|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$51,894.64 |
$51,894.64 |
$51,894.64 |
$31,208.35
|
|
Autologous blood process
|
$3,189.45 |
$3,189.45 |
$3,189.45 |
$234.27
|
|
Azacitidine injection
|
$3,075.52 |
$3,075.52 |
$3,075.52 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$25.76 |
$25.76 |
$25.76 |
$6.76
|
|
Azathioprine parenteral
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$441.40
|
|
Bactericidal level serum
|
$546.30 |
$546.30 |
$546.30 |
$82.50
|
|
B cells total count
|
$137.80 |
$137.80 |
$137.80 |
$125.28
|
|
Belatacept 250 mg intravenous solution
|
$6,367.20 |
$6,367.20 |
$6,367.20 |
$2,843.40
|
|
Beta-2 microglobulin
|
$1,073.07 |
$1,073.07 |
$1,073.07 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$129.36 |
$129.36 |
$129.36 |
$75.12
|
|
Bfb train 1st 15min cntct 90912
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$112.00
|
|
Bilirubin direct
|
$610.31 |
$610.31 |
$610.31 |
$49.29
|
|
Biotinidase - quest
|
$1,248.84 |
$1,248.84 |
$1,248.84 |
$72.80
|
|
Bis xtracell fluid analysis
|
$1,819.40 |
$1,819.40 |
$1,819.40 |
$229.14
|
|
Bld prd mix
|
$578.60 |
$578.60 |
$578.60 |
$139.21
|
|
Blink reflex test
|
$463.65 |
$463.65 |
$463.65 |
$225.60
|
|
Blood Clotting (PTT) Test
|
$515.92 |
$515.92 |
$515.92 |
$72.15
|
|
Blood count spun microhematocrit
|
$198.01 |
$198.01 |
$198.01 |
$20.40
|
|
Blood gases ph venous
|
$640.69 |
$640.69 |
$640.69 |
$63.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$202.90 |
$202.90 |
$202.90 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$202.90 |
$202.90 |
$202.90 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$202.90 |
$202.90 |
$202.90 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$910.86 |
$910.86 |
$910.86 |
$37.44
|
|
Blood typing abo
|
$396.57 |
$396.57 |
$396.57 |
$83.82
|
|
Blood typing ag donor ea ag
|
$314.11 |
$314.11 |
$314.11 |
$166.80
|
|
Blood typing patient serum
|
$435.05 |
$435.05 |
$435.05 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$445.94 |
$445.94 |
$445.94 |
$181.74
|
|
Blood typing rh (d)
|
$396.57 |
$396.57 |
$396.57 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$2,090.00 |
$2,090.00 |
$2,090.00 |
$77.25
|
|
Bone imaging multiple areas
|
$12,390.50 |
$12,390.50 |
$12,390.50 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$11,150.00 |
$11,150.00 |
$11,150.00 |
$1,151.16
|
|
Bone marrow imaging body
|
$9,412.00 |
$9,412.00 |
$9,412.00 |
$973.73
|
|
Bone marrow imaging ltd
|
$7,991.50 |
$7,991.50 |
$7,991.50 |
$723.00
|
|
Boot mlti podous univ xlg
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$318.36
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$1,360.05 |
$1,360.05 |
$1,360.05 |
$98.57
|
|
Bowel imaging
|
$6,098.00 |
$6,098.00 |
$6,098.00 |
$1,186.25
|
|
Brace ank air stirrup univ
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$56.65
|
|
Brace ankle stablizing lg
|
$226.00 |
$226.00 |
$226.00 |
$113.10
|
|
Brace cust back lso
|
$17,387.00 |
$17,387.00 |
$17,387.00 |
$1,489.57
|
|
Brace halo bremer l2830
|
$1,741.00 |
$1,741.00 |
$1,741.00 |
$291.75
|
|
Brace m arm board
|
$4,037.00 |
$4,037.00 |
$4,037.00 |
$153.81
|
|
Brace wrist classic lft sm
|
$78.00 |
$78.00 |
$78.00 |
$79.23
|
|
Brachytx isodose complex
|
$25,481.50 |
$25,481.50 |
$25,481.50 |
$1,631.00
|
|
Brachytx isodose intermed
|
$25,481.50 |
$25,481.50 |
$25,481.50 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$25,481.50 |
$25,481.50 |
$25,481.50 |
$817.20
|
|
Braf gene
|
$598.92 |
$598.92 |
$598.92 |
$421.20
|
|
Brain flow imaging only
|
$5,510.00 |
$5,510.00 |
$5,510.00 |
$636.97
|
|
Brain image 4+ views
|
$6,883.50 |
$6,883.50 |
$6,883.50 |
$746.61
|
|
Brain image w/flow 4 + views
|
$10,412.50 |
$10,412.50 |
$10,412.50 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$18,147.80 |
$18,147.80 |
$18,147.80 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$15,302.10 |
$15,302.10 |
$15,302.10 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$13,065.80 |
$13,065.80 |
$13,065.80 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$24,440.90 |
$24,440.90 |
$24,440.90 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$22,018.15 |
$22,018.15 |
$22,018.15 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$19,540.95 |
$19,540.95 |
$19,540.95 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$8,225.39 |
$8,225.39 |
$8,225.39 |
$2,287.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$48,502.72 |
$48,502.72 |
$48,502.72 |
$24,679.59
|
|
Bronchial allergy tests
|
$8,336.35 |
$8,336.35 |
$8,336.35 |
$731.72
|
|
Bundled special stain group 2
|
$1,305.80 |
$1,305.80 |
$1,305.80 |
$169.60
|
|
Bundle his recording
|
$16,159.55 |
$16,159.55 |
$16,159.55 |
$5,157.39
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$58.24 |
$58.24 |
$58.24 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$58.24 |
$58.24 |
$58.24 |
$17.13
|
|
Butorphanol tartrate 1 mg
|
$552.72 |
$552.72 |
$552.72 |
$39.89
|
|
C-1 esterase, berinert
|
$14,079.70 |
$14,079.70 |
$14,079.70 |
$5,694.60
|
|
C1 esterase inhibitor func - sendout
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$106.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$58.50 |
$58.50 |
$58.50 |
$2,910.00
|
|
Calcium 24 hour urine
|
$711.76 |
$711.76 |
$711.76 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$902.72 |
$902.72 |
$902.72 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$505.68 |
$505.68 |
$505.68 |
$45.30
|
|
Calculi urinary-sendout
|
$2,069.10 |
$2,069.10 |
$2,069.10 |
$68.05
|
|
Calprotectin fecal
|
$2,675.61 |
$2,675.61 |
$2,675.61 |
$170.00
|
|
Campylobacter antibody
|
$1,127.86 |
$1,127.86 |
$1,127.86 |
$66.61
|
|
Candida dna
|
$220.26 |
$220.26 |
$220.26 |
$66.05
|
|
Candida skin test
|
$530.57 |
$530.57 |
$530.57 |
$39.77
|
|
Carbamazepine free
|
$498.56 |
$498.56 |
$498.56 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$686.26 |
$686.26 |
$686.26 |
$113.25
|
|
Carbohydrate urine - sendout
|
$659.14 |
$659.14 |
$659.14 |
$43.51
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$3,073.50 |
$3,073.50 |
$3,073.50 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$602.18 |
$602.18 |
$602.18 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
$146.90
|
|
Cardiac MRI w/stress img
|
$27,669.40 |
$27,669.40 |
$27,669.40 |
$1,392.95
|
|
Cardiac perf planar sgl/ef/wm
|
$21,656.50 |
$21,656.50 |
$21,656.50 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$17,253.50 |
$17,253.50 |
$17,253.50 |
$2,792.00
|
|
Carfilzomib 10 mg intravenous solution
|
$16,659.44 |
$16,659.44 |
$16,659.44 |
$3,574.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$7,612.64 |
$7,612.64 |
$7,612.64 |
$1,582.20
|
|
Carotene
|
$1,377.41 |
$1,377.41 |
$1,377.41 |
$46.80
|
|
Catecholamines,fractionated, urine
|
$1,192.96 |
$1,192.96 |
$1,192.96 |
$55.20
|
|
Cath stripping venous s&i
|
$2,162.05 |
$2,162.05 |
$2,162.05 |
$602.40
|
|
Ccnd1/igh translocation alys
|
$1,195.67 |
$1,195.67 |
$1,195.67 |
$230.14
|
|
Cdna analysis for variants
|
$1,901.46 |
$1,901.46 |
$1,901.46 |
$564.86
|
|
Cebpa gene full sequence
|
$2,166.75 |
$2,166.75 |
$2,166.75 |
$485.55
|
|
Ceftazidime and avibactam
|
$2,026.08 |
$2,026.08 |
$2,026.08 |
$935.40
|
|
#celiac hla-dq2
|
$460.04 |
$460.04 |
$460.04 |
$226.28
|
|
#celiac hla-dq8
|
$460.04 |
$460.04 |
$460.04 |
$246.88
|
|
Cell count body fluid
|
$648.83 |
$648.83 |
$648.83 |
$63.52
|
|
Cell marker study
|
$1,926.96 |
$1,926.96 |
$1,926.96 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$6,442.00 |
$6,442.00 |
$6,442.00 |
$884.00
|
|
#cf-97variants
|
$565.83 |
$565.83 |
$565.83 |
$612.26
|
|
Chemo ia push tecnique
|
$9,248.80 |
$9,248.80 |
$9,248.80 |
$500.20
|
