|
Azacitidine injection
|
$22.27 |
$22.27 |
$22.27 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$23.62 |
$23.62 |
$23.62 |
$3.44
|
|
Azathioprine parenteral
|
$540.75 |
$540.75 |
$540.75 |
$465.00
|
|
Azithromycin 500 mg intravenous solution
|
$38.46 |
$38.46 |
$38.46 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$120.51 |
$120.51 |
$120.51 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$78.02 |
$78.02 |
$78.02 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$814.07 |
$814.07 |
$814.07 |
$1,639.90
|
|
Baclofen eval charges
|
$228.00 |
$228.00 |
$228.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$382.00 |
$382.00 |
$382.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$160.00 |
$160.00 |
$160.00 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$182.00 |
$182.00 |
$182.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$3,637.00 |
$3,637.00 |
$3,637.00 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$8,939.70 |
$8,939.70 |
$8,939.70 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$513.00 |
$513.00 |
$513.00 |
$484.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$4,479.26
|
|
Bartonella dna pcr-sendout
|
$572.00 |
$572.00 |
$572.00 |
$195.25
|
|
Basic vestibular evaluation
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$346.09
|
|
Basiliximab
|
$11,043.18 |
$11,043.18 |
$11,043.18 |
$8,127.89
|
|
B cells total count
|
$361.00 |
$361.00 |
$361.00 |
$132.48
|
|
Bcg vaccine percut
|
$1,437.88 |
$1,437.88 |
$1,437.88 |
$297.83
|
|
Belatacept 250 mg intravenous solution
|
$9.72 |
$9.72 |
$9.72 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$121.34 |
$121.34 |
$121.34 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$61.05 |
$61.05 |
$61.05 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$677.00 |
$677.00 |
$677.00 |
$264.60
|
|
#_benzodiazconfur
|
$253.00 |
$253.00 |
$253.00 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$180.42 |
$180.42 |
$180.42 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$578.00 |
$578.00 |
$578.00 |
$82.55
|
|
Beta-2 microglobulin
|
$362.00 |
$362.00 |
$362.00 |
$85.20
|
|
Beta-amyloid 1-42
|
$458.00 |
$458.00 |
$458.00 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$22.10 |
$22.10 |
$22.10 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$185.40 |
$185.40 |
$185.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$197.00 |
$197.00 |
$197.00 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$151.63 |
$151.63 |
$151.63 |
$2,617.16
|
|
Bevacizumab injection
|
$39.67 |
$39.67 |
$39.67 |
$97.76
|
|
Bfb train 1st 15min cntct 90912
|
$123.00 |
$123.00 |
$123.00 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$123.00 |
$123.00 |
$123.00 |
$101.00
|
|
Bilateral n blobk inj pudendal 64430
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$8,035.00 |
$8,035.00 |
$8,035.00 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$8,035.00 |
$8,035.00 |
$8,035.00 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$12,382.00 |
$12,382.00 |
$12,382.00 |
$10,156.40
|
|
Biliary endoscopy thru skin
|
$8,035.00 |
$8,035.00 |
$8,035.00 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$9,099.00 |
$9,099.00 |
$9,099.00 |
$5,741.00
|
|
Bilicheck
|
$52.00 |
$52.00 |
$52.00 |
$27.60
|
|
Bilirubin direct
|
$133.00 |
$133.00 |
$133.00 |
$51.35
|
|
Bilirubin total
|
$124.00 |
$124.00 |
$124.00 |
$54.60
|
|
Biopsy abdominal mass
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,722.60
|
|
Biopsy arm/elbow soft tissue
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,495.54
|
|
Biopsy, bone open deep
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,200.43
|
|
Biopsy bone trocar/needle superficial
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,268.54
|
|
Biopsy conjunctiva
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$2,732.50
|
|
Biopsy external ear 69100
|
$697.00 |
$697.00 |
$697.00 |
$416.52
|
|
Biopsy eyelid & lid margin
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$813.65
|
|
Biopsy eye muscle
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$4,440.96
|
|
Biopsy finger joint lining
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,839.54
|
|
Biopsy finger joint lining
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$2,360.09
|
|
Biopsy forearm soft tissues
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,386.84
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$6,479.00 |
$6,479.00 |
$6,479.00 |
$2,716.95
|
|
Biopsy knee joint lining
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,986.00
|
|
Biopsy lower leg soft tissue 27610
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,890.72
|
|
Biopsy of cornea
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$2,920.65
|
|
Biopsy of heart lining
|
$4,814.00 |
$4,814.00 |
$4,814.00 |
$3,724.63
|
|
Biopsy of lip 40490
|
$850.00 |
$850.00 |
$850.00 |
$384.00
|
|
Biopsy of nail unit 11755
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,005.61
|
|
Biopsy of penis 54100
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,917.33
|
|
Biopsy of prostate
|
$8,630.00 |
$8,630.00 |
$8,630.00 |
$2,419.00
|
|
Biopsy of rectum wall anal approach 45100
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,467.55
|
|
Biopsy of salivary gland 42400
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,145.90
|
|
Biopsy of salivary glnd;incisional 42405
|
$9,715.00 |
$9,715.00 |
$9,715.00 |
$3,249.48
|
|
Biopsy of tear gland
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,948.40
|
|
Biopsy of testis
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$4,281.73
|
|
Biopsy of upper nose/throat
|
$9,715.00 |
$9,715.00 |
$9,715.00 |
$3,795.00
|
|
Biopsy of urethra
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,200.00
|
|
Biopsy/removal lymph nodes
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$4,242.15
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$8,104.00 |
$8,104.00 |
$8,104.00 |
$2,115.00
|
|
Biopsy roof of mouth
|
$5,569.00 |
$5,569.00 |
$5,569.00 |
$1,913.00
|
|
Biopsy skin incisional single lesion
|
$7,856.00 |
$7,856.00 |
$7,856.00 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$2,462.35
|
|
Biopsy thigh soft tissues
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,854.40
|
|
Biopsy tongue anterior two-thirds
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$644.67
|
|
Biopsy vrt bdy open lmbr/crv
|
$21,055.00 |
$21,055.00 |
$21,055.00 |
$5,419.00
|
|
Biopsy vrt bdy open thoracic
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$4,914.00
|
|
Biospy of bladder
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$945.00
|
|
Bivalirudin
|
$9.66 |
$9.66 |
$9.66 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$1,283.00 |
$1,283.00 |
$1,283.00 |
$412.80
|
|
Bld prd mix
|
$455.00 |
$455.00 |
$455.00 |
$140.25
|
|
Bld push tfuj 2 yr/<
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$999.06
|
|
Bleomycin 15 unit solution for injection
|
$177.64 |
$177.64 |
$177.64 |
$220.56
|
|
Blepharoplasty lower 15820
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,837.09
|
|
Blepharoplasty upper 15822
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,837.09
|
