INVESTIGATION OF TRANSFSION REACTION /SO | BB | 322.95 |
RH FACTOR | BB | 115.85 |
ABO BLOOD TYPE | BB | 75.30 |
ANTIBODY DETECTION /SO | BB | 24.40 |
ANTIGEN SCREENING OF PATIENT BLOOD, ABO | BB | 93.35 |
ANTIGEN SCREENING OF DONOR BLOOD, RH (D) | BB | 93.35 |
RED BLOOD CELLS LEUKOREDUCED | BB | 531.30 |
PLATELETS PHERESIS | BB | 934.85 |
Rbc leukoreduced irradiated | BB | 827.85 |
CT LOWER EXT W/CONTRAST | CT | 1,800.00 |
CT MAXILLOFACIAL W W/O CONTRAST | CT | 1,800.00 |
CT HEAD W/O CONTRAST | CT | 810.00 |
CT HEAD W/CONTRAST | CT | 1,800.00 |
CT HEAD W W/O CONTRAST | CT | 1,800.00 |
CT EYE/EAR/FOSSA W/O CONTRAST | CT | 810.00 |
CT EYE/EAR/FOSSA W/CONTRAST | CT | 1,800.00 |
CT EYE/EAR/FOSSA W W/O CONTRAST | CT | 1,800.00 |
CT MAXILLOFACIAL W/O CONTRAST | CT | 810.00 |
CT MAXILLOFACIAL W/CONTRAST | CT | 1,800.00 |
CT MAXILLOFACIAL W&W/O CONT | CT | 1,800.00 |
CT SOFT TISS NECK W/O CONTRAST | CT | 810.00 |
CT SOFT TISS NECK W/CONTRAST | CT | 1,800.00 |
CT SOFT TISS NECK W W/O CONTRAST | CT | 1,800.00 |
CT ANGIO HEAD | CT | 1,800.00 |
CT ANGIO NECK | CT | 1,800.00 |
CT THORAX W/CONTRAST | CT | 1,800.00 |
CT THORAX W W/O CONTRAST | CT | 1,800.00 |
CT ANGIO CHEST | CT | 1,800.00 |
CT C-SPINE W/O CONTRAST | CT | 810.00 |
CT C-SPINE W/CONTRAST | CT | 1,880.00 |
CT C-SPINE W W/O CONTRAST | CT | 2,880.00 |
CT T-SPINE W/O CONTRAST | CT | 810.00 |
CT T-SPINE W/CONTRAST | CT | 1,800.00 |
CT T-SPINE W W/O CONTRAST | CT | 1,800.00 |
CT L-SPINE W/O CONTRAST | CT | 810.00 |
CT L-SPINE W/CONTRAST | CT | 1,800.00 |
CT L-SPINE W W/O CONTRAST | CT | 2,880.00 |
CT PELVIS W/O CONTRAST | CT | 810.00 |
CT PELVIS W/CONTRAST | CT | 1,800.00 |
CT PELVIS W W/O CONTRAST | CT | 1,800.00 |
CT UPPER EXT W/O CONTRAST | CT | 810.00 |
CT UPPER EXT W/CONTRAST | CT | 1,800.00 |
CT UPPER EXT W W/O CONTRAST | CT | 1,800.00 |
CT LOWER EXT W/O CONTRAST | CT | 810.00 |
CT LOWER EXTREM W/CONT | CT | 1,800.00 |
CT LOWER EXT W W/O CONTRAST | CT | 1,800.00 |
CT ABDOMEN W/O CONTRAST | CT | 810.00 |
CT ABDOMEN W/CONTRAST | CT | 1,800.00 |
CT ABDOMEN W W/O CONTRAST | CT | 1,800.00 |
CT ANGIO ABD/PELV W W/O CONTRAST | CT | 1,800.00 |
CT ABD PELV W/O CONTRAST | CT | 1,800.00 |
CT ABD PELV W/CONTRAST | CT | 1,800.00 |
CT ABD &/OR PELV W W/O CONTRAST | CT | 2,880.00 |
CT HEART W/O CONTRAST W/CA TEST | CT | 450.00 |
CT ANGIO ABD ARTERIES | CT | 1,800.00 |
CT LTD F/U HEAD/NECK | CT | 450.00 |
CT LTD F/U OTHR THAN HEAD/NECK | CT | 450.00 |
CT BONE DENSITY PERIPHERAL | CT | 450.00 |
CT LOW DOSE CANCER SCREEN | CT | 450.00 |
CT THORAX W/O CONTRAST | CT | 810.00 |
CT HEAD W/O CONTRAST PRO FEE | CTMD | 292.50 |
CT HEAD W/CONTRAST PRO FEE | CTMD | 411.00 |
CT HEAD W W/O CONTRAST PRO FEE | CTMD | 487.50 |
CT EYE/EAR/FOSSA W/O CONTRAST PRO FEE | CTMD | 590.00 |
CT EYE/EAR/FOSSA W/CONTRAST PRO FEE | CTMD | 697.50 |
CT EYE/EAR/FOSSA W W/O CONTRAST PRO FEE | CTMD | 760.00 |
CT MAXILLOFACIAL W/O CONTRAST PRO FEE | CTMD | 352.50 |
CT MAXILLOFACIAL W/CONTRAST PRO FEE | CTMD | 425.00 |
CT MAXILLOFACIAL W W/O CONTRAST PRO FEE | CTMD | 517.50 |
CT SOFT TISS NECK W/O CONTRAST PRO FEE | CTMD | 490.00 |
CT SOFT TISS NECK W/CONTRAST PRO FEE | CTMD | 597.50 |
CT SOFT TISS NECK W W/O CONTRAST PRO FEE | CTMD | 702.50 |
CT ANGIO HEAD PRO FEE | CTMD | 742.50 |
CT ANGIO NECK PRO FEE | CTMD | 740.00 |
CT THORAX W/CONTRAST PRO FEE | CTMD | 582.50 |
CT THORAX W W/O CONTRAST PRO FEE | CTMD | 697.50 |
CT ANGIO CHEST PRO FEE | CTMD | 760.00 |
CT C-SPINE W/O CONTRAST PRO FEE | CTMD | 467.50 |
CT C-SPINE W/CONTRAST PRO FEE | CTMD | 577.60 |
CT C-SPINE W W/O CONTRAST PRO FEE | CTMD | 682.50 |
CT T-SPINE W/O CONTRAST PRO FEE | CTMD | 457.50 |
CT T-SPINE W/CONTRAST PRO FEE | CTMD | 582.50 |
CT T-SPINE W W/O CONTRAST PRO FEE | CTMD | 687.50 |
CT L-SPINE W/O CONTRAST PRO FEE | CTMD | 455.00 |
CT L-SPINE W/CONTRAST PRO FEE | CTMD | 577.50 |
CT L-SPINE W W/O CONTRAST PRO FEE | CTMD | 682.50 |
CT PELVIS W/O CONTRAST PRO FEE | CTMD | 370.00 |
CT PELVIS W/CONTRAST PRO FEE | CTMD | 572.50 |
CT PELVIS W W/O CONTRAST PRO FEE | CTMD | 657.50 |
CT UPPER EXT W/O CONTRAST PRO FEE | CTMD | 455.00 |
CT UPPER EXT W/CONTRAST PRO FEE | CTMD | 562.50 |
CT UPPER EXT W W/O CONTRAST PRO FEE | CTMD | 702.50 |
CT LOWER EXT W/O CONTRAST PRO FEE | CTMD | 458.00 |
CT LOWER EXT W/CONTRAST PRO FEE | CTMD | 572.50 |
CT LOWER EXT W W/O CONTRAST PRO FEE | CTMD | 692.50 |
CT ABDOMEN W/O CONTRAST PRO FEE | CTMD | 380.00 |
CT ABDOMEN W/CONTRAST PRO FEE | CTMD | 585.00 |
CT ABDOMEN W W/O CONTRAST PRO FEE | CTMD | 665.00 |
CT ANGIO ABD/PELV W W/O CONTRAST PRO FEE | CTMD | 985.00 |
CT ABD PELV W/O CONTRAST PRO FEE | CTMD | 510.00 |
CT ABD PELV W/CONTRAST PRO FEE | CTMD | 787.50 |
CT ABD &/OR PELV W W/O CONTRAST PRO FEE | CTMD | 895.00 |
CT HEART W/O CONTRAST W/CA TEST PRO FEE | CTMD | 255.00 |
CT ANGIO ABD ARTERIES PRO FEE | CTMD | 967.50 |
CT HEAD/NECK 3D ADDL PRO FEE | CTMD | 60.00 |
CT LTD F/U HEAD/NECK PRO FEE | CTMD | 370.00 |
CT LTD F/U OTHR THAN HEAD/NECK PRO FEE | CTMD | 370.00 |
CT GUIDE NEEDLE PLACE PRO FEE | CTMD | 315.00 |
CT BONE DENSITY PERIPHERAL PRO FEE | CTMD | 287.50 |
CT LOW DOSE CANCER SCREEN PRO FEE | CTMD | 640.00 |
CT THORAX W/O CONTRAST PRO FEE | CTMD | 457.50 |
ECG-12 LEADS TRACING ONLY | ED | 656.15 |
ECG-1-3 LEAD TRACING ONLY | ED | 92.20 |
PEAK FLOW MEASURE | ED | 107.95 |
POS AIRWAY PRESSURE CPAP | ED | 465.00 |
SVN INITIAL TREATMENT | ED | 327.00 |
VENIPUNCTURE, ED | ED | 38.25 |
IMMUN ADMIN ADDL EA COMBO | ED | 60.70 |
IV PLC OF NDL W/CAP ONLY | ED | 197.85 |
INFUSION HYDRATION > 1 HR | ED | 652.80 |
INFUSION HYDRATION < 1 HR | ED | 1,267.45 |
IV PUSH ADDL-SAME DRUG | ED | 194.50 |
GLUCOSE BY REAGENT STRIP | ED | 24.80 |
IV PUSH ADDL-NEW DRUG | ED | 211.30 |
IV PUSH SINGLE-INIT DRUG | ED | 272.05 |
INJ THER-PROP-DX SQ-IM | ED | 219.15 |
INFUSION CONCURRENT LINE >1 HR | ED | 237.95 |
INFUSION 2ND LINE <1 HR | ED | 137.15 |
INFUSION THER/DX <1 HOUR | ED | 585.40 |
INFUSION THER/DX 1-8HR EA | ED | 430.40 |
I&D PILONIDAL CYST SIMPLE | ED | 682.25 |
I&D ABSCESS SIMPLE/SINGLE | ED | 366.35 |
I&D ABSCESS/CYST COMPLEX | ED | 459.60 |
DRIANAGE OF GLAND ABCESS | ED | 393.25 |
INC/REM FB SUBCUT SIMPLE | ED | 476.40 |
INC/REM FB SUBCUT COMPLEX | ED | 1,724.65 |
NG TUBE INSERTION | ED | 1,121.30 |
CD TRT FX PHLNG SHFT W/M | ED | 976.40 |
REPAIR LAC TONGUE FLOOR MOUTH >2.6CM | ED | 1,808.10 |
REP LAC SCP/NK/TNK <2.5CM | ED | 829.20 |
REP LAC SCP/NK/TNK2.5-7.5 | ED | 919.10 |
REPAIR FINGER TENDON | ED | 2,696.40 |
REP LAC SCP/NK 7.6-12.5CM | ED | 500.05 |
REPAIR TONGUE LACERATION <2.5CM | ED | 239.40 |
REP LAC SIMPLE 12.6-20 CM | ED | 842.65 |
REP LAC FAC/MUC <2.5CM | ED | 593.35 |
REPAIR SIMPLE F/E/E/N/L 2.6-5CM | ED | 337.15 |
REP LAC FAC/MUC 5.1-7.5CM | ED | 328.15 |
REP LAC FAC/MUC 7.6-12.5C | ED | 500.05 |
REMOVAL OF NAIL BED | ED | 640.40 |
LAY CLS TK/EXT <2.5 CM | ED | 588.75 |
LAY CLS TK/EXT 2.6-7.5 CM | ED | 588.75 |
LAY CLS TK/EXT 7.6-12.5CM | ED | 587.70 |
LAY CLS TK/EXT 12.6-20 CM | ED | 550.20 |
LAY CLS NK/HND/FT<2.5CM | ED | 500.05 |
LAY CLS FC/MUC5.1-7.5 CM | ED | 603.85 |
LAY CLS NK/HND/FT2.6-7.5CM | ED | 577.20 |
LAY CLS FC/MUC<2.5CM | ED | 500.05 |
LAY CLS FC/MUC2.6-5.0CM | ED | 500.05 |
INJ TRIG PNT 1 OR 2 MUSCL | ED | 629.20 |
REMOVE FOREARM FB | ED | 3,038.00 |
CD TRT DSL SHLDR W/M WO/A | ED | 976.40 |
DRAINAGE OF ARM BURSA | ED | 3,370.00 |
REM FB INTRANASAL | ED | 262.60 |
CONTROL OF NOSEBLEED | ED | 258.41 |
CONTROL OF NOSEBLEED | ED | 363.00 |
INTUBATE ET EMERGENT | ED | 2,103.35 |
DX LARYNGOSCOPY EXCL NB | ED | 2,540.00 |
ANOSCOPY W/REMVL FOREIGN BODY | ED | 1,575.00 |
SPINAL PUNCT LUMBAR DX | ED | 1,236.90 |
REM FB CORNEAL WO/SLITLMP | ED | 537.10 |
INCS THROMBOSED HEMOR EXT | ED | 540.85 |
REMOV FB EYE CORNEA W SLIT LAMP | ED | 692.05 |
ABD PARACENTESIS W/IMAGING | ED | 1,486.00 |
REM FB EAR CABAK WO/ANEST | ED | 212.10 |
REM IMPACT CERUMEN UN/BIL | ED | 112.45 |
EXC BEN LES INC MAR HEAD/FT/GENIT <.5CM | ED | 840.00 |
EXC TR EXT B9+MARG 1.1-2 CM | ED | 1,078.00 |
REMOVE IMPACTED EAR WAX UNI | ED | 153.95 |
REMOVAL OF SKIN TAGS ED | 308.70 |
|
AVUL NAIL PRTL/COMPLT SING | ED | 309.85 |
DRESS/DEBRID PT-THICK BURN LG | ED | 621.00 |
DRS/DBD BURN W/O ANS SML | ED | 330.35 |
DRESS/DEBRID BURN W/O ANESTH | ED | 230.35 |
DESTRUCTION B9 LESION UP TO 14 | ED | 401.95 |
AMPUTATION OF FINGER/THUMB | ED | 2,025.55 |
DEBR ECZEM/INFCT SKN 10% | ED | 460.65 |
CD TRT FX DIS RAD/EP WO/M | ED | 549.50 |
CLSD TX TIBIAL FX W/MANIP | ED | 416.35 |
I&D HEMAT/SEROMA/FLD | ED | 1,468.45 |
CD TRT FX RADIUS/ULNA | ED | 505.60 |
CLSD TX FX ULNAR STYLOID | ED | 524.60 |
OPN TRT FX DIST PHLNG EA | ED | 3,351.50 |
TREAT LOWER LEG FRACTURE | ED | 2,878.15 |
TREAT WRIST BONE FX | ED | 2,434.00 |
TREAT WRIST BONE FX | ED | 2,434.00 |
CLOSED TX ANKLE FX W/MANIP | ED | 2,434.00 |
CLOSED TX ANKLE DISLOC W/O ANES | ED | 537.25 |
TX CLOSED HEEL FX | ED | 537.25 |
CENTRAL LINE PLACEMENT>5 | ED | 2,512.25 |
CD TRT FX TRIMALLEOAR | ED | 416.35 |
I&D ABCESS PERITONSILLAR | ED | 421.40 |
REM OF FOREIGN BODY FR PHARYNX | ED | 825.05 |
ARTHR/ASP/INJ INT JNT/BRS | ED | 587.05 |
ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA | ED | 592.10 |
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDE | ED | 625.80 |
CLSD TX TOE DISLOC WO ANES | ED | 598.50 |
REP CMLX FC/HND/GN1.1-2.5 | ED | 621.00 |
REP CMLX FC/HND/GN2.6-7.5 | ED | 565.00 |
REPAIR COMPLEX TRUNK 2.6-7.5 CM | ED | 1,220.50 |
REPAIR COMPX SCALP/ARM/LEG 2.6-7.5CM | ED | 879.80 |
LAY CLS FC/MUC 736-12.5 CM | ED | 385.55 |
LAY CLS FC/MUC20.1-30 CM | ED | 500.05 |
REP LAC SIMPLE 20.1-30 CM | ED | 756.00 |
APPL SPLINT LONG LEG | ED | 556.20 |
CLSD TX CLAVICLE FX W/MANIP | ED | 628.00 |
CD TRT FX METACP W/M EA | ED | 603.85 |
CD TRT FX NAS BN W/O STBN | ED | 2,062.85 |
CD TRT SUBLX RAD HEAD W/M | ED | 646.10 |
REPAIR NAIL BED EA | ED | 1,125.60 |
TX FX RADIUS & ULNA | ED | 1,392.00 |
CONTROL THROAT BLEEDING SIMPLE | ED | 447.20 |
REM FB EYE EXT CNJT SUPER | ED | 262.60 |
SHV EP/DM LS/TR/AR/LG<0.5 | ED | 306.60 |
APPL SPLINT SHT LEG | ED | 366.35 |
APPL SPLINT SHT ARM STATI | ED | 366.35 |
APPL SPLINT LONG ARM | ED | 274.25 |
CATH INSRT BLADDR NONINDW | ED | 252.85 |
CATH INSERT FOLEY SIMPLE | ED | 523.65 |
CATH INSRT FOLEY COMPLEX | ED | 179.80 |
CHANGE OF BLADDER TUBE | ED | 420.00 |
VAGINAL DELIVERY ONLY | ED | 932.40 |
DRAIN BLADDER BY NEEDLE | ED | 1,414.00 |
CARDIOVERSION ELECTIVE EX | ED | 752.75 |
CARDIOPULMONARY RESUS | ED | 814.60 |
THOROCOSTOMY TUBE PLACED | ED | 908.35 |
THORACENTESIS | ED | 1,589.81 |
THORACENTESIS W/IMAGING GUIDANCE | ED | 1,225.00 |
APPL SPLINT FNGR STATIC | ED | 179.80 |
CL TX FINGER FX W MANIP | ED | 415.80 |
CD TRT DSL IPJNT W/M WO/A | ED | 640.40 |
CLSD TX PST HIP DISCLOC W/O ANES | ED | 525.00 |
CD TRT DSL SHLDR W/M W/A | ED | 2,602.15 |
EVAC SUBUNGUAL HEMATOMA | ED | 163.00 |
CD TRT FX TOE DISLOC W/O ANESTH | ED | 597.80 |
CD TRT FX PHLNX/NG W/M | ED | 640.40 |
TX BIG TOE FRACTURE | ED | 2,439.00 |
DEBR SKN & SUBQ TISSUE | ED | 760.65 |
DEBR/REM FB SKIN/SQ/MUS/BONE | ED | 2,344.85 |
BX SKIN SUBQ MUC MEMB 1 LESION | ED | 592.10 |
EXPL PENETRATING WOUND ABD/BACK | ED | 3,747.55 |
EXPLOR PENETRATING WOUND EXTREMITY | ED | 1,131.90 |
CD TRT FX HUM CONDYL W/MANIP | ED | 597.80 |
CLTX SHLDR DISLOC W MANIP | ED | 2,434.80 |
INSERT PICC CATH | ED | 1,965.00 |
CD TRT FX SHOULDER DISL W/MANIP | ED | 2,878.15 |
INSERT TUNNELED CV CATH | ED | 6,196.15 |
INTRAOSSEOUS NEEDLE PLACE | ED | 941.55 |
DRAINAGE OF GUM LESION | ED | 588.75 |
RMVL DEVITAL TIS 20CM< | ED | 973.05 |
DRAINAGE ABCESS FINGER SIMPLE | ED | 727.75 |
INCISION ANAL ABCESS | ED | 905.65 |
DRAIINAGE OF MOUTH LESION, SIMPLE | ED | 640.40 |
CLOSD MOUTH LAC RPR >2.5CM | ED | 1,160.35 |
I&D PILONIDAL CYST SIMPLE | ED | 682.25 |
CD TRT FX LAT MAL W/M | ED | 537.25 |
UA DIP WO/MICRO | ED | 27.00 |
I&D VULVA/PERINEAL ABSCESS | ED | 395.95 |
REPAIR OF VAGINA | ED | 4,544.00 |
O2 SAT MEAS SNGL READ | ED | 54.00 |
REP CMLX FC/HND/GN AD<5CM | ED | 565.00 |
RPR WOUND, LESION EA ADDL <5CM | ED | 863.10 |
TRANSFUSE BLOOD/BLD PROD | ED | 2,030.20 |
DRAIN EXTERNAL EAR LESION | ED | 599.65 |
DRAIN OUTER EAR CANAL LESION | ED | 599.65 |
OCCULT BLOOD FECES | ED | 78.65 |
PREGNANCY TEST | ED | 75.30 |
RAPID STREP SCREEN | ED | 104.60 |
ED VISIT LEVEL 1 | ED | 351.85 |
ED VISIT LEVEL 2 | ED | 1,105.55 |
ED VISIT LEVEL 3 | ED | 2,067.25 |
ED VISIT LEVEL 4 | ED | 3,008.80 |
ED VISIT LEVEL 5 | ED | 5,447.95 |
ED VISIT LEVEL 6 CC SVCS | ED | 9,436.45 |
ED VISIT CC SVCS ADL 30MN | ED | 812.40 |
ED NURSE ONLY - NO CHG | ED | 0.00 |
INJECT TRIGGER POINTS 3+ MUSCLES | ED | 584.95 |
MOD SED SAME PHYS >5 YRS 1st 30M | ED | 210.00 |
MOD SED SAME PHYS>5 YRS EA ADDL 15M | ED | 105.00 |
PUNCT/ASP ABCS/HEM/BUL/CY | ED | 180.95 |
NERVE BLOCK INJ TRIGEMINAL | ED | 592.10 |
INJ/ANES OTHR PERIPHERAL | ED | 584.95 |
ECG-12 LEAD INTP REPORT ONLY | EDMD | 63.00 |
I&D ABSCESS SIMPLE/SINGLE | EDMD | 257.45 |
I&D ABSCESS/CYST COMPLEX | EDMD | 515.80 |
DRAINAGE OF GLAND ABCESS | EDMD | 260.75 |
INC/REM FB SUBCUT SIMPLE | EDMD | 363.00 |
INC/REM FB SUBCUT COMPLEX | EDMD | 786.55 |
NG TUBE INSERTION | EDMD | 330.35 |
CD TRT FX PHLNG SHFT W/M | EDMD | 952.80 |
RPR LAC TONGUE FLOOR MOUTH >2.6CM PRO FE | EDMD | 861.00 |
REP LAC SCP/NK/TNK <2.5CM | EDMD | 389.90 |
REP LAC SCP/NK/TNK2.5-7.5 | EDMD | 470.85 |
REPAIR FINGER TENDON | EDMD | 1,348.20 |
REP LAC SCP/NK 7.6-12.5CM | EDMD | 583.20 |
REPAIR TONGUE LACERATION <2.5CM PRO FEE | EDMD | 876.35 |
REP LAC SIMPLE 12.6-20 CM | EDMD | 615.75 |
REP LAC FAC/MUC <2.5CM | EDMD | 470.85 |
REP LAC FAC/MUC 2.6-5.0CM | EDMD | 551.70 |
REP LAC FAC/MUC 5.1-7.5CM | EDMD | 512.40 |
REP LAC FAC/MUC 7.6-12.5C PRO FEE | EDMD | 713.50 |
REMOVAL OF NAIL BED PRO FEE | EDMD | 449.40 |
LAY CLS TK/EXT <2.5 CM | EDMD | 425.90 |
LAY CLS TK/EXT 2.6-7.5 CM | EDMD | 548.35 |
LAY CLS TK/EXT 7.6-12.5CM | EDMD | 617.95 |
LAY CLS TK/EXT 12.6-20 CM PRO FEE | EDMD | 782.35 |
LAY CLS NK/HND/FT<2.5 CM | EDMD | 471.90 |
LAY CLS NK/HND/FT2.6-7.5C | EDMD | 560.70 |
LAY CLS NK/HND/FT7.6-12.5 | EDMD | 624.85 |
LAY CLS FC/MUC<2.5 CM | EDMD | 560.70 |
LAY CLS FC/MUC2.6-5.0 CM | EDMD | 525.85 |
LAY CLS FC/MUC5.1-7.5 CM PRO FEE | EDMD | 619.10 |
INJ TRIG PNT 1 OR 2 MUSCL | EDMD | 250.65 |
INJ TEND SHTH/LIG/APNEURO | EDMD | 250.65 |
REMOVE FOREARM FB PRO FEE | EDMD | 1,058.00 |
CD TRT DSL SHLDR W/M WO/A | EDMD | 716.85 |
DRAINAGE OF ARM BURSA PRO FEE | EDMD | 413.00 |
REM FB INTRANASAL PRO FEE | EDMD | 350.60 |
CTL HEMORRAGE NASAL ANTER | EDMD | 258.41 |
CTL HEMORRHAGIC NASAL POSTERIOR | EDMD | 375.30 |
INTUBATE ET EMERGENT | EDMD | 402.35 |
DX LARYNGOSCOPY EXCL NB PRO FEE | EDMD | 516.50 |
LAV PERITON/ABD PARA INTL | EDMD | 387.70 |
ANOSCOPY W/REMVL FOREIGN BODY PRO FEE | EDMD | 220.50 |
SPINAL PUNCT LUMBAR DX PRO FEE | EDMD | 751.70 |
REM FB CORNEAL WO/SLITLMP | EDMD | 270.80 |
INCS THROMBOSED HEMOR EXT PRO FEE | EDMD | 286.75 |
REMOV FB EYE CORNEA W SLIT LAMP PRO FEE | EDMD | 155.40 |
ABD PARACENTESIS W/IMAGING PRO FEE | EDMD | 282.00 |
REM FB EAR CABAK WO/ANEST PRO FEE | EDMD | 311.25 |
REM IMPACT CERUMEN UN/BIL PRO FEE | EDMD | 122.55 |
EXC BEN LES HEAD/FT/GENIT <.5CM PRO FEE | EDMD | 214.20 |
EXC TR EXT B9+MARG 1.1-2 CM PRO FEE | EDMD | 422.00 |
REMOVE IMPACTED EAR WAX UNI | EDMD | 37.20 |
REMOVAL OF SKIN TAGS EDMD | 196.45 |
|
ARTERIAL CATH PERCUTANEOU | EDMD | 147.25 |
AVUL NAIL PRTL/CMPLT SING | EDMD | 176.40 |
BX SKN/SQ/MUC MEMB SINGLE | EDMD | 215.80 |
DRESS/DEBRID PT-THICK BURN LG PRO FEE | EDMD | 420.00 |
DRS/DED BURN W/O ANS SML | EDMD | 240.55 |
DRESS/DEBRID BURN W/O ANESTH | EDMD | 455.10 |
INTL TRMT 1DEG BURN/LOCAL | EDMD | 179.80 |
DESTRUCTION B9 LESION UP TO 14 PRO FEE | EDMD | 295.85 |
AMPUTATION OF FINGER/THUMB PRO FEE | EDMD | 1,733.40 |
DEBR ECZEM/INFCT SKN 10% | EDMD | 104.60 |
CD TRT FX DIS RAD/EP WO/M | EDMD | 806.75 |
CLSD TX TIBIAL FX W/MANIP PRO FEE | EDMD | 1,721.05 |
I&D HEMAT/SEROMA/FLD | EDMD | 424.75 |
CD TRT FX TIB SHFT WO/M | EDMD | 901.15 |
CD TRT FX RADIUS/ULNA | EDMD | 1,471.80 |
CLSD TX FX ULNAR STYLOID PRO FEE | EDMD | 802.20 |
OPN TRT FX DIST PHLNG EA | EDMD | 1,082.05 |
TREAT LOWER LEG FRACTURE | EDMD | 1,330.45 |
CD TRT DSL ELBOW WO/A | EDMD | 1,035.95 |
TREAT WRIST BONE FX PRO FEE | EDMD | 1,217.50 |
CLOSED TX ANKLE FX W/MANIP PRO FEE | EDMD | 660.50 |
CLOSED TX ANKLE DISLOC W/O ANES PRO FEE | EDMD | 955.80 |
TX CLOSED HEEL FRACTURE PRO FEE | EDMD | 914.40 |
CD TRT FX TRIMALLEOAR W/M PRO FEE | EDMD | 1,659.45 |
CD TRT FX HUM/PROX W/MAN | EDMD | 1,297.70 |
I&D ABCESS PERITONSILLAR | EDMD | 489.95 |
REM OF FOREIGN BODY FR PHARYNX PRO FEE | EDMD | 314.10 |
ARTHR/ASP/INJ SM JNT/BRS | EDMD | 186.60 |
ARTHR/ASP/INJ INT JNT/BRS | EDMD | 212.45 |
ARTHR/ASP/INJ MJR JNT/BRS | EDMD | 195.55 |
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDE | EDMD | 176.40 |
CLSD TX TOE DISLOC WO ANES PRO FEE | EDMD | 343.45 |
CD TRT FX DIST PHLNG WO/M | EDMD | 879.80 |
REP CMLX FC/HND/GN1.1-2.5 PRO FEE | EDMD | 656.15 |
REP CMLX FC/HND/GN2.6-7.5 PRO FEE | EDMD | 1,018.00 |
REPAIR COMPLEX TRUNK 2.6-7.5 CM PRO FEE | EDMD | 657.00 |
REP CMLX LD/N/E/L1.1-2.5 | EDMD | 825.85 |
REP CMLX SCLP/LIMB2.6-7.5 | EDMD | 861.75 |
LEG SURGERY PROCEDURE PRO FEE | EDMD | 350.00 |
LAY CLS FC/MUC 7.6-12.5 CM | EDMD | 987.65 |
REP LAC SIMPLE 20.1-30 CM PRO FEE | EDMD | 642.60 |
APPL SPLINT LONG LEG | EDMD | 243.85 |
CLSD TX CLAVICLE FX W/MANIP PRO FEE | EDMD | 1,081.00 |
CD TRT FX METACP W/M EA PRO FEE | EDMD | 952.80 |
CD TRT FX NAS BN W/O STBN | EDMD | 532.60 |
CD TRT SUBLX RAD HEAD W/M | EDMD | 333.70 |
CD TRT DSL PATELLAR WO/A | EDMD | 903.35 |
CD TRT FX RAD SHFT WO/M | EDMD | 1,357.25 |
REPAIR NAIL BED EA | EDMD | 327.00 |
TX FX RADIUS & ULNA PRO FEE | EDMD | 1,056.00 |
REM FB EYE EXT CONJ EMBED | EDMD | 251.70 |
CONTROL THROAT BLEEDING SIMPLE | EDMD | 713.50 |
REM FB EYE EXT CNJT SUPER | EDMD | 232.60 |
SHV EP/DM LS/TR/AR/LG<0.5 PRO FEE | EDMD | 94.50 |
APPL SPLINT SHT LEG | EDMD | 158.45 |
APPL SPLINT SHT ARM STATI | EDMD | 163.00 |
APPL CAST SHT LEG | EDMD | 211.30 |
APPL SPLINT LONG ARM | EDMD | 191.00 |
CHANGE OF BLADDER TUBE PRO FEE | EDMD | 139.75 |
VAGINAL DELIVERY ONLY | EDMD | 3,698.65 |
DRAIN BLADDER BY NEEDLE PRO FEE | EDMD | 100.80 |
CARDIOVERSION ELECTIVE EX | EDMD | 449.40 |
CARDIOPULMONARY RESUS | EDMD | 589.90 |
CD TRT FX MED MALLOS WO/M | EDMD | 808.95 |
ED MD EMS DIRECTED ALS | EDMD | 437.15 |
THOROCOSTOMY TUBE PLACED PRO FEE | EDMD | 630.35 |
THORACENTESIS W/O IMAGING GUIDANCE | EDMD | 669.70 |
THORACENTESIS W/IMAGING GUIDANCE PRO FEE | EDMD | 290.00 |
APPL SPLINT FNGR STATIC | EDMD | 107.95 |
CD TRT FX PHL SHFT WOM EA | EDMD | 429.25 |
CL TX FINGER FX W MANIP PRO FEE | EDMD | 1,222.20 |
CD TRT DSL IPJNT W/M WO/A | EDMD | 687.65 |
CLSD TX PST HIP DISCLOC W/O ANES PRO FEE | EDMD | 1,072.15 |
CD TRT DSL SHLDR W/M W/A | EDMD | 1,159.55 |
EVAC SUBUNGUAL HEMATOMA | EDMD | 81.05 |
CD TRT FX TOE DISLOC W/O ANESTH | EDMD | 314.60 |
CD TRT FX PHLNX/NG W/M | EDMD | 388.85 |
TX BIG TOE FRACTURE PRO FEE | EDMD | 1,034.00 |
PARTIAL AMPUTATION OF TOE | EDMD | 1,632.55 |
DEBR SKN & SUBQ TISSUE | EDMD | 209.15 |
DEBR/REM FB SKIN/SQ/MUS/BONE | EDMD | 1,419.10 |
EXPL PENETRATING WOUND ABD/BACK PRO FEE | EDMD | 1,304.80 |
EXPLOR PENETRATING WOUND EXTRMTY PRO FEE | EDMD | 944.05 |
CD TRT FX HUM SHFT WO/M | EDMD | 807.90 |
CD TRT FX HUM CONDYLAR W/MANIP | EDMD | 1,455.00 |
CLTX SHLDR DISLOC W MANIP PRO FEE | EDMD | 1,013.00 |
INSERT PICC CATH PRO FEE | EDMD | 221.40 |
CD TRT FX SHOULDER DISL W/MANIP PRO FEE | EDMD | 1,330.45 |
INSERT TUNNELED CV CATH PRO FEE | EDMD | 719.35 |
INTRAOSSEOUS NEEDLE PLACE | EDMD | 419.20 |
DRAINAGE OF GUM LESION | EDMD | 501.20 |
RMVL DEVITAL TIS 20CM< | EDMD | 124.75 |
DRAINAGE ABCESS FINGER SIMPLE PRO FEE | EDMD | 383.15 |
INCISION ANAL ABCESS PRO FEE | EDMD | 470.80 |
DRAIINAGE OF MOUTH LESION, SIMPLE | EDMD | 387.70 |
CLOSD MOUTH LAC RPR >2.5CM PRO FEE | EDMD | 619.50 |
MOD SED SAME PHYS <5 YRS | EDMD | 173.05 |
I&D PILONIDAL CYST SIMPLE PRO FEE | EDMD | 393.60 |
CD TRT FX LAT MAL W/M PRO FEE | EDMD | 1,406.70 |
INJECTION THERAPEUTIC | EDMD | 132.65 |
I&D VULVA/PERINEAL ABSCESS PRO FEE | EDMD | 353.95 |
REPAIR OF VAGINA | EDMD | 822.00 |
APPL SPLINT SHT ARM DYNAM | EDMD | 237.10 |
REP CMLX FC/HND/GN AD<5CM PRO FEE | EDMD | 332.65 |
RPR WOUND, LESION EA ADDL <5CM PRO FEE | EDMD | 383.15 |
DRAIN EXTERNAL EAR LESION | EDMD | 535.95 |
DRAIN OUTER EAR CANAL LESION PRO FEE | EDMD | 590.00 |
CENTRAL LINE PLCMT > 5 YR | EDMD | 674.10 |
ED VISIT PROBLEM FOCUSED | EDMD | 155.10 |
ED VISIT EXPANDED | EDMD | 210.11 |
ED VISIT EXPANDED/MODER | EDMD | 314.60 |
ED VISIT DETAILED | EDMD | 470.85 |
ED VISIT COMPREHENSIVE | EDMD | 701.10 |
ED CC SVCS 30-74 MIN | EDMD | 698.90 |
ED CC SVCS ADDL 30 MIN ++ | EDMD | 349.45 |
MEDICAL SCREENING EXAM | EDMD | 67.45 |
INJECT TRIGGER POINTS 3+ MUSCLES PRO FEE | EDMD | 170.10 |
MOD SED SAME PHYS >5 YRS 1st 30M PRO FEE | EDMD | 143.95 |
MOD SED SAME PHYS>5 YR EA AD 15M PRO FE | EDMD | 72.55 |
OBSERV DISCH DIFF DAY | EDMD | 152.90 |
OBSRV H&P LOW CMPLX | EDMD | 191.00 |
OBSRV H&P MOD CMPLX | EDMD | 259.60 |
OBSRV H&P HIGH CMPLX | EDMD | 324.80 |
HSP CARE INITIAL LOW | EDMD | 237.10 |
HSP CARE INITIAL / MODERATE | EDMD | 319.10 |
HSP CARE INITIAL / HIGH | EDMD | 392.20 |
OBSERVATION SUBS LOW | EDMD | 104.60 |
OBSERVATION SUBS MODERATE | EDMD | 159.60 |
OBSERVATION SUBS HIGH | EDMD | 235.95 |
HSP CARE SUBQ/FOCUSED/LOW | EDMD | 119.20 |
HSP CARE SUBQ/EXPNDED/MOD | EDMD | 169.70 |
HSP CARE SUBQ / HIGH | EDMD | 230.40 |
OBS/ HSP ADM/DIS SAME DAY LOW | EDMD | 334.85 |
OBS/ HSP ADM/DIS SAME DAY MOD | EDMD | 455.10 |
OBS/ HSP ADM/DIS SAME DAY HIGH | EDMD | 510.10 |
HSP DISCHARG MGMT/MD/<30 | EDMD | 201.20 |
HSP DISCHARG MGMT/MD/>31 | EDMD | 251.70 |
PUNCT/ASP ABCS/HEM/BUL/CY | EDMD | 311.25 |
NERVE BLOCK INJ TRIGEMINAL | EDMD | 205.70 |
NERVE BLOCK INJECTION FACIAL | EDMD | 521.35 |
NERVE BLOCK INJ OCCIPITAL | EDMD | 182.10 |
INJ/ANES OTHR PERIPHERAL PRO FEE | EDMD | 277.55 |
LIPASE /SO | LAB | 127.15 |
DOT Drug Testing - DATCO | LAB | 90.00 |
ORGANISM ID AEROBIC EACH /SO | LAB | 29.10 |
SENSITIVITY/SUSCEPTIBILTY ON CULTURE /SO | LAB | 31.15 |
LEUKOCYTE ALK PHOS /SO | LAB | 26.55 |
CULTURE TYPE IMMUN NOT FLUORES /SO | LAB | 18.65 |
ORGANISM ID ANAEROBIC EACH /SO | LAB | 29.10 |
LIPID PANEL | LAB | 232.60 |
PSA TOTAL | LAB | 219.15 |
TSH | LAB | 309.05 |
CADMIUM ASSAY /SO | LAB | 71.45 |
DRUG SCREEN QUAN LAMOTRIGINE /SO | LAB | 40.85 |
HGB A1C | LAB | 176.40 |
ALCOHOL BLOOD | LAB | 197.85 |
LIPASE | LAB | 127.15 |
MAGNESIUM | LAB | 121.40 |
TROPONIN QUANTITATIVE | LAB | 350.60 |
RENAL PANEL | LAB | 214.65 |
OB PANEL | LAB | 358.50 |
T4, FREE | LAB | 176.40 |
LDL DIRECT | LAB | 170.85 |
HS-CRP /SO | LAB | 238.25 |
NUCLEAR ANTIGEN ANTIBODY /SO | LAB | 55.35 |
CYTOLOGY URINE /SO | LAB | 79.50 |
PROTEIN/CREAT RATIO /SO | LAB | 11.30 |
LDH /SO | LAB | 22.50 |
LEISHMANIA AB /SO | LAB | 43.80 |
MICROBE SUSCEPTIBLE ENZYME /SO | LAB | 17.10 |
URINE BACTERIA CULTURE /SO | LAB | 29.15 |
METHYLMALONIC ACID /SO | LAB | 52.85 |
ALK PHOS ISOENZYMES /SO | LAB | 79.80 |
GLIADIN AB IgG IgA 2nd test /SO | LAB | 35.60 |
GRAM STAIN /SO | LAB | 13.15 |
WBC SMEAR STOOL / Q | LAB | 13.15 |
GLIADIN AB IgG IgA /SO | LAB | 69.20 |
HAPTOGLOBIN /SO | LAB | 38.80 |
FUNGI IDENT MOLD /SO | LAB | 31.85 |
CELIAC DIAGNOSTIC PNL /SO | LAB | 35.60 |
ALDOLASE /SO | LAB | 29.95 |
ALKALOIDS NOS /SO | LAB | 29.20 |
FOLATES RBC /SO | LAB | 143.25 |
COMPLEMENT C3C /SO | LAB | 37.00 |
COMPLEMENT CH50 /SO | LAB | 62.70 |
COMPLEMENT C4 /SO | LAB | 53.45 |
CA19-9 /SO | LAB | 64.25 |
SHBG /SO | LAB | 67.05 |
SODIUM 24 URINE /SO | LAB | 15.00 |
PTH BIOINTACT /SO | LAB | 127.40 |
ANTI-DNA /SO | LAB | 42.40 |
COL CHROMOTOGRAPHY QUAL/QUAN /SO | LAB | 64.60 |
TOTAL/DIRECT BILI FXNTD /SO | LAB | 84.35 |
H PLORI IGA AAB /SO | LAB | 44.75 |
AMH /SO | LAB | 43.15 |
TISSUE TRANSGLUTAM ABS /SO | LAB | 35.60 |
MERCURY /SO | LAB | 50.15 |
ALPHA 1 ANTITRUPSIN /SO | LAB | 41.14 |
CORTISOL 24 URINE /SO | LAB | 51.55 |
M. TUBERCULO DNAAMP PROBE /SO | LAB | 108.30 |
ANTITHROMBIN III PAN /SO | LAB | 36.55 |
LUPUS ANTICOAG EVAL /SO | LAB | 29.55 |
CARDIOLIPIN AB SCREEN /SO | LAB | 78.55 |
ZONISAMIDE(ZONEGRAN) /SO | LAB | 40.90 |
ERYTHROPOIETIN /SO | LAB | 58.00 |
RENIN /SO | LAB | 67.85 |
POTASSIUM 24 URINE /SO | LAB | 13.30 |
HSV I IGG /SO | LAB | 40.70 |
HSV II IGG /SO | LAB | 59.75 |
VAP IM CHOLESTEROL /SO | LAB | 84.65 |
VITAMIN A /SO | LAB | 35.80 |
VITAMIN B6 /SO | LAB | 86.70 |
VITAMIN D 1 25-DIHYDROXY /SO | LAB | 118.80 |
HERPES SIMPLEX NES ANTBDY /SO | LAB | 44.40 |
VIT B1 THIAMINE /SO | LAB | 65.50 |
URIC ACID 24 URINE /SO | LAB | 14.65 |
CHROMOGRANIN A /SO | LAB | 64.25 |
ASSAY OF URINE, UREA NIT /SO | LAB | 14.65 |
FIBRIROGEN /SO | LAB | 36.15 |
APOLIPOPROTEIN A-1 /SO | LAB | 52.70 |
CHLAMYDIA PENUMONIAE /SO | LAB | 108.30 |
MYCOPLASMA PNEUMONIAE /SO | LAB | 40.85 |
DRUG ASSAY EVEROLIMUS /SO | LAB | 42.40 |
ZINC /SO | LAB | 35.15 |
CLOTTING FACTOR VIII VW MEASURE /SO | LAB | 70.80 |
CYSTIC FIBROSIS SCREEN /SO | LAB | 112.45 |
IGA /SO | LAB | 28.70 |
IGG /SO | LAB | 28.70 |
IGM /SO | LAB | 28.70 |
ANTIEPILEPTIC LEVEL ETHOSUXIMIDE /SO | LAB | 12.40 |
CULTURE BACT ANAEROBIC EXCEPT BLOOD /SO | LAB | 29.20 |
ARSENIC /SO | LAB | 58.55 |
MOLECULAR PATH 2 HUNTINGTON'S /SO | LAB | 342.00 |
H. PYLORI ANTIGEN /SO | LAB | 44.40 |
CP AB /SO | LAB | 39.95 |
A1C /SO | LAB | 176.40 |
GENTAMICIN ASSAY PEAK /SO | LAB | 50.55 |
GENTAMICIN ASSAY TROUGH /SO | LAB | 50.55 |
MAGNESIUM RBC /SO | LAB | 121.40 |
ACTH /SO | LAB | 119.20 |
B-2 MICROGLOBULIN /SO | LAB | 49.90 |
UA MICRO ONLY | LAB | 42.75 |
ASSAY OF LIPOPROTEIN (A) /SO | LAB | 39.95 |
CERULOPLASMIN /SO | LAB | 33.15 |
FECAL FAT /SO | LAB | 15.70 |
GASTRIN /SO | LAB | 54.42 |
T3 REVERSE / Q | LAB | 48.65 |
FOLIC ACID RBC | LAB | 143.25 |
HEP B GENOTYPE DNA /SO | LAB | 794.60 |
5 HIAA URINE /SO | LAB | 39.80 |
COPPER SERUM /SO | LAB | 38.30 |
MUMPS /SO | LAB | 40.30 |
ALPHA 1 ANTITRYPSIN PHENOTYPE /SO | LAB | 44.65 |
IGFBP3 /SO | LAB | 46.00 |
IGF1 /SO | LAB | 65.60 |
SUGARS SINGLE QUAL /SO | LAB | 17.00 |
FLOW CYTOMETRY TC 1 MARKER /SO | LAB | 35.95 |
FLOW CYTOMETRY EA ADDL MARKER /SO | LAB | 9.35 |
CATECHOLAMINES /SO | LAB | 77.95 |
KAPPA LAMBDA LIT CHN /SO | LAB | 41.95 |
ESTRONE /SO | LAB | 77.00 |
B-2 GLYCOPROTEIN /SO | LAB | 78.55 |
PHOSPHOLIPID ANTIBODY /SO | LAB | 49.60 |
T4 FREE BY DIALYSIS /SO | LAB | 176.40 |
TRANSFERRIN /SO | LAB | 39.40 |
TRICHOMMONAS AMP PROBE /SO | LAB | 102.10 |
CULTURE TYPING GLC/HPLC /SO | LAB | 38.65 |
MICROBE SUSCEPTIBLE DIFFUSE /SO | LAB | 14.65 |
MICROBE SUSCEPTIBLE DISK /SO | LAB | 21.25 |
MRSA SCREEN RT PCR /SO | LAB | 108.30 |
CALCULUS INFRARED SPECTROSCOPY /SO | LAB | 39.80 |
SMR PRIM SRC FLUORESC&/AFS BCT FNGI /SO | LAB | 16.60 |
MICOBACTERIA CULTURE ACID FAST /SO | LAB | 33.35 |
SKIN FUNGI CULT MOLD, YEAST /SO | LAB | 23.75 |
CANDIDA DNA DIR PROBE /SO | LAB | 61.90 |
GARDNER VAG DNA DIR PROBE /SO | LAB | 61.90 |
TRICHOMONAS VAGIN DIR PROBE /SO | LAB | 61.90 |
TOXIN/ANTITOXIN ASSAY TISSUE /SO | LAB | 60.90 |
AB EPSTEIN BARR NUCLEAR AG /SO | LAB | 47.20 |
AB EPSTEIN-BARR VIRAL CAPSID /SO | LAB | 56.00 |
SMEAR COMPLX STAIN OVA PARASIT /SO | LAB | 55.45 |
AB CYTOMEGALOVIRUS /SO | LAB | 44.40 |
AB CYTOMEGALOVIRUS IGM /SO | LAB | 52.00 |
AB HEP DELTA AGENT /SO | LAB | 52.95 |
HEPATITIS BE ANTIBODY /SO | LAB | 35.70 |
CHLAMYDIA CULTURE ANY SOURCE /SO | LAB | 60.45 |
CULT TYPE IMMUNOFLUORESC EA ANTISERM /SO | LAB | 17.20 |
HEATITIS B IADNA QUANT /SO | LAB | 132.20 |
HPV IADNA HIGH RISK TYPES /SO | LAB | 108.30 |
HPV TYPES 16 & 18 ONLY /SO | LAB | 108.30 |
HUMAN EPIDIDYMIS PROTEIN 4 HE4 /SO | LAB | 64.25 |
ONCO OVARIAN BIOCHEM ASSAY 2 PROTEIN /SO | LAB | 651.25 |
STOOL CULTR AEROBIC BACT EACH /SO | LAB | 29.15 |
SHIGA LIKE TOXIN IAAD EIA /SO | LAB | 37.00 |
DRUG SCREEN QUANT MYCOPHENOLATE /SO | LAB | 55.70 |
CYTOPATH CELL ENHANCE TECHNIQ SLCTV /SO | LAB | 70.25 |
ELASTASE PANCREATIC FECAL QUAL /SO | LAB | 35.60 |
H PYLORI BREATH ANAL UREASE /SO | LAB | 207.90 |
HLA I LOW RES ONE ANTIGEN EQUIV EACH /SO | LAB | 224.50 |
CALCIUM URINE QUANT TIMED SPECIMEN /SO | LAB | 18.60 |
CLOSTRIDIUM DIFF AMPLIFIED PROBE /SO | LAB | 108.30 |
ASSAY OF CALPROTECTIN FECAL /SO | LAB | 60.10 |
ASSAY OF PREGNENOLONE /SO | LAB | 63.80 |
AB VIRUS NOT ELSEWHERE CLASSIFIED /SO | LAB | 39.75 |
ASSAY OF CRYOFIBRINOGEN /SO | LAB | 35.35 |
ASSAY OF CRYOGLOBULIN SEMI QUANT /SO | LAB | 19.95 |
IADNA AMP PROBE TQ EACH NOT SPECIFD /SO | LAB | 108.30 |
ISLET CELL ANTIBODY /SO | LAB | 61.05 |
HEP DELTA AGENT ANTIBODY /SO | LAB | 52.95 |
CRYOGLOBULIN QUAL SEMI-QUANT /SO | LAB | 19.95 |
CHLAMYDIA ANTIBODY /SO | LAB | 36.50 |
CHLAMYDIA IGM ANTIBODY /SO | LAB | 19.15 |
GLUCOSE TOLERANCE EA ADDL AFTER 3 SPECIM | LAB | 17.45 |
BILE ACID /SO | LAB | 52.85 |
POTASSIUM,URINE /SO | LAB | 13.30 |
TISSUE EXAM BY PATHOLOGIST LVL 1 /SO | LAB | 43.65 |
TISSUE EXAM BY PATHOLOGIST LVL II /SO | LAB | 79.50 |
TISSUE EXAM BY PATHOLOGIST LVL III /SO | LAB | 111.75 |
TISSUE EXAM BY PATHOLOGIST LVL IV /SO | LAB | 111.75 |
TISSUE EXAM BY PATHOLOGIST LVL V /SO | LAB | 538.55 |
TISSUE EXAM BY PATHOLOGIST LVL VI /SO | LAB | 1,352.40 |
CHLORIDE,URINE /SO | LAB | 15.50 |
CARBON DIOXIDE BLOOD ASSAY /SO | LAB | 15.05 |
CHLORIDE, BLOOD /SO | LAB | 14.20 |
CHEMILUMINESCENT ASSAY /SO | LAB | 43.60 |
QUANTITATION OF TX DRUG NES /SO | LAB | 46.60 |
BETA 2 MICROGLOBULIN /SO | LAB | 49.90 |
HSV CULTURE,SOFP /SO | LAB | 104.50 |
THYROGLOBULIN W/O TGAB /SO | LAB | 49.55 |
INFLUENZA A&B AG,EIA /SO | LAB | 37.00 |
NT-PRO BNP | LAB | 623.60 |
ASSAY OF CALCITONIN /SO | LAB | 82.70 |
CULTURE SCREEN /SO | LAB | 20.45 |
SODIUM SERUM | LAB | 83.20 |
EHRLICHIA ABS /SO | LAB | 31.40 |
LIPO PROFILE TEST /SO | LAB | 52.70 |
COLLAGEN CROSSLINKS NTX /SO | LAB | 57.65 |
MCARE SCREENING PSA | LAB | 219.15 |
HSV 1/2 IGG /SO | LAB | 40.70 |
CA 15-3 /SO | LAB | 64.25 |
PREALBUMIN /SO | LAB | 45.00 |
AMINO ACID ANALYSIS /SO | LAB | 52.05 |
SIROLIMUS/RAPAMYCIN /SO | LAB | 42.40 |
CYTOMEGALOVIRUS DNA /SO | LAB | 132.20 |
CHROMIUM,PLASMA /SO | LAB | 62.60 |
COBALT,BLOOD /SO | LAB | 87.80 |
TSH /SO | LAB | 309.05 |
UA DIP W/O MICROSCOPIC | LAB | 27.00 |
CMP /SO | LAB | 213.50 |
VITAMIN B12 /SO | LAB | 46.50 |
TOTAL PSA /SO | LAB | 219.15 |
PHOSPHORUS/PHOSPHATE /SO | LAB | 88.85 |
THYROID STIMUL IMM /SO | LAB | 156.95 |
OB PANEL /SO | LAB | 231.05 |
ASSAY OF VIT E TOCOPHEROL ALPHA /SO | LAB | 43.80 |
ANCA SCREEN /SO | LAB | 46.45 |
TOXICOLOGY DRUG SCREEN, MULT CLASSES, /S | LAB | 617.30 |
DRUG SCREEN PRESUMPTIVE OPT INST | LAB | 76.45 |
C-REACTIVE PROTEIN HS /SO | LAB | 238.25 |
ASSAY LIPOPROTEIN PLA2 /SO | LAB | 116.40 |
HEP B CORE TOTAL/HBC IG /SO | LAB | 37.20 |
KIT DRAW FROM PATIENT | LAB | 56.00 |
BRCA1&2 SEQ & FULL DUP/DEL /SO | LAB | 5,632.00 |
BARTONELLA HENSELEA /SO | LAB | 31.40 |
GENE ANALYSIS HEMOCHROMATOSIS /SO | LAB | 201.70 |
HLA II TYPING 1 LOC HR /SO | LAB | 381.70 |
VIRUS TISSUE INOCULATION /SO | LAB | 80.45 |
VIRUS INOCULATION SHELL STAIN /SO | LAB | 60.35 |
VANCOMYCIN /SO | LAB | 41.80 |
LYME WEST BLOT /SO | LAB | 216.65 |
RUBEOLOA TITER /SO | LAB | 39.75 |
ASSAY OF PROTEIN SERUM INHOUSE | LAB | 14.10 |
C-REACTIVE PROTEIN INHOUSE | LAB | 19.85 |
ASSAY OF VASOPRESSIN /SO | LAB | 104.75 |
ALLERGEN IGE, EA ALLERGEN /SO | LAB | 16.10 |
DHEA /SO | LAB | 78.00 |
PORPHOBILINOGEN ASSAY, RANDOM /SO | LAB | 26.05 |
ANGIOTENSION CONV ENZY/SO | LAB | 45.05 |
HEPATITIS A, TOTAL /SO | LAB | 38.20 |
HEPATITIS Be AG EIA /SO | LAB | 35.55 |
URINE PORPHYRINS, FRACT, /SO | LAB | 45.40 |
HIV-1 RNA QUANT BDNA /SO | LAB | 262.65 |
THYROXINE FREE /SO | LAB | 176.40 |
KETONES PANEL /SO | LAB | 13.55 |
ALDOSTERONE ASSAY /SO | LAB | 125.75 |
PROTEIN,SYNOVIAL FLUID /SO | LAB | 11.30 |
GLUCOSE,SYNOVIAL FLUID /SO | LAB | 12.15 |
SJOGREN'S ANTIBODY-SS-A /SO | LAB | 55.35 |
SM ANTIBODY NUCLEAR ANTIGEN /SO | LAB | 55.35 |
HSV 1/2 DNA PCR /SO | LAB | 108.30 |
ASSAY OF ANDROSTENEDIONE /SO | LAB | 100.40 |
CARBOXYHEMOGLOBIN /SO | LAB | 38.00 |
LACTIC ACID/LACTATE | LAB | 196.70 |
TBII /SO | LAB | 48.00 |
RETICULOCYTE COUNT | LAB | 184.30 |
CRP-HS | LAB | 238.25 |
INFLUENZA | LAB | 89.90 |
ANIBODY FUNGUS /SO | LAB | 37.80 |
D DIMER | LAB | 306.85 |
VISCOSITY,SERUM /SO | LAB | 36.05 |
IGE /SO | LAB | 50.80 |
ASSAY OF G6PD ENZYME /SO | LAB | 29.85 |
ASSAY OF GLYCATED PROTEIN /SO | LAB | 46.52 |
HEMOGLOBIN CHROMOTOGRAPHY /SO | LAB | 55.75 |
OXALATE URINE /SO | LAB | 11.25 |
ASSAY PH BODY FLUID NOS /SO | LAB | 11.05 |
MAGNESIUM URINE | LAB | 11.25 |
ASSAY OF HISTAMINE /SO | LAB | 92.00 |
CITRATE URINE /SO | LAB | 11.25 |
INTRINSIC FACTOR /SO | LAB | 46.50 |
COXSACKIE AB /SO | LAB | 40.20 |
QUANTIFERON GOLD /SO | LAB | 191.30 |
CARDIO IQ (TM) LIPO, ION /SO | LAB | 97.35 |
CARDIO IQ (TM) HDL CHOL /SO | LAB | 25.30 |
MASS SPECTROMETRY QUAL/QUAN /SO | LAB | 60.25 |
MUCIN SYNOVIA FLUID ROPES TEST /SO | LAB | 18.10 |
PHOSPHORUS URINE /SO | LAB | 15.98 |
17-HYDROXYPREGNENOLONE LEVEL /SO | LAB | 70.40 |
ASSAY OF PROSTAGLNDIN EACH /SO | LAB | 105.00 |
WESTERN BLOT TEST /SO | LAB | 52.60 |
ASSAY OF SELENIUM /SO | LAB | 78.80 |
SULFATE URINE /SO | LAB | 14.65 |
ASSAY OF VITAMIN NOS /SO | LAB | 42.65 |
VITAMIN K LEVEL /SO | LAB | 42.35 |
CALCIUM IONIZED /SO | LAB | 42.20 |
VIT D 25-HYDROXY /SO | LAB | 91.35 |
GIARDIA AG STOOL /SO | LAB | 37.00 |
CRYPTOSPORIDIUM OR INFECTIOUS AGENT /SO | LAB | 20.60 |
CRYPTOSPORIDIUM AG IF /SO | LAB | 37.00 |
ENTAMOEB HIST GRP AG IA /SO | LAB | 37.00 |
CLOTTING FACTOR VIII AHG 1 STAGE /SO | LAB | 55.25 |
CLOTTING FACTOR VIII VW FACTOR ANTGN /SO | LAB | 70.80 |
CLOTTING FACTR VIII VW MULTIMETRIC /SO | LAB | 70.80 |
BLOOD CLOTTING FACTOR X /SO | LAB | 66.25 |
FIBRIN DEGRADATION PRODUCTS /SO | LAB | 22.00 |
RBC SICKLE CELL TEST /SO | LAB | 17.00 |
ALLERGEN SPEC IGG QUAN/SEMIQUAN EA /SO | LAB | 19.55 |
FLUORESCENT ANTIBODY SCREEN /SO | LAB | 37.20 |
IMMUNOFIXATION ELECTROPHORESIS SERUM /SO | LAB | 69.00 |
NK CELLS TOTAL CT /SO | LAB | 116.45 |
NEUTRALIZATION TEST VIRAL /SO | LAB | 52.20 |
AB CANDIDA /SO | LAB | 37.05 |
AB COXIELLA BURNET II Q FEVER /SO | LAB | 38.00 |
GIARDIA LAMBLIA AB /SO | LAB | 45.40 |
IgG ANTIBODY NOS /SO | LAB | 38.20 |
RICKETTSIA ANTIBODY /SO | LAB | 60.00 |
TOXOPLASMA ANTIBODY /SO | LAB | 44.40 |
TOXOPLASMA ANTIBODY IGM /SO | LAB | 44.45 |
MACROSCOPIC EXAM PARASITE /SO | LAB | 13.15 |
PINWORM EXAM /SO | LAB | 13.15 |
VARICELLA ZOSTER AG IF /SO | LAB | 37.00 |
ANTIBODY DETECTION NOS IF /SO | LAB | 40.30 |
IADNA BARTONELLA AMP PROBE TECHNIQ /SO | LAB | 108.30 |
HCV RNA QUAL /SO | LAB | 108.30 |
DRUG SCREEN V /SO | LAB | 262.95 |
CELL COUNT (BODY FLUID) /SO | LAB | 17.00 |
HEP B CORE ANTI IGM /SO | LAB | 36.35 |
HEP B SURFACE ANTIB /SO | LAB | 33.15 |
HEPATITIS C ANTIBODY /SO | LAB | 44.00 |
CALCIUM /SO | LAB | 65.21 |
LEVETIRACETAM DRUG SCREEN /SO | LAB | 47.41 |
C. DIFF TOXIN, EIA/SO | LAB | 37.00 |
PCR AG DETECT NOS IIA MULT /SO | LAB | 37.00 |
BLOOD SMEAR INTERPRETATION /SO | LAB | 63.90 |
CBC W/AUTO DIFF | LAB | 163.00 |
CYTOPATH C/V THIN LAYER /SO | LAB | 62.50 |
UA AUTO WO/MICRO | LAB | 114.70 |
CYTOPATH C/V THIN LAYER RESCREEN /SO | LAB | 81.75 |
CRYSTALS- SYNOVIAL FLUI /SO | LAB | 22.05 |
CBC W/MANUAL DIFF | LAB | 115.85 |
ESR | LAB | 73.10 |
HEMATOCRIT | LAB | 66.40 |
HEMOGLOBIN | LAB | 75.30 |
CBC W/O DIFFERENTIAL | LAB | 129.35 |
P.T.T | LAB | 195.55 |
PLATELET CT SEPARATE PROC | LAB | 195.55 |
PREGNANCY TEST URINE | LAB | 94.40 |
PROTIME W/INR /SO | LAB | 172.00 |
PROTHROMBIN TIME | LAB | 172.00 |
IMMUNODIFFUSION NES /SO | LAB | 43.35 |
IMMUNFIX ELEC SERUM /SO | LAB | 74.80 |
IMMUNOFIXATN ELEC URIN /SO | LAB | 90.55 |
URINE, DIP STICK W/MICRO, NON-AUTO | LAB | 61.85 |
RETICULOCYTE/SO | LAB | 184.30 |
SEMEN ANALYSIS POST /SO | LAB | 66.40 |
CYSTIC FIBROSIS SCREEN /SO | LAB | 1,391.50 |
UA W/ MICROSCOPIC | LAB | 133.80 |
HEPATITIS C BY RIBA /SO | LAB | 47.80 |
STREPTOCOCCUS PNEUMONIAE IgG AB /SO | LAB | 46.25 |
CULTURE, BLOOD /SO | LAB | 31.85 |
ESTRADIOL (E2) /SO | LAB | 86.20 |
CHLAMYDIA DNA,SDA /SO | LAB | 108.30 |
CULTURE-FUNGUS /SO | LAB | 25.95 |
DNA ANTIBODY SINGLE STRAND /SO | LAB | 37.35 |
GC DNA,SDA /SO | LAB | 108.30 |
PROTEIN C INHIBIT /SO | LAB | 42.70 |
HERPES CULTURE /SO | LAB | 46.55 |
TISSUE KOH FOR FUNGI /SO | LAB | 42.75 |
KOH PREP WET MOUNT FUNGUS | LAB | 42.75 |
PROTHROMBIN GENE /SO | LAB | 164.20 |
CYSTATIN C /SO | LAB | 46.30 |
ASSAY OF LDH ENZYMES /SO | LAB | 39.50 |
JAK2 GENE /SO | LAB | 288.85 |
FACTOR V LEIDEN /SO | LAB | 188.60 |
BLOOD OCCULT FECAL HGB IA QUAL 1-3 /S0 | LAB | 56.90 |
ANTITHROMBIN III ANTIGEN /SO | LAB | 33.35 |
OCCULT BLOOD FECES | LAB | 37.20 |
PROTEIN S CLOT INHIBIT /SO | LAB | 21.35 |
OVA & PARASITES /SO | LAB | 27.45 |
BLOOD OCCULT FECAL HGB IA QUAL 1-3 | LAB | 56.90 |
RAPID STREP SCREEN | LAB | 165.20 |
MTHFR GENE ANALYSIS /SO | LAB | 163.35 |
SKIN TEST TUBERCULOSIS | LAB | 49.55 |
CULTURE URINE /SO | LAB | 24.90 |
WET MOUNT | LAB | 51.80 |
ACETOMINOPHEN | LAB | 371.95 |
ALBUMIN | LAB | 85.50 |
AMMONIA- BLOOD | LAB | 204.55 |
AMYLASE /SO | LAB | 177.65 |
AMYLASE | LAB | 177.65 |
VITAMIN B12 /SO | LAB | 46.70 |
BILIRUBIN TOTAL | LAB | 84.35 |
BILIRUBIN- DIRECT | LAB | 86.55 |
CALCIUM- BLOOD | LAB | 65.21 |
CA 27.29 (BR27.29) /SO | LAB | 64.25 |
CEA /SO | LAB | 7.15 |
CHOLESTEROL- TOTAL | LAB | 44.95 |
CORTISOL TOTAL /SO | LAB | 50.30 |
CPK ISOENZYMES /SO | LAB | 153.95 |
CPK ISOENZYMES | LAB | 153.95 |
CPK /SO | LAB | 143.95 |
CPK | LAB | 143.95 |
CKMB - CREATINE KINASE MB FRACTION /SO | LAB | 35.65 |
CREATININE | LAB | 94.40 |
CREATININE/ URINE /SO | LAB | 17.75 |
CREATININE URINE | LAB | 17.75 |
DIGOXIN | LAB | 243.85 |
DRUG ASSAY CYCLOSPORINE /SO | LAB | 55.70 |
ANA LYZER /SO | LAB | 37.30 |
ELECTROLYTE PANEL | LAB | 127.15 |
ESTROGEN TOT /SO | LAB | 66.95 |
FERRITIN /SO | LAB | 42.05 |
FOLIC ACID /SO | LAB | 45.35 |
FSH /SO | LAB | 57.35 |
T3 FREE /SO | LAB | 52.30 |
GLUCOSE QUANT | LAB | 61.85 |
GLUCOSE TOL 3 SPECIMENS | LAB | 235.95 |
RAY'S MARKET DRUG SCREEN | LAB | 43.90 |
HCG, QUANTITATIVE | LAB | 52.00 |
IRON TOTAL /SO | LAB | 20.00 |
IRON TOTAL/IRON BIND /SO | LAB | 27.00 |
INSULIN /SO | LAB | 35.25 |
C PEPTIDE /SO | LAB | 64.25 |
T3 BY RIA /SO | LAB | 43.75 |
VARICELLA ZOSTER IGG /SO | LAB | 39.75 |
TETANUS ANTITOXID /SO | LAB | 46.40 |
LITHIUM /SO | LAB | 20.40 |
HEPATIC PANEL | LAB | 151.75 |
LUTEINIZING HORMONE(LH) /SO | LAB | 57.15 |
OSMOLALITY(SERUM) /SO | LAB | 20.40 |
OSMOLALITY (URINE) /SO | LAB | 21.05 |
PHOSPHATASE ALKALINE | LAB | 79.80 |
PHOSPHATE INORGANIC | LAB | 88.85 |
POTASSIUM | LAB | 88.85 |
PROGESTERONE /SO | LAB | 64.40 |
PROCALCITONIN (PCT) /SO | LAB | 82.70 |
PROLACTIN /SO | LAB | 59.80 |
PROTEIN TOTAL/ SERUM /SO | LAB | 14.10 |
PROTEIN ELECTRO SERUM /SO | LAB | 33.15 |
SALYCILATES | LAB | 224.70 |
SGOT | LAB | 38.25 |
SGPT | LAB | 42.75 |
STONE ANALYSIS /SO | LAB | 35.70 |
T4 /SO | LAB | 21.20 |
TEGRETOL- CARBAMAZEPHN /SO | LAB | 44.95 |
C REACTIVE PROTEIN /SO | LAB | 19.85 |
TESTOSTERONE TOTAL ADULT MALE /SO | LAB | 79.65 |
TESTOSTERONE TOTAL LC/MS/MS /SO | LAB | 79.65 |
PROTEIN TOTAL 24HR URIN /SO | LAB | 11.30 |
TRIGLYCERIDES | LAB | 59.65 |
UREA NITROGEN (BUN) QUANT | LAB | 79.80 |
DHEA SULFATE /SO | LAB | 68.60 |
HEPATITIS A ANTIB IGM /SO | LAB | 34.75 |
VMA /SO | LAB | 47.80 |
VALPROIC ACID /SO | LAB | 41.80 |
CA 125 /SO | LAB | 64.25 |
MICRO ALBUMIN /SO | LAB | 17.85 |
DRUG SCRN QUANT OXCARBAZEPIN /SO | LAB | 40.90 |
MICROALBUMIN URINE /SO | LAB | 17.85 |
ANTINUCLEAR ANTIBODY/SO | LAB | 37.30 |
ANA TITER /SO | LAB | 34.45 |
CROSS MATCH EACH UNIT | LAB | 483.11 |
DETECT DNA /SO | LAB | 132.20 |
HEPATITIS B SURF AG /SO | LAB | 31.85 |
DRUG SCREEN/MULTI DRG CLS | LAB | 262.95 |
HEPATITIS PANEL/SO | LAB | 146.25 |
HIV 1\2 AB SCREEN /SO | LAB | 42.30 |
HLA B27 /SO | LAB | 79.65 |
HIV-1&2, AG & ANTIBODY /SO | LAB | 74.30 |
LYME DISEASE ANTIBODY /SO | LAB | 52.55 |
LYME DISEAS ANTIBDY IGM /SO | LAB | 47.80 |
LEAD BLOOD /SO | LAB | 37.35 |
MONONUCLEOSIS TEST | LAB | 95.65 |
PTH /SO | LAB | 127.40 |
PREGNANCY TEST SERUM QUAL | LAB | 138.30 |
H. PYLORI AB /SO | LAB | 46.55 |
GIARDIA ANTIGEN /SO | LAB | 37.00 |
RUBELLA /SO | LAB | 44.40 |
RHEUMATOID FACTOR /SO | LAB | 17.50 |
RPR /SO | LAB | 13.15 |
MYELIN BASIC PROTEIN CSF ANALYSIS /SO | LAB | 53.10 |
OLIGOCLONAL IMMUNE BANDS /SO | LAB | 68.45 |
PROTEIN E-PHORESIS/URINE/CSF /SO | LAB | 55.00 |
HEP C RNA QUANT /SO | LAB | 132.20 |
THYROGLOBULIN AB /SO | LAB | 49.10 |
AFP /SO | LAB | 51.75 |
DIRECT ANTIGLOBULIN TEST /SO | LAB | 16.60 |
PSA FREE RATIO /SO | LAB | 56.75 |
HEP C GENOTYPE LIPA /SO | LAB | 794.60 |
EHRLICA CANIS AB /SO | LAB | 37.20 |
MALARIA SMEAR /SO | LAB | 18.50 |
HOMOCYSTINE TOTAL /SO | LAB | 52.10 |
FLOW CYTOMETRY INTERP 16/> MARKERS /SO | LAB | 222.30 |
GASES-PH PCO2 PO2 & SAT | LAB | 657.30 |
METANEPHRINES TOTAL /SO | LAB | 52.30 |
COMPREHENSIVE METAB PANEL | LAB | 213.50 |
BASIC METABOLIC PANEL | LAB | 179.80 |
DILANTIN (PHENYTOIN) | LAB | 243.85 |
PHENOBARBITAL /SO | LAB | 38.25 |
ASO TITER /SO | LAB | 22.50 |
ARTERIAL PUNC/BLOOD WTHDR | LAB | 84.35 |
VENIPUNCTURE | LAB | 38.25 |
CHP BLOOD DRAW | LAB | 35.00 |
CENTRAL LINE BLOOD DRAW | LAB | 36.05 |
GLUCOSE POST GLUCOSE DOSE | LAB | 65.21 |
T LYMPHOCYTE CD4 /SO | LAB | 82.65 |
GGT /SO | LAB | 22.20 |
URIC ACID /SO | LAB | 13.95 |
CREATININE CLEARANCE 24 /SO | LAB | 29.15 |
THYROID PEROXIDASE AB /SO | LAB | 44.90 |
CULTURE AEROBIC /SO | LAB | 26.60 |
AMMONIA /SO | LAB | 204.55 |
TESTOSTERONE FREE /SO | LAB | 78.60 |
HCV RNA QUANT R-T PCR /SO | LAB | 132.20 |
TACROLIMUS /SO | LAB | 42.40 |
CULTURE STOOL /SO | LAB | 29.15 |
CULTURE THROAT /SO | LAB | 26.60 |
DRUG TEST DEF 1-7 CLASSES /SO | LAB | 286.05 |
T3 UPTAKE /SO | LAB | 19.95 |
HEPATIC PANEL /SO | LAB | 151.75 |
MAMM DX UNILATERAL | MAMM | 330.00 |
MAMMOGRAPHY SCREENING BILAT W/CAD | MAMM | 333.20 |
IMMUN ADMIN 1ST EA COMBO | MM | 111.30 |
BANDG- ACE ELASTIC 4" | MM | 32.75 |
BANDG- ACE ELASTIC 3" | MM | 23.65 |
BANDG- ACE ELASTIC 2" | MM | 23.65 |
BANDG- ACE ELASTIC 6" | MM | 23.65 |
SOL- IV, D5, 500ML | MM | 30.00 |
SOL- IV, D5, 100ML | MM | 30.00 |
SOL- IV, 9% NACL, 1000ML | MM | 40.00 |
SOL- IV, 9% NACL, 500ML | MM | 50.00 |
SOL- IV, 9% NACL, 100ML | MM | 30.00 |
SOL-IV, 45% NACL, 1000ML | MM | 40.00 |
SOL- IV, 9% NACL, 250ML | MM | 30.00 |
SOL-IV, D5,.45NACL 1000ML | MM | 24.80 |
SOL-IV,D5/.9NACL EA 1L | MM | 24.80 |
SOL-IV, LR, 1000ML | MM | 41.50 |
SOL-IV, D5, LR, 1000ML | MM | 74.25 |
SALINE SOL 10CC FOR MDI | MM | 12.40 |
CATH-FOLEY, 18FR, 05CC | MM | 73.10 |
CATH-FOLEY, 16FR, 05CC | MM | 73.10 |
CATH FOLEY 14F 05CC | MM | 73.10 |
CATH-FOLEY, 8FR, 03CC | MM | 73.10 |
CATH-FOLEY, 12FR, 05CC | MM | 73.10 |
TRAY- THORENCENT PARACENT | MM | 383.15 |
TRAY- LUMBAR PUNCTURE ADU | MM | 130.45 |
PLEUR- EVAC | MM | 730.30 |
CRUTCH- ADULT TALL ADJ | MM | 178.75 |
CRUTCH- ADULT ADJ | MM | 178.75 |
CRUTCH- YOUTH ADJ | MM | 178.75 |
SANDAL-CAST, LG | MM | 96.71 |
SANDAL- CAST MED | MM | 96.71 |
CAST- SANDAL, SM | MM | 96.71 |
CAST- FIBERGLASS 4" | MM | 60.70 |
BANDG-TUBULAR GZ SZ2 /YD | MM | 4.55 |
BANDG-TUBULAR GZ SZ 1/YD | MM | 10.20 |
BAG- FOLEY 2000ML | MM | 33.71 |
CATH- FEMALE KIT | MM | 33.71 |
BAG-LEG URINARY | MM | 54.00 |
TRAY-URETHRAL CATH | MM | 32.75 |
STRAP-CATH LEG | MM | 88.85 |
TRAY- URINE METER FOLEY | MM | 104.60 |
SPLINT-CRDBD/FOAM 12" | MM | 12.40 |
CLAVICAL SM | MM | 28.00 |
CLAVICLE SPLINT LG | MM | 28.00 |
CLAVICAL SPLINT XL | MM | 28.00 |
SPLINT-COLLES LG L | MM | 50.65 |
SPLNT-COLLES,LARGE,R | MM | 89.90 |
SPLNT-COLLES,SMALL,L | MM | 89.90 |
SPLNT-COLLES,SMALL,R | MM | 89.90 |
SPLNT-COLLES,MEDIUM,R | MM | 89.90 |
SPLNT-COLLES,MEDIUM,L | MM | 89.90 |
RIB BELT UNIVERSAL | MM | 24.00 |
SPLINT-WRIST,UNIV,R | MM | 98.95 |
SPLINT-WRIST UNIVERSAL | MM | 98.95 |
SPLINT-FNGR PLN END 4.25 | MM | 10.20 |
BANDG-ROLL GAUZE 4" STL | MM | 20.30 |
BANDG-ROLL GAUZE 2" STL | MM | 7.90 |
BANDG-CONFORM 4" PER YARD | MM | 10.20 |
BANDG-CONFORM 3" PER YARD | MM | 10.20 |
BANDG-CONFORM 2" PER YARD | MM | 10.20 |
SPONGE-GAUZE 4X4 TRAY | MM | 10.00 |
DRESS- TELFA 3"X8" | MM | 7.90 |
DRESS-TELFA 3X4 | MM | 20.30 |
DRESS- TELFA 2"X3" | MM | 7.90 |
DRESS- XSPAN SIZE 4/YD | MM | 7.90 |
DRESS- XEROFORM 1"X8" | MM | 9.05 |
DRESS- XEROFORM 5"X9" | MM | 14.70 |
DRESS-TRANSPARENT 2X3 | MM | 20.30 |
DRESS-NONADHERING 3"X16" | MM | 10.20 |
DRESS-NONADHERING 3"X3" | MM | 7.90 |
DRESS-NONADHEARING 3"X8" | MM | 12.40 |
DRESS-TRANS 10CMX14CM | MM | 14.70 |
PACKING- IODOFORM 1/4" | MM | 48.41 |
PACKING- PLAIN 1/2" | MM | 23.65 |
CATH- MALE EXTERNAL | MM | 7.90 |
TRAY-CV CATH MULTI LUMEN | MM | 316.90 |
SPLINT-ANKLE SUPPORT STRP | MM | 194.50 |
BANDG-TUBULAR GZ SZ3/YD | MM | 12.40 |
STOCKINETTE | MM | 12.40 |
PLASTER SPLINT | MM | 25.95 |
PACKING | MM | 48.41 |
DRESSING-XPAND | MM | 7.90 |
DRESSING-TELFA | MM | 20.30 |
SPLINT-FINGER | MM | 18.10 |
PADDING-CAST | MM | 18.10 |
BANGAGE-TUBULAR GZ | MM | 12.40 |
DRESSING-NONADHEARING | MM | 20.30 |
BELT-RIB | MM | 64.15 |
SANDAL-CAST | MM | 96.71 |
SPLINT-WRIST | MM | 89.90 |
IMMOBILIZER-SHOULDER MESH | MM | 66.40 |
SLING-ARM UNIVERSAL | MM | 60.70 |
RIB BELT FEMALE XL | MM | 28.00 |
SOL-IRRIGATION H2O STL 1L | MM | 12.40 |
SOL-IRRIGATION STL NACL1L | MM | 12.40 |
OCULAR IRRIG LENS MORGAN | MM | 176.40 |
DRESS-DUODERM CGF 4X4 | MM | 58.50 |
DRESS-DUODERM CGF 2.5X2.5 | MM | 36.05 |
TRAY-CATH 'ADD A FOLEY' | MM | 104.60 |
DRESSING-ALLEVYN SAC 5X5 | MM | 35.00 |
NACL FLUSH 10ML | MM | 6.00 |
ADHESIVE-SKIN | MM | 89.90 |
UNIVERSAL STIRRUP ANKLE BRACE | MM | 45.80 |
ELECTRODE- ZOLL ONE STEP | MM | 225.00 |
TRAY-CENTRAL LINE DRESS | MM | 30.35 |
BIOPATCH DISK | MM | 46.10 |
cv plus catheter stablilization device | MM | 74.00 |
SOL-IV D10W 250ML | MM | 7.90 |
BLANKET-BAIR HUGGER | MM | 35.00 |
QUICK TRACH 4.0 | MM | 195.00 |
QUICK TRACH PEDS 2.0 | MM | 195.00 |
CAST ARM SHRT FBRGL >11YO | MM | 84.35 |
CAST LEG SHRT FBRGL >10YO | MM | 142.70 |
CAST LEG SHRT PLSTR >11YO | MM | 73.10 |
SPLINT ARM LONG FBRGL <11 | MM | 64.15 |
SPLINT ARM LONG FBRGL >11 | MM | 170.85 |
SPLINT ARM SHRT FBRGL <11 | MM | 94.40 |
SPLINT ARM SHRT FBRGL >11 | MM | 88.85 |
SPLINT LEG LONG FBRGL >11 | MM | 104.60 |
SPLINT LEG SHRT FBRGL <11 | MM | 114.70 |
SPLINT LEG SHRT FBRGL >11 | MM | 130.45 |
SPLINT LEG SHRT PLSTR >11 | MM | 37.20 |
TRAY-CV CATH,PED 22G | MM | 280.00 |
ARM SLING LG | MM | 20.56 |
ARM SLING MD | MM | 19.25 |
SOL-IRRIGATION NACL 500ML | MM | 23.00 |
TEGADERM DRESSING | MM | 16.05 |
WALKING BOOT LG | MM | 125.00 |
WALKING BOOT SM | MM | 125.00 |
WALKING BOOT MED | MM | 125.00 |
DUODERM CGF BORDER 2.5 X 2.5 | MM | 19.00 |
PARACENTESIS KIT | MM | 100.00 |
U SHAPED CALLUS CUSHION | MM | 12.50 |
SEMI PVT BED ACUITY LVL 1 | NUR | 3,093.10 |
SEMI PVT BED ACUITY LVL 2 | NUR | 4,639.65 |
OBS BED CHARGE PER HOUR | OBS | 195.55 |
RABIES IMM GLOB (Rig=HT) | PHAR | 1,104.00 |
RABIES VACC POST EXPOSURE | PHAR | 482.60 |
CALCIUM 500 MG TAB | PHAR | 4.30 |
AMIODARONE HCL 200MG TAB | PHAR | 5.40 |
GUAIFENESIN DM 5ML SUS | PHAR | 5.00 |
LABETALOL HCL 5MG INJ | PHAR | 25.00 |
XYLOCAINE VISC BOTTLE | PHAR | 32.10 |
CALCIUM GLUC PER 10ML INJ | PHAR | 21.50 |
MAGNESIUM 300MG TAB | PHAR | 4.30 |
NEUPOGEN 300MCG | PHAR | 891.40 |
ACETAMINOPHEM 120MG SUPP | PHAR | 4.30 |
ERYTHROMYCIN SULF 2-600MG | PHAR | 83.50 |
METOPROLOL <5MG IV | PHAR | 13.00 |
WARFARIN 5MG | PHAR | 5.25 |
NEULASTA 6MG INJ | PHAR | 4,983.00 |
LEVAQUIN PER 250MG IV | PHAR | 148.00 |
XOPENEX UD INHL | PHAR | 18.20 |
PROTONIX 40MG IV | PHAR | 29.00 |
ZOSYN 1G/0.125G 1.125 IV | PHAR | 167.00 |
FLUCONAZOLE | PHAR | 6.00 |
PEN G 5 MILLION | PHAR | 27.00 |
ONDANSETRON HCL IV PER MG | PHAR | 13.00 |
ONDANSETRON HCL TAB 4MG | PHAR | 6.00 |
IRON SUCROSE 200MG | PHAR | 33.00 |
RECLAST EA 5MG INJ | PHAR | 185.00 |
AMIODARONE HCL 30MG INJ | PHAR | 4.30 |
ACETAMINOPHEN 300MG SUPP | PHAR | 7.50 |
PSEUDOEPHEDRN HCL/ACTF TB | PHAR | 4.30 |
EPINEPHRINE 1ML INJ 1:1K | PHAR | 21.00 |
ALBUTEROL INHALER | PHAR | 85.00 |
ALCAINE O/S 4 DROPS | PHAR | 6.50 |
SPIRONOLCTN/ADLACTONE TB | PHAR | 4.30 |
AMOXICILLIN 250MG CAP | PHAR | 4.30 |
AMOXICILIN 125MG/5CC SUS | PHAR | 18.00 |
AMOXICILLIN 250MG/5CC SUS | PHAR | 16.00 |
AMOXICILLIN 500MG CAP | PHAR | 4.30 |
AMPICILLIN SOD 1 GM INJ | PHAR | 30.00 |
SUCCINYLCHNE 20MG INJ | PHAR | 22.50 |
CEPHALEXIN 250MG/100ML PO | PHAR | 18.00 |
CEPHALEXIN 250MG/5ML PO | PHAR | 3.30 |
ASA SUPPOSITOR 600 MG | PHAR | 9.70 |
ASCORBIC ACID | PHAR | 4.30 |
ASA 325MG TAB | PHAR | 4.30 |
LORAXEPAM/ATIVAN 1MG TAB | PHAR | 4.30 |
ATROPINE 0.1MG INJ | PHAR | 28.00 |
DIPHENHYDRMN HCL 25MG CAP | PHAR | 4.30 |
DIPHENHYDRAMIN 50MG | PHAR | 6.00 |
DIPHENHYDRAMINE 50MG ELIX | PHAR | 6.00 |
PEN G BENZ/LA 100,000 units | PHAR | 53.50 |
CALCIUM CHLR 10%<10ML INJ | PHAR | 20.40 |
CAPTOPRIL 25MG TAB | PHAR | 23.00 |
DILTIAZEM 5MG INJ | PHAR | 39.60 |
DILTIAZEM HCL/CARD 60MG T | PHAR | 4.30 |
CLONIDINE HCL/CAP .1MG TB | PHAR | 5.00 |
CLINDAMYCIN 300MG INJ | PHAR | 42.80 |
CLINDAMYCN 600MG INJ | PHAR | 65.30 |
DILAUDID 2MG TAB | PHAR | 4.30 |
BENZTROPINE 1 MG TAB | PHAR | 5.00 |
DOCUSATE SOD/COL 100MG TB | PHAR | 5.00 |
PROCHLORPERAZINE 10MG TAB | PHAR | 4.00 |
PROCHLORPRZN/COMPZ SUP 25 | PHAR | 16.10 |
PROCHLORPERAZINE <=10MG I | PHAR | 45.00 |
CORTISPORIN 1 SQUIRT | PHAR | 6.50 |
DEXAMETH/DECRON 4 MG TAB | PHAR | 4.30 |
DEXAMTH <4MG/ML INJ | PHAR | 14.00 |
DEXAMETHASONE PER 1MG INJ | PHAR | 4.30 |
DEXAMETHASONE 10MG INJ | PHAR | 9.00 |
VALPROIC ACID/DEPKN 250MG | PHAR | 4.30 |
DEPO MEDROL 40MG INJ | PHAR | 42.00 |
DEPO MEDROL 20MG INJ | PHAR | 7.50 |
DEPO MEDROL 80MG INJ | PHAR | 43.00 |
MEDROXYPROGSTRNE 1 MG | PHAR | 190.00 |
TRAZODONE HCL 50MG | PHAR | 6.00 |
DEXTROSE 50% <25GM INJ | PHAR | 42.00 |
DIGOXIN .125MG TAB | PHAR | 6.50 |
DIGOXIN .25MG TAB | PHAR | 4.30 |
DIGOXIN .5MG TAB | PHAR | 4.30 |
DIGOXIN <.5MG INJ | PHAR | 37.50 |
FOSPHENYTOIN SOD 100MG INJ | PHAR | 24.00 |
PHENYTOIN SODIUM 100MG TB | PHAR | 6.00 |
HYDROMORPHONE HCL <4MGINJ | PHAR | 52.50 |
DONNATAL ELIXIR 5CC | PHAR | 32.00 |
DOPAMINE 400MG INJ | PHAR | 37.00 |
DOXAZOSIN 4MG TAB | PHAR | 6.50 |
BISACODYL 10MG SUPP | PHAR | 8.00 |
AMITRIPYLINE HCI | PHAR | 4.30 |
EPINEPHRINE 1-10000MINIJT | PHAR | 97.00 |
ERYTHROMYCIN OPTH OINT 4G | PHAR | 21.40 |
ERYTHROMYCIN 250MG TAB | PHAR | 4.30 |
FERROUS SULFT/FE SUF 325M | PHAR | 5.00 |
METRONIDAZOLE 500 MG | PHAR | 66.40 |
FLU VACCINE INJ MEDICARE | PHAR | 0.00 |
FLU VACCINE HI DOSE INJ MDCR | PHAR | 0.00 |
FLU VACCINE INJ | PHAR | 25.00 |
FOLIC ACID 1MG TAB | PHAR | 3.00 |
GENTAMICIN SULF <80MG INJ | PHAR | 12.90 |
GENTAMICIN SULF OPTH <5ML | PHAR | 19.30 |
GLUCAGON 1MG INJ | PHAR | 176.00 |
GLUCOTROL 10 MG | PHAR | 4.30 |
HALOPERIDOL LACTAT<5MGINJ | PHAR | 27.00 |
HALDOL 2MG TAB | PHAR | 4.30 |
HEPARIN SOD PER 1000U INJ | PHAR | 14.00 |
HEPATITUS B ADULT INJ | PHAR | 238.70 |
HCTZ 50MG TAB | PHAR | 4.30 |
INDERAL 10MG TAB | PHAR | 9.00 |
INDOCIN 25MG CAP | PHAR | 4.30 |
INSULIN N PER 5 UNITS | PHAR | 16.10 |
INSULIN R PER 5 UNITS | PHAR | 15.00 |
SODIUM POLY SULF 15GM SUS | PHAR | 26.80 |
KEFLEX 250MG/5CC 100CC LQ | PHAR | 37.50 |
KEFLEX 500MG TAB | PHAR | 6.00 |
CEFAZOLIN 1 GM | PHAR | 15.00 |
TRIAMCINOLONE /10MG INJ | PHAR | 12.50 |
LACTULOSE 30CC LIQUID | PHAR | 7.50 |
LASIX 40MG TAB | PHAR | 5.00 |
FUROSEMIDE <20MG INJ | PHAR | 31.10 |
LIDOCAINE 50CC INJ | PHAR | 24.70 |
LOMOTIL 2.5MG TAB | PHAR | 4.30 |
METOPROLOL TARTRATE TAB | PHAR | 4.00 |
MAALOX 30CC LIQUID | PHAR | 5.00 |
MAGNESIUM SULF 500MG INJ | PHAR | 15.00 |
MAG CITRATE 10 OZ LIQUID | PHAR | 11.80 |
BUPIVICAINE .5% 1CC INJ | PHAR | 25.00 |
MILK OF MAGNESA 30ML LQUD | PHAR | 4.30 |
EPINEPHRINE .4 UD INH SOL | PHAR | 7.50 |
MORPHINE SULF 4MG INJ | PHAR | 52.50 |
MMR VACCINE | PHAR | 104.90 |
IBUPROFEN 400MG TAB | PHAR | 4.50 |
IBUPROFEN 600MG TAB | PHAR | 5.00 |
MULTIVITAMIN CONCRTE INJ | PHAR | 256.80 |
MYLANTA <30CC | PHAR | 4.30 |
NAPROSYN 250MG TAB | PHAR | 5.00 |
NARCAN /1MG INJ | PHAR | 128.00 |
NEOSPORIN 1/32 OZ TOPICAL | PHAR | 4.30 |
NEOSPORIN OPTH SOL | PHAR | 147.00 |
NITROGLYCERIN 50MG INJ | PHAR | 49.30 |
NITROGLYCERIN TAB | PHAR | 4.30 |
NITROGLYCERIN 2% OINTMENT | PHAR | 19.00 |
ORPHENADRINE CIT<=60MG IN | PHAR | 40.00 |
OPTHAINE OPTHAMALIC 15ML | PHAR | 97.00 |
PEN VK 250MG/5CC 100ML | PHAR | 18.50 |
PEN VK 500MG TAB | PHAR | 4.30 |
PEN VK 250MG | PHAR | 5.00 |
PERCOCET -5 TAB | PHAR | 4.30 |
PERMETHRIN 5% CREAM | PHAR | 108.10 |
PHENERGAN 25MG SUPPOSITOR | PHAR | 12.90 |
PHENERGAN 25MG TAB | PHAR | 4.30 |
POTASSIUM CL 10MEQ TAB | PHAR | 5.00 |
POTASSIUM CL EA 2 MEQ INJ | PHAR | 17.20 |
PREDNISONE 20MG TAB | PHAR | 4.00 |
PREDNISONE 10MG TAB | PHAR | 4.30 |
PREDNISONE 5MG TAB | PHAR | 4.00 |
INFLUENZA (HIGH DOSE) | PHAR | 140.00 |
LIDOCAINE 2% (SYRING) | PHAR | 28.00 |
GENTAMICIN 0.3% OPTH OINNT | PHAR | 118.00 |
ISOSORBIDE 10MG | PHAR | 31.00 |
XYLOCAINE/EPI 2% | PHAR | 28.00 |
VERAPAMIL 80MG | PHAR | 10.00 |
PROTAMINE SULFATE 250MG/25ML | PHAR | 110.00 |
CEFTAZIDIME 1GR | PHAR | 37.00 |
KENALOG 0.1% CREAM | PHAR | 18.00 |
PROCARDIA 30MG TAB | PHAR | 12.00 |
LEVOTHYROXINE 100MG | PHAR | 13.00 |
SUDOGEST | PHAR | 3.00 |
PROPRANOLOL 10MG | PHAR | 19.50 |
PROMETHAZINE TAB 25 MG | PHAR | 3.15 |
PREDNISOLONE 1% | PHAR | 153.00 |
PROMETHAZINE HCL<50MG INJ | PHAR | 15.00 |
PILOCARPINE 1% | PHAR | 188.50 |
VECURONIUM BROMIDE IV | PHAR | 56.80 |
NORVASC 5MG TAB | PHAR | 6.00 |
PHYSOSTGMINE | PHAR | 125.00 |
ALBUTERAL/IPRATROPIUM INH | PHAR | 5.00 |
SODIUM BICARBONATE 84 | PHAR | 55.00 |
PENICILLIN VK 250MG | PHAR | 6.75 |
AFRIN | PHAR | 10.00 |
DOXYCYCLINE 100MG | PHAR | 101.00 |
LITHIUM 300MG | PHAR | 15.00 |
BENAZEPRIL 5MG | PHAR | 3.50 |
METFROMIN 500MG | PHAR | 5.00 |
METOCLOPRAMIDE 10MG | PHAR | 12.00 |
PYRIDIUM 100MG TAB | PHAR | 4.30 |
PYRIDIUM 200MG TAB | PHAR | 5.00 |
HYDROcodone/Apap 10/325 | PHAR | 22.00 |
ALBUTEROL UD / MG INH SOL | PHAR | 5.00 |
OFLOXAXIN | PHAR | 167.50 |
NYSTATIN CREAM | PHAR | 19.50 |
NICOTINE PATCH 21MG | PHAR | 5.00 |
NAFCILIIN | PHAR | 28.50 |
MANNITOL | PHAR | 26.00 |
MAGNESIUM CITRATE | PHAR | 5.00 |
REGLAN 10MG TAB | PHAR | 4.30 |
HEPARIN 5,000 | PHAR | 25.00 |
METOCLOPRAMIDE <=10MG INJ | PHAR | 16.00 |
POTASSIUM CL 20 MEQ | PHAR | 15.00 |
LIDOCAINE W/D5W | PHAR | 22.50 |
PITOCIN | PHAR | 20.75 |
POTASSIUM CHLORIDE ORAL SOLUTION 20MEQ | PHAR | 15.00 |
RESTORIL 15MG TAB | PHAR | 4.30 |
PEN VK SUSP 125MG | PHAR | 15.00 |
PERMETHRIN CREAM | PHAR | 115.00 |
ETOMIDATE 2MG >10ML | PHAR | 53.50 |
PROMTHAZINE SUPP 25MG | PHAR | 37.15 |
SODIUM BICARB 8.4 | PHAR | 53.00 |
GUAIFENESIN AC 5ML SUS | PHAR | 4.30 |
GUAIFENESIN AC 30ML SUS | PHAR | 9.70 |
SULF/TRIM 400/80MG TAB | PHAR | 5.00 |
SULF/TRIM 200/40MG/5MLSUS | PHAR | 4.30 |
SILVADENE 1%<50GM TOPICAL | PHAR | 21.40 |
SODIUM BICARBONATE 7.5% | PHAR | 20.40 |
SOLU-CORTEF100 MG INJ | PHAR | 48.00 |
SOLU-MEDROL <=40MG INJ | PHAR | 69.60 |
SOLU-MEDROL <=125MG INJ | PHAR | 43.00 |
DOXYCYCLINE 100MG TAB | PHAR | 18.00 |
CIMETIDINE 300MG INJ | PHAR | 28.90 |
TEGRETOL 200MG TAB | PHAR | 4.30 |
ATENOLOL 50MG TAB | PHAR | 5.00 |
TD VACC PRSV FREE 7 YRS & OLDER | PHAR | 96.30 |
DIPTHERIA & TETNS TXD INJ >7 PRESERV FRE | PHAR | 96.30 |
TDAP VACCINE | PHAR | 152.00 |
MULTI VIT TAB | PHAR | 4.30 |
CHLORPROMAZINE 50 MG | PHAR | 88.90 |
THYROID 60MG TAB | PHAR | 4.30 |
CLINDAMYCIN 150MG PO | PHAR | 5.00 |
TYLENOL 325MG TAB | PHAR | 5.00 |
TYLENOL 650MG TAB | PHAR | 4.30 |
TYLENOL 5CC LIQUID | PHAR | 4.30 |
TYLENOL W/CODEINE 30MG TB | PHAR | 4.30 |
VALIUM 10MG TAB | PHAR | 4.30 |
VALIUM 5MG TAB | PHAR | 5.40 |
CEFTRIAXONE SOD 250MG | PHAR | 23.00 |
VITAMIN K PER MG INJ | PHAR | 129.00 |
DIAZEPAM <=5MG INJ | PHAR | 71.70 |
VANCOMYCIN 1GM | PHAR | 154.10 |
MIDAZOLAM PER 5 MG INJ | PHAR | 58.90 |
VICODIN PO | PHAR | 4.30 |
THIAMINE 100MG INJ | PHAR | 37.00 |
XYLOCAINE 1% 1CC INJ | PHAR | 22.00 |
XYLOCAINE 1% W/EPI | PHAR | 18.00 |
NITROGLYCERIN | PHAR | 5.00 |
XYLOCAINE 2% 1CC INJ | PHAR | 23.00 |
XYLOCAINE 2% W/EPI 1CC IN | PHAR | 22.00 |
XYLOCAINE VISC | PHAR | 39.60 |
XYLOCAINE JELLY 30GM | PHAR | 20.40 |
XYLOCAINE JELLY 1GM | PHAR | 4.30 |
CHARCOAL ACIVT 50GM 8OZ | PHAR | 27.90 |
CORTISPORIN OINTMENT 15GM | PHAR | 55.70 |
CIPROFLOXACIN 500MG TAB | PHAR | 11.80 |
BACITRACIN TOPICAL | PHAR | 12.00 |
IMODIUM 2MG TAB | PHAR | 6.00 |
KETOROLAC TROMTH 15MG INJ | PHAR | 51.40 |
AUGMENTIN 500MG TAB | PHAR | 7.00 |
OTIC SOL/AURALGAN GTTS | PHAR | 4.30 |
AUGMENTIN 200MG SUSP | PHAR | 850.00 |
MECLIZINE HCL 25MG TAB | PHAR | 4.30 |
PREDNISONE 5CC ELIX | PHAR | 24.00 |
PREDNISONE 30 CC ELIX | PHAR | 5.40 |
RANITIDINE HCL 50MG INJ | PHAR | 48.20 |
LOTENSION 10MG TAB | PHAR | 9.00 |
Naproxen 500mg | PHAR | 6.50 |
METRONIDAZOLE 500MG TAB | PHAR | 5.00 |
PRILOSEC 20MG TAB | PHAR | 11.80 |
ADENOSINE 6MG INJ | PHAR | 16.00 |
AZITHROMYCIN 250MG TAB | PHAR | 8.00 |
HEP A VACCINE | PHAR | 185.00 |
LORAZEPAM 1MG | PHAR | 51.40 |
IBUPROFEN 100MG/ML 5ML | PHAR | 6.00 |
SUMATRIPTAN SUCC 6MG INJ | PHAR | 37.00 |
IPRATROPIUM BROMIDE UD | PHAR | 9.70 |
NYSTATIN CREAM 1M | PHAR | 24.70 |
PEPCID 20MG TAB | PHAR | 6.00 |
BACLOFEN 10MG TAB | PHAR | 6.00 |
GLUCOPHAGE 500MG TAB | PHAR | 5.40 |
MACROBID 100MG TAB | PHAR | 140.00 |
NEURONTIN 300MG | PHAR | 3.00 |
ASA 81MG TAB | PHAR | 6.00 |
ACYCLOVIR 200MG CAP | PHAR | 18.00 |
KETAMINE 50MG INJ | PHAR | 30.00 |
XOLAIR 225MG SQ | PHAR | 2,925.40 |
PROPOFOL 10 ML INJ | PHAR | 45.00 |
PNEUMOCOCCAL VAC INJ | PHAR | 274.47 |
PNEUMO 23 VACCINE INJ MEDICARE | PHAR | 0.00 |
FENTANYL CIT <100MCG INJ | PHAR | 42.80 |
PNEUMO 13 VACC INJ MEDICARE | PHAR | 0.00 |
AZITHROMYCIN 500MG IV | PHAR | 112.00 |
VANCOMYCIN 1.5 GM | PHAR | 185.20 |
LISINOPRIL 5MG TAB | PHAR | 4.50 |
LISINOPRIL 10MG TAB | PHAR | 4.30 |
GEODON 20MG | PHAR | 100.00 |
HEPATITUS B CHILD INJ | PHAR | 238.70 |
PROLIA 60 MG INJ | PHAR | 1,372.90 |
MEROPENEM 100 MG IV | PHAR | 41.00 |
PULMICORT/BUDESONIDE NEB | PHAR | 312.50 |
SPIRIVA | PHAR | 376.70 |
INFED 50MG | PHAR | 68.50 |
AMOXICILLIN 875 MG | PHAR | 4.30 |
CEPHALEXIN 250 MG | PHAR | 15.00 |
DIVALPROEX SODIUM | PHAR | 4.30 |
ENALAPRIL | PHAR | 5.00 |
FLUOXETINE | PHAR | 5.00 |
LEVOFLOXACIN 500 MG | PHAR | 357.40 |
AMPICILLIN/SULBACTAM 1.5 GM | PHAR | 36.00 |
AMPICILLIN/SULBACTAM 3 GM | PHAR | 72.00 |
BUMETANIDE 2.5 MG | PHAR | 20.00 |
CEFTRIAXONE 1 GM | PHAR | 20.00 |
CEFTRIAXONE 2 GM | PHAR | 25.00 |
DOBUTAMINE 250 MG | PHAR | 40.70 |
FLUMAZENIL .5 MG | PHAR | 13.50 |
ENALAPRILAT 1.25 MG | PHAR | 25.70 |
FUROSEMIDE 40 MG | PHAR | 18.00 |
HEAPRIN FLUSH | PHAR | 26.80 |
SOLU-CORTEF 250 MG | PHAR | 74.90 |
SOLU-MEDROL 1 GRAM | PHAR | 30.00 |
SOLU-MEDROL 500 MG | PHAR | 25.00 |
PROMETHAZINE 25MG | PHAR | 15.00 |
ACETAMINOPHEN SUPP 650 MG | PHAR | 7.50 |
AMOXICILLIN POT CLAV 400 MG | PHAR | 22.50 |
NASAL SPRAY | PHAR | 8.60 |
FENTANYL CITRATE 50 MCG | PHAR | 42.80 |
KETORLAC 30 MG/ML | PHAR | 16.00 |
EMLA 2.5% CREAM | PHAR | 16.10 |
ENEMA | PHAR | 11.80 |
ENEMA MINERAL OIL | PHAR | 11.80 |
ESTROGEN/PREMARIN | PHAR | 116.70 |
eye wash | PHAR | 15.00 |
FENTANYL 250 MCG | PHAR | 42.80 |
HPV VACCINE | PHAR | 246.10 |
DTAP | PHAR | 100.00 |
KETORLAC 60MG | PHAR | 30.00 |
NOREPINEPHRINE 4 MG | PHAR | 100.00 |
DICLOXACILLIN 250MG | PHAR | 4.00 |
ENOXAPARIN 10MG INJ | PHAR | 88.00 |
LUPRON 7.5 MG INJ | PHAR | 3,045.30 |
CLOPIDOGRE/PLAIV 75MG TAB | PHAR | 5.00 |
BENZOCAINE SPRAY | PHAR | 83.00 |
HYDROXYZIN HCL CAP 25MG | PHAR | 4.10 |
LANSOPRAZOL/PREVACD 30MG | PHAR | 10.00 |
HYDROXYZINE 50MG/ML | PHAR | 63.00 |
AUGMENTIN 875MG TAB | PHAR | 9.00 |
AZITHROMYCIN 250MG Z-PAC | PHAR | 31.00 |
CYANOBALAMIN <=1000 MCG I | PHAR | 29.00 |
TENECTEPLASE (TNK) 50MGIV | PHAR | 8,173.00 |
LIDOCAINE LOCAL 1-2CC INJ | PHAR | 29.89 |
TH CLINDAMYCIN 6 PK | PHAR | 12.90 |
NORCO | PHAR | 5.00 |
Daptomycin 750 MG | PHAR | 1,040.00 |
VARICELLA VACC-PT > 19Y/O | PHAR | 210.80 |
VFC- VARICELLA | PHAR | 0.00 |
AZITHROMICIN 750MG IV | PHAR | 409.90 |
VANCOMYCIN INJ 750 MG | PHAR | 308.20 |
CATHFLO ACTIVASE | PHAR | 280.40 |
DTAP-IPV | PHAR | 165.00 |
TRUVADA | PHAR | 101.70 |
ROCURONIUM 10 MG | PHAR | 6.50 |
POTASIUM CHLORIDE 10MEG/100ML | PHAR | 36.40 |
CELESTONE INJ PER 3MG | PHAR | 68.00 |
POTASIUM CHLORIDE 10MEQ/50ML | PHAR | 36.40 |
FERRLECIT 12.5 MG | PHAR | 22.00 |
CEFTAZIDIME 500MG | PHAR | 41.00 |
HPV-GARDASIL | PHAR | 292.00 |
BEXSERO | PHAR | 350.00 |
DIHYDROERGOTAMINE 1 MG INJ | PHAR | 304.00 |
PRIMAXIN 500MG | PHAR | 51.00 |
NITROGLYCERIN SPRAY | PHAR | 16.00 |
ONDANSETRON ODT 8MG | PHAR | 6.00 |
Acetylcysteine INJ 6g/30ml | PHAR | 240.00 |
WARFARIN 5MG | PHAR | 4.00 |
SILVADENE CREAM | PHAR | 102.50 |
OMEPRAZOLE 20MG CAP | PHAR | 5.00 |
MULTI-VIT | PHAR | 3.50 |
RANITIDINE 150MG TAB | PHAR | 4.00 |
ACETAMINOPHEN 500MG TAB | PHAR | 4.30 |
ACETYLCYSTEINE INH SOL | PHAR | 31.95 |
CALMOSEPTINE OINTMENT | PHAR | 27.60 |
DOCUSATE SODIUM 250MG | PHAR | 4.00 |
PROCAINAMIDE 100MG/ML INJ | PHAR | 113.00 |
SODIUM BICARBINATE 8.4% | PHAR | 96.30 |
VERAPAMIL 2.5MG INJ | PHAR | 122.00 |
GENTAMYCIN 0.3% OINT | PHAR | 38.00 |
HCTZ 25MG | PHAR | 6.00 |
HYDROMORPHONE 2MG TAB | PHAR | 5.00 |
HEPARIN 5000U INJ | PHAR | 17.00 |
HEPATITIS A PED/ADOLESCENT | PHAR | 101.00 |
MENINGOCOCCAL MPSV4 | PHAR | 230.00 |
IPOL Polio Vaccine | PHAR | 130.00 |
Neo/Poly/HC Suspension | PHAR | 128.00 |
Neo/Poly/Bac Ointment | PHAR | 49.00 |
PITOCIN 10UN/ML | PHAR | 20.00 |
PREVNAR 13 | PHAR | 373.00 |
INSULIN LANTUS PER 5 UNITS | PHAR | 50.00 |
FLUCONAZOLE 150MG | PHAR | 19.00 |
TRANEXAMIC ACID | PHAR | 100.00 |
FLUORESCEIN SODIUM STRIP | PHAR | 5.00 |
ARISTADA 1064MG | PHAR | 4,194.33 |
Paroxetine 20mg | PHAR | 5.00 |
Oseltamivir 75mg | PHAR | 80.00 |
PHENYTOIN SUSP 125MG | PHAR | 75.00 |
AMIODARONE 150MG/3ML | PHAR | 26.00 |
NALOXONE 0.4MG | PHAR | 80.00 |
NALOXONE 0.4ML | PHAR | 40.00 |
Ceftaroline 600mg vial | PHAR | 270.00 |
LEVOFLOXACIN 500MG TAB | PHAR | 5.00 |
POTASSIUM 20MEQ/15ML | PHAR | 70.00 |
STERILE WATER | PHAR | 66.00 |
LILETTA IUD 52MG | PHAR | 1,030.00 |
CYCLOPENTOLATE HCL OPTH SOL 2% | PHAR | 65.00 |
Ertapenem 1GM | PHAR | 249.12 |
NIFEDIPINE CAP 30MG | PHAR | 28.00 |
DECAVAC INJ | PHAR | 125.00 |
EPINEPHRINE 1MG/ML | PHAR | 33.00 |
Prednisilone 15mg/5ml | PHAR | 5.00 |
BACLOFEN | PHAR | 4.50 |
AZITROMYCIN SUS 200MG/5ML | PHAR | 147.70 |
LOPERAMIDE 2MG | PHAR | 9.00 |
SKILLED NURSING BED CHG | SNF | 371.54 |
SNF BED HOLD / LOA | SNF | 371.54 |
SWING BED CHARGE | SWB | 674.10 |
SWB BED HOLD / LOA | SWB | 674.10 |
RIBS UNILAT 2V MIN L | XR | 155.30 |
RIBS UNILAT 2V+ R | XR | 155.30 |
RIBS BILAT MIN 3V | XR | 296.85 |
ABD COMP W/PA CHEST | XR | 296.85 |
ABDOMEN 1 VW | XR | 155.30 |
ABDOMEN 2 VW | XR | 296.90 |
ABDOMEN 3 OR MORE VW | XR | 296.90 |
ACROMIOCLAVICULAR JTS/BIL | XR | 155.30 |
ELBOW COMP 3V BILAT | XR | 310.60 |
CHEST 1 VW | XR | 155.30 |
CHEST 2 VW | XR | 155.30 |
CHEST 3 VW | XR | 155.30 |
CHEST 4 OR MORE VW | XR | 296.90 |
ANKLE COMP 3V+ R | XR | 155.30 |
ANKLE COMP 3V+ L | XR | 155.30 |
ANKLE LTD 2V L | XR | 155.30 |
ANKLE LTD 2V R | XR | 155.30 |
ANKLE LTD 2V BILAT | XR | 310.60 |
BONE AGE STUDIES | XR | 296.85 |
BONE SURVEY COMP W/LNG BO | XR | 296.85 |
CLAVICLE COMP L | XR | 155.30 |
CLAVICLE COMP R | XR | 155.30 |
ELBOW COMP 3V+ L | XR | 155.30 |
ELBOW COMP 3V+ R | XR | 155.30 |
ELBOW LTD 2V L | XR | 155.30 |
ELBOW LTD 2V R | XR | 155.30 |
SHOULDERS 2V+ BILAT | XR | 310.60 |
ANKLE COMP 3V+ BILAT | XR | 310.60 |
ELBOW 2VW BILATERAL | XR | 310.60 |
FACIAL BONES COMPL/3V MIN | XR | 296.85 |
FACIAL BONES 1 OR 2 VIEWS | XR | 155.30 |
ORBITS/4V MIN | XR | 296.85 |
FINGERS 2V+ L | XR | 155.30 |
FINGERS 2V+ R | XR | 155.30 |
FEMUR MIN 2 V RT | XR | 155.30 |
FEMUR MIN 2 V LT | XR | 155.30 |
FOOT 2V BILATERAL | XR | 310.60 |
FOOT COMP 3V+ R | XR | 155.30 |
FOOT COMP 3V+ L | XR | 155.30 |
FOOT 3V BILATERAL | XR | 310.60 |
FOOT 2V R | XR | 155.30 |
FOOT 2V L | XR | 155.30 |
UPPER EXTREMITY INFANT R | XR | 296.85 |
FOREARM 2V R | XR | 155.30 |
FOREARM 2V L | XR | 155.30 |
FOREIGN BODY CHILD 1 V | XR | 155.30 |
FOREARM 2V BILAT | XR | 310.60 |
HAND 3V+ L | XR | 155.30 |
HAND 3V+ R | XR | 155.30 |
HAND 3V+ BILATERAL | XR | 310.60 |
HAND 2V L | XR | 296.85 |
HAND 2V R | XR | 296.85 |
HAND 2V BILATERAL | XR | 593.70 |
HIPS BILAT W PELVIS 2 V | XR | 296.85 |
HIPS BILAT W PELVIS 3-4 V | XR | 296.85 |
HIP UNILAT 2-3 V LT | XR | 155.30 |
HIP UNILAT 2-3 V RT | XR | 155.30 |
HUMERUS 2V+ L | XR | 155.30 |
HUMERUS 2V+ R | XR | 155.30 |
HIP & PELVIS UNILAT 1 VW L | XR | 155.30 |
HIP & PELVIS UNILAT 1 VW R | XR | 155.30 |
KNEE 3V R | XR | 155.30 |
KNEE 3V L | XR | 155.30 |
KNEE 3V BILATERAL | XR | 310.60 |
KNEE 1-2V L | XR | 155.30 |
KNEE 1-2V R | XR | 155.30 |
KNEE 1-2V BILATERAL | XR | 310.60 |
KNEE/PATELLA 1-2V L | XR | 155.30 |
MANDIBLE PRTL/1-3V L | XR | 155.30 |
MANDIBLE PRTL 1-3V R | XR | 155.30 |
MANDIBLE PRTL 1-3V BILAT | XR | 310.60 |
NASAL BONES/3V MIN | XR | 155.30 |
NECK/SOFT TISSUE | XR | 155.30 |
CALCANEUS 2V+ L | XR | 155.30 |
CALCANEUS 2V+ R | XR | 155.30 |
CALCANEUS 2V BILAT | XR | 310.60 |
SINUSES/PARANASAL 3V MIN | XR | 155.30 |
SINUSES/PARANASAL 1 OR 2V | XR | 155.30 |
PELVIS AP 1-2V | XR | 296.85 |
RIBS BILAT W/PA CHEST 4V | XR | 296.85 |
RIBS UNILAT W/PA CXR 3V L | XR | 296.85 |
RIBS UNILAT W/PA CXR 3V R | XR | 296.85 |
SACROILIAC JNTS MIN 3V | XR | 296.85 |
SI JOINTS LESS THAN 3 VWS | XR | 296.85 |
SACRUM/COCCYX MIN 2V | XR | 155.30 |
SCAPULA COMP L | XR | 296.85 |
SCAPULA COMP R | XR | 296.85 |
SHOULDER COMP 2V+ L | XR | 155.30 |
SHOULDER COMP 2V+ R | XR | 155.30 |
SHOULDER LTD 1V L | XR | 155.30 |
SHOULDER LTD 1V R | XR | 155.30 |
SKULL COMP 4V | XR | 296.85 |
SKULL LTD/1-3V | XR | 296.85 |
SPINE CERVICAL AP/LAT | XR | 155.30 |
SPINE SINGLE VIEW | XR | 155.30 |
C-SPINE FLEXION / EXTENSION ONLY | XR | 155.30 |
SPINE CERVICAL COMP 4V+ | XR | 296.85 |
SPINE CERVICAL W/FLEX EXT | XR | 296.85 |
SPINE LUMBOSACRAL AP/LAT | XR | 296.85 |
SPINE LUMBOSACRAL BEND ONLY | XR | 286.15 |
SPINE LUMBOSACRAL W/OBL | XR | 296.85 |
SPINE, ENTIRE, 1VW | XR | 155.30 |
SPINE THORACIC AP/LAT | XR | 296.85 |
SPINE THORACIC W/SWIMMER | XR | 296.85 |
STERNUM MIN 2V | XR | 155.30 |
TMJ JOINTS BILATERAL | XR | 155.30 |
SPINE THORACOLUMBAR 2V | XR | 155.30 |
TIBIA/FIBULA 2V R | XR | 155.30 |
TIBIA/FIBULA 2V L | XR | 155.30 |
LOWER EXTREM-INFANT L | XR | 155.30 |
LOWER EXTREM-INFANT R | XR | 155.30 |
TOES 2V+ L | XR | 155.30 |
TOES 2V+ R | XR | 155.30 |
TIBIA/FIBULA 2V BILAT | XR | 310.60 |
TOE 2V BIG DIGIT L | XR | 155.30 |
TOE 2V BIG DIGIT R | XR | 155.30 |
TOES 2V+ BILAT | XR | 310.60 |
WRIST COMP 3V+ R | XR | 155.30 |
WRIST COMP 3V+ L | XR | 155.30 |
WRIST LTD 2V BILAT | XR | 310.60 |
WRIST LTD 2V R | XR | 155.30 |
WRIST LTD 2V L | XR | 155.30 |
WRIST COMP 3V+ BILATERAL | XR | 310.60 |
KNEE COMP 4V L | XR | 296.85 |
KNEE COMP 4V R | XR | 296.85 |
KNEE COMP 4V BILATERAL | XR | 593.60 |
KNEE BILAT STANDING AP | XR | 155.30 |
UPPER EXTREMITY INFANT L | XR | 296.85 |
FINGER 2ND DIGIT L | XR | 155.30 |
FINGER 3RD DIGIT L | XR | 155.30 |
FINGER 4TH DIGIT L | XR | 155.30 |
FINGER 5TH DIGIT L | XR | 155.30 |
FINGER THUMB L | XR | 155.30 |
FINGER 2ND DIGIT R | XR | 155.30 |
FINGER 3RD DIGIT R | XR | 155.30 |
FINGER 4TH DIGIT R | XR | 155.30 |
FINGER 5TH DIGIT R | XR | 155.30 |
FINGER THUMB R | XR | 155.30 |
RIBS UNILATERAL 2V MIN LT PRO FEE | XRMD | 30.00 |
RIBS UNILAT 2V MIN RT PRO FEE | XRMD | 30.00 |
RIBS BILAT MIN 3V PRO | XRMD | 37.80 |
ABD COMP W/PA CHEST PRO FEE | XRMD | 41.40 |
ABDOMEN 1 VW PRO FEE | XRMD | 30.00 |
ABDOMEN 2 VW PRO FEE | XRMD | 30.00 |
ABDOMEN 3 OR MORE VW PRO FEE | XRMD | 35.11 |
ACROMIOCLAVICULAR JTS/BIL PRO FEE | XRMD | 30.00 |
ELBOW COMP 3V BILAT PRO FEE | XRMD | 45.00 |
CHEST 1 VW PRO FEE | XRMD | 30.00 |
CHEST 2 VW PRO FEE | XRMD | 30.00 |
CHEST 3 VW PRO FEE | XRMD | 36.00 |
CHEST 4 OR MORE VW PRO FEE | XRMD | 41.40 |
ANKLE COMP 3V+ RT PRO FEE | XRMD | 30.00 |
ANKLE COMP 3V LT PRO FEE | XRMD | 30.00 |
ANKLE LTD 2V LT PRO FEE | XRMD | 30.00 |
ANKLE LTD 2V RT PRO FEE | XRMD | 30.00 |
ANKLE LTD 2V BILAT PRO FEE | XRMD | 60.00 |
BONE AGE STUDIES PRO | XRMD | 30.00 |
BONE SURVEY SOMP W/LNG BO PRO FEE | XRMD | 69.30 |
RADIOLOGIST FEE 71010 | XRMD | 37.50 |
POST PROCEDURE PLACEMENT XRAY PRO FEE | XRMD | 0.00 |
RADIOLOGIST FEE 71020 | XRMD | 45.00 |
CLAVICLE COMP LT PRO FEE | XRMD | 30.00 |
CLAVICLE COMP RT PRO FEE | XRMD | 30.00 |
ELBOW COMP 3V+ LT PRO FEE | XRMD | 30.00 |
ELBOW COMP 3V+ RT PRO FEE | XRMD | 30.00 |
ELBOW LTD 2V LT PRO FEE | XRMD | 30.00 |
ELBOW LTD 2V RT PRO FEE | XRMD | 30.00 |
SHOULDERS 2V+ BILAT PRO FEE | XRMD | 48.60 |
ANKLE COMP 3V+ BILAT PRO FEE | XRMD | 90.00 |
ELBOW 2VW BILATERAL PRO FEE | XRMD | 41.40 |
FACIAL BONES COMPL/3V MIN PRO FEE | XRMD | 34.20 |
FACIAL BONES 1 OR 2 VIEWS PRO FEE | XRMD | 30.00 |
ORBITS 4V MIN PRO | XRMD | 36.90 |
FINGERS 2V+ L PRO FEE | XRMD | 30.00 |
FINGERS 2V+ R PRO FEE | XRMD | 30.00 |
FEMUR MIN 2 V RT PRO FEE | XRMD | 30.00 |
FEMUR MIN 2 V LT PRO FEE | XRMD | 30.00 |
FOOT 2V BILATERAL PRO FEE | XRMD | 79.20 |
FOOT COMP 3V+ R PRO FEE | XRMD | 30.00 |
FOOT COMP 3V+ L PRO FEE | XRMD | 30.00 |
FOOT 3V BILATERAL PRO FEE | XRMD | 86.40 |
FOOT 2V RT PRO FEE | XRMD | 30.00 |
FOOT 2V LT PRO FEE | XRMD | 30.00 |
UPPER EXTREM INFANT R PRO | XRMD | 30.00 |
FOREARM 2V RT PRO FEE | XRMD | 30.00 |
FOREARM 2V LT PRO FEE | XRMD | 30.00 |
FOREIGN BODY CHILD 1V PRO | XRMD | 30.00 |
FOREARM 2V BILAT PRO FEE | XRMD | 43.20 |
HAND 3V+ LT PRO FEE | XRMD | 30.00 |
HAND 3V+ RT PRO FEE | XRMD | 30.00 |
HAND 3V+ BILATERAL PRO FEE | XRMD | 45.00 |
HAND 2V LT PRO FEE | XRMD | 30.00 |
HAND 2V R PRO | XRMD | 30.00 |
HAND 2V BILATERAL PRO FEE | XRMD | 43.20 |
HIPS BILAT W PELVIS 2 V PRO FEE | XRMD | 60.00 |
HIPS BILAT W PELVIS 3-4 V PRO FEE | XRMD | 38.70 |
HIP UNILAT 2-3 V LT PRO FEE | XRMD | 30.00 |
HIP UNILAT 2-3 V RT PRO FEE | XRMD | 30.00 |
HUMERUS 2V+ LT PRO FEE | XRMD | 30.00 |
HUMERUS 2V+ RT PRO FEE | XRMD | 30.00 |
HIP & PELVIS UNILAT 1 VW LT PRO FEE | XRMD | 30.00 |
HIP & PELVIS UNILAT 1 VW RT PRO FEE | XRMD | 30.00 |
KNEE 3V RT PRO FEE | XRMD | 30.00 |
KNEE 3V LT PRO FEE | XRMD | 30.00 |
KNEE 3V BILATERAL PRO FEE | XRMD | 97.20 |
KNEE/PATELLA 1-2v LT | XRMD | 30.00 |
KNEE/PATELLA 1-2V RT | XRMD | 30.00 |
KNEE 1-2V BILATERAL PRO FEE | XRMD | 86.40 |
KNEE 1-2V L PRO | XRMD | 30.00 |
KNEE/PATELLA 1-2V R PRO | XRMD | 30.00 |
MAMM DX UNILATERAL PRO FEE | XRMD | 110.00 |
MAMMOGRAPHY SCREEN BILAT W/CAD PRO FEE | XRMD | 116.80 |
MANDIBLE PRTL 1-3V L PRO FEE | XRMD | 30.00 |
MANDIBLE PRTL 1-3V R PRO FEE | XRMD | 30.00 |
MANDIBLE PRTL 1-3V BILAT PRO FEE | XRMD | 46.80 |
NASAL BONES/3V MIN PRO FEE | XRMD | 30.00 |
NECK/SOFT TISSUE PRO FEE | XRMD | 30.00 |
CALCANEUS 2V+ LT PRO FEE | XRMD | 30.00 |
CALCANEUS 2V+ RT PRO FEE | XRMD | 30.00 |
CALCANEUS 2V BILAT PRO FEE | XRMD | 82.80 |
SINUSES/PARANASAL 3V MIN PRO FEE | XRMD | 32.40 |
SINUSES/PARANASAL 1 OR 2V PRO FEE | XRMD | 30.00 |
PELVIS AP 1-2V PRO FEE | XRMD | 30.00 |
RIBS BILAT W/PA CHEST 4VN PRO FEE | XRMD | 42.30 |
RIBS UNILAT W/PA CXR 3V LT PRO FEE | XRMD | 35.01 |
RIBS UNILAT W/PA CXR 3V RT PRO FEE | XRMD | 35.01 |
SACROILIAC JNTS MIN 3V PRO FEE | XRMD | 30.00 |
SI JOINTS LESS THAN 3 VWS PRO FEE | XRMD | 30.00 |
SACRUM/COCCYX MIN 2V PRO FEE | XRMD | 30.00 |
SCAPULA COMP LT PRO FEE | XRMD | 53.50 |
SCAPULA COMP R PRO | XRMD | 30.00 |
SHOULDERS 2V+ LT PRO FEE | XRMD | 30.00 |
SHOULDERS 2V+ RT PRO FEE | XRMD | 30.00 |
SHOULDER LTD 1V LT PRO FEE | XRMD | 30.00 |
SHOULDER LTD 1V RT PRO FEE | XRMD | 30.00 |
SKULL COMP 4V PRO | XRMD | 45.00 |
SKULL LTD/1-3V PRO FEE | XRMD | 32.40 |
SPINE CERVICAL AP/LAT PRO FEE | XRMD | 30.00 |
SPINE SINGLE VIEW PRO FEE | XRMD | 30.00 |
C-SPINE FLEXION / EXTENSION ONLY PRO FEE | XRMD | 30.00 |
SPINE CERVICAL COMP 4V+ PRO FEE | XRMD | 40.50 |
SPINE CERVICAL W/FLEX EXT PRO | XRMD | 46.80 |
SPINE LUMBOSACRAL AP/LAT PRO FEE | XRMD | 30.00 |
SPINE LUMBOSACRAL BEND ONLY PRO FEE | XRMD | 103.50 |
SPINE LUMBOSACRAL W/OBL PRO FEE | XRMD | 40.50 |
SPINE, ENTIRE, 1VW PRO FEE | XRMD | 34.20 |
SPINE THORACIC AP/LAT PRO FEE | XRMD | 30.00 |
SPINE THORACIC W/SWIMMER PRO FEE | XRMD | 30.00 |
STERNUM MIN 2V PRO FEE | XRMD | 30.00 |
TMJ JOINTS BILATERAL PRO FEE | XRMD | 31.50 |
SPINE THORACOLUMBAR 2V PRO FEE | XRMD | 30.00 |
TIBIA/FIBULA 2V RT PRO FEE | XRMD | 30.00 |
TIBIA/FIBULA 2V LT PRO FEE | XRMD | 30.00 |
LOWER EXTREM-INFANT L PRO FEE | XRMD | 30.00 |
LOWER EXTREM-INFANT R PRO FEE | XRMD | 30.00 |
TOES 2V+ L PRO FEE | XRMD | 30.00 |
TOES 2V+ R PRO FEE | XRMD | 30.00 |
TIBIA/FIBULA 2 V BILAT PRO FEE | XRMD | 86.40 |
TOE 2V BIG DIGIT L PRO FEE | XRMD | 30.00 |
TOE 2V BIG DIGIT R PRO FEE | XRMD | 30.00 |
TOES 2V+ BILAT PRO FEE | XRMD | 60.00 |
WRIST COMP 3V+ RT PRO FEE | XRMD | 30.00 |
WRIST COMP 3V+ LT PRO FEE | XRMD | 30.00 |
WRIST LTD 2V BILAT PRO FEE | XRMD | 45.00 |
WRIST LTD 2V R PRO | XRMD | 30.00 |
WRIST LTD 2V L PRO FEE | XRMD | 30.00 |
WRIST COMP 3V+ BILAT PRO FEE | XRMD | 45.00 |
KNEE COMP 4V LT PRO FEE | XRMD | 30.00 |
KNEE COMP 4V RT PRO FEE | XRMD | 30.00 |
KNEE COMP 4V BILATERAL PRO FEE | XRMD | 60.00 |
KNEE BILAT STANDING AP PRO FEE | XRMD | 60.00 |
UPPER EXTREM INFANT L PRO | XRMD | 30.00 |
FINGER 2ND DIGIT L PRO FEE | XRMD | 30.00 |
FINGER 3RD DIGIT L PRO FEE | XRMD | 30.00 |
FINGER 4TH DIGIT L PRO FEE | XRMD | 30.00 |
FINGER 5TH DIGIT L PRO FEE | XRMD | 30.00 |
FINGER THUMB L PRO FEE | XRMD | 30.00 |
FINGER 2ND DIGIT R PRO FEE | XRMD | 30.00 |
FINGER 3RD DIGIT R PRO FEE | XRMD | 30.00 |
FINGER 4TH DIGIT R PRO FEE | XRMD | 30.00 |
FINGER 5TH DIGIT R PRO FEE | XRMD | 30.00 |
FINGER THUMB R PRO FEE | XRMD | 30.00 |