|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$698.58 |
$698.58 |
$698.58 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$686.37
|
|
Aspirate bladder/sprapubic cath 51102
|
$24,811.20 |
$24,811.20 |
$24,811.20 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$8,335.20 |
$8,335.20 |
$8,335.20 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,164.74 |
$5,164.74 |
$5,164.74 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$97.79 |
$97.79 |
$97.79 |
$76.80
|
|
Assay of interleukin-6 (il-6)
|
$60.45 |
$60.45 |
$60.45 |
$77.35
|
|
Assay of salicylate
|
$195.23 |
$195.23 |
$195.23 |
$105.95
|
|
Assay of somatostatin
|
$292.48 |
$292.48 |
$292.48 |
$165.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$606.93 |
$606.93 |
$606.93 |
$312.00
|
|
Assess cyst contrast inject
|
$1,494.94 |
$1,494.94 |
$1,494.94 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$264.16 |
$264.16 |
$264.16 |
$49.80
|
|
Ast/sgot
|
$289.84 |
$289.84 |
$289.84 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$86,082.01 |
$86,082.01 |
$86,082.01 |
$31,208.35
|
|
Atropine 0.1 mg/ml injection syringe
|
$266.88 |
$266.88 |
$266.88 |
$43.01
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$642.62 |
$642.62 |
$642.62 |
$342.55
|
|
Azacitidine injection
|
$953.61 |
$953.61 |
$953.61 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$157.37 |
$157.37 |
$157.37 |
$52.69
|
|
Baclofen eval charges
|
$152.26 |
$152.26 |
$152.26 |
$86.14
|
|
Bacterial meningitis antigen
|
$184.64 |
$184.64 |
$184.64 |
$68.40
|
|
Bacterial vaginosis pcr
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$561.44 |
$561.44 |
$561.44 |
$112.80
|
|
Bartonella dna pcr-sendout
|
$561.44 |
$561.44 |
$561.44 |
$196.20
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$22,846.93 |
$22,846.93 |
$22,846.93 |
$6,720.38
|
|
#_benzodiazconfur
|
$78.17 |
$78.17 |
$78.17 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$304.30 |
$304.30 |
$304.30 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$407.20 |
$407.20 |
$407.20 |
$97.21
|
|
Beta-2 microglobulin
|
$258.88 |
$258.88 |
$258.88 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$315.85 |
$315.85 |
$315.85 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$26,165.01 |
$26,165.01 |
$26,165.01 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,868.42 |
$4,868.42 |
$4,868.42 |
$3,871.35
|
|
Bevacizumab injection
|
$1,335.24 |
$1,335.24 |
$1,335.24 |
$1,011.80
|
|
Bfb train 1st 15min cntct 90912
|
$335.13 |
$335.13 |
$335.13 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$201.47 |
$201.47 |
$201.47 |
$112.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$593.45
|
|
Bilirubin direct
|
$263.58 |
$263.58 |
$263.58 |
$49.29
|
|
Bilirubin total
|
$262.26 |
$262.26 |
$262.26 |
$51.39
|
|
Biofeedback, pt
|
$318.00 |
$318.00 |
$318.00 |
$148.66
|
|
Biopsy abdominal mass
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$21,695.04 |
$21,695.04 |
$21,695.04 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$9,113.95 |
$9,113.95 |
$9,113.95 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$8,102.52 |
$8,102.52 |
$8,102.52 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$9,453.76 |
$9,453.76 |
$9,453.76 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,195.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$21,695.04 |
$21,695.04 |
$21,695.04 |
$2,141.40
|
|
Bladder irrigate/lavage/instill 51700
|
$2,406.72 |
$2,406.72 |
$2,406.72 |
$418.20
|
|
Blood Clotting (PT/INR) Test
|
$540.91 |
$540.91 |
$540.91 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$298.57 |
$298.57 |
$298.57 |
$72.15
|
|
Blood Count (CBC) Test
|
$296.49 |
$296.49 |
$296.49 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$309.81 |
$309.81 |
$309.81 |
$62.28
|
|
Blood Culture Test
|
$363.02 |
$363.02 |
$363.02 |
$144.65
|
|
Blood draw capillary 36416
|
$39.77 |
$39.77 |
$39.77 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$1,260.32 |
$1,260.32 |
$1,260.32 |
$220.35
|
|
Blood gases ph venous
|
$176.00 |
$176.00 |
$176.00 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$254.72 |
$254.72 |
$254.72 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$70.08 |
$70.08 |
$70.08 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$107.48 |
$107.48 |
$107.48 |
$33.57
|
|
Blood smear interpretation
|
$141.00 |
$141.00 |
$141.00 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$171.21 |
$171.21 |
$171.21 |
$37.44
|
|
Blood typing abo
|
$482.93 |
$482.93 |
$482.93 |
$83.82
|
|
Blood typing ag donor ea ag
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$181.74
|
|
Blood typing rh (d)
|
$132.51 |
$132.51 |
$132.51 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$132.51 |
$132.51 |
$132.51 |
$77.25
|
|
Bone/joint imaging ltd area
|
$3,523.55 |
$3,523.55 |
$3,523.55 |
$1,151.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,822.36
|
|
Bone marrow interpretation
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$439.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$272.48 |
$272.48 |
$272.48 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,666.09 |
$1,666.09 |
$1,666.09 |
$1,683.04
|
|
Bowel imaging
|
$5,213.60 |
$5,213.60 |
$5,213.60 |
$1,186.25
|
|
Brachytx isodose complex
|
$1,825.95 |
$1,825.95 |
$1,825.95 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,484.66 |
$1,484.66 |
$1,484.66 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,249.05 |
$1,249.05 |
$1,249.05 |
$817.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,277.99 |
$6,277.99 |
$6,277.99 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$5,262.68 |
$5,262.68 |
$5,262.68 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$5,626.72 |
$5,626.72 |
$5,626.72 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$6,746.62 |
$6,746.62 |
$6,746.62 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,413.24 |
$5,413.24 |
$5,413.24 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$4,916.39 |
$4,916.39 |
$4,916.39 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$29,198.08 |
$29,198.08 |
$29,198.08 |
$2,287.20
|
|
Breath recording infant
|
$7,317.60 |
$7,317.60 |
$7,317.60 |
$1,077.10
|
|
Bronchoscopy w/fb removal 31635
|
$23,069.12 |
$23,069.12 |
$23,069.12 |
$2,629.37
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$175.12 |
$175.12 |
$175.12 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$179.68 |
$179.68 |
$179.68 |
$164.89
|
|
Bundled special stain group 2
|
$725.97 |
$725.97 |
$725.97 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$554.84 |
$554.84 |
$554.84 |
$30.97
|
|
Buprenorph X-ray 100 mg or less
|
$24,448.67 |
$24,448.67 |
$24,448.67 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$162.09 |
$162.09 |
$162.09 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$21,695.04 |
$21,695.04 |
$21,695.04 |
$2,264.77
|
|
Bx pleura pq ndl
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,732.00
|
|
Bx thyroid/percutan core needle 60100
|
$9,453.76 |
$9,453.76 |
$9,453.76 |
$1,020.60
|
|
C1 esterase inhibitor func - sendout
|
$192.00 |
$192.00 |
$192.00 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$30,103.07 |
$30,103.07 |
$30,103.07 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,073.71 |
$7,073.71 |
$7,073.71 |
$2,910.00
|
|
Calcium 24 hour urine
|
$96.48 |
$96.48 |
$96.48 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$779.54 |
$779.54 |
$779.54 |
$45.30
|
