|
Apply intrcav radiat compl
|
$3,354.80 |
$3,354.80 |
$3,354.80 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$2,565.85 |
$2,565.85 |
$2,565.85 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,565.85 |
$2,565.85 |
$2,565.85 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$875.57 |
$875.57 |
$875.57 |
$608.00
|
|
Apply short leg castambul type 29425
|
$1,287.10 |
$1,287.10 |
$1,287.10 |
$408.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$5,091.15 |
$5,091.15 |
$5,091.15 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$225.00 |
$225.00 |
$225.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$53.39 |
$53.39 |
$53.39 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$516.13 |
$516.13 |
$516.13 |
$98.90
|
|
Aquatic exercise - group charge
|
$237.07 |
$237.07 |
$237.07 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,225.65 |
$2,225.65 |
$2,225.65 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$431.55 |
$431.55 |
$431.55 |
$505.60
|
|
Artery xray each vessel 7577426
|
$6,223.08 |
$6,223.08 |
$6,223.08 |
$1,752.53
|
|
Artery x-rays arm/leg 75710-26
|
$11,696.90 |
$11,696.90 |
$11,696.90 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$12,835.75 |
$12,835.75 |
$12,835.75 |
$3,844.10
|
|
Artery x-rays lung
|
$7,221.44 |
$7,221.44 |
$7,221.44 |
$2,332.57
|
|
Artery x-rays lungs
|
$11,853.80 |
$11,853.80 |
$11,853.80 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$12,681.09 |
$12,681.09 |
$12,681.09 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$534.12 |
$534.12 |
$534.12 |
$567.78
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,501.53 |
$1,501.53 |
$1,501.53 |
$698.58
|
|
Aspirate bladder/sprapubic cath 51102
|
$6,350.67 |
$6,350.67 |
$6,350.67 |
$3,162.90
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,824.67 |
$5,824.67 |
$5,824.67 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$107.81 |
$107.81 |
$107.81 |
$76.80
|
|
Assay of interleukin-6 (il-6)
|
$79.97 |
$79.97 |
$79.97 |
$77.35
|
|
Assay of salicylate
|
$265.72 |
$265.72 |
$265.72 |
$105.95
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,218.57 |
$1,218.57 |
$1,218.57 |
$312.00
|
|
Ast/sgot
|
$483.53 |
$483.53 |
$483.53 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$104,590.50 |
$104,590.50 |
$104,590.50 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$51,399.86 |
$51,399.86 |
$51,399.86 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$39,658.22 |
$39,658.22 |
$39,658.22 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$338.80 |
$338.80 |
$338.80 |
$43.01
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$1,386.55 |
$1,386.55 |
$1,386.55 |
$342.55
|
|
Azacitidine injection
|
$1,178.34 |
$1,178.34 |
$1,178.34 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$206.24 |
$206.24 |
$206.24 |
$52.69
|
|
Bacterial meningitis antigen
|
$66.76 |
$66.76 |
$66.76 |
$68.40
|
|
Bacterial vaginosis pcr
|
$221.13 |
$221.13 |
$221.13 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$1,970.28 |
$1,970.28 |
$1,970.28 |
$112.80
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$27,964.83 |
$27,964.83 |
$27,964.83 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$556.37 |
$556.37 |
$556.37 |
$275.49
|
|
Benztropine 1 mg/ml injection solution
|
$384.83 |
$384.83 |
$384.83 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$80.87 |
$80.87 |
$80.87 |
$97.21
|
|
Beta-2 microglobulin
|
$50.97 |
$50.97 |
$50.97 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$389.08 |
$389.08 |
$389.08 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$31,792.80 |
$31,792.80 |
$31,792.80 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,972.21 |
$5,972.21 |
$5,972.21 |
$3,871.35
|
|
Bevacizumab injection
|
$1,632.61 |
$1,632.61 |
$1,632.61 |
$1,011.80
|
|
Bilateral n block inj trigeminal 64400
|
$2,820.49 |
$2,820.49 |
$2,820.49 |
$593.45
|
|
Bilirubin direct
|
$681.74 |
$681.74 |
$681.74 |
$49.29
|
|
Bilirubin total
|
$477.39 |
$477.39 |
$477.39 |
$51.39
|
|
Bladder irrigate/lavage/instill 51700
|
$686.68 |
$686.68 |
$686.68 |
$418.20
|
|
Blood Clotting (PT/INR) Test
|
$163.20 |
$163.20 |
$163.20 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$164.29 |
$164.29 |
$164.29 |
$72.15
|
|
Blood Count (CBC) Test
|
$214.46 |
$214.46 |
$214.46 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$505.42 |
$505.42 |
$505.42 |
$62.28
|
|
Blood Culture Test
|
$633.35 |
$633.35 |
$633.35 |
$144.65
|
|
Blood draw capillary 36416
|
$30.06 |
$30.06 |
$30.06 |
$22.32
|
|
Blood gases ph venous
|
$445.26 |
$445.26 |
$445.26 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$143.49 |
$143.49 |
$143.49 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$129.91 |
$129.91 |
$129.91 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$300.88 |
$300.88 |
$300.88 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$599.61 |
$599.61 |
$599.61 |
$33.57
|
|
Blood smear interpretation
|
$448.93 |
$448.93 |
$448.93 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$136.41 |
$136.41 |
$136.41 |
$37.44
|
|
Blood typing abo
|
$333.94 |
$333.94 |
$333.94 |
$83.82
|
|
Blood typing ag donor ea ag
|
$915.98 |
$915.98 |
$915.98 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$915.98 |
$915.98 |
$915.98 |
$181.74
|
|
Blood typing rh (d)
|
$156.61 |
$156.61 |
$156.61 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$565.38 |
$565.38 |
$565.38 |
$77.25
|
|
Bone/joint imaging ltd area
|
$3,443.60 |
$3,443.60 |
$3,443.60 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$1,655.46 |
$1,655.46 |
$1,655.46 |
$346.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$118.28 |
$118.28 |
$118.28 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,054.24 |
$2,054.24 |
$2,054.24 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$11.91 |
$11.91 |
$11.91 |
$33.57
|
|
Brach/thor cath 3rd
|
$4,146.15 |
$4,146.15 |
$4,146.15 |
$2,244.00
|
|
Brachytx isodose complex
|
$3,546.50 |
$3,546.50 |
$3,546.50 |
$1,631.00
|
|
Brachytx isodose intermed
|
$3,354.82 |
$3,354.82 |
$3,354.82 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,683.31 |
$1,683.31 |
$1,683.31 |
$817.20
|
|
Brain image w/flow 4 + views
|
$2,921.40 |
$2,921.40 |
$2,921.40 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,861.49 |
$7,861.49 |
$7,861.49 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$6,164.11 |
$6,164.11 |
$6,164.11 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$16,214.30 |
$16,214.30 |
$16,214.30 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$18,799.04 |
$18,799.04 |
$18,799.04 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,747.85 |
$14,747.85 |
$14,747.85 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$13,405.00 |
$13,405.00 |
$13,405.00 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$5,748.37 |
$5,748.37 |
$5,748.37 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,561.76 |
$4,561.76 |
$4,561.76 |
$2,970.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$210.29 |
$210.29 |
$210.29 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$176.24 |
$176.24 |
$176.24 |
$164.89
|
|
Bundled special stain group 2
|
$333.94 |
$333.94 |
$333.94 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$701.15 |
$701.15 |
$701.15 |
$30.97
|
|
Buprenorphine and metabolite - sendout
|
$263.95 |
$263.95 |
$263.95 |
$99.72
|
|
Buprenorph X-ray 100 mg or less
|
$28,903.80 |
$28,903.80 |
$28,903.80 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$194.78 |
$194.78 |
$194.78 |
$39.89
|
|
Bx breast add lesion Ultrasound imag
|
$2,243.92 |
$2,243.92 |
$2,243.92 |
$1,708.85
|
|
C1 esterase inhibitor func - sendout
|
$41.67 |
$41.67 |
$41.67 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$36,577.44 |
$36,577.44 |
$36,577.44 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$8,364.15 |
$8,364.15 |
$8,364.15 |
$2,910.00
|
|
Calcium 24 hour urine
|
$25.66 |
$25.66 |
$25.66 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$984.85 |
$984.85 |
$984.85 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$295.59 |
$295.59 |
$295.59 |
$92.91
|