Description: Price
Description $Price
ROOM CHARGE SEMI PRIVATE $1815
ROOM TELEMETRY ISOLATION $1951
ROOM SKILLED SWINGBED $1440
ROOM INTERMEDIATE SWINGBED $250
BL DRAW < 3 YRS FEM/JUGULAR $37
NON ROUTINE BLOOD DRAW 3> YRS $26
COLLECTION CAPILLARY BLOOD SPECIMEN $15
DRG SCREEN QUALITATIVE CARBAMAZEPINE TTL $107
DRG SCRN QUALITATIVE CARBAMAZEPINE FREE $107
DRUG SCREEN QUALITATIVE CYCLOSPORINE $99
DRUG SCREEN PRESUMPTIVE 1 CLASS METHOD L $158
F2 GENE ANALYSIS 20210G >A VARIANT $148
F5 GENE $99
CHRMATOGRPHY QUAL THIN LAYER ANALYTE NES $69
ASSAY OF CREATINE $38
ASSAY OF HAPTOGLOBIN QUANTITATIVE $47
HEAVY METAL QUANTIATIVE EACH $58
IMMUNASY ANALYTE QUAL/SEMIQUAL MULT STEP $99
IMMUNASY ANLYTE QUAL/SEMIQL MULT STEP $57
IMMUNASY ANALYTE QUAL/SEMIQUAL MULT STEP $60
LACTOFERRIN FECAL QUALITATIVE $71
ASSAY OF NICOTINE $158
ASSAY FOR CALPROTECTIN FECAL $626
PORPHYRINS FECES QUANTITATIVE $100
SUGARS MONO DI&OLIGOS 1 QUALITVE EA SPEC $48
UREA NITROGEN CLEARANCE $46
BLOOD COUNT HEMOGLOBIN $24
CLOTTING FACTOR II PROTHROMBIN SPECIFIC $81
CLOT FACTOR VIII AHG 1 STAGE $79
CLOT FACTOR VIII VW RISTOCTN $503
CLOT FACTOR VIII VW ANTIGEN $117
RUSSELL VIPER VENOM TIME DILUTED $70
ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA A $19
CARDIOLIPIN ANTIBODY EACH IG CLASS $318
CARDIOLIPIN ANTIBODY EACH IG CLASS $318
COMPLEMENT ANTIGEN C1 $149
COMPLEMENT ANTIGEN EACH COMPONENT $68
COMPLEMENT ANTIGEN EACH COMPONENT $68
COMPLEMENT TOTAL (CH50) $149
CELL FUNCTION ASSAY W/STIM $714
POLIO TITER $53
ANTIBDY BORRELIA BRGDRFERI CNFIRMTRY TST $53
ANTIBODY BRUCELLA $21
ANTIBODY CHLAMYDIA $105
ANTIBODY CHLAMYDIA IGM $58
ANTIBODY COCCIDIOIDES $27
ANTIBODY ENTEROVIRUS $61
ANTIBODY EHRLICHIA $26
HTLV/HIV CONFIRMJ ANTIBODY $58
HERPES SIMPLEX VIRUS AB IGM $42
ANTIBODY HERPES SMPLX TYPE 1 $31
ANTIBODY HERPES SMPLX TYPE 2 $48
ANTIBODY PROTOZOA NES $32
ANTIBODY RICKETTSIA $45
CUL BCT AEROBIC ADD METHS DEFN EA ISOL $64
VARICELLA ZOSTER VIRUS $42
INF AGENT ANTIGEN IMMUNO TECH $47
IAAD EIA CLOSTRIDIUM DIFFICILE TOXIN $58
ROTAVIRUS $71
LYME DIS DNA AMP PROBE $184
CLOSTRIDIUM DIFFICILE $137
ENTEROVIRUS PROBE&REVRS TRNS $309
CHLAMYDIA TRICHOMATIS/NEISSERIA GONORRHE $100
PAP W/HRHPV AND GNT $64
T VAGINALIS (APTIMA) $83
PERTUSSIS PCR $287
DETECT AGENT NOS DNA QUANT $171
IADNA MULT ORGNISMS AMPLIFIED PRBE TQ $198
CULTURE STOOL NO SMR RFLX $95
GENOTYPE DNA/RNA HEP C $638
TISS CUL NON-NEO DISORDERS LYMPHOCYTE $263
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING $278
CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY $61
CYTOGNETICS&MOLEC CYTOGNETICS INTERP&REP $63
FAT STOOL QUALITATIVE $56
HANDL/OR CONVY/SPEC AFTER HRS WKEND $62
VALLEY COUNTY DRUG SCREEN $38
HANDL/OR CONVY/SPEC - TR FROM PT TO LAB $37
PHLBOTOMY THERAPEUTIC SEPARATE PROCEDURE $59
IRON $0
CUL BCT STOOL AEROBIC ADD PATHGENS&ID EA $0
BASIC METABOLIC PANEL CALCIUM TOTAL $69
GENERAL HEALTH PANEL $214
ELECTROLYTE PANEL $57
COMPREHEN METABOLIC PANEL $86
LIPID PANEL $81
RENAL FUNCTION PANEL $35
ACUTE HEPATITIS PANEL $182
HEPATIC FUNCTION PANEL $75
DRG SCR QUAL MLT DRUG CLASSES CHRM EA PX $87
DRG SCR QUAL 1 DRG CLSS METH EA DRG CLSS $166
DRUG CONFIRMATION EACH PROCEDURE $84
ASSAY OF DIGOXIN $113
DRG SCRN QUALITATIVE DIPROPYLACETIC ACID $89
DRUG SCREEN QUALITATIVE LITHIUM $44
DRUG SCREEN QUALITATIVE PHENOBARBITAL $43
DRUG SCREEN QUALITATIVE PHENYTOIN TOTAL $89
DRUG SCREEN QUALITATIVE SALICYLATE $94
DRUG SCREEN QUALITATIVE TACROLIMUS $157
DRUG SCREEN QUALITATIVE THEOPHYLLINE $76
DRUG SCREEN QUALITATIVE VANCOMYCIN $107
QUANTITATION DRUG NOT ELSEWHERE SPECIFED $143
DRUG SCREEN $87
AMPHETAMINE SCREEN RFLX $97
ALCOHOLS $75
NICOTINE/METAB - SERUM OR PLASMA $34
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 $34
ANALGESICS NON-OPIOID 1 OR 2 $104
DRUG SCREENING METHYLENEDIOXYAMPHETAMINE $34
CLINICAL PATHOLOGY CONSULTATION LIMITED $36
ASSAY OF ACETAMINOPHEN $101
KETONE BODIES SERUM QUANTITATIVE $66
ADRENOCORTICOTROPIC HORMONE ACTH $177
ALBUMIN SERUM PLASMA/WHOLE BLOOD $25
ALBUMIN URINE MICROALBUMIN QUANTIATIVE $65
ALCOHOL ANY SPECIMEN EXCEPT BREATH $67
ASSAY OF ALDOLASE $61
ASSAY OF ALDOSTERONE $110
ALPHA-1-ANTITRYPSIN TOTAL $69
ALPHA-FETOPROTEIN SERUM $112
ASSAY OF AMMONIA $97
ASSAY OF AMYLASE $60
ANGIOTENSIN I-CONVERTING ENZYME $71
APOLIPOPROTEIN EACH $125
BETA-2 MICROGLOBULIN $126
BILIRUBIN TOTAL $41
BILIRUBIN DIRECT $29
BLD OCCLT PERXIDS ACTV QUAL FECE 1 DETER $26
BLD OCCLT FECL HGB DETR IA QL FECES 1-3 $40
25 HYDRXY INCLUDES FRCTIONS IF PERFORMED $196
CALCIUM TOTAL $35
CALCIUM IONIZED $90
CALCIUM URINE QUANTITATIVE TIMED SPECMEN $40
CARBON DIOXIDE BICARBONATE $22
CARCINOEMBRYONIC ANTIGEN CEA $125
ASSAY THREE CATECHOLAMINES $125
CHEMILUMINESCENT ASSAY $89
CHLORIDE BLD $22
CHOLESTEROL SERUM/WHOLE BLOOD TOTAL $20
COLLAGEN CROSS LINKS ANY METHOD $79
CORTISOL FREE $84
CORTISOL TOTAL $88
COL-CHR/MS QUAN 1 STATINRY&MBIL PHSE NES $90
ASSAY OF CK (CPK) $53
CREATINE KINASE ISOENZYMES $113
CREATINE KINASE MB FRACTION ONLY $134
CREATININE BLOOD $25
CREATININE OTHER SOURCE $48
CREATININE CLEARANCE $45
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITIVE $50
CYANOCOBALAMIN VITAMIN B-12 $100
DEHYDROEPIANDROSTERONE $106
DEHYDROEPIANDROSTERONE-SULFATE $118
1 25 DIHYDROXY INCLDS FRCTIONS IF PRFRMD $170
ASSAY OF ESTRADIOL $109
ASSAY OF ESTROGENS FRACTIONATED $124
ASSAY OF ESTRIOL $49
ASSAY OF ESTRONE $48
ASSAY OF FERRITIN $83
ASSAY OF FOLIC ACID SERUM $102
ASSAY OF FOLIC ACID RBC $72
ASSY OF GAMMAGLOBULIN IGA IGD IGG IGM EA $55
GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES $140
BLD GAS ANY COMB. PH PCO2 PO2 CO2 HCO3 $100
GLUCOSE QUANTIV BLOOD XCPT REAGENT STRIP $26
GLUCOSE BLOOD REAGENT STRIP $15
GLUCOSE POST GLUCOSE DOSE $48
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS $149
GLCOSE TOLERANCE EA ADD BEYND 3 SPECIMNS $20
ASSAY OF GLUTAMYLTRASE GAMMA $45
GONADOTROPIN FOLLICL STIMULATING HORMONE $86
GONADOTROPIN LUTEINIZING HORMONE $82
HPYLRI BRTH ANL UREASE ACT NN-RDCT ISTPE $195
HEMOGLOBIN S QUANTITATION $91
HEMOGLOBIN GLYCOSYLATED A1C $65
ASSAY OF B-HEXOSAMINIDASE EACH ASSAY $56
ASSAY OF HOMOCYSTEINE $63
ASSAY OF HYDROXYPROGESTERONE 17-D $118
IMMUNOASSY ANALYTE QUANT RADIOIMMUNOASSY $361
ASSAY OF INSULIN TOTAL $54
ASSAY OF IRON $44
IRON BINDING CAPACITY $92
LACTATE DEHYDROGENASE LDH $49
LACTATE DEHYDROGENASE ISOENZYMS SEP&QUAN $123
ASSAY OF LEAD $80
LIPOPROTEIN A $32
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2 $65
LIPPROTEIN BLD ELECTROPHORECTIC SEP&QUAN $24
LIPPROTEIN BLD HI RESOLTJ&QUANTJ SBCLASS $113
LIPOPROTEIN BLD QUAN NUMBERS&SUBCLASSES $74
LIPOPROTEIN DIR MEAS HGH DENSITY CHOLEST $35
LIPOPROTEIN DIRCT MEASURMENT LDL CHOLEST $41
ASSAY OF MAGNESIUM $55
ASSAY OF MERCURY QUANTITATIVE $80
METANEPHRINES $104
MUCIN SYNOVIAL FLUID ROPES TEST $27
MYOGLOBIN $134
NATRIURETIC PEPTIDE $130
ASSAY OF NEPHELOMETRY EACH ANALYTE NES $48
ORGANIC ACID 1 QUANTITATIVE $50
ASSAY OF OSMOLALITY BLOOD $28
ASSAY OF OSMOLALITY URINE $79
ASSAY OF PARATHORMONE $168
ASSAY OF PHENYLALANINE BLOOD $0
ASSAY OF PHOSPHATASE ALKALINE $49
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES $133
ASSAY OF PHOSPHORUS INORGANIC $48
POTASSIUM SERUM PLASMA/WHOLE BLOOD $38
POTASSIUM URINE $26
PREALBUMIN $46
ASSAY OF PROGESTERONE $78
ASSAY OF PROLACTIN $55
ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $95
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE $95
PRTN XCPT RFRCTOMTRY SERUM PLSMA/WHL BLD $18
PROTEIN TOTAL XCPT REFRACTOMETRY URINE $39
PRTN ELECTROPHORETIC FRACTJ&QUANTJ SERUM $56
PROTN ELECTROP FXJ&QUAN OTH FLUS CONCENT $76
ASSAY OF RENIN $102
ASSAY OF SEX HORMONE BINDING GLOBULIN $47
SODIUM SERUM PLASMA OR WHOLE BLOOD $22
ASSAY OF URINE SODIUM $24
ASSAY OF TESTOSTERONE FREE $44
ASSAY OF TESTOSTERONE TOTAL $99
ASSAY OF THIAMINE-VITAMIN B-1 $117
ASSAY OF THYROGLOBULIN $79
ASSAY OF THYROXINE TOTAL $32
ASSAY OF FREE THYROXINE $74
ASSAY OF THYROID STIMULATING HORMONE TSH $72
ASSAY OF TOCOPHEROL ALPHA VITAMIN E $27
TRANSFERASE ASPARTATE AMINO AST SGOT $42
TRANSFERASE ALANINE AMINO ALT SGPT $43
ASSAY OF L7383TRANSFERRIN $57
ASSAY OF TRIGLYCERIDES $26
ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 $28
ASSAY OF TRIIODOTHYRONINE T3 FREE $113
TRIIODOTHYRONINE T3 REVERSE $76
ASSAY OF TROPONIN QUANTITATIVE $134
ASSAY OF UREA NITROGEN QUANTITATIVE $25
ASSAY OF BLOOD/URIC ACID $55
ASSAY OF VANILLYLMANDELIC ACID URINE $79
ASSAY OF VITAMIN A $73
ASSAY OF VITAMIN K $26
ASSAY OF ZINC $66
ASSAY OF C-PEPTIDE $86
GONADOTROPIN CHORIONIC QUALITATIVE $41
BLD CNT SMR MCRSCP W/O MNL DIFF WBC CNT $7
IMMUNOASSAY TUMOR ANTIGEN QNTITV CA 15-3 $41
IMMUNOFIXJ ELECTROPHORESIS SERUM $63
IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS $91
INHIBIN A $53
ANTIBODY CYTOMEGALOVIRUS CMV $19
ANTIBODY CYTOMEGALOVIRUS CMV IGM $22
CUL BCT ANAEROBIC ADD METHS DEFN EA ISOL $66
PINWORM EXAMINATION $19
LEUKCYTE ASSMT FCAL QUAL/SEMIQUANTITIVE $62
PSA SCREENING $95
DRUG SCREEN MULTI DRUG CLASS $87
DRUG SCREEN SERUM RFLX $106
SALICYLATE $94
ASSAY OF CERULOPLASMIN $67
ANTINUCLEAR ANTIBODIES ANA $79
ANTINUCLEAR ANTIBODIES ANA TITER $48
ANTISTREPTOLYSIN O TITER $37
C-REACTIVE PROTEIN $73
C-REACTIVE PROTEIN HIGH SENSITIVITY $55
CYCLIC CITRULLINATED PEPTIDE ANTIBODY $69
DNA ANTIBODY NATIVE/DOUBLE STRANDED $68
EXTRCTBLE NUCLEAR ANTIGN ANTBDY ANY MTHD $42
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
EXTRCTBL NUCLEAR ANTIGN ANTIBDY ANY MTHD $33
FLURESCNT NONFCT AGT ANTB SCRN EA ANTBDY $69
FLUORESCENT ANTIBODY TITER $50
CANCER ANTIGEN 19-9 $79
IMMUNOASSAY TUMOR ANTIGEN QNTITV CA 125 $49
MONO SEND OUT $38
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO $148
MICROSOMAL ANTIBODIES EACH $71
RHEUMATOID FACTOR QUANTITATIVE $44
SYPHILIS TST NON TREPONEMAL ANTIBDY QUAL $29
SYPHILIS TEST QUANTITATIVE $17
ANTIBDY BACTERIUM NOT ELSEWHERE SPEC. $70
ANTIBDY BORRELIA BURGDORFERI LYME DSEASE $83
ANTIBDY EPSTN-BARR EB VRUS ERLY ANTIG EA $25
ANTIBDY EPSTN-BARR EB VRUS NUCLR AG EBNA $29
ANT BDY EPSTN-BARR EB VIRS VRL CPSID VCA $78
ANTIBODY HELICOBACTER PYLORI $84
ANTIBODY HIV-1&HIV-2 SINGLE RESULT $79
HEPATITIS B CORE ANTIBODY HBCAB TOTAL $40
HEP B CORE ANTIBODY IGM $66
HEPATITIS B SURF ANTIBODY HBSAB $55
HEPATITIS ANTIBODY HAAB TOTAL $101
ANTIBODY MUMPS $61
ANTIBODY MUMPS $61
ANTIBODY MUMPS $61
ANTIBODY RUBELLA $37
ANTIBODY RUBEOLA $72
ANTIBODY RUBEOLA $72
ANTIBODY RUBEOLA $72
ANTIBODY TOXOPLASMA $55
ANTIBODY TOXOPLASMA IGM $55
ANTIBODY TREPONEMA PALLIDUM $48
ANTIBODY VARICELLA-ZOSTER $58
ANTIBODY WEST NILE VIRUS IGM $113
ANTIBODY WEST NILE VIRUS $113
THYROGLOBULIN ANTIBODY $86
HEPATITIS C ANTIBODY $54
HLA TYPING A/B/C SINGLE ANTIGEN $112
BLOOD TYPING ABO $43
BLOOD TYPING RH D $33
IAAD EIA HPYLORI STOOL $143
IAAD EIA HEPATITIS B SURFACE ANTIGEN $45
IAAD EIA HIV-1 $53
BLD CNT SMER MCRSCP W/MNL DIFRTL WBC CN $22
BLOOD COUNT HEMATOCRIT $20
BLOOD CNT COMPLETE AUTO&AUTO DIFRNTL WBC $64
BLOOD COUNT COMPLETE AUTOMATED $50
BLD CNT RETICULOCYTES AUTO 1/> CELL MEAS $106
CLTTNG INHIBITORS ANTITHROMBIN III ACTVY $117
CLTT INHIBITRS ANTITHRMBN III ANTIG ASSY $92
CLOTTING INHIBITORS PROTEIN C ACTIVITY $113
CLOTTING INHIBITORS PROTEIN S FREE $128
ACTIVATED PROTEIN C APC RESISTANCE ASSAY $90
FIBRIN DGRADJ PRODUCTS D-DIMER QNTITATVE $118
FIBRINOGEN ACTIVITY $34
SEDIMENTATION RATE RBC NON-AUTOMATED $33
ESR ERYTHROCYTE SEDIMENTATION RATE $47
THROMBIN TIME PLASMA $57
THRMBOPLASTIN TIME PART PLASMA/WHOLE BLD $86
VISCOSITY $53
CELL CNT MIS BDY FLUIDS W/DIFERNTIAL CNT $27
SEMEN ALYS MOTILITY&CNT X W/HUHNER TST $16
FECAL BLOOD SCRN IMMUNOASSAY $26
CONCENTRATION INFECTIOUS AGENTS $26
CULTURE BCTERIAL BLD AEROBIC W/ID ISLATS $165
CUL BCT STL AERBIC ISOL SLMONELLA&SHGELL $47
CUL BCT STL AEROBIC ADL PATHOGENS&ID EA $119
CUL BCT STOOL AERBIC ADD PATHOGENS&ID EA $28
CUL BCT STL AEROBIC ADD PATHOGENS&ID EA $28
CUL BACT STL AEROBIC ADD PATHOGENS&ID EA $28
CUL BCT XCPT URINE BLD/STOOL AEROBIC ISO $99
CUL BACTERIAL ANY SRCE ANAEROBIC ISO&ID $74
PERTUSSIS CULTURE $47
CULTURE BACTERIAL QUANTVE CLNY CNT URINE $79
CUL FNGI MOLD/YEAST PRSMPTV OTH XCPT BLD $51
CLT TUBERCL/OTH ACID-FST BCILLI ANY ISOL $36
OVA&PARASITES DIRCT SMEARS CONCENTRATION $103
SCPTIBTY STDY ANTIMICBL MCRO/AGAR DILUTJ $71
SMR PRM SRC GRM/GIEMSA STN BCT FUNGI/CLL $35
SMR PRM SRC FLRSCNT&/AFS BCT FNGI PARSIT $22
SMR PRIM SRC SPEC STAIN BODIES/PARASITS $54
SMR PRIM SRC WET MOUNT NFCT AGT $43
TIS KOH SLD SMP SKN/HR/NLS FNGI/EPARASIT $32
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE $99
VIRUS TISS CUL INOCUL CYTOPATHIC EFF $84
VIRUS CENTRIFUG ENHNCD ID IMFLUOR STN EA $51
VIRUS ID NON-IMMUNOLOGIC OT/THN CYTOPTHC $96
IAADI CRYPTOSPORIDIUM $70
HERPES SIMPLEX VIRUS TYPE 2 $174
HERPES SIMPLES VIRUS TYPE 1 $174
IAADI RESPIRATORY SYNCTIAL VIRUS $68
IAAD EIA CRYPTOSPORIDIUM $70
IAAD EIA GIARDIA $70
INFLUENZA , A OR B, EACH $105
INFLUENZA A LAB TEST $105
INFLUENZA B LAB TEST $105
IAAD EIA SHIGA-LIKE TOXIN $28
IAAD EIA MULT STEP METHOD NOS EA ORGNSM $68
IADNA CHLAMYDIA TRACHOMATIS DRCT PRBE TQ $82
IADNA CHLMYDIA TRACHOMATIS AMPL PROBE TQ $82
IADNA CYTOMEGALOVIRUS QUANTIFICATION $388
IADNA HEP C QUANT & REVERSE TRANSCRPTION $287
IADNA HIV-1 QUANT/REVERSE TRANSCRIPTION $205
IADNA NEISSERIA GONORRHOEA DRCT PROBE TQ $82
IADNA S AUREUS METHCLN RSIST AMP PRBE TQ $74
IAADIADOO INFLUENZA $74
IAADIADOO STREPTOCOCCUS GROUP A $75
UA COMPLETE $57
U/A DIP STCK/TBLT REAGENT AUTO MICROSCPY $28
UA DIPSTICK $39
UA MICROSCOPIC ONLY $30
U/A PREG. TEST VISUAL COLOR CMPRSN METHS $62
VOLUME MEASUREMENT TIMED COLLECTION EACH $18
DRUG SCREEN QUALITATIVE ETHOSUXIMIDE $78
QUETIAPINE $349
BENZODIAZEPINE CONF $49
ALBUMN URINE/OTHR SRCE QUAN EA SPECIMEN $23
AMPHETAMINE/METHAMPHETAMINE $49
ASSAY OF ARSENIC $80
CALCULUS INFRARED SPECTROSCOPY $111
ASSAY OF COPPER $76
PANCREATIC ELASTASE FECAL $307
ASSAY OF GAMMAGLOBULIN IGE $42
IMMUNOASSAY ANALYTE QUANTITATIVE NOS $203
MASS SPCT&TNDM MSS SPECT ANL QUAN EA SPC $148
PORPHYRINS URINE QUANTITION & FRACTNTION $86
ASSAY OF PYRIDOXAL PHOSPHATE $70
ASSY OF VASOPRSSN ANTI-DIURETIC HORMN $156
IMUNASSAY INFCTOUS AGNT ANTIBDY QUAN NOS $22
TB CELL MDIATD ANTIGN RSPNS GMA INTRFERN $47
CULT FUNGI DEFNTVE ID EA ORGNISM YEAST $66
CULTURE CHLAMYDIA ANY SOURCE $83
CULTURE TYPING IMMUNOFLUORESCENT EACH AN $56
IAAD EIA SHIGA-LIKE TOXIN $28
CRYSTL ID LGHT MICRSCPY ALYS TIS/ANY FLD $36
ASSAY PH SALIVA $27
WHOLE BLOOD FOR TRANSFUSION $354
NNINVASIVE EAR/PULSE OXMTRY SGLE DETER $28
DUMMY CODE NEW LAB TESTS $0
AR CORRECTION CHARGE CODE $0
AR CHARGE DEFAULT $0
ANA SPECIFIC ANTIBODY PANEL $0
HEAVY METAL PANEL $0
HYPERCOAGULATION CNSLT EXTND PANL REFLXV $0
OB PANEL $0
OVA AND PARASITE PANEL $0
AEROBIC ORGANISM ID/SENSITIVITY $0
HYPOTHYROID PANEL $32
CERV FLEXIBLE NON-ADJUSTABLE $76
PHYSICAL PERFORMANCE TEST/MEAS W/REPRT E $60
OP PRO LEVEL 1 SPEECH THERAPY $66
GYM MEMBERSHIP MONTHLY $60
INCISION THROMBOSED HEMORRHOID EXTERNAL $147.3
HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP $1592.95
EXC THROMBOSED HEMORRHOID XTRNL $1592.95
CARDIOVERSION ELECTIVE ARRHYTHMIA EXTRNL $460.75
CV STRS TST XERS&/OR RX CONT ECG W/SI&R $213.75
MD SERVICE REQUIRED FOR PMD $11.55
FINE NEEDLE ASPIRATION; WO IMAGE FAC FEE $33.6
INCISION & DRAINAGE ABSCESS FAC FEE $33.6
INCISION & DRAINAGE ABSCESS FAC FEE 2 $57.75
INCISION & DRAIN ABSCSS COMPL FAC FEE $33.6
INCISION & DRAIN PILONIDAL CYST FAC FEE $33.6
INCISE & REMVL FREIGN BDY SUBQ FAC FEE $33.6
INCISE & REM. FORGN BDY COMPL FAC FEE $33.6
I&D HEMATOMA FLUID COLL FAC FEE $33.6
PUNCTURE ASP ABSESS HEMATOMA FAC FEE $33.6
DEBRDMENT SUBCUTANEOUS 20 CM FAC FEE $33.6
PARING/CUT BENIGN HYPERKERA 1 FAC FEE $33.6
BX SKIN SUBQ &/MUCOUS MEMBRANE 1 FAC FEE $33.6
BIOPSY SKIN LESION FAC2 $57.75
BX SKIN SUBQ&/MUCOUS MEMB ADDL FAC FEE $33.6
RMVL SKN MLT FIBRQ TAGS 15 FAC FEE $33.6
SHAVE SKIN LES 1 TR/AR/LG 0.5CM FAC FEE $33.6
SHV SKN LES 1 TK/AM/LG 0.6-1.0 CM FAC FE $33.6
SHAVE SKIN LESION >2.0 CM FAC FEE $33.6
SHAVE, DERMAL LES TO 0.5 CM FAC FEE $33.6
SHAVE SKIN LESION 0.5 CM/< FAC FEE 2 $57.75
SHV SKN LES 1 S/N/H 0.6-1.0CM FAC FEE $33.6
SHV SKIN LES 1 S/N 1.1-2.0 CM FAC FEE $33.6
SHVE SKN LES 1 F/E/E 0.5 CM/< FAC FEE $33.6
SHV SKN LES 1 F/E/E 1.1-2.0 CM FAC FEE $33.6
EXC B9 LES MRGN XCP SK TG.5 CM/< FAC FEE $33.6
EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/< $57.75
EX B9 LES MGN XCP SK 0.6-1.0 CM FAC FEE $33.6
EX B9 LES MRG XCP SK 1.1-2.0 CM FAC FEE $33.6
EX B9 LS MRG XCP 2.1-3.0 CM< FAC FEE $33.6
EX B9 LES MRG XCP 0.1-4.0 CM FAC FEE $33.6
EXC B9 LES MRGN XCP >4.0 CM FAC FEE $33.6
EXB9 LES MRG XCP SKTG 0.5 CM/< FAC FEE $33.6
X B9 LS MG XCP SK TG 0.6-1.0CM FAC FEE $33.6
EXB9 LESMRG XCP SKTG 1.1-2.0 CM FAC FEE $33.6
EXB9 LESMRG XCP SKTG 1.1-2.0 CM FAC 2FEE $57.75
EXB9 LESMRG XCP SK TG2.1-3.0 CM FAC FEE $33.6
EXC FACE-MM B9+ MARG 0.5 CM/> $33.6
X B9 LS MG XCP SK TG 0.6-1.0 CM FAC FEE $33.6
EXB9LESMRGXCPSK TG 1.1-2.0 CM FAC FEE $33.6
X B9 LES MG XCP SK TG .1-3.0 CM FAC FEE $33.6
EXCISE MAL LES 0.6-1.0 CM FAC FEE $33.6
EXCISE MAL LES 1.1-2.0 CM FAC FEE $33.6
EXCISE MAL LES 2.1-3.0 CM/< FAC FEE $33.6
EXCISE MALGT LESION 1.1-2.0 CM FAC FEE $33.6
EXCISION MALIG LESION >4.0 CM FAC FEE $33.6
AVULSION NAIL PLATE PART/COMP 1 FAC FEE $33.6
AVULSION NAIL PLATE PART/COMP FAC2 FEE $57.75
EXCISION NAIL MATRIX PERM REM FAC FEE $33.6
EX NL MTRX PRM RMVL WAMP FAC FEE $33.6
WEDGE EXCISION SKIN NAIL FOLD FAC FEE $33.6
SIMP RPR 2.5CM/< FAC FEE $33.6
SMP RPR 2.6-7.5CM FAC FEE $33.6
SMP RPR 7.6-12.5CM FAC FEE $33.6
SMP RPR 12.6-20.0 CM FAC FEE $33.6
SMP RPR 20.1-30.0 CM FAC FEE $33.6
SIMPLE REPAIR 2.5CM/< FAC FEE $33.6
SIMPLE REPAIR 2.6CM-5.0 CM FAC FEE $33.6
SIMPLE REPAIR5.1CM-7.5 CM FAC FEE $33.6
TX SUPERFICIAL WND SMPL CLSRE FAC FEE $33.6
REPAIR INTERMED 2.5 CM/< FAC FEE $33.6
REPAIR INTERMED 2.6-7.5 CM FAC FEE $33.6
REPAIR INTERMED 7.6-12.5 CM FAC FEE $33.6
REPAIR INTERMED12.6-20.0CM FAC FEE $33.6
REPAIR INTERMD 2.5CM/< FAC FEE $33.6
RPR INTERMD2.6-7.5 CM FAC FEE $33.6
REPR INTERMD 7.6-12.5CM FAC FEE $33.6
RPR INTRMDIAT12.6-20 CM FAC FEE $33.6
REPR INTERMD 2.5 CM/< FAC FEE $33.6
REPAIR INTERMD 2.6-5.0 CM FAC FEE $33.6
INT RPR F N L 7.6-12.5 CM OP FAC FEE $78.75
RPR INTRMDIAT 12.6-20.0CM FAC FEE $33.6
REPAIR COMPLEX 1.1-2.5 CM FAC FEE $33.6
REPAIR COMPLEX 2.6-7.5 CM FAC FEE $33.6
REP COMPLEX EA ADDL 5 CM/< FAC FEE $33.6
CMPLX RPR 1.1 CM TO 2CM OP FAC FEE $120.75
REP COMPLX 2.6-7.5 CM FAC FEE $33.6
RPR CMPLX2.6-7.5 CM FAC FEE $33.6
INITIAL TX 1ST DEGREE BURN LOCAL TX $33.6
DRS&/DBRDMT PTL-THKNS BURNS FAC FEE $33.6
DRS&/DBRD PRTL-THKNS 1ST/SBSQ FAC FEE $33.6
DESTRUCTION PREMALIGNANT 1ST FAC FEE $33.6
DESTRUCTION PREMALIGNANT LESION 1ST $57.75
DESTRUCTION PREM 2-14 EA FAC FEE $30.4
DESTRUCTION PREMAL LESIONS 15/> FAC FEE $33.6
DESTRUCTION BENIGN UP TO 14 FAC FEE $33.6
CHEMICAL CAUTERIZEGRAN TISSUE FAC FEE $33.6
DSTRUCT MAL LES 3.1-4.0CM FAC FEE $33.6
CRYOTHERAPY CO2 N2 ACNE FAC FEE $33.6
INJECTION THERA CARPAL TUNNEL FAC FEE $33.6
INJ SINGLE/MLT TRIGGER POINT 1/2 FAC FEE $33.6
INJ SING/MLT TRG PT 3/> MUSCLES FAC FEE $33.6
ARTHROCENTESIS ASPIR&/INJ SM JT FAC FEE $33.6
ARTHROCENTESIS ASPIR&/INJ INTERM FAC FEE $33.6
ARTHROCENTESIS ASPIR&/INJ MAJOR FAC FEE $33.6
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA $57.75
ASPIRATE/INJ GANGLION CYST FAC FEE $33.6
CLD TX ACROMIOCLAVICULAR DISLC FAC FEE $33.6
CLTX SCAPULAR FX W/MANJ FAC FEE $33.6
CLSD TX SHLDR DISLC W/MANIP FAC FEE $33.6
CLTX SHLDR DISL W/FX HUMRL TUBRS FAC FEE $33.6
INCISION&DRAINAGE UPPER ARM/ELB FAC FEE $33.6
BX SOFT TISS UPPER ARM/ELBOW FAC FEE $33.6
TX CLOSED ELBOW DISLOCATION FAC FEE $33.6
CLSD TX RADIAL SHAFT FRACTURE FAC FEE $33.6
CLOSED TX ULNAR SHAFT FRACTURE W/MANIP $33.6
CLSD TX RADIAL&ULNAR SHAFT FX FAC FEE $33.6
CLTX DST RDL FX/EPIPHYSL SEP FAC FEE $33.6
CL TX DIST RADIOULNAR DISLOCATION FAC FE $33.6
DRAINAGE FINGER ABSCESS FAC $78.75
CL TX DIST RADIOULNAR DISLOCAT FAC FEE $33.6
CLTX PHLNGL FX PRX/MDDL PX/F/T FAC FEE $33.6
CLSD TX INTRPHNGL JT W/O ANES OP FAC FEE $120.75
AMPUTATION, METACARPAL OP FAC $128.25
TX SPN HIP DISL ABDCT SPLNT/TX FAC FEE $30.4
CLTX POST HIP ARTHRP DISLC FAC FEE $30.4
CLSED TX KNEE DISLOCATION FAC FEE $33.6
BX SFT TISSUE LEG/ANKLE AREA FAC FEE $33.6
CLTX TIBIAL SHAFT FX W/O MANIP FAC FEE $33.6
CLTX TRIMALLEOLAR ANKLE FX FAC FEE $33.6
CLSD TX ANKLE DISLOCATION FAC FEE $30.4
REMOVE FOREIGN BODY-FOOT; SUBCUTANEOUS $239.4
CLOSED TX TALUS FRACTURE FAC FEE $33.6
APPLICATION CAST SHOULDER HAND FAC FEE $33.6
APPLICATION CAST SHOULDER HAND LONG ARM $57.75
APPLICATION CAST ELBOW FINGER FAC FEE $33.6
APPLICATION CAST ELBOW FINGER FAC FEE $57.75
APPLY HAND/WRIST CAST FAC FEE 2 $57.75
APPLICATION CAST FINGER FAC FEE $33.6
APPLICATION LNG ARM SPLINT FAC FEE $33.6
APPLCTION SHRT ARM SPLNT FARM FAC FEE $33.6
APPLICATION SHORT ARM SPLINT FOREARM-HAN $57.75
APPLICATION FINGER SPLINT STATIC FAC FEE $33.6
STRAPPING SHOULDER FAC FEE $33.6
STRAPPING OF ELBOW OR WRIST $52.25
APPLICATION LONG LEG CAST FAC FEE $33.6
APPLICATION SHRT LEG CAST FAC FEE $33.6
APPLCTION SHRT LEG CAST WALK FAC FEE $33.6
APPLCTION LNG LEG SPLNT FAC FEE $33.6
APPLICATION SHORT LEG SPLINT FAC FEE $33.6
REMOVE/BIVALVING GAUNTLET CAST FAC FEE $33.6
REMOVAL/BIVALVING FULL ARM/FULL FAC FEE $33.6
RMV/BIVL SHO/HIP SPIC MINERV FAC FEE $33.6
REMOVAL/BIVALVING TURNBUCKLE FAC FEE $30.4
REPAIR SPICA BODY CAST/JACKET FAC FEE $33.6
WINDOWING CAST FAC FEE $33.6
WEDGING CAST EXCEPT CLUBFT CASTS FAC FEE $33.6
WEDGING CLUBFOOT CAST FAC FEE $33.6
RMVL FORN BDY INTRANASAL OFFICE FAC FEE $33.6
CLOSURE LAC MOUTH 2.5 CM/< FAC FEE $33.6
CLOSE LAC MOUTH > 2.5 CM/CPL FAC FEE $33.6
EGD DIAGNOSTIC BRUSH WASH FAC FEE $1187.5
ENDOSCOPIC US EXAM ESOPH $1187.5
UPPER NDSC BIOPSY SINGLE/MULTIPLE FAC FE $1187.5
NASO/ORO-GSTRIC TB PHYS&FLR GDNC FAC FEE $95
ENDOSCOPY UPPER SMALL INTESTINE FAC FEE $1187.5
ENDOSCOPY UPPER SM INT W/BIOPSY FAC FEE $30.4
ENTRC>2D PRTN W/ILEUM W/WO COLL FAC FEE $30.4
ENTRC>2D PRTN W/ILEUM W/BX FAC FEE $30.4
SIGMOIDOSCOPY FLX DX FAC FEE $902.5
COLS FLX PRX SPLENC FLXR RMVL FAC FEE $1187.5
INCISION THROMBOSED HEMORRHOID FAC FEE $148.05
HEMORRHOIDECTOMY XTRNL 2/> FAC FEE $630
EXC THROMBOSED HEMORRHOID XTRNL FAC FEE $33.6
INSJ TEMP NDWELLG BLADDER CATH FAC FEE $33.6
CHANGE OF CYSTOSTOMY TUBE FACILITY FEE $33.6
CIRCUMCISION W/CLAMP W/BLOCK FAC FEE $33.6
CIRCUMCISION W/CLAMP/OTH FAC 2 $57.75
VASECTOMY UNI/BI SPX W/POSTOP FAC FEE $33.6
PROST RETROPUB RAD FAC FEE $30.4
TTL ABDML HYSTERECT FAC FEE $30.4
INSERTION INTRAUTERINE DEVICE FAC FEE $33.6
REMOVAL INTRAUTERINE DEVICE IUD FAC FEE $33.6
REMOVE INTRAUTERINE DEVICE $57.75
SPINAL PUNCTURE LUMB DIAGNOSTIC FAC FEE $33.6
APPLICATION SURF NEUROSTIMULATOR FAC FEE $30.4
REMOVAL FB EYE CONJUNCTIVAL FAC FEE $33.6
RMVL FB XTRNL EYE CORNEAL FAC FEE $33.6
DRAINAGE EXTRNL EAR ABCSS FAC FEE $33.6
RMVL FB XTRNL AUDITORY CANAL FAC FEE $33.6
RMVL IMPACTED CERUMEN FAC FEE $33.6
ZOSTER VACCINE ADMIN FACILITY FEE $30.4
ORAL FUNCTION THERAPY FAC FEE $114.45
ENDOSCOPY SWALLOW TST (FEES) $114.45
PRESSURIZED/NONPRESSURIZED INHAL FAC $52.25
PRESSURIZED/NONPRESSURIZED INHAL FAC3 $71.25
PF SVC ALLG IMTX X W/PRV ALLG XTRC 1 NJX $19
PF SVC ALLG IMNTX X W/PRV ALLG XTRC NJXS $23.75
SPMTY W/VC EXPRTRY FLO W/WO MXML VL VNTJ $67
PRSSURIZD/NNPRSSURIZD INHALATION TX $37
INCISION & DRAINAGE ABSCESS SIMPLE/SNGL $248
REMOVE FOREIGN BODY $248
AVULSION NAIL PLATE PART/COMP. SIMPLE 1 $424
RPR S/N/AX/GEN/TRNK 2.5CM/< FAC2 ED $248
RPR S/N/AX/GEN/TRNK 2.5CM/< $424
SIMP RPR SCLP/NCK/AX/GENIT/TRNK 2.5CM/< $612
RPR S/N/AX/GEN/TRNK2.6-7.5CM $248
SMP RPR SCLP/NCK/AX/GENIT/TRNK 2.6-7.5CM $424
SMP RPR SCLP/NCK/AX/GENIT/TRNK 2.6-7.5CM $676
SMP RPR SCLP/NCK/AX/GENT/TRNK 7.6-12.5CM $248
SMP RPR SCLP/NCK/AX/GENT/TRNK 7.6-12.5CM $424
SMP RPR SCLP/NCK/AX/GENT/TRK 12.6-20.0CM $1052
RPR F/E/E/N/L/M 2.5 CM/< $248
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $424
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $676
RPR F/E/E/N/L/M 2.5 CM/< $954
RPR F/E/E/N/L/M 2.6-5.0 CM FAC $248
RPR F/E/E/N/L/M 5.1-7.5 CM $424
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $248
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM $424
INTMD RPR S/A/T/EXT 12.6-20 FAC $248
INT RPR FACE NOSE LIP 7.6-12.5 CM ED FAC $248
CMPLX RPR 1.1 CM TO 2CM ED FAC FEE $424
CMPLX RPR 1.1 CM TO 2CM $424
CMPLX RPR 1.1 CM TO 2CM FAC FEE $1054
REP COMPLX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM $424
CMPLX RPR F/C/C/M/N/AX/G/H/F $424
DRESS/DEBRID P-THICK BURN M FAC $424
INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $248
TREAT SHOULDER DISLOCATION $1054
CLTX DST RDL FX/EPIPHYSL SEP W/MANJ PERF $424
EXPLORE/TREAT FINGER JOINT $384
CLSD TX INTRPHNGL JT W/O ANES ED FAC FEE $424
AMPUTATION, METACARPAL ED FAC $384
AMPUTATION FINGER THUMB ED FAC FEE $954
REMOVAL OF FOOT FOREIGN BODY FACILTY FEE $248
CONTROL OF NOSEBLEED FAC FEE2 $248
CLEAR OUTER EAR CANAL $133
CARDIOPULMONARY RESUSCITATION $1054
TEMPORARY TRANSCUTANEOUS PACING $20
THROMBOLYSIS CORONARY INTRAVENOUS INFUSN $546
PRESSURIZED/NONPRESSURIZED INHALATION TR $36
IV INFUSION HYDRATION INITIAL 31 MIN-1HR $98
IV INF THRPY/PROPHYLAXIS /DX 1ST TO 1 HR $135
ER LEVEL 1 FACILITY FEE $133
ER LEVEL 2 FACILITY FEE $248
ER LEVEL 3 FACILITY FEE $416
ER LEVEL 4 FACILITY FEE $676
ER LEVEL 5 FACILITY FEE $1054
LEV 1 HOSP TYPE B ED VISIT $120
LEV 2 HOSP TYPE B ED VISIT $224
LEV 3 HOSP TYPE B ED VISIT $384
LEV 4 HOSP TYPE B ED VISIT $612
LEV 5 HOSP TYPE B ED VISIT $954
RTHM ECG 1-3 LEADS W/INTRPRETION & RPRT $109
RTHM ECG 1-3 LEADS TRACING ONLY W/O I&R $86
XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I $54
XTRNL ECG & 48 HR RECORDING $55
XTRNL MBL CV TELEMETRY WI&REPORT 30 DAYS $51
ECHO TTHRC R-T 2D W/WOM-MD CMP SPC&CLR D $473
EKG FOR INITIAL PREVENT EXAM $95
WELCOME TO MEDICARE EKG TECH COMPONENT $71
CONV 99235FAC OLD $0
OBS ADD'L HR FAC $69
OBS TELE ADD'L HR FAC $67
OBS DIRECT REFER HOSPITAL OBSERV $231
OP ROOM LEV1 $34
OP ROOM LEV2 $58
OP ROOM LEV3 $79
OP ROOM LEV4 $121
OP ROOM LEV5 $142
OP ROOM LEV 1 $32
INITIAL HOSPITAL CARE/DAY 30 MINUTES $143
INITIAL HOSPITAL CARE/DAY 50 MINUTES $231
INITIAL HOSPITAL CARE/DAY 70 MINUTES $336
SBSQ HOSPITAL CARE/DAY 15 MINUTES $84
IRRIGATION OF IMPLANTED VENOUS FAC FEE $33.6
SBSQ HOSPITAL CARE/DAY 25 MINUTES $116
DEBRIDNT OPEN WOUND EACH ADDTL 20 SQ CM $52.25
SBSQ HOSPITAL CARE/DAY 35 MINUTES $170
RMV DVITL TIS NSLCTV DBRDT W/O ANS 1 SES $34.65
HOSPITAL DISCHARGE DAY MGMNT 30 MIN/< $126
WOUND CARE NON SPECIFIED FAC FEE $33.6
HOSPITAL DISCHARGE DAY MGMNT > 30 MIN $173
COLORECTAL SCRN; HI RISK IND FAC $1187.5
INITIAL NURSING FACILITY CARE/DAY 25 MIN $120
COLON CA SCRN NOT HI RSK IND FAC $1187.5
INITIAL NURSING FACILITY CARE/DAY 35 MIN $137
ROUTINE FOOTCARE PT W LOPS $23.63
INITIAL NURSING FACILITY CARE/DAY 45 MIN $184
ROUT FOOT CARE PER VISIT $1187.5
SBSQ NURSNG FAC CARE/DAY E/M STBL 10 MIN $84
SUTURE REMOVAL-OP $21.38
SBSQ NURSNG FAC CARE/DAY MINR COMP 15 MN $128
MED NUTRITION ASSMT&IVNTJ INDIV EA 15 MI $23.63
SBSQ OBSERVATION CARE/DAY 15 MINUTES $54
MED NUTRITION RE-ASSMT&IVNTJ IND EA 15 M $34.65
SBSQ OBSERVATION CARE/DAY 25 MINUTES $96
EXC F/E/E/N/L MAL+MRG 0.6-1 FAC FEE $32
SBSQ OBSERVATION CARE/DAY 35 MINUTES $197
ROCTOSGMDSC RGD DX W/WO COLL FAC FEE $150
OBS/INPATIENT HOSPITAL CARE 40 MINUTES $254
COLONOSCOPY FLX DX W/WO SPECIMEN FAC FEE $1250
OBS OR INPATIENT HOSPITAL CARE 50 MIN. $334
COLONOSCOPY W/BIOPSY SINGLE/MULT FAC FEE $1250
TRIM NAIL(S) $22.5
OBS/INPATIENT HOSPITAL CARE 55 MINUTES $776
ANTEPARTUM CARE ONLY 4-6 VISITS $683
ANTEPARTUM CARE ONLY 7/> VISITS $0
POSTPARTUM CARE ONLY SEPARATE PROCEDURE $1
NONPHYSICIAN TELEPHONE ASSESS 5-10 MIN $16
NONPHYSICIAN TELEPHONE ASSESS 11-20 MIN $26
NONPHYSICIAN TELEPHONE ASSESS 21-30 MIN $37
INIT PREV MEDICINE NEW PATIENT <1YEAR $152
INIT PREVENT MEDICINE NEW PT AGE 1-4 YRS $163
INIT PREVENT MEDICIN NEW PT AGE 5-11 YRS $168
INIT PREVENT MEDICIN NEW PT AGE 12-17 YR $176
INIT PREVENT MEDICIN NEW PT AGE 18-39YRS $179
INIT PREVENT MEDICIN NEW PATIENT 40-64YR $189
INITIAL PREVENTIVE MEDICIN NEW PAT 65YR> $205
PERIODIC PREVENT MED ESTAB PATIENT <1Y $116
PERIODIC PREVENTIVE MED EST PAT. 1-4YRS $131
PERIODIC PREVENTIVE MED EST PAT. 5-11YR $137
PERIODIC PREVENTIVE MED EST PAT. 12-17YR $142
PERIODIC PREVENTIV MED EST PAT. 18-39 YR $145
PERIODIC PREVENTIVE MED EST PAT. 40-64YR $160
PERIODIC PREVENTIVE MED EST PAT. 65YR> $179
TOBACCO CESSATION INTERMEDIATE 3-10 MIN $24
TOBACCO USE CESSATION INTENSIVE >10 MIN $48
MD CERTIFICATION HHA PATIENT $92
HOSPICE CARE SUPERVISION $137
INITIAL PREVENTIVE EXAM $179
TOBACCO-USE COUNSEL>10MIN $50
MEDICARE WELLNESS INITIAL $205
MEDICARE WELLNESS SUBSEQUENT $179
BEHAVIOR COUNSEL OBESITY 15M $162
IMADM PRQ ID SUBQ/IM NJXS 1 VACC FAC FEE $34
IMADM PRQ ID SUBQ/IM NJXS EA VACCINE $18
IMADM INTRANSL/ORAL 1 VACCINE $15
INFLUENZA VACC TRIVALENT PRSRV FREE 6-35 $21
INFLUENZA VIRUS VACC SPLIT PRSRV FREE 3 $29
INFLUENZA IMMUNIZATION $29
INFLUENZA VACCINE PANDEMIC SPLT IM $29
INFLUENZA VIRUS VAC QUADRIVALENT LIVE IN $21
RABIES VACCINE INTRAMUSCULAR $490
ADMIN INFLUENZA VIRUS VAC $15
ADMIN PNEUMOCOCCAL VACCINE $18
PNEUMO SHOT WHEN SECOND TO FLU SHOT $0
INITIAL PSYCH EXAM DIAG MED 60 MINUTES $268
INITIAL LVL 4 DIAG MEDICAL EVAL 45 MIN $0
INITIAL LVL 5 DIAG MEDICAL EVAL 45 MIN $1
TP LVL 2 ESTAB OP VIIST PF 10 MINUTES $52
TP LVLV 3 ESTAB OP VISIT PF 15 MINUTES $103
TP LVL 4 ESTAB OP VISIT PF 25 MINUTES $152
TP LVL 5 ESTAB OP VISIT PF 40 MINUTES $206
HOME VST NEW PT MOD-HI SEVERITY 45 MIN $179
HM VISIT EST PT SLF LIMITED/MINOR 15 MIN $162
HM VISIT EST PT LOW-MOD SEVERITY 25 MIN $144
TELEHEALTH FACILITY FEE $52
TELESPEECH ROBOT INITIAL VISIT $238
TELESPEECH ROBOT SUBSEQUENT VISIT $190
TELEWOUND ROBOT INITIAL VISIT $238
TELEWOUND ROBOT SUBSEQUENT VISIT $190
PSYCHIATRIC DIAGNOSTIC EVALUATION $158
PSYCHOTHERAPY PAT. & FAMILY 30 MINUTES $119
PSYCHOTHERAPY PAT. & FAMILY 45 MINUTES $143
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MIN. $158
GROUP PSYCHOTHERAPY $95
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT $131
EKG INTERPRET & REPORT PREVE $47
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $114
ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY $47
RTHM ECG 1-3 LDS INTRPRETION & REPRT ON $26
OBS DISCH MGMT $134
OBS INITIAL CARE/DAY 30 MINUTES $150
OBS INITIAL CARE/DAY 50 MINUTES $209
OBS INITIAL CARE/DAY 70 MINUTES $292
FINE NEEDLE ASPIRATION W/O IMAGING $142
INCISION & DRAIN PILONIDAL CYST SIMPLE $190
INCISE & REMVL FREIGN BDY SUBQ TISS SIMP $108
INCISE & REM FORGN BDY SUBQ TISS COMPL $411
I&D HEMATOMA SEROMA/FLUID COLLECTION $228
PUNCTURE ASP ABSESS HEMATOMA BULLA/CYST $210
DEBRDMENT SUBCUTANEOUS TISSUE 20 SQ CM/< $152
PARING/CUT BENIGN HYPERKERATOTC LESION 1 $70
BX SKIN SUBQ &/MUCOUS MEMBRANE 1 LESION $108
BX SKIN SUBQ&/MUCOUS MEMB EA ADDL LESN $66
RMVL SKN MLT FIBRQ TAGS ANY AREA UPW/15 $66
SHAVE SKIN LES 1 TRNK/ARM/LEG DM 0.5CM/< $116
SHV SKN LES 1 TRNK/ARM/LEG DM 0.6-1.0 CM $98
SHAVE SKIN LESION >2.0 CM $149
SHAVE, DERMAL LESION TO 0.5 CM $82
SHV SKN LES 1 S/N/H/F/G DIAM 0.6-1.0 CM $133
SHV SKIN LES 1 S/N/H/F/G DIAM 1.1-2.0 CM $179
SHVE SKN LES 1 F/E/E/N/L/M DIAM 0.5 CM/< $83
SHV SKN LES 1 F/E/E/N/L/M DM 1.1-2.0 CM $140
EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/< $368
EX B9 LES MGN XCP SK TG T/A/L 0.6-1.0 CM $368
EX B9 LES MRG XCP SK TG T/A/L 1.1-2.0 CM $368
EX B9 LS MRG XCP SK TG T/A/L 2.1-3.0 CM< $614
EX B9 LES MRG XCP SK TG T/A/L 3.1-4.0 CM $365
EXC B9 LES MRGN XCP SK TG T/A/L >4.0 CM $442
EXB9 LES MRG XCP SKTG S/N/H/F/G 0.5 CM/< $184
X B9 LS MG XCP SK TG S/N/H/F/G 0.6-1.0CM $614
EXB9 LESMRG XCP SKTG S/N/H/F/G 1.1-2.0CM $289
EXB9 LESMRG XCP SK TG S/N/H/F/G2.1-3.0CM $296
EXB9 LESMRG XCP SK TG F/E/E/N/L/M0.5CM/< $208
X B9 LS MG XCP SK TG FEENLM 0.6-1.0CM $368
EXB9LESMRGXCPSK TG F/E/E/N/L/M 1.1-2.0CM $274
X B9 LES MG XCP SK TG FEENLM 2.1-3.0CM $614
EXCISE MAL LES. TRNK/ARM/LEG 0.6-1.0 CM $318
EXCISE MAL LES TRNK/ARM/LEG 1.1-2.0 CM $341
EXCISE MAL LESTRNK/ARM/LEG 2.1-3.0 CM/< $366
EXCISE MALGT LESION S/N/H/F/G 1.1-2.0 CM $357
EXCISION MALIG LESION S/N/H/F/G >4.0 CM $683
EXC F/E/E/N/L MAL+MRG 0.5CM< $301
EXC F/E/E/N/L MAL+MRG 0.6-1 $299
EXC F/E/E/N/L MAL+MRG >4 CM $801
AVULSION NAIL PLATE PART/COMP. SIMPLE 1 $66
EXCISION NAIL MATRIX PERMANENT REMOVAL $368
EX NL MTRX PRM RMVL WAMP TFT DSTL PHALNX $499
WEDGE EXCISION SKIN NAIL FOLD $130
SIMP RPR SCLP/NCK/AX/GENIT/TRNK 2.5CM/< $96
SMP RPR SCLP/NCK/AX/GENIT/TRNK 2.6-7.5CM $96
SMP RPR SCLP/NCK/AX/GENT/TRNK 7.6-12.5CM $151
SMP RPR SCLP/NCK/AX/GENT/TRK 12.6-20.0CM $96
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $96
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM $96
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM $343
TX SUPERFICIAL WND DEHISCENCE SMPL CLSRE $422
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $318
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM $228
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM $416
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM $565
REPAIR INTERMD N/H/F/XTRNL GENT 2.5CM/< $96
RPR INTERMD N/H/F/XTRNL GENT 2.6-7.5 CM $96
REPR INTERMD N/H/F/XTRNL GENT 7.6-12.5CM $96
RPR INTRMDIAT N/H/F/XTRN GENT 12.6-20 CM $582
REPR INTERMD F/E/E/N/L&/MUC 2.5 CM/< $229
REPAIR INTERMD F/E/E/N/L&/MUC 2.6-5.0 CM $96
INT RPR FACE NOSE LIP 7.6-12.5 CM $462
RPR INTRMDIAT F/E/E/N/L&/MUC 12.6-20.0CM $513
REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM $465
REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM $622
REP COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< $164
CMPLX RPR 1.1 CM TO 2CM $440
REP COMPLX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM $629
RPR CMPLX EYELD/NOSE/EAR/LIP 2.6-7.5 CM $840
INITIAL TX 1ST DEGREE BURN LOCAL TX $88
DRS&/DBRDMT PTL-THKNS BURNS 1ST/SBSQ SM $102
DRS&/DBRD PRTL-THKNS BURN 1ST/SBSQ LARGE $251
DESTRUCTION PREMALIGNANT LESION 1ST $66
DESTRUCTION PREMALIGNANT LESION 2-14 EA $31
DESTRUCTION PREMAL LESIONS 15/> $184
DESTRUCTION BENIGN LESIONS UP TO 14 $150
CHEMICAL CAUTERIZEGRANULATION TISSUE $61
DSTRUCT MAL LES. TRNK/ARM/LEG 3.1-4.0CM $265
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE $66
INJECTION THERAPEUTIC CARPAL TUNNEL $187
INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $193
INJ SINGLE/MLT TRIGGER POINT 3/> MUSCLES $193
ARTHROCENTESIS ASPIR&/INJ SM JT/BURSA $192
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS $193
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA $193
CLD TX ACROMIOCLAVICULAR DISLC W/O MANIP $603
CLTX SCAPULAR FX W/MANJ W/WO SKLTL TX $829
CLSD TX SHLDR DISLC W/MANIP. W/O ANES $114
CLTX SHLDR DISL W/FX HUMRL TUBRST W/MANJ $784
INCISION&DRAINAGE UPPER ARM/ELBOW BURSA $683
BX SOFT TISS UPPER ARM/ELBOW SUPERFICIAL $316
TX CLOSED ELBOW DISLOCATION W/O ANES $114
CLSD TX RADIAL SHAFT FRACTURE W/MANIP $1033
CLOSED TX ULNAR SHAFT FRACTURE W/MANIP $945
CLSD TX RADIAL&ULNAR SHAFT FX W/MANJ $1208
CLTX DST RDL FX/EPIPHYSL SEP W/MANJ PERF $1242
CL TX DIST RADIOULNAR DISLOCATION W/MANJ $998
DRAINAGE FINGER ABSCESS $276
CLTX CARP/MTCRPL DISL THMB MAN EA WO ANS $114
CLTX PHLNGL FX PRX/MDDL PX/F/T W/MANJ EA $566
CLOSED TX INTERPHALANGEAL JT W/O ANES $511
AMPUTATION, METACARPAL PRO FEE $1404
TX SPN HIP DISL ABDCT SPLNT/TX W/MAN ANE $812
CLTX POST HIP ARTHRP DISLC REQ ANES $1309
CLSED TX KNEE DISLOCATION W/O ANESTHESIA $1155
BX SFT TISSUE LEG/ANKLE AREA SUPERFICIAL $470
CLTX TIBIAL SHAFT FX W/O MANIPULATION $114
CLTX TRIMALLEOLAR ANKLE FX W/MANIP $818
CLSD TX ANKLE DISLOCATION W/O ANESTHESIA $788
CLOSED TX TALUS FRACTURE W/MANIPULATION $114
APPLICATION CAST SHOULDER HAND LONG ARM $179
APPLICATION CAST ELBOW FINGER SHORT ARM $163
APPLY HAND WRIST CAST $135
APPLICATION CAST FINGER $116
APPLICATION LNG ARM SPLINT SHOULDER HAND $169
APPLCTION SHRT ARM SPLNT FARM-HND STATIC $81
APPLICATION FINGER SPLINT STATIC $74
STRAPPING SHOULDER $83
STRAPPING OF ELBOW OR WRIST $41
APPLICATION LONG LEG CAST THIGH-TOE $263
APPLICATION SHRT LEG CAST BELOW KNEE-TOE $169
APPLCTION SHRT LEG CAST WALKN/AMBULATORY $195
APPLCTION LNG LEG SPLNT THIGH ANKLE/TOES $81
APPLICATION SHORT LEG SPLINT CALF FOOT $81
REMOVE/BIVALVING GAUNTLET BOOT/BODY CAST $79
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST $108
RMV/BIVL SHO/HIP SPIC MINERV/RISSER JCKT $180
REMOVAL/BIVALVING TURNBUCKLE JACKET $115
REPAIR SPICA BODY CAST/JACKET $100
WINDOWING CAST $104
WEDGING CAST EXCEPT CLUBFOOT CASTS $149
WEDGING CLUBFOOT CAST $175
RMVL FOREIGN BDY INTRANASAL OFFICE PROC $290
TRANSFUSION BLOOD/BLOOD COMPONENTS $245
INSJ NN-TUNNLD CNTRL VENOUS CTH 5 YR> $286
ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX $64
CLOSURE LAC. VESTIBULE MOUTH 2.5 CM/< $374
CLOSE LAC. VESTIBULE MOUTH > 2.5 CM/CPL $523
UPPR GI NDSC DX W/WO COLLECTION SPECIMEN $566
UPR GI NDSC & US NDSC EXM LMTD ESOPHAGUS $578
UPPER NDSC BIOPSY SINGLE/MULTIPLE $653
NASO/ORO-GSTRIC TB PLMT RQ PHYS&FLR GDNC $96
ENDOSCOPY UPPER SMALL INTESTINE $386
ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY $464
ENTRC>2D PRTN W/ILEUM W/WO COLL SPEC SPX $767
ENTRC>2D PRTN W/ILEUM W/BX SING/MULTIPLE $919
PRCTOSGMD RGD DX W/WO COL SPEC BR/WA SPX $184
SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMEN $315
COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS $780
COLONOSCOPY W/BIOPSY $926
COLS FLX PRX SPLENC FLXR RMVL LES SNR TQ $998
INSJ TEMP NDWELLG BLADDER CATHETER SMPLE $34
CHANGE OF CYSTOSTOMY TUBE, SIMPLE $107
CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK $499
VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAM $1717
PROST RETROPUB RADW/WO NRVSPAR/BIPLV LYM $3406
TTL ABDML HYSTERECT W/WO RMVL TUBE OVARY $1993
INSERTION INTRAUTERINE DEVICE IUD $203
REMOVAL INTRAUTERINE DEVICE IUD $183
SPINAL PUNCTURE LUMBAR DIAGNOSTIC $420
REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL $116
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP $153
DRAINAGE EXTRNL EAR ABCSS/HEMTOMA SIMP $298
RMVL FB XTRNL AUDITORY CANAL W/O ANES $109
RMVL IMPACTED CERUMEN SPX 1/BOTH EARS $100
IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE $21
ORAL FUNCTION THERAPY $114
ENDOSCOPY SWALLOW TST (FEES) $261
XTRN ECG CONT RHYTHM W/I&R UP TO 48 HRS $53
IRRIGATION OF IMPLANTED VENOUS ACCESS $48
DEBRIDEMENT OPEN WOUND 20 SQ CM/< $98
DEBRIDNT OPEN WOUND EACH ADDTL 20 SQ CM $116
OP PRO LEVEL 1 $66
OUTPATIENT VISIT 5 MINUTES $35
COLORECTAL SCRN; HI RISK IND PRO $578
COLON CA SCRN NOT HI RSK IND PRO $578
RADEX FACIAL BONES < 3 VIEWS $189
CARDIOPULMONARY RESUSCITATION $510
INCISION & DRAINAGE ABSCESS SIMPLE/SNGL $196
REMOVE FOREIGN BODY $209
AVULSION NAIL PLATE PART/COMP. SIMPLE 1 $106
RPR S/N/AX/GEN/TRNK 2.5CM/< $97
RPR S/N/AX/GEN/TRNK2.6-7.5CM $105
SMP RPR SCLP/NCK/AX/GENT/TRNK 7.6-12.5CM $150
SMP RPR SCLP/NCK/AX/GENT/TRK 12.6-20.0CM $202
RPR F/E/E/N/L/M 2.5 CM/< $113
RPR F/E/E/N/L/M 2.6-5.0 CM $127
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $309
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM $418
INTMD RPR S/A/T/EXT 12.6-20 $485
CMPLX RPR 1.1 CM TO 2CM PRO FEE $440
REP COMPLX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM $637
CMPLX RPR F/C/C/M/N/AX/G/H/F $233
DRESS/DEBRID P-THICK BURN M $227
INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $78
RESET DISLOCATED JAW $65
TREAT SHOULDER DISLOCATION $575
DRAINAGE FINGER ABSCESS ED PRO FEE $276
EXPLORE/TREAT FINGER JOINT $666
AMPUTATION FINGER THUMB SINGLE DIRECT $1272
UND FX AND/OR DXSLC OF PELVIS/HIP $313
REMOVAL OF FOOT FOREIGN BODY $240
CONTROL OF NOSEBLEED $205
REPEAT CONTROL OF NOSEBLEED $269
BL DRAW > 3 YRS BY QUAL HLTH PROF $53
CLEAR OUTER EAR CANAL $118
CARDIOPULMONARY RESUSCITATION $389
CARDIOVERSION ELECTIVE ARRHYTHMIA EXTRNL $253
PRESSURIZED/NONPRESSURIZED INHALATION TR $36
IV INFUSION HYDRATION EACH ADDITIONAL HR $26
IV INFUSION THRPY PROPHYLAXIS/DX EA HOUR $38
NURSE TRIAGE EMERGENCY ROOM PRO FEE $0
EMERGENCY DEPT VISIT LOW/MODER SEVERITY $103
EMERGENCY DEPT VISIT MODERATE SEVERITY $163
EMERGNCY DEPT VISIT HIGH/URGENT SEVERITY $231
EMERGENCY DEPT VISIT HIGH SEV&THREAT $343
CRIT. CARE ILL/INJURE PAT INIT 30-74 MIN $436
CRIT. CARE ILL/INJURED PAT ADDL 30 MIN $196
NURSING FACILITY DISCHARGE MGMNT 30 MIN $121
NURSING FACILITY DISCHARGE MGMNT 30 MIN $152
PROLNG SVC OFFICE O/P DIR CONTACT 1ST HR $184
PRLNG SVC OFF. O/P DIR CONTACT EA 30 MIN $171
PRVNT MED COUNS/RSK FACTOR REDJ SPX 15 M $68
PRVNT MED COUNS/RSK FACTOR REDJ SPX 30 M $118
PRVNT MED COUNS/RISK FACTR REDJ SPX 45 M $166
PRVNT MED COUNS/RSK FACT REDJ SPX 60 MIN $213
ASPIRATE/INJ GANGLION CYST PRO FEE $82
ZOSTER SHINGLES VACCINE LIVE SUBCUTANEOU $200
TDAP $144
VITAMIN B-1 THIAMINE $37
VITAMIN B-12 $10
BENADRYL 50MG/1ML $5
BONIVA $1110
CIPRO 400MG/200ML $110
CLEOSIN 150MG $3
COUMADIN 2MG $3
COUMADIN 5MG $3
D.H.E. $103
DECADRON 10MG/ML $26
DEPOMEDROL 80MG/ML $62
DILAUDID 2MG/ML $22
FENTANYL 100MCG/2ML $7
FLEXERIL 10MG $2.5
FLULAVAL QUADRIVALENT $40
HEPATITIS B VACCINE $160
HEPATITIS A VACCINE $185
IMITREX 6MG $188
INSULIN 70/30 $15
KEFLEX 500MG $2.5
KENALOG 40MG/ML $52
LACTATED RINGERS 1000ML $24
LACTULOSE PER 15ML $2.5
LANTUS INSULIN $20
LOPRESSOR 50MG $2.5
LOVENOX 100MG/ML $199
LOVENOX 30MG/0.3ML $90
LOVENOX 60MG/0.6ML $140
MAGNESIUM SULFATE 1GM/2ML $5
MAGNESUIM CITRATE 10OZ $5
MARCAINE 0.5% 50ML $20
MORPHINE SULFATE INJECTION 10MG/ML $20
MULTI VITAMIN $2.5
NORCO 10/325MG $3
NOVALOG INSULIN $20
NORMAL SALINE 100ML $24
NORMAL SALINE 250ML $24
NORMAL SALINE FLUSH $10
NORMAL SALINE FLUSH 10ML $0
NUBAIN 10MG $15
NUBAIN 20MG $29
PHENERGAN 50MG/ML $35
PNEUMOCOCCAL VACCINE PNEUMOVAX 23 $100
POTASSIUM CHLORIDE 40MEQ/20ML $8
PPD (ML) $27
PYRIDIUM 95MG $2.5
REGLAN 10MG/2ML $6
RHOGAM 300MCG $235
ROCEPHIN 250MG $55
SEPTRA DS 800/160MG $2.5
SOLUMEDROL 125MG/2ML $30
TETANUS DIPTHERIA ADULT $84
TORADOL 60MG/ML $34
UNASYN 3GM $86
VALIUM 10MG/2ML $28
VITAMIN K $36
VOLTAREN X-R 50MG $2.5
XYLOCAINE, 1% WITHOUT EPI $20
ZOFRAN ODT 4MG $6
DEPO-TESTOSTERONE 100MG/0.5ML $31.5
ZOSTAVAX $200
KENALOG 60MG $69
ZITHROMAX 500MG INJ. $87
KENALOG 80MG $92
ISOUVUE-370 100ML $88
OSTEOPATHIC MNIPULATV TX 1-2 BDY REGIONS $51
OSTEOPATHIC MNIPULATIV TX 3-4 BODY REGNS $73
OSTEOPATHIC MANIPULATIV TX 5-6 BDY REGNS $90
OSTEOPATHIC MANIPULATIV TX 7-8 BDY REGNS $100
OSTEOPATHIC MNIPULATIV TX 9-10 BDY REGNS $115
BCILLUS CALMETTE-GUERIN VAC TB LIVE PERQ $27
TETANUS TOXOID ADSORBED INTRAMUSCULAR $0
TD TOXOIDS ADSORBED PRSRV FR 7 YR/> IM $84
TDAP VACCINE 7 YRS/> IM $121
PNEUMOCOCCAL POLYSACCHARIDE VACC >2 YRS $90
HEPATITIS B VACCINE DIALYSIS DOSAGE 3 DO $124
ONDANSETRON HCL INJECTION $26
FLUVIRIN VACC, 3 YRS & >, IM $30
PNEUMOCOCCAL 13 PREVNAR 13 $260
SPACER $83
DILANTIN 100MG/2ML $13
CONV H2500 OLD $0
ACCUPRIL 10MG $2.5
ACCUPRIL 40MG $2.5
ACTIDOSE AQUA 8OZ $58
AGGRASTAT PREMIX $1040
ALCAINE (ML) $5
ALDACTONE 25MG $3
AMBIEN 5MG $2.5
AMINOPHYLLINE 500MG/20ML $9
AMOXICILLIN CAPSULES 500MG $5
AMOXICILLIN CHEW 250MG $5
ANCEF 1GM $20
ANNUCORT 25MG $4
ANTIVERT 25MG $2.5
TYLENOL 325MG $2.5
ARICEPT 5MG $14
ARTIFICIAL TEARS $40
ASPIRIN 325MG $2.5
ATARAX 25MG $2.5
ATIVAN 0.5MG $2.5
ATIVAN 0.5 $2.5
ATIVAN 1MG $2.5
ATROPINE ABBO 1MG/10ML $39
ATROPINE 8MG/20ML $39
AUGMENTIN SUSPENSION 200MG $5
AURALGON (ONE DOSE) $6
AVAPRO 150MG $6.5
BACITRACIN PACKETS $2.5
BACLOFEN 20MG $2.5
BACTROBAN OINTMENT $62
BENADRYL ELIXER (OZ) $2.5
BENADRYL 25MG $2.5
BENADRYL 50MG $2.5
COLACE 100MG $2.5
BUTT PASTE $37
CORDARONE 150MG/3ML $233
VITAMIN C $2.5
CORDARONE 200MG $4
CALCIUM GLUCONATE 10%/10ML $23
CALAN 80MG $2.5
COREG 3.125MG $2.5
CALAN ER 240MG $3
CORTISPORIN $12
CALCIUM $2.5
D5 1/2 NS 1000ML $24
CAPOTEN 25MG $2.5
D5 1/4 NS 1000ML $24
CARAFATE 1GM $3
D5 100ML $24
CARDIZEM 30MG $2.5
D5 250ML $24
CARDIZEM 50MG/10ML $40
D5NS 1000ML $24
CARDIZEM ER 120MG $4
D5W 100ML $24
D5W 250ML $24
CARDIZEM ER 180MG $5
CARDIZEM ER 240MG $5
DEBROX $6
CARDURA 4MG $2.5
DELESTROGEN 20MG/ML $83
CATAPRESS 0.1MG $2.5
DESYREL 50MG $2.5
CEFTIN 250MG $4.25
CIPRO 500MG $5
DEXTROSE ABBO 50% 50ML $24
CLARITIN 10MG $2.5
DIFLUCAN 150MG $10.5
CLEOCIN 300MG/2ML $25
DILANTIN ER 100MG $2.5
DILAUDID 1MG/ML $22
DIOVAN 40MG $5
DITROPAN 5MG $2.5
DOBUTAMINE 250MG/20ML $26
DONNATOL $2.5
DOPAMINE PREMIX 400MG/250ML $60
IVPB DOPAMINE PREMIX 400MG/250ML $60
DOPAMINE 400MG $15
DOXYCYCLINE 100MG $4
DRYSOL $10
DULCOLAX SUPPOSITORY $5
DULCOLAX 5MG $2.5
DUODERM EXTRA THIN $51
DUODERM CGF $51
EASIVENT MASK $64
ECOTRIN EC 325MG $2.5
ELAVIL 10MG $2.5
ELAVIL 25MG $2.5
EMLA CREAM - APPLICATION $15
ENULOSE 10MG/15ML $8
EPI ABBO 1:10,000 10ML $39
EPI 1:1,000 1ML $6
EPI MULTIDOSE VIAL 30ML $5
EPI PEN $125
EPI PEN JR. $126
EPSOM SALT $2.5
ERYTHROMYCIN OPTH. OINT. $23
ETHYL C SPRAY $5
EXCEDRIN ES $2.5
EYE WASH 4OZ. $9
FENTANYL TRANSDERMAL 25MCG/HR $52
FLAGYL 250MG $2.5
FLAGYL 500MG/100ML $24
FLEETS ADULT $24
FLEETS OIL $24
FLOMAX 0.4MG $4.5
FLOURO-STRIP $4
FOLIC ACID 5MG/ML $40
FOLIC ACID 1MG $2.5
GAS RELIEF 125MG $2.5
GENTAMYCIN 80MG/ML $14
GENTAMYCIN 0.3% $36
GLUCAGON 1U/1MG $555
GLUCOPHAGE 500MG $3
GLUCOPHAGE 850MG $5
GLUCTOSE 15 37.5GM $37
GLUCOTROL ER $2.5
GLYCERINE SUPPOSITORY $2.5
HEPARIN LOCK FLUSH 100U/ML 10ML $9
HEPARIN PREMIX $38
HOMATROPINE 5% $2.5
NOVOLIN R INSULIN $15
HURRICAINE SPRAY 20% $2.5
HYDORCHLORATHIAZIDE 25MG $2.5
HYDROCORTISONE 10MG $3.5
HYOSCYAMINE ELIXIR 0.125MG/5ML $2.5
IMDUR 30MG $2.5
IMODIUM 2MG $2.5
INDERAL 40MG $2.5
IRON $2.5
KEFLEX 250MG/5ML $48
KEPPRA 500MG/5ML $41
KETAMINE 500MG/10ML $55
LABETALOL 200MG/40ML $31
LANOXIN 0.125MG $2.5
LANOXIN 0.25MG $2.5
LASIX 40MG $2.5
LASIX 40MG/4ML $25
LASIX 100MG/10ML $25
LET $15
LEVAQUIN 500MG $25
LEVAQUIN 500MG/20ML $145
LEVAQUIN 750MG $95
LEVSIN 0.125MG $2.5
LIBRIUM 25MG $2.5
LIDOCAINE 2% 100MG/5ML $33
LIDOCAINE ABBO 2% 5ML $40
LIDOCAINE 100MG/20ML $0
LIDOCAINE PREMIX 2G/500ML $30
LIDOCAINE 4% TOPICAL LMX $45
LIDOCAINE 2% VISCOUS $11
LIPITOR 10MG $10
LIPITOR 20MG $12
LITHIUM 300MG $2.5
LMX 4% $45
LOMOTIL 2.5MG $2.5
LOPID 600MG $2.5
LOPRESSOR 25MG $2.5
LOPRESSOR 5MG/5ML $27
LOTRISONE $43
LOVENOX 300MG/3ML $35
LOVENOX 40MG/0.4ML $115
LACTATED RINGERS 1000ML $20
MACROBID 100MG $53
MANNITOL 25% 50ML $14
MEGACE 40MG $5
METAMUCIL $2.5
METHERGINE 0.2MG/ML $38
MIRALAX 8.3OZ 238GM $5
MILK OF MAGNESIA $3
MOTRIN 200MG $2.5
MOTRIN 600MG $2.5
MOTRIN 800MG $5
MOTRIN SUSPENSION 100MG/5ML $4
MOTRIN SUSPENSION 50MG/1.25ML $3
MORPHINE SULFATE LIQUID 20MG/ML $3
MUCOMYST 20% $40
MULTI VITAMIN SENIOR $2.5
MYCELEX 10MG TROCHE $5
MYLANTA $2.5
NAPROSYN 500MG $2.5
NARCAN 0.4MG/ML $89
NARCAN 2MG/2ML $89
NASAL SALINE $22
NEUPOGEN 300MCG $600
NEURONTIN 300MG $2.5
NEURONTIN 600MG $2.5
NEXIUM 40MG $14
NICODERM CQ $10
NITROPRESS 50MG/2ML $600
NORCO 5/325MG $3
NORCURON 10MG/10ML $67
NORVASC 5MG $2.5
NORVASC 10MG $2.5
NOVOLIN 70/30 INSULIN $15
NOVOLIN N INSULIN $15
NORMAL SALINE FOR INJECTION $0
NORMAL SALINE FOR RT $5
NORMAL SALINE IRRIGATION 500ML $24
NORMAL SALINE, BACT. INJ. $10
NITROGLYCERIN PATCH 0.2MG/HR $20
NITROGLYCERIN PATCH 0.4MG/HR $20
NITROGLYCERIN PREMIX 200MCG/ML 250ML $56
NYSTOP $76
OCUFLOX OPTH. SOLUTION $80
PAMELOR 25MG $3
PAXIL 40MG $2.5
PEDIALYTE $25
PEDIAPRED $4
PENICILLIN VK 500MG $2.5
PEPCID 10MG $2.5
PERCOCET 5/325MG $3
PERICOLACE $2.5
PHENERGAN WITH CODEINE $0
PHENERGAN 25MG SUPPOSITORY $15
PHENERGAN 12.5MG SUPPOSITORY $15
PHENOL 500ML $2.5
PITOCIN 10U/ML $24
PLAVIX 75MG $9
POTASSIUM 10MEQ $2.5
POTASSIUM 20MEQ $5
PREDNISONE 10MG $2.5
PRILOSEC 20MG $11
PROCARDIA 10MG $2.5
PROCRIT 10,000U $310
PROCRIT 20,000U $600
PROCRIT 4,000U $185
PROZAC 20MG $2.5
QUININE 324MG $2.5
RABIES VACCINE $500
RACEMIC EPI $35
REGLAN 10MG $2.5
RELENZA $155
REMICAID 100MG $1700
ROBAXIN 750MG $2.5
ROBITUSSIN $2.5
ROMAZICON 0.5MG/5ML $153
SEPTRA SUSPENSION (ML) $2.5
SILVADENE 20GM $36
SILVADENE 400GM $100
SILVER NITRATE $2.5
SINGULAIR 10MG $12
MORPHINE ORAL CONC 30ML BOTTLE $75
ATIVAN ORAL CONC EACH 1ML $5
ATIVAN ORAL CONC 30ML BOTTLE $135
AURALGAN EAR DROPS (BOTTLE) $60
MOTRIN SUSP (BOTTLE) $15
CLINDAMYCIN $3
FENTANYL 100MCG/HR PATCH $70
MOTRIN SUSPENSION PREPACK $15
GELOCAST UNNA'S BOOT $51
ENSURE $0
LIDOCAINE HCL 4% SOLUTION $2.5
PENTACEL VACCINE - CLINIC ONLY $0
D5W 500ML $24
NEO SYNEPHRINE $30
NEXIUM 40MG IV $50
ZOVIRAX 500MG INJECTABLE $43
DEXAMETHASONE 4MG/ML $16.86
DEXAMETHASONE 20MG/5ML $17.26
CELEXA $2.5
XARELTO $2.5
OXYCODONE 5MG $2.5
VALCYCLOVIR 500MG $4.3
LIDOCAINE HYDROCHLORIDE JELLY 2% 5ML $26.94
ETOMIDATE 2MG/ML $37.02
CLONIDINE 0.2MG $2.5
LEVOFED 4MG/4ML $59.54
AFRIN NASAL SPRAY $14
BENTYL 20MG $2.5
OXYCONTIN 20MG $16
SODIUM BICARB 4.2% 10ML $37
SODIUM BICARB 8.4% 50ML $23
SODIUM BICARB LOCAL ANESTHETIC $5
SOLU-CORTEF 250MG $54
SOLUMEDROL 1GM $88
SOLUMEDROL 500MG/4ML $63
SOMA 350MG $3
SUCCINYLCHOLINE 200MG/10ML $35
SUDAFED $2.5
SYNTHROID 0.075MG $2.5
SYNTHROID 0.1MG $2.5
TAGAMET 300MG $2.5
TAMIFLU 75MG $69
TDAP $121
TEGRETOL 200MG $2.5
TENORMIN 100MG $2.5
TENORMIN 50MG $2.5
TERBUTALINE 1MG/ML $27
THORAZINE 25MG/ML $60
THYROID 1/2GR (30MG) $2.5
TOPROL ER 50MG $4
TRAMADOL 50MG $2.5
TUMS $2.5
TYLENOL 120MG SUPPOSITORY $9
TYLENOL 325MG SUPPOSITORY $7
TYLENOL 650MG SUPPOSITORY $7
TYLENOL ELIXIR 160MG/5ML $2.5
TYLENOL WITH CODEINE (5 ML) $3
TYLENOL #3 $2.5
VALIUM 5MG $2.5
VALIUM 10MG $0
VASOLINE $0
VASOPRESSIN 20U/ML $36
VASOTEC 10MG $2.5
VASOTEC 20MG $2.5
VENTOLIN 2.5MG/3ML $8
VERAPAMIL 2.5MG/ML $89
WATER, STERILE 20ML $10
WATER, BACTERIOSTATIC INJECTION 10ML $10
WATER, BACTERIOSTATIC INJECTION 30ML $10
WELLBUTRIN 150MG $6
XANAX 0.5MG $3
XYLOCAINE, VISCOUS (5ML) $2.5
XYLOCAINE, 1% WITH EPI $20
XYLOCAINE, 2% WITHOUT EPI $20
XYLOCAINE, 2% WITH EPI $20
XYLOCAINE, JELLY 30ML $32
ZANAFLEX, 4MG $5
ZANTAC 150MG $2.5
ZANTAC 50MG/2ML $33
ZAROXOLYN 5MG $3
ZEBETA 5MG $4
ZESTRIL 20MG $5
ZESTRIL 5MG $4
ZINC OXIDE $23
ZITHROMAX 250MG $14
ZITHROMAX 200MG/5ML SUSPENSION $75
ZOCOR 20MG $11
ZOLOFT 50MG $7
ZOVIRAX 400MG $2.5
PHENERGAN 25MG $2.5
DEXAMETHASONE 1MG/1ML ORAL CONC $12
HEPATITIS A VACCINE - CLINIC ONLY $0
HEPATITIS B VACCINE - CLINIC ONLY $0
POLIO VACCINE - CLINIC ONLY $0
HIB VACCINE - CLINIC ONLY $0
DTAP VACCINE - CLINIC ONLY $0
PEDIARIX VACCINE - CLINIC ONLY $0
PNEUMOCOCCAL PCV13 - CLINIC ONLY $0
HPV VACCINE - CLINIC ONLY $0
ROTAVIRUS VACCINE - CLINIC ONLY $0
MENINGOCOCCAL VACCINE - CLINIC ONLY $0
MMR VACCINE - CLINIC ONLY $0
VARICELLA VACCINE - CLINIC ONLY $0
TDAP VACCINE - CLINIC ONLY $0
MULTI VITAMIN IV MVI $56
NYSTATIN POWDER $76
FENTANYL PATCH 25MCG $52
MMR-V - CLINIC ONLY $0
KENRIX - CLINIC ONLY $0
EMLA CREAM - TUBE $63
TYLENOL WITH CODEINE PREPACK 60ML $15
TOPROL SUCC ER 100MG $2.5
FENTANYL PATCH 50MCG/HR $60
BANANA BAG (IVF, MVI, THIAMINE, FOLIC A) $153
PREMARIN CREAM $10
FLUMIST - CLINIC ONLY 2-18 YRS OLD $0
PREMARIN CREAM - APPLICATION $70
FENTANYL PATCH 75MCG/HR $70
GI COCKTAIL $18.5
MORPHINE ORAL CONC PER 1ML $3
ROCEPHIN 2GM $144
ROCEPHIN (CEFTRIAXONE) 1GM $96
CEPHALEXIN 250MG $2.5
GLIMEPIRIDE 2MG $2.5
AMLODIPINE 2.5MG $2.5
METRONIDAZOLE $2.5
PAXIL $2.5
ROBAXIN 500MG $2.5
VASELINE $5
PEDIAPRED 15MG/5ML $8
DOT PHYSICAL $100
GASTROGRAFIN 37% $43
ISOVUE-370 MG/ML $88
READICAT SMOOTHIE $0.55
ISOVUE - 300 - 150ML $3.53
ADENOCARD 6MG/2ML $89
TYLENOL 500MG $2.5
ATIVAN 2MG/ML $42
ATROVENT 0.5MG/2.5ML $14
PROTHROMBIN TIME $52
IV CATHETER $16.2
MORPHINE SULFATE INJECTION 4MG/ML $20
NITROGLYCERIN 0.4MG $5
NITROBID OINTMENT 1/2 INCH DOSE $23
ASPIRIN 81MG CHEWABLE $2.5
DEPRESSION SCREEN ANNUAL $45
T1015 $0
IV CATHETER $16.2
PRIME AIRE SPACER $20
ABD PAD $2.5
ACE BANDAGE 2 INCH $7.8
ACE BANDAGE 3 INCH $9.78
ACE BANDAGE 4 INCH $15.06
ACE BANDAGE 6 INCH $23.64
ADD A FOLEY $52.4
AMBU BAG - ADULT $38.7
AMBU BAG - PEDIATRIC $75.92
ANASCOPE $13.83
BAIR HUGGERWARMING BLANKET $77.8
BIOPSY PUNCH $6.6
BIRTHING KIT $41.52
BLOOD GLUCOSE $11
BLOOD GLUCOSE FINGER STICK $11
BOUGIE $42.7
BROSELOW INTRAOSSEOUS MODULE $135
BROSELOW INTUBATION MODULE $97.5
BROSELOW IV DELIVERY MODULE $108
BROSELOW OXYGEN DELIVER MODULE $52
CAST FIBERGLASS (LONG ARM) $96.36
CAST FIBERGLASS (LONG LEG) $114.54
CAST FIBERGLASS (SHORT ARM) $64.24
CAST FIBERGLASS (SHORT LEG) $96.36
CATHETER PLUG $2.5
CAVILON NO STING BARRIER FILM $4.44
CENTRAL LINE DRESSING TRAY W/O PATCH $34.15
CENTRAL LINE DRESSING TRAY WITH BIOPATCH $94.36
CENTRAL LINE FLUSH $68.13
CENTRAL LINE INSERTION TRAY $842.58
CHEST DRAINAGE SYSTEM $268
CHEST TUBE $28.8
CHEST TUBE INSERTION TRAY $116
CIRCUMCISION TRAY $41.66
CLIPPER BLADE (3M SHAVER) $29
CO2 DECTECTOR - ADULT $48.6
CO2 DECTECTOR - PEDIATRIC $48.6
COFLEX 1" $5.18
COFLEX 2" $10.46
COFLEX 3" $12.5
CPAP $338.68
CRICHOTHYROTOMY KIT $434.92
CURRETTE $21.36
DEFIBRILLATOR PADS - ADULT $172.3
DEFIBRILLATOR PADS - PEDIATRIC $176.38
DERMABLADE $5.7
DRESSING - LARGE BANDAID $2.5
DRESSING ADAPTIC 3" X 16" $5
DRESSING ADAPTIC 3" X 8" $5
DRESSING FOAM $11.22
DRESSING POLYMEM SILVER $41.28
DRESSING TEGADERM 1 3/4" X 1 3/4" $2.5
DRESSING TEGADERM 2.375" X 2.75" $2.5
DRESSING TEGADERM 4" X 4 3/4" $2.5
DRESSING TELFA 2" X 3.75" $2.5
DRESSING TELFA 3" X 4" $2.5
DRESSING TELFA 3" X 6" $2.5
DRESSING TRAY $15
DUODERM $55
ENDOTRACHEAL TUBE $18
ENEMA - SOAP SUDS $8.88
ET TUBE HOLDER $19.92
EYE IRRIGATION - NORMAL SALINE $24
EYE PAD - LARGE $2.5
EZ-IO ADULT $198
EZ-IO LARGE ADULT $198
EZ-IO PEDIATRIC $210
FEMALE SPECI-CATH $10
FINGER SAM SPLINT $9.84
FINGER SPLINT - VARIOUS $14.16
FOLEY CATH WITH TEMPERATURE PROBE $71.07
FOLEY CATHETER $20
FOLEY CATHETER INCLUSIVE $105
FOLEY CATHETER INS TRAY (URINE METER) $66.4
FOLEY CATHETER INSERTION TRAY $66.4
FOLEY CATHETER LEG BAG $3.5
FOLEY CATHETER SECURE $18.6
HEIMLICH CHEST DRAIN TUBE $114.24
HUBER NEEDLE $58.13
HUBER NEEDLE 20G GRIPPPER PLUS $48.3
ICE BAG $12.66
INCENTIVE SPIROMETER $45.43
IV DIAL-A-FLOW $24
IV INFUSURG BAG (PRESSURE BAG) $69.08
IV PUMP TUBING $45.7
IV PUMP TUBING - BLOOD $34.7
IV PUMP TUBING - NITROGLYCERIN $38.75
KERLIX $9.06
KING AIRWAY $113.37
LARYNGEAL MASK $82.05
LAVAGE TRAY $98
LIQUIBAND $63
LUMBAR PUNCTURE - PEDIATRIC $33.35
LUMBAR PUNCTURE TRAY - ADULT $111.6
MORGAN LENS $59.16
NASAL BALLOON $25
NASAL DRESSING LARGE $33.15
NASAL DRESSING SMALL $27.85
NASAL SPONGE $7.25
NASOGASTRIC TUBE $30.22
NEBULIZER - PEDIATRIC NEBULIZER $5.88
NEBULIZER KIT $25
OPTHALMIC FINE TIP $10
OXIMAX $84.24
OXYGEN - OBS 24 HOURS $168
OXYGEN HUMIDIFIER $22.2
OXYMASK $40.55
PACKING STRIP IODOFORM $32
PACKING STRIP PLAIN $26.83
PEAK FLOW METER $81
PEDIATRIC URINE COLLECTOR $5.4
PNEUPAC DISPOSABLE PATIENT CIRCUIT KIT $63.8
RAZOR BLADE - DISPOSABLE $29.81
RECTAL TUBE $14.34
RHINO ROCKET $65
SCALPEL DISOPOSABLE $10
SPO2 FINGER SENSOR - NELCOR PEDIATRIC $84.75
STAPLE REMOVER $13.63
STAPLER ETHICON - SMALL $135
STAPLER LARGE $90.66
STERI-STRIPS (ALL SIZES) $8.76
SUCTION - FRAZIER TIP $28.86
SUCTION CANISTER $38.35
SUCTION YANKAUER $4.8
ECG RT W/LEAST 12 LDS TRCG ONLY W/O I&R $120
MOTRIN 800MG $5
DESTRUCTION MALIGNANT LESION $121.75
DRUG TEST-DIRECT OPTICAL OBSERVATION $101
HANDL/OR CONVY/SPEC FOR TR OFFICE TO LAB $40
ANTISTREPTOLYSIN O SCREEN $25
PREEMP/POST/SMKJMPR $150
KENALOG 10MG $13
ARTHRITIS PANEL COMPLETE $320
SUTURE-CHROMIC GUT 4-0 $81.81
SUTURE-ETHILON 2-0 FS $33.85
SUTURE-ETHILON 3-0 PS2 $61.52
SUTURE-ETHILON 4-0 FS2 $28.7
SUTURE-ETHILON 4-0 P3 $45.92
SUTURE-ETHILON 4-0 P3 $45.92
SUTURE-ETHILON 4-0 PS-4/9S-2 $59.85
SUTURE-ETHILON 5-0 FS2 $22.8
SUTURE-ETHILON 5-0 P3 $43.7
SUTURE-ETHILON 5-0 PS-3 $64.4
SUTURE-ETHILON 6-0 P3 $59.92
SUTURE-ETHILON 6-0 PS3 $40.25
SUTURE-ETHILON 7-0 P1 $45
SUTURE-VICRYL 3-0 FS-2 $95.25
SUTURE-VICRYL 3-0 PS-1 $69.34
SUTURE-VICRYL 4-0 FS2 $36.9
SUTURE-VICRYL 4-0 P3 $76.44
SUTURE-VICRYL 5-0 PC1 $76.12
SUTURE-VICRYL 5-0 PS2 $56.68
SUTURE TRAY $30
REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL $60
EVACUATION SUBUNGUAL HEMATOMA $92
IMADM PRQ ID SUBQ/IM NJXS 1 VACC FAC FEE $67.6
THERAPEUTIC PROPHYLACTIC/DX INJ SUBQ/IM $67.6
TYPHOID VACCINE $212.2
DESTRUCTION PREMAL LESIONS 15/> $217.6
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $196
SPORTS PHYSICAL $65
ANDROSTENEDIONE $117
PHENOL EZ SWAB $36.55
IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE $20
IMADM PRQ ID SUBQ/IM NJXS EA VACCINE $17
CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS $69
HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES $236
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS $199
INCISION & DRAINAGE ABSCESS SIMPLE/SNGL $232
INCISION & DRAIN ABSCSS COMPLICATED/MULT $464
DEPOPROVERA 1MG $1.8
DEPO-TESTOSTERONE 1 MG $0.34
BREATHALIZER HANDLING FEE $20
INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $247
RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT $270
RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT $270
NEXPLANON $930
NORMAL SALINE 1000ML $20
REMOVE DRUG IMPLANT DEVICE $247
REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $96
INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT-PRO FEE $96
RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT-PRO FEE $105
DEXAMETHASONE 10MG/ML $2.6
ZOSYN 4.5 GRAMS $62
TREAT SHOULDER DISLOCATION $248
ALCOHOLS $75
SPORTS PHYSICAL-SPECIAL $25
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $199
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION $194
TREAT SHOULDER DISLOCATION $416
INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $277
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $296
APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC $151
DEBRIDEMENT SUBCUTANEOUS 20 CM $416
DEBRIDEMENT SUBCUTANEOUS 20 CM $203
HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $0.01
9VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE $0.01
DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $0.01
MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ $0.01
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL $30.28
REMOVAL INTRAUTERINE DEVICE IUD $202
INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $247
EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/< $389
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $193
MCV4 MENACWY CONJ VACC GRPS ACYW-135 IM USE $0.01
INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH $103
CONTACT LENS REMOVER $27.7
HYFRECATOR TIP $31.25
TETANUS, DIPHTHERIA TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE (TDAP), WHEN ADMINISTERED TO INDIVIDUALS 7 YEARS OR OLDER, FOR INTRAMUSCULAR USE $0.01
PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FOR INTRAMUSUCLAR USE $0.01
MINERT COLLECTION FEES $29
COMPLEMENT ANTIGEN C1 $149
COMPLEMENT ANTIGEN C2 $68
CLINDAMYCIN 900MG/50ML $65.62
ZYPREXA 10MG $101.43
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE $273
SMP RPR SCLP/NCK/AX/GEN/TRNK 20.1-30.0CM $247
BASIC LIFE SUPPORT TRANSPORT $400
TRANSPORT MILEAGE $
ALPHA-1-ANTITRYPSIN PHENOTYPE $94
OFFICE OUTPATIENT VISIT 15 MINUTES $140
EMERGENCY DEPT VISIT LIMITED/MINOR PROB $76
CARE MANAGEMENT SERVICES $62
COLLECTION VENOUS BLOOD VENIPUNCTURE $21
ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE $111
ASSAY OF LIPASE $54
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/< $220
MIRENA $908.97
NON STERILE SUPPLY $
STERILE SUPPLY $
ASSAY OF LACTATE $107
IAAD EIA SHIGA-LIKE TOXIN $79
AMOXICILLIN 250/5 SUSP 100ML $30
PROTONIX 20MG $35
AUGMENTIN 400/57.5/5ML $45
AUGMENTIN TABS 875MG $5
PHOSPHOLIPID NEUTRALIZATION; HEXAGONAL PHOSPHOLIPID $102
THROMBOPLASTIN TIME, PARTIAL (PTT); SUBSTITUTION, PLASMA FRACTIONS, EACH $54
TB INTRADERMAL FAC FEE $30.4
INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; RESPIRATORY SYNCYTIAL VIRUS $53
INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; GIARDIA $53
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; TRICHOMONAS VAGINALIS, DIRECT PROBE TECHNIQUE $53
XRAY SI JOINTS, 3 OR MORE VIEWS $228
XRAY AC JOINTS, BILATERAL $228
XRAY ANKLE COMPLETE MINIMUM 3 VIEWS $228
XRAY CLAVICLE COMPLETE $228
XRAY ELBOW COMPLETE MINIMUM 3 VIEWS $228
XRAY OF EYE FOR FOREIGN BODY $142
XRAY FACIAL BONES COMPLETE MIN 3 VIEWS $349
XRAY FEMUR 2 VIEWS $228
XRAY FINGER(S) MINIMUM 2 VIEWS $228
XRAY FOOT COMPLETE MINIMUM 3 VIEWS $228
XRAY FOREARM 2 VIEWS $228
XRAY HAND MINIMUM 3 VIEWS $228
XRAY CALCANEUS MINIMUM 2 VIEWS $228
XRAY HIPS BILATERAL 2 VIEW WITH PELVIS $349
XRAY HIP UNILATERAL WITH PELVIS 2-3 VIEWS $133
XRAY HUMERUS MINIMUM 2 VIEWS $228
UROGRAPHY IV WITH OR WITHOUT KUB WITH OR WITHOUT TOMOGRAPHY $830
XRAY KNEE 3 VIEWS $228
XRAY MANDIBLE COMPLETE MIN 4 VIEWS $349
XRAY ORBITS COMPLETE MINIMUM 4 VIEWS $228
XRAY PELVIS 1 OR 2 VIEWS $228
XRAY RIBS UNILATERAL WITH POSTEROANTERIOR CHEST MIN 3 VIEWS $347
XRAY RIBS BILATERAL WITH POSTEROANTERIOR CHEST MIN 4 VIEWS $349
XRAY SACRUM & COCCYX MINIMUM 2 VIEWS $228
XRAY SCAPULA $142
XRAY SHOULDER COMPLETE MINIMUM 2 VIEWS $228
XRAY SINUSES COMPLETE 3 VIEW $228
XRAY SKULL COMPLETE MINIMUM 4 VIEWS $218
XRAY SPINE CERVICAL 3 VIEWS OR LESS $228
XRAY SPINE CERVICAL 4 OR 5 VIEWS $349
XRAY SPINE CERVICAL 6 OR MORE VIEWS $228
XRAY SPINE LUMBOSACRAL 2 OR 3 VIEWS $228
XRAY SPINE LUMBOSACRAL MINIMUM 4 VIEWS $349
XRAY SPINE LUMBAR COMPLETE WITH BEND MINIMUM 6 VIEWS $349
XRAY SPINE LUMBAR BENDING VIEWS ONLY 2 OR 3 VIEWS $189
XRAY SPINE THORACIC 3 VIEWS $336
XRAY STERNUM MINIMUM 2 VIEWS $228
XRAY TIBIA & FIBULA 2 VIEWS $228
XRAY TOE MINIMUM 2 VIEWS $228
XRAY WRIST COMPLETE MINIMUM 3 VIEWS $228
XRAY MANDIBLE PARTIAL <4 VIEWS $228
XRAY SKULL <4 VIEWS $228
XRAY SPINE FULL SURVEY STUDY AP & LAT $206
XRAY SPINE 1 VIEW SPECIFY LEVEL $210
XRAY SPINE THORACIC 2 VIEWS $228
XRAY SPINE THORACOLUMBAR 2 VIEWS $189
XRAY SHOULDER 1 VIEW $221
XRAY ELBOW 2 VIEWS $228
XRAY ARM INFANT $228
XRAY WRIST 2 VIEWS $228
XRAY HAND 2 VIEWS $228
XRAY HIP UNILATERAL 1 VIEW $206
XRAY HIP UNILATERAL COMPLETE MIN 2 VIEWS $206
XRAY HIPS BILATERAL 2 VIEWS EACH WITH AP PELVIS $315
XRAY FEMUR 2 VIEWS $206
XRAY FEMUR 1 VIEW $228
XRAY KNEE 1 OR 2 VIEWS $228
XRAY KNEE COMPLETE 4 OR MORE VIEWS $160
XRAY ANKLE 2 VIEWS $228
XRAY FOOT 2 VIEWS $228
XRAY ABDOMEN COMPLETE ACUTE SERIES WITH SUPINE, ERECT, AND/OR DECUBITUS VIEWS, SINGLE VIEW CHEST $349
XRAY OSSEOUS SURVEY COMPLETE $398
JOINT SURVEY, 1 SURVEY, 1 OR 2 JOINTS(SPECIFY) $228
BONE LENGTH STUDIES $228
XRAY NASAL BONES COMPLETE MIN 3 VIEWS $228
CT HEAD/BRAIN WITHOUT CONTRAST $860
CT HEAD/BRAIN WITH CONTRAST $1169
CT ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, INNER, OR MIDDLE EAR WITHOUT CONTRAST $860
CT MAXILLOFACIAL WITHOUT CONTRAST $860
CT MAXILLOFACIAL WITH CONTRAST $1169
CT MAXILLOFACIAL WITH AND WITHOUT CONTRAST $1318
CT ANGIOGRAPHY HEAD WITH CONTRAST $860
CT ANGIOGRAPHY NECK WITH CONTRAST $860
CT ABDOMEN WITHOUT CONTRAST $860
CT ANGIOGRAPHY ABDOMINAL AORTA & BILATERAL ILIOFEMORAL WITH CONTRAST $1329
CT ORBIT, SELLA OR POSTERIOR FOSSA OR OUTER, INNER OR MIDDLE EAR WITH CONTRAST $995
CT LOWER EXTREMITY WITH CONTRAST $819
CT HEAD/BRAIN WITH & WITHOUT CONTRAST $1318
MRA NECK WITH AND WITHOUT CONTRAST $3018
MRA HEAD WITH AND WITHOUT CONTRAST $2772
MRI BRAIN WITH AND WITHOUT CONTRAST $2573
MRI LUMBAR SPINE WITHOUT CONTRAST $1687
MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST $2898
MRI LUMBAR SPINE WITH AND WITHOUT CONTRAST $2890
MRI PELVIS WITH AND WITHOUT CONTRAST $2573
MRI UPPER EXTREMITY JOINT WITHOUT CONTRAST $1785
MRI LOWER EXTREMITY JOINT WITHOUT CONTRAST $1722
MRI LOWER EXTREMITY JOINT WITH AND WITHOUT CONTRAST $3532
MRA HEAD WITHOUT CONTRAST $2281
MRI BRAIN WITH BRAIN STEM WITHOUT CONTRAST $2486
MRI THORACIC SPINE WITHOUT CONTRAST $2050
3D RENDERING WITH INTERPRETATION & POSTPROCESS SUPERVISION $489
MRI ABDOMEN WITH AND WITHOUT CONTRAST $2639
MRI CERVICAL SPINE WITHOUT CONTRAST $1785
CT LIMITED/LOCALIZED FOLLOW UP STUDY $474
CT SOFT TISSUE NECK WITHOUT CONTRAST $860
CT SOFT TISSUE NECK WITH CONTRAST $1169
CT SOFT TISSUE NECK WITH AND WITHOUT CONTRAST $1318
CT CHEST WITHOUT CONTRAST $860
CT CHEST WITH CONTRAST $1169
CT CHEST WITH AND WITHOUT CONTRAST $1286
CT ANGIOGRAPHY CHEST(NONCORONARY) WITH CONTRAST WITH NONCONTRAST IMAGES $1329
CT CERVICAL SPINE WITHOUT CONTRAST $860
CT CERVICAL SPINE WITH CONTRAST $1088
CT THORACIC SPINE WITHOUT CONTRAST $860
CT THORACIC SPINE WITH CONTRAST $1088
CT THORACIC SPINE WITH AND WITHOUT CONTRAST $1318
CT LUMBAR SPINE WITHOUT CONTRAST $860
CT LUMBAR SPINE WITH CONTRAST $1088
CT ANGIOGRAPHY PELVIS WITH CONTRAST WITH NONCONTRAST IMAGES $1329
CT PELVIS WITHOUT CONTRAST $860
CT PELVIS WITH CONTRAST $1169
CT PELVIS WITH AND WITHOUT CONTRAST $1318
CT UPPER EXTREMITY WITHOUT CONTRAST $860
CT ABDOMEN & PELVIS WITHOUT CONTRAST $1439
CT ABDOMEN & PELVIS WITH CONTRAST $1943
3D RENDERING WITH INTERPRETATION & POSTPROCESSISING INDEPENDENT WORK STATION $606
CT ABDOMEN WITH CONTRAST $1169
CT ABDOMEN AND PELVIS WITH AND WITHOUT CONTRAST $1943
CT MEDICARE LUNG CANCER SCREENING $1456
CT LOWER EXTREMITY WITHOUT CONTRAST $860
XRAY RIBS UNILATERAL 2 VIEWS $228
XRAY ABDOMEN, SINGLE VIEW $184.66
XRAY ABDOMEN, 2 VIEWS $226.05
XRAY ABDOMEN, 3 OR MORE VIEWS $263.9
XRAY CHEST SINGLE VIEW $134.57
XRAY CHEST 2 VIEWS $206.79
XRAY CHEST 3 VIEWS $264.93
XRAY CHEST 4 OR MORE VIEWS $284.7
XRAY NECK SOFT TISSUE $189
CT ANGIOGRAPHY ABDOMEN WITH AND WITHOUT CONTRAST $1329
CT UPPER EXTREMITY WITH CONTRAST $955
CT ORBIT SELLA OR POSTERIOR FOSSA OR OUTER, INNER, OR MIDDLE EAR WITH AND WITHOUT CONTRAST $1192
ACTIVASE 100MG $140
MRI BRAIN WITH CONTRAST $2887
MRA NECK WITHOUT CONTRAST $2246
MRI ABDOMEN WITHOUT CONTRAST $1894
MRI CHEST WITHOUT CONTRAST $2105
MRI UPPER EXTREMITY JOINT WITH AND WITHOUT CONTRAST(SHOULDER, ELBOW, WRIST) $2415
MRI LOWER EXTREMITY (NON-JOINT) WITHOUT CONTRAST $1698
MRI LOWER EXTREMITY (NON-JOINT) WITH & WITHOUT CONTRAST $2339
MRI UPPER EXTREMITY (NON-JOINT) WITHOUT CONTRAST $1496
MRI UPPER EXTREMITY (NON-JOINT) WITH AND WITHOUT CONTRAST $2152
MRI ORBIT, FACE, NECK WITHOUT CONTRAST $2598
MRI PELVIS WITHOUT CONTRAST $1927
MRI TEMPOROMANDIBULAR JOINTS WITHOUT CONTRAST $2054
MRI ORBIT, FACE, NECK WITH & WITHOUT CONTRAST $2741
MRI CHEST WITH & WITHOUT CONTRAST $3102
MRI THORACIC SPINE WITH & WITHOUT CONTRAST $2827
MRI BREAST BILATERAL WITH & WITHOUT CONTRAST $5061
MRI CERVICAL SPINE WITH CONTRAST $2168
XRAY OSSEOUS SURVEY $157
XRAY STERNOCLAVICULAR JOINT MINIMUM 3 VIEW $136
GONADOTROPIN CHORIONIC QUANTITATIVE $110
SYNVISC ONE $37.29
BUDESONIDE 0.25MG/2ML $37.83
BUDESONIDE 1MG/2ML $58.08
PEPCID $32.13
GEODON $184.64
HALDOL 5MG/ML $11.4
HYDRALAZINE $21.3
DEPAKOTE $3.41
ENALAPRIL $37.6
BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT $10
levoFLOXacin 750 MG/30 ML VIAL 750 g, 30 mL $44.45
20MG PO LASIX TAB $3.83
500ML NORMAL SALINE BAG $24
DRUG SCREEN QUANTITATIVE LEVETIRACETAM $64
VERSED 2MG/2ML $6.39
VENTOLIN INHALER MDI $77
FERAHEME 510 MG/17 ML VIAL 510 mg, 17 mL $1325.22
MTHFR GENE ANALYSIS COMMON VARIANTS $243
HTLV-1 AND 2 (EIA) WITH REFLEX $104
BIPAP MASK LARGE $226.76
BIPAP MASK MEDIUM $236.58
DERMABOND PEN $68.08
DERMABOND MINI $41.04
SUTURE-ETHILON 4-0 PC-3 $29.85
HEMOGLOBIN ELECTROPHORESIS $43
HIV COMBO $66
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED $94
RECLAST $301.17
SUTURE PROLENE 4-0 PC-3 $40.75
SUTURE 5-0 PROLENE FS-2 $25.44
SUTURE 6-0 PROLENE PC-1 $39
FREE SPORTS PHYSICAL $0
ASSAY OF ALCOHOL BREATH $28
MUCINEX - GUAIFENESIN DEXTROMETHORPHAN $2.5
CT ABDOMEN WITH AND WITHOUT CONTRAST $1318
ZOSYN 1.125 GM $20.66
VANCOMYCIN 500 MG $40
MECLIZINE $2.5
HEPARIN 1,000U/ML $4.8
IVANZ $180.62
ZOFRAN 4MG/2ML $6.5
BLOOD COUNT RETICULOCYTE AUTOMATED $42
MUSCULOSKELETAL THERAPEUTIC INJECTION, TENDON ORIGIN/INSERTION $33.6
- MUSCULOSKELETAL THERAPEUTIC INJECTION, TENDON ORIGIN/INSERTION-PRO FEE $137.4
ASSAY OF ERYTHROPOIETIN $36
JAK2 (JANUS KINASE 2) (EG, MYELOPROLIFERATIVE DISORDER) GENE ANALYSIS, P. VAL617PHE (V617F) VARIANT $161
TNKASE 1 MG $160
INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA" $161
CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION $1868
OUTPATIENT VISIT 10 MINUTES $109
OUTPATIENT VISIT 15 MINUTES $140
OUTPATIENT VISIT 25 MINUTES $202
OFFICE OUTPATIENT NEW 10 MINUTES $109
OFFICE OUTPATIENT NEW 20 MINUTES $140
OFFICE OUTPATIENT NEW 30 MINUTES $202
OFFICE OUTPATIENT NEW 45 MINUTES $301
OFFICE OUTPATIENT NEW 60 MINUTES $370
OFFICE OUTPATIENT VISIT 5 MINUTES $77
OFFICE OUTPATIENT VISIT 10 MINUTES $109
OFFICE OUTPATIENT VISIT 25 MINUTES $202
OFFICE OUTPATIENT VISIT 40 MINUTES $301
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25 $715
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW $96
TRIAMCINOLONE CREAM $19
THERAPTIC PX 1> AREAS EA 15 MIN EXERCISE $63
THER PX 1> AREA EA 15 MIN NEURMUS REEDUC $53
APPL MODALITY 1> AREAS TRACTION MECHANCL $36
PHYSICAL THERAPY EVALUATION $126
PHYSICAL THERAPY RE-EVALUATION $84
PHYSICAL THERAPY EVAL HIGH COMPLEXITY $120
APPL MODLTY 1> AREAS ELEC STIM UNATENDED $37
APPL MODLTY 1> AREAS ELEC STIM EA 15 MIN $45
IONTOPHORESIS, EACH 15 MINUTES $41
APPL MODLTY 1> AREAS ULTRSOUND EA 15 MIN $31
PHYSICAL THERAPY EVAL MODERATE COMPLEX $120
THER PX 1> AREA EA 15 MN AQUA THER W/XRS $54
PHYSICAL THERAPY EVAL LOW COMPLEXITY $120
THER PX 1> AREA EA 15 MIN GT TRAIN W/STR $63
UNLISTED THERAPEUTIC PROCEDURE SPECIFY $14
PHYSICAL THERAPY RE-EVALUATION $84
MAN THERPY TQS 1> REGIONS EA 15 MINUTES $63
CHKOUT ORTHO/PROSTHETIC EST PT EA 15 MIN $65
THER ACTVITY DRCT PT CONTACT EA 15 MIN $54
WHEELCHAIR MANAGEMENT, EA 15 MINUTES $43
ORTHOTIC MGMT&TRAIN UXTR LXTR/TRNK EA 15 $88
ELEC STIM OTHER THAN WOUND $33
APPLICATION SURFACE NEUROSTIMULATOR $37
MUSCLE TEST EXTREMITY(EXCL HND) $32
MUSCLE TEST TOTAL BDY(EXCL HAND) $40
RM MS&RPRT HND W/WO COMPARISON NRMAL SID $13
RM MS&RPT EA XTR EX HND/EA TRNK SCTJ SPI $18
MOBILITY CURRENT STATUS $0.01
MOBILITY GOAL STATUS $0.01
MOBILITY D/C STATUS $0.01
BODY POS GOAL STATUS $0.01
BODY POS D/C STATUS $0.01
CARRY CURRENT STATUS $0.01
CARRY GOAL STATUS $0.01
CARRY D/C STATUS $0.01
SELF CARE CURRENT STATUS $0.01
SELF CARE GOAL STATUS $0.01
SELF CARE D/C STATUS $0.01
OTHER PT/OT CURRENT STATUS $0.01
OTHER PT/OT GOAL STATUS $0.01
OTHER PT/OT D/C STATUS $0.01
SUB PT/OT CURRENT STATUS $0.01
SUB PT/OT GOAL STATUS $0.01
SUB PT/OT D/C STATUS $0.01
BODY POS CURRENT STATUS $0.01
BIOFEEDBACK TRAINING ANY MODALITY $155
APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS $25
PROSTHETIC TRAINING UPPR&/LOWER EXTREM EA 15 M $103
EXERCISE SUPPLIES $
CHECKOUT ORTHOTIC/PROSTHETIC ESTAB PT EA 15 MIN $98
HEMOGLOBIN; GLYCOSYLATED (A1C) BY DEVICE CLEARED BY FDA FOR HOME $30
EOSINOPHILS, URINE $64
BETA HYDROXYBUTRYIC ACID $25
PROINSULIN, INTACT $124
ASSAY OF INSULIN TOTAL $114
HYPOGLYCEMIC PANEL $95
PROPOFOL $23.54
CEFTRIAXONE 250 MG $18.75
PROTONIX 40MG VIAL $31.9
IV INF THRPY/PROPHYLAXIS /DX 1ST TO 1 HR $212
IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR $140
IV INFUSION THRPY PROPHYLAXIS/DX EA HOUR $98
THER PRPH/DX NJX IV PSH SGL/1ST SBST/DRG $131
IV INFUSION HYDRATION INIT 31 MIN-1 HOUR $186
IV INFUSION HYDRATION EACH ADDL HOUR $78
DIGOXIN 0.5MG/2ML $35
THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION; EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF A NEW SUBSTANCE/DRUG $80
IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR $37
DUONEB $15
POLYMYXIN B OPTHALMIC $36.3
NEOMYCIN AND POLYMYXIN B OPTHALMIC $86.22
PROTEIN, TOTAL, EXCEPT BY REFRACTOMETRY; SERUM, PLASMA, OR WHOLE BLOOD $21
GLUCOSE, BODY FLUID, OTHER THAN BLOOD $42
PHENERGAN 25MG/ML $35
TORADOL 15MG/ML $33
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID $407
ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM $847
COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM $945
OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND $3367
FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE $914
FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE $1179
OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY $466
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN $391
ULTRASOUND SPINAL CANAL & CONTENTS $446
LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY $242
ACETAMINOPHEN IV $1.51
US BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID $567
US ABDOMEN COMPLETE $409
US ABDOMEN LIMITED $292
US BLADDER $285
US BREAST COMPLETE WITH AXILLA $375
US BREAST LIMITED $308
US JOINT/SOFT TISSUE COMPLETE $341
US JOINT/SOFT TISSUE LIMITED $98
US HEAD/NECK, THYROID/PARATHYROID $296
US OB ADDITIONAL GESTATION $213
US OB > 14 WEEKS $376
US OB <14 WEEKS FIRST TRIMESTER PREGNANCY $376
US OB TRANSVAGINAL $319
US PELVIS $312
US RETROPERITONEAL LIMITED (AORTA OR RENAL) $290
US SCROTUM AND CONTENTS $412
US TRANSVAGINAL $356
US RETROPERITONEAL COMPLETE (RENAL & BLADDER) $390
CHEST SEAL ASHERMAN $63.44
NASAL ATOMIZATION DEVICE $37.15
PARAGUARD IUD $487.28
PARAGUARD IUD $487.28
US CHEST $309
US LOWER EXTREMITY ARTERIES BILATERAL DUPLEX $770
US LOWER EXTREMITY ARTERIES UNILATERAL DUPLEX $468
US UPPER EXTREMITY ARTERIAL BILATERAL DUPLEX $0
US UPPER EXTREMITY ARTERIAL UNILATERAL DUPLEX $0
US EXTREMITY VEINS BILATERAL DUPLEX $813
US EXTREMITY VEINS UNILATERAL DUPLEX $551
US CAROTID DUPLEX $1047
US AORTA DUPLEX $406
US AAA SCREENING $303