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Standard charges listing

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Jerold Phelps Community Hospital Standard Charges Listing - April 2020  
ABO BLOOD TYPEBB79.10
ANTIBODY DETECTION /SOBB25.60
ANTIGEN SCREENING OF DONOR BLOOD, RH (D)BB98.00
ANTIGEN SCREENING OF PATIENT BLOOD, ABOBB98.00
INVESTIGATION OF TRANSFSION REACTION /SOBB339.10
PLATELETS PHERESISBB1,371.30
Rbc leukoreduced irradiatedBB878.70
RED BLOOD CELLS LEUKOREDUCEDBB567.30
RH FACTORBB121.65
DMV PHYSICAL CASH ON DOSCL105.00
EX BEN SCP/NK/HD/FT <.5CMCL228.30
GLUCOSE BY REAGENT STRIPCL26.05
HEMOGLOBINCL40.20
HOME VISIT EST PT LIMITEDCL129.80
HOME VISIT EST PT LOW-MODCL198.25
HOME VISIT EST PT MOD-HICL304.40
HOME VISIT NEW PT HI UNSTABLECL654.80
HOME VISIT NEW PT HIGHCL539.25
HOME VISIT NEW PT LOWCL162.90
HOME VISIT NEW PT MOD-HICL385.80
HOME VISIT NEW PT MODERATECL234.95
IMMUN ADMIN 1ST EA/COMBOCL116.90
IMMUN ADMIN ADDL EA/COMBOCL41.40
IMMUN ADMIN INFLUENZACL99.10
IMMUN ADMIN PNEUMOVAXCL36.65
IMMUN ADMIN VACCINE FOR CHILDRENCL27.35
INJ SC/SQ/IM FLU VAC SPLIT 3+ YRSCL64.95
INJ THER/PRO/DX INTRA-ARTCL92.10
INJECTION-SC/SQ OR IMCL64.95
INSURANCE EXAMCL260.80
KOH PREP WET MOUNT FUNGUSCL47.20
NO CHARGECL0.00
NO SHOW CHARGECL42.00
OCCULT BLOOD FECESCL82.60
PREGNANCY TEST URINECL98.80
PRO SVC ALLERGEN > 2CL42.60
PRO SVC ALLERGN TX WO EXTCL42.60
RAPID STREP SCREENCL173.50
REMOVE FB FROM EYE PRO FEECL123.90
RESPIRATORY FIT TEST NURSE ONLYCL79.80
SKIN TEST TUBERCULOSISCL52.05
SPORTS PHYS/CASH DOS ONLYCL21.00
SVN INITIAL TREATMENTCL234.95
SVN SUBSEQUENT (EA)CL57.90
TELEHEALTH FACILITY FEECL52.50
UA DIP WO/MICROCL28.40
VACCINE SCHOOL SPECIALCL29.60
VISITING NURSE EST PT UNSTABLECL422.50
ANOSCOPY DIAGCLMD234.95
APPL CAST SHRT ARM EBW/FNCLMD243.15
APPL SPLINT SHT ARMCLMD171.20
APPL SPLINT SHT LEGCLMD157.05
ARTHRO ASP/INJ INTRMD JNTCLMD173.50
ARTHRO ASP/INJ MAJ JNT/BRCLMD205.35
ARTHROCENT ASP/INJ SM JNTCLMD167.60
AUDIOLGC FNCTN SCRNG AIRCLMD40.20
AVULS NAILPLT PART/COMP SCLMD185.20
BIOPSY CERVIX SINGLE/MULTCLMD290.35
BX SKN/SQ/MUC MEMB ADL10%CLMD89.80
BX SKN/SQ/MUC MEMB SINGLECLMD178.20
CATH INSRT BLADDR NONINDWCLMD154.60
CATH INSRT FOLEY SIMPLECLMD177.00
CD TRT FX METACARP EA WOMCLMD736.20
CLSD TRT METAC FX SG W/MNCLMD863.65
CLSD TX DIST RAD FX WO MCLMD847.10
COLPO W/BX CERVIX/ECCCLMD706.80
COLPOSCOPY/VAGINOSCOPYCLMD494.40
CTL HEMOR NASL POST INICLMD613.50
DEBR SKINCLMD106.20
DEBRIDE SKINCLMD161.65
DEBRIDE SKIN/SUB TISSUECLMD219.60
DEBRIDEMENT OF NAIL 1 - 5CLMD50.85
DEBRIDEMNT NAIL 6 OR MORECLMD125.80
DEST LESION /VULVACLMD369.45
DEST LESION 15 OR MORECLMD181.70
DEST LESION 2-14 EACHCLMD31.90
DEST LESION ANY METH 15+CLMD566.30
DEST LESION ANY METH 1STCLMD137.00
DEST WART ANY METH 1-14CLMD153.50
DMV 2ND VISIT CASH ON DOSCLMD52.50
DRAIN EXTERNAL EAR LESIONCLMD562.75
DRAINGE OF PILONIDAL CYSTCLMD620.60
DRX/DBD BURN W/O ANS SMLCLMD252.60
E/M EST PT COMPREHNSCLMD330.35
E/M EST PT DETAILEDCLMD206.55
E/M EST PT EXPANDEDCLMD142.80
E/M EST PT LIMITEDCLMD110.95
E/M EST PT MINIMALCLMD78.00
E/M NEW PT COMP/COMPLEXCLMD509.70
E/M NEW PT COMP/MODCLMD377.55
E/M NEW PT DETAILEDCLMD264.30
E/M NEW PT EXPANDEDCLMD203.00
E/M NEW PT LIMITEDCLMD162.90
EMPLOYEE PHYSICALCLMD142.80
ENDOMETRIAL BIOPSYCLMD467.30
EST PT PRE EXAM/UNDR 1 YRCLMD166.40
EST PT PREV EXAM/ 1-4 YRSCLMD206.55
EST PT PREV EXAM/ 5-11 YRCLMD217.10
EST PT PREV EXAM/12-17 YRCLMD234.95
EST PT PREV EXAM/18-39 YRCLMD316.20
EST PT PREV EXAM/40-64 YRCLMD358.70
EST PT PREV EXAM/65 & OVRCLMD393.00
EVAC SUBUNGUAL HEMATOMACLMD85.10
EX BEN SCP/NK/HD/FT <.5CMCLMD240.70
EX BEN SCP/NK/HD/FT 1.1-2CLMD390.55
EX BEN SCP/NK/HD/FT0.6-1.CLMD378.75
EX BN L/FCE/MU MEM 1.1-2CLMD464.85
EX BN LS FCE/MUC MEM <0.5CLMD352.80
EX BN LS/FCE/MU MEM 2.1-3CLMD586.30
EX BN LS/TRK/ARM/LEG .6-1CLMD361.10
EX BN LS/TRK/ARM/LEG >4.0CLMD623.00
EX BN LS/TRK/ARM/LG <0.5CCLMD259.60
EX BN LS/TRK/ARM/LG 1.1-2CLMD366.90
EX BN LS/TRK/ARM/LG 2.1-3CLMD470.90
EX BN LS/TRK/ARM/LG 3.1-4CLMD520.30
EX ML LES/FACE 1.1-2CMCLMD632.40
EX ML TRK/ARM/LEG 3.1-4CMCLMD608.85
EX ML TRK/ARM/LG 1.1-2CCLMD501.45
EX ML/SC/NK/HD/FT/GN .6-1CLMD483.70
EX NAL/MTRX PRT/CMPL PERMCLMD394.10
EXC MLG LES FACE 2.1-3CMCLMD778.65
EXPL PENTRT WND EXTREMITYCLMD1,025.20
FOLLOW-UP GLOBAL SVCCLMD0.00
HSP ADM/DIS SAME DAY/LOWCLMD351.60
HSP CARE INI/COMPREHN/CPXCLMD411.80
HSP CARE INI/COMPREHN/MODCLMD335.10
HSP CARE INI/DETAILED/LOWCLMD249.00
HSP CARE SUBQ/DETAILED/HICLMD241.90
HSP CARE SUBQ/EXPNDED/MODCLMD178.20
HSP CARE SUBQ/FOCUSED/LOWCLMD125.20
HSP DISCHARG MGMT/MD/<30CLMD211.30
HSP DISCHARG MGMT/MD/>31CLMD264.30
HSP OBS SUBSEQ MODCLMD142.80
HSP OBSRV DSCRG DIFF DAYCLMD160.55
HSP OBSRV H&P LOW CMPLXCLMD200.60
HSP OBSRV H&P MOD CMPLXCLMD272.60
I&D ABCS VULVA/PERINEALCLMD378.75
I&D ABSCESS SIMPLE/SINGLECLMD259.60
I&D ABSCESS;CMPLCTD/MULTPCLMD468.30
INC/REM FB SUBCUT TISSUECLMD361.10
INCISIONAL BX SKIN EA ADDLCLMD193.20
INCISIONAL BX SKIN SINGLE LESCLMD403.20
INCS THROMBOSED HEMOR EXTCLMD493.90
INJ TEND SHTH/LIG/APNEUROCLMD263.20
INJ TRIG PNT 1 OR 2 MUSCLCLMD263.20
INJ TRIG PNT 3+ MUS GRPCLMD263.20
IUD INSERTIONCLMD199.50
MCARE 1ST YEARLY WELLNESSCLMD393.00
MCARE EA AD YEARLY EXAMCLMD414.55
MCARE INT IST 12 MONTHCLMD284.35
Medicare RHC AIRCLMD0.00
NP INT PREV EXAM 12-17 YRCLMD331.55
NP INT PREV EXAM 18-39 YRCLMD381.20
NP INT PREV EXAM 40-64 YRCLMD431.90
NP INT PREV EXAM 5-11 YRSCLMD302.10
NP INT PREV EXAM 65 & OVRCLMD421.20
NP INT PREV EXAM/UNDR 1 YRCLMD307.70
NP INT PREVENT EXAM 1-4YRCLMD246.65
OBSRV H&P HIGH CMPLXCLMD341.05
PARING/CUT BEN LESION SGLCLMD63.75
PHLEBOTOMY THERAPEUTICCLMD90.90
PRE-EMPLOYMENT PHYSICAL CONTRACTEDCLMD157.50
PROC UNLT/SKN/MU ME/SQ TSCLMD226.60
PUNCH BX SKIN EA ADDLCLMD163.80
PUNCH BX SKIN SINGLE LESCLMD332.90
PUNCT/ASP ABCS/HEM/BUL/CYCLMD291.10
REM FB CORNEAL WO SLCLMD613.50
REM FB EAR CABAK WO/ANESTCLMD279.30
REM FB EYE CON/SBCN EMBEDCLMD520.30
REM IMPAC CERUM/UNL/BILATCLMD128.70
REM IUDCLMD409.40
REM SHORT ARM/LEG CASTCLMD188.80
REM SKN TGS MULT FIBR 15<CLMD167.60
REMOV IMPACTED EAR WAX IRRIGATION UNILATCLMD39.10
REP SC/TRK/AX/NK/E2.6-7.5CLMD494.40
REP SC/TRK/AX/NK/EX <2.5CLMD409.40
REP WND FCE/MU 2.6-5.0 CMCLMD457.80
REP WND FCE/MUC 2.5<CLMD410.60
SHV EP/DM FC/MUC 0.6-1CLMD240.70
SHV EP/DM FC/MUC MEM <0.5CLMD158.15
SHV EP/DM LS/TR/AR/LG<0.5CLMD176.40
SHV EP/DM SC/NK/HD/FT<0.5CLMD138.10
Single tendon origin/insertionCLMD263.40
SKIN FULL GRFT FACE/GEN/HF PRO FEECLMD2,175.60
SNF ANNUAL ASSESSMENTCLMD161.65
SNF DISCHARG MGMNT <30MINCLMD152.30
SNF DISCHARG MGMNT >30MINCLMD190.00
SNF E/M H&E SUBQ DETAILEDCLMD161.65
SNF E/M H&E SUBQ LOWCLMD81.50
SNF E/M H&E SUBQ MODERCLMD110.95
SNF E/M INITIAL HI CMPLXCLMD249.00
SNF E/M INITIAL LOW CMPLXCLMD146.30
SNF E/M INITIAL MOD CMPLXCLMD205.35
SNF SUBSEQUENT HI CMPLXCLMD219.60
TANGNTL BX SKIN EA ADDLCLMD142.80
TANGNTL BX SKIN SINGLE LESCLMD264.60
THORACENTESIS W/ IMAGING GUIDANCECLMD802.20
THORACENTESIS W/O IMAGING GUIDANCECLMD703.20
TRIM NONDYSTROPHIC NAILSCLMD57.90
TYMPANOMETRYCLMD61.45
WEDGE EXCISION SKN/NAL FOCLMD168.90
WELCOME TO MEDICARE EXAMCLMD485.00
CT ABD &/OR PELV W W/O CONTRASTCT3,024.00
CT ABD PELV W/CONTRASTCT1,890.00
CT ABD PELV W/O CONTRASTCT1,890.00
CT ABDOMEN W W/O CONTRASTCT1,890.00
CT ABDOMEN W/CONTRASTCT1,890.00
CT ABDOMEN W/O CONTRASTCT850.50
CT ANGIO ABD ARTERIESCT1,890.00
CT ANGIO ABD/PELV W W/O CONTRASTCT1,890.00
CT ANGIO CHESTCT1,890.00
CT ANGIO HEADCT1,890.00
CT ANGIO NECKCT1,890.00
CT BODY 3D ADDLCT0.00
CT BONE DENSITY PERIPHERALCT472.50
CT C-SPINE W W/O CONTRASTCT3,024.00
CT C-SPINE W/CONTRASTCT1,974.00
CT C-SPINE W/O CONTRASTCT850.50
CT EYE/EAR/FOSSA W W/O CONTRASTCT1,890.00
CT EYE/EAR/FOSSA W/CONTRASTCT1,890.00
CT EYE/EAR/FOSSA W/O CONTRASTCT850.50
CT GUIDE NEEDLE PLACECT0.00
CT HEAD W W/O CONTRASTCT1,890.00
CT HEAD W/CONTRASTCT1,890.00
CT HEAD W/O CONTRASTCT850.50
CT HEAD/NECK 3D ADDLCT0.00
CT HEART W/O CONTRAST W/CA TESTCT472.50
CT L-SPINE W W/O CONTRASTCT3,024.00
CT L-SPINE W/CONTRASTCT1,890.00
CT L-SPINE W/O CONTRASTCT850.50
CT LOW DOSE CANCER SCREENCT472.50
CT LOWER EXT W W/O CONTRASTCT1,890.00
CT LOWER EXT W/O CONTRASTCT850.50
CT LOWER EXTREM W/CONTCT1,890.00
CT LTD F/U HEAD/NECKCT472.50
CT LTD F/U OTHR THAN HEAD/NECKCT472.50
CT MAXILLOFACIAL W W/O CONTCT1,890.00
CT MAXILLOFACIAL W/CONTRASTCT1,890.00
CT MAXILLOFACIAL W/O CONTRASTCT850.50
CT PELVIS W W/O CONTRASTCT1,890.00
CT PELVIS W/CONTRASTCT1,890.00
CT PELVIS W/O CONTRASTCT850.50
CT SINUS W W/O CONTRASTCT1,890.00
CT SINUS W/CONTRASTCT1,890.00
CT SINUS W/O CONTRASTCT850.50
CT SOFT TISS NECK W W/O CONTRASTCT1,890.00
CT SOFT TISS NECK W/CONTRASTCT1,890.00
CT SOFT TISS NECK W/O CONTRASTCT850.50
CT T-SPINE W W/O CONTRASTCT1,890.00
CT T-SPINE W/CONTRASTCT1,890.00
CT T-SPINE W/O CONTRASTCT850.50
CT THORAX W W/O CONTRASTCT1,890.00
CT THORAX W/CONTRASTCT1,890.00
CT THORAX W/O CONTRASTCT850.50
CT UPPER EXT W W/O CONTRASTCT1,890.00
CT UPPER EXT W/CONTRASTCT1,890.00
CT UPPER EXT W/O CONTRASTCT850.50
CT ABD &/OR PELV W W/O CONTRAST PRO FEECTMD939.80
CT ABD PELV W/CONTRAST PRO FEECTMD826.90
CT ABD PELV W/O CONTRAST PRO FEECTMD535.50
CT ABDOMEN W W/O CONTRAST PRO FEECTMD698.30
CT ABDOMEN W/CONTRAST PRO FEECTMD614.30
CT ABDOMEN W/O CONTRAST PRO FEECTMD399.00
CT ANGIO ABD ARTERIES PRO FEECTMD1,015.90
CT ANGIO ABD/PELV W W/O CONTRAST PRO FEECTMD1,034.30
CT ANGIO CHEST PRO FEECTMD798.00
CT ANGIO HEAD PRO FEECTMD779.65
CT ANGIO NECK PRO FEECTMD777.00
CT BONE DENSITY PERIPHERAL PRO FEECTMD301.90
CT C-SPINE W W/O CONTRAST PRO FEECTMD716.65
CT C-SPINE W/CONTRAST PRO FEECTMD606.50
CT C-SPINE W/O CONTRAST PRO FEECTMD490.90
CT EYE/EAR/FOSSA W W/O CONTRAST PRO FEECTMD798.00
CT EYE/EAR/FOSSA W/CONTRAST PRO FEECTMD732.40
CT EYE/EAR/FOSSA W/O CONTRAST PRO FEECTMD619.50
CT GUIDE NEEDLE PLACE PRO FEECTMD330.80
CT HEAD W W/O CONTRAST PRO FEECTMD511.90
CT HEAD W/CONTRAST PRO FEECTMD431.60
CT HEAD W/O CONTRAST PRO FEECTMD307.15
CT HEAD/NECK 3D ADDL PRO FEECTMD63.00
CT HEART W/O CONTRAST W/CA TEST PRO FEECTMD267.80
CT L-SPINE W W/O CONTRAST PRO FEECTMD716.65
CT L-SPINE W/CONTRAST PRO FEECTMD606.40
CT L-SPINE W/O CONTRAST PRO FEECTMD477.80
CT LOW DOSE CANCER SCREEN PRO FEECTMD672.00
CT LOWER EXT W W/O CONTRAST PRO FEECTMD727.15
CT LOWER EXT W/CONTRAST PRO FEECTMD601.15
CT LOWER EXT W/O CONTRAST PRO FEECTMD480.90
CT LTD F/U HEAD/NECK PRO FEECTMD388.50
CT LTD F/U OTHR THAN HEAD/NECK PRO FEECTMD388.50
CT MAXILLOFACIAL W W/O CONTRAST PRO FEECTMD543.40
CT MAXILLOFACIAL W/CONTRAST PRO FEECTMD446.30
CT MAXILLOFACIAL W/O CONTRAST PRO FEECTMD370.15
CT PELVIS W W/O CONTRAST PRO FEECTMD690.40
CT PELVIS W/CONTRAST PRO FEECTMD601.15
CT PELVIS W/O CONTRAST PRO FEECTMD388.50
CT SINUS W W/O CONTRAST PRO FEECTMD543.40
CT SINUS W/CONTRAST PRO FEECTMD446.30
CT SINUS W/O CONTRAST PRO FEECTMD370.15
CT SOFT TISS NECK W W/O CONTRAST PRO FEECTMD737.65
CT SOFT TISS NECK W/CONTRAST PRO FEECTMD627.40
CT SOFT TISS NECK W/O CONTRAST PRO FEECTMD514.50
CT T-SPINE W W/O CONTRAST PRO FEECTMD721.90
CT T-SPINE W/CONTRAST PRO FEECTMD611.65
CT T-SPINE W/O CONTRAST PRO FEECTMD480.40
CT THORAX W W/O CONTRAST PRO FEECTMD732.40
CT THORAX W/CONTRAST PRO FEECTMD611.65
CT THORAX W/O CONTRAST PRO FEECTMD480.40
CT UPPER EXT W W/O CONTRAST PRO FEECTMD737.65
CT UPPER EXT W/CONTRAST PRO FEECTMD590.65
CT UPPER EXT W/O CONTRAST PRO FEECTMD477.80
ABD PARACENTESIS W/IMAGINGED1,560.30
AMPUTATION OF FINGER/THUMBED2,126.85
ANOSCOPY W/REMVL FOREIGN BODYED1,653.80
APPL SPLINT FNGR STATICED188.80
APPL SPLINT LONG ARMED288.00
APPL SPLINT LONG LEGED584.00
APPL SPLINT SHT ARM STATIED384.70
APPL SPLINT SHT LEGED384.70
ARTERIAL PUNCT DX BLD DRWED98.00
ARTHR/ASP/INJ INT JNT/BRSED616.40
ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSAED621.70
AVUL NAIL PRTL/COMPLT SINGED325.35
BX SKIN SUBQ MUC MEMB 1 LESIONED621.70
CARDIOPULMONARY RESUSED855.35
CARDIOVERSION ELECTIVE EXED790.40
CATH INSERT FOLEY SIMPLEED549.85
CATH INSRT BLADDR NONINDWED265.50
CATH INSRT FOLEY COMPLEXED188.80
CD TRT DSL HIP TRAUM W/AED1,792.05
CD TRT DSL IPJNT W/M WO/AED672.40
CD TRT DSL SHLDR W/M W/AED2,732.30
CD TRT DSL SHLDR W/M WO/AED1,025.20
CD TRT FX BIMALLEO WO/MED378.75
CD TRT FX DIS RAD/EP WO/MED577.00
CD TRT FX HUM CONDYL W/MANIPED627.70
CD TRT FX LAT MAL W/MED564.10
CD TRT FX METACARP EA WOMED590.10
CD TRT FX METACP W/M EAED634.05
CD TRT FX NAS BN W/O STBNED2,166.00
CD TRT FX PHLNG SHFT W/MED1,025.20
CD TRT FX PHLNX/NG W/MED672.40
CD TRT FX RADIUS/ULNAED530.90
CD TRT FX SHOULDER DISL W/MANIPED3,022.10
CD TRT FX TOE DISLOC W/O ANESTHED627.70
CD TRT FX TRIMALLEOARED437.20
CD TRT SUBLX RAD HEAD W/MED678.40
CENTRAL LINE PLACEMENT>5ED2,637.90
CHANGE OF BLADDER TUBEED441.00
CL TX FINGER FX W MANIPED436.60
CL TX SCAPULAR FX W/MANIPED3,446.10
CLOSD MOUTH LAC RPR >2.5CMED1,218.40
CLOSED TX ANKLE DISLOC W/O ANESED564.10
CLOSED TX ANKLE FX W/MANIPED2,555.70
CLS TX FEM FX PROX END NECK W/MANIPED1,907.35
CLSD TX CLAVICLE FX W/MANIPED659.40
CLSD TX FX ULNAR STYLOIDED550.85
CLSD TX FX ULNAR STYLOIDED550.85
CLSD TX PST HIP DISCLOC W/O ANESED551.30
CLSD TX RESET DISLOCATED JAWED591.20
CLSD TX TIBIAL FX W/MANIPED437.20
CLSD TX TOE DISLOC WO ANESED628.45
CLTX PROX FIBULA SHAFT FX W MANIJ PRO FEED3,387.00
CLTX SHLDR DISLOC W MANIPED2,556.55
CLTX TIBIAL FX W/WO MANI SKELETAL TRACJED6,843.00
CONTROL OF NOSEBLEEDED271.35
CONTROL OF NOSEBLEEDED381.20
CONTROL THROAT BLEEDING SIMPLEED469.60
CRITICAL CARE IN ED, MARKER CHGED0.00
DEBR ECZEM/INFCT SKN 10%ED483.70
DEBR SKN & SUBQ TISSUEED798.70
DEBR SKN/SQ TISSUE/MUSCLEED460.10
DEBR/REM FB SKIN/SQ/MUS/BONEED2,462.10
DESTRUCTION B9 LESION UP TO 14ED422.05
DRAIINAGE OF MOUTH LESION, SIMPLEED672.40
DRAIN BLADDER BY NEEDLEED1,484.70
DRAIN EXTERNAL EAR LESIONED629.65
DRAIN OUTER EAR CANAL LESIONED629.65
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDEED657.10
DRAINAGE ABCESS FINGER SIMPLEED764.15
DRAINAGE EYELID ABSCESSED710.90
DRAINAGE OF ARM BURSAED3,538.50
DRAINAGE OF GUM LESIONED618.20
DRESS/DEBRID BURN W/O ANESTHED241.90
DRESS/DEBRID PT-THICK BURN LGED652.10
DRIANAGE OF GLAND ABCESSED412.90
DRS/DBD BURN W/O ANS SMLED346.90
DX LARYNGOSCOPY EXCL NBED2,667.00
ECG-1-3 LEAD TRACING ONLYED96.80
ECG-12 LEADS TRACING ONLYED689.00
ED NURSE ONLY - NO CHGED0.00
ED VISIT CC SVCS ADL 30MNED853.00
ED VISIT LEVEL 1ED369.45
ED VISIT LEVEL 2ED1,160.85
ED VISIT LEVEL 3ED2,170.60
ED VISIT LEVEL 4ED3,159.25
ED VISIT LEVEL 5ED5,720.35
ED VISIT LEVEL 6 CC SVCSED9,908.30
EVAC SUBUNGUAL HEMATOMAED171.20
EXC B9 LESION MRGN S,N,H,F,G 2.1-3 PR FED2,888.60
EXC BEN LES INC MAR HEAD/FT/GENIT <.5CMED882.00
EXC TR EXT B9+MARG 1.1-2 CMED1,131.90
EXCISION OLECRANON BURSAED6,884.90
EXPL PENETRATING WOUND ABD/BACKED3,934.95
EXPLOR PENETRATING WOUND EXTREMITYED1,188.50
FRACTURE TREATMENT IN ED, MARKER CHGED0.00
GLUCOSE BY REAGENT STRIPED26.05
I&D ABCESS PERITONSILLARED442.50
I&D ABSCESS SIMPLE/SINGLEED384.70
I&D ABSCESS/CYST COMPLEXED482.60
I&D DEEP ABSC BURSA THIGH/KNEEED6,242.30
I&D HEMAT/SEROMA/FLDED1,541.90
I&D PILONIDAL CYST SIMPLEED716.40
I&D PILONIDAL CYST SIMPLEED716.40
I&D VULVA/PERINEAL ABSCESSED415.75
IMMUN ADMIN ADDL EA COMBOED63.75
INC/REM FB SUBCUT COMPLEXED1,810.90
INC/REM FB SUBCUT SIMPLEED500.20
INCISION ANAL ABCESSED950.95
INCISIONAL BX SKIN EA ADDLED436.80
INCISIONAL BX SKIN SINGLE LESED824.30
INCS THROMBOSED HEMOR EXTED567.90
INFUSION 2ND LINE <1 HRED144.00
INFUSION CONCURRENT LINE >1 HRED249.85
INFUSION HYDRATION < 1 HRED1,330.80
INFUSION HYDRATION > 1 HRED685.45
INFUSION THER/DX <1 HOURED614.70
INFUSION THER/DX 1-8HR EAED451.90
INJ THER-PROP-DX SQ-IMED230.10
INJ TRIG PNT 1 OR 2 MUSCLED660.70
INJ/ANES OTHR PERIPHERALED614.20
INJECT TRIGGER POINTS 3+ MUSCLESED614.20
INS NON-TUNNEL CATH VENOUS <5YED2,870.70
INSERT PICC CATHED2,063.30
INSERT TUNNELED CV CATHED6,506.00
INTRAOSSEOUS NEEDLE PLACEED988.65
INTUBATE ET EMERGENTED2,208.50
IV PLC OF NDL W/CAP ONLYED207.75
IV PUSH ADDL-NEW DRUGED221.90
IV PUSH ADDL-SAME DRUGED204.25
IV PUSH SINGLE-INIT DRUGED285.70
IV PUSH/INF/HYDRATION IN ED, MARKER CHGED0.00
LACERATION REPAIR IN ED, MARKER CHGED0.00
LAV PERITON/ABD PARA INTLED1,998.20
LAY CLS FC/MUC 736-12.5 CMED404.85
LAY CLS FC/MUC<2.5CMED525.10
LAY CLS FC/MUC2.6-5.0CMED525.10
LAY CLS FC/MUC20.1-30 CMED525.10
LAY CLS FC/MUC5.1-7.5 CMED634.05
LAY CLS NK/HND/FT<2.5CMED525.10
LAY CLS NK/HND/FT2.6-7.5CMED606.10
LAY CLS TK/EXT <2.5 CMED618.20
LAY CLS TK/EXT 12.6-20 CMED577.70
LAY CLS TK/EXT 2.6-7.5 CMED618.20
LAY CLS TK/EXT 7.6-12.5CMED617.10
LEG SURGERY PROCEDUREED524.55
MOD SED SAME PHYS >5 YRS 1st 30MED220.50
MOD SED SAME PHYS>5 YRS EA ADDL 15MED110.30
NERVE BLOCK INJ OCCIPITALED657.10
NERVE BLOCK INJ OCCIPITALED657.10
NERVE BLOCK INJ TRIGEMINALED621.70
NG TUBE INSERTIONED1,177.40
O2 SAT MEAS SNGL READED56.70
OCCULT BLOOD FECESED82.60
OPN TRT FX DIST PHLNG EAED3,519.10
PEAK FLOW MEASUREED113.35
PHLEBOTOMY THERAPUETICED90.90
POS AIRWAY PRESSURE CPAPED488.30
PREGNANCY TESTED79.10
PUNCH BX SKIN EA ADDLED245.70
PUNCH BX SKIN SINGLE LESED463.10
PUNCT/ASP ABCS/HEM/BUL/CYED190.00
RAPID STREP SCREENED109.85
REM FB CORNEAL WO/SLITLMPED564.00
REM FB EAR CABAK WO/ANESTED222.70
REM FB EYE EXT CNJT SUPERED275.75
REM FB INTRANASALED275.75
REM IMPACT CERUMEN UN/BILED118.10
REM OF FOREIGN BODY FR PHARYNXED866.30
REMOV FB EYE CORNEA W SLIT LAMPED726.70
REMOVAL OF NAIL BEDED672.40
REMOVAL OF SKIN TAGS ED324.15
REMOVE FOREARM FBED3,189.90
REMOVE IMPACTED EAR WAX UNIED161.65
REP CMLX FC/HND/GN AD<5CMED593.30
REP CMLX FC/HND/GN1.1-2.5ED652.10
REP CMLX FC/HND/GN2.6-7.5ED593.30
REP LAC FAC/MUC <2.5CMED623.00
REP LAC FAC/MUC 5.1-7.5CMED344.60
REP LAC FAC/MUC 7.6-12.5CED525.10
REP LAC SCP/NK 7.6-12.5CMED525.10
REP LAC SCP/NK/TNK <2.5CMED870.70
REP LAC SCP/NK/TNK2.5-7.5ED965.10
REP LAC SIMPLE 12.6-20 CMED884.80
REP LAC SIMPLE 20.1-30 CMED793.80
REPAIR COMPLEX TRUNK 2.6-7.5 CMED1,281.55
REPAIR COMPX SCALP/ARM/LEG 2.6-7.5CMED923.80
REPAIR FINGER TENDONED2,831.20
REPAIR LAC TONGUE FLOOR MOUTH >2.6CMED1,898.50
REPAIR NAIL BED EAED1,181.90
REPAIR OF VAGINAED4,771.20
REPAIR SIMPLE F/E/E/N/L 2.6-5CMED354.00
REPAIR TONGUE LACERATION <2.5CMED251.40
REPR INTERM SCALP/AX/TRNK/EXTED1,267.40
RMVL DEVITAL TIS 20CM<ED1,021.70
RN AMBULANCE ESCORT/HOURED127.50
RPLC GASTRO TUBE NO REV/GUIDED608.00
RPR WOUND, LESION EA ADDL <5CMED906.30
SHV EP/DM LS/TR/AR/LG<0.5ED321.95
SHV EP/DM LS/TR/AR/LG<0.5ED321.95
SPINAL PUNCT LUMBAR DXED1,298.75
SVN INITIAL TREATMENTED343.40
SVN SUBSEQUENT (EA)ED259.60
TANGNTL BX SKIN EA ADDLED245.70
TANGNTL BX SKIN SINGLE LES (SHV,SCOOP)ED463.10
THORACENTESISED1,669.30
THORACENTESIS PUNCT ASPIRED569.90
THORACENTESIS W/IMAGING GUIDANCEED1,286.30
THOROCOSTOMY TUBE PLACEDED953.80
THROAT SURGERY PROCEDURE UNSPECED824.30
THROMBOLYSIS TX CORONARYED497.90
TRANSFUSE BLOOD/BLD PRODED2,131.70
TREAT LOWER LEG FRACTUREED3,022.10
TREAT WRIST BONE FXED2,555.70
TREAT WRIST BONE FXED2,555.70
TX BIG TOE FRACTUREED2,561.00
TX CLOSED HEEL FXED564.10
TX FX RADIUS & ULNAED1,461.60
UA DIP WO/MICROED28.40
UPPER ARM ELBOW SURG UNLISTEDED567.00
VAGINAL DELIVERY ONLYED979.00
VENIPUNCTURE, EDED40.20
ABD PARACENTESIS W/IMAGING PRO FEEEDMD296.10
AMPUTATION OF FINGER/THUMB PRO FEEEDMD1,820.10
ANOSCOPY W/REMVL FOREIGN BODY PRO FEEEDMD231.55
APPL CAST LONG ARMEDMD230.10
APPL CAST SHT LEGEDMD221.90
APPL SPLINT FNGR STATICEDMD113.35
APPL SPLINT LONG ARMEDMD200.60
APPL SPLINT LONG LEGEDMD256.05
APPL SPLINT SHT ARM DYNAMEDMD249.00
APPL SPLINT SHT ARM STATIEDMD171.20
APPL SPLINT SHT LEGEDMD166.40
ARTERIAL CATH PERCUTANEOUEDMD154.60
ARTHR/ASP/INJ INT JNT/BRSEDMD223.10
ARTHR/ASP/INJ MJR JNT/BRSEDMD205.35
ARTHR/ASP/INJ SM JNT/BRSEDMD195.95
AVUL NAIL PRTL/CMPLT SINGEDMD185.20
BX SKN/SQ/MUC MEMB SINGLEEDMD226.60
CARDIOPULMONARY RESUSEDMD619.40
CARDIOVERSION ELECTIVE EXEDMD471.90
CAST REM FULL ARM/LEGEDMD178.20
CD TRT DSL ELBOW W/AEDMD1,710.60
CD TRT DSL ELBOW WO/AEDMD1,087.75
CD TRT DSL HIP TRAUM W/AEDMD1,984.30
CD TRT DSL IPJNT W/M WO/AEDMD722.05
CD TRT DSL PATELLAR WO/AEDMD948.50
CD TRT DSL PATTELLAR W/AEDMD1,254.10
CD TRT DSL SHLDR W/M W/AEDMD1,217.55
CD TRT DSL SHLDR W/M WO/AEDMD752.70
CD TRT FX BIMALLEO WO/MEDMD1,597.30
CD TRT FX CLAVIC W/O MANEDMD573.40
CD TRT FX DIS RAD/EP W/MEDMD1,559.60
CD TRT FX DIS RAD/EP WO/MEDMD847.10
CD TRT FX DIST PHLNG WO/MEDMD923.80
CD TRT FX HUM CONDYLAR W/MANIPEDMD1,527.80
CD TRT FX HUM SHFT WO/MEDMD848.30
CD TRT FX HUM/PROX W/MANEDMD1,362.60
CD TRT FX LAT MAL W/M PRO FEEEDMD1,477.05
CD TRT FX LAT MAL WO/MEDMD825.90
CD TRT FX MED MALLOS WO/MEDMD849.40
CD TRT FX METACARP EA WOM PRO FEEEDMD750.80
CD TRT FX METACP W/M EA PRO FEEEDMD1,000.45
CD TRT FX NAS BN W/O STBNEDMD559.25
CD TRT FX PHL SHFT WOM EAEDMD450.70
CD TRT FX PHLNG SHFT W/MEDMD1,000.45
CD TRT FX PHLNX/NG W/MEDMD408.30
CD TRT FX RAD SHFT WO/MEDMD1,425.10
CD TRT FX RADIUS/ULNAEDMD1,545.40
CD TRT FX SHOULDER DISL W/MANIP PRO FEEEDMD1,397.00
CD TRT FX TIB SHFT WO/MEDMD946.20
CD TRT FX TOE DISLOC W/O ANESTHEDMD330.35
CD TRT FX TRIMALLEOAR W/M PRO FEEEDMD1,742.40
CD TRT SUBLX RAD HEAD W/MEDMD350.40
CD TX DISTAL FINGER FX PRO FEEEDMD735.00
CENTRAL LINE PLCMT > 5 YREDMD707.80
CHANGE OF BLADDER TUBE PRO FEEEDMD146.75
CHEMODENERVATE MUSC MIGRAINEDMD339.20
CL TX FINGER FX W MANIP PRO FEEEDMD1,283.30
CL TX SCAPULAR FX W/MANIP PRO FEEEDMD1,022.70
CLOSD MOUTH LAC RPR >2.5CM PRO FEEEDMD650.50
CLOSED TX ANKLE DISLOC W/O ANES PRO FEEEDMD1,003.60
CLOSED TX ANKLE FX W/MANIP PRO FEEEDMD693.55
CLS TX FEM FX PROX END NECK W/MANIP PROEDMD2,136.65
CLSD TX CLAVICLE FX W/MANIP PRO FEEEDMD1,135.10
CLSD TX FX ULNAR STYLOID PRO FEEEDMD842.30
CLSD TX PST HIP DISCLOC W/O ANES PRO FEEEDMD1,125.80
CLSD TX RESET DISLOCATED JAW PRO FEEEDMD86.10
CLSD TX TIBIAL FX W/MANIP PRO FEEEDMD1,807.10
CLSD TX TOE DISLOC WO ANES PRO FEEEDMD360.60
CLTX PROX FIBULA SHAFT FX W MANIJEDMD1,034.00
CLTX SHLDR DISLOC W MANIP PRO FEEEDMD1,063.70
CLTX TIBIAL FX W/WO MANI SKEL TRAC PR FEEDMD1,500.00
CONTROL THROAT BLEEDING SIMPLEEDMD749.20
CTL HEMORR NAS POST PACKSEDMD613.50
CTL HEMORRAGE NASAL ANTEREDMD271.35
CTL HEMORRHAGIC NASAL POSTERIOREDMD394.10
DEBR ECZEM/INFCT SKN 10%EDMD109.85
DEBR SKN & SUBQ TISSUEEDMD219.60
DEBR/REM FB SKIN/SQ/MUS/BONEEDMD1,490.10
DESTRUCTION B9 LESION UP TO 14 PRO FEEEDMD310.65
DRAIINAGE OF MOUTH LESION, SIMPLEEDMD407.10
DRAIN BLADDER BY NEEDLE PRO FEEEDMD105.85
DRAIN EXTERNAL EAR LESIONEDMD562.75
DRAIN OUTER EAR CANAL LESION PRO FEEEDMD619.50
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDEEDMD185.20
DRAINAGE ABCESS FINGER SIMPLE PRO FEEEDMD402.30
DRAINAGE EYELID ABSCESS PRO FEEEDMD310.80
DRAINAGE OF ARM BURSA PRO FEEEDMD433.70
DRAINAGE OF GLAND ABCESSEDMD273.80
DRAINAGE OF GUM LESIONEDMD526.30
DRESS/DEBRID BURN W/O ANESTHEDMD477.90
DRESS/DEBRID PT-THICK BURN LG PRO FEEEDMD441.00
DRS/DED BURN W/O ANS SMLEDMD252.60
DX LARYNGOSCOPY EXCL NB PRO FEEEDMD542.35
ECG-12 LEAD INTP REPORT ONLYEDMD66.20
ED CC SVCS 30-74 MINEDMD733.85
ED CC SVCS ADDL 30 MIN ++EDMD366.90
ED MD EMS DIRECTED ALSEDMD459.00
ED VISIT COMPREHENSIVEEDMD736.20
ED VISIT DETAILEDEDMD494.40
ED VISIT EXPANDEDEDMD220.60
ED VISIT EXPANDED/MODEREDMD330.35
ED VISIT PROBLEM FOCUSEDEDMD162.90
EVAC SUBUNGUAL HEMATOMAEDMD85.10
EX BN LS/TRK/ARM/LG 3.1-4EDMD520.30
EXC B9 LESION MRGN S,N,H,F,G 2.1-3EDMD423.85
EXC BEN LES HEAD/FT/GENIT <.5CM PRO FEEEDMD224.90
EXC TR EXT B9+MARG 1.1-2 CM PRO FEEEDMD443.10
EXCISION OLECRANON BURSA PRO FEEEDMD957.40
EXPL PENETRATING WOUND ABD/BACK PRO FEEEDMD1,370.05
EXPLOR PENETRATING WOUND EXTRMTY PRO FEEEDMD991.30
HSP CARE INITIAL / HIGHEDMD411.80
HSP CARE INITIAL / MODERATEEDMD335.10
HSP CARE INITIAL LOWEDMD249.00
HSP CARE SUBQ / HIGHEDMD241.90
HSP CARE SUBQ/EXPNDED/MODEDMD178.20
HSP CARE SUBQ/FOCUSED/LOWEDMD125.20
HSP DISCHARG MGMT/MD/<30EDMD211.30
HSP DISCHARG MGMT/MD/>31EDMD264.30
I&D ABCESS PERITONSILLAREDMD514.45
I&D ABSCESS SIMPLE/SINGLEEDMD270.30
I&D ABSCESS/CYST COMPLEXEDMD541.60
I&D DEEP ABSC BURSA THIGH/KNEE PRO FEEEDMD1,371.30
I&D HEMAT/SEROMA/FLDEDMD446.00
I&D PILONIDAL CYST SIMPLE PRO FEEEDMD413.30
I&D VULVA/PERINEAL ABSCESS PRO FEEEDMD371.65
INC/REM FB SUBCUT COMPLEXEDMD825.90
INC/REM FB SUBCUT SIMPLEEDMD381.20
INCISION ANAL ABCESS PRO FEEEDMD494.35
INCISIONAL BX SKIN EA ADDL PRO FEEEDMD88.20
INCISIONAL BX SKIN SINGLE LES PRO FEEEDMD164.90
INCS THROMBOSED HEMOR EXT PRO FEEEDMD301.10
INJ TEND SHTH/LIG/APNEUROEDMD263.20
INJ TRIG PNT 1 OR 2 MUSCLEDMD263.20
INJ/ANES OTHR PERIPHERAL PRO FEEEDMD291.45
INJECT TRIGGER POINTS 3+ MUSCLES PRO FEEEDMD178.60
INJECTION THERAPEUTICEDMD139.30
INS NON-TUNNEL CATH VENOUS <5Y PRO FEEEDMD233.10
INSERT PICC CATH PRO FEEEDMD232.50
INSERT TUNNELED CV CATH PRO FEEEDMD755.30
INTL TRMT 1DEG BURN/LOCALEDMD188.80
INTRAOSSEOUS NEEDLE PLACEEDMD440.20
INTUBATE ET EMERGENTEDMD422.50
LAV PERITON/ABD PARA INTLEDMD407.10
LAY CLS FC/MUC 7.6-12.5 CMEDMD1,037.05
LAY CLS FC/MUC<2.5 CMEDMD588.75
LAY CLS FC/MUC2.6-5.0 CMEDMD552.15
LAY CLS FC/MUC5.1-7.5 CM PRO FEEEDMD650.10
LAY CLS NK/HND/FT<2.5 CMEDMD495.50
LAY CLS NK/HND/FT2.6-7.5CEDMD588.75
LAY CLS NK/HND/FT7.6-12.5EDMD656.10
LAY CLS TK/EXT <2.5 CMEDMD447.20
LAY CLS TK/EXT 12.6-20 CM PRO FEEEDMD821.50
LAY CLS TK/EXT 2.6-7.5 CMEDMD575.80
LAY CLS TK/EXT 7.6-12.5CMEDMD648.85
LEG SURGERY PROCEDURE PRO FEEEDMD367.50
MEDICAL SCREENING EXAMEDMD70.80
MOD SED SAME PHYS <5 YRSEDMD181.70
MOD SED SAME PHYS >5 YRS 1st 30M PRO FEEEDMD151.15
MOD SED SAME PHYS>5 YR EA AD 15M PRO FEEDMD76.20
NERVE BLOCK INJ OCCIPITALEDMD191.20
NERVE BLOCK INJ TRIGEMINALEDMD216.00
NERVE BLOCK INJECTION FACIALEDMD547.40
NG TUBE INSERTIONEDMD346.90
OBS/ HSP ADM/DIS SAME DAY HIGHEDMD535.60
OBS/ HSP ADM/DIS SAME DAY HIGHEDMD535.60
OBS/ HSP ADM/DIS SAME DAY LOWEDMD351.60
OBS/ HSP ADM/DIS SAME DAY MODEDMD477.90
OBS/ HSP ADM/DIS SAME DAY MODEDMD477.90
OBSERV DISCH DIFF DAYEDMD160.55
OBSERVATION SUBS HIGHEDMD247.75
OBSERVATION SUBS HIGHEDMD247.75
OBSERVATION SUBS LOWEDMD109.85
OBSERVATION SUBS LOWEDMD109.85
OBSERVATION SUBS MODERATEEDMD167.60
OBSRV H&P HIGH CMPLXEDMD341.05
OBSRV H&P LOW CMPLXEDMD200.60
OBSRV H&P MOD CMPLXEDMD272.60
OPN TRT FX DIST PHLNG EAEDMD1,136.20
PARTIAL AMPUTATION OF TOEEDMD1,714.20
PESSARYEDMD178.20
PUNCH BX SKIN EA ADDL PRO FEEEDMD73.50
PUNCH BX SKIN SINGLE LES PRO FEEEDMD135.50
PUNCT/ASP ABCS/HEM/BUL/CYEDMD326.80
REM FB CORNEAL WO/SLITLMPEDMD284.35
REM FB EAR CABAK WO/ANEST PRO FEEEDMD326.80
REM FB EYE EXT CNJT SUPEREDMD244.25
REM FB EYE EXT CONJ EMBEDEDMD264.30
REM FB INTRANASAL PRO FEEEDMD368.15
REM IMPACT CERUMEN UN/BIL PRO FEEEDMD128.70
REM OF FOREIGN BODY FR PHARYNX PRO FEEEDMD329.80
REMOV FB EYE CORNEA W SLIT LAMP PRO FEEEDMD163.20
REMOVAL OF NAIL BED PRO FEEEDMD471.90
REMOVAL OF SKIN TAGS EDMD206.30
REMOVE FOREARM FB PRO FEEEDMD1,110.90
REMOVE IMPACTED EAR WAX UNIEDMD39.10
REP CMLX FC/HND/GN AD<5CM PRO FEEEDMD349.30
REP CMLX FC/HND/GN1.1-2.5 PRO FEEEDMD689.00
REP CMLX FC/HND/GN2.6-7.5 PRO FEEEDMD1,068.90
REP CMLX LD/N/E/L1.1-2.5EDMD867.15
REP CMLX LD/N/E/L2.6-7.5EDMD1,692.90
REP CMLX SCLP/LIMB2.6-7.5EDMD904.85
REP LAC FAC/MUC <2.5CMEDMD494.40
REP LAC FAC/MUC 2.6-5.0CMEDMD579.30
REP LAC FAC/MUC 5.1-7.5CMEDMD538.00
REP LAC FAC/MUC 7.6-12.5C PRO FEEEDMD749.20
REP LAC SCP/NK 7.6-12.5CMEDMD612.40
REP LAC SCP/NK/TNK <2.5CMEDMD409.40
REP LAC SCP/NK/TNK2.5-7.5EDMD494.40
REP LAC SIMPLE 12.6-20 CMEDMD646.55
REP LAC SIMPLE 20.1-30 CM PRO FEEEDMD674.75
REPAIR COMPLEX TRUNK 2.6-7.5 CM PRO FEEEDMD689.90
REPAIR FINGER TENDONEDMD1,415.60
REPAIR NAIL BED EAEDMD343.40
REPAIR OF VAGINAEDMD863.10
REPAIR TONGUE LACERATION <2.5CM PRO FEEEDMD920.20
REPR INTERM SCALP/AX/TRNK/EXT PRO FEEEDMD761.30
RMVL DEVITAL TIS 20CM<EDMD131.00
RPLC GASTRO TUBE NO REV/GUID PRO FEEEDMD105.00
RPR LAC TONGUE FLOOR MOUTH >2.6CM PRO FEEDMD904.10
RPR WOUND, LESION EA ADDL <5CM PRO FEEEDMD402.30
SHV EP/DM LS/TR/AR/LG<0.5 PRO FEEEDMD99.25
SPINAL PUNCT LUMBAR DX PRO FEEEDMD789.30
TANGNTL BX SKIN EA ADDL PRO FEEEDMD62.00
TANGNTL BX SKIN SINGLE LES PRO FEEEDMD108.20
THORACENTESISEDMD428.35
THORACENTESIS W/IMAGING GUIDANCE PRO FEEEDMD304.50
THORACENTESIS W/O IMAGING GUIDANCEEDMD703.20
THOROCOSTOMY TUBE PLACED PRO FEEEDMD661.90
THROAT SURGERY PROCEDURE UNSPEC PRO FEEEDMD257.30
TREAT LOWER LEG FRACTUREEDMD1,397.00
TREAT WRIST BONE FX PRO FEEEDMD1,278.40
TX BIG TOE FRACTURE PRO FEEEDMD1,085.70
TX CLOSED HEEL FRACTURE PRO FEEEDMD960.10
TX FX RADIUS & ULNA PRO FEEEDMD1,108.80
UPPER ARM ELBOW SURGERY UNLISTED PRO FEEEDMD357.00
VAGINAL DELIVERY ONLYEDMD3,883.60
HISTORICAL CHARGESHIST0.00
MIGRATION BALANCING ADJUSTMENTHIST0.00
MIGRATION DEFAULTHIST0.00
17-HYDROXYPREGNENOLONE LEVEL /SOLAB73.90
5 HIAA URINE /SOLAB41.80
A1C /SOLAB185.20
AB CANDIDA /SOLAB38.90
AB COXIELLA BURNET II Q FEVER /SOLAB39.90
AB CYTOMEGALOVIRUS /SOLAB46.60
AB CYTOMEGALOVIRUS IGM /SOLAB54.60
AB EPSTEIN BARR NUCLEAR AG /SOLAB49.60
AB EPSTEIN-BARR VIRAL CAPSID /SOLAB58.80
AB HEP DELTA AGENT /SOLAB55.60
AB VIRUS NOT ELSEWHERE CLASSIFIED /SOLAB41.75
ACETOMINOPHENLAB390.55
ACTH /SOLAB125.20
AFP /SOLAB54.35
ALBUMINLAB89.80
ALCOHOL BLOODLAB207.75
ALDOLASE /SOLAB31.45
ALDOSTERONE ASSAY /SOLAB132.05
ALK PHOS ISOENZYMES /SOLAB83.80
ALKALOIDS NOS /SOLAB30.70
ALLERGEN IGE, EA ALLERGEN /SOLAB16.90
ALLERGEN SPEC IGG QUAN/SEMIQUAN EA /SOLAB20.55
ALPHA 1 ANTITRUPSIN /SOLAB43.20
ALPHA 1 ANTITRYPSIN PHENOTYPE /SOLAB46.90
AMH /SOLAB45.30
AMINO ACID ANALYSIS /SOLAB54.70
AMMONIA /SOLAB214.80
AMMONIA- BLOODLAB214.80
AMYLASELAB186.55
AMYLASE /SOLAB186.55
ANA LYZER /SOLAB39.20
ANA TITER /SOLAB36.20
ANCA SCREEN /SOLAB48.80
ANGIOTENSION CONV ENZY/SOLAB47.30
ANIBODY FUNGUS /SOLAB39.70
Anti human globulin RBC titerLAB13.60
ANTI-DNA /SOLAB44.50
ANTIBODY COCCIDIOIDES S/OLAB33.60
ANTIBODY DETECTION NOS IF /SOLAB42.30
ANTIEPILEPTIC LEVEL ETHOSUXIMIDE /SOLAB13.00
ANTINUCLEAR ANTIBODY/SOLAB39.20
ANTITHROMBIN III ANTIGEN /SOLAB35.00
ANTITHROMBIN III PAN /SOLAB38.40
APOLIPOPROTEIN A-1 /SOLAB55.35
ARSENIC /SOLAB61.50
ARTERIAL PUNC/BLOOD WTHDRLAB88.60
ASO TITER /SOLAB23.65
ASPERGILLUS AG IA S/OLAB35.00
Aspergillus antibody screen S/OLAB43.90
ASSAY LIPOPROTEIN PLA2 /SOLAB122.20
ASSAY OF ANDROSTENEDIONE /SOLAB105.40
ASSAY OF CALCITONIN /SOLAB86.85
ASSAY OF CALPROTECTIN FECAL /SOLAB63.10
ASSAY OF CRYOFIBRINOGEN /SOLAB37.10
ASSAY OF CRYOGLOBULIN SEMI QUANT /SOLAB20.95
ASSAY OF G6PD ENZYME /SOLAB31.35
ASSAY OF GLYCATED PROTEIN /SOLAB48.85
ASSAY OF HISTAMINE /SOLAB96.60
ASSAY OF LDH ENZYMES /SOLAB41.50
ASSAY OF LIPOPROTEIN (A) /SOLAB41.95
ASSAY OF PREGNENOLONE /SOLAB67.00
ASSAY OF PROSTAGLNDIN EACH /SOLAB110.30
ASSAY OF PROTEIN SERUM INHOUSELAB14.80
ASSAY OF SELENIUM /SOLAB82.75
ASSAY OF URINE, UREA NIT /SOLAB15.40
ASSAY OF VASOPRESSIN /SOLAB110.00
ASSAY OF VIT E TOCOPHEROL ALPHA /SOLAB46.00
ASSAY OF VITAMIN NOS /SOLAB44.80
ASSAY PH BODY FLUID NOS /SOLAB11.60
B-2 GLYCOPROTEIN /SOLAB82.50
B-2 MICROGLOBULIN /SOLAB52.40
BACTERIUM ANTIBODY S/OLAB37.55
BARTONELLA HENSELEA /SOLAB33.00
BASIC METABOLIC PANELLAB188.80
BENZODIAZEPINES /SOLAB17.80
BETA 2 MICROGLOBULIN /SOLAB52.40
BETA STREP SCREEN/QLAB10.15
BILE ACID /SOLAB55.50
BILIRUBIN TOTALLAB88.60
BILIRUBIN- DIRECTLAB90.90
BLASTOMYCES ANTIBODY S/OLAB37.65
BLOOD CLOTTING FACTOR X /SOLAB69.60
BLOOD FUNGUS CULTURE S/OLAB53.70
BLOOD OCCULT FECAL HGB IA QUAL 1-3LAB59.75
BLOOD OCCULT FECAL HGB IA QUAL 1-3 /S0LAB59.75
BLOOD SMEAR INTERPRETATION /SOLAB67.10
Blood typing, RBC Ag not ABO/Rh ea.LAB10.10
BMP /SOLAB4.90
BRCA1&2 SEQ & FULL DUP/DEL /SOLAB5,913.60
C PEPTIDE /SOLAB67.50
C REACTIVE PROTEIN /SOLAB20.85
C-REACTIVE PROTEIN HS /SOLAB250.20
C-REACTIVE PROTEIN INHOUSELAB20.85
C. DIFF TOXIN, EIA/SOLAB38.90
CA 125 /SOLAB67.50
CA 15-3 /SOLAB67.50
CA 27.29 (BR27.29) /SOLAB67.50
CA19-9 /SOLAB67.50
CADMIUM ASSAY /SOLAB75.00
CALCIUM /SOLAB68.50
CALCIUM IONIZED /SOLAB44.30
CALCIUM URINE QUANT TIMED SPECIMEN /SOLAB19.55
CALCIUM- BLOODLAB68.50
CALCULUS INFRARED SPECTROSCOPY /SOLAB41.80
CANDIDA DNA AMP PROBE /SOLAB113.70
CANDIDA DNA DIR PROBE /SOLAB65.00
CARBON DIOXIDE BLOOD ASSAY /SOLAB15.80
CARBOXYHEMOGLOBIN /SOLAB39.90
CARDIO IQ (TM) HDL CHOL /SOLAB26.60
CARDIO IQ (TM) LIPO, ION /SOLAB102.20
CARDIOLIPIN AB SCREEN /SOLAB82.50
CATECHOLAMINES /SOLAB81.85
CBC W/AUTO DIFFLAB171.20
CBC W/MANUAL DIFFLAB121.65
CBC W/O DIFFERENTIALLAB135.80
CEA /SOLAB61.45
CELIAC DIAGNOSTIC PNL /SOLAB37.40
CELL COUNT (BODY FLUID) /SOLAB17.90
CELL CT ONLY SN FLD/CSF /SOLAB106.20
CENTRAL LINE BLOOD DRAWLAB37.90
CERULOPLASMIN /SOLAB34.80
CHEMILUMINESCENT ASSAY /SOLAB45.80
CHLAMYDIA ANTIBODY /SOLAB38.35
CHLAMYDIA CULTURE ANY SOURCE /SOLAB63.50
CHLAMYDIA DNA,SDA /SOLAB113.70
CHLAMYDIA IGM ANTIBODY /SOLAB20.10
CHLAMYDIA PENUMONIAE /SOLAB113.70
CHLORIDE, BLOOD /SOLAB14.90
CHLORIDE,URINE /SOLAB16.30
CHOLESTEROL- TOTALLAB47.20
CHP BLOOD DRAWLAB36.80
CHROMIUM,PLASMA /SOLAB65.75
CHROMOGRANIN A /SOLAB67.50
CHROMOSOME ANALYSIS /SOLAB253.70
CITRATE URINE /SOLAB11.80
CKMB - CREATINE KINASE MB FRACTION /SOLAB37.45
CLINICAL MONITORING II /SOLAB56.70
CLOSTRIDIUM DIFF AMPLIFIED PROBE /SOLAB113.70
CLOTTING FACTOR VIII AHG 1 STAGE /SOLAB58.00
CLOTTING FACTOR VIII VW FACTOR ANTGN /SOLAB74.35
CLOTTING FACTOR VIII VW MEASURE /SOLAB74.35
CLOTTING FACTR VIII VW MULTIMETRIC /SOLAB74.35
CMP /SOLAB224.20
COBALT,BLOOD /SOLAB92.20
COL CHROMOTOGRAPHY QUAL/QUAN /SOLAB67.85
COLLAGEN CROSSLINKS NTX /SOLAB60.55
COMPLEMENT C3C /SOLAB38.90
COMPLEMENT C4 /SOLAB56.10
COMPLEMENT CH50 /SOLAB65.85
COMPREHENSIVE METAB PANELLAB224.20
COPPER SERUM /SOLAB40.20
CORTISOL 24 URINE /SOLAB54.15
CORTISOL TOTAL /SOLAB52.80
COXSACKIE AB /SOLAB42.20
CP AB /SOLAB41.95
CPKLAB151.15
CPK /SOLAB151.15
CPK ISOENZYMESLAB161.65
CPK ISOENZYMES /SOLAB161.65
CREATININELAB99.10
CREATININE CLEARANCE 24 /SOLAB30.60
CREATININE URINELAB18.65
CREATININE/ URINE /SOLAB18.65
CROSS MATCH EACH UNITLAB507.30
CRP-HSLAB250.20
CRYOGLOBULIN QUAL SEMI-QUANT /SOLAB20.95
CRYPTOCOCCUS ANTIBODY / SOLAB42.00
CRYPTOSPORIDIUM AG IF /SOLAB38.90
CRYPTOSPORIDIUM OR INFECTIOUS AGENT /SOLAB21.65
CRYSTALS- SYNOVIAL FLUI /SOLAB23.20
CULT TYPE IMMUNOFLUORESC EA ANTISERM /SOLAB18.10
CULTURE AEROBIC /SOLAB27.95
CULTURE BACT ANAEROBIC EXCEPT BLOOD /SOLAB30.70
CULTURE SCREEN /SOLAB21.50
CULTURE STOOL /SOLAB30.60
CULTURE THROAT /SOLAB27.95
CULTURE TYPE IMMUN NOT FLUORES /SOLAB19.60
CULTURE TYPING GLC/HPLC /SOLAB40.60
CULTURE URINE /SOLAB26.15
CULTURE, BLOOD /SOLAB33.45
CULTURE-FUNGUS /SOLAB27.25
CYSTATIN C /SOLAB48.60
CYSTIC FIBROSIS SCREEN /SOLAB1,461.10
CYSTIC FIBROSIS SCREEN /SOLAB118.10
CYSTIEN URINE /SOLAB11.80
CYTOLOGY URINE /SOLAB83.50
CYTOMEGALOVIRUS DNA /SOLAB138.80
CYTOPATH C/V THIN LAYER /SOLAB65.65
CYTOPATH C/V THIN LAYER RESCREEN /SOLAB85.85
CYTOPATH CELL ENHANCE TECHNIQ SLCTV /SOLAB73.80
D DIMERLAB322.20
D DIMER / QLAB47.20
DETECT AGNT MULT DNA AMPLILAB204.80
DETECT DNA /SOLAB138.80
DHEA /SOLAB81.90
DHEA SULFATE /SOLAB72.05
DIGOXINLAB256.05
Dihydrotestosterone, LC/MS/MS QLAB38.40
DILANTIN (PHENYTOIN)LAB256.05
DIRECT ANTIGLOBULIN TEST /SOLAB17.45
DNA ANTIBODY SINGLE STRAND /SOLAB39.20
DOT Drug Testing - DATCOLAB94.50
DRUG ASSAY CYCLOSPORINE /SOLAB58.50
DRUG ASSAY EVEROLIMUS /SOLAB44.50
DRUG SCREEN CLINICAL /SOLAB424.75
DRUG SCREEN PRESUMPTIVE OPT INSTLAB80.30
DRUG SCREEN PRESUMPTIVE OPT INSTLAB80.30
DRUG SCREEN QUAN LAMOTRIGINE /SOLAB42.90
DRUG SCREEN QUANT MYCOPHENOLATE /SOLAB58.50
DRUG SCREEN V /SOLAB276.10
DRUG SCREEN/MULTI DRG CLSLAB276.10
DRUG SCRN QUANT OXCARBAZEPIN /SOLAB42.95
DRUG TEST DEF 1-7 CLASSES /SOLAB300.40
EHRLICA CANIS AB /SOLAB39.10
EHRLICHIA ABS /SOLAB33.00
ELASTASE PANCREATIC FECAL QUAL /SOLAB37.40
ELECTROLYTE PANELLAB133.50
ENTAMOEB HIST GRP AG IA /SOLAB38.90
ERYTHROPOIETIN /SOLAB60.90
ESRLAB76.80
ESTRADIOL (E2) /SOLAB90.50
ESTROGEN TOT /SOLAB70.30
ESTRONE /SOLAB80.90
FACTOR V LEIDEN /SOLAB198.05
FECAL FAT /SOLAB16.50
FERRITIN /SOLAB44.20
FIBRIN DEGRADATION PRODUCTS /SOLAB23.10
FIBRIROGEN /SOLAB38.00
FLOW CYTOMETRY EA ADDL MARKER /SOLAB9.80
FLOW CYTOMETRY INTERP 16/> MARKERS /SOLAB233.40
FLOW CYTOMETRY TC 1 MARKER /SOLAB37.75
FLUORESCENT ANTIBODY SCREEN /SOLAB39.10
FOLATES RBC /SOLAB150.40
FOLIC ACID /SOLAB47.60
FOLIC ACID RBCLAB150.40
Food Allery ProfileLAB11.80
FRAGILE X /SOLAB110.95
FSH /SOLAB60.20
FTA /SOLAB8.30
FUNGI IDENT MOLD /SOLAB33.45
GARDNER VAG DNA DIR PROBE /SOLAB65.00
GARDNER VAG DNA QUANT /SOLAB135.35
GASES-PH PCO2 PO2 & SATLAB690.20
GASTRIN /SOLAB57.15
GC DNA,SDA /SOLAB113.70
GENE ANALYSIS HEMOCHROMATOSIS /SOLAB211.80
GENTAMICIN ASSAY PEAK /SOLAB53.10
GENTAMICIN ASSAY TROUGH /SOLAB53.10
GGT /SOLAB23.30
GIARDIA AG STOOL /SOLAB38.90
GIARDIA ANTIGEN /SOLAB38.90
GIARDIA LAMBLIA AB /SOLAB47.70
GLIADIN AB IgG IgA /SOLAB37.40
GLIADIN AB IgG IgA 2nd test /SOLAB37.40
GLUCOSE POST GLUCOSE DOSELAB68.50
GLUCOSE QUANTLAB64.95
GLUCOSE TOL 3 SPECIMENSLAB247.75
GLUCOSE TOLERANCE EA ADDL AFTER 3 SPECIMLAB18.30
GLUCOSE,SYNOVIAL FLUID /SOLAB12.80
GRAM STAIN /SOLAB13.80
H PLORI IGA AAB /SOLAB47.00
H PYLORI BREATH ANAL UREASE /SOLAB218.30
H. PYLORI AB /SOLAB48.90
H. PYLORI ANTIGEN /SOLAB46.60
HAPTOGLOBIN /SOLAB40.75
HCG, QUANTITATIVELAB54.60
HCV RNA QUAL /SOLAB113.70
HCV RNA QUANT R-T PCR /SOLAB138.80
HEATITIS B IADNA QUANT /SOLAB138.80
HEMATOCRITLAB69.70
HEMOGLOBINLAB79.10
HEMOGLOBIN CHROMOTOGRAPHY /SOLAB58.55
HEP B CORE ANTI IGM /SOLAB38.20
HEP B CORE TOTAL/HBC IG /SOLAB39.10
HEP B DNA/QUAL / QLAB135.80
HEP B GENOTYPE DNA /SOLAB834.35
HEP B SURFACE ANTIB /SOLAB34.80
HEP C GENOTYPE LIPA /SOLAB834.35
HEP C RNA QUANT /SOLAB138.80
HEP DELTA AGENT ANTIBODY /SOLAB55.60
HEPATIC PANELLAB159.35
HEPATIC PANEL /SOLAB159.35
HEPATITIS A ANTIB IGM /SOLAB36.50
HEPATITIS A, TOTAL /SOLAB40.10
HEPATITIS B SURF AG /SOLAB33.45
HEPATITIS Be AG EIA /SOLAB37.35
HEPATITIS BE ANTIBODY /SOLAB37.50
HEPATITIS C ANTIBODY /SOLAB46.20
HEPATITIS C BY RIBA /SOLAB50.20
HEPATITIS PANEL/SOLAB153.60
HERPES CULTURE /SOLAB48.90
HERPES SIMPLEX NES ANTBDY /SOLAB46.60
HGB A1CLAB185.20
HISTOPLASMA ANTIBODY S/OLAB36.45
HISTOPLASMA CAPSUL AG IA / SOLAB35.00
HIV 1\2 AB SCREEN /SOLAB44.40
HIV-1 RNA QUANT BDNA /SOLAB275.80
HIV-1&2, AG & ANTIBODY /SOLAB78.00
HLA B27 /SOLAB83.65
HLA CLASS II LOW RES /SOLAB396.10
HLA I LOW RES ONE ANTIGEN EQUIV EACH /SOLAB235.75
HLA II TYPING 1 LOC HR /SOLAB400.80
HLA TYPING CELIAC/QLAB147.10
HOMOCYSTINE TOTAL /SOLAB54.70
HPV IADNA HIGH RISK TYPES /SOLAB113.70
HPV TYPES 16 & 18 ONLY /SOLAB113.70
HS-CRP /SOLAB250.20
HSV 1/2 DNA PCR /SOLAB113.70
HSV 1/2 IGG /SOLAB42.75
HSV CULTURE,SOFP /SOLAB109.75
HSV I IGG /SOLAB42.75
HSV II IGG /SOLAB62.75
HUMAN EPIDIDYMIS PROTEIN 4 HE4 /SOLAB67.50
IADNA AMP PROBE TQ EACH NOT SPECIFD /SOLAB113.70
IADNA BARTONELLA AMP PROBE TECHNIQ /SOLAB113.70
IGA /SOLAB30.15
IGE /SOLAB53.35
IGF1 /SOLAB68.90
IGFBP3 /SOLAB48.30
IGG /SOLAB30.15
IgG ANTIBODY NOS /SOLAB40.10
IGM /SOLAB30.15
IMMUNFIX ELEC SERUM /SOLAB78.55
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOALAB50.40
IMMUNODIFFUSION NES /SOLAB45.50
IMMUNOFIXATION ELECTROPHORESIS SERUM /SOLAB72.50
IMMUNOFIXATN ELEC URIN /SOLAB95.10
INFECTIOUS AGENT, CORONOVIRUS, AMP PROBELAB127.50
INFLUENZALAB94.40
INFLUENZA A&B AG,EIA /SOLAB38.90
INFLUENZA DNA AMP PROBELAB251.50
INSULIN /SOLAB37.00
INTRINSIC FACTOR /SOLAB48.85
IRON TOTAL /SOLAB21.00
IRON TOTAL/IRON BIND /SOLAB28.40
ISLET CELL ANTIBODY /SOLAB64.10
JAK2 GENE /SOLAB303.30
JAK2 MUTATION /SOLAB303.30
KAPPA LAMBDA LIT CHN /SOLAB44.05
KETONES PANEL /SOLAB14.25
KIT - URINE COLLECTIONLAB56.00
KIT DRAW FROM EMPLOYEELAB0.00
KIT DRAW FROM PATIENTLAB56.00
KOH PREP WET MOUNT FUNGUSLAB44.90
LACTIC ACID/LACTATELAB206.55
LAMOTRIGINE LEVEL /QLAB37.90
LDH /SOLAB23.65
LDL DIRECTLAB179.40
LEAD BLOOD /SOLAB39.20
LEISHMANIA AB /SOLAB46.00
LEUKOCYTE ALK PHOS /SOLAB27.90
LEVETIRACETAM DRUG SCREEN /SOLAB49.80
LIPASELAB133.50
LIPASE /SOLAB133.50
LIPID PANELLAB244.25
LIPID PANEL /QLAB9.50
LIPO PROFILE TEST /SOLAB55.35
LITHIUM /SOLAB21.40
Liver Fibrosis Panel / SOLAB189.55
LUPUS ANTICOAG EVAL /SOLAB31.05
LUTEINIZING HORMONE(LH) /SOLAB60.00
LYME DISEAS ANTIBDY IGM /SOLAB50.20
LYME DISEASE ANTIBODY /SOLAB55.20
LYME WEST BLOT /SOLAB227.50
M. TUBERCULO DNAAMP PROBE /SOLAB113.70
MACROSCOPIC EXAM PARASITE /SOLAB13.80
MAGNESIUMLAB127.50
MAGNESIUM RBC /SOLAB127.50
MAGNESIUM URINELAB11.80
MALARIA SMEAR /SOLAB19.45
MASS SPECTROMETRY QUAL/QUAN /SOLAB63.30
MCARE SCREENING PSALAB230.10
MERCURY /SOLAB52.70
METANEPHRINES TOTAL /SOLAB54.90
METHYLMALONIC ACID /SOLAB55.50
MICOBACTERIA CULTURE ACID FAST /SOLAB35.00
MICRO ALBUMIN /SOLAB18.75
MICROALBUMIN URINE /SOLAB18.75
MICROBE SUSCEPTIBLE DIFFUSE /SOLAB15.40
MICROBE SUSCEPTIBLE DISK /SOLAB22.30
MICROBE SUSCEPTIBLE ENZYME /SOLAB18.00
MITOCHONDRIAL AB / QLAB9.50
MOLECULAR PATH 2 HUNTINGTON'S /SOLAB359.10
MONONUCLEOSIS TESTLAB100.45
MRSA SCREEN RT PCR /SOLAB113.70
MTHFR GENE ANALYSIS /SOLAB171.50
MUCIN SYNOVIA FLUID ROPES TEST /SOLAB19.00
MUMPS /SOLAB42.30
MYCOPLASMA PNEUMONIAE /SOLAB42.90
MYELIN BASIC PROTEIN CSF ANALYSIS /SOLAB55.80
MYOGLOBIN, URINE /SOLAB4.80
NEUTRALIZATION TEST VIRAL /SOLAB54.80
NK CELLS TOTAL CT /SOLAB122.30
NO CHARGELAB0.00
NT-PRO BNPLAB654.80
NUCLEAR ANTIGEN ANTIBODY /SOLAB58.10
OB PANELLAB376.45
OB PANEL /SOLAB242.60
OCCULT BLOOD FECESLAB39.10
OLIGOCLONAL IMMUNE BANDS /SOLAB71.90
ONCO OVARIAN BIOCHEM ASSAY 2 PROTEIN /SOLAB683.80
ORGANISM ID AEROBIC EACH /SOLAB30.60
ORGANISM ID ANAEROBIC EACH /SOLAB30.60
OSMOLALITY (URINE) /SOLAB22.10
OSMOLALITY(SERUM) /SOLAB21.40
OVA & PARASITES /SOLAB28.80
OXALATE URINE /SOLAB11.80
OXCARBAZEPINE METABOLIT/QLAB14.25
P.T.TLAB205.35
PARATHYROID HORMON INT /SOLAB79.10
PARTICLE AGGLUT ANTBDY SCRN / SOLAB30.30
PCR AG DETECT NOS IIA MULT /SOLAB38.90
PHENOBARBITAL /SOLAB40.20
PHOSPHATASE ALKALINELAB83.80
PHOSPHATE INORGANICLAB93.30
PHOSPHOLIPID ANTIBODY /SOLAB52.10
PHOSPHORUS URINE /SOLAB16.80
PHOSPHORUS/PHOSPHATE /SOLAB93.30
PINWORM EXAM /SOLAB13.80
PLATELET CT SEPARATE PROCLAB205.35
PORPHOBILINOGEN ASSAY, RANDOM /SOLAB27.40
POTASSIUMLAB93.30
POTASSIUM 24 URINE /SOLAB14.00
POTASSIUM,URINE /SOLAB14.00
PREALBUMIN /SOLAB47.30
PREGNANCY TEST SERUM QUALLAB145.20
PREGNANCY TEST URINELAB99.10
PROCALCITONIN (PCT) /SOLAB86.85
PROGESTERONE /SOLAB67.60
PROLACTIN /SOLAB62.80
PROTEIN C /SOLAB50.85
PROTEIN C INHIBIT /SOLAB44.85
PROTEIN E-PHORESIS/URINE/CSF /SOLAB57.80
PROTEIN ELECTRO SERUM /SOLAB34.80
PROTEIN S CLOT INHIBIT /SOLAB49.70
PROTEIN TOTAL 24HR URIN /SOLAB11.90
PROTEIN TOTAL XCPT REFRACTOMETRY / SOLAB11.90
PROTEIN TOTAL/ SERUM /SOLAB14.80
PROTEIN/CREAT RATIO /SOLAB11.90
PROTHROMBIN GENE /SOLAB172.40
PROTHROMBIN TIMELAB180.60
PROTIME W/INR /SOLAB180.60
PSA FREE RATIO /SOLAB59.60
PSA TOTALLAB230.10
PTH /SOLAB133.80
PTH BIOINTACT /SOLAB133.80
QUANTIFERON GOLD /SOLAB200.90
QUANTITATION OF TX DRUG NES /SOLAB48.95
QUEST MISC LIVER FIBROSIS TEST /SOLAB0.00
RAPID STREP SCREENLAB173.50
RAY'S MARKET DRUG SCREENLAB46.10
RBC AUTOMATED /SOLAB9.80
RBC SICKLE CELL TEST /SOLAB17.90
RENAL PANELLAB225.40
RENIN /SOLAB71.25
RETICULOCYTE COUNTLAB193.50
RETICULOCYTE/SOLAB193.50
RHEUMATOID FACTOR /SOLAB18.40
RICKETTSIA ANTIBODY /SOLAB63.00
RPR /SOLAB13.80
RUBELLA /SOLAB46.60
RUBEOLOA TITER /SOLAB41.75
SALICYLATES(ASPIRIN)/QLAB9.50
SALYCILATESLAB235.95
SEMEN ANALYSIS POST /SOLAB39.10
Semen Count Not Billable /SOLAB0.00
SENSITIVITY/SUSCEPTIBILTY ON CULTURE /SOLAB32.70
SGOTLAB40.20
SGPTLAB44.90
SHBG /SOLAB70.40
SHIGA LIKE TOXIN IAAD EIA /SOLAB38.90
SIROLIMUS/RAPAMYCIN /SOLAB44.50
SJOGREN'S ANTIBODY-SS-A /SOLAB58.10
SKIN FUNGI CULT MOLD, YEAST /SOLAB24.95
SKIN TEST TUBERCULOSISLAB52.05
SM ANTIBODY NUCLEAR ANTIGEN /SOLAB58.10
SMEAR COMPLX STAIN OVA PARASIT /SOLAB58.20
SMOOTH MUSCLE AB / QLAB9.50
SMR PRIM SRC FLUORESC&/AFS BCT FNGI /SOLAB17.45
SNRPN METHYLATION GENE ANALYSIS S/OLAB134.10
SODIUM 24 URINE /SOLAB15.80
SODIUM SERUMLAB87.40
SSA, SSB(SJOGRENS AB) /SOLAB55.50
STONE ANALYSIS /SOLAB37.50
STOOL CULTR AEROBIC BACT EACH /SOLAB30.60
STREP A DNA AMP PROBELAB102.40
STREPTOCOCCUS PNEUMONIAE IgG AB /SOLAB48.60
SUGARS SINGLE QUAL /SOLAB17.90
SULFATE URINE /SOLAB15.40
T LYMPHOCYTE CD4 /SOLAB86.80
T3 BY RIA /SOLAB45.95
T3 FREE /SOLAB54.90
T3 REVERSE / QLAB51.10
T3 UPTAKE /SOLAB20.95
T4 /SOLAB22.30
T4 FREE BY DIALYSIS /SOLAB185.20
T4, FREELAB185.20
TACROLIMUS /SOLAB44.50
TEGRETOL- CARBAMAZEPHN /SOLAB47.20
TESTOSTERONE FREE /SOLAB82.55
TESTOSTERONE TOTAL ADULT MALE /SOLAB83.65
TESTOSTERONE TOTAL LC/MS/MS /SOLAB83.65
TETANUS ANTITOXID /SOLAB48.70
THYROGLOBULIN AB /SOLAB51.60
THYROGLOBULIN W/O TGAB /SOLAB52.05
THYROID PEROXIDASE AB /SOLAB47.15
THYROID STIMUL IMM /SOLAB164.80
THYROXINE FREE /SOLAB185.20
TISSUE EXAM BY PATHOLOGIST LVL IV /SOLAB117.35
TISSUE EXAM BY PATHOLOGIST LVL 1 /SOLAB45.85
TISSUE EXAM BY PATHOLOGIST LVL II /SOLAB83.50
TISSUE EXAM BY PATHOLOGIST LVL III /SOLAB117.35
TISSUE EXAM BY PATHOLOGIST LVL V /SOLAB565.50
TISSUE EXAM BY PATHOLOGIST LVL VI /SOLAB1,420.00
TISSUE KOH FOR FUNGI /SOLAB44.90
TISSUE TRANSGLUTAM ABS /SOLAB37.40
TOTAL PSA /SOLAB230.10
TOTAL/DIRECT BILI FXNTD /SOLAB88.60
TOXICOLOGY DRUG SCREEN, MULT CLASSES, /SLAB648.20
TOXIN/ANTITOXIN ASSAY TISSUE /SOLAB63.95
TOXOPLASMA ANTIBODY /SOLAB46.60
TOXOPLASMA ANTIBODY IGM /SOLAB46.70
TRANSFERRIN /SOLAB41.40
TRICHOMMONAS AMP PROBE /SOLAB107.20
TRICHOMONAS VAGIN DIR PROBE /SOLAB65.00
TRIGLYCERIDESLAB62.65
TROPONIN QUANTITATIVELAB368.15
TSHLAB324.50
TSH /SOLAB324.50
UA AUTO WO/MICROLAB120.45
UA DIP W/O MICROSCOPICLAB28.40
UA MICRO ONLYLAB44.90
UA W/ MICROSCOPICLAB140.50
UREA NITROGEN (BUN) QUANTLAB83.80
URIC ACID /SOLAB14.65
URIC ACID 24 URINE /SOLAB15.40
URINE BACTERIA CULTURE /SOLAB30.60
URINE PORPHYRINS, FRACT, /SOLAB47.70
URINE, DIP STICK W/MICRO, NON-AUTOLAB64.95
VALPROIC ACID /SOLAB43.90
VANCOMYCIN /SOLAB43.90
VANCOMYCIN In-HouseLAB79.00
VAP IM CHOLESTEROL /SOLAB88.90
VARICELLA ZOSTER AG IF /SOLAB38.90
VARICELLA ZOSTER IGG /SOLAB41.75
VARICELLA ZOSTER VIRUS DNA QUAL /SOLAB70.25
VENIPUNCTURELAB40.20
VIRUS INOCULATION SHELL STAIN /SOLAB63.40
VIRUS TISSUE INOCULATION /SOLAB84.50
VISCOSITY,SERUM /SOLAB37.90
VIT B1 THIAMINE /SOLAB68.80
VIT D 25-HYDROXYLAB95.90
VITAMIN A /SOLAB37.60
VITAMIN B12LAB49.05
VITAMIN B12 /SOLAB48.85
VITAMIN B6 /SOLAB91.05
VITAMIN D 1 25-DIHYDROXY /SOLAB124.75
VITAMIN K LEVEL /SOLAB44.50
VMA /SOLAB50.20
WBC SMEAR STOOL / QLAB13.80
WESTERN BLOT TEST /SOLAB55.25
WET MOUNTLAB54.40
ZINC /SOLAB36.90
ZONISAMIDE(ZONEGRAN) /SOLAB42.95
MAMM DX UNILATERALMAMM346.50
MAMM DX UNILATERALMAMM346.50
MAMM SCREENING CADMAMM58.55
MAMMOGRAPHY SCREENINGMAMM291.45
MAMMOGRAPHY SCREENINGMAMM291.45
MAMMOGRAPHY SCREENING BILAT W/CADMAMM349.90
ADHESIVE-SKINMM94.40
ARM SLING LGMM21.60
ARM SLING MDMM20.20
BAG- FOLEY 2000MLMM35.40
BAG-LEG URINARYMM56.70
BANDG- ACE ELASTIC 2"MM24.85
BANDG- ACE ELASTIC 3"MM24.85
BANDG- ACE ELASTIC 4"MM34.40
BANDG- ACE ELASTIC 6"MM24.85
BANDG-CONFORM 2" PER YARDMM10.70
BANDG-CONFORM 3" PER YARDMM10.70
BANDG-CONFORM 4" PER YARDMM10.70
BANDG-ROLL GAUZE 2" STLMM8.30
BANDG-ROLL GAUZE 4" STLMM21.30
BANDG-TRIANGLEMM23.65
BANDG-TUBULAR GZ SZ 1/YDMM10.70
BANDG-TUBULAR GZ SZ2 /YDMM4.80
BANDG-TUBULAR GZ SZ3/YDMM13.00
BANDG-TUBULAR GZ SZ4 /YDMM11.80
BANGAGE-TUBULAR GZMM13.00
BELT-RIBMM67.40
BELT-RIB MALEMM50.85
BIOPATCH DISKMM48.40
BLANKET-BAIR HUGGERMM36.80
CAST ARM LONG FBRGL >11YOMM142.80
CAST ARM SHRT FBRGL <11YOMM128.70
CAST ARM SHRT FBRGL >11YOMM88.60
CAST LEG SHRT FBRGL >10YOMM149.85
CAST LEG SHRT PLSTR >11YOMM76.80
CAST- FIBERGLASS 4"MM63.75
CAST- SANDAL, SMMM101.55
CATH FOLEY 14F 05CCMM76.80
CATH- FEMALE KITMM35.40
CATH- MALE EXTERNALMM8.30
CATH-FOLEY SILICONE COUDE TIP 14FRMM76.80
CATH-FOLEY, 12FR, 05CCMM76.80
CATH-FOLEY, 16FR, 05CCMM76.80
CATH-FOLEY, 18FR, 05CCMM76.80
CATH-FOLEY, 18FR, 30CCMM76.80
CATH-FOLEY, 8FR, 03CCMM76.80
CERVICAL COLLAR STANDARD SIZEMM31.50
CERVICAL COLLAR, MMM37.10
CLAVICAL SMMM29.40
CLAVICAL SPLINT XLMM29.40
CLAVICLE SPLINT LGMM29.40
CRUTCH- ADULT ADJMM187.70
CRUTCH- ADULT TALL ADJMM187.70
CRUTCH- YOUTH ADJMM187.70
cv plus catheter stablilization deviceMM77.70
DERMADONDMM52.50
DRESS- COBAN 1" /ROLLMM13.00
DRESS- TELFA 2"X3"MM8.30
DRESS- TELFA 3"X8"MM8.30
DRESS- XEROFORM 1"X8"MM9.50
DRESS- XEROFORM 5"X9"MM15.45
DRESS- XSPAN SIZE 4/YDMM8.30
DRESS-DUODERM CGF 2.5X2.5MM37.90
DRESS-DUODERM CGF 4X4MM61.45
DRESS-NONADHEARING 3"X8"MM13.00
DRESS-NONADHERING 3"X16"MM10.70
DRESS-NONADHERING 3"X3"MM8.30
DRESS-TELFA 3X4MM21.30
DRESS-TRANS 10CMX14CMMM15.45
DRESS-TRANSPARENT 2X3MM21.30
DRESSING - MEPILEX 9.2X9.2MM26.30
DRESSING-ALLEVYN SAC 12.5X12.5MM36.80
DRESSING-NONADHEARINGMM21.30
DRESSING-TELFAMM21.30
DRESSING-XPANDMM8.30
DUODERM CGF BORDER 2.5 X 2.5MM20.00
ELECTRODE- ZOLL ONE STEPMM236.30
FINGER SPLINTMM7.65
HYDROCOLLOID-DRESSING 6X6MM29.40
IMMOBILIZER-SHOULDER MESHMM69.70
IMMUN ADMIN 1ST EA COMBOMM116.90
MEDIPORE TAPE 2"MM30.50
MEDIPORE TAPE 4"MM42.00
NACL FLUSH 10MLMM6.30
OCULAR IRRIG LENS MORGANMM185.20
PACKINGMM50.85
PACKING- IODOFORM 1"MM31.90
PACKING- IODOFORM 1/4"MM50.85
PACKING- PLAIN 1"MM50.85
PACKING- PLAIN 1/2"MM24.85
PADDING- CAST SYNTHETC 2"MM11.80
PADDING-CASTMM19.00
PARACENTESIS KITMM105.00
PEDIALYTEMM26.30
PLASTER SPLINTMM27.25
PLEUR- EVACMM766.80
QUICK TRACH 4.0MM204.80
QUICK TRACH PEDS 2.0MM204.80
RIB BELT FEMALE XLMM29.40
RIB BELT MENS XLMM36.80
RIB BELT UNISEX LMM36.80
RIB BELT UNIVERSALMM25.20
SALINE SOL 10CC FOR MDIMM13.00
SANDAL- CAST MEDMM101.55
SANDAL-CASTMM101.55
SANDAL-CAST, LGMM101.55
SLING CHILDMM18.90
SLING-ARM UNIVERSALMM63.75
SOL- IV, 3% NACL, 500MLMM22.10
SOL- IV, 9% NACL, 1000MLMM42.00
SOL- IV, 9% NACL, 100MLMM31.50
SOL- IV, 9% NACL, 250MLMM35.70
SOL- IV, 9% NACL, 500MLMM52.50
SOL- IV, D5, 1000MLMM29.40
SOL- IV, D5, 100MLMM31.50
SOL- IV, D5, 500MLMM11.60
SOL-IRRIGATION H2O STL 1LMM13.00
SOL-IRRIGATION NACL 500MLMM24.20
SOL-IRRIGATION STL NACL1LMM13.00
SOL-IV D10W 250MLMM8.30
SOL-IV, 45% NACL, 1000MLMM85.10
SOL-IV, D5, LR, 1000MLMM36.80
SOL-IV, D5,.45NACL 1000MLMM26.05
SOL-IV, LR, 1000MLMM43.60
SOL-IV,D5/.9NACL EA 1LMM26.05
SPLINT ARM LONG FBRGL <11MM67.40
SPLINT ARM LONG FBRGL >11MM179.40
SPLINT ARM SHRT FBRGL <11MM99.10
SPLINT ARM SHRT FBRGL >11MM93.30
SPLINT ARM SHRT PLSTR >11MM44.90
SPLINT LEG LONG FBRGL <11MM158.15
SPLINT LEG LONG FBRGL >11MM109.85
SPLINT LEG LONG PLSTR >11MM55.50
SPLINT LEG SHRT FBRGL <11MM120.45
SPLINT LEG SHRT FBRGL >11MM137.00
SPLINT LEG SHRT PLSTR <11MM61.45
SPLINT LEG SHRT PLSTR >11MM39.10
SPLINT-ANKLE SUPPORT STRPMM204.25
SPLINT-CLAVICAL MDMM50.85
SPLINT-COLLES LG LMM53.20
SPLINT-CRDBD/FOAM 12"MM13.00
SPLINT-FINGERMM19.00
SPLINT-FNGR PLN END 4.25MM10.70
SPLINT-WRISTMM94.40
SPLINT-WRIST UNIVERSALMM103.90
SPLINT-WRIST,UNIV,RMM103.90
SPLNT-COLLES,LARGE,RMM94.40
SPLNT-COLLES,MEDIUM,LMM94.40
SPLNT-COLLES,MEDIUM,RMM94.40
SPLNT-COLLES,SMALL,LMM94.40
SPLNT-COLLES,SMALL,RMM94.40
SPONGE-GAUZE 4X4 TRAYMM10.50
STAPLER- SKIN 15 DSPMM152.30
STOCKINETTEMM13.00
STRAP-CATH LEGMM93.30
SUTURE-5.0 PROLENEMM74.45
SUTURE-6.0 ETHILONMM64.95
TEGADERM 3.5 X 4.5MM20.00
TEGADERM 4X4MM7.40
TEGADERM DRESSINGMM16.90
TRAY- LUMBAR PUNCTURE ADUMM137.00
TRAY- THORENCENT PARACENTMM402.30
TRAY- URINE METER FOLEYMM109.85
TRAY-CATH 'ADD A FOLEY'MM109.85
TRAY-CENTRAL LINE DRESSMM31.90
TRAY-CV CATH MULTI LUMENMM332.75
TRAY-CV CATH,PED 22GMM294.00
TRAY-URETHRAL CATHMM34.40
U SHAPED CALLUS CUSHIONMM13.15
UNIVERSAL STIRRUP ANKLE BRACEMM48.10
WALKING BOOT LGMM131.30
WALKING BOOT MEDMM131.30
WALKING BOOT SMMM131.30
GLUCOSE BY REAGENT STRIPNUR26.05
SEMI PVT BED ACUITY LVL 1NUR3,247.80
SEMI PVT BED ACUITY LVL 2NUR4,871.65
OBS BED CHARGE PER HOUROBS205.35
E/M EST PT COMPREHNSOPMD330.35
E/M EST PT DETAILEDOPMD206.55
E/M EST PT EXPANDEDOPMD142.80
E/M EST PT LIMITEDOPMD110.95
E/M NEW PT COMP/COMPLEXOPMD509.70
E/M NEW PT COMP/MODOPMD377.55
E/M NEW PT DETAILEDOPMD264.30
E/M NEW PT EXPANDEDOPMD203.00
E/M NEW PT LIMITEDOPMD162.90
APPL SPLINT LONG LEGOPPR241.90
ARTHR/ASP/INJ INT JNT/BRSOPPR223.10
E/M HBC DETAILED-MODERATEOPPR227.80
E/M HBC EXPANDED-MODERATEOPPR254.95
E/M HBC FOCUSED-MINOROPPR266.70
E/M HBC NURSE ONLYOPPR368.15
ECG-1-3 LEAD TRACING ONLYOPPR34.40
ECG-12 LEADS TRACING ONLYOPPR689.00
HBC NURSING MARKEROPPR0.00
I&D ABSCESS SIMPLE/SINGLEOPPR361.10
IMMUN ADMIN 1ST EA/COMBOOPPR99.10
IMMUN ADMIN ADDL EA/COMBOOPPR37.90
INC/REM FB SUBCUT SIMPLEOPPR361.10
INFUSION THER/DX <1 HOUROPPR614.70
INFUSION THER/DX >1HR-8HROPPR451.90
INFUSION/HYDRATE <1HOUROPPR665.40
INFUSION/HYDRATE >1 HROPPR133.50
INJ THER/PROP/DX SQ/IMOPPR230.10
IV PUSH-SNGL OR INTL DRUGOPPR221.90
SKIN FULL GRFT FACE/GEN/HFOPPR4,063.50
THORACENTESISOPPR1,020.50
TRANSFUSE BLOOD/BLD PRODOPPR2,131.70
ACETAMINOPHEM 120MG SUPPPHAR4.30
ACETAMINOPHEN 300MG SUPPPHAR7.50
ACETAMINOPHEN 500MG TABPHAR4.30
ACETAMINOPHEN SUPP 650 MGPHAR10.00
ACETYLCYSTEINE INHPHAR50.00
ACETYLCYSTEINE INH SOLPHAR49.00
ACETYLCYSTEINE INJ 200MG/MLPHAR165.00
ActHIBPHAR54.00
ACYCLOVIR 200MG CAPPHAR9.00
ADENOSINE 6MG INJPHAR34.00
AFRINPHAR18.00
ALBUTERAL/IPRATROPIUM NEBPHAR0.00
ALBUTEROL INHALERPHAR182.00
ALBUTEROL UD / MG INH SOLPHAR21.00
ALCAINE O/S 4 DROPSPHAR14.00
AMIODARONE 150MG/3MLPHAR26.00
AMIODARONE HCL 200MG TABPHAR9.00
AMIODARONE HCL 30MG INJPHAR4.30
AMITRIPYLINE HCIPHAR4.30
Ammonia InhalantsPHAR10.00
AMOXICILIN 125MG/5CC SUSPHAR3.00
AMOXICILLIN 250MG CAPPHAR5.00
AMOXICILLIN 250MG/5CC SUSPHAR4.00
AMOXICILLIN 500MG CAPPHAR8.00
AMOXICILLIN 875 MGPHAR4.30
AMOXICILLIN LIQUIDPHAR22.50
AMOXICILLIN POT CLAV 400 MGPHAR22.50
AMPICILLIN 1GM IMPHAR43.00
AMPICILLIN SOD 1 GM IVPPHAR43.00
PHAR43.00
AMPICILLIN/SULBACTAM 1.5 GM IMPHAR53.00
AMPICILLIN/SULBACTAM 1.5 GM IVPBPHAR53.00
PHAR53.00
AMPICILLIN/SULBACTAM 3 GMPHAR94.00
ARANESP NON-ERSD 1MCG INJPHAR10.70
ARISTADA 1064MGPHAR4,194.33
ARTIFICIAL TEARSPHAR28.00
ASA 325MG TABPHAR4.30
ASA 81MG TABPHAR4.00
ASA SUPPOSITOR 600 MGPHAR17.00
ASCORBIC ACIDPHAR3.00
ATENOLOL 50MG TABPHAR12.00
ATORVASTATIN 10 MG TABPHAR6.00
ATROPINE 0.1MG INJPHAR9.00
AUGMENTIN 125MG SUSPPHAR40.70
AUGMENTIN 200MG SUSPPHAR52.00
AUGMENTIN 500MG TABPHAR29.00
AUGMENTIN 875MG TABPHAR28.00
AZITHROMICIN 750MG IVPHAR134.00
Azithromycin 200m/5mlPHAR75.00
AZITHROMYCIN 250MG TABPHAR8.00
AZITHROMYCIN 250MG Z-PACPHAR42.00
AZITHROMYCIN 500MG IVPHAR33.00
AZITROMYCIN SUS 200MG/5MLPHAR147.70
BACITRACIN TOPICALPHAR6.00
BACLOFENPHAR29.00
BACLOFEN 10MG TABPHAR8.00
BACTERIOSTATIC H20PHAR8.00
BACTERIOSTATIC SODIUM CHLORIDEPHAR8.00
BENAZEPRIL 5MGPHAR3.50
BENZOCAINE SPRAYPHAR5.00
BENZTROPINE 1 MG TABPHAR5.00
BEXSEROPHAR622.00
BISACODYL 10MG SUPPPHAR11.00
BISACODYL TAB 5 MGPHAR5.00
BOTOXPHAR1,803.00
BUDESONIDE 1 MGPHAR0.00
BUMETANIDE .25 <2.5MG INJPHAR20.00
BUMETANIDE 1 MGPHAR6.00
BUMETANIDE 2.5 MG IM/IVPPHAR34.00
BUPIVACAINE INJ 5 %PHAR40.00
BUPIVICAINE .5% 1CC INJPHAR19.00
CALCIUM 500 MG TABPHAR4.00
CALCIUM CHLR 10%<10ML INJPHAR10.00
CALCIUM GLUC PER 10ML INJPHAR17.00
CALMOSEPTINE OINTMENTPHAR27.60
CAPTOPRIL 25MG TABPHAR20.00
Caspofungin 5mgPHAR19.00
CATHFLO ACTIVASEPHAR283.00
CEFAZOLIN 1 GM IMPHAR19.00
CEFAZOLIN 1 GM IVPBPHAR19.00
PHAR19.00
CEFEPIME 2 GM IVPBPHAR36.00
CEFEPIME 2GM IVPPHAR36.00
CEFOTETAN IM 2 GMPHAR108.00
CEFOTETAN IM 2 GMPHAR108.00
Ceftaroline 600mg vialPHAR270.00
CEFTAZIDIME 1 GM IMPHAR33.00
CEFTAZIDIME 1GM IVPBPHAR33.00
CEFTAZIDIME 500MGPHAR55.00
CEFTRIAXONE 1 GMPHAR145.00
PHAR145.00
CEFTRIAXONE 2 GMPHAR93.00
CEFTRIAXONE IM 2000 MGPHAR93.00
CEFTRIAXONE SOD 250MGPHAR82.00
CEFTRIAZONE IM 1000 MGPHAR145.00
CEFUROXIME TAB 500 MGPHAR10.50
CELESTONE INJ PER 3MGPHAR52.00
CEPHALEXIN 250 MGPHAR10.00
CEPHALEXIN 250MG/100ML POPHAR18.00
CEPHALEXIN 250MG/5ML POPHAR3.30
CHARCOAL ACIVT 50GM 8OZPHAR109.00
CHARCOAL ACT WITH SORBITAL 50GM 8OZPHAR109.00
CHLORPROMAZINE 50 MGPHAR134.00
CIMETIDINE 300MG INJPHAR28.90
CIPROFLOXACIN 500MG TABPHAR6.00
CLINDAMYCIN 150MG POPHAR13.00
CLINDAMYCIN 300MG INJPHAR21.00
PHAR21.00
CLINDAMYCIN IM 600 MGPHAR17.00
CLINDAMYCN 600MG IVPBPHAR17.00
CLONAXEP/KLONOPN TAB 1MGPHAR5.40
CLONIDINE HCL/CAP .1MG TBPHAR5.00
CLOPIDOGRE/PLAIV 75MG TABPHAR29.00
CLOVE OILPHAR18.00
CORTISPORIN 1 SQUIRTPHAR6.50
CORTISPORIN OINTMENT 15GMPHAR96.00
CORTROSYN IM,IVPHAR215.10
Crotalidae CrofabPHAR5,772.00
CYANOBALAMIN <=1000 MCG IPHAR49.00
CYCLOBENZAPRINE 10 MGPHAR6.00
CYCLOPENTOLATE HCL OPTH SOL 2%PHAR32.00
Daptomycin 750 MGPHAR1,040.00
DECAVAC INJPHAR169.00
DEPO MEDROL 20MG INJPHAR7.50
DEPO MEDROL 40MG INJPHAR42.00
DEPO MEDROL 80MG INJPHAR71.00
DEXAMETH/DECRON 4 MG TABPHAR4.30
DEXAMETHASONE 10MG INJPHAR31.00
PHAR31.00
DEXAMETHASONE PER 1MG INJPHAR4.30
DEXAMTH <4MG/ML INJPHAR14.00
DEXTROSE 50% <25GM INJPHAR9.00
DIAZEPAM <=5MG INJPHAR139.00
DIAZEPAM 10MG TABPHAR6.50
DICLOXACILLIN 250MGPHAR15.00
Dicyclomine 20mgPHAR7.00
DIGOXIN .125MG TABPHAR21.00
DIGOXIN .25MG TABPHAR21.00
DIGOXIN .5MG TABPHAR4.30
DIGOXIN <.5MG INJPHAR31.00
PHAR31.00
DIHYDROERGOTAMINE 1 MG INJPHAR315.00
DILAUDID 2MG TABPHAR4.30
DILTIAZEM 5 MG/ML IVPBPHAR26.00
DILTIAZEM 5MG INJ IVPPHAR9.00
DILTIAZEM HCL/CARD 30MG TPHAR13.00
DILTIAZEM HCL/CARD 90MG TPHAR5.40
DIPHENHYDRAMIN 50MGPHAR31.00
PHAR31.00
DIPHENHYDRAMINE 50MG ELIXPHAR10.00
DIPHENHYDRAMN HCL ELX 1OZPHAR4.30
DIPHENHYDRMN HCL 25MG CAPPHAR3.00
DIPTHERIA & TETNS TXD INJ >7 PRESERV FREPHAR96.30
DIVALPROEX SODIUMPHAR19.00
DOBUTAMINE 250 MGPHAR11.00
PHAR11.00
DOCUSATE SOD/COL 100MG TBPHAR5.00
DOCUSATE SODIUM 250MGPHAR4.00
DOCUSATE TAB 100 MGPHAR0.00
DONNATAL ELIXIR 5CCPHAR45.00
DOPAMINE 400MG INJPHAR8.00
DOXAZOSIN 4MG TABPHAR16.00
DOXYCYCLINE 100MGPHAR101.00
DOXYCYCLINE 100MG TABPHAR22.00
DTAPPHAR198.00
DTAP-IPVPHAR260.00
ELIGARD 3.75MG SQPHAR143.40
EMLA 2.5% CREAMPHAR17.00
ENALAPRILPHAR20.00
ENALAPRILAT 1.25 MGPHAR33.00
ENEMAPHAR11.80
ENEMA MINERAL OILPHAR3.00
ENOXAPARIN 10MG INJPHAR68.00
EPINEPHRINE .4 UD INH SOLPHAR7.00
EPINEPHRINE 1-10000MINIJTPHAR97.00
EPINEPHRINE 1MG/MLPHAR13.00
EPINEPHRINE 1ML INJ 1:1KPHAR97.00
EPINEPHRINE IM 1 MG/MLPHAR97.00
Ertapenem 1GM IM/IVPPHAR178.00
Ertapenem 1GM IVPBPHAR178.00
ERYTHROMYCIN 250MG TABPHAR69.00
ERYTHROMYCIN OPTH OINT 4GPHAR13.00
ERYTHROMYCIN SULF 2-600MGPHAR83.50
ESTROGEN/PREMARINPHAR851.00
Ethyl Chloride fine streamPHAR12.00
ETOMIDATE 2MG >10MLPHAR11.00
eye washPHAR3.00
FENTANYL 250 MCGPHAR3,517.00
FENTANYL CIT <100MCG INJPHAR357.00
FENTANYL CITRATE 50 MCG IM/IVPPHAR28.00
FENTANYL CITRATE 50 MCG IVPBPHAR28.00
FERRLECIT 12.5 MGPHAR54.00
FERROUS SULFT/FE SUF 325MPHAR4.00
FLU VACCINE CASHPHAR25.00
FLU VACCINE HI DOSE INJ MDCRPHAR0.00
FLU VACCINE INJPHAR128.00
FLU VACCINE INJ MEDICAREPHAR0.00
FLUCONAZOLE 100 MGPHAR12.00
FLUCONAZOLE 150MGPHAR19.00
FLUMAZENIL .5 MGPHAR18.00
FLUORESCEIN SODIUM STRIPPHAR4.00
FLUOXETINEPHAR24.00
PHAR24.00
FOLIC ACID 1MG TABPHAR3.00
FOSPHENYOIN IM 50 PE/MLPHAR34.00
FOSPHENYTOIN SOD 100MG INJPHAR34.00
FUROSEMIDE <20MG IM/IVPPHAR17.00
FUROSEMIDE <20MG IVPBPHAR17.00
PHAR17.00
FUROSEMIDE 40 MGPHAR5.00
GABAPENTIN 100 MG CAPPHAR6.00
GABAPENTIN 300MGPHAR10.00
GENTAMICIN 0.3% OPTH OINNTPHAR138.00
GENTAMICIN SULF <80MG IM/IVPPHAR13.00
GENTAMICIN SULF <80MG IVPBPHAR13.00
GENTAMICIN SULF OPTH <5MLPHAR75.00
GENTAMYCIN 0.3% OINTPHAR38.00
GEODON 20MGPHAR186.00
GLUCAGON 1MG INJPHAR316.00
GLUCOPHAGE 500MG TABPHAR5.40
GLUCOSE <15GM POPHAR31.10
GLUCOTROL 10 MGPHAR9.00
Glutose 15gmsPHAR24.00
GUAIFENESIN 118ML SUSPHAR7.50
GUAIFENESIN AC 30ML SUSPHAR9.70
GUAIFENESIN AC 5ML SUSPHAR3.00
GUAIFENESIN DM 5ML SUSPHAR4.00
HALDOL 2MG TABPHAR9.00
HALOPERIDOL LACTAT<5MGINJPHAR20.00
HCTZ 25MGPHAR4.00
HCTZ 50MG TABPHAR4.30
HEP A VACCINEPHAR171.00
HEPARIN 10000 UNITSPHAR36.00
HEPARIN 5,000PHAR29.00
HEPARIN 5000U INJPHAR17.00
HEPARIN FLUSHPHAR9.00
HEPARIN SOD PER 5000 INJPHAR36.00
HEPATITIS A PED/ADOLESCENTPHAR29.00
HEPATITUS B ADULT INJPHAR238.70
HEPATITUS B CHILD INJPHAR177.00
HPV VACCINEPHAR246.10
HPV-GARDASILPHAR789.00
HYDROcodone/Apap 10/325PHAR20.00
Hydrocortisone Supp 25mgPHAR55.00
HYDROMORPHONE 1MG/MLPHAR31.00
HYDROMORPHONE 2MG TABPHAR5.00
HYDROMORPHONE 2MG/MLPHAR31.00
HYDROMORPHONE HCL 0.5 MG/MLPHAR33.00
HYDROXYZIN HCL CAP 25MGPHAR6.00
HYDROXYZINE 50MG/MLPHAR92.00
HYDROXYZINE HCL<=25MG INJPHAR41.80
IBUPROFEN 100MG/ML 5MLPHAR5.00
IBUPROFEN 400MG TABPHAR5.00
IBUPROFEN 600MG TABPHAR7.00
IMODIUM 2MG TABPHAR6.00
INDERAL 10MG TABPHAR4.30
INDERAL 10MG TABPHAR9.00
INDOCIN 25MG CAPPHAR7.00
INFED 50MGPHAR91.00
INFLUENZA (HIGH DOSE)PHAR140.00
INSULIN LANTUS PER 5 UNITSPHAR23.00
INSULIN N 100U/ML 10ML VLPHAR68.50
INSULIN N PER 5 UNITSPHAR97.00
INSULIN R 100U/ML 10ML VLPHAR68.50
INSULIN R PER 5 UNITSPHAR9.00
IPOL Polio VaccinePHAR130.00
IPRATROPIUM BROMIDE UDPHAR0.00
IRON SUCROSE 200MGPHAR33.00
ISOSORBIDE 10MGPHAR10.00
KEFLEX 125MG 100CC LIQUIDPHAR33.20
KEFLEX 250MG TABPHAR4.30
KEFLEX 250MG/5CC 100CC LQPHAR6.00
KEFLEX 500MG TABPHAR15.00
KENALOG 0.1% CREAMPHAR30.00
KETAMINE 50 MG/ML IVPBPHAR42.00
KETAMINE 500MG INJPHAR42.00
KETORLAC 30 MG/MLPHAR17.00
KETORLAC 60MGPHAR23.00
KETOROLAC TROMTH 15MG INJPHAR49.00
LABETALOL HCL 5MG INJPHAR22.00
LACTULOSE 15 ML SOLPHAR4.00
LANSOPRAZOL/PREVACD 30MGPHAR10.00
LASIX 40MG TABPHAR4.00
LASIX 80MG TABPHAR4.30
LEVAQUIN PER 250MG IVPHAR17.00
PHAR17.00
LEVETIRACETAM 50O MGPHAR5.00
LEVETIRACETAM IVP 500 MG/ 5 MLPHAR18.00
LEVETIRACETAM IVPB 500 MG/ 5 MLPHAR26.00
LEVOFLOXACIN 500 MGPHAR16.00
LEVOFLOXACIN 500MG TABPHAR87.00
LEVOTHYROXINE 100MGPHAR16.00
LEVOTHYROXINE SODIUM TABPHAR4.30
LIDOCAINE 2% (SYRING)PHAR15.00
LIDOCAINE 50CC INJPHAR24.70
LIDOCAINE LOCAL 1-2CC INJPHAR17.00
LIDOCAINE SYRINGE 1%PHAR0.00
LIDOCAINE W/D5WPHAR16.00
LIDOCAINE/EPI 2%PHAR26.00
LILETTA IUD 52MGPHAR1,030.00
LISINOPRIL 10MG TABPHAR4.30
LISINOPRIL 5MG TABPHAR5.00
LITHIUM 300MGPHAR15.00
LOMOTIL 2.5MG TABPHAR12.00
LOPERAMIDE 2MGPHAR12.00
LORATADINE TAB 10 MGPHAR0.00
LORAZEPAM 1MG IVPBPHAR10.00
LORAZEPAM IM/IVP 2 MG/MLPHAR10.00
LORAZEPAM/ATIVAN 1MG TABPHAR4.00
LOTENSION 10MG TABPHAR12.00
LUPRON 7.5 MG INJPHAR2,797.00
MAALOX 30CC LIQUIDPHAR5.00
MACROBID 100MG TABPHAR27.00
MAG CITRATE 10 OZ LIQUIDPHAR11.80
MAGNESIUM 300MG TABPHAR4.30
MAGNESIUM CITRATEPHAR5.00
MAGNESIUM SULF 500MG INJPHAR8.00
PHAR8.00
MAGNESIUM SULFATE IM/IVP 5 GMPHAR8.00
MANNITOLPHAR9.00
MECLIZINE HCL 25MG TABPHAR4.30
MEDROXYPROGESTERONE TAB 5MGPHAR6.00
MEDROXYPROGSTRNE 1 MGPHAR205.00
MELATONINPHAR5.00
MENINGOCOCCAL MPSV4PHAR230.00
MEPERIDINE PER 100MG INJPHAR55.70
MEROPENEM 100 MG IVPHAR87.00
MEROPENEM IVP 500 MGPHAR42.00
METAPROTERENOL <10MG INJPHAR31.10
METFROMIN 500MGPHAR11.00
METOCLOPRAMIDE <=10MG INJPHAR14.00
PHAR14.00
METOCLOPRAMIDE 5MGPHAR6.00
METOLAZONE 2.5MG TABPHAR11.00
METOPROLOL <5MG IVPHAR14.00
METOPROLOL TARTRATE TABPHAR9.00
METRONIDAZOLE 500 MGPHAR16.00
METRONIDAZOLE 500MG TABPHAR11.00
METRONIDZLE/FLGYL 1GM IVPHAR66.40
MICONAZOLE NITRATE 2% CREAMPHAR10.00
MIDAZOLAM IM/IVP 1 MGPHAR10.00
MIDAZOLAM IM/IVP 5 MGPHAR10.00
MIDAZOLAM IVPB 1 MGPHAR10.00
MIDAZOLAM PER 5 MG INJPHAR10.00
MILK OF MAGNESA 30ML LQUDPHAR6.00
MMR VACCINEPHAR187.00
MORPHINE SULFATE 30MG TABPHAR4.30
MORPHINE SULFATE IM/IVP 10 MG/MLPHAR33.00
MORPHINE SULFATE IM/IVP 4MG/MLPHAR33.00
MORPHINE SULFATE IVPB 10 MG/MLPHAR33.00
MORPHINE SULFATE IVPB 4 MGPHAR33.00
MULTI VIT TABPHAR4.00
MULTI-VITPHAR3.50
MULTIVITAMIN CONCRTE INJPHAR35.00
MUPIROCIN 2% OINTPHAR25.00
MYLANTA <30CCPHAR3.00
NAFCILIINPHAR80.00
NALOXONE 0.4MG IVPBPHAR80.00
NALOXONE 1 MG IVPBPHAR102.00
PHAR102.00
NALOXONE IM/IVP 0.4 MGPHAR80.00
NAPROSYN 250MG TABPHAR11.00
Naproxen 500mgPHAR11.00
NASAL SPRAYPHAR8.60
Neo/Poly/Bac OintmentPHAR32.00
Neo/Poly/HC SuspensionPHAR53.00
NEOSPORIN 1/32 OZ TOPICALPHAR4.30
NEOSPORIN OPTH SOLPHAR147.00
NEULASTA 6MG INJPHAR4,983.00
NEUPOGEN 300MCGPHAR574.00
NEXPLANONPHAR940.00
NICOTINE PATCH 14 MHPHAR0.00
NICOTINE PATCH 21MGPHAR20.00
NIFEDIPINE CAP 30MGPHAR17.00
NITRO 25MG/250MLPHAR90.00
NITROGLYCERINPHAR12.00
NITROGLYCERIN 2% OINTMENTPHAR10.00
NITROGLYCERIN 50MG INJPHAR49.30
NITROGLYCERIN SPRAYPHAR140.00
NITROGLYCERIN TABPHAR4.30
NORCOPHAR7.00
NOREPINEPHRINE 4 MGPHAR105.00
NORVASC 5MG TABPHAR27.00
NYSTATIN CREAMPHAR13.00
NYSTATIN CREAM 1MPHAR24.70
OFLOXAXINPHAR209.00
OLANZAPINE 5 MGPHAR6.00
OMEPRAZOLE 20MG CAPPHAR25.00
OMNIPAQUE CT CONTRAST ZERO CHARGE 340BPHAR0.00
ONDANSETRON HCL IV PER MGPHAR8.00
PHAR8.00
ONDANSETRON HCL TAB 4MGPHAR6.00
ONDANSETRON ODT 8MGPHAR6.00
OPTHAINE OPTHAMALIC 15MLPHAR128.00
ORAJELPHAR0.00
ORPHENADRINE CIT<=60MG INPHAR63.00
PHAR63.00
Oseltamivir 30MGPHAR34.00
Oseltamivir 75mgPHAR87.00
OTIC SOL/AURALGAN GTTSPHAR3.00
OXYTOCIN <=10 UN INJPHAR19.00
OYSTER SHELL CALCIUMPHAR0.00
PANTOPRAZOLE TAB 40 MGPHAR5.00
PARAGUARD IUDPHAR125.00
Paroxetine 20mgPHAR26.00
PEDIA-LAXPHAR0.00
PEN G 5 MILLIONPHAR83.00
PHAR83.00
PEN G BENZ/LA 100,000 unitsPHAR196.00
PEN VK 250MGPHAR5.00
PEN VK 250MG/5CC 100MLPHAR4.00
PEN VK 500MG TABPHAR11.00
PEN VK SUSP 125MGPHAR4.00
PENICILLIN VK 250MGPHAR11.00
PEPCID 20MG TABPHAR17.00
PERCOCET -5 TABPHAR15.00
PERMETHRIN 5% CREAMPHAR8.00
PERMETHRIN CREAMPHAR7.00
PEROXYLPHAR0.00
PHENERGAN 25MG SUPPOSITORPHAR12.90
PHENERGAN 25MG TABPHAR4.30
PHENYTOIN SODIUM 100MG TBPHAR10.00
PHENYTOIN SUSP 125MGPHAR11.00
PHYSOSTGMINEPHAR105.00
PHYTONADIONE IM 1 MG/0.5MLPHAR58.00
PILOCARPINE 1%PHAR36.00
PIPERACILLIN IVPB 3.375 GMPHAR77.00
PIPERACILLIN/TAZOBACTAM 2.25 MG IVPBPHAR77.00
PITOCINPHAR17.00
PITOCIN 10UN/MLPHAR17.00
PNEUMO 13 VACC INJ MEDICAREPHAR0.00
PNEUMO 23 VACCINE INJ MEDICAREPHAR0.00
PNEUMOCOCCAL VAC INJPHAR368.00
POLY B/SULF/TRIPHAR46.00
PONTOCAINE .5% 4 DROPSPHAR4.30
POTASIUM CHLORIDE 10MEG/100MLPHAR36.40
POTASIUM CHLORIDE 10MEQ/50MLPHAR16.00
POTASSIUM 20MEQ/15MLPHAR11.00
POTASSIUM CHLORIDE 10% 30PHAR4.30
POTASSIUM CHLORIDE IVPB 10 MEQ PREMIXPHAR16.00
POTASSIUM CHLORIDE ORAL SOLUTION 20MEQPHAR15.00
POTASSIUM CL 10MEQ TABPHAR7.00
POTASSIUM CL 20 MEQPHAR3.00
POTASSIUM CL EA 2 MEQ INJPHAR16.00
PHAR16.00
Prednisilone 15mg/5mlPHAR8.00
PREDNISOLONE 1%PHAR58.00
PREDNISONE 10MG TABPHAR4.30
PREDNISONE 20MG TABPHAR9.00
PREDNISONE 30 CC ELIXPHAR5.40
PREDNISONE 5CC ELIXPHAR11.00
PREDNISONE 5MG TABPHAR5.00
PREVNAR 13PHAR373.00
PRILOSEC 20MG TABPHAR11.80
PRIMAXIN 500MGPHAR164.00
PROAIRPHAR195.00
PROBIOTICPHAR0.00
PROCAINAMIDE 100MG/ML INJPHAR58.00
PROCARDIA 30MG TABPHAR12.00
PROCHLORPERAZINE <=10MG IPHAR63.00
PHAR63.00
PROCHLORPERAZINE 10MG TABPHAR12.00
PROCHLORPERAZINE IM/IVP 5 MG/MLPHAR63.00
PROCHLORPRZN/COMPZ SUP 25PHAR30.00
PROLIA 60 MG INJPHAR1,372.90
PROMETHAZINE 25MG IMPHAR15.00
PROMETHAZINE HCL<50MG IVPBPHAR17.00
PROMETHAZINE TAB 25 MGPHAR13.00
PROMTHAZINE SUPP 25MGPHAR92.00
PROPOFOL 10 ML INJPHAR2.25
PROPOFOL 100MLPHAR73.00
PROPRANOLOL 10MGPHAR7.00
PROTAMINE SULFATE 250MG/25MLPHAR23.00
PROTONIX 40MG IVPHAR157.00
PROVENTIL 2.5 MGPHAR0.00
PROVENTIL INHAL 5 MGPHAR0.00
PROZAC 20MG TABPHAR15.00
PSEUDOEPHEDRN HCL/ACTF TBPHAR4.30
PULMICORT/BUDESONIDE NEBPHAR312.50
PYRIDIUM 100MG TABPHAR4.30
PYRIDIUM 200MG TABPHAR22.00
RABIES IMM GLOB (Rig=HT)PHAR1,104.00
RABIES VACC POST EXPOSUREPHAR264.00
RANITIDINE 150MG TABPHAR5.00
RANITIDINE HCL 50MG INJPHAR35.00
PHAR35.00
RANITIDINE IM/IVP 25 MGPHAR35.00
REGLAN 10MG TABPHAR4.30
RESTORIL 15MG TABPHAR10.00
RESTORIL 30MG TABPHAR4.30
RhoGamPHAR255.00
ROCURONIUM 10 MGPHAR9.00
SENNAPHAR0.00
SERTRALIN HCL/ZOLOFT 25MGPHAR11.80
SILVADENE 1%<50GM TOPICALPHAR6.00
SILVADENE CREAMPHAR65.00
SILVER NITRATE STICKPHAR0.00
Simethicone 80mg tabletPHAR4.00
SODIUM BICARB 4%PHAR25.00
SODIUM BICARB 4.2PHAR45.00
SODIUM BICARB 8.4%PHAR50.00
SODIUM BICARBONATE 84PHAR17.00
SODIUM CHLORIDE INHAL 3%PHAR0.00
SODIUM CHLORIDE INHAL 9%PHAR0.00
SODIUM POLY SULF 15GM SUSPHAR38.50
SOLU-CORTEF 100 MG IM/IVPPHAR67.00
SOLU-CORTEF 100 MG IVPBPHAR67.00
PHAR67.00
SOLU-CORTEF 250 MGPHAR74.90
SOLU-MEDROL <=125MG INJPHAR66.00
PHAR66.00
SOLU-MEDROL <=40MG INJPHAR69.60
SOLU-MEDROL 1 GRAMPHAR158.00
SOLU-MEDROL 500 MGPHAR126.00
SPIRIVAPHAR376.70
SPIRONOLCTN/ADLACTONE TBPHAR8.00
STERILE WATERPHAR9.00
SUCCINYLCHNE 20MG INJPHAR26.00
PHAR26.00
SUDOGESTPHAR4.00
SULF/TRIM 200/40MG/5MLSUSPHAR8.00
SULF/TRIM 800/160MG TABPHAR5.00
SULFACETAMD SOD 10%PHAR136.00
SUMATRIPTAN SUCC 6MG INJPHAR262.00
TAMSULOSIN 0.4MGPHAR6.00
TD VACC PRSV FREE 7 YRS & OLDERPHAR169.00
TDAP VACCINEPHAR203.00
TEGRETOL 200MG TABPHAR13.00
TENECTEPLASE (TNK) 50MGIVPHAR8,173.00
TH CLINDAMYCIN 6 PKPHAR12.90
THERA-TAB (MULTI-VIT0PHAR0.00
THIAMINE 100MG INJPHAR32.00
THYROID 120MG TABPHAR4.30
THYROID 60MG TABPHAR4.30
TRANEXAMIC ACIDPHAR19.00
TRAZODONE HCL 50MGPHAR7.00
TRIAMCINOLONE /10MG INJPHAR64.00
TRIAMCINOLONE CREAM <15GMPHAR4.30
TRUVADAPHAR204.00
TYLENOL 325MG TABPHAR4.00
TYLENOL 5CC LIQUIDPHAR5.00
TYLENOL 650MG TABPHAR4.30
TYLENOL ELIXIR 4 OZPHAR11.80
TYLENOL W/CODEINE 30CC LQPHAR12.90
TYLENOL W/CODEINE 30MG TBPHAR7.00
VALIUM 10MG TABPHAR7.00
VALIUM 5MG TABPHAR5.40
VALPROIC ACID/DEPKN 250MGPHAR4.30
VANCOMYCIN 1.5 GMPHAR164.00
VANCOMYCIN 1GMPHAR43.00
VANCOMYCIN INJ 750 MGPHAR80.00
VANCOMYCIN IVPB 250-1000 MGPHAR43.00
VARICELLA VACC-PT > 19Y/OPHAR190.00
VECURONIUM BROMIDE IVPHAR56.80
VERAPAMIL 2.5MG INJPHAR51.00
VERAPAMIL 80MGPHAR6.00
VFC- ACTHIB DTAP-IPV-HIBPHAR0.00
VFC- ACTHIB- HAEMOPHILUS B (HIB)PHAR0.00
VFC- BOOSTRIXPHAR0.00
VFC- HEPATITIS APHAR0.00
VFC- HEPATITIS BPHAR0.00
VFC- HEPATITITS BPHAR0.00
VFC- INFANRIX PEDPHAR0.00
VFC- INFLUENZA VACPHAR0.00
VFC- KINRIXPHAR0.00
VFC- M-M-RPHAR0.00
VFC- MENACTRAPHAR0.00
VFC- MENINGOCOCCAL BPHAR0.00
VFC- PENTACELPHAR0.00
VFC- POLIOMYELITISPHAR0.00
VFC- PREVNAR 13PHAR0.00
VFC- ROTAVIRUSPHAR0.00
VFC- VARICELLAPHAR0.00
VFC-GARDASIL 9PHAR0.00
VFC-KINRIXPHAR0.00
VFC-PEDIARIXPHAR0.00
VICODIN POPHAR4.30
VISIPAQUE CT CONTRAST ZERO CHARGE 340BPHAR0.00
VITAMIN B-CMPLX 100MG INJPHAR39.60
VITAMIN D3 2000IUPHAR0.00
VITAMIN D3 5000IUPHAR0.00
VITAMIN K PER MG INJPHAR58.00
PHAR58.00
WARFARIN 5MGPHAR9.00
WARFARIN 5MGPHAR5.25
XOLAIR 225MG SQPHAR2,936.00
XOPENEX UD INHLPHAR0.00
XYLOCAINE 1% 1CC INJPHAR0.00
XYLOCAINE 1% W/EPIPHAR19.00
XYLOCAINE 2% 1CC INJPHAR0.00
XYLOCAINE 2% W/EPI 1CC INPHAR0.00
XYLOCAINE JELLY 1GMPHAR11.00
XYLOCAINE JELLY 30GMPHAR20.40
XYLOCAINE VISCPHAR3.00
XYLOCAINE VISC BOTTLEPHAR32.10
XYLOCAINE/W EPI 1%PHAR0.00
Zinc 50mgPHAR3.00
ZOLEDRONIC EA 5MG INJPHAR187.00
ZOSYN 1G/0.125G 1.125 IVPHAR77.00
CURRENT MOBIL STAT CJPT0.00
MAN THERAPY 1+ REGIONS, EA 15 MINPT83.00
MOBILITY CURRENT STATU CMPT0.00
MOBILITY GOAL STATUS CIPT0.00
MOBILITY GOAL STATUS CKPT0.00
MOBILITY GOAL STATUS CLPT0.00
PT ELEC STIM ATTN / 15MINPT87.40
PT EVAL FOLLOW-UPPT139.30
PT EVAL HIGH COMPLEX 45MINPT385.90
PT EVAL INITIALPT429.50
PT EVAL LOW COMPLEX 20MINPT248.20
PT EVAL MOD COMPLEX 30MINPT303.30
PT GAIT TRNG/STAIR /15MINPT86.30
PT NEURO MSCL RE-ED /15MIPT98.00
PT RE-EVAL EST PLAN CAREPT154.40
PT THERAPU EX /15MINPT98.00
PT ULTRASOUND ATTN / 15MIPT47.20
Self Care / Home Mngmt TrainingPT68.50
ST DYSPHAGIA INDIVIDPT235.95
ST EVAL DYSPHAGIAPT381.20
THERAPEUTIC ACTV EA 15MINPT68.50
Family psychotherapy w/ patient presentSLS375.00
Family psychotherapy w/o patient presentSLS375.00
Group PsychotherapySLS295.00
Individual Psychotherapy 16-37 minsSLS325.00
Individual Psychotherapy 38-52 minsSLS350.00
Individual Psychotherapy 53-67 minsSLS375.00
Telehealth Fee SLSSLS50.00
GLUCOSE BY REAGENT STRIPSNF22.00
SKILLED NURSING BED CHGSNF499.53
SNF BED HOLD / LOASNF499.53
SNF BED HOLD/M-CALSNF370.00
BEHAVRAL & QUALIT ANALYS VOICEST267.80
COGNITIVE SKILLS DEVELOPMENTST79.10
CONGITIVE TEST BY HC PROST350.40
EVAL FOR NONSPEECH DEV RX ADD 30 MINST96.80
EVAL FOR NONSPEECH DEVICE RXST265.50
EVAL FOR SPEECH DEVICE RX 1ST HRST377.55
EVAL FOR SPEECH DEVICE RX EA ADDL 30 MINST155.80
EVAL SWALLOWING FUNCTIONST218.30
Medical team conf w/ nonphys, 30min moreST103.55
ORAL SPEECH DEVICE EVALST214.80
SPEECH SOUND LANG COMPREHENSIONST578.10
ST EVAL SPEECHST443.70
ST LANGUAGE INDIVST280.80
ST SPEECH INDIVST280.80
TEAM CONFERENCE FACE-TO-FACE NON PHYSST113.40
THER SERV NONSPEECH DEVICEST212.40
TX SWALLOWING DYSFUNCTIONST256.05
USE OF SPEECH DEVICE SERVICEST330.35
GLUCOSE, BY REAGENT STRIPSWB26.05
OCCULT BLOOD FECESSWB82.60
Other Facility CT - Part A StaySWB2,096.90
SWB BED HOLD / LOASWB707.80
SWING BED CHARGESWB707.80
ABD COMP INCL DECUB/ERECTXR726.90
ABD COMP W/PA CHESTXR311.70
ABD SINGLE AP VIEW (KUB)XR630.30
ABDOMEN 1 VWXR163.10
ABDOMEN 2 VWXR311.75
ABDOMEN 3 OR MORE VWXR311.75
ACROMIOCLAVICULAR JTS/BILXR163.10
ANKLE COMP 3V+ BILATXR326.15
ANKLE COMP 3V+ LXR163.10
ANKLE COMP 3V+ RXR163.10
ANKLE LTD 2V BILATXR326.15
ANKLE LTD 2V BILATXR326.15
ANKLE LTD 2V LXR163.10
ANKLE LTD 2V RXR163.10
BONE AGE STUDIESXR311.70
BONE SURVEY COMP W/LNG BOXR311.70
BONE SURVEY INFANTXR132.60
C-SPINE FLEXION / EXTENSION ONLYXR163.10
CALCANEUS 2V BILATXR326.15
CALCANEUS 2V+ LXR163.10
CALCANEUS 2V+ RXR163.10
CHEST 1 VWXR163.10
CHEST 1V FRONTALXR578.70
CHEST 2 VWXR163.10
CHEST 2 VWXR163.10
CHEST 2V FRONTAL/LATXR749.40
CHEST 2V W/LORDOTICXR373.10
CHEST 3 VWXR163.10
CHEST 4 OR MORE VWXR311.75
CHEST SP VW DECUB/BUCKYXR133.80
CLAVICLE COMP LXR163.10
CLAVICLE COMP RXR163.10
ELBOW 2VW BILATERALXR326.15
ELBOW COMP 3V BILATXR326.15
ELBOW COMP 3V+ LXR163.10
ELBOW COMP 3V+ RXR163.10
ELBOW LTD 2V LXR163.10
ELBOW LTD 2V RXR163.10
FACIAL BONES 1 OR 2 VIEWSXR163.10
FACIAL BONES COMPL/3V MINXR311.70
FEMUR 2V LXR678.60
FEMUR 2V RXR678.60
FEMUR MIN 2 V LTXR163.10
FEMUR MIN 2 V RTXR163.10
FINGER 2ND DIGIT LXR163.10
FINGER 2ND DIGIT RXR163.10
FINGER 3RD DIGIT LXR163.10
FINGER 3RD DIGIT RXR163.10
FINGER 4TH DIGIT LXR163.10
FINGER 4TH DIGIT RXR163.10
FINGER 5TH DIGIT LXR163.10
FINGER 5TH DIGIT RXR163.10
FINGER THUMB LXR163.10
FINGER THUMB RXR163.10
FINGERS 2V+ LXR163.10
FINGERS 2V+ RXR163.10
FOOT 2V BILATERALXR326.15
FOOT 2V LXR163.10
FOOT 2V RXR163.10
FOOT 3V BILATERALXR326.15
FOOT COMP 3V+ LXR163.10
FOOT COMP 3V+ RXR163.10
FOREARM 2V BILATXR326.15
FOREARM 2V LXR163.10
FOREARM 2V RXR163.10
FOREIGN BODY CHILD 1 VXR163.10
HAND 2V BILATERALXR623.40
HAND 2V LXR311.70
HAND 2V RXR311.70
HAND 3V+ BILATERALXR326.15
HAND 3V+ LXR163.10
HAND 3V+ RXR163.10
HIP & PELVIS UNILAT 1 VW LXR477.55
HIP & PELVIS UNILAT 1 VW LXR163.10
HIP & PELVIS UNILAT 1 VW RXR163.10
HIP BILAT INC PELVISXR906.70
HIP UNILAT 1V LXR477.55
HIP UNILAT 1V RXR477.55
HIP UNILAT 2-3 V LTXR163.10
HIP UNILAT 2-3 V RTXR163.10
HIP UNILAT COMP 2-3V+ LXR669.70
HIP UNILAT COMP 2-3V+ RXR669.70
HIPS BILAT W PELVIS 2 VXR311.70
HIPS BILAT W PELVIS 3-4 VXR311.70
HUMERUS 2V+ LXR163.10
HUMERUS 2V+ RXR163.10
KNEE 1-2V BILATERALXR326.15
KNEE 1-2V RXR163.10
KNEE 3V BILATERALXR326.15
KNEE 3V LXR163.10
KNEE 3V RXR163.10
KNEE BILAT STANDING APXR163.10
KNEE COMP 4V BILATERALXR623.30
KNEE COMP 4V LXR311.70
KNEE COMP 4V RXR311.70
KNEE/PATELLA 1-2V LXR163.10
KNEE/PATELLA 1-2V LXR163.10
KNEE/PATELLA 1-2V RXR712.30
KNEE/PATELLA 1-2V RXR163.10
LOWER EXTREM-INFANT LXR163.10
LOWER EXTREM-INFANT RXR163.10
LOWER EXTREMITY INFANT LXR111.30
MANDIBLE PRTL 1-3V BILATXR326.15
MANDIBLE PRTL 1-3V RXR163.10
MANDIBLE PRTL/1-3V LXR163.10
NASAL BONES/3V MINXR163.10
NECK/SOFT TISSUEXR163.10
ORBITS/4V MINXR311.70
PELVIS AP 1-2VXR311.70
PELVIS COMP 3 VW MINXR297.80
POST PROCEDURE PLACEMENT XRAYXR0.00
RIBS BILAT MIN 3VXR311.70
RIBS BILAT W/PA CHEST 4VXR311.70
RIBS UNILAT 2V MIN LXR163.10
RIBS UNILAT 2V+ RXR163.10
RIBS UNILAT W/PA CXR 3V LXR311.70
RIBS UNILAT W/PA CXR 3V RXR311.70
SACROILIAC JNTS MIN 3VXR311.70
SACRUM/COCCYX MIN 2VXR163.10
SCAPULA COMP LXR311.70
SCAPULA COMP RXR311.70
SHOULDER COMP 2V+ LXR163.10
SHOULDER COMP 2V+ RXR163.10
SHOULDER LTD 1V LXR163.10
SHOULDER LTD 1V RXR163.10
SHOULDERS 2V+ BILATXR326.15
SI JOINTS LESS THAN 3 VWSXR311.70
SINUSES/PARANASAL 1 OR 2VXR163.10
SINUSES/PARANASAL 3V MINXR163.10
SKULL COMP 4VXR311.70
SKULL LTD/1-3VXR311.70
SPINE CERVICAL AP/LATXR163.10
SPINE CERVICAL COMP 4V+XR311.70
SPINE CERVICAL W/FLEX EXTXR311.70
SPINE LUMBOSACRAL AP/LATXR311.70
SPINE LUMBOSACRAL BEND ONLYXR300.50
SPINE LUMBOSACRAL W/BENDXR311.70
SPINE LUMBOSACRAL W/OBLXR311.70
SPINE SCOLIOSIS ERECTXR512.40
SPINE SINGLE VIEWXR163.10
SPINE THORACIC AP/LATXR311.70
SPINE THORACIC W/SWIMMERXR311.70
SPINE THORACOLUMBAR 2VXR163.10
SPINE, ENTIRE, 1VWXR163.10
STERNUM MIN 2VXR163.10
TIBIA/FIBULA 2V BILATXR326.15
TIBIA/FIBULA 2V LXR163.10
TIBIA/FIBULA 2V RXR163.10
TMJ JOINTS BILATERALXR163.10
TOE 2V BIG DIGIT LXR163.10
TOE 2V BIG DIGIT RXR163.10
TOES 2V+ BILATXR326.15
TOES 2V+ LXR163.10
TOES 2V+ RXR163.10
UPPER EXTREMITY INFANT LXR311.70
UPPER EXTREMITY INFANT RXR311.70
WRIST COMP 3V+ BILATERALXR326.15
WRIST COMP 3V+ LXR163.10
WRIST COMP 3V+ RXR163.10
WRIST LTD 2V BILATXR326.15
WRIST LTD 2V LXR163.10
WRIST LTD 2V RXR163.10
WRIST NAVICULAR 2V LXR163.10
WRIST NAVICULAR 2V RXR163.10
ABD COMP W/PA CHEST PRO FEEXRMD43.50
ABDOMEN 1 VW PRO FEEXRMD31.50
ABDOMEN 2 VW PRO FEEXRMD31.50
ABDOMEN 3 OR MORE VW PRO FEEXRMD36.90
ACROMIOCLAVICULAR JTS/BIL PRO FEEXRMD31.50
ANKLE COMP 3V LT PRO FEEXRMD31.50
ANKLE COMP 3V+ BILAT PRO FEEXRMD94.50
ANKLE COMP 3V+ RT PRO FEEXRMD31.50
ANKLE LTD 2V BILAT PRO FEEXRMD63.00
ANKLE LTD 2V LT PRO FEEXRMD31.50
ANKLE LTD 2V RT PRO FEEXRMD31.50
BONE AGE STUDIES PROXRMD31.50
BONE SURVEY SOMP W/LNG BO PRO FEEXRMD72.80
C-SPINE FLEXION / EXTENSION ONLY PRO FEEXRMD31.50
CALCANEUS 2V BILAT PRO FEEXRMD86.95
CALCANEUS 2V+ LT PRO FEEXRMD31.50
CALCANEUS 2V+ RT PRO FEEXRMD31.50
CHEST 1 VW PRO FEEXRMD31.50
CHEST 2 VW PRO FEEXRMD31.50
CHEST 3 VW PRO FEEXRMD37.80
CHEST 4 OR MORE VW PRO FEEXRMD43.50
CLAVICLE COMP LT PRO FEEXRMD31.50
CLAVICLE COMP RT PRO FEEXRMD31.50
ELBOW 2VW BILATERAL PRO FEEXRMD43.50
ELBOW COMP 3V BILAT PRO FEEXRMD47.30
ELBOW COMP 3V+ LT PRO FEEXRMD31.50
ELBOW COMP 3V+ RT PRO FEEXRMD31.50
ELBOW LTD 2V LT PRO FEEXRMD31.50
ELBOW LTD 2V RT PRO FEEXRMD31.50
FACIAL BONES 1 OR 2 VIEWS PRO FEEXRMD31.50
FACIAL BONES COMPL/3V MIN PRO FEEXRMD35.90
FEMUR MIN 2 V LT PRO FEEXRMD31.50
FEMUR MIN 2 V RT PRO FEEXRMD31.50
FINGER 2ND DIGIT L PRO FEEXRMD31.50
FINGER 2ND DIGIT R PRO FEEXRMD31.50
FINGER 3RD DIGIT L PRO FEEXRMD31.50
FINGER 3RD DIGIT R PRO FEEXRMD31.50
FINGER 4TH DIGIT L PRO FEEXRMD31.50
FINGER 4TH DIGIT R PRO FEEXRMD31.50
FINGER 5TH DIGIT L PRO FEEXRMD31.50
FINGER 5TH DIGIT R PRO FEEXRMD31.50
FINGER THUMB L PRO FEEXRMD31.50
FINGER THUMB R PRO FEEXRMD31.50
FINGERS 2V+ L PRO FEEXRMD31.50
FINGERS 2V+ R PRO FEEXRMD31.50
FOOT 2V BILATERAL PRO FEEXRMD83.20
FOOT 2V LT PRO FEEXRMD31.50
FOOT 2V RT PRO FEEXRMD31.50
FOOT 3V BILATERAL PRO FEEXRMD90.70
FOOT COMP 3V+ L PRO FEEXRMD31.50
FOOT COMP 3V+ R PRO FEEXRMD31.50
FOREARM 2V BILAT PRO FEEXRMD45.40
FOREARM 2V LT PRO FEEXRMD31.50
FOREARM 2V RT PRO FEEXRMD31.50
FOREIGN BODY CHILD 1V PROXRMD31.50
HAND 2V BILATERAL PRO FEEXRMD45.40
HAND 2V LT PRO FEEXRMD31.50
HAND 2V R PROXRMD31.50
HAND 3V+ BILATERAL PRO FEEXRMD47.30
HAND 3V+ LT PRO FEEXRMD31.50
HAND 3V+ RT PRO FEEXRMD31.50
HIP & PELVIS UNILAT 1 VW LT PRO FEEXRMD31.50
HIP & PELVIS UNILAT 1 VW RT PRO FEEXRMD31.50
HIP BILAT INC PELVIS PROXRMD60.70
HIP UNILAT 2-3 V LT PRO FEEXRMD31.50
HIP UNILAT 2-3 V RT PRO FEEXRMD31.50
HIPS BILAT W PELVIS 2 V PRO FEEXRMD63.00
HIPS BILAT W PELVIS 3-4 V PRO FEEXRMD40.65
HUMERUS 2V+ LT PRO FEEXRMD31.50
HUMERUS 2V+ RT PRO FEEXRMD31.50
KNEE 1-2V BILATERAL PRO FEEXRMD90.70
KNEE 1-2V L PROXRMD31.50
KNEE 3V BILATERAL PRO FEEXRMD102.10
KNEE 3V LT PRO FEEXRMD31.50
KNEE 3V RT PRO FEEXRMD31.50
KNEE BILAT STANDING AP PRO FEEXRMD63.00
KNEE COMP 4V BILATERAL PRO FEEXRMD63.00
KNEE COMP 4V LT PRO FEEXRMD31.50
KNEE COMP 4V RT PRO FEEXRMD31.50
KNEE/PATELLA 1-2V LT PRO-FEEXRMD31.50
KNEE/PATELLA 1-2V R PROXRMD31.50
KNEE/PATELLA 1-2V RTXRMD31.50
LOWER EXTREM-INFANT L PRO FEEXRMD31.50
LOWER EXTREM-INFANT R PRO FEEXRMD31.50
MAMM DX UNILATERAL PRO FEEXRMD115.50
MAMM SCREENING CAD PRO FEEXRMD21.55
MAMMOGRAPHY SCREEN BILAT W/CAD PRO FEEXRMD122.65
MAMMOGRAPHY SCREENING PRO FEEXRMD101.10
MANDIBLE PRTL 1-3V BILAT PRO FEEXRMD49.15
MANDIBLE PRTL 1-3V L PRO FEEXRMD31.50
MANDIBLE PRTL 1-3V R PRO FEEXRMD31.50
NASAL BONES/3V MIN PRO FEEXRMD31.50
NECK/SOFT TISSUE PRO FEEXRMD31.50
ORBITS 4V MIN PROXRMD38.75
PELVIS AP 1-2V PRO FEEXRMD31.50
POST PROCEDURE PLACEMENT XRAY PRO FEEXRMD0.00
RADIOLOGIST FEE 71010XRMD39.40
RADIOLOGIST FEE 71020XRMD47.30
RADIOLOGIST FEE 71021XRMD59.65
RADIOLOGIST FEE 71035XRMD61.85
RADIOLOGIST FEE 72069XRMD64.10
RADIOLOGIST FEE 73500XRMD40.55
RADIOLOGIST FEE 73500XRMD55.15
RADIOLOGIST FEE 73510XRMD48.40
RADIOLOGIST FEE 73510XRMD48.40
RADIOLOGIST FEE 73550XRMD40.55
RADIOLOGIST FEE 73550XRMD40.55
RADIOLOGIST FEE 74000XRMD47.30
RADIOLOGIST FEE 74020XRMD55.15
RIBS BILAT MIN 3V PROXRMD39.70
RIBS BILAT W/PA CHEST 4VN PRO FEEXRMD44.40
RIBS UNILAT 2V MIN RT PRO FEEXRMD31.50
RIBS UNILAT W/PA CXR 3V LT PRO FEEXRMD36.80
RIBS UNILAT W/PA CXR 3V RT PRO FEEXRMD36.80
RIBS UNILATERAL 2V MIN LT PRO FEEXRMD31.50
SACROILIAC JNTS MIN 3V PRO FEEXRMD31.50
SACRUM/COCCYX MIN 2V PRO FEEXRMD31.50
SCAPULA COMP LT PRO FEEXRMD56.20
SCAPULA COMP R PROXRMD31.50
SHOULDER LTD 1V LT PRO FEEXRMD31.50
SHOULDER LTD 1V RT PRO FEEXRMD31.50
SHOULDERS 2V+ LT PRO FEEXRMD31.50
SHOULDERS 2V+ BILAT PRO FEEXRMD51.05
SHOULDERS 2V+ RT PRO FEEXRMD31.50
SI JOINTS LESS THAN 3 VWS PRO FEEXRMD31.50
SINUSES/PARANASAL 1 OR 2V PRO FEEXRMD31.50
SINUSES/PARANASAL 3V MIN PRO FEEXRMD34.00
SKULL COMP 4V PROXRMD47.30
SKULL LTD/1-3V PRO FEEXRMD34.00
SPINE CERVICAL AP/LAT PRO FEEXRMD31.50
SPINE CERVICAL COMP 4V+ PRO FEEXRMD42.55
SPINE CERVICAL W/FLEX EXT PROXRMD49.15
SPINE LUMBOSACRAL AP/LAT PRO FEEXRMD31.50
SPINE LUMBOSACRAL BEND ONLY PRO FEEXRMD108.70
SPINE LUMBOSACRAL W/BEND PRO FEEXRMD44.40
SPINE LUMBOSACRAL W/OBL PRO FEEXRMD42.55
SPINE SINGLE VIEW PRO FEEXRMD31.50
SPINE THORACIC AP/LAT PRO FEEXRMD31.50
SPINE THORACIC W/SWIMMER PRO FEEXRMD31.50
SPINE THORACOLUMBAR 2V PRO FEEXRMD31.50
SPINE, ENTIRE, 1VW PRO FEEXRMD35.90
STERNUM MIN 2V PRO FEEXRMD31.50
TIBIA/FIBULA 2 V BILAT PRO FEEXRMD90.70
TIBIA/FIBULA 2V LT PRO FEEXRMD31.50
TIBIA/FIBULA 2V RT PRO FEEXRMD31.50
TMJ JOINTS BILATERAL PRO FEEXRMD33.10
TOE 2V BIG DIGIT L PRO FEEXRMD31.50
TOE 2V BIG DIGIT R PRO FEEXRMD31.50
TOES 2V+ BILAT PRO FEEXRMD63.00
TOES 2V+ L PRO FEEXRMD31.50
TOES 2V+ R PRO FEEXRMD31.50
UPPER EXTREM INFANT L PROXRMD31.50
UPPER EXTREM INFANT R PROXRMD31.50
WRIST 2 VW LT PRO FEEXRMD31.50
WRIST 2V RT PRO FEEXRMD31.50
WRIST COMP 3V+ BILAT PRO FEEXRMD47.30
WRIST COMP 3V+ LT PRO FEEXRMD31.50
WRIST COMP 3V+ RT PRO FEEXRMD31.50
WRIST LTD 2V BILAT PRO FEEXRMD47.30
WRIST LTD 2V L PRO FEEXRMD31.50
WRIST LTD 2V R PROXRMD31.50