|
Bleomycin 15 unit solution for injection
|
$2,642.22 |
$2,642.22 |
$2,642.22 |
$245.75
|
|
Blood Count (CBC) Test (without differential)
|
$1,220.89 |
$1,220.89 |
$1,220.89 |
$62.28
|
|
Blood Culture Test
|
$2,416.37 |
$2,416.37 |
$2,416.37 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$1,314.06 |
$1,314.06 |
$1,314.06 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$35.00 |
$35.00 |
$35.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$369.05 |
$369.05 |
$369.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$358.16 |
$358.16 |
$358.16 |
$33.57
|
|
Blood typing patient serum
|
$56.87 |
$56.87 |
$56.87 |
$70.29
|
|
Blood typing rh phenotype complete reference
|
$13.33 |
$13.33 |
$13.33 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$873.62 |
$873.62 |
$873.62 |
$395.00
|
|
Bone/joint imaging ltd area
|
$3,126.64 |
$3,126.64 |
$3,126.64 |
$1,151.16
|
|
Bone marrow imaging body
|
$799.81 |
$799.81 |
$799.81 |
$973.73
|
|
Bone marrow imaging ltd
|
$799.81 |
$799.81 |
$799.81 |
$723.00
|
|
Bone marrow interpretation
|
$385.99 |
$385.99 |
$385.99 |
$439.78
|
|
Boot softgait shrt m
|
$261.40 |
$261.40 |
$261.40 |
$113.72
|
|
Boot walker genesis full shell 3-strap s
|
$337.28 |
$337.28 |
$337.28 |
$325.00
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$9,908.75 |
$9,908.75 |
$9,908.75 |
$1,683.04
|
|
Bowel imaging
|
$3,816.34 |
$3,816.34 |
$3,816.34 |
$1,186.25
|
|
Brace afo dbl upright cust
|
$1,223.37 |
$1,223.37 |
$1,223.37 |
$965.03
|
|
Brace ank aftr bioskn med lg
|
$251.25 |
$251.25 |
$251.25 |
$88.74
|
|
Brace halo bremer l2830
|
$654.28 |
$654.28 |
$654.28 |
$291.75
|
|
Brace kafo dbl upright cust
|
$5,188.67 |
$5,188.67 |
$5,188.67 |
$3,966.59
|
|
Brace knee postop tscope xl
|
$3,318.04 |
$3,318.04 |
$3,318.04 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$791.24 |
$791.24 |
$791.24 |
$212.97
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,418.51 |
$3,418.51 |
$3,418.51 |
$1,546.87
|
|
Braf gene
|
$110.00 |
$110.00 |
$110.00 |
$421.20
|
|
Brain image w/flow 4 + views
|
$4,515.72 |
$4,515.72 |
$4,515.72 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$19,013.16 |
$19,013.16 |
$19,013.16 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$18,357.60 |
$18,357.60 |
$18,357.60 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$17,373.43 |
$17,373.43 |
$17,373.43 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$19,013.16 |
$19,013.16 |
$19,013.16 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$18,357.60 |
$18,357.60 |
$18,357.60 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$17,373.43 |
$17,373.43 |
$17,373.43 |
$1,927.04
|
|
Bronchial challenge
|
$1,605.67 |
$1,605.67 |
$1,605.67 |
$835.20
|
|
Butorphanol tartrate 1 mg
|
$207.33 |
$207.33 |
$207.33 |
$39.89
|
|
Cadd pump refill
|
$1,354.10 |
$1,354.10 |
$1,354.10 |
$340.33
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$39.87 |
$39.87 |
$39.87 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$49.21 |
$49.21 |
$49.21 |
$45.30
|
|
Calcium ionized
|
$26.62 |
$26.62 |
$26.62 |
$86.35
|
|
Calculi urinary-sendout
|
$11.79 |
$11.79 |
$11.79 |
$68.05
|
|
Calculus analysis qual
|
$35.25 |
$35.25 |
$35.25 |
$29.60
|
|
Calprotectin fecal
|
$100.00 |
$100.00 |
$100.00 |
$170.00
|
|
Campylobacter antibody
|
$140.00 |
$140.00 |
$140.00 |
$66.61
|
|
Carbamazepine free
|
$18.73 |
$18.73 |
$18.73 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$2,146.54 |
$2,146.54 |
$2,146.54 |
$113.25
|
|
Carbohydrate urine - sendout
|
$3.63 |
$3.63 |
$3.63 |
$43.51
|
|
Carboplatin 10 mg/ml desensitization
|
$1,226.39 |
$1,226.39 |
$1,226.39 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$288.07 |
$288.07 |
$288.07 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$248.05 |
$248.05 |
$248.05 |
$84.73
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$6,600.55 |
$6,600.55 |
$6,600.55 |
$2,792.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,609.73 |
$1,609.73 |
$1,609.73 |
$1,582.20
|
|
Carotene
|
$7.52 |
$7.52 |
$7.52 |
$46.80
|
|
Caspofungin acetate
|
$842.02 |
$842.02 |
$842.02 |
$492.20
|
|
Catecholamines,fractionated, urine
|
$24.50 |
$24.50 |
$24.50 |
$55.20
|
|
Cdna analysis for variants
|
$300.00 |
$300.00 |
$300.00 |
$564.86
|
|
Ceftazidime and avibactam
|
$3,586.30 |
$3,586.30 |
$3,586.30 |
$935.40
|
|
Cell function assay w/stim
|
$205.00 |
$205.00 |
$205.00 |
$335.20
|
|
Cell marker study
|
$90.00 |
$90.00 |
$90.00 |
$239.85
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,590.11 |
$3,590.11 |
$3,590.11 |
$3,358.00
|
|
#cf-97variants
|
$57.02 |
$57.02 |
$57.02 |
$612.26
|
|
Chest 2 vws w oblique
|
$2,699.51 |
$2,699.51 |
$2,699.51 |
$373.20
|
|
Chest apical lordotic proj
|
$2,727.34 |
$2,727.34 |
$2,727.34 |
$288.81
|
|
Chest X-ray
|
$2,082.41 |
$2,082.41 |
$2,082.41 |
$294.06
|
|
Chest X-ray (single view)
|
$2,069.10 |
$2,069.10 |
$2,069.10 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$4,153.93 |
$4,153.93 |
$4,153.93 |
$520.80
|
|
Chlamydia trachomatis ag if
|
$22.00 |
$22.00 |
$22.00 |
$30.40
|
|
Chlnggrphy intraop addl s&i
|
$5,820.10 |
$5,820.10 |
$5,820.10 |
$280.00
|
|
Chloramphenicol sodium injec
|
$195.30 |
$195.30 |
$195.30 |
$122.59
|
|
Chloride
|
$551.76 |
$551.76 |
$551.76 |
$38.50
|
|
Chloroprocaine hcl injection
|
$137.59 |
$137.59 |
$137.59 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$212.49 |
$212.49 |
$212.49 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$145.09 |
$145.09 |
$145.09 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$5,820.10 |
$5,820.10 |
$5,820.10 |
$625.60
|
|
Cholesterol
|
$632.83 |
$632.83 |
$632.83 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$2,521.64 |
$2,521.64 |
$2,521.64 |
$115.70
|
|
Cholinesterase
|
$6.05 |
$6.05 |
$6.05 |
$38.69
|
|
Chromatography
|
$11.61 |
$11.61 |
$11.61 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$179.84 |
$179.84 |
$179.84 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$255.00 |
$255.00 |
$255.00 |
$448.80
|
|
Chromosome analysis 5
|
$255.00 |
$255.00 |
$255.00 |
$644.80
|
|
Chromosome count additional
|
$26.54 |
$26.54 |
$26.54 |
$110.00
|
|
Chromosome karyotype study
|
$35.07 |
$35.07 |
$35.07 |
$102.72
|
|
Cisplatin 1 mg/ml desensitization
|
$134.33 |
$134.33 |
$134.33 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,509.02 |
$1,509.02 |
$1,509.02 |
$576.60
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$171.93 |
$171.93 |
$171.93 |
$81.02
|
|
Clot factor xii hageman
|
$88.33 |
$88.33 |
$88.33 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$75.00 |
$75.00 |
$75.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$52.50 |
$52.50 |
$52.50 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$211.75 |
$211.75 |
$211.75 |
$102.57
|
|
Cmv pcr-sendout
|
$69.00 |
$69.00 |
$69.00 |
$172.25
|
|
Co2 monitor per day
|
$1,366.09 |
$1,366.09 |
$1,366.09 |
$388.85
|
|
Coagulation time activated teg
|
$923.23 |
$923.23 |
$923.23 |
$50.05
|
|
Cold agglutinin titer
|
$4.07 |
$4.07 |
$4.07 |
$49.40
|
|
Colistimethate sodium inj
|
$521.91 |
$521.91 |
$521.91 |
$84.22
|
|
Collar cerv adlt perfit ace extric
|
$450.44 |
$450.44 |
$450.44 |
$29.25
|
|
Collar extrication adult univ
|
$1,700.82 |
$1,700.82 |
$1,700.82 |
$1,116.55
|
|
Compatibility test each unit electronic
|
$782.87 |
$782.87 |
$782.87 |
$167.17
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,336.32 |
$2,336.32 |
$2,336.32 |
$1,000.10
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,039.36 |
$1,039.36 |
$1,039.36 |
$792.24
|
|
Consultation pathology during surgery
|
$166.98 |
$166.98 |
$166.98 |
$112.45
|
