ENTRY |
110.75 |
TROCAR 5 X 100MM OPTICAL CFR03 |
133.5 |
TROCAR 5MM CANNULA SEAL CFS02 |
34.25 |
TROCAR 5MM FIRST ENTRY CFF03 |
191 |
TROCAR 5MM SLEEVE BSLT |
202.5 |
TROCAR 5MM X 100MM CB5LT-R |
64.75 |
TROCAR BALLOON SPACEMAKER KIT |
2,279.50 |
TROCAR BLADED 12 X 100 CTB73 |
113 |
TROCAR BLADED 5 X 100 CTB03 |
87.5 |
TROCAR BLADED 8MM X 100 C0676 |
455.75 |
TROCAR EXCEL 12MM X 150 B12X1 |
443.25 |
TROCAR EXCEL 5MM X 150MM B5XT |
334.75 |
TROCAR X-CEL BLUNT TIP H12LP |
421.75 |
TROPONIN QUAN |
159.25 |
TTE F-UP OR LMTD |
582.75 |
TTE W/DOPPLER COMPLETE |
2,515.00 |
TTE W/O DOPPLER COMPLETE |
1,125.00 |
TUBE BAKER INTESTIONAL 16 FR |
367.25 |
TUBE BOUGEE 15FR 70CM CAUDE |
35 |
TUBE CANNULA DISP 10 |
31.5 |
TUBE CANNULA DISP 4 |
24 |
TUBE CANNULA DISP 8 |
31.5 |
TUBE FEEDING 5FR X 16IN |
9.5 |
TUBE FEEDING 8FR X 16 IN |
9.5 |
TUBE GASTROSTOMY |
291.5 |
TUBE GASTROSTOMY 12 FR |
121.75 |
TUBE GASTROSTOMY 14 FR |
111.5 |
TUBE GASTROSTOMY 16 FR |
175 |
TUBE GASTROSTOMY 18 FR |
169.75 |
TUBE GASTROTUBE |
212.25 |
TUBE JEJUNOSTOMY-VIVINEX |
111.75 |
TUBE LUKI |
48.5 |
TUBE ORAL RAE 4.5 CUFFED MURPH |
33.25 |
TUBE PHEUMOTHORIAX SET |
644 |
TUBE SALEM SUMP 10FR |
29.5 |
TUBE SALEM SUMP 12FR |
28 |
TUBE SALEM SUMP 14 FR W/VAVE |
28 |
TUBE SALEM SUMP W/REFLEX 16F |
61.75 |
TUBE SALEM SUMP W/REFLEX 18F |
80 |
TUBE SUCTION ATTACHMENT DEVI |
48.5 |
TUBE TRACH 5.0 LO PRO MURPHY |
9.5 |
TUBE TRACH CUFF XLT 6.0 |
196.75 |
TUBE TRACH CUFF XLT 8.0 |
274.75 |
TUBE TRACH CUFF/LO/MAGI 6.5 |
26.5 |
TUBE TRACH CUFF/LO/MAGI 7.5 |
29.25 |
TUBE TRACH CUFF/LO/MURPHY 8.0 |
29.25 |
TUBE TRACH CUFF/LO/MURPHY 8.5 |
26.5 |
TUBE TRACH CUFF/REA 6.0 |
76.75 |
TUBE TRACH RAE CUFFED 4.0 |
29.5 |
TUBE TRACH UNCUFF/MAGIL 2.5 |
15 |
TUBE TRACH UNCUFF/RAE 7.0 |
22.25 |
TUBE TRACHEAL 2.0 |
20.25 |
TUBE TRACHEAL 3.5 UNCUFF/RAE |
20.25 |
TUBE TRACHEAL 5.0 CUFF/RAE |
41.25 |
TUBE TRACHEAL 5.0 UNCUFF/RAE |
41.25 |
TUBE TRACHEAL 5.5 CUFF/RAE |
41.25 |
TUBE TRACHEAL 5.5 UNCUFF/RAE |
41.25 |
TUBE TRACHEAL 6.0 CUFF/LO MAGI |
41.25 |
TUBE TRACHEAL 6.5 CUFF/RAE |
41.25 |
TUBE TRACHEAL 6.5 UNCUFF/RAE |
40 |
TUBE TRACHEAL 7.0 CUFF/LO.MAGI |
46.5 |
TUBE TRACHEAL 7.0 CUFF/RAE |
41.25 |
TUBE TRACHEAL 7.0 CUFF/RAE/NAS |
41.25 |
TUBE TRACHEAL 7.5 CUFF/RAE |
41.25 |
TUBE TRACHEAL 7.5 CUFF/RAE/NAS |
31.5 |
TUBE TRACHEAL 8.0 CUFF/RAE |
41.25 |
TUBE TRACHEAL 8.0 CUFF/RAE/NA |
28.25 |
TUBE TRACHEAL UNCUT 5.5 |
26.5 |
TUBE TRACHEAL UNCUT 7.0 |
46.75 |
TUBE TRACHEAL UNCUT 8.5 |
161.25 |
TUBE TROCAR 10 FR |
66.25 |
TUBE TROCAR 20 FR |
69.75 |
TUBE TROCAR 24 FR |
285.75 |
TUBE TROCAR 28 |
71.75 |
TUBE-TRACH ADULT CUFFED 10 |
136 |
TUBE-TRACH ADULT CUFFED 6 |
360.75 |
TUBE-TRACH ADULT CUFFED 8 |
296.75 |
TUBE-TRACH ADULT CUFFLESS 6 |
206.25 |
TUBE-TRACH ADULT CUFFLESS 8 |
126.75 |
TUBE-TRACHEAL 3.0 |
76.75 |
TUBING ADAPTER Y |
96 |
TUBING PATIENT REDEUCE |
143.25 |
TUBING REDUECE PUMP |
212 |
TUMOR IMAGING WHOLE BODY 2+ DAYS |
1,880.50 |
TUMOR LOCALIZ; MULTI AREAS |
1,081.00 |
TUMOR LOCALIZ; SPECT (3D) |
1,880.50 |
TX CL ELBOW DISLOC W ANESTH |
3,060.50 |
TX GASTRO INTUB W/ASP |
766.5 |
TX S WND DEHIS; W PACK |
1,092.75 |
TX S WND DEHISC; SMPL |
658.75 |
TX/PRO/DX INJ NEW DRUG ADDON |
292 |
TX/PRO/DX INJ SAME DRUG ADDON |
235 |
TX/PROPH/DG ADDL SEQ IV INF |
353.25 |
TYPE & SCREEN, PRENATAL-E |
413.5 |
TYPE AND SCREEN-E |
413.5 |
UGI W AIR & BARIUM W SB |
2,307.25 |
ULTRACISION HDH05 DISS HOOK |
728 |
ULTRASOUND ABD/PELIVS-E |
2,952.50 |
ULTRASOUND ABD/PELVIS/TRAS V-E |
4,084.00 |
ULTRASOUND ABDOMEN/RENAL-E |
2,640.50 |
ULTRASOUND EARLY OB W TR-MDC-E |
2,585.50 |
ULTRASOUND EARLY OB W TV-H-E |
2,585.50 |
ULTRASOUND EARLY OB WITH TV-E |
2,585.50 |
ULTRASOUND PELVIS/TRANS VAG-E |
2,698.50 |
ULTRASOUND THERAPY EA 15 MINS |
12 |
ULTRASOUND THERAPY EA 15 MINS |
176.5 |
UNIL SELCTV RENAL VENOGRAM |
3,973.50 |
UNLISTED ABDOMEN MUSCULOSKEL OP |
553 |
UNLISTED CHEMISTRY TEST |
58.75 |
UNLISTED CHEMOTHERAPY PROCEDURE |
96.75 |
UNLISTED DX GASTROENTEROLOGY PROC |
565 |
UNLISTED FLUORO |
164.25 |
UNLISTED MOLECULAR PATHOLOGY |
148 |
UNLISTED MOLECULAR PATHOLOGY |
621.5 |
UNLISTED MOLECULAR PATHOLOGY |
932 |
UNLISTED PROC SKIN MM & SQ TISS |
3,347.00 |
UNLISTED PROCEDURE ANUS |
895.75 |
UNLISTED PROCEDURE CASTING OR STRAPPING |
144 |
UNLISTED PROCEDURE CASTING OR STRAPPING |
207.5 |
UNLISTED PROCEDURE ENDOCRINE SYSTEM |
5,466.25 |
UNLISTED PROCEDURE EXTERNAL EAR |
2,832.50 |
UNLISTED PROCEDURE HANDS OR FINGERS |
1,419.50 |
UNLISTED PROCEDURE HUMERUS OR ELBOW |
252 |
UNLISTED PROCEDURE LEG OR ANKLE |
524.75 |
UNLISTED PROCEDURE MATERNITY CARE & DEL |
385.75 |
UNLISTED PROCEDURE NERVOUS SYSTEM |
648.75 |
UNLISTED PROCEDURE PALATE UVULA |
238 |
UNLISTED PROCEDURE PHARYNX ADENOIDS |
238 |
UNLISTED PROCEDURE RECTUM |
1,808.25 |
UNLISTED PROCEDURE STOMACH |
1,052.50 |
UNLISTED PROCEDURE URINARY SYSTEM |
2,884.00 |
UNLISTED PULMONARY SERVICE |
422.5 |
UNLISTED VASC PROCEDURE |
1,925.50 |
UNNA BOOT STRAPPING |
149 |
UNNA BOOT STRAPPING |
298 |
UNNA-FLEX PLUS WOUND CENTER |
41 |
UPPR GI ENDOSCOPY W/STENT-MAB |
3,483.50 |
UPR/L XTREMITY ART 2 LEVELS |
484 |
UPR/LXTR ART STDY 3+ LVLS |
557.75 |
UR ALBUMIN QUANTITATIVE |
83.25 |
UREA NITROGEN URINE |
49.5 |
UREA NITROGEN; QUAN |
49.5 |
URETER REFLUX STUDY |
787.75 |
URETHROGRAM RETROGRADE |
1,218.50 |
URIC ACID; BLOOD |
59.75 |
URIC ACID; NOT BLOOD |
20.5 |
URINE BACTERIA CULTURE |
138.75 |
URINE PHOSPHATE |
109.25 |
URINE POTASSIUM |
85.75 |
URINE PREGNANCY VISUAL COLOR |
121 |
URINE SULFATE |
13.5 |
URINE TOTAL PROTEIN |
58.25 |
URINE+PROTEIN ELECTR SEND OU-E |
252 |
UROLOGY DRAINAGE BA (OEC)U2068 |
75.25 |
US ABD/PELIVS-MDC-E |
2,952.50 |
US ABD/PELVIS/TRAS VAG-MDC-E |
4,084.00 |
US ABDL AORTA SCREEN AAA |
1,255.00 |
US ABDOMEN& RENAL-MDC-E |
2,640.50 |
US COMPL JOINT R-T W/IMG |
1,127.75 |
US EARLY OB TWINS HD-E |
1,709.25 |
US EARLY OB TWINS W TV-E |
2,787.00 |
US EARLY OB TWINS W TV-MDC-E |
2,787.00 |
US EARLY OB TWINS-E |
1,709.25 |
US EARLY OB TWINS-MDC-E |
1,709.25 |
US EARLY OB W TRANS VAG-MDC-E |
2,639.25 |
US EXAM ABDO BACK WALL COMP |
1,255.00 |
US EXAM ABDO BACK WALL LIM |
1,255.00 |
US EXAM ABDOM COMPLETE |
1,385.75 |
US EXAM CHEST |
1,254.00 |
US EXAM INFANT HIPS STATIC |
485 |
US EXAM OF HEAD AND NECK |
1,572.00 |
US EXAM PELVIC COMPLETE |
1,566.75 |
US EXAM PELVIC LIMITED |
1,296.50 |
US FOLLOW-UP STUDY |
314.25 |
US GUIDE INTRAOP |
428.75 |
US GUIDE VASCULAR ACCESS |
1,100.25 |
US GUIDED AMNIOCENTESIS |
647.75 |
US GUIDED NEEDLE PLACEMENT |
1,371.50 |
US INTERSTITIAL RE APPLIC |
1,795.50 |
US LATE OB TWINS >14 WKS-MDC-E |
1,956.50 |
US LATE OB TWINS AND BIOPHYS-E |
5,285.50 |
US LATE OB TWINS HD-E |
1,956.50 |
US LATE OB TWINS-E |
1,956.50 |
US LMTD JT/NONVASC XTR STRUX |
1,116.75 |
US OB LIMITED & BIOPHYS MAB-E |
2,944.00 |
US OB LIMITED AND ABD-E |
2,665.25 |
US OB LIMITED AND BIOPHYSICA-E |
2,944.00 |
US OB LIMITED AND RENAL-E |
2,534.50 |
US OB LIMITED AND TV-E |
2,357.25 |
US PELVIS/TRANS VAG-MDC-E |
2,698.50 |
US PROSTATE VOLUME FOR BT |
440.75 |
US SCROTUM AND CONTENTS |
1,918.75 |
US SPINE |
1,101.00 |
UTERINE MANIPULATOR KRONNER |
141.75 |
V.A.C KCI FOAM BLACK |
277 |
V.A.C. KCI CANNISTER W/GEL |
548.75 |
VAGINITIS/VAGINOSIS DNA-E |
187 |
VALPROIC ACID,FREE/TOT SEND-E |
185.25 |
VANCOMYCIN |
154.5 |
VARICELLA ZOSTER CULTURE-E |
106 |
VASOPRESSIN |
190.25 |
VENIPUNCTURE CUTDOWN; AGE 1 OR OVER |
353.75 |
VENT MGMT INPAT INIT DAY |
988.25 |
VENT MGMT INPAT SUBQ DAY |
1,342.00 |
VENT REUTER-BOBBINS 10-56162 |
59.25 |
VENT TUBE TOUMA |
104 |
VENTILATOR – NOSE |
15 |
VERY LONG FATTY ACID CHAINS |
49.5 |
VESSEL LOOPS MAXI/RED |
84.5 |
VIDEOFLUORSCOPY DYSPHAGIA-OT |
116.25 |
VIP – VASOACTIVE INTESTINAL PEPTIDE |
142.75 |
VIRAL NEUTRALIZATION |
39 |
VIRUS ISOL SHELL VIAL TECHN |
44.25 |
VIRUS ISOLATE; TISSUE CULT INOC |
62 |
VISCOSITY |
104 |
VIT B-12; UNSATURATED BC |
229 |
VIT D 1 25-DIHYDROXY |
445.25 |
VITAMIN A |
131.5 |
VITAMIN B-12 LEVEL |
181 |
VITAMIN B6 |
269.5 |
VITAMIN D 25 HYDROXY |
73.25 |
VITAMIN K |
58.5 |
VITAMIN NOS |
123.75 |
VMA ACID RANDON UA-E |
57 |
VMA URINE |
36.75 |
VOIDING CYSTO PROFILE-E |
2,208.25 |
VOIDING URETHROCYSTOGRAM |
1,086.25 |
VON WILLEBRAND PROFILE SEND-E |
421.75 |
WAND ENT EVAC 70 EIC5870-01 |
1,004.75 |
WAND ENT REFLEX ULTRA 45 |
1,284.50 |
WAND OPES ASPIRATING ABLATOR |
1,284.50 |
WASHERS (Z) 3.5/4.0 CANN. SET |
224 |
WASHERS (Z) 6.5 CANNULATED |
161.75 |
WAX BONE |
22.5 |
WB SGL DAY TUMOR IMAGING |
1,730.25 |
WEDGE EXC NAIL FOLD |
392.5 |
WEST NILE VIRUS AB CSF-E |
123.75 |
WEST NILE VIRUS AB IGM |
62 |
WEST NILE VIRUS ANTIBODY |
62 |
WEST NILE VIRUS,SERUM SENDO-E |
123.75 |
WHEELCHAIR MNGMENT TRAINING EA 15 MINS |
9.5 |
WHEELCHAIR MNGMENT TRAINING EA 15 MINS |
140 |
WHIRLPOOL THERAPY 1+ AREAS |
178 |
WHO COCK-UP NONMOLDE PRE OTS |
96.25 |
WIRE STEEL 18GA |
39.75 |
WIRE STEEL 25GA |
40.5 |
WORK HARDENING EA ADDTL HR |
64.25 |
WORK HARDENING INIT 2 HRS |
188.5 |
WOUND(S) CARE NON-SELECTIVE |
3.5 |
WOUND(S) CARE NON-SELECTIVE |
170 |
WOUND(S) CARE NON-SELECTIVE |
205.5 |
WRIST ARTHROGRAM |
1,167.25 |
WRIST ARTHROGRAPHY INJ |
586.25 |
XPRESS MULTI SINUS TOOL |
3,763.00 |
XR FB IN EYE |
457.25 |
XR NECK SOFT TISSUE |
431.75 |
XR OPTIC FORAMINA |
173.5 |
X-RAY C/T SPINE DISK |
4,389.75 |
XRAY CONTROL CATHETER CHANGE |
1,136.00 |
X-RAY EXAM ABDOMEN 1 VIEW |
328 |
X-RAY EXAM ABDOMEN 2 VIEWS |
504.75 |
X-RAY EXAM ABDOMEN 3+ VIEWS |
504.75 |
X-RAY EXAM CHEST 1 VIEW |
339.5 |
X-RAY EXAM CHEST 2 VIEWS |
410 |
X-RAY EXAM CHEST 3 VIEWS |
567.5 |
X-RAY EXAM CHEST 4+ VIEWS |
594.75 |
X-RAY EXAM ENTIRE SPI 2/3 VW |
890.25 |
X-RAY EXAM ENTIRE SPI 4/5 VW |
1,410.75 |
X-RAY EXAM HIP UNI 1 VIEW |
434.25 |
X-RAY EXAM HIPS BI 2 VIEWS |
614.75 |
X-RAY EXAM KNEE 4 OR MORE |
687.5 |
X-RAY EXAM NECK SPINE 2-3 VW |
590.75 |
X-RAY EXAM NECK SPINE 4/5VWS |
716.75 |
X-RAY EXAM NECK SPINE 6/>VWS |
837.75 |
X-RAY EXAM OF ANKLE 2 VIEWS |
394.75 |
X-RAY EXAM OF ANKLE 3+ VIEWS |
511.25 |
X-RAY EXAM OF ARM INFANT 2+ VIEWS |
290.25 |
X-RAY EXAM OF BREASTBONE 2+ VIEWS |
417.25 |
X-RAY EXAM OF BREASTBONE 3+ VIEWS |
205.5 |
X-RAY EXAM OF ELBOW 2 VIEWS |
352 |
X-RAY EXAM OF ELBOW 3+ VIEWS |
446.25 |
X-RAY EXAM OF EYE SOCKETS 4+ VIEWS |
641.5 |
X-RAY EXAM OF FACIAL BONES <3 VIEWS |
321.5 |
X-RAY EXAM OF FACIAL BONES 3+ VIEWS |
699 |
X-RAY EXAM OF FEMUR 2/> |
614.75 |
X-RAY EXAM OF FINGER(S) 2+ VIEWS |
447 |
X-RAY EXAM OF FOOT; 2 VIEWS |
394.75 |
X-RAY EXAM OF FOOT; 3+ VIEWS |
456.25 |
X-RAY EXAM OF FOREARM 2 VIEWS |
500 |
X-RAY EXAM OF HAND 2 VIEWS |
373 |
X-RAY EXAM OF HAND 3+ VIEWS |
515.5 |
X-RAY EXAM OF HEEL 2+ VIEWS |
610.75 |
X-RAY EXAM OF HUMERUS 2+ VIEWS |
500 |
X-RAY EXAM OF JAW <4 VIEWS |
286.25 |
X-RAY EXAM OF JAW 4+ VIEWS |
649 |
X-RAY EXAM OF KNEE 1 OR 2 |
417.25 |
X-RAY EXAM OF LEG INFANT 2 VIEWS |
290.25 |
X-RAY EXAM OF LOWER LEG 2 VIEWS |
511.25 |
X-RAY EXAM OF LOWER SPINE |
974 |
X-RAY EXAM OF LOWER SPINE |
1,168.50 |
X-RAY EXAM OF LOWER SPINE 2-3 VIEWS |
504.25 |
X-RAY EXAM OF LOWER SPINE 4+ VIEWS |
722 |
X-RAY EXAM OF MASTOIDS 3+ VIEWS |
658.75 |
X-RAY EXAM OF NASAL BONES 3+ VIEWS |
436.5 |
X-RAY EXAM OF PELVIS 1-2 VIEWS |
500 |
X-RAY EXAM OF RIBS 2 VIEWS UNILAT |
406.5 |
X-RAY EXAM OF RIBS 3 VIEWS BILAT |
617.75 |
X-RAY EXAM OF RIBS/CHEST 3+ VIEWS UNILAT |
683.25 |
X-RAY EXAM OF RIBS/CHEST 4+ VIEWS BILAT |
1,194.00 |
X-RAY EXAM OF SHOULDER 1 VIEW |
261.25 |
X-RAY EXAM OF SHOULDER 2+ VIEWS |
547 |
X-RAY EXAM OF SINUSES <3 VIEWS |
424.75 |
X-RAY EXAM OF SINUSES 3+ VIEWS |
692.75 |
X-RAY EXAM OF SKULL <4 VIEWS |
550 |
X-RAY EXAM OF SKULL 4+ VIEWS |
768.5 |
X-RAY EXAM OF SMALL BOWEL |
651.5 |
X-RAY EXAM OF SMALL BOWEL |
1,842.50 |
X-RAY EXAM OF TAILBONE 2+ VIEWS |
569.25 |
X-RAY EXAM OF THORACIC SPINE 2 VIEWS |
635.75 |
X-RAY EXAM OF THORACIC SPINE 3 VIEWS |
827 |
X-RAY EXAM OF TOE(S) 2+ VIEWS |
394.75 |
X-RAY EXAM OF WRIST 2 VIEWS |
394.75 |
X-RAY EXAM OF WRIST 3+ VIEWS |
500 |
X-RAY EXAM SACROILIAC JOINTS 3+ VIEWS |
485 |
X-RAY EXAM SURGICAL SPECIMEN |
751 |
X-RAY OF LOWER SPINE DISK |
4,389.75 |
X-RAY OF MAMMARY DUCT |
769.5 |
X-RAY OF MAMMARY DUCTS |
1,538.00 |
X-RAY UPPER GI DELAY W/KUB |
1,082.75 |
X-RAY UPPER GI&SMALL INTEST |
2,128.00 |
X-RAYS BONE LENGTH STUDIES |
648 |
X-RAYS BONE SURVEY COMPLETE |
1,825.00 |
X-RAYS BONE SURVEY INFANT |
1,179.25 |
X-RAYS FOR BONE AGE |
648 |
YAG LASER AFTER CATERACT-AC |
1,384.50 |
ZIKA VIRUS DNA/RNA AMP PROBE |
157.5 |
ZINC |
124.25 |