|
Assess cyst contrast inject
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$28.94 |
$28.94 |
$28.94 |
$49.80
|
|
Ast/sgot
|
$38.16 |
$38.16 |
$38.16 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$33,308.27 |
$33,308.27 |
$33,308.27 |
$31,208.35
|
|
Atropine 0.1 mg/ml injection syringe
|
$423.07 |
$423.07 |
$423.07 |
$43.01
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$33,471.74 |
$33,471.74 |
$33,471.74 |
$10,578.36
|
|
Autologous blood process
|
$996.14 |
$996.14 |
$996.14 |
$234.27
|
|
Automated diff wbc count
|
$43.41 |
$43.41 |
$43.41 |
$34.39
|
|
Avul nail plate addl
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$342.55
|
|
Azacitidine injection
|
$216.35 |
$216.35 |
$216.35 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$479.40 |
$479.40 |
$479.40 |
$52.69
|
|
Baclofen eval charges
|
$62.33 |
$62.33 |
$62.33 |
$86.14
|
|
Bacterial meningitis antigen
|
$84.94 |
$84.94 |
$84.94 |
$68.40
|
|
Bacterial vaginosis pcr
|
$518.24 |
$518.24 |
$518.24 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$234.84 |
$234.84 |
$234.84 |
$112.80
|
|
Bartonella dna pcr-sendout
|
$234.84 |
$234.84 |
$234.84 |
$196.20
|
|
B cells total count
|
$251.54 |
$251.54 |
$251.54 |
$125.28
|
|
Belatacept 250 mg intravenous solution
|
$2,026.40 |
$2,026.40 |
$2,026.40 |
$2,843.40
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$5,261.01 |
$5,261.01 |
$5,261.01 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$275.49
|
|
Benign lesion paring 4+
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$287.00
|
|
#_benzodiazconfur
|
$83.48 |
$83.48 |
$83.48 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$224.58 |
$224.58 |
$224.58 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$188.34 |
$188.34 |
$188.34 |
$97.21
|
|
Beta-2 microglobulin
|
$119.40 |
$119.40 |
$119.40 |
$84.66
|
|
Beta-amyloid 1-42
|
$500.00 |
$500.00 |
$500.00 |
$312.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$365.77 |
$365.77 |
$365.77 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$1,992.45 |
$1,992.45 |
$1,992.45 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,814.94 |
$5,814.94 |
$5,814.94 |
$3,871.35
|
|
Bevacizumab injection
|
$452.25 |
$452.25 |
$452.25 |
$1,011.80
|
|
Bfb train 1st 15min cntct 90912
|
$382.87 |
$382.87 |
$382.87 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$217.68 |
$217.68 |
$217.68 |
$112.00
|
|
Bilateral n block inj trigeminal 64400
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$593.45
|
|
Bilicheck
|
$245.74 |
$245.74 |
$245.74 |
$25.20
|
|
Bilirubin direct
|
$36.93 |
$36.93 |
$36.93 |
$49.29
|
|
Bilirubin total
|
$36.93 |
$36.93 |
$36.93 |
$51.39
|
|
Biofeedback, pt
|
$382.87 |
$382.87 |
$382.87 |
$148.66
|
|
Biopsy abdominal mass
|
$5,638.11 |
$5,638.11 |
$5,638.11 |
$1,917.33
|
|
Biopsy, bone open deep
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$3,386.84
|
|
Biopsy bone trocar/needle superficial
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$6,241.70 |
$6,241.70 |
$6,241.70 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$5,638.11 |
$5,638.11 |
$5,638.11 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$5,638.11 |
$5,638.11 |
$5,638.11 |
$1,878.88
|
|
Biopsy of nail unit 11755
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$888.07
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,638.11 |
$5,638.11 |
$5,638.11 |
$2,195.00
|
|
Biotinidase - quest
|
$59.05 |
$59.05 |
$59.05 |
$72.80
|
|
Bladder irrigate/lavage/instill 51700
|
$1,473.67 |
$1,473.67 |
$1,473.67 |
$418.20
|
|
Bld prd mix
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$139.21
|
|
Blood Clotting (PT/INR) Test
|
$32.01 |
$32.01 |
$32.01 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$44.32 |
$44.32 |
$44.32 |
$72.15
|
|
Blood Count (CBC) Test
|
$57.85 |
$57.85 |
$57.85 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$48.01 |
$48.01 |
$48.01 |
$62.28
|
|
Blood Culture Test
|
$76.33 |
$76.33 |
$76.33 |
$144.65
|
|
Blood draw capillary 36416
|
$13.36 |
$13.36 |
$13.36 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$582.25 |
$582.25 |
$582.25 |
$220.35
|
|
Blood gases ph venous
|
$73.46 |
$73.46 |
$73.46 |
$63.70
|
|
Blood, l/r, irradiated
|
$1,029.53 |
$1,029.53 |
$1,029.53 |
$238.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$120.20 |
$120.20 |
$120.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$30.78 |
$30.78 |
$30.78 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$32.01 |
$32.01 |
$32.01 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$39.40 |
$39.40 |
$39.40 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$28.31 |
$28.31 |
$28.31 |
$37.44
|
|
Blood split unit
|
$1,089.42 |
$1,089.42 |
$1,089.42 |
$235.30
|
|
Blood typing abo
|
$827.22 |
$827.22 |
$827.22 |
$83.82
|
|
Blood typing ag donor ea ag
|
$2,151.75 |
$2,151.75 |
$2,151.75 |
$166.80
|
|
Blood typing patient serum
|
$225.94 |
$225.94 |
$225.94 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$2,151.75 |
$2,151.75 |
$2,151.75 |
$181.74
|
|
Blood typing rh (d)
|
$249.89 |
$249.89 |
$249.89 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$225.94 |
$225.94 |
$225.94 |
$77.25
|
|
Bone biopsy open superficial
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$967.20 |
$967.20 |
$967.20 |
$395.00
|
|
Bone imaging multiple areas
|
$2,772.48 |
$2,772.48 |
$2,772.48 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$2,772.48 |
$2,772.48 |
$2,772.48 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$6,263.96 |
$6,263.96 |
$6,263.96 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$6,695.75 |
$6,695.75 |
$6,695.75 |
$1,822.36
|
|
Bone marrow imaging ltd
|
$1,678.40 |
$1,678.40 |
$1,678.40 |
$723.00
|
|
Bone marrow interpretation
|
$4,381.88 |
$4,381.88 |
$4,381.88 |
$439.78
|
|
Bone survey-lead poisoning
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$346.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$125.56 |
$125.56 |
$125.56 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$386.84 |
$386.84 |
$386.84 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$12.01 |
$12.01 |
$12.01 |
$33.57
|
|
Bowel imaging
|
$3,500.39 |
$3,500.39 |
$3,500.39 |
$1,186.25
|
|
Brach/thor cath 1st
|
$5,338.10 |
$5,338.10 |
$5,338.10 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$4,275.43 |
$4,275.43 |
$4,275.43 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$4,859.03 |
$4,859.03 |
$4,859.03 |
$2,244.00
|
|
Brach/thor cath addl
|
$3,377.27 |
$3,377.27 |
$3,377.27 |
$881.40
|
|
Brachytx isodose complex
|
$1,508.12 |
$1,508.12 |
$1,508.12 |
$1,631.00
|
|
Braf gene
|
$1,170.88 |
$1,170.88 |
$1,170.88 |
$421.20
|
|
Brain image w/flow 4 + views
|
$4,003.46 |
$4,003.46 |
$4,003.46 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,832.71 |
$6,832.71 |
$6,832.71 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,138.44 |
$7,138.44 |
$7,138.44 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,719.91 |
$6,719.91 |
$6,719.91 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$12,130.06 |
$12,130.06 |
$12,130.06 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$10,111.25 |
$10,111.25 |
$10,111.25 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$7,833.94 |
$7,833.94 |
$7,833.94 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$12,186.24 |
$12,186.24 |
$12,186.24 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$11,704.13 |
$11,704.13 |
$11,704.13 |
$2,970.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$396.14 |
$396.14 |
$396.14 |
$29.35
|
