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Standard charges listing

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Jerold Phelps Community Hospital Standard Charges Listing – March 2022

ServiceProcedure CodeCharge
INVESTIGATION OF TRANSFSION REACTION /SOBB339.10
RH FACTORBB121.65
ABO BLOOD TYPEBB79.10
ANTIBODY DETECTION /SOBB25.60
ANTIGEN SCREENING OF PATIENT BLOOD, ABOBB98.00
ANTIGEN SCREENING OF DONOR BLOOD, RH (D)BB98.00
RED BLOOD CELLS LEUKOREDUCEDBB567.30
PLATELETS PHERESISBB1,371.30
Rbc leukoreduced irradiatedBB878.70
NO CHARGECL0.00
NO SHOW CHARGECL44.10
OCCULT BLOOD FECESCL86.75
EX BEN SCP/NK/HD/FT <.5CMCL239.70
GLUCOSE BY REAGENT STRIPCL27.40
HEMOGLOBINCL42.20
SVN INITIAL TREATMENTCL246.70
SVN SUBSEQUENT (EA)CL60.80
PREGNANCY TEST URINECL103.75
UA DIP WO/MICROCL29.80
AVIATION PHYSICAL CASH ON DOSCL100.00
DMV PHYSICAL CASH ON DOSCL150.00
INSURANCE EXAMCL273.85
HOME VISIT NEW PT LOWCL171.05
HOME VISIT NEW PT MODERATECL246.70
HOME VISIT NEW PT MOD-HICL405.10
HOME VISIT NEW PT HIGHCL566.20
HOME VISIT NEW PT HI UNSTABLECL687.55
HOME VISIT EST PT LIMITEDCL136.30
HOME VISIT EST PT LOW-MODCL208.20
HOME VISIT EST PT MOD-HICL319.60
VISITING NURSE EST PT UNSTABLECL443.65
INJ THER/PRO/DX INTRA-ARTCL96.70
IMMUN ADMIN 1ST EA/COMBOCL122.75
IMMUN ADMIN ADDL EA/COMBOCL43.50
IMMUN ADMIN INFLUENZACL104.10
IMMUN ADMIN VACCINE FOR CHILDRENCL28.70
PRO SVC ALLERGN TX WO EXTCL44.75
PRO SVC ALLERGEN > 2CL44.75
INJ SC/SQ/IM FLU VAC SPLIT 3+ YRSCL68.20
INJECTION-SC/SQ OR IMCL68.20
TELEHEALTH FACILITY FEECL55.15
VACCINE SCHOOL SPECIALCL31.10
RAPID STREP SCREENCL182.20
SKIN TEST TUBERCULOSISCL102.00
SPORTS PHYS/CASH DOS ONLYCL21.00
REMOVE FB FROM EYE PRO FEECL130.10
RESPIRATORY FIT TEST NURSE ONLYCL83.80
DMV 2ND VISIT CASH ON DOSCLMD52.50
Medicare RHC AIRCLMD0.00
ARTHRO ASP/INJ INTRMD JNTCLMD182.20
ARTHRO ASP/INJ MAJ JNT/BRCLMD215.60
ARTHROCENT ASP/INJ SM JNTCLMD176.00
ASPIRATE/INJ GANGLION CYSTCLMD162.00
AVULS NAILPLT PART/COMP SCLMD194.50
EVAC SUBUNGUAL HEMATOMACLMD89.40
APPL CAST SHRT ARM EBW/FNCLMD255.30
COLPO W/BX CERVIX/ECCCLMD742.15
COLPOSCOPY/VAGINOSCOPYCLMD519.10
DEBRIDEMNT NAIL 6 OR MORECLMD132.10
DEBRIDE SKINCLMD169.75
DEB MUSC/FASCIA 20SQ CM<CLMD629.00
DEBRIDE SKIN/SUB TISSUECLMD230.60
DEBRIDEMENT OF NAIL 1 - 5CLMD53.40
DEST LESION ANY METH 1STCLMD143.90
DEST LESION 2-14 EACHCLMD33.50
PROLONGED OFFICE/OP E/M EA 15MCLMD79.30
DEST WART ANY METH 1-14CLMD161.20
E/M OFFICE EST HI MDM 40-54 MINCLMD346.90
E/M OFFICE EST MOD MDM 30-39 MINCLMD216.90
E/M OFFICE EST LOW MDM 20-29 MINCLMD149.95
E/M OFFICE EST STRT FWD 10-19 MINCLMD116.50
E/M EST PT MINIMAL PROBCLMD81.90
E/M OFFICE NEW HI MDM 60-74 MINCLMD535.20
E/M OFFICE NEW MOD MDM 45-59 MINCLMD396.45
E/M OFFICE NEW LOW MDM 30-44 MINCLMD277.50
E/M OFFICE NEW STRT FWD 15-29 MINCLMD213.20
MDCR VIRTUAL VISITCLMD244.70
REP WND FCE/MUC 2.5<CLMD431.15
ENDOMETRIAL BIOPSYCLMD490.70
EST PT PRE EXAM/UNDR 1 YRCLMD174.70
EST PT PREV EXAM/ 1-4 YRSCLMD216.90
EST PT PREV EXAM/ 5-11 YRCLMD228.00
EST PT PREV EXAM/12-17 YRCLMD246.70
EST PT PREV EXAM/18-39 YRCLMD332.00
EST PT PREV EXAM/40-64 YRCLMD376.65
EST PT PREV EXAM/65 & OVRCLMD412.70
SKIN FULL GRFT FACE/GEN/HF PRO FEECLMD2,284.40
EX BEN SCP/NK/HD/FT0.6-1.CLMD397.70
EX BN LS FCE/MUC MEM <0.5CLMD370.45
EX BN LS/TRK/ARM/LEG .6-1CLMD379.20
EX BN LS/TRK/ARM/LEG >4.0CLMD654.20
EX BN LS/TRK/ARM/LG 1.1-2CLMD385.25
EX BN LS/TRK/ARM/LG 2.1-3CLMD494.45
EX BN LS/TRK/ARM/LG 3.1-4CLMD546.30
EX ML LES/FACE 1.1-2CMCLMD664.00
EX ML TRK/ARM/LG 1.1-2CCLMD526.50
ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-3CLMD1,931.00
EX BN LS/TRK/ARM/LG <0.5CCLMD272.60
EX NAL/MTRX PRT/CMPL PERMCLMD413.80
EXC F/E/E/N/L MAL+MRG 0.5CM<CLMD524.00
EXC F/E/E/N/L MAL+MRG 0.6-1CLMD577.00
EXC MLG LES FACE 2.1-3CMCLMD817.60
I&D ABSCESS;CMPLCTD/MULTPCLMD491.70
I&D ABSCESS SIMPLE/SINGLECLMD272.60
INC/REM FB SUBCUT TISSUECLMD379.20
INJ TRIG PNT 3+ MUS GRPCLMD276.40
INJ TEND SHTH/LIG/APNEUROCLMD276.40
Single tendon origin/insertionCLMD276.60
INJ TRIG PNT 1 OR 2 MUSCLCLMD276.40
IUD INSERTIONCLMD209.50
TELEHEALTH MDCR 99202CLMD212.10
TELEHEALTH MDCR 99203CLMD277.50
TELEHEALTH MDCR 99204CLMD396.45
TELEHEALTH MDCR 99205CLMD535.20
TELEHEALTH MDCR 99212CLMD116.50
TELEHEALTH MDCR 99213CLMD149.95
TELEHEALTH MDCR 99214CLMD216.90
TELEHEALTH MDCR 99215CLMD346.90
INSERT DRUG IMPLANT DEVICECLMD280.40
REMOVE INSERT DRUG IMPLANTCLMD372.00
REMOVE DRUG IMPLANT DEVICECLMD191.00
INCS THROMBOSED HEMOR EXTCLMD518.60
ANOSCOPY DIAGCLMD246.70
NP INT PREVENT EXAM 1-4YRCLMD259.00
NP INT PREV EXAM 12-17 YRCLMD348.15
NP INT PREV EXAM 18-39 YRCLMD400.30
NP INT PREV EXAM 40-64 YRCLMD453.50
NP INT PREV EXAM 5-11 YRSCLMD317.20
NP INT PREV EXAM 65 & OVRCLMD442.30
NP INT PREV EXAM/UNDR 1 YRCLMD323.10
CTL HEMORRAGE NASAL ANTERCLMD284.90
PARING/CUT BEN LESION SGLCLMD66.95
PHLEBOTOMY THERAPEUTICCLMD95.45
REM FB EAR CABAK WO/ANESTCLMD293.30
REMOV IMPACTED EAR WAX IRRIGATION UNILATCLMD41.10
REM IMPAC CERUM/UNL/BILATCLMD135.15
REM SKN TGS MULT FIBR 15<CLMD176.00
DSTRJ LESION PENIS SIMPLE CRYOSURGERYCLMD365.00
REP SC/TRK/AX/NK/EX <2.5CLMD429.90
DESTRUCTN MALIGNANT LESION T/A/L 0.5 CM<CLMD252.00
REP WND FCE/MU 2.6-5.0 CMCLMD480.70
SHAVE SKIN LESION 0.6-1.0 CM TRNK/ARM/LGCLMD317.50
SHV EP/DM FC/MUC MEM <0.5CLMD166.10
SHV EP/DM LS/TR/AR/LG<0.5CLMD185.20
SHAVE SKIN LESION 0.6-1.0 CMCLMD321.00
SKIN SUB GRAFT TRNK/ARM/LEG PRO FEECLMD214.00
TYMPANOMETRYCLMD64.50
WEDGE EXCISION SKN/NAL FOCLMD177.35
ADV CARE PLAN FAMILY/PT, ADDL 30MCLMD203.70
ADV CARE PLAN FAMILY/PT, FIRST 30MCLMD233.10
TRIM NONDYSTROPHIC NAILSCLMD60.80
REM IUDCLMD429.90
CATH INSRT FOLEY SIMPLECLMD185.90
TANGNTL BX SKIN SINGLE LESCLMD277.85
TANGNTL BX SKIN EA ADDLCLMD149.95
PUNCH BX SKIN SINGLE LESCLMD349.55
PUNCH BX SKIN EA ADDLCLMD172.00
INCISIONAL BX SKIN SINGLE LESCLMD423.40
INCISIONAL BX SKIN EA ADDLCLMD202.90
DEBR SKINCLMD111.50
REM SHORT ARM/LEG CASTCLMD198.25
FOLLOW-UP GLOBAL SVCCLMD0.00
TELEHEALTH PHP 99202CLMD212.10
TELEHEALTH PHP 99203CLMD277.50
TELEHEALTH PHP 99204CLMD396.45
TELEHEALTH PHP 99205CLMD535.20
TELEHEALTH PHP 99212CLMD116.50
TELEHEALTH PHP 99213CLMD149.95
TELEHEALTH PHP 99214CLMD216.90
TELEHEALTH PHP 99215CLMD346.90
AUDIOLGC FNCTN SCRNG AIRCLMD42.20
WELCOME TO MEDICARE EXAMCLMD509.30
MCARE 1ST YEARLY WELLNESSCLMD412.70
MCARE EA AD YEARLY EXAMCLMD435.30
DRAIN EXTERNAL EAR LESIONCLMD590.90
PUNCT/ASP ABCS/HEM/BUL/CYCLMD305.70
SNF E/M INITIAL LOW CMPLXCLMD153.60
SNF E/M INITIAL MOD CMPLXCLMD215.60
SNF E/M INITIAL HI CMPLXCLMD261.50
SNF SUBSEQUENT HI CMPLXCLMD230.60
SNF E/M H&E SUBQ LOWCLMD85.60
SNF E/M H&E SUBQ MODERCLMD116.50
SNF E/M H&E SUBQ DETAILEDCLMD169.75
SNF DISCHARG MGMNT <30MINCLMD159.90
SNF DISCHARG MGMNT >30MINCLMD199.50
SNF ANNUAL ASSESSMENTCLMD169.75
PRE-EMPLOYMENT PHYSICAL CONTRACTEDCLMD157.50
EMPLOYEE PHYSICALCLMD149.95
CT HEAD W/O CONTRASTCT893.05
CT HEAD W/CONTRASTCT1,984.50
CT HEAD W W/O CONTRASTCT1,984.50
CT EYE/EAR/FOSSA W/O CONTRASTCT893.05
CT EYE/EAR/FOSSA W/CONTRASTCT1,984.50
CT EYE/EAR/FOSSA W W/O CONTRASTCT1,984.50
CT MAXILLOFACIAL W/O CONTRASTCT893.05
CT MAXILLOFACIAL W/CONTRASTCT1,984.50
CT MAXILLOFACIAL W W/O CONTCT1,984.50
CT SOFT TISS NECK W/O CONTRASTCT893.05
CT SOFT TISS NECK W/CONTRASTCT1,984.50
CT SOFT TISS NECK W W/O CONTRASTCT1,984.50
CT ANGIO HEADCT1,984.50
CT ANGIO NECKCT1,984.50
CT THORAX W/CONTRASTCT1,984.50
CT THORAX W W/O CONTRASTCT1,984.50
CT ANGIO CHESTCT1,984.50
CT C-SPINE W/O CONTRASTCT893.05
CT C-SPINE W/CONTRASTCT2,072.70
CT C-SPINE W W/O CONTRASTCT3,175.20
CT T-SPINE W/O CONTRASTCT893.05
CT T-SPINE W/CONTRASTCT1,984.50
CT T-SPINE W W/O CONTRASTCT1,984.50
CT L-SPINE W/O CONTRASTCT893.05
CT L-SPINE W/CONTRASTCT1,984.50
CT L-SPINE W W/O CONTRASTCT3,175.20
CT PELVIS W/O CONTRASTCT893.05
CT PELVIS W/CONTRASTCT1,984.50
CT PELVIS W W/O CONTRASTCT1,984.50
CT UPPER EXT W/O CONTRASTCT893.05
CT UPPER EXT W/CONTRASTCT1,984.50
CT UPPER EXT W W/O CONTRASTCT1,984.50
CT LOWER EXT W/O CONTRASTCT893.05
CT LOWER EXTREM W/CONTCT1,984.50
CT LOWER EXT W W/O CONTRASTCT1,984.50
CT ABDOMEN W/O CONTRASTCT893.05
CT ABDOMEN W/CONTRASTCT1,984.50
CT ABDOMEN W W/O CONTRASTCT1,984.50
CT ANGIO ABD/PELV W W/O CONTRASTCT1,984.50
CT ABD PELV W/O CONTRASTCT1,984.50
CT ABD PELV W/CONTRASTCT1,984.50
CT ABD &/OR PELV W W/O CONTRASTCT3,175.20
CT HEART W/O CONTRAST W/CA TESTCT496.15
CT ANGIO ABD ARTERIESCT1,984.50
CT HEAD/NECK 3D ADDLCT0.00
CT BODY 3D ADDLCT0.00
CT LTD F/U HEAD/NECKCT496.15
CT LTD F/U OTHR THAN HEAD/NECKCT496.15
CT BONE DENSITY PERIPHERALCT496.15
CT LOW DOSE CANCER SCREENCT496.15
CT THORAX W/O CONTRASTCT893.05
CT SINUS W W/O CONTRASTCT1,984.50
CT SINUS W/CONTRASTCT1,984.50
CT SINUS W/O CONTRASTCT893.05
CT GUIDE NEEDLE PLACECT0.00
CT HEAD W/O CONTRAST PRO FEECTMD307.15
CT HEAD W/CONTRAST PRO FEECTMD431.60
CT HEAD W W/O CONTRAST PRO FEECTMD511.90
CT EYE/EAR/FOSSA W/O CONTRAST PRO FEECTMD619.50
CT EYE/EAR/FOSSA W/CONTRAST PRO FEECTMD732.40
CT EYE/EAR/FOSSA W W/O CONTRAST PRO FEECTMD798.00
CT MAXILLOFACIAL W/O CONTRAST PRO FEECTMD370.15
CT MAXILLOFACIAL W/CONTRAST PRO FEECTMD446.30
CT MAXILLOFACIAL W W/O CONTRAST PRO FEECTMD543.40
CT SOFT TISS NECK W/O CONTRAST PRO FEECTMD514.50
CT SOFT TISS NECK W/CONTRAST PRO FEECTMD627.40
CT SOFT TISS NECK W W/O CONTRAST PRO FEECTMD737.65
CT ANGIO HEAD PRO FEECTMD779.65
CT ANGIO NECK PRO FEECTMD777.00
CT THORAX W/CONTRAST PRO FEECTMD611.65
CT THORAX W W/O CONTRAST PRO FEECTMD732.40
CT ANGIO CHEST PRO FEECTMD798.00
CT C-SPINE W/O CONTRAST PRO FEECTMD490.90
CT C-SPINE W/CONTRAST PRO FEECTMD606.50
CT C-SPINE W W/O CONTRAST PRO FEECTMD716.65
CT T-SPINE W/O CONTRAST PRO FEECTMD480.40
CT T-SPINE W/CONTRAST PRO FEECTMD611.65
CT T-SPINE W W/O CONTRAST PRO FEECTMD721.90
CT L-SPINE W/O CONTRAST PRO FEECTMD477.80
CT L-SPINE W/CONTRAST PRO FEECTMD606.40
CT L-SPINE W W/O CONTRAST PRO FEECTMD716.65
CT PELVIS W/O CONTRAST PRO FEECTMD388.50
CT PELVIS W/CONTRAST PRO FEECTMD601.15
CT PELVIS W W/O CONTRAST PRO FEECTMD690.40
CT UPPER EXT W/O CONTRAST PRO FEECTMD477.80
CT UPPER EXT W/CONTRAST PRO FEECTMD590.65
CT UPPER EXT W W/O CONTRAST PRO FEECTMD737.65
CT LOWER EXT W/O CONTRAST PRO FEECTMD480.90
CT LOWER EXT W/CONTRAST PRO FEECTMD601.15
CT LOWER EXT W W/O CONTRAST PRO FEECTMD727.15
CT ABDOMEN W/O CONTRAST PRO FEECTMD399.00
CT ABDOMEN W/CONTRAST PRO FEECTMD614.30
CT ABDOMEN W W/O CONTRAST PRO FEECTMD698.30
CT ANGIO ABD/PELV W W/O CONTRAST PRO FEECTMD1,034.30
CT ABD PELV W/O CONTRAST PRO FEECTMD535.50
CT ABD PELV W/CONTRAST PRO FEECTMD826.90
CT ABD &/OR PELV W W/O CONTRAST PRO FEECTMD939.80
CT HEART W/O CONTRAST W/CA TEST PRO FEECTMD267.80
CT ANGIO ABD ARTERIES PRO FEECTMD1,015.90
CT HEAD/NECK 3D ADDL PRO FEECTMD63.00
CT LTD F/U HEAD/NECK PRO FEECTMD388.50
CT LTD F/U OTHR THAN HEAD/NECK PRO FEECTMD388.50
CT GUIDE NEEDLE PLACE PRO FEECTMD330.80
CT BONE DENSITY PERIPHERAL PRO FEECTMD301.90
CT LOW DOSE CANCER SCREEN PRO FEECTMD672.00
CT THORAX W/O CONTRAST PRO FEECTMD480.40
CT SINUS W W/O CONTRAST PRO FEECTMD543.40
CT SINUS W/CONTRAST PRO FEECTMD446.30
CT SINUS W/O CONTRAST PRO FEECTMD370.15
ECG-12 LEADS TRACING ONLYED723.50
ECG-1-3 LEAD TRACING ONLYED101.65
PEAK FLOW MEASUREED119.00
POS AIRWAY PRESSURE CPAPED512.70
SVN INITIAL TREATMENTED360.60
VENIPUNCTURE, EDED42.20
IMMUN ADMIN ADDL EA COMBOED66.95
IV PLC OF NDL W/CAP ONLYED218.15
INFUSION HYDRATION > 1 HRED719.70
INFUSION HYDRATION < 1 HRED1,397.35
IV PUSH ADDL-SAME DRUGED214.50
GLUCOSE BY REAGENT STRIPED27.40
IV PUSH ADDL-NEW DRUGED233.00
IV PUSH SINGLE-INIT DRUGED300.00
INJ THER-PROP-DX SQ-IMED241.60
INFUSION CONCURRENT LINE >1 HRED262.35
INFUSION 2ND LINE <1 HRED151.20
INFUSION THER/DX <1 HOURED645.45
INFUSION THER/DX 1-8HR EAED474.50
I&D PILONIDAL CYST SIMPLEED752.20
I&D ABSCESS SIMPLE/SINGLEED403.95
I&D ABSCESS/CYST COMPLEXED506.75
DRIANAGE OF GLAND ABCESSED433.55
INC/REM FB SUBCUT SIMPLEED525.20
INC/REM FB SUBCUT COMPLEXED1,901.45
NG TUBE INSERTIONED1,236.30
CD TRT FX PHLNG SHFT W/MED1,076.50
RPLC GASTRO TUBE NO REV/GUIDED638.40
REPAIR LAC TONGUE FLOOR MOUTH >2.6CMED1,993.45
REP LAC SCP/NK/TNK <2.5CMED914.25
REP LAC SCP/NK/TNK2.5-7.5ED1,013.40
REPAIR FINGER TENDONED2,972.80
REP LAC SCP/NK 7.6-12.5CMED551.40
REPAIR TONGUE LACERATION <2.5CMED264.00
REP LAC SIMPLE 12.6-20 CMED929.05
REP LAC FAC/MUC <2.5CMED654.20
REPAIR SIMPLE F/E/E/N/L 2.6-5CMED371.70
REP LAC FAC/MUC 5.1-7.5CMED361.85
REP LAC FAC/MUC 7.6-12.5CED551.40
REMOVAL OF NAIL BEDED706.00
LAY CLS TK/EXT <2.5 CMED649.10
LAY CLS TK/EXT 2.6-7.5 CMED649.10
REPR INTERM SCALP/AX/TRNK/EXTED1,330.80
LAY CLS TK/EXT 7.6-12.5CMED648.00
LAY CLS TK/EXT 12.6-20 CMED606.60
LAY CLS NK/HND/FT<2.5CMED551.40
LAY CLS FC/MUC5.1-7.5 CMED665.80
LAY CLS NK/HND/FT2.6-7.5CMED636.40
INJ TEND SHTH/LIG/APNEUROED627.50
LAY CLS FC/MUC<2.5CMED551.40
LAY CLS FC/MUC2.6-5.0CMED551.40
INJ TRIG PNT 1 OR 2 MUSCLED693.75
REMOVE FOREARM FBED3,349.40
CD TRT DSL SHLDR W/M WO/AED1,076.50
DRAINAGE OF ARM BURSAED3,715.45
REM FB INTRANASALED289.55
CONTROL OF NOSEBLEEDED284.90
CONTROL OF NOSEBLEEDED400.30
INTUBATE ET EMERGENTED2,318.95
DX LARYNGOSCOPY EXCL NBED2,800.40
LAV PERITON/ABD PARA INTLED2,098.10
ANOSCOPY W/REMVL FOREIGN BODYED1,736.50
SPINAL PUNCT LUMBAR DXED1,363.70
REM FB CORNEAL WO/SLITLMPED592.20
INCS THROMBOSED HEMOR EXTED596.30
REMOV FB EYE CORNEA W SLIT LAMPED763.05
ABD PARACENTESIS W/IMAGINGED1,748.30
REM FB EAR CABAK WO/ANESTED233.85
REM IMPACT CERUMEN UN/BILED124.00
EXC BEN LES INC MAR HEAD/FT/GENIT <.5CMED926.10
EXC TR EXT B9+MARG 1.1-2 CMED1,188.50
REMOVE IMPACTED EAR WAX UNIED169.75
EXC B9 LESION MRGN S,N,H,F,G 2.1-3 PR FED3,033.05
REMOVAL OF SKIN TAGS ED340.40
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPXED410.00
AVUL NAIL PRTL/COMPLT SINGED341.60
DRESS/DEBRID PT-THICK BURN LGED684.70
DRS/DBD BURN W/O ANS SMLED364.25
CD TRT DSL ELBOW WO/AED515.00
DRESS/DEBRID BURN W/O ANESTHED254.00
INITIAL TX 1ST DEGREE BURN LOCAL TXED459.00
DESTRUCTION B9 LESION UP TO 14ED443.20
AMPUTATION OF FINGER/THUMBED2,233.20
DEBR ECZEM/INFCT SKN 10%ED507.90
CD TRT FX DIS RAD/EP WO/MED605.90
CLSD TX TIBIAL FX W/MANIPED459.10
I&D HEMAT/SEROMA/FLDED1,619.00
CD TRT FX RADIUS/ULNAED557.45
CLSD TX FX ULNAR STYLOIDED578.40
OPN TRT FX DIST PHLNG EAED3,695.10
TREAT LOWER LEG FRACTUREED3,173.20
TREAT WRIST BONE FXED2,683.50
TREAT WRIST BONE FXED2,683.50
CLOSED TX ANKLE FX W/MANIPED2,683.50
CLOSED TX ANKLE DISLOC W/O ANESED592.30
TX CLOSED HEEL FXED592.30
EXCISION OLECRANON BURSAED7,229.15
CLSD TX RESET DISLOCATED JAWED620.80
CENTRAL LINE PLACEMENT>5ED2,769.80
INS NON-TUNNEL CATH VENOUS <5YED3,322.25
CLOSED TX METATARSAL FX W/MANIED515.00
CD TRT FX TRIMALLEOARED459.10
CLOSED TX BIMALLEOLAR ANKLE FX W/MANJED3,480.00
I&D ABCESS PERITONSILLARED464.65
REM OF FOREIGN BODY FR PHARYNXED909.60
THROAT SURGERY PROCEDURE UNSPECED865.50
DRAINAGE ABSCESS MOUTH ROOF LESIONED535.50
REMOVAL OF FOOT FOREIGN BODY SUBQED1,553.00
DENTAL PROC DENTOALVEOLAR STRUCTURESED529.00
CD TX DISTAL FINGER FXED566.00
ARTHR/ASP/INJ INT JNT/BRSED647.20
ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSAED652.80
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDEED690.00
CLSD TX TOE DISLOC WO ANESED659.90
REP CMLX FC/HND/GN1.1-2.5ED684.70
REP CMLX FC/HND/GN2.6-7.5ED623.00
REPAIR COMPLEX TRUNK 2.6-7.5 CMED1,345.65
REPAIR COMPX SCALP/ARM/LEG 2.6-7.5CMED970.00
LAY CLS FC/MUC 736-12.5 CMED425.10
LAY CLS FC/MUC20.1-30 CMED551.40
REP LAC SIMPLE 20.1-30 CMED833.50
DIAGNOSTIC ANOSCOPY SPXED289.00
APPL SPLINT LONG LEGED613.20
CL TX SCAPULAR FX W/MANIPED3,618.40
CLSD TX CLAVICLE FX W/MANIPED692.40
CD TRT FX METACARP EA WOMED619.60
CD TRT FX METACP W/M EAED665.80
TREAT THUMB FX W MANIED3,556.00
CD TRT FX NAS BN W/O STBNED2,274.30
CD TRT SUBLX RAD HEAD W/MED712.30
UPPER ARM ELBOW SURG UNLISTEDED595.40
CD TRT DSL PATELLAR WO/AED567.00
CLTX TIBIAL FX W/WO MANI SKELETAL TRACJED7,185.20
REPAIR NAIL BED EAED1,241.00
TX FX RADIUS & ULNAED1,534.70
CONTROL THROAT BLEEDING SIMPLEED493.10
REM FB EYE EXT CNJT SUPERED289.55
SHV EP/DM LS/TR/AR/LG<0.5ED338.05
APPL SPLINT SHT LEGED403.95
APPL SPLINT SHT ARM STATIED403.95
APPL SPLINT LONG ARMED302.40
CATH INSRT BLADDR NONINDWED313.80
CATH INSERT FOLEY SIMPLEED692.35
CATH INSRT FOLEY COMPLEXED233.25
CHANGE OF BLADDER TUBEED463.10
VAGINAL DELIVERY ONLYED1,028.00
DRAIN BLADDER BY NEEDLEED1,558.95
DELIVER PLACENTAED6,557.30
CARDIOVERSION ELECTIVE EXED829.90
CARDIOPULMONARY RESUSED898.10
THOROCOSTOMY TUBE PLACEDED1,001.50
THORACENTESISED1,752.80
THORACENTESIS W/IMAGING GUIDANCEED1,350.60
APPL SPLINT FNGR STATICED198.25
CL TX FINGER FX W MANIPED458.45
CD TRT DSL IPJNT W/M WO/AED706.00
I&D DEEP ABSC BURSA THIGH/KNEEED6,554.40
CLSD TX PST HIP DISCLOC W/O ANESED578.90
REMOV FB DEEP THIGH/KNEEED6,087.10
CD TRT DSL SHLDR W/M W/AED2,868.90
EVAC SUBUNGUAL HEMATOMAED179.80
CD TRT FX TOE DISLOC W/O ANESTHED659.10
CD TRT FX PHLNX/NG W/MED706.00
TX BIG TOE FRACTUREED2,689.10
DEBR SKN & SUBQ TISSUEED838.65
DEBR/REM FB SKIN/SQ/MUS/BONEED2,585.20
NEG PRESS WND TX ED864.00
EXPL PENETRATING WOUND ABD/BACKED4,131.70
EXPLOR PENETRATING WOUND EXTREMITYED1,247.95
NEG PRESSURE WOUND TX <=50sqcmED458.90
NEG PRESSURE WOUND TX >50sqcmED839.00
TANGNTL BX SKIN SINGLE LES (SHV,SCOOP)ED486.30
TANGNTL BX SKIN EA ADDLED258.00
PUNCH BX SKIN SINGLE LESED486.30
PUNCH BX SKIN EA ADDLED258.00
INCISIONAL BX SKIN SINGLE LESED865.50
INCISIONAL BX SKIN EA ADDLED458.65
CD TRT FX HUM CONDYL W/MANIPED659.10
CLTX SHLDR DISLOC W MANIPED2,684.40
INSERT PICC CATHED2,166.50
CD TRT FX SHOULDER DISL W/MANIPED3,173.20
INSERT TUNNELED CV CATHED7,139.30
INTRAOSSEOUS NEEDLE PLACEED1,038.10
REMOVE IUDED710.90
DRAINAGE OF GUM LESIONED649.10
RMVL DEVITAL TIS 20CM<ED1,072.80
DRAINAGE ABCESS FINGER SIMPLEED802.40
DRAINAGE EYELID ABSCESSED746.45
DRAINAGE OF FINGER ABSCESS COMPLICATEDED3,715.00
INCISION ANAL ABCESSED998.50
DRAIINAGE OF MOUTH LESION, SIMPLEED706.00
CLOSD MOUTH LAC RPR >2.5CMED1,279.30
I&D PILONIDAL CYST SIMPLEED752.20
CD TRT FX LAT MAL W/MED592.30
CLTX PROX FIBULA SHAFT FX W MANIJ PRO FEED3,556.40
EX BN LS/TRK/ARM/LG 3.1-4ED3,517.00
UA DIP WO/MICROED29.80
I&D VULVA/PERINEAL ABSCESSED436.55
REPAIR OF VAGINAED5,009.80
O2 SAT MEAS SNGL READED59.55
REP CMLX FC/HND/GN AD<5CMED623.00
RPR WOUND, LESION EA ADDL <5CMED951.60
TRANSFUSE BLOOD/BLD PRODED2,238.30
DRAIN EXTERNAL EAR LESIONED661.15
DRAIN OUTER EAR CANAL LESIONED661.15
OCCULT BLOOD FECESED86.75
PREGNANCY TESTED83.10
RAPID STREP SCREENED115.35
ED VISIT LEVEL 1ED387.90
ED VISIT LEVEL 2ED1,218.90
ED VISIT LEVEL 3ED2,279.15
ED VISIT LEVEL 4ED3,317.20
ED VISIT LEVEL 5ED6,006.40
ED VISIT LEVEL 6 CC SVCSED10,403.70
ED VISIT CC SVCS ADL 30MNED895.70
ED NURSE ONLY - NO CHGED0.00
INJECT TRIGGER POINTS 3+ MUSCLESED644.90
MOD SED SAME PHYS >5 YRS 1st 30MED231.55
MOD SED SAME PHYS>5 YRS EA ADDL 15MED115.80
MOD SED PHYS/QHP INITIAL 15 MINS 5/> YRSED200.00
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINSED160.00
PUNCT/ASP ABCS/HEM/BUL/CYED199.50
NERVE BLOCK INJ TRIGEMINALED652.80
INJ ANES/STEROID INTRCOSTAL NRV SNG LVLED1,641.20
INJ/ANES OTHR PERIPHERALED644.90
DIAGNOSTIC ANOSCOPY SPX SEP PROC PRO FEEED104.00
ECG-12 LEAD INTP REPORT ONLYEDMD69.50
I&D ABSCESS SIMPLE/SINGLEEDMD283.80
I&D ABSCESS/CYST COMPLEXEDMD568.70
DRAINAGE OF GLAND ABCESSEDMD287.50
INC/REM FB SUBCUT SIMPLEEDMD400.30
INC/REM FB SUBCUT COMPLEXEDMD867.20
NG TUBE INSERTIONEDMD364.25
CD TRT FX PHLNG SHFT W/MEDMD1,050.50
RPLC GASTRO TUBE NO REV/GUID PRO FEEEDMD110.30
RPR LAC TONGUE FLOOR MOUTH >2.6CM PRO FEEDMD949.30
REP LAC SCP/NK/TNK <2.5CMEDMD429.90
REP LAC SCP/NK/TNK2.5-7.5EDMD519.10
REPAIR FINGER TENDONEDMD1,486.40
REP LAC SCP/NK 7.6-12.5CMEDMD643.00
REPAIR TONGUE LACERATION <2.5CM PRO FEEEDMD966.20
REP LAC SIMPLE 12.6-20 CMEDMD678.90
REP LAC FAC/MUC <2.5CMEDMD519.10
REP LAC FAC/MUC 2.6-5.0CMEDMD608.30
REP LAC FAC/MUC 5.1-7.5CMEDMD564.90
REP LAC FAC/MUC 7.6-12.5C PRO FEEEDMD786.70
REMOVAL OF NAIL BED PRO FEEEDMD495.50
LAY CLS TK/EXT <2.5 CMEDMD469.60
LAY CLS TK/EXT 2.6-7.5 CMEDMD604.60
REPR INTERM SCALP/AX/TRNK/EXT PRO FEEEDMD799.40
LAY CLS TK/EXT 7.6-12.5CMEDMD681.30
LAY CLS TK/EXT 12.6-20 CM PRO FEEEDMD862.60
LAY CLS NK/HND/FT<2.5 CMEDMD520.30
LAY CLS NK/HND/FT2.6-7.5CEDMD618.20
LAY CLS NK/HND/FT7.6-12.5EDMD688.90
LAY CLS FC/MUC<2.5 CMEDMD618.20
LAY CLS FC/MUC2.6-5.0 CMEDMD579.80
LAY CLS FC/MUC5.1-7.5 CM PRO FEEEDMD682.60
INJ TRIG PNT 1 OR 2 MUSCLEDMD276.40
INJ TEND SHTH/LIG/APNEURO PRO FEEEDMD276.40
REMOVE FOREARM FB PRO FEEEDMD1,166.45
CD TRT DSL SHLDR W/M WO/AEDMD790.35
DRAINAGE OF ARM BURSA PRO FEEEDMD455.40
REM FB INTRANASAL PRO FEEEDMD386.60
CTL HEMORRAGE NASAL ANTEREDMD284.90
CTL HEMORRHAGIC NASAL POSTERIOREDMD413.80
INTUBATE ET EMERGENTEDMD443.65
DX LARYNGOSCOPY EXCL NB PRO FEEEDMD569.50
LAV PERITON/ABD PARA INTLEDMD427.50
ANOSCOPY W/REMVL FOREIGN BODY PRO FEEEDMD243.15
SPINAL PUNCT LUMBAR DX PRO FEEEDMD828.80
REM FB CORNEAL WO/SLITLMPEDMD298.60
INCS THROMBOSED HEMOR EXT PRO FEEEDMD316.20
REMOV FB EYE CORNEA W SLIT LAMP PRO FEEEDMD171.40
ABD PARACENTESIS W/IMAGING PRO FEEEDMD310.90
REM FB EAR CABAK WO/ANEST PRO FEEEDMD343.15
REM IMPACT CERUMEN UN/BIL PRO FEEEDMD135.15
EXC BEN LES HEAD/FT/GENIT <.5CM PRO FEEEDMD236.15
EXC TR EXT B9+MARG 1.1-2 CM PRO FEEEDMD465.30
REMOVE IMPACTED EAR WAX UNIEDMD41.10
EXC B9 LESION MRGN S,N,H,F,G 2.1-3EDMD445.05
REMOVAL OF SKIN TAGS EDMD216.60
LARYNGOSCOPY INDIRECT DIAGN SPX PRO FEEEDMD122.50
ARTERIAL CATH PERCUTANEOUEDMD162.35
AVUL NAIL PRTL/CMPLT SINGEDMD194.50
DRESS/DEBRID PT-THICK BURN LG PRO FEEEDMD463.10
DRS/DED BURN W/O ANS SMLEDMD265.25
DRESS/DEBRID BURN W/O ANESTHEDMD501.80
INTL TRMT 1DEG BURN/LOCALEDMD198.25
DESTRUCTION B9 LESION UP TO 14 PRO FEEEDMD326.20
AMPUTATION OF FINGER/THUMB PRO FEEEDMD1,911.10
DEBR ECZEM/INFCT SKN 10%EDMD115.35
CD TRT FX DIS RAD/EP WO/MEDMD889.50
CLSD TX TIBIAL FX W/MANIP PRO FEEEDMD1,897.50
I&D HEMAT/SEROMA/FLDEDMD468.30
CD TRT FX TIB SHFT WO/MEDMD993.50
CD TRT FX RADIUS/ULNAEDMD1,622.70
CLSD TX FX ULNAR STYLOID PRO FEEEDMD884.40
OPN TRT FX DIST PHLNG EAEDMD1,193.00
TREAT LOWER LEG FRACTUREEDMD1,466.90
CD TRT DSL ELBOW WO/A PRO FEEEDMD1,142.15
TREAT WRIST BONE FX PRO FEEEDMD1,342.30
CLOSED TX ANKLE FX W/MANIP PRO FEEEDMD728.25
CLOSED TX ANKLE DISLOC W/O ANES PRO FEEEDMD1,053.80
TX CLOSED HEEL FRACTURE PRO FEEEDMD1,008.10
EXCISION OLECRANON BURSA PRO FEEEDMD1,005.30
CLSD TX RESET DISLOCATED JAW PRO FEEEDMD90.40
INS NON-TUNNEL CATH VENOUS <5Y PRO FEEEDMD244.80
CLOSED TX METATARSAL FX W/MANI PRO FEEEDMD580.00
CD TRT FX TRIMALLEOAR W/M PRO FEEEDMD1,829.50
CLOSED TX BIMALLEOLAR ANKLE FX W/MANJ PFEDMD1,097.00
CD TRT FX HUM/PROX W/MANEDMD1,430.75
NON-ROUTINE BL DRAW 3/> YRSEDMD23.55
I&D ABCESS PERITONSILLAREDMD540.20
REM OF FOREIGN BODY FR PHARYNX PRO FEEEDMD346.30
THROAT SURGERY PROCEDURE UNSPEC PRO FEEEDMD270.20
DRAINAGE ABSCESS MOUTH ROOF LESION PRO FEDMD283.50
REMOVAL OF FOOT FOREIGN BODY SUBQEDMD338.00
DENTAL PROC DENTOALVEOLAR STRUCTURES PFEDMD500.00
CD TX DISTAL FINGER FX PRO FEEEDMD771.80
ARTHR/ASP/INJ SM JNT/BRSEDMD205.75
ARTHR/ASP/INJ INT JNT/BRSEDMD234.30
ARTHR/ASP/INJ MJR JNT/BRSEDMD215.60
DRAIN/INJ JOINT/BURSA W ULTRASOUND GUIDEEDMD194.50
CLSD TX TOE DISLOC WO ANES PRO FEEEDMD378.65
CD TRT FX DIST PHLNG WO/MEDMD970.00
REP CMLX FC/HND/GN1.1-2.5 PRO FEEEDMD723.50
REP CMLX FC/HND/GN2.6-7.5 PRO FEEEDMD1,122.35
REPAIR COMPLEX TRUNK 2.6-7.5 CM PRO FEEEDMD724.40
REP CMLX LD/N/E/L1.1-2.5EDMD910.50
REP CMLX SCLP/LIMB2.6-7.5EDMD950.10
LEG SURGERY PROCEDURE PRO FEEEDMD385.90
LAY CLS FC/MUC 7.6-12.5 CMEDMD1,088.90
REP LAC SIMPLE 20.1-30 CM PRO FEEEDMD708.50
APPL SPLINT LONG LEGEDMD268.90
CL TX SCAPULAR FX W/MANIP PRO FEEEDMD1,073.85
CLSD TX CLAVICLE FX W/MANIP PRO FEEEDMD1,191.90
CD TRT FX METACARP EA WOM PRO FEEEDMD788.35
CD TRT FX METACP W/M EA PRO FEEEDMD1,050.50
TREAT THUMB FX W MANI PRO FEEEDMD1,028.00
CD TRT FX NAS BN W/O STBNEDMD587.20
CD TRT SUBLX RAD HEAD W/MEDMD367.90
UPPER ARM ELBOW SURGERY UNLISTED PRO FEEEDMD374.90
CD TRT DSL PATELLAR WO/A PRO FEEEDMD995.95
CLTX TIBIAL FX W/WO MANI SKEL TRAC PR FEEDMD1,575.00
CD TRT FX RAD SHFT WO/MEDMD1,496.40
REPAIR NAIL BED EAEDMD360.60
TX FX RADIUS & ULNA PRO FEEEDMD1,164.25
REM FB EYE EXT CONJ EMBEDEDMD277.50
CONTROL THROAT BLEEDING SIMPLEEDMD786.70
REM FB EYE EXT CNJT SUPEREDMD256.50
SHV EP/DM LS/TR/AR/LG<0.5 PRO FEEEDMD104.20
APPL SPLINT SHT LEGEDMD174.70
APPL SPLINT SHT ARM STATIEDMD179.80
APPL CAST SHT LEGEDMD233.00
APPL SPLINT LONG ARMEDMD210.65
CATH INSERT FOLEY SIMPLEEDMD185.90
CHANGE OF BLADDER TUBE PRO FEEEDMD154.10
VAGINAL DELIVERY ONLYEDMD4,077.80
DRAIN BLADDER BY NEEDLE PRO FEEEDMD111.15
DELIVER PLACENTAEDMD252.00
CARDIOVERSION ELECTIVE EXEDMD495.50
CARDIOPULMONARY RESUSEDMD650.40
CD TRT FX MED MALLOS WO/MEDMD891.90
ED MD EMS DIRECTED ALSEDMD482.00
THOROCOSTOMY TUBE PLACED PRO FEEEDMD695.00
THORACENTESIS W/O IMAGING GUIDANCEEDMD738.40
THORACENTESIS W/IMAGING GUIDANCE PRO FEEEDMD319.75
APPL SPLINT FNGR STATICEDMD119.00
CD TRT FX PHL SHFT WOM EAEDMD473.25
CL TX FINGER FX W MANIP PRO FEEEDMD1,347.50
CD TRT DSL IPJNT W/M WO/AEDMD758.20
I&D DEEP ABSC BURSA THIGH/KNEE PRO FEEEDMD1,439.90
CLSD TX PST HIP DISCLOC W/O ANES PRO FEEEDMD1,182.10
REMOV FB DEEP THIGH/KNEE PRO FEEEDMD1,098.00
CD TRT DSL SHLDR W/M W/AEDMD1,278.45
EVAC SUBUNGUAL HEMATOMAEDMD89.40
CD TRT FX TOE DISLOC W/O ANESTHEDMD346.90
CD TRT FX PHLNX/NG W/MEDMD428.70
TX BIG TOE FRACTURE PRO FEEEDMD1,140.00
PARTIAL AMPUTATION OF TOEEDMD1,799.90
DEBR SKN & SUBQ TISSUEEDMD230.60
DEBR/REM FB SKIN/SQ/MUS/BONEEDMD1,564.60
EXPL PENETRATING WOUND ABD/BACK PRO FEEEDMD1,438.60
EXPLOR PENETRATING WOUND EXTRMTY PRO FEEEDMD1,040.90
TANGNTL BX SKIN SINGLE LES PRO FEEEDMD113.60
TANGNTL BX SKIN EA ADDL PRO FEEEDMD65.10
PUNCH BX SKIN SINGLE LES PRO FEEEDMD142.30
PUNCH BX SKIN EA ADDL PRO FEEEDMD77.20
INCISIONAL BX SKIN SINGLE LES PRO FEEEDMD173.15
INCISIONAL BX SKIN EA ADDL PRO FEEEDMD92.60
CD TRT FX HUM SHFT WO/MEDMD890.70
CD TRT FX HUM CONDYLAR W/MANIPEDMD1,604.20
CLTX SHLDR DISLOC W MANIP PRO FEEEDMD1,116.90
INSERT PICC CATH PRO FEEEDMD244.15
CD TRT FX SHOULDER DISL W/MANIP PRO FEEEDMD1,466.90
INSERT TUNNELED CV CATH PRO FEEEDMD793.10
INTRAOSSEOUS NEEDLE PLACEEDMD462.20
REMOVE IUD PRO FEEEDMD183.80
DRAINAGE OF GUM LESIONEDMD552.60
RMVL DEVITAL TIS 20CM<EDMD137.60
DRAINAGE ABCESS FINGER SIMPLE PRO FEEEDMD422.40
DRAINAGE EYELID ABSCESS PRO FEEEDMD326.35
DRAINAGE OF FINGER ABSCESS COMPLICTD PFEDMD478.00
INCISION ANAL ABCESS PRO FEEEDMD519.10
DRAIINAGE OF MOUTH LESION, SIMPLEEDMD427.50
CLOSD MOUTH LAC RPR >2.5CM PRO FEEEDMD683.05
MOD SED SAME PHYS <5 YRSEDMD190.80
I&D PILONIDAL CYST SIMPLE PRO FEEEDMD434.00
CD TRT FX LAT MAL W/M PRO FEEEDMD1,550.90
CLTX PROX FIBULA SHAFT FX W MANIJEDMD1,085.70
EX BN LS/TRK/ARM/LG 3.1-4 PRO FEEEDMD546.30
INJECTION THERAPEUTICEDMD146.30
I&D VULVA/PERINEAL ABSCESS PRO FEEEDMD390.25
REPAIR OF VAGINAEDMD906.30
APPL SPLINT SHT ARM DYNAMEDMD261.50
REP CMLX FC/HND/GN AD<5CM PRO FEEEDMD366.80
RPR WOUND, LESION EA ADDL <5CM PRO FEEEDMD422.40
DRAIN EXTERNAL EAR LESIONEDMD590.90
DRAIN OUTER EAR CANAL LESION PRO FEEEDMD650.50
CENTRAL LINE PLCMT > 5 YREDMD743.20
ED VISIT PROBLEM FOCUSEDEDMD171.05
ED VISIT EXPANDEDEDMD231.65
ED VISIT EXPANDED/MODEREDMD346.90
ED VISIT DETAILEDEDMD519.10
ED VISIT COMPREHENSIVEEDMD773.00
ED CC SVCS 30-74 MINEDMD770.55
ED CC SVCS ADDL 30 MIN ++EDMD385.25
MEDICAL SCREENING EXAMEDMD74.35
INJECT TRIGGER POINTS 3+ MUSCLES PRO FEEEDMD187.55
MOD SED SAME PHYS >5 YRS 1st 30M PRO FEEEDMD158.70
MOD SED SAME PHYS>5 YR EA AD 15M PRO FEEDMD80.00
OBSERV DISCH DIFF DAYEDMD168.60
OBSRV H&P LOW CMPLXEDMD210.65
OBSRV H&P MOD CMPLXEDMD286.25
OBSRV H&P HIGH CMPLXEDMD358.10
HSP CARE INITIAL LOWEDMD261.50
HSP CARE INITIAL / MODERATEEDMD351.90
HSP CARE INITIAL / HIGHEDMD432.40
OBSERVATION SUBS LOWEDMD115.35
OBSERVATION SUBS MODERATEEDMD176.00
OBSERVATION SUBS HIGHEDMD260.15
HSP CARE SUBQ/FOCUSED/LOWEDMD131.50
HSP CARE SUBQ/EXPNDED/MODEDMD187.10
HSP CARE SUBQ / HIGHEDMD254.00
OBS/ HSP ADM/DIS SAME DAY LOWEDMD369.20
OBS/ HSP ADM/DIS SAME DAY MODEDMD501.80
OBS/ HSP ADM/DIS SAME DAY HIGHEDMD562.40
HSP DISCHARG MGMT/MD/<30EDMD221.90
HSP DISCHARG MGMT/MD/>31EDMD277.50
PUNCT/ASP ABCS/HEM/BUL/CYEDMD343.15
NERVE BLOCK INJ TRIGEMINALEDMD226.80
NERVE BLOCK INJECTION FACIALEDMD574.80
NERVE BLOCK INJ OCCIPITALEDMD200.80
CHEMODENERVATE MUSC MIGRAINEDMD356.20
INJ ANES/STERD INTRCOSTL NRV 1 LVL PR FEDMD162.80
INJ/ANES OTHR PERIPHERAL PRO FEEEDMD306.00
LIPASE /SOLAB140.20
DOT Drug Testing - DATCOLAB99.25
ORGANISM ID AEROBIC EACH /SOLAB32.15
SENSITIVITY/SUSCEPTIBILTY ON CULTURE /SOLAB34.35
LEUKOCYTE ALK PHOS /SOLAB29.30
CULTURE TYPE IMMUN NOT FLUORES /SOLAB20.60
ORGANISM ID ANAEROBIC EACH /SOLAB32.15
LIPID PANELLAB256.50
PSA TOTALLAB241.60
TSHLAB340.75
CADMIUM ASSAY /SOLAB78.80
DRUG SCREEN QUAN LAMOTRIGINE /SOLAB45.05
HGB A1CLAB194.50
ALCOHOL BLOODLAB218.15
LIPASELAB140.20
MAGNESIUMLAB133.90
TROPONIN QUANTITATIVELAB386.60
RENAL PANELLAB236.70
OB PANELLAB395.30
T4, FREELAB194.50
LDL DIRECTLAB188.40
HS-CRP /SOLAB262.70
NUCLEAR ANTIGEN ANTIBODY /SOLAB61.00
CYTOLOGY URINE /SOLAB87.70
PROTEIN/CREAT RATIO /SOLAB12.50
LDH /SOLAB24.85
LEISHMANIA AB /SOLAB48.30
MICROBE SUSCEPTIBLE ENZYME /SOLAB18.90
URINE BACTERIA CULTURE /SOLAB32.15
METHYLMALONIC ACID /SOLAB58.30
ALK PHOS ISOENZYMES /SOLAB88.00
GLIADIN AB IgG IgA 2nd test /SOLAB39.30
GRAM STAIN /SOLAB14.50
WBC SMEAR STOOL / QLAB14.50
GLIADIN AB IgG IgA /SOLAB39.30
HAPTOGLOBIN /SOLAB42.80
FUNGI IDENT MOLD /SOLAB35.10
CELIAC DIAGNOSTIC PNL /SOLAB39.30
ALDOLASE /SOLAB33.00
ALKALOIDS NOS /SOLAB32.25
FOLATES RBC /SOLAB157.90
COMPLEMENT C3C /SOLAB40.85
COMPLEMENT CH50 /SOLAB69.15
COMPLEMENT C4 /SOLAB58.90
CA19-9 /SOLAB70.90
SHBG /SOLAB73.90
SODIUM 24 URINE /SOLAB16.60
PTH BIOINTACT /SOLAB140.50
ANTI-DNA /SOLAB46.75
COL CHROMOTOGRAPHY QUAL/QUAN /SOLAB71.25
TOTAL/DIRECT BILI FXNTD /SOLAB93.05
H PLORI IGA AAB /SOLAB49.40
AMH /SOLAB47.60
TISSUE TRANSGLUTAM ABS /SOLAB39.30
MERCURY /SOLAB55.35
ALPHA 1 ANTITRUPSIN /SOLAB45.40
CORTISOL 24 URINE /SOLAB56.90
M. TUBERCULO DNAAMP PROBE /SOLAB119.40
ANTITHROMBIN III PAN /SOLAB40.30
PROTEIN C /SOLAB53.40
LUPUS ANTICOAG EVAL /SOLAB32.60
CARDIOLIPIN AB SCREEN /SOLAB86.65
ZONISAMIDE(ZONEGRAN) /SOLAB45.10
ERYTHROPOIETIN /SOLAB63.95
RENIN /SOLAB74.80
POTASSIUM 24 URINE /SOLAB14.70
HSV I IGG /SOLAB44.90
HSV II IGG /SOLAB65.90
VAP IM CHOLESTEROL /SOLAB93.35
VITAMIN A /SOLAB39.50
VITAMIN B6 /SOLAB95.60
VITAMIN D 1 25-DIHYDROXY /SOLAB131.00
HERPES SIMPLEX NES ANTBDY /SOLAB48.95
VIT B1 THIAMINE /SOLAB72.25
URIC ACID 24 URINE /SOLAB16.20
CHROMOGRANIN A /SOLAB70.90
ASSAY OF URINE, UREA NIT /SOLAB16.20
FIBRIROGEN /SOLAB39.90
APOLIPOPROTEIN A-1 /SOLAB58.10
CHLAMYDIA PENUMONIAE /SOLAB119.40
MYCOPLASMA PNEUMONIAE /SOLAB45.05
DRUG ASSAY EVEROLIMUS /SOLAB46.75
ZINC /SOLAB38.75
CLOTTING FACTOR VIII VW MEASURE /SOLAB78.10
CYSTIC FIBROSIS SCREEN /SOLAB124.00
IGA /SOLAB31.70
IGG /SOLAB31.70
IGM /SOLAB31.70
ANTIEPILEPTIC LEVEL ETHOSUXIMIDE /SOLAB13.70
CULTURE BACT ANAEROBIC EXCEPT BLOOD /SOLAB32.25
ARSENIC /SOLAB64.60
MOLECULAR PATH 2 HUNTINGTON'S /SOLAB377.10
IgG 1, 2, 3 or 4 EACH S/OLAB21.10
H. PYLORI ANTIGEN /SOLAB48.95
CP AB /SOLAB44.05
A1C /SOLAB194.50
GENTAMICIN ASSAY PEAK /SOLAB55.80
GENTAMICIN ASSAY TROUGH /SOLAB55.80
MAGNESIUM RBC /SOLAB133.90
ACTH /SOLAB131.50
B-2 MICROGLOBULIN /SOLAB55.00
UA MICRO ONLYLAB47.15
ASSAY OF LIPOPROTEIN (A) /SOLAB44.05
CERULOPLASMIN /SOLAB36.55
FECAL FAT /SOLAB17.35
GASTRIN /SOLAB60.00
T3 REVERSE / QLAB53.70
ASSAY OF PROGRESTERONE 17-D S/OLAB71.30
FOLIC ACID RBCLAB157.90
HEP B GENOTYPE DNA /SOLAB876.10
5 HIAA URINE /SOLAB43.90
COPPER SERUM /SOLAB42.20
MUMPS /SOLAB44.40
ALPHA 1 ANTITRYPSIN PHENOTYPE /SOLAB49.25
IGF1 /SOLAB72.35
SUGARS SINGLE QUAL /SOLAB18.80
FLOW CYTOMETRY TC 1 MARKER /SOLAB39.65
FLOW CYTOMETRY EA ADDL MARKER /SOLAB10.30
CATECHOLAMINES /SOLAB85.95
KAPPA LAMBDA LIT CHN /SOLAB46.30
ESTRONE /SOLAB84.95
B-2 GLYCOPROTEIN /SOLAB86.65
PHOSPHOLIPID ANTIBODY /SOLAB54.70
T4 FREE BY DIALYSIS /SOLAB194.50
TRANSFERRIN /SOLAB43.50
TRICHOMMONAS AMP PROBE /SOLAB112.60
COLD AGGLUTININ TITER S/OLAB24.20
CULTURE TYPING GLC/HPLC /SOLAB42.65
MICROBE SUSCEPTIBLE DIFFUSE /SOLAB16.20
MICROBE SUSCEPTIBLE DISK /SOLAB23.40
MOLECULAR CYTOGENETICS 25-99 CELLS S/OLAB105.95
MRSA SCREEN RT PCR /SOLAB119.40
HEPARIN ASSAYLAB38.35
CYTOGENETICS DNA PROBE EA S/OLAB53.55
CALCULUS INFRARED SPECTROSCOPY /SOLAB43.90
SMR PRIM SRC FLUORESC&/AFS BCT FNGI /SOLAB18.30
MICOBACTERIA CULTURE ACID FAST /SOLAB36.80
INFECTIOUS AGENT, CORONOVIRUS, AMP PROBELAB133.40
SKIN FUNGI CULT MOLD, YEAST /SOLAB26.20
CANDIDA DNA DIR PROBE /SOLAB68.30
GARDNER VAG DNA DIR PROBE /SOLAB68.30
TRICHOMONAS VAGIN DIR PROBE /SOLAB68.30
CANDIDA DNA AMP PROBE /SOLAB119.40
GARDNER VAG DNA QUANT /SOLAB142.10
TOXIN/ANTITOXIN ASSAY TISSUE /SOLAB67.15
AB EPSTEIN BARR NUCLEAR AG /SOLAB52.10
AB EPSTEIN-BARR VIRAL CAPSID /SOLAB61.75
SMEAR COMPLX STAIN OVA PARASIT /SOLAB61.10
AB CYTOMEGALOVIRUS /SOLAB48.95
AB CYTOMEGALOVIRUS IGM /SOLAB57.35
AB HEP DELTA AGENT /SOLAB58.40
HEPATITIS BE ANTIBODY /SOLAB39.40
CHLAMYDIA CULTURE ANY SOURCE /SOLAB66.70
CULT TYPE IMMUNOFLUORESC EA ANTISERM /SOLAB19.00
HEATITIS B IADNA QUANT /SOLAB145.75
AB EPSTEIN-BARR VIRUS EARLY ANT EA S/OLAB32.80
HPV IADNA HIGH RISK TYPES /SOLAB119.40
HPV TYPES 16 & 18 ONLY /SOLAB119.40
HUMAN EPIDIDYMIS PROTEIN 4 HE4 /SOLAB70.90
ONCO OVARIAN BIOCHEM ASSAY 2 PROTEIN /SOLAB718.00
STOOL CULTR AEROBIC BACT EACH /SOLAB32.15
SHIGA LIKE TOXIN IAAD EIA /SOLAB40.85
DRUG SCREEN QUANT MYCOPHENOLATE /SOLAB61.45
CYTOPATH CELL ENHANCE TECHNIQ SLCTV /SOLAB77.50
ELASTASE PANCREATIC FECAL QUAL /SOLAB39.30
H PYLORI BREATH ANAL UREASE /SOLAB229.20
HLA I LOW RES ONE ANTIGEN EQUIV EACH /SOLAB247.55
CALCIUM URINE QUANT TIMED SPECIMEN /SOLAB20.55
CLOSTRIDIUM DIFF AMPLIFIED PROBE /SOLAB119.40
ASSAY OF CALPROTECTIN FECAL /SOLAB66.30
ASSAY OF PREGNENOLONE /SOLAB70.40
AB VIRUS NOT ELSEWHERE CLASSIFIED /SOLAB43.85
ASSAY OF CRYOFIBRINOGEN /SOLAB39.00
ASSAY OF CRYOGLOBULIN SEMI QUANT /SOLAB22.00
IADNA AMP PROBE TQ EACH NOT SPECIFD /SOLAB119.40
ISLET CELL ANTIBODY /SOLAB67.30
HEP DELTA AGENT ANTIBODY /SOLAB58.40
CRYOGLOBULIN QUAL SEMI-QUANT /SOLAB22.00
CHLAMYDIA ANTIBODY /SOLAB40.30
CHLAMYDIA IGM ANTIBODY /SOLAB21.10
ASSAY OF CAROTENE S/OLAB23.05
ALPHA FETOPROTEIN L3 S/OLAB161.00
GLUCOSE TOLERANCE EA ADDL AFTER 3 SPECIMLAB19.20
BILE ACID /SOLAB58.30
POTASSIUM,URINE /SOLAB14.70
TISSUE EXAM BY PATHOLOGIST LVL 1 /SOLAB48.15
TISSUE EXAM BY PATHOLOGIST LVL II /SOLAB87.70
TISSUE EXAM BY PATHOLOGIST LVL III /SOLAB123.20
TISSUE EXAM BY PATHOLOGIST LVL IV /SOLAB123.20
TISSUE EXAM BY PATHOLOGIST LVL V /SOLAB593.80
TISSUE EXAM BY PATHOLOGIST LVL VI /SOLAB1,491.00
CHLORIDE,URINE /SOLAB17.10
CARBON DIOXIDE BLOOD ASSAY /SOLAB16.60
CHLORIDE, BLOOD /SOLAB15.65
CHEMILUMINESCENT ASSAY /SOLAB48.10
B CELLS TOTAL COUNT S/OLAB94.30
ASSAY NONENDOCRINE RECEPTOR S/OLAB91.45
QUANTITATION OF TX DRUG NES /SOLAB51.40
BETA 2 MICROGLOBULIN /SOLAB55.00
ANTIBODY HELMINTH NOS S/OLAB32.50
DEOXYCORTISOL S/OLAB73.20
SYPHILIS TEST NON-TREP ANTIBX QUAL S/OLAB10.70
RESP VIRUS 12-25 TARGETS S/OLAB1,040.00
M.PNEUMON DNA AMP PROBE S/OLAB87.75
INSULIN ANTIBODIES S/OLAB53.55
DRUG ASSAY ADALIMUMAB S/OLAB96.40
M GENITALIUM AMP PROBE S/OLAB87.75
HSV CULTURE,SOFP /SOLAB115.25
INFLUENZA DNA AMP PROBELAB264.10
STREP A DNA AMP PROBELAB107.50
DETECT AGNT MULT DNA AMPLILAB215.05
AQUAPORIN-4 ANTB CBA EA S/OLAB30.35
VOLTAGE-GTD CA CHNL ANTB EA S/OLAB64.40
THYROGLOBULIN W/O TGAB /SOLAB54.70
INFLUENZA A&B AG,EIA /SOLAB40.85
NT-PRO BNPLAB687.55
ASSAY OF CALCITONIN /SOLAB91.20
CULTURE SCREEN /SOLAB22.60
SODIUM SERUMLAB91.80
EHRLICHIA ABS /SOLAB34.70
LIPO PROFILE TEST /SOLAB58.10
COLLAGEN CROSSLINKS NTX /SOLAB63.60
MCARE SCREENING PSALAB241.60
HSV 1/2 IGG /SOLAB44.90
CA 15-3 /SOLAB70.90
PREALBUMIN /SOLAB49.70
AMINO ACID ANALYSIS /SOLAB57.45
SIROLIMUS/RAPAMYCIN /SOLAB46.75
CYTOMEGALOVIRUS DNA /SOLAB145.75
CHROMIUM,PLASMA /SOLAB69.05
COBALT,BLOOD /SOLAB96.80
NO CHARGELAB0.00
TSH /SOLAB340.75
UA DIP W/O MICROSCOPICLAB29.80
CMP /SOLAB235.40
LIPID PANEL /QLAB35.20
TOTAL PSA /SOLAB241.60
PHOSPHORUS/PHOSPHATE /SOLAB98.00
THYROID STIMUL IMM /SOLAB173.05
OB PANEL /SOLAB254.75
ASSAY OF VIT E TOCOPHEROL ALPHA /SOLAB48.30
PLATELET ANTIBODIES IDENTIFICATION S/OLAB45.90
ANCA SCREEN /SOLAB51.25
TOXICOLOGY DRUG SCREEN, MULT CLASSES, /SLAB680.60
DRUG SCREEN PRESUMPTIVE OPT INSTLAB84.30
FTA S/OLAB33.10
C-REACTIVE PROTEIN HS /SOLAB262.70
ASSAY LIPOPROTEIN PLA2 /SOLAB128.30
MURAMIDASE S/OLAB46.85
HEP B CORE TOTAL/HBC IG /SOLAB41.10
KIT DRAW FROM PATIENTLAB58.80
KIT DRAW FROM EMPLOYEELAB0.00
KIT - URINE COLLECTIONLAB58.80
BRCA1&2 SEQ & FULL DUP/DEL /SOLAB6,209.30
BARTONELLA HENSELEA /SOLAB34.70
GENE ANALYSIS HEMOCHROMATOSIS /SOLAB222.40
HLA II TYPING 1 LOC HR /SOLAB420.85
VIRUS TISSUE INOCULATION /SOLAB88.75
VIRUS INOCULATION SHELL STAIN /SOLAB66.60
Liver Fibrosis Panel / SOLAB199.05
VANCOMYCIN /SOLAB46.10
LYME WEST BLOT /SOLAB238.90
RUBEOLOA TITER /SOLAB43.85
ASSAY OF PROTEIN SERUM INHOUSELAB15.55
C-REACTIVE PROTEIN INHOUSELAB21.90
ASSAY OF VASOPRESSIN /SOLAB115.50
ALLERGEN IGE, EA ALLERGEN /SOLAB17.75
ASSAY OF MYOGLOBIN / SOLAB33.90
DHEA /SOLAB86.00
PORPHOBILINOGEN ASSAY, RANDOM /SOLAB28.80
ANGIOTENSION CONV ENZY/SOLAB49.70
HEPATITIS A, TOTAL /SOLAB42.10
HEPATITIS Be AG EIA /SOLAB39.20
URINE PORPHYRINS, FRACT, /SOLAB50.10
HIV-1 RNA QUANT BDNA /SOLAB289.60
THYROXINE FREE /SOLAB194.50
KETONES PANEL /SOLAB15.00
ALDOSTERONE ASSAY /SOLAB138.70
PROTEIN TOTAL XCPT REFRACTOMETRY / SOLAB12.50
QUEST MISC LIVER FIBROSIS TEST /SOLAB0.00
GLUCOSE,SYNOVIAL FLUID /SOLAB13.45
SJOGREN'S ANTIBODY-SS-A /SOLAB61.00
SM ANTIBODY NUCLEAR ANTIGEN /SOLAB61.00
HSV 1/2 DNA PCR /SOLAB119.40
ASSAY OF ANDROSTENEDIONE /SOLAB110.70
CARBOXYHEMOGLOBIN /SOLAB41.90
LACTIC ACID/LACTATELAB216.90
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOALAB52.90
RETICULOCYTE COUNTLAB203.20
CRP-HSLAB262.70
INFLUENZALAB99.10
ANIBODY FUNGUS /SOLAB41.70
D DIMERLAB338.30
VISCOSITY,SERUM /SOLAB39.80
DIHYDROTESTOSTERONE / SOLAB76.90
ASSAY OF ESTROGENS / SOLAB84.80
ASSAY OF ESTRIOL / SOLAB63.50
FATTY ACIDS NONESTERIFIEDLAB49.30
IGE /SOLAB56.00
ASSAY OF G6PD ENZYME /SOLAB32.90
ASSAY OF GLYCATED PROTEIN /SOLAB51.30
Human growth hormone level S/OLAB43.80
HEMOGLOBIN CHROMOTOGRAPHY /SOLAB61.50
HLA CLASS II LOW RES /SOLAB415.90
OXALATE URINE /SOLAB12.40
ASSAY PH BODY FLUID NOS /SOLAB12.20
MAGNESIUM URINELAB12.40
ASSAY OF HISTAMINE /SOLAB101.45
CITRATE URINE /SOLAB12.40
INTRINSIC FACTOR /SOLAB51.30
COXSACKIE AB /SOLAB44.30
QUANTIFERON GOLD /SOLAB210.95
LACTOFERRIN FECAL (QUANT)LAB51.60
CARDIO IQ (TM) LIPO, ION /SOLAB107.30
CARDIO IQ (TM) HDL CHOL /SOLAB27.95
MASS SPECTROMETRY QUAL/QUAN /SOLAB66.50
MUCIN SYNOVIA FLUID ROPES TEST /SOLAB20.00
ASSAY MYELOPEROXIDASELAB133.50
PHOSPHORUS URINE /SOLAB17.65
17-HYDROXYPREGNENOLONE LEVEL /SOLAB77.60
ASSAY OF PROSTAGLNDIN EACH /SOLAB115.80
WESTERN BLOT TEST /SOLAB58.00
PROTEIN WESTERN BLOT OTHR FLUID S/OLAB73.00
ASSAY OF SELENIUM /SOLAB86.90
SUGARS SINGLE QUANT / SOLAB30.30
SULFATE URINE /SOLAB16.20
ASSAY OF VITAMIN NOS /SOLAB47.05
VITAMIN K LEVEL /SOLAB46.75
CALCIUM IONIZED /SOLAB46.50
VIT D 25-HYDROXYLAB100.70
GIARDIA AG STOOL /SOLAB40.85
CRYPTOSPORIDIUM OR INFECTIOUS AGENT /SOLAB22.75
CRYPTOSPORIDIUM AG IF /SOLAB40.85
ENTAMOEB HIST GRP AG IA /SOLAB40.85
CLOTTING FACTOR VIII AHG 1 STAGE /SOLAB60.90
CLOTTING FACTOR VIII VW FACTOR ANTGN /SOLAB78.10
CLOTTING FACTR VIII VW MULTIMETRIC /SOLAB78.10
BLOOD CLOTTING FACTOR X /SOLAB73.10
Factor inhibitor testLAB33.80
FIBRIN DEGRADATION PRODUCTS /SOLAB24.30
RBC SICKLE CELL TEST /SOLAB18.80
ALLERGEN SPEC IGG QUAN/SEMIQUAN EA /SOLAB21.60
FLUORESCENT ANTIBODY SCREEN /SOLAB41.10
IMMUNOFIXATION ELECTROPHORESIS SERUM /SOLAB76.15
IMMUNODIFFUSION OUCHTERLONY S/OLAB31.45
NK CELLS TOTAL CT /SOLAB128.40
NEUTRALIZATION TEST VIRAL /SOLAB57.55
PARTICLE AGGLUT ANTBDY SCRN / SOLAB31.80
Aspergillus antibody screen S/OLAB46.10
BACTERIUM ANTIBODY S/OLAB39.45
SARS COV2 COV19 ANTIBODY IGGLAB89.30
BLASTOMYCES ANTIBODY S/OLAB39.55
BORDETELLA ANTIBODY S/OLAB34.70
AB CANDIDA /SOLAB40.85
ANTIBODY COCCIDIOIDES S/OLAB35.30
AB COXIELLA BURNET II Q FEVER /SOLAB41.90
CRYPTOCOCCUS ANTIBODY / SOLAB44.10
GIARDIA LAMBLIA AB /SOLAB50.10
HISTOPLASMA ANTIBODY S/OLAB38.30
IgG ANTIBODY NOS /SOLAB42.10
RICKETTSIA ANTIBODY /SOLAB66.20
TOXOPLASMA ANTIBODY /SOLAB48.95
TOXOPLASMA ANTIBODY IGM /SOLAB49.05
Anti human globulin RBC titerLAB14.30
Blood typing, RBC Ag not ABO/Rh ea.LAB10.60
FSHD1 Southern Blot Test S/OLAB721.50
BLOOD FUNGUS CULTURE S/OLAB56.40
Culture, mycoplasma, any source S/OLAB40.45
MACROSCOPIC EXAM PARASITE /SOLAB14.50
PINWORM EXAM /SOLAB14.50
VARICELLA ZOSTER AG IF /SOLAB40.85
ANTIBODY DETECTION NOS IF /SOLAB44.40
ASPERGILLUS AG IA S/OLAB36.80
HISTOPLASMA CAPSUL AG IA / SOLAB36.80
IADNA BARTONELLA AMP PROBE TECHNIQ /SOLAB119.40
HCV RNA QUAL /SOLAB119.40
VANCOMYCIN In-HouseLAB83.00
DRUG SCREEN V /SOLAB289.90
TPMT GENE ANALYSIS COM VARIANTS S/OLAB458.90
SNRPN METHYLATION GENE ANALYSIS S/OLAB140.80
CELL COUNT (BODY FLUID) /SOLAB18.80
HEP B CORE ANTI IGM /SOLAB40.10
HEP B SURFACE ANTIB /SOLAB36.55
HEPATITIS C ANTIBODY /SOLAB48.50
CALCIUM /SOLAB71.95
LEVETIRACETAM DRUG SCREEN /SOLAB52.30
C. DIFF TOXIN, EIA/SOLAB40.85
PCR AG DETECT NOS IIA MULT /SOLAB40.85
BLOOD SMEAR INTERPRETATION /SOLAB70.50
CBC W/AUTO DIFFLAB179.80
CYTOPATH C/V THIN LAYER /SOLAB68.95
UA AUTO WO/MICROLAB126.50
CYTOPATH C/V THIN LAYER RESCREEN /SOLAB90.15
CRYSTALS- SYNOVIAL FLUI /SOLAB24.40
CBC W/MANUAL DIFFLAB127.75
ESRLAB80.65
HEMATOCRITLAB73.20
HEMOGLOBINLAB83.10
CBC W/O DIFFERENTIALLAB142.60
P.T.TLAB215.60
PTT S/OLAB15.80
PLATELET CT SEPARATE PROCLAB215.60
RBC AUTOMATED /SOLAB10.30
PREGNANCY TEST URINELAB104.10
PROTIME W/INR /SOLAB189.65
PROTHROMBIN TIMELAB189.65
IMMUNODIFFUSION NES /SOLAB47.80
IMMUNFIX ELEC SERUM /SOLAB82.50
IMMUNOFIXATN ELEC URIN /SOLAB99.90
URINE, DIP STICK W/MICRO, NON-AUTOLAB68.20
RETICULOCYTE/SOLAB203.20
SEMEN ANALYSIS POST /SOLAB41.10
CYSTIC FIBROSIS SCREEN /SOLAB1,534.20
UA W/ MICROSCOPICLAB147.55
HEPATITIS C BY RIBA /SOLAB52.70
STREPTOCOCCUS PNEUMONIAE IgG AB /SOLAB51.05
CULTURE, BLOOD /SOLAB35.10
ESTRADIOL (E2) /SOLAB95.05
CHLAMYDIA DNA,SDA /SOLAB119.40
CULTURE-FUNGUS /SOLAB28.60
DNA ANTIBODY SINGLE STRAND /SOLAB41.20
GC DNA,SDA /SOLAB119.40
PROTEIN C INHIBIT /SOLAB47.10
HERPES CULTURE /SOLAB51.35
HERPES SIMP QUANT DNA OR RNALAB125.00
TISSUE KOH FOR FUNGI /SOLAB47.15
KOH PREP WET MOUNT FUNGUSLAB47.15
PROTHROMBIN GENE /SOLAB181.00
CYSTATIN C /SOLAB51.05
ASSAY OF LDH ENZYMES /SOLAB43.60
JAK2 GENE /SOLAB318.50
FACTOR V LEIDEN /SOLAB208.00
BLOOD OCCULT FECAL HGB IA QUAL 1-3 /S0LAB62.75
ANTITHROMBIN III ANTIGEN /SOLAB36.80
OCCULT BLOOD FECESLAB41.10
PROTEIN S CLOT INHIBIT /SOLAB52.20
OVA & PARASITES /SOLAB30.25
BLOOD OCCULT FECAL HGB IA QUAL 1-3LAB62.75
RAPID STREP SCREENLAB182.20
MTHFR GENE ANALYSIS /SOLAB180.10
SKIN TEST TUBERCULOSISLAB54.70
CULTURE URINE /SOLAB27.50
WET MOUNTLAB57.10
ACETOMINOPHENLAB410.10
ALBUMINLAB94.30
AMMONIA- BLOODLAB225.55
AMYLASE /SOLAB195.90
AMYLASELAB195.90
VITAMIN B12LAB51.50
BILIRUBIN TOTALLAB93.05
BILIRUBIN- DIRECTLAB95.45
CALCIUM- BLOODLAB71.95
CA 27.29 (BR27.29) /SOLAB70.90
CEA /SOLAB64.50
CHOLESTEROL- TOTALLAB49.60
CORTISOL TOTAL /SOLAB55.45
CPK ISOENZYMES /SOLAB169.75
CPK ISOENZYMESLAB169.75
CPK /SOLAB158.70
CPKLAB158.70
CKMB - CREATINE KINASE MB FRACTION /SOLAB39.30
CREATININELAB104.10
CREATININE/ URINE /SOLAB19.60
CREATININE URINELAB19.60
DIGOXINLAB268.90
DRUG ASSAY CYCLOSPORINE /SOLAB61.45
ELECTROLYTE PANELLAB140.20
ESTROGEN TOT /SOLAB73.80
FERRITIN /SOLAB46.40
FOLIC ACID /SOLAB50.00
FSH /SOLAB63.20
T3 FREE /SOLAB57.65
GLUCOSE QUANTLAB68.20
GLUCOSE TOL 3 SPECIMENSLAB260.15
RAY'S MARKET DRUG SCREENLAB48.40
HCG, QUANTITATIVELAB57.35
IRON TOTAL /SOLAB22.10
IRON TOTAL/IRON BIND /SOLAB29.80
INSULIN /SOLAB38.90
C PEPTIDE /SOLAB70.90
T3 BY RIA /SOLAB48.25
VARICELLA ZOSTER IGG /SOLAB43.85
TETANUS ANTITOXID /SOLAB51.15
LITHIUM /SOLAB22.50
HEPATIC PANELLAB167.30
LUTEINIZING HORMONE(LH) /SOLAB63.00
OSMOLALITY(SERUM) /SOLAB22.50
OSMOLALITY (URINE) /SOLAB23.20
PHOSPHATASE ALKALINELAB88.00
PHOSPHATE INORGANICLAB98.00
POTASSIUMLAB98.00
PROGESTERONE /SOLAB71.00
PROCALCITONIN (PCT) /SOLAB91.20
PROLACTIN /SOLAB65.95
PROTEIN TOTAL/ SERUM /SOLAB15.55
PROTEIN ELECTRO SERUM /SOLAB36.55
SALYCILATESLAB247.75
SGOTLAB42.20
SGPTLAB47.15
STONE ANALYSIS /SOLAB39.40
T4 /SOLAB23.40
TEGRETOL- CARBAMAZEPHN /SOLAB49.60
C REACTIVE PROTEIN /SOLAB21.90
TESTOSTERONE TOTAL ADULT MALE /SOLAB87.85
TESTOSTERONE TOTAL LC/MS/MS /SOLAB87.85
PROTEIN TOTAL 24HR URIN /SOLAB12.50
TRIGLYCERIDESLAB65.80
UREA NITROGEN (BUN) QUANTLAB88.00
DHEA SULFATE /SOLAB75.70
HEPATITIS A ANTIB IGM /SOLAB38.35
VMA /SOLAB52.70
VALPROIC ACID /SOLAB46.10
CA 125 /SOLAB70.90
MICRO ALBUMIN /SOLAB19.70
DRUG SCRN QUANT OXCARBAZEPIN /SOLAB45.10
MICROALBUMIN URINE /SOLAB19.70
ANTINUCLEAR ANTIBODY/SOLAB41.20
ANA TITER /SOLAB38.00
CROSS MATCH EACH UNITLAB532.70
DETECT DNA /SOLAB145.75
HEPATITIS B SURF AG /SOLAB35.10
DRUG SCREEN/MULTI DRG CLSLAB289.90
HEPATITIS PANEL/SOLAB161.30
HIV 1\2 AB SCREEN /SOLAB46.60
HLA B27 /SOLAB87.85
HIV-1&2, AG & ANTIBODY /SOLAB81.90
LYME DISEASE ANTIBODY /SOLAB58.00
LYME DISEAS ANTIBDY IGM /SOLAB52.70
LEAD BLOOD /SOLAB41.20
MONONUCLEOSIS TESTLAB105.50
PTH /SOLAB140.50
PREGNANCY TEST SERUM QUALLAB152.50
H. PYLORI AB /SOLAB51.35
GIARDIA ANTIGEN /SOLAB40.85
RUBELLA /SOLAB48.95
RHEUMATOID FACTOR /SOLAB19.30
RPR /SOLAB14.50
MYELIN BASIC PROTEIN CSF ANALYSIS /SOLAB58.60
OLIGOCLONAL IMMUNE BANDS /SOLAB75.50
PROTEIN E-PHORESIS/URINE/CSF /SOLAB60.70
HEP C RNA QUANT /SOLAB145.75
THYROGLOBULIN AB /SOLAB54.20
AFP /SOLAB57.10
DIRECT ANTIGLOBULIN TEST /SOLAB18.30
PSA FREE RATIO /SOLAB62.60
HEP C GENOTYPE LIPA /SOLAB876.10
EHRLICA CANIS AB /SOLAB41.10
MALARIA SMEAR /SOLAB20.40
HOMOCYSTINE TOTAL /SOLAB57.45
FLOW CYTOMETRY INTERP 16/> MARKERS /SOLAB245.10
GASES-PH PCO2 PO2 & SATLAB724.70
METANEPHRINES TOTAL /SOLAB57.65
COMPREHENSIVE METAB PANELLAB235.40
BASIC METABOLIC PANELLAB198.25
DILANTIN (PHENYTOIN)LAB268.90
PHENOBARBITAL /SOLAB42.20
ASO TITER /SOLAB24.85
ARTERIAL PUNC/BLOOD WTHDRLAB93.05
VENIPUNCTURELAB42.20
CHP BLOOD DRAWLAB38.65
CENTRAL LINE BLOOD DRAWLAB39.80
GLUCOSE POST GLUCOSE DOSELAB71.95
T CELLS CD4&CD8 ABSOLUTE COUNT S/OLAB123.30
T CELLS TOTAL COUNT S/OLAB99.00
T LYMPHOCYTE CD4 /SOLAB91.15
GGT /SOLAB24.50
URIC ACID /SOLAB15.40
CREATININE CLEARANCE 24 /SOLAB32.15
BCR/ABL1 GENE MAJOR BP S/OLAB430.40
BCR/ABL1 GENE MINOR BP S/OLAB380.20
THYROID PEROXIDASE AB /SOLAB49.50
CULTURE AEROBIC /SOLAB29.35
AMMONIA /SOLAB225.55
TESTOSTERONE FREE /SOLAB86.70
HCV RNA QUANT R-T PCR /SOLAB145.75
TACROLIMUS /SOLAB46.75
CULTURE STOOL /SOLAB32.15
CULTURE THROAT /SOLAB29.35
DRUG TEST DEF 1-7 CLASSES /SOLAB315.40
T3 UPTAKE /SOLAB22.00
Semen Count Not Billable /SOLAB0.00
HEPATIC PANEL /SOLAB167.30
MAMM DX UNILATERALMAMM363.85
MAMMOGRAPHY SCREENING BILAT W/CADMAMM367.40
IMMUN ADMIN 1ST EA COMBOMM122.75
BANDG- ACE ELASTIC 4"MM36.10
BANDG- ACE ELASTIC 3"MM26.10
BANDG- ACE ELASTIC 6"MM26.10
SOL- IV, D5, 1000MLMM43.00
SOL- IV, 3% NACL, 500MLMM43.00
SOL- IV, D5, 500MLMM42.00
SOL- IV, D5, 100MLMM36.00
SOL- IV, 9% NACL, 1000MLMM47.00
SOL- IV, 9% NACL, 500MLMM43.00
SOL- IV, 9% NACL, 100MLMM37.00
SOL-IV, 45% NACL, 1000MLMM47.00
SOL- IV, 9% NACL, 250MLMM33.00
SOL-IV, D5,.45NACL 1000MLMM45.00
SOL-IV,D5/.9NACL EA 1LMM44.00
SOL-IV, LR, 1000MLMM44.00
SOL-IV, D5, LR, 1000MLMM14.00
SALINE SOL 10CC FOR MDIMM13.70
CATH-FOLEY, 18FR, 05CCMM80.65
CATH-FOLEY, 16FR, 05CCMM80.65
CATH FOLEY 14F 05CCMM80.65
CATH-FOLEY, 8FR, 03CCMM80.65
CATH-FOLEY, 12FR, 05CCMM80.65
DERMADONDMM55.15
PLEUR- EVACMM805.15
CRUTCH- ADULT TALLMM197.10
CRUTCH- ADULTMM197.10
CRUTCH- YOUTHMM197.10
SANDAL-CAST LARGEMM106.65
SANDAL- CAST MEDIUMMM106.65
SANDAL-CAST SMALLMM106.65
CAST- FIBERGLASS 4"MM66.95
BANDG-TUBULAR GZ SZ2 /YDMM5.05
BANDG-TUBULAR GZ SZ 1/YDMM11.25
SANDL-CAST X-LARGEMM106.65
BAG- FOLEY 2000MLMM37.20
CATH- FEMALE KITMM37.20
BAG-LEG URINARYMM59.55
STRAP-CATH LEGMM98.00
SPLINT-CRDBD/FOAM 12"MM13.70
SPLINT-CLAVICLE SMALLMM30.90
SPLINT-CLAVICLE LARGEMM30.90
SPLINT-CLAVICLE X-LARGEMM30.90
SPLINT-COLLES LG LEFTMM55.90
SPLNT-COLLES LG RIGHTMM99.10
SPLNT-COLLES SM LEFTMM99.10
SPLNT-COLLES SM RIGHTMM99.10
SPLNT-COLLES WRISTMM99.10
SPLNT-COLLES MED LEFTMM99.10
RIB BELT UNIVERSALMM26.50
BRACE-WRIST UNIV RIGHTMM109.10
BRACE-WRIST UNIV LEFTMM109.10
SPLINT-FINGER PLAIN 4.25MM11.25
BANDG-ROLL GAUZE 4" STLMM22.40
BANDG-ROLL GAUZE 2" STLMM8.70
BANDG-CONFORM 4" PER YARDMM11.25
BANDG-CONFORM 3" PER YARDMM11.25
BANDG-CONFORM 2" PER YARDMM11.25
SPONGE-GAUZE 4X4 TRAYMM11.05
DRESS- TELFA 3"X8"MM8.70
DRESS-TELFA 3X4MM22.40
DRESS- TELFA 2"X3"MM8.70
DRESS- XSPAN SIZE 4/YDMM8.70
DRESS- XEROFORM 1"X8"MM10.00
DRESS- XEROFORM 5"X9"MM16.20
DRESS-TRANSPARENT 2X3MM22.40
DRESS-NONADHERING 3"X16"MM11.25
DRESS-NONADHERING 3"X3"MM8.70
DRESS-NONADHEARING 3"X8"MM13.70
DRESS-TRANS 10CMX14CMMM16.20
PACKING- IODOFORM 1/4"MM53.40
PACKING- PLAIN 1/2"MM26.10
CATH- MALE EXTERNALMM8.70
SPLINT-ANKLE STIRRUP LARGEMM214.50
BANDG-TUBULAR GZ SZ3/YDMM13.70
STOCKINETTEMM13.70
PLASTER SPLINTMM28.60
PACKINGMM53.40
DRESSING-XPANDMM8.70
DRESSING-TELFAMM22.40
PADDING-CASTMM20.00
BANGAGE-TUBULAR GZMM13.70
DRESSING-NONADHEARINGMM22.40
SANDAL-CASTMM106.65
IMMOB-SHOULDER UNIVMM73.20
SLING-ARM LARGEMM66.95
RIB BELT FEMALE XLMM30.90
SOL-IRRIGATION H2O STL 1LMM30.00
SOL-IRRIGATION STL NACL1LMM34.00
OCULAR IRRIG LENS MORGANMM194.50
DRESS-DUODERM 4X4MM64.50
DRESS-HYDROCOLLOID 3X3MM39.80
DRESS-DUODERM 6X6MM16.80
DRESSING- ALLEVYN LIFE 5 1/6 X 5 1/6MM31.50
DRESSING-ALLEVYN 5X5MM38.65
NACL FLUSH 10MLMM6.60
ADHESIVE-SKINMM99.10
DRESS-MEPILEX SACRUM FOAM 9.2X9.2MM27.60
BRACE-ANKLE STIRRUP UNIVMM50.50
FINGER SPLINTMM8.05
ELECTRODE-ONESTEP PEDSMM246.80
BIOPATCH DISKMM50.80
SOL-IV D10W 250MLMM44.00
BLANKET-BAIR HUGGERMM38.65
DRESSING-SILICONE BORDERED FOAM 7.2X7.2MM31.50
QUICK TRACH 4.0MM215.05
QUICK TRACH PEDS 2.0MM215.05
COLLAR-CERVICAL SOFT MEDIUMMM39.00
CAST ARM SHRT FBRGL >11YOMM93.05
CAST LEG SHRT FBRGL >10YOMM157.35
CAST LEG SHRT PLSTR >11YOMM80.65
SPLINT ARM LONG FBRGL <11MM70.80
SPLINT ARM LONG FBRGL >11MM188.40
SPLINT ARM SHRT FBRGL <11MM104.10
SPLINT ARM SHRT FBRGL >11MM98.00
SPLINT LEG LONG FBRGL >11MM115.35
SPLINT LEG SHRT FBRGL <11MM126.50
SPLINT LEG SHRT FBRGL >11MM143.90
SPLINT LEG SHRT PLSTR >11MM41.10
PEDIALYTEMM27.60
RIB BELT UNISEX LMM38.65
RIB BELT MENS XLMM38.65
DRESS-SILICONE FOAM 4X4MM24.70
DRESSING- HYDROPHILIC FOAM 4X4MM6.30
MEDIPORE TAPE 4"MM44.10
TEGADERM 3.5 X 4.5MM21.00
TEGADERM 4X4MM7.80
COLLAR-CERVICAL SOFT LARGEMM33.10
COLLAR-CERVICAL SOFT SM/LONGMM39.00
CATH-FOLEY SILICONE COUDE TIP 14FRMM80.65
ARM SLING LGMM22.70
SLING-ARM MEDIUMMM21.20
SLING CHILDMM19.85
SOL-IRRIGATION NACL 500MLMM34.00
TEGADERM DRESSINGMM17.75
WALKING BOOT LARGEMM137.90
WALKING BOOT SMALLMM137.90
WALKING BOOT MEDIUMMM137.90
MEDIPORE TAPE 2"MM32.05
DRESS-HYDROCOLLOID 4X4MM21.00
DRESS-HYDROCOLLOID 8X8MM30.90
KNEE ORTHO PRE FAB OTS W JOINTS SMMM273.00
KNEE ORTHO PRE FAB OTS W JOINTS LGMM273.00
KNEE ORTHO PRE FAB OTS W JOINTS MEDMM273.00
KNEE ORTHO PRE FAB OTS W JOINTS XLMM273.00
KO IMMOB CANVAS LONG PREFAB OFFSHELFMM273.00
U SHAPED CALLUS CUSHIONMM13.80
SEMI PVT BED ACUITY LVL 1NUR3,247.80
SEMI PVT BED ACUITY LVL 2NUR4,871.65
OBS BED CHARGE PER HOUROBS215.60
E/M NEW PT LIMITEDOPMD171.05
E/M NEW PT EXPANDEDOPMD213.20
E/M NEW PT DETAILEDOPMD277.50
E/M NEW PT COMP/MODOPMD396.45
E/M NEW PT COMP/COMPLEXOPMD535.20
E/M EST PT LIMITEDOPMD116.50
E/M EST PT EXPANDEDOPMD149.95
E/M EST PT DETAILEDOPMD216.90
E/M EST PT COMPREHNSOPMD346.90
Covid Vacc Adm 1st dose Pfizer age 12+OPPR40.00
Covid Vacc Adm 2nd dose Pfizer age 12+OPPR40.00
ECG-12 LEADS TRACING ONLYOPPR723.50
ECG-1-3 LEAD TRACING ONLYOPPR36.10
Covid Vacc Adm 3rd dose Pfizer age 12+OPPR40.00
Covid Vacc Adm booster Pfizer age 12+OPPR40.00
Covid Vacc Adm 1st dose Pfizer age 5-11OPPR40.00
Covid Vacc Adm 2nd dose Pfizer age 5-11OPPR40.00
IV PUSH-SNGL OR INTL DRUGOPPR233.00
E/M HBC NURSE ONLYOPPR386.60
E/M HBC FOCUSED-MINOROPPR280.05
E/M HBC EXPANDED-MODERATEOPPR267.70
E/M HBC DETAILED-MODERATEOPPR239.20
SKIN SUB GRAFT TRNK/ARM/LEGOPPR4,287.00
I&D ABSCESS SIMPLE/SINGLEOPPR379.20
STRAPPING UNNA BOOTOPPR360.00
SKIN FULL GRFT FACE/GEN/HFOPPR4,266.70
INFUSION/HYDRATE <1HOUROPPR698.70
INFUSION THER/DX <1 HOUROPPR645.45
INFUSION THER/DX >1HR-8HROPPR474.50
INFUSION/HYDRATE >1 HROPPR140.20
THORACENTESISOPPR1,071.55
IMMUN ADMIN 1ST EA/COMBOOPPR104.10
IMMUN ADMIN ADDL EA/COMBOOPPR39.80
TRANSFUSE BLOOD/BLD PRODOPPR2,238.30
INJ THER/PROP/DX SQ/IMOPPR241.60
TUMS ANTACIDPHAR0.00
POLYETHYLENE GLYCOLPHAR34.00
PREDNISOLONE 1% 10 MLPHAR188.00
SHINGRIX VACCINE INJPHAR234.00
PEDIARIXPHAR168.00
VFC-PEDIARIXPHAR0.00
DTAP/HEP B/IPVPHAR169.00
VFC- INFANRIX PEDPHAR0.00
REMDESIVIR 100 MG PWVLPHAR950.00
Humulin R IVPBPHAR23.00
KEDRABPHAR750.00
IMOVAXPHAR701.00
VISIPAQUE CT CONTRAST ZERO CHARGE 340BPHAR0.00
OMNIPAQUE CT CONTRAST ZERO CHARGE 340BPHAR0.00
Magnesium Sulfate 1 GM/ 2 ml IM/ IVPPHAR18.00
MAGNESIUM 1 GM/ 2 ML IVPBPHAR26.00
CALCIUM 500 MG TABPHAR4.00
ZINC OXIDE 20%PHAR23.00
Ammonia InhalantsPHAR10.00
AMIODARONE HCL 200MG TABPHAR9.00
LIDOCAINE 2% PREFILLED 100MG /5MLPHAR36.00
GUAIFENESIN DM 5ML SUSPHAR9.00
ISENTRESSPHAR90.00
RABAVERTPHAR650.00
LABETALOL HCL 5MG INJPHAR100.00
XYLOCAINE VISC BOTTLEPHAR32.10
CALCIUM GLUC PER 10ML INJPHAR68.00
MAGNESIUM 300MG TABPHAR4.30
ACETAZOLAMIDE 500 MG PWVLPHAR150.00
Sodium Bicarbonate DripPHAR80.00
BELBUCAPHAR33.00
BENZTROPINE 1MG/MLPHAR99.00
LOSARTAN 25 MGPHAR3.00
NEUPOGEN 300MCGPHAR574.00
ACETAMINOPHEM 120MG SUPPPHAR9.00
ERYTHROMYCIN SULF 2-600MGPHAR83.50
METOPROLOL <5MG IVPHAR30.00
WARFARIN 5MGPHAR5.25
TRUVADAPHAR10.00
CEFOTETAN IVPB 2 GMPHAR97.00
CEFOTETAN IM 2 GMPHAR89.00
NEULASTA 6MG INJPHAR4,983.00
LEVAQUIN PER 250MG IVPHAR17.00
PHAR17.00
HEPATITIS B IMMUNE GLOBULIN 1MLPHAR250.00
HEPATITIS B IMMUNE GLOBULIN 5MLPHAR813.43
XOPENEX UD INHLPHAR36.00
PROTONIX 40MG IVPHAR39.00
ZOSYN 1G/0.125G 1.125 IVPHAR77.00
FLUCONAZOLE 100 MGPHAR12.00
PEN G 5 MILLIONPHAR84.00
ONDANSETRON HCL IV PER MGPHAR15.00
ONDANSETRON HCL TAB 4MGPHAR5.00
XARELTO TAB 15 MGPHAR65.00
IRON SUCROSE 200MGPHAR0.80
ZOLEDRONIC EA 5MG INJPHAR144.00
TRAMADOL 50MGPHAR13.00
PIPERACILLIN IVPB 3.375 GMPHAR40.00
AMIODARONE HCL 30MG INJPHAR4.30
ACETAMINOPHEN 300MG SUPPPHAR7.50
PSEUDOEPHEDRN HCL/ACTF TBPHAR4.30
EPINEPHRINE 1ML INJ 1:1KPHAR97.00
EPINEPHRINE IM 1 MG/MLPHAR77.00
ALBUTEROL INHALERPHAR109.00
PROAIRPHAR195.00
HYPERRABPHAR960.00
HYPERRAB 3MLPHAR2,857.00
ALCAINE O/S 4 DROPSPHAR14.00
SPIRONOLCTN/ADLACTONE TBPHAR5.00
ActHIBPHAR54.00
AMOXICILLIN 250MG CAPPHAR5.00
AMOXICILIN 125MG/5CC SUSPHAR28.00
AMOXICILLIN 250MG/5CC SUSPHAR33.00
AMOXICILLIN 500MG CAPPHAR8.00
MOXIFLOXACIN 0.5%PHAR117.00
AMPICILLIN IVPB 2 GMPHAR35.00
AMPICILLIN IM/IVP 2 GMPHAR27.00
AMPICILLIN SOD 1 GM IVPPHAR43.00
PHAR43.00
AMPICILLIN 1GM IMPHAR43.00
Azithromycin 200m/5mlPHAR143.00
AZITHROMYCIN 200/5 [30ML]PHAR60.00
COVID-19 [ADULT] VACC PFIZER 1 DOSEPHAR0.00
COVID-19 [ADULT] VACC PFIZER 2ND DOSEPHAR0.00
COVID-19 [ADULT] VACC PFIZER 3RD DOSEPHAR0.00
COVID-19 [PED] VACC PFIZER 1ST DOSEPHAR0.00
COVID-19 [PED] VACC PFIZER 2ND DOSEPHAR0.00
SUCCINYLCHNE 20MG INJPHAR100.00
CEPHALEXIN 250MG/100ML POPHAR97.00
CEPHALEXIN 250MG/5ML POPHAR3.30
ASA SUPPOSITOR 600 MGPHAR17.00
ASCORBIC ACIDPHAR3.00
ASA 325MG TABPHAR4.30
LORAZEPAM/ATIVAN 1MG TABPHAR4.00
ATROPINE 0.1MG INJPHAR61.00
DIPHENHYDRMN HCL 25MG CAPPHAR3.00
DIPHENHYDRAMIN 50MGPHAR31.00
PHAR31.00
DIPHENHYDRAMINE 12.5 MG/5MLPHAR5.00
PEN G BENZ/LA 100,000 unitsPHAR317.00
CALCIUM CHLR 10%<10ML INJPHAR61.00
CAPTOPRIL 25MG TABPHAR20.00
DILTIAZEM 5MG INJ IVPPHAR36.00
DILTIAZEM HCL/CARD 30MG TPHAR13.00
DILTIAZEM 5 MG/ML IVPBPHAR42.00
CLONIDINE HCL/CAP .1MG TBPHAR6.00
CLINDAMYCIN 300MG INJPHAR21.00
PHAR21.00
CLINDAMYCN 600MG IVPBPHAR16.00
CLINDAMYCIN IM 600 MGPHAR32.00
DILAUDID 2MG TABPHAR4.30
Dicyclomine 20mgPHAR7.00
MAGNESIUM OXIDE 400MG TABLETPHAR13.00
BENZTROPINE 1 MG TABPHAR9.00
DOCUSATE SOD/COL 100MG TBPHAR5.00
PROCHLORPERAZINE 10MG TABPHAR12.00
PROCHLORPRZN/COMPZ SUP 25PHAR64.00
PROCHLORPERAZINE <=10MG IPHAR96.00
PROCHLORPERAZINE IM/IVP 5 MG/MLPHAR96.00
EFFER-K 20 mEqPHAR6.75
CORTISPORIN 1 SQUIRTPHAR6.50
Crotalidae CrofabPHAR5,772.00
DEXAMETH/DECRON 4 MG TABPHAR4.30
DEXAMTH <4MG/ML INJPHAR14.00
DEXAMETHASONE PER 1MG INJPHAR4.30
DEXAMETHASONE 10MG INJPHAR30.00
VALPROIC ACID/DEPKN 250MGPHAR4.30
DEPO MEDROL 40MG INJPHAR71.00
DEPO MEDROL 20MG INJPHAR7.50
DEPO MEDROL 80MG INJPHAR96.00
MEDROXYPROGSTRNE 1 MGPHAR205.00
TRAZODONE HCL 50MGPHAR7.00
MEDROXYPROGESTERONE 5 mgPHAR16.00
NITRO/D5W 50 MG/250MLPHAR87.00
BUPRENORPHINE 2 MGPHAR10.00
LINEZOLID 600 MG TABPHAR278.00
ASPIRIN 325 MGPHAR5.00
DIGOXIN .125MG TABPHAR18.00
DIGOXIN .25MG TABPHAR21.00
DIGOXIN .5MG TABPHAR4.30
DIGOXIN <.5MG INJPHAR40.00
FOSPHENYTOIN SOD 100MG INJPHAR123.00
FOSPHENYOIN IM 50 PE/MLPHAR115.00
PHENYTOIN SODIUM 100MG TBPHAR10.00
HYDROMORPHONE HCL 0.5 MG/MLPHAR33.00
HYDROMORPHONE 1MG/MLPHAR37.00
HYDROMORPHONE 2MG/MLPHAR31.00
FOSPHENYTOIN 100MG/10MLPHAR55.00
DONNATAL ELIXIR 5CCPHAR32.00
DOPAMINE 400MG INJPHAR86.00
DOXAZOSIN 4MG TABPHAR16.00
BISACODYL 10MG SUPPPHAR6.00
BISACODYL TAB 5 MGPHAR4.00
AMITRIPYLINE HCIPHAR9.00
EPINEPHRINE 1-10000MINIJTPHAR97.00
ERYTHROMYCIN OPTH OINT 4GPHAR98.00
ERYTHROMYCIN 250MG TABPHAR69.00
FERROUS SULFT/FE SUF 325MPHAR4.00
METRONIDAZOLE 500 MGPHAR30.00
VFC- FLUMIST 2021-22PHAR0.00
FLUARIX QUAD 2021-2022PHAR98.00
FLU VACCINE INJ MEDICAREPHAR0.00
FLU VACCINE HI DOSE INJ MDCRPHAR0.00
FLU VACCINE INJPHAR90.00
FOLIC ACID 1MG TABPHAR5.00
FLU VACCINE CASHPHAR25.00
PROVENTIL INHAL 5 MGPHAR177.00
PROVENTIL 2.5 MGPHAR11.00
BUDESONIDE 1 MGPHAR22.00
GENTAMICIN SULF <80MG IM/IVPPHAR17.00
GENTAMICIN SULF <80MG IVPBPHAR17.00
GENTAMICIN SULF OPTH <5MLPHAR90.00
GLUCAGON 1MG INJPHAR316.00
GLUCOTROL 10 MGPHAR9.00
Glutose 15gmsPHAR31.00
HALOPERIDOL LACTAT<5MGINJPHAR20.00
HALDOL 2MG TABPHAR9.00
HEPARIN SOD PER 5000 INJPHAR29.00
HEPARIN 10000 UNITSPHAR36.00
HEPATITUS B ADULT INJPHAR238.70
HCTZ 50MG TABPHAR4.30
Hydrocortisone Supp 25mgPHAR94.00
INDERAL 10MG TABPHAR9.00
INDOCIN 25MG CAPPHAR7.00
INSULIN N PER 5 UNITSPHAR16.00
INSULIN R PER 5 UNITSPHAR9.00
SODIUM POLY SULF 15GM SUSPHAR99.00
KEFLEX 250MG/5CC 100CC LQPHAR94.00
KEFLEX 500MG TABPHAR15.00
CEFAZOLIN 1 GM IVPBPHAR19.00
PHAR19.00
CEFAZOLIN 1 GM IMPHAR19.00
TRIAMCINOLONE /10MG INJPHAR64.00
LACTULOSE 15 ML SOLPHAR11.00
FUROSEMIDE 40 MG TABLETPHAR5.00
BUPRENORPHINE SUBL 8 MGPHAR7.00
LASIX 40MG TABPHAR4.00
FUROSEMIDE <20MG IVPBPHAR34.00
FUROSEMIDE <20MG IM/IVPPHAR32.00
LIDOCAINE 50CC INJPHAR24.70
ATORVASTATIN 10 MG TABPHAR6.00
LOMOTIL 2.5MG TABPHAR12.00
METOPROLOL TARTRATE TABPHAR9.00
METOPROLOL ERPHAR11.75
MAALOX 30CC LIQUIDPHAR7.00
MAGNESIUM SULF 500MG INJPHAR29.00
MAGNESIUM SULFATE IM/IVP 5 GMPHAR20.00
MAG CITRATE 10 OZ LIQUIDPHAR11.80
BUPIVACAINE W/EPI 0.5% (10ML)PHAR37.00
BUPIVICAINE .5% 1CC INJPHAR94.00
BUPIVACAINE INJ 0.5 %PHAR26.00
MILK OF MAGNESA 30ML LQUDPHAR22.00
PIPERACILLIN/TAZOBACTAM 2.25 MG IVPBPHAR40.00
EPINEPHRINE .4 UD INH SOLPHAR13.00
MORPHINE SULFATE IVPB 4 MGPHAR32.00
MORPHINE SULFATE IM/IVP 4MG/MLPHAR33.00
MORPHINE SULFATE IM/IVP 10 MG/MLPHAR33.00
MORPHINE SULFATE IVPB 10 MG/MLPHAR33.00
MORPHINE SULFATE SOL 20MG/5MLPHAR91.00
MMR VACCINEPHAR205.00
IBUPROFEN 200MG TABPHAR5.00
IBUPROFEN 600MG TABPHAR6.00
MULTIVITAMIN CONCRTE INJPHAR121.00
MYLANTA <30CCPHAR5.00
NAPROSYN 250MG TABPHAR11.00
NALOXONE 1 MG IVPBPHAR166.00
NEOSPORIN 1/32 OZ TOPICALPHAR4.30
NEOSPORIN OPTH SOLPHAR147.00
NICARDIPINE IVP 25 MG / 10 mlPHAR75.00
NITROGLYCERIN 50MG INJPHAR49.30
NITROGLYCERIN TABPHAR4.30
NITROGLYCERIN 2% OINTMENTPHAR25.00
ORPHENADRINE CIT<=60MG INPHAR96.00
OPHTHAINE OPHTHALMIC 15MLPHAR135.00
PEN VK 250MG/5CC 100MLPHAR54.00
PEN VK 500MG TABPHAR13.00
PEN VK 250MGPHAR5.00
PERCOCET -5 TABPHAR15.00
PERMETHRIN 5% CREAMPHAR45.00
PHENERGAN 25MG SUPPOSITORPHAR12.90
PHENERGAN 25MG TABPHAR4.30
POLY B/SULF/TRIPHAR46.00
LIDOCAINE 5% PATCHPHAR18.00
POTASSIUM CL 10MEQ TABPHAR9.00
POTASSIUM CL EA 2 MEQ INJPHAR38.00
PREDNISONE 20MG TABPHAR6.00
POTASSIUM CHLORIDE IVPB 10 MEQ PREMIXPHAR40.00
PREDNISONE 10MG TABPHAR4.30
PREDNISONE 5MG TABPHAR5.00
FLU ZONE (HIGH DOSE)PHAR140.00
LIDOCAINE 2% (SYRING)PHAR16.00
GENTAMICIN 0.3% OPTH OINNTPHAR145.00
ISOSORBIDE 10MGPHAR10.00
LIDOCAINE/EPI 2%PHAR35.00
VERAPAMIL 80MGPHAR9.00
PROTAMINE SULFATE 250MG/25MLPHAR140.00
CEFTAZIDIME 1GM IVPBPHAR41.00
KENALOG 0.1% CREAMPHAR32.00
CEFTAZIDIME 1 GM IMPHAR33.00
PROCARDIA 30MG TABPHAR12.00
LEVOTHYROXINE 100MGPHAR18.00
SUDOGESTPHAR4.00
PROPRANOLOL 10MGPHAR7.00
PROMETHAZINE TAB 25 MGPHAR13.00
PREDNISOLONE 1%PHAR169.00
PROMETHAZINE HCL<50MG IVPBPHAR25.00
PILOCARPINE 1%PHAR200.00
VECURONIUM BROMIDE IVPHAR56.80
NORVASC 5MG TABPHAR18.00
PHYSOSTGMINEPHAR195.00
ALBUTERAL/IPRATROPIUM NEBPHAR21.00
SODIUM BICARBONATE 8.4%PHAR72.00
PENICILLIN VK 250MGPHAR10.00
AFRINPHAR29.00
DOXYCYCLINE 100MGPHAR101.00
LITHIUM 300MGPHAR15.00
BENAZEPRIL 5MGPHAR3.50
METFROMIN 500MGPHAR4.00
METOCLOPRAMIDE 5MGPHAR6.00
PYRIDIUM 100MG TABPHAR4.30
PYRIDIUM 200MG TABPHAR22.00
HYDROcodone/Apap 10/325PHAR20.00
ALBUTEROL UD / MG INH SOLPHAR21.00
OFLOXAXINPHAR274.00
NEXPLANONPHAR1,770.00
NYSTATIN CREAMPHAR90.00
NICOTINE PATCH 21MGPHAR20.00
NAFCILIINPHAR80.00
MANNITOLPHAR29.00
MAGNESIUM CITRATEPHAR14.00
REGLAN 10MG TABPHAR4.30
HEPARIN 5,000PHAR29.00
METOCLOPRAMIDE <=10MG INJPHAR20.00
POTASSIUM CL 20 MEQPHAR3.00
LIDOCAINE W/D5WPHAR50.00
PITOCINPHAR17.00
POTASSIUM CHLORIDE ORAL SOLUTION 20MEQPHAR15.00
RESTORIL 15MG TABPHAR10.00
PEN VK SUSP 125MGPHAR49.00
PERMETHRIN CREAMPHAR250.00
ETOMIDATE 2MG >10MLPHAR45.00
PROMTHAZINE SUPP 25MGPHAR92.00
RhoGamPHAR260.00
SODIUM BICARB 4.2PHAR45.00
BACTERIOSTATIC H20PHAR18.00
BACTERIOSTATIC SODIUM CHLORIDEPHAR8.00
GUAIFENESIN AC 5ML SUSPHAR3.00
GUAIFENESIN AC 30ML SUSPHAR9.70
SULF/TRIM 800/160MG TABPHAR7.00
SULF/TRIM 200/40MG/5MLSUSPHAR30.00
Simethicone 80mg tabletPHAR4.00
SILVADENE 1%<50GM TOPICALPHAR65.00
SODIUM BICARB 4%PHAR53.00
POTASSIUM CHLORIDE 40 MeQ PER 20 MLPHAR15.00
LIDOCAINE 2% 20 MLPHAR17.00
SULFACETAMD SOD 10%PHAR186.00
SOLU-CORTEF 100 MG IVPBPHAR76.00
SOLU-CORTEF 100 MG IM/IVPPHAR76.00
SOLU-MEDROL <=40MG INJPHAR69.60
SOLU-MEDROL <=125MG INJPHAR61.00
POTASSIUM CHLORIDE 40 mEq/20mlPHAR40.00
DOXYCYCLINE 100MG TABPHAR22.00
CIMETIDINE 300MG INJPHAR28.90
TEGRETOL 200MG TABPHAR13.00
ATENOLOL 50MG TABPHAR12.00
TAMSULOSIN 0.4MGPHAR28.00
TD VACC PRSV FREE 7 YRS & OLDERPHAR137.00
DIPTHERIA & TETNS TXD INJ >7 PRESERV FREPHAR151.00
TDAP VACCINEPHAR163.00
OLANZAPINE 5 MGPHAR6.00
MULTI VIT TABPHAR3.00
CHLORPROMAZINE 50 MGPHAR146.00
THYROID 60MG TABPHAR4.30
CLINDAMYCIN 150MG POPHAR10.00
TYLENOL 325MG TABPHAR4.00
TYLENOL 650MG TABPHAR4.30
TYLENOL 5CC LIQUIDPHAR16.00
TYLENOL W/CODEINE 30MG TBPHAR7.00
VALIUM 5MG TABPHAR5.40
CEFTRIAXONE SOD 250MGPHAR82.00
PHYTONADIONE IM 1 MG/0.5MLPHAR59.00
VITAMIN K PER MG INJPHAR33.00
DIAZEPAM TAB 10 MGPHAR11.00
VANCOMYCIN 1GMPHAR112.00
VANCOMYCIN IVPB 250-1000 MGPHAR43.00
MIDAZOLAM 50MG/10 ml IVPBPHAR41.00
MIDAZOLAM IM/IVP 5 MGPHAR19.00
MIDAZOLAM IM/IVP 1 MGPHAR17.00
VICODIN POPHAR4.30
THIAMINE 100MG INJPHAR49.00
XYLOCAINE 1% 1CC INJPHAR27.00
LIDOCAINE /EPI 1 % (50 mL) MDVPHAR4.00
XYLOCAINE 1% W/EPIPHAR19.00
NITROGLYCERINPHAR12.00
XYLOCAINE 2% 10mL INJPHAR35.00
XYLOCAINE 2% W/EPI 1CC INPHAR0.00
XYLOCAINE/W EPI 1%PHAR34.00
XYLOCAINE VISCPHAR13.00
XYLOCAINE JELLY 30GMPHAR20.40
XYLOCAINE JELLY 1GMPHAR14.00
CHARCOAL ACIVT 50GM 8OZPHAR98.00
CHARCOAL ACT WITH SORBITAL 50GM 8OZPHAR124.00
CORTISPORIN OINTMENT 15GMPHAR283.00
CIPROFLOXACIN 500MG TABPHAR6.00
BACITRACIN TOPICALPHAR29.00
IMODIUM 2MG TABPHAR6.00
KETOROLAC TROMTH 15MG INJPHAR49.00
AUGMENTIN 500MG TABPHAR29.00
OTIC SOL/AURALGAN GTTSPHAR19.00
AUGMENTIN 250MG SUSPPHAR220.00
AUGMENTIN 250/5 [100ML]PHAR160.00
MECLIZINE HCL 25MG TABPHAR12.00
PREDNISONE 5CC ELIXPHAR11.00
PREDNISONE 30 CC ELIXPHAR5.40
RANITIDINE HCL 50MG INJPHAR35.00
PHAR35.00
LOTENSION 10MG TABPHAR12.00
RANITIDINE IM/IVP 25 MGPHAR35.00
Naproxen 500mgPHAR11.00
METRONIDAZOLE 500MG TABPHAR28.00
PRILOSEC 20MG TABPHAR11.80
ADENOSINE 6MG INJPHAR45.00
AZITHROMYCIN 250MG TABPHAR16.00
HEP A VACCINEPHAR181.00
LORAZEPAM 1MG IVPBPHAR23.00
LORAZEPAM IM/IVP 2 MG/MLPHAR16.00
Levofloxacin 750mg/150 ml PREMIXPHAR27.00
IBUPROFEN 100MG/ML 5MLPHAR12.00
SUMATRIPTAN SUCC 6MG INJPHAR177.00
IPRATROPIUM BROMIDE UDPHAR6.00
NYSTATIN CREAM 1MPHAR24.70
FAMOTIDINE 20MG TABPHAR17.00
BACLOFEN 10MG TABPHAR8.00
GLUCOPHAGE 500MG TABPHAR5.40
MACROBID 100MG CAPPHAR27.00
GABAPENTIN 300MGPHAR5.00
GABAPENTIN 100 MG CAPPHAR10.00
ASA 81MG TABPHAR4.00
MELATONINPHAR5.00
ACYCLOVIR 200MG CAPPHAR17.00
KETAMINE 500MG INJPHAR50.00
KETAMINE 50 MG/ML IVPBPHAR42.00
XOLAIR 225MG SQPHAR2,100.00
NITROFURANTOIN MONO/MACRO 100 MG CAPPHAR30.00
PROPOFOL 10 ML INJPHAR31.00
PROPOFOL 100MLPHAR73.00
PROPOFOL 50MLPHAR65.00
PNEUMOCOCCAL VAC INJPHAR273.00
PNEUMO 23 VACCINE INJ MEDICAREPHAR0.00
FENTANYL CIT <100MCG INJPHAR357.00
PHAR357.00
PNEUMO 13 VACC INJ MEDICAREPHAR0.00
AZITHROMYCIN 500MG IVPHAR94.00
VANCOMYCIN 1.5 GMPHAR165.00
PARAGUARD IUDPHAR125.00
LISINOPRIL 5MG TABPHAR12.00
LISINOPRIL 10MG TABPHAR4.30
GEODON 20MGPHAR204.00
HEPATITUS B CHILD INJPHAR129.00
PROLIA 60 MG INJPHAR2,453.00
SKYLA 13.5 MGPHAR1,501.00
PARAGARDPHAR1,595.00
MEROPENEM 100 MG IVPHAR81.00
MEROPENEM IVP 500 MGPHAR42.00
PULMICORT/BUDESONIDE NEBPHAR312.50
SPIRIVAPHAR376.70
INFED 50MGPHAR155.00
AMOXICILLIN 875 MGPHAR4.30
CEPHALEXIN 250 MGPHAR10.00
DIVALPROEX SODIUMPHAR19.00
ENALAPRILPHAR20.00
FLUOXETINEPHAR22.00
LEVOFLOXACIN 500 MGPHAR52.00
AMPICILLIN/SULBACTAM 1.5 GM IVPBPHAR53.00
PHAR53.00
AMPICILLIN/SULBACTAM 1.5 GM IMPHAR53.00
AMPICILLIN/SULBACTAM 3 GMPHAR80.00
AMPICILLIN/SULBACTAM 3 GM IVPBPHAR90.00
BUMETANIDE 2.5 MG IM/IVPPHAR31.00
BUMETANIDE 1 MGPHAR6.00
CEFTRIAXONE 1 GMPHAR153.00
CEFTRIAZONE IM 1000 MGPHAR145.00
CEFTRIAXONE 2 GMPHAR198.00
CEFTRIAXONE IM 2000 MGPHAR93.00
CEFTRIAXONE 500 MGPHAR45.00
DOBUTAMINE 250 MGPHAR41.00
FLUMAZENIL .5 MGPHAR48.00
ENALAPRILAT 1.25 MGPHAR36.00
FUROSEMIDE 40 MGPHAR5.00
HEPARIN FLUSHPHAR9.00
SOLU-CORTEF 250 MGPHAR74.90
SOLU-MEDROL 1 GRAMPHAR166.00
SOLU-CORTEF 500 MGPHAR213.00
PROMETHAZINE 25MG IMPHAR17.00
CEFUROXIME TAB 500 MGPHAR43.00
ACETAMINOPHEN SUPP 650 MGPHAR10.00
AMOXICILLIN POT CLAV 400 MGPHAR22.50
NASAL SPRAYPHAR8.60
FENTANYL CITRATE 50 MCG IVPBPHAR12.00
FENTANYL CITRATE 50 MCG IM/IVPPHAR23.00
KETORLAC 30 MG/MLPHAR44.00
EMLA 2.5% CREAMPHAR17.00
ENEMAPHAR11.80
ENEMA MINERAL OILPHAR20.00
ESTROGEN/PREMARINPHAR937.00
eye washPHAR141.00
FAMOTIDINE 40mg/4ML INJPHAR25.00
FENTANYL 250 MCGPHAR26.00
HPV VACCINEPHAR246.10
CAPSAICIN CREAMPHAR74.00
DTAPPHAR132.00
KETORLAC 60MGPHAR34.00
PANTOPRAZOLE TAB 40 MGPHAR5.00
NOREPINEPHRINE 4 MGPHAR105.00
DICLOXACILLIN 250MGPHAR15.00
ARTIFICIAL TEARSPHAR28.00
MICONAZOLE NITRATE 2% CREAMPHAR24.06
ENOXAPARIN 10MG INJPHAR36.00
LUPRON 7.5 MG INJPHAR3,189.00
NICARDIPINE IVPPHAR18.00
CLOPIDOGRE/PLAIV 75MG TABPHAR29.00
BENZOCAINE SPRAYPHAR5.00
HYDROXYZIN HCL CAP 25MGPHAR6.00
LANSOPRAZOL/PREVACD 30MGPHAR10.00
HYDROXYZINE 50MG/MLPHAR97.00
AUGMENTIN 875MG TABPHAR28.00
AZITHROMYCIN 250MG Z-PACPHAR42.00
CYANOBALAMIN <=1000 MCG IPHAR49.00
TENECTEPLASE (TNK) 50MGIVPHAR8,173.00
LIDOCAINE LOCAL 1-2CC INJPHAR18.00
PHENOBARBITALPHAR165.00
PHENOBARBITAL 130MG/MLPHAR138.00
TH CLINDAMYCIN 6 PKPHAR12.90
NORCOPHAR11.00
Daptomycin 750 MGPHAR1,040.00
COSYNTROPIN 0.25 MGPHAR200.00
ELIQUIS 5 MGPHAR37.00
VARICELLA VACC-PT > 19Y/OPHAR264.00
VFC- VARICELLAPHAR0.00
AZITHROMICIN 750MG IVPHAR134.00
CLOVE OILPHAR18.00
VANCOMYCIN INJ 750 MGPHAR80.00
Caspofungin 5mgPHAR622.00
CATHFLO ACTIVASEPHAR283.00
DTAP-IPVPHAR208.00
TRUVADAPHAR150.00
ROCURONIUM 10 MGPHAR62.00
POTASIUM CHLORIDE 10MEG/100MLPHAR36.40
CELESTONE INJ PER 3MGPHAR52.00
POTASIUM CHLORIDE 10MEQ/50MLPHAR16.00
FERRLECIT 12.5 MGPHAR168.00
CEFTAZIDIME 500MGPHAR55.00
HPV-GARDASILPHAR438.00
BEXSEROPHAR352.00
DIHYDROERGOTAMINE 1 MG INJPHAR315.00
PRIMAXIN 500MGPHAR164.00
NITROGLYCERIN SPRAYPHAR340.00
NITRO 25MG/250MLPHAR106.00
ONDANSETRON ODT 8MGPHAR157.00
ACETYLCYSTEINE INJ 200MG/MLPHAR346.00
ACETYLCYSTEINE INHPHAR67.00
WARFARIN 5MGPHAR9.00
SILVADENE CREAMPHAR77.00
OMEPRAZOLE 20MG CAPPHAR25.00
MULTI-VITPHAR3.50
RANITIDINE 150MG TABPHAR5.00
ACETAMINOPHEN 500MG TABPHAR4.30
ACETYLCYSTEINE INH SOLPHAR49.00
CALMOSEPTINE OINTMENTPHAR27.60
DOCUSATE SODIUM 250MGPHAR6.00
PROCAINAMIDE 100MG/ML INJPHAR211.00
SODIUM BICARB 8.4%PHAR72.00
VERAPAMIL 2.5MG INJPHAR161.00
GENTAMYCIN 0.3% OINTPHAR38.00
HCTZ 25MGPHAR4.00
HYDROMORPHONE 2MG TABPHAR10.00
HEPARIN 5000U INJPHAR17.00
HEPATITIS A PED/ADOLESCENTPHAR132.00
MENINGOCOCCAL MPSV4PHAR230.00
IPOL Polio VaccinePHAR85.00
Neo/Poly/HC SuspensionPHAR169.00
Neo/Poly/Bac OintmentPHAR102.00
PITOCIN 10UN/MLPHAR17.00
PREVNAR 13PHAR485.00
INSULIN LANTUS PER 5 UNITSPHAR23.00
HUMULIN RPHAR16.00
FLUCONAZOLE 150MGPHAR19.00
TRANEXAMIC ACIDPHAR165.00
FLUORESCEIN SODIUM STRIPPHAR5.00
ARISTADA 1064MGPHAR5,968.00
Paroxetine 20mgPHAR26.00
Oseltamivir 75mgPHAR80.00
Oseltamivir 30MGPHAR34.00
PHENYTOIN SUSP 125MGPHAR29.00
AMIODARONE 150MG/3MLPHAR32.00
NALOXONE 0.4MG IVPBPHAR102.00
NALOXONE IM/IVP 0.4 MGPHAR102.00
Ceftaroline 600mg vialPHAR270.00
LEVOFLOXACIN 500MG TABPHAR87.00
POTASSIUM 20MEQ/15MLPHAR11.00
STERILE WATERPHAR17.00
LILETTA IUD 52MGPHAR1,030.00
CYCLOPENTOLATE HCL OPTH SOL 2%PHAR32.00
CYCLOBENZAPRINE 10 MGPHAR6.00
Ertapenem 1GM IVPBPHAR315.00
Ertapenem 1GM IM/IVPPHAR178.00
CEFEPIME 2 GM IVPBPHAR36.00
CEFEPIME 2GM IVPPHAR36.00
VFC-KINRIXPHAR0.00
VFC- DTAPPHAR0.00
VFC- ACTHIB- HAEMOPHILUS B (HIB)PHAR0.00
VFC- ACTHIB DTAP-IPV-HIBPHAR132.00
VFC- INFLUENZA VACPHAR0.00
VFC- ROTAVIRUSPHAR0.00
NIFEDIPINE CAP 30MGPHAR17.00
DECAVAC INJPHAR180.00
Ethyl Chloride fine streamPHAR131.00
EPINEPHRINE 1MG/MLPHAR39.00
EPI-PEN 0.3 MGPHAR358.00
EPI-PEN JRPHAR358.00
BOTOX 100 UPHAR940.00
BOTOX 200 UPHAR1,803.00
VFC- MENINGOCOCCAL BPHAR0.00
VFC- PREVNAR 13PHAR0.00
VFC- BOOSTRIXPHAR0.00
VFC- M-M-RPHAR0.00
VFC- KINRIXPHAR272.00
VFC- PENTACELPHAR255.00
VFC- HEPATITIS APHAR0.00
VFC- HEPATITITS BPHAR0.00
VFC- MENACTRAPHAR0.00
VFC- POLIOMYELITISPHAR0.00
VFC-GARDASIL 9PHAR0.00
VFC- HEPATITIS BPHAR0.00
Prednisilone 15mg/5mlPHAR8.00
Zinc 50mgPHAR3.00
MUPIROCIN 2% OINTPHAR103.00
METOLAZONE 2.5MG TABPHAR20.00
LEVETIRACETAM 50O MGPHAR5.00
LEVETIRACETAM IVP 500 MG/ 5 MLPHAR18.00
LEVETIRACETAM IVPB 500 MG/ 5 MLPHAR28.00
VANCOCIN CAPS 125MGPHAR18.00
BACLOFENPHAR29.00
AZITROMYCIN SUS 200MG/5MLPHAR147.70
LOPERAMIDE 2MGPHAR12.00
NICOTINE PATCH 14 MHPHAR5.00
PEDIA-LAXPHAR34.00
PEROXYLPHAR0.00
THERA-TAB (MULTI-VIT0PHAR0.00
DOCUSATE TAB 100 MGPHAR5.00
VITAMIN D3 5000IUPHAR4.00
VITAMIN D3 2000IUPHAR4.00
PROBIOTICPHAR5.00
OYSTER SHELL CALCIUMPHAR5.00
SENNAPHAR4.00
LORATADINE TAB 10 MGPHAR6.00
SILVER NITRATE STICKPHAR5.00
SODIUM CHLORIDE INHAL 9%PHAR4.00
SODIUM CHLORIDE INHAL 3%PHAR7.00
LIDOCAINE SYRINGE 1%PHAR14.00
ORAJELPHAR49.00
SODIUM CHLORIDE 1GM TABPHAR6.00
NYSTATIN TOPICAL POWDERPHAR25.00
APLIGRAFPHAR2,993.00
PT EVAL LOW COMPLEX 20MINPT260.60
PT EVAL MOD COMPLEX 30MINPT318.50
PT EVAL HIGH COMPLEX 45MINPT405.20
PT GAIT TRNG/STAIR /15MINPT90.60
MAN THERAPY 1+ REGIONS, EA 15 MINPT87.20
PT RE-EVAL EST PLAN CAREPT162.10
PT NEURO MSCL RE-ED /15MIPT102.90
PT THERAPU EX /15MINPT102.90
PT ULTRASOUND ATTN / 15MIPT49.60
PT ELEC STIM ATTN / 15MINPT91.80
THERAPEUTIC ACTV EA 15MINPT71.95
MOBILITY CURRENT STATU CMPT0.00
MOBILITY GOAL STATUS CLPT0.00
MOBILITY GOAL STATUS CKPT0.00
CURRENT MOBIL STAT CJPT0.00
MOBILITY GOAL STATUS CIPT0.00
Self Care / Home Mngmt TrainingPT71.95
ST EVAL DYSPHAGIAPT400.30
ST DYSPHAGIA INDIVIDPT247.75
Individual Psychotherapy 16-37 minsSLS325.00
Individual Psychotherapy 38-52 minsSLS350.00
Individual Psychotherapy 53-67 minsSLS375.00
Family psychotherapy w/o patient presentSLS375.00
Family psychotherapy w/ patient presentSLS375.00
Group PsychotherapySLS295.00
Telehealth Fee SLSSLS50.00
SKILLED NURSING BED CHGSNF568.83
SNF BED HOLD / LOASNF568.83
EVAL FOR SPEECH DEVICE RX EA ADDL 30 MINST163.60
SPEECH SOUND LANG COMPREHENSIONST607.00
BEHAVRAL & QUALIT ANALYS VOICEST281.20
EVAL FOR NONSPEECH DEVICE RXST278.80
TX SWALLOWING DYSFUNCTIONST268.90
COGNITIVE SKILLS DEVELOPMENTST83.10
CONGITIVE TEST BY HC PROST367.90
THER SERV NONSPEECH DEVICEST223.00
USE OF SPEECH DEVICE SERVICEST346.90
EVAL SWALLOWING FUNCTIONST229.20
EVAL FOR SPEECH DEVICE RX 1ST HRST396.45
ORAL SPEECH DEVICE EVALST225.55
EVAL FOR NONSPEECH DEV RX ADD 30 MINST101.65
TEAM CONFERENCE FACE-TO-FACE NON PHYSST119.10
Medical team conf w/ nonphys, 30min moreST108.75
SWING BED CHARGESWB743.20
SWB BED HOLD / LOASWB743.20
RIBS UNILAT 2V MIN LXR171.30
RIBS UNILAT 2V+ RXR171.30
RIBS BILAT MIN 3VXR327.30
ABD COMP W/PA CHESTXR327.30
ABDOMEN 1 VWXR171.30
ABDOMEN 2 VWXR327.35
ABDOMEN 3 OR MORE VWXR327.35
ACROMIOCLAVICULAR JTS/BILXR171.30
ELBOW COMP 3V BILATXR342.50
CHEST 1 VWXR171.30
CHEST 2 VWXR171.30
CHEST 3 VWXR171.30
CHEST 4 OR MORE VWXR327.35
ANKLE COMP 3V+ RXR171.30
ANKLE COMP 3V+ LXR171.30
ANKLE LTD 2V LXR171.30
ANKLE LTD 2V RXR171.30
ANKLE LTD 2V BILATXR342.50
BONE AGE STUDIESXR327.30
BONE SURVEY COMP W/LNG BOXR327.30
POST PROCEDURE PLACEMENT XRAYXR0.00
CLAVICLE COMP LXR171.30
CLAVICLE COMP RXR171.30
ELBOW COMP 3V+ LXR171.30
ELBOW COMP 3V+ RXR171.30
ELBOW LTD 2V LXR171.30
ELBOW LTD 2V RXR171.30
SHOULDERS 2V+ BILATXR342.50
ANKLE COMP 3V+ BILATXR342.50
ELBOW 2VW BILATERALXR342.50
FACIAL BONES COMPL/3V MINXR327.30
FACIAL BONES 1 OR 2 VIEWSXR171.30
ORBITS/4V MINXR327.30
FINGERS 2V+ LXR171.30
FINGERS 2V+ RXR171.30
FEMUR MIN 2 V RTXR171.30
FEMUR MIN 2 V LTXR171.30
FOOT 2V BILATERALXR342.50
FOOT COMP 3V+ RXR171.30
FOOT COMP 3V+ LXR171.30
FOOT 3V BILATERALXR342.50
FOOT 2V RXR171.30
FOOT 2V LXR171.30
UPPER EXTREMITY INFANT RXR327.30
FOREARM 2V RXR171.30
FOREARM 2V LXR171.30
FOREIGN BODY CHILD 1 VXR171.30
FOREARM 2V BILATXR342.50
HAND 3V+ LXR171.30
HAND 3V+ RXR171.30
HAND 3V+ BILATERALXR342.50
HAND 2V LXR327.30
HAND 2V RXR327.30
HAND 2V BILATERALXR654.60
HIPS BILAT W PELVIS 2 VXR327.30
HIPS BILAT W PELVIS 3-4 VXR327.30
HIP UNILAT 2-3 V LTXR171.30
HIP UNILAT 2-3 V RTXR171.30
HUMERUS 2V+ LXR171.30
HUMERUS 2V+ RXR171.30
HIP & PELVIS UNILAT 1 VW LXR171.30
HIP & PELVIS UNILAT 1 VW RXR171.30
KNEE 3V RXR171.30
KNEE 3V LXR171.30
KNEE 3V BILATERALXR342.50
KNEE/PATELLA 1-2V LXR171.30
KNEE 1-2V RXR171.30
KNEE 1-2V BILATERALXR342.50
KNEE/PATELLA 1-2V LXR171.30
KNEE/PATELLA 1-2V RXR171.30
MANDIBLE PRTL/1-3V LXR171.30
MANDIBLE PRTL 1-3V RXR171.30
MANDIBLE PRTL 1-3V BILATXR342.50
NASAL BONES/3V MINXR171.30
NECK/SOFT TISSUEXR171.30
CALCANEUS 2V+ LXR171.30
CALCANEUS 2V+ RXR171.30
CALCANEUS 2V BILATXR342.50
SINUSES/PARANASAL 3V MINXR171.30
SINUSES/PARANASAL 1 OR 2VXR171.30
PELVIS AP 1-2VXR327.30
RIBS BILAT W/PA CHEST 4VXR327.30
RIBS UNILAT W/PA CXR 3V LXR327.30
RIBS UNILAT W/PA CXR 3V RXR327.30
SACROILIAC JNTS MIN 3VXR327.30
SI JOINTS LESS THAN 3 VWSXR327.30
SACRUM/COCCYX MIN 2VXR171.30
SCAPULA COMP LXR327.30
SCAPULA COMP RXR327.30
SHOULDER COMP 2V+ LXR171.30
SHOULDER COMP 2V+ RXR171.30
SHOULDER LTD 1V LXR171.30
SHOULDER LTD 1V RXR171.30
SKULL COMP 4VXR327.30
SKULL LTD/1-3VXR327.30
SPINE CERVICAL AP/LATXR171.30
SPINE SINGLE VIEWXR171.30
C-SPINE FLEXION / EXTENSION ONLYXR171.30
SPINE CERVICAL COMP 4V+XR327.30
SPINE CERVICAL W/FLEX EXTXR327.30
SPINE LUMBOSACRAL AP/LATXR327.30
SPINE LUMBOSACRAL BEND ONLYXR315.55
SPINE LUMBOSACRAL W/BENDXR327.30
SPINE LUMBOSACRAL W/OBLXR327.30
SPINE, ENTIRE, 1VWXR171.30
SPINE THORACIC AP/LATXR327.30
SPINE THORACIC W/SWIMMERXR327.30
STERNUM MIN 2VXR171.30
TMJ JOINTS BILATERALXR171.30
SPINE THORACOLUMBAR 2VXR171.30
TIBIA/FIBULA 2V RXR171.30
TIBIA/FIBULA 2V LXR171.30
LOWER EXTREM-INFANT LXR171.30
LOWER EXTREM-INFANT RXR171.30
TOES 2V+ LXR171.30
TOES 2V+ RXR171.30
TIBIA/FIBULA 2V BILATXR342.50
TOE 2V BIG DIGIT LXR171.30
TOE 2V BIG DIGIT RXR171.30
TOES 2V+ BILATXR342.50
WRIST COMP 3V+ RXR171.30
WRIST COMP 3V+ LXR171.30
WRIST LTD 2V BILATXR342.50
WRIST LTD 2V RXR171.30
WRIST LTD 2V LXR171.30
WRIST COMP 3V+ BILATERALXR342.50
KNEE COMP 4V LXR327.30
KNEE COMP 4V RXR327.30
KNEE COMP 4V BILATERALXR654.50
KNEE BILAT STANDING APXR171.30
UPPER EXTREMITY INFANT LXR327.30
FINGER 2ND DIGIT LXR171.30
FINGER 3RD DIGIT LXR171.30
FINGER 4TH DIGIT LXR171.30
FINGER 5TH DIGIT LXR171.30
FINGER THUMB LXR171.30
FINGER 2ND DIGIT RXR171.30
FINGER 3RD DIGIT RXR171.30
FINGER 4TH DIGIT RXR171.30
FINGER 5TH DIGIT RXR171.30
FINGER THUMB RXR171.30
RIBS UNILATERAL 2V MIN LT PRO FEEXRMD33.10
RIBS UNILAT 2V MIN RT PRO FEEXRMD33.10
RIBS BILAT MIN 3V PROXRMD41.70
ABD COMP W/PA CHEST PRO FEEXRMD45.70
ABDOMEN 1 VW PRO FEEXRMD33.10
ABDOMEN 2 VW PRO FEEXRMD33.10
ABDOMEN 3 OR MORE VW PRO FEEXRMD38.75
ACROMIOCLAVICULAR JTS/BIL PRO FEEXRMD33.10
ELBOW COMP 3V BILAT PRO FEEXRMD49.70
CHEST 1 VW PRO FEEXRMD33.10
CHEST 2 VW PRO FEEXRMD33.10
CHEST 3 VW PRO FEEXRMD39.70
CHEST 4 OR MORE VW PRO FEEXRMD45.70
ANKLE COMP 3V+ RT PRO FEEXRMD33.10
ANKLE COMP 3V LT PRO FEEXRMD33.10
ANKLE LTD 2V LT PRO FEEXRMD33.10
ANKLE LTD 2V RT PRO FEEXRMD33.10
ANKLE LTD 2V BILAT PRO FEEXRMD66.20
BONE AGE STUDIES PROXRMD33.10
BONE SURVEY SOMP W/LNG BO PRO FEEXRMD76.45
RADIOLOGIST FEE 71010XRMD41.40
POST PROCEDURE PLACEMENT XRAY PRO FEEXRMD0.00
RADIOLOGIST FEE 71020XRMD49.70
CLAVICLE COMP LT PRO FEEXRMD33.10
CLAVICLE COMP RT PRO FEEXRMD33.10
ELBOW COMP 3V+ LT PRO FEEXRMD33.10
ELBOW COMP 3V+ RT PRO FEEXRMD33.10
ELBOW LTD 2V LT PRO FEEXRMD33.10
ELBOW LTD 2V RT PRO FEEXRMD33.10
SHOULDERS 2V+ BILAT PRO FEEXRMD53.60
ANKLE COMP 3V+ BILAT PRO FEEXRMD99.25
ELBOW 2VW BILATERAL PRO FEEXRMD45.70
FACIAL BONES COMPL/3V MIN PRO FEEXRMD37.70
FACIAL BONES 1 OR 2 VIEWS PRO FEEXRMD33.10
ORBITS 4V MIN PROXRMD40.70
FINGERS 2V+ L PRO FEEXRMD33.10
FINGERS 2V+ R PRO FEEXRMD33.10
FEMUR MIN 2 V RT PRO FEEXRMD33.10
FEMUR MIN 2 V LT PRO FEEXRMD33.10
FOOT 2V BILATERAL PRO FEEXRMD87.40
FOOT COMP 3V+ R PRO FEEXRMD33.10
FOOT COMP 3V+ L PRO FEEXRMD33.10
FOOT 3V BILATERAL PRO FEEXRMD95.25
FOOT 2V RT PRO FEEXRMD33.10
FOOT 2V LT PRO FEEXRMD33.10
UPPER EXTREM INFANT R PROXRMD33.10
FOREARM 2V RT PRO FEEXRMD33.10
FOREARM 2V LT PRO FEEXRMD33.10
FOREIGN BODY CHILD 1V PROXRMD33.10
FOREARM 2V BILAT PRO FEEXRMD47.70
HAND 3V+ LT PRO FEEXRMD33.10
HAND 3V+ RT PRO FEEXRMD33.10
HAND 3V+ BILATERAL PRO FEEXRMD49.70
HAND 2V LT PRO FEEXRMD33.10
HAND 2V R PROXRMD33.10
HAND 2V BILATERAL PRO FEEXRMD47.70
HIPS BILAT W PELVIS 2 V PRO FEEXRMD66.20
HIPS BILAT W PELVIS 3-4 V PRO FEEXRMD42.70
HIP UNILAT 2-3 V LT PRO FEEXRMD33.10
HIP UNILAT 2-3 V RT PRO FEEXRMD33.10
HUMERUS 2V+ LT PRO FEEXRMD33.10
HUMERUS 2V+ RT PRO FEEXRMD33.10
HIP & PELVIS UNILAT 1 VW LT PRO FEEXRMD33.10
HIP & PELVIS UNILAT 1 VW RT PRO FEEXRMD33.10
KNEE 3V RT PRO FEEXRMD33.10
KNEE 3V LT PRO FEEXRMD33.10
KNEE 3V BILATERAL PRO FEEXRMD107.20
KNEE/PATELLA 1-2V LT PRO-FEEXRMD33.10
KNEE/PATELLA 1-2V RTXRMD33.10
KNEE 1-2V BILATERAL PRO FEEXRMD95.25
KNEE 1-2V L PROXRMD33.10
KNEE/PATELLA 1-2V R PROXRMD33.10
MAMM DX UNILATERAL PRO FEEXRMD121.30
MAMMOGRAPHY SCREEN BILAT W/CAD PRO FEEXRMD128.80
MANDIBLE PRTL 1-3V L PRO FEEXRMD33.10
MANDIBLE PRTL 1-3V R PRO FEEXRMD33.10
MANDIBLE PRTL 1-3V BILAT PRO FEEXRMD51.60
NASAL BONES/3V MIN PRO FEEXRMD33.10
NECK/SOFT TISSUE PRO FEEXRMD33.10
CALCANEUS 2V+ LT PRO FEEXRMD33.10
CALCANEUS 2V+ RT PRO FEEXRMD33.10
CALCANEUS 2V BILAT PRO FEEXRMD91.30
SINUSES/PARANASAL 3V MIN PRO FEEXRMD35.70
SINUSES/PARANASAL 1 OR 2V PRO FEEXRMD33.10
PELVIS AP 1-2V PRO FEEXRMD33.10
RIBS BILAT W/PA CHEST 4VN PRO FEEXRMD46.60
RIBS UNILAT W/PA CXR 3V LT PRO FEEXRMD38.65
RIBS UNILAT W/PA CXR 3V RT PRO FEEXRMD38.65
SACROILIAC JNTS MIN 3V PRO FEEXRMD33.10
SI JOINTS LESS THAN 3 VWS PRO FEEXRMD33.10
SACRUM/COCCYX MIN 2V PRO FEEXRMD33.10
SCAPULA COMP LT PRO FEEXRMD33.10
SCAPULA COMP R PROXRMD33.10
SHOULDERS 2V+ LT PRO FEEXRMD33.10
SHOULDERS 2V+ RT PRO FEEXRMD33.10
SHOULDER LTD 1V LT PRO FEEXRMD33.10
SHOULDER LTD 1V RT PRO FEEXRMD33.10
SKULL COMP 4V PROXRMD49.70
SKULL LTD/1-3V PRO FEEXRMD35.70
SPINE CERVICAL AP/LAT PRO FEEXRMD33.10
SPINE SINGLE VIEW PRO FEEXRMD33.10
C-SPINE FLEXION / EXTENSION ONLY PRO FEEXRMD33.10
SPINE CERVICAL COMP 4V+ PRO FEEXRMD44.70
SPINE CERVICAL W/FLEX EXT PROXRMD51.60
SPINE LUMBOSACRAL AP/LAT PRO FEEXRMD33.10
SPINE LUMBOSACRAL BEND ONLY PRO FEEXRMD114.15
SPINE LUMBOSACRAL W/BEND PRO FEEXRMD46.60
SPINE LUMBOSACRAL W/OBL PRO FEEXRMD44.70
SPINE, ENTIRE, 1VW PRO FEEXRMD37.70
SPINE THORACIC AP/LAT PRO FEEXRMD33.10
SPINE THORACIC W/SWIMMER PRO FEEXRMD33.10
STERNUM MIN 2V PRO FEEXRMD33.10
TMJ JOINTS BILATERAL PRO FEEXRMD34.80
SPINE THORACOLUMBAR 2V PRO FEEXRMD33.10
TIBIA/FIBULA 2V RT PRO FEEXRMD33.10
TIBIA/FIBULA 2V LT PRO FEEXRMD33.10
LOWER EXTREM-INFANT L PRO FEEXRMD33.10
LOWER EXTREM-INFANT R PRO FEEXRMD33.10
TOES 2V+ L PRO FEEXRMD33.10
TOES 2V+ R PRO FEEXRMD33.10
TIBIA/FIBULA 2 V BILAT PRO FEEXRMD95.25
TOE 2V BIG DIGIT L PRO FEEXRMD33.10
TOE 2V BIG DIGIT R PRO FEEXRMD33.10
TOES 2V+ BILAT PRO FEEXRMD66.20
WRIST COMP 3V+ RT PRO FEEXRMD33.10
WRIST COMP 3V+ LT PRO FEEXRMD33.10
WRIST LTD 2V BILAT PRO FEEXRMD49.70
WRIST LTD 2V R PROXRMD33.10
WRIST LTD 2V L PRO FEEXRMD33.10
WRIST COMP 3V+ BILAT PRO FEEXRMD49.70
KNEE COMP 4V LT PRO FEEXRMD33.10
KNEE COMP 4V RT PRO FEEXRMD33.10
KNEE COMP 4V BILATERAL PRO FEEXRMD66.20
KNEE BILAT STANDING AP PRO FEEXRMD66.20
UPPER EXTREM INFANT L PROXRMD33.10
FINGER 2ND DIGIT L PRO FEEXRMD33.10
FINGER 3RD DIGIT L PRO FEEXRMD33.10
FINGER 4TH DIGIT L PRO FEEXRMD33.10
FINGER 5TH DIGIT L PRO FEEXRMD33.10
FINGER THUMB L PRO FEEXRMD33.10
FINGER 2ND DIGIT R PRO FEEXRMD33.10
FINGER 3RD DIGIT R PRO FEEXRMD33.10
FINGER 4TH DIGIT R PRO FEEXRMD33.10
FINGER 5TH DIGIT R PRO FEEXRMD33.10
FINGER THUMB R PRO FEEXRMD33.10