|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$203.44 |
$203.44 |
$203.44 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$27,842.62 |
$27,842.62 |
$27,842.62 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,673.44 |
$5,673.44 |
$5,673.44 |
$3,871.35
|
|
Bevacizumab injection
|
$5,562.99 |
$5,562.99 |
$5,562.99 |
$1,011.80
|
|
Bilirubin direct
|
$153.49 |
$153.49 |
$153.49 |
$49.29
|
|
Bilirubin total
|
$298.09 |
$298.09 |
$298.09 |
$51.39
|
|
Biopsy needle liver percutaneous
|
$27,071.34 |
$27,071.34 |
$27,071.34 |
$1,957.80
|
|
Blood Clotting (PT/INR) Test
|
$406.21 |
$406.21 |
$406.21 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$208.31 |
$208.31 |
$208.31 |
$72.15
|
|
Blood Count (CBC) Test
|
$512.30 |
$512.30 |
$512.30 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$174.64 |
$174.64 |
$174.64 |
$62.28
|
|
Blood Culture Test
|
$357.81 |
$357.81 |
$357.81 |
$144.65
|
|
Blood draw capillary 36416
|
$52.94 |
$52.94 |
$52.94 |
$22.32
|
|
Blood gases ph venous
|
$219.62 |
$219.62 |
$219.62 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$317.85 |
$317.85 |
$317.85 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$134.87 |
$134.87 |
$134.87 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$87.45 |
$87.45 |
$87.45 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$106.22 |
$106.22 |
$106.22 |
$33.57
|
|
Blood smear interpretation
|
$155.10 |
$155.10 |
$155.10 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$75.87 |
$75.87 |
$75.87 |
$37.44
|
|
Blood split unit
|
$3,008.53 |
$3,008.53 |
$3,008.53 |
$235.30
|
|
Blood typing abo
|
$401.30 |
$401.30 |
$401.30 |
$83.82
|
|
Blood typing ag donor ea ag
|
$1,119.53 |
$1,119.53 |
$1,119.53 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$1,119.53 |
$1,119.53 |
$1,119.53 |
$181.74
|
|
Blood typing rh (d)
|
$141.90 |
$141.90 |
$141.90 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$154.74 |
$154.74 |
$154.74 |
$77.25
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$340.01 |
$340.01 |
$340.01 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,023.24 |
$2,023.24 |
$2,023.24 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$68.49 |
$68.49 |
$68.49 |
$33.57
|
|
Brach/thor cath 3rd
|
$2,713.22 |
$2,713.22 |
$2,713.22 |
$2,244.00
|
|
Brain image w/flow 4 + views
|
$6,961.60 |
$6,961.60 |
$6,961.60 |
$1,308.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$116.91 |
$116.91 |
$116.91 |
$29.35
|
|
Bundled special stain group 1 microorganisms
|
$1,007.64 |
$1,007.64 |
$1,007.64 |
$164.89
|
|
Bundled special stain group 2
|
$689.40 |
$689.40 |
$689.40 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$343.78 |
$343.78 |
$343.78 |
$30.97
|
|
Buprenorph X-ray 100 mg or less
|
$15,575.99 |
$15,575.99 |
$15,575.99 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$108.89 |
$108.89 |
$108.89 |
$39.89
|
|
Bx breast add lesion Ultrasound imag
|
$2,178.84 |
$2,178.84 |
$2,178.84 |
$1,708.85
|
|
C1 esterase inhibitor func - sendout
|
$239.58 |
$239.58 |
$239.58 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$32,032.75 |
$32,032.75 |
$32,032.75 |
$18,370.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,512.79 |
$4,512.79 |
$4,512.79 |
$2,910.00
|
|
Calcium 24 hour urine
|
$120.40 |
$120.40 |
$120.40 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$479.24 |
$479.24 |
$479.24 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$186.09 |
$186.09 |
$186.09 |
$92.91
|
|
Calcium ionized
|
$312.68 |
$312.68 |
$312.68 |
$86.35
|
|
Calcium total
|
$146.27 |
$146.27 |
$146.27 |
$48.75
|
|
Calprotectin fecal
|
$391.92 |
$391.92 |
$391.92 |
$170.00
|
|
Carbamazepine free
|
$264.54 |
$264.54 |
$264.54 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$290.90 |
$290.90 |
$290.90 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$360.57 |
$360.57 |
$360.57 |
$113.36
|
|
Carbon dioxide
|
$97.43 |
$97.43 |
$97.43 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$855.14 |
$855.14 |
$855.14 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$245.97 |
$245.97 |
$245.97 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$378.53 |
$378.53 |
$378.53 |
$146.90
|
|
Cardiolipin antibody iga
|
$508.11 |
$508.11 |
$508.11 |
$114.40
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$170.71 |
$170.71 |
$170.71 |
$129.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$91.25 |
$91.25 |
$91.25 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,518.32 |
$3,518.32 |
$3,518.32 |
$1,067.40
|
|
Cath cv dl inj 7fx16cm
|
$5,451.63 |
$5,451.63 |
$5,451.63 |
$2,712.53
|
|
Cath right hrt mnpul art
|
$1,806.84 |
$1,806.84 |
$1,806.84 |
$1,210.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$300.10 |
$300.10 |
$300.10 |
$42.00
|
|
Cefoxitin 1 gram intravenous solution
|
$167.16 |
$167.16 |
$167.16 |
$52.04
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$210.03 |
$210.03 |
$210.03 |
$51.66
|
|
Ceftriaxone 1 gram solution for injection
|
$185.90 |
$185.90 |
$185.90 |
$86.58
|
|
Cell count body fluid
|
$94.24 |
$94.24 |
$94.24 |
$63.52
|
|
Cell count w differential body fluid
|
$212.38 |
$212.38 |
$212.38 |
$95.55
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$90,754.03 |
$90,754.03 |
$90,754.03 |
$30,922.02
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,286.90 |
$5,286.90 |
$5,286.90 |
$3,358.00
|
|
Change cystostomy tube simple
|
$3,003.13 |
$3,003.13 |
$3,003.13 |
$479.00
|
|
Chest 2 vws w oblique
|
$2,213.93 |
$2,213.93 |
$2,213.93 |
$373.20
|
|
Chest apical lordotic proj
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$11,265.29 |
$11,265.29 |
$11,265.29 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$9,780.20 |
$9,780.20 |
$9,780.20 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$9,167.57 |
$9,167.57 |
$9,167.57 |
$1,350.03
|
|
Chest X-ray
|
$782.06 |
$782.06 |
$782.06 |
$294.06
|
|
Chest X-ray (single view)
|
$1,068.78 |
$1,068.78 |
$1,068.78 |
$229.08
|
|
Chloride
|
$91.84 |
$91.84 |
$91.84 |
$38.50
|
|
Chloride 24 hour urine
|
$133.10 |
$133.10 |
$133.10 |
$46.13
|
|
Chloroprocaine hcl injection
|
$114.46 |
$114.46 |
$114.46 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$227.00 |
$227.00 |
$227.00 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$437.78 |
$437.78 |
$437.78 |
$89.81
|
|
Cholesterol
|
$399.54 |
$399.54 |
$399.54 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$391.36 |
$391.36 |
$391.36 |
$115.70
|
|
Chromatography
|
$360.57 |
$360.57 |
$360.57 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$1,138.81 |
$1,138.81 |
$1,138.81 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$2,505.42 |
$2,505.42 |
$2,505.42 |
$448.80
|
|
Chylomicron screen, bf - sendout
|
$1,227.85 |
$1,227.85 |
$1,227.85 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$151.95 |
$151.95 |
$151.95 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$868.35 |
$868.35 |
$868.35 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$6,972.92 |
$6,972.92 |
$6,972.92 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$205.30 |
$205.30 |
$205.30 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$63.47 |
$63.47 |
$63.47 |
$81.02
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$413.00
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$543.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$488.80
|
|
Clsd tx elbow dislocation child 24640
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$525.28
|
|
Clsd tx hip disloc without anes 27265
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$716.95
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$716.95
|
|
Clsd tx patella disloc without anes 27560
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$665.50
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$4,176.08 |
$4,176.08 |
$4,176.08 |
$484.00
|
