|
Benztropine 1 mg/ml injection solution
|
$258.30 |
$258.30 |
$258.30 |
$121.88
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,765.55 |
$3,765.55 |
$3,765.55 |
$4,905.00
|
|
Bilirubin direct
|
$1,093.06 |
$1,093.06 |
$1,093.06 |
$49.29
|
|
Bivalirudin
|
$5,475.75 |
$5,475.75 |
$5,475.75 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$111.30 |
$111.30 |
$111.30 |
$245.75
|
|
Blood Count (CBC) Test (without differential)
|
$59.09 |
$59.09 |
$59.09 |
$62.28
|
|
Blood Culture Test
|
$2,999.38 |
$2,999.38 |
$2,999.38 |
$144.65
|
|
Blood draw capillary 36416
|
$11.00 |
$11.00 |
$11.00 |
$22.32
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$88.00 |
$88.00 |
$88.00 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$29.54 |
$29.54 |
$29.54 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$203.32 |
$203.32 |
$203.32 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$1,056.57 |
$1,056.57 |
$1,056.57 |
$37.44
|
|
Blood typing patient serum
|
$357.50 |
$357.50 |
$357.50 |
$70.29
|
|
Blood typing rh (d)
|
$474.41 |
$474.41 |
$474.41 |
$56.24
|
|
Bone/joint imaging ltd area
|
$5,541.40 |
$5,541.40 |
$5,541.40 |
$1,151.16
|
|
Bone marrow imaging body
|
$6,939.74 |
$6,939.74 |
$6,939.74 |
$973.73
|
|
Bone marrow imaging ltd
|
$3,808.87 |
$3,808.87 |
$3,808.87 |
$723.00
|
|
Bone marrow imaging mult
|
$5,374.31 |
$5,374.31 |
$5,374.31 |
$762.31
|
|
Boot j walker l
|
$252.11 |
$252.11 |
$252.11 |
$291.75
|
|
Bowel imaging
|
$3,943.68 |
$3,943.68 |
$3,943.68 |
$1,186.25
|
|
Brace oths wrist hnd fngr without
|
$169.17 |
$169.17 |
$169.17 |
$179.93
|
|
Brain flow imaging only
|
$4,822.50 |
$4,822.50 |
$4,822.50 |
$636.97
|
|
Brain image w/flow 4 + views
|
$7,693.71 |
$7,693.71 |
$7,693.71 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$31,592.66 |
$31,592.66 |
$31,592.66 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$14,682.04 |
$14,682.04 |
$14,682.04 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$8,012.91 |
$8,012.91 |
$8,012.91 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$40,066.09 |
$40,066.09 |
$40,066.09 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$27,608.10 |
$27,608.10 |
$27,608.10 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$8,012.91 |
$8,012.91 |
$8,012.91 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,287.20
|
|
Bundle his recording
|
$35,403.51 |
$35,403.51 |
$35,403.51 |
$5,157.39
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.00 |
$1.00 |
$1.00 |
$30.97
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$17.55 |
$17.55 |
$17.55 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$18.90 |
$18.90 |
$18.90 |
$17.13
|
|
Butorphanol tartrate 1 mg
|
$5.25 |
$5.25 |
$5.25 |
$39.89
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$49.68 |
$49.68 |
$49.68 |
$59.40
|
|
Calcium ionized
|
$1,225.14 |
$1,225.14 |
$1,225.14 |
$86.35
|
|
Calcium total
|
$420.55 |
$420.55 |
$420.55 |
$48.75
|
|
Calculi urinary-sendout
|
$9.00 |
$9.00 |
$9.00 |
$68.05
|
|
Calculus analysis qual
|
$57.20 |
$57.20 |
$57.20 |
$29.60
|
|
Calprotectin fecal
|
$179.30 |
$179.30 |
$179.30 |
$170.00
|
|
Candida skin test
|
$330.18 |
$330.18 |
$330.18 |
$39.77
|
|
Carbamazepine total therapeutic drug level
|
$1,642.19 |
$1,642.19 |
$1,642.19 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$78.60 |
$78.60 |
$78.60 |
$113.36
|
|
Carbon dioxide
|
$568.24 |
$568.24 |
$568.24 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$991.20 |
$991.20 |
$991.20 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$179.15 |
$179.15 |
$179.15 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$169.40 |
$169.40 |
$169.40 |
$84.73
|
|
Cardiac MRI w/stress img
|
$35,696.65 |
$35,696.65 |
$35,696.65 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$21,694.67 |
$21,694.67 |
$21,694.67 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$21,694.67 |
$21,694.67 |
$21,694.67 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$21,694.67 |
$21,694.67 |
$21,694.67 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$267.05 |
$267.05 |
$267.05 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$9.59 |
$9.59 |
$9.59 |
$195.00
|
|
Carotene
|
$24.42 |
$24.42 |
$24.42 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,064.71 |
$3,064.71 |
$3,064.71 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$502.22 |
$502.22 |
$502.22 |
$48.75
|
|
Cefotaxime sodium injection
|
$445.20 |
$445.20 |
$445.20 |
$40.63
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$927.15 |
$927.15 |
$927.15 |
$634.46
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$46.20 |
$46.20 |
$46.20 |
$51.66
|
|
Ceftazidime and avibactam
|
$1,344.86 |
$1,344.86 |
$1,344.86 |
$935.40
|
|
Cell function assay w/stim
|
$165.00 |
$165.00 |
$165.00 |
$335.20
|
|
Cell marker study
|
$125.90 |
$125.90 |
$125.90 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$4,757.95 |
$4,757.95 |
$4,757.95 |
$884.00
|
|
#cf-97variants
|
$62.70 |
$62.70 |
$62.70 |
$612.26
|
|
Chemo ia infusion up to 1 hr
|
$1,021.00 |
$1,021.00 |
$1,021.00 |
$604.89
|
|
Chemo intralesional over 7
|
$339.00 |
$339.00 |
$339.00 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$339.00 |
$339.00 |
$339.00 |
$175.20
|
|
Chemotherapy injection 96542
|
$339.00 |
$339.00 |
$339.00 |
$422.37
|
|
Chest 2 vws w oblique
|
$5,042.91 |
$5,042.91 |
$5,042.91 |
$373.20
|
|
Chest apical lordotic proj
|
$5,854.09 |
$5,854.09 |
$5,854.09 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$30,531.59 |
$30,531.59 |
$30,531.59 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$26,292.13 |
$26,292.13 |
$26,292.13 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$25,236.87 |
$25,236.87 |
$25,236.87 |
$1,350.03
|
|
Chlamydia trachomatis ag if
|
$95.70 |
$95.70 |
$95.70 |
$30.40
|
|
Chloramphenicol sodium injec
|
$27.30 |
$27.30 |
$27.30 |
$122.59
|
|
Chloride
|
$2,497.18 |
$2,497.18 |
$2,497.18 |
$38.50
|
|
Chloroprocaine hcl injection
|
$124.87 |
$124.87 |
$124.87 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,463.70 |
$1,463.70 |
$1,463.70 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$101.85 |
$101.85 |
$101.85 |
$89.81
|
|
Chmotx admn plrl cav thrcnts
|
$339.00 |
$339.00 |
$339.00 |
$393.54
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,453.75 |
$4,453.75 |
$4,453.75 |
$625.60
|
|
Cholesterol (Lipid) Test
|
$107.76 |
$107.76 |
$107.76 |
$115.70
|
|
Chromogenic substrate assay
|
$95.00 |
$95.00 |
$95.00 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$100.10 |
$100.10 |
$100.10 |
$448.80
|
|
Chromosome count additional
|
$85.80 |
$85.80 |
$85.80 |
$110.00
|
|
Chromosome karyotype study
|
$38.50 |
$38.50 |
$38.50 |
$102.72
|
|
Cilastatin sodium injection
|
$93.45 |
$93.45 |
$93.45 |
$65.86
|
|
Cisplatin 1 mg/ml desensitization
|
$105.00 |
$105.00 |
$105.00 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$232.05 |
$232.05 |
$232.05 |
$576.60
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$107.52 |
$107.52 |
$107.52 |
$81.02
|
|
Clot factor fletcher fact
|
$99.83 |
$99.83 |
$99.83 |
$88.20
|
|
Clot factor xiii fibrin scrn
|
$82.50 |
$82.50 |
$82.50 |
$47.30
|
|
Clotting assay whole blood
|
$801.12 |
$801.12 |
$801.12 |
$105.95
|
|
C motor evoked lwr limbs
|
$636.80 |
$636.80 |
$636.80 |
$621.00
|
|
C motor evoked uppr limbs
|
$636.80 |
$636.80 |
$636.80 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$1,273.61 |
$1,273.61 |
$1,273.61 |
$1,273.61
|
|
Cmv pcr-sendout
|
$75.00 |
$75.00 |
$75.00 |
$172.25
|
|
Coagulation time activated teg
|
$1,117.39 |
$1,117.39 |
$1,117.39 |
$50.05
|
|
Cold agglutinin titer
|
$960.99 |
$960.99 |
$960.99 |
$49.40
|
