|
Avelumab 20 mg/ml intravenous solution
|
$5,025.64 |
$5,025.64 |
$5,025.64 |
$3,721.71
|
|
Avul nail plate addl
|
$286.00 |
$286.00 |
$286.00 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$726.00 |
$726.00 |
$726.00 |
$326.27
|
|
Azacitidine injection
|
$1,908.45 |
$1,908.45 |
$1,908.45 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$1.15 |
$1.15 |
$1.15 |
$3.44
|
|
Azathioprine parenteral
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$465.00
|
|
Azithromycin 500 mg intravenous solution
|
$69.30 |
$69.30 |
$69.30 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$122.06 |
$122.06 |
$122.06 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$271.84 |
$271.84 |
$271.84 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,659.36 |
$2,659.36 |
$2,659.36 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$138.47 |
$138.47 |
$138.47 |
$158.07
|
|
Bacterial meningitis antigen
|
$53.00 |
$53.00 |
$53.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$323.00 |
$323.00 |
$323.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$161.00 |
$161.00 |
$161.00 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$180.00 |
$180.00 |
$180.00 |
$102.20
|
|
Bard marquee Ultrasound biopsy device
|
$1,559.42 |
$1,559.42 |
$1,559.42 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$938.00 |
$938.00 |
$938.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$938.00 |
$938.00 |
$938.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$938.00 |
$938.00 |
$938.00 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$161.00 |
$161.00 |
$161.00 |
$195.25
|
|
Basiliximab
|
$11,160.84 |
$11,160.84 |
$11,160.84 |
$8,127.89
|
|
B cells total count
|
$174.00 |
$174.00 |
$174.00 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$742.00 |
$742.00 |
$742.00 |
$404.04
|
|
Bckdhb gene
|
$437.00 |
$437.00 |
$437.00 |
$190.40
|
|
Belatacept 250 mg intravenous solution
|
$2,327.72 |
$2,327.72 |
$2,327.72 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$7,577.55 |
$7,577.55 |
$7,577.55 |
$4,047.32
|
|
Bendamustine 100 mg intravenous powder for solution
|
$5,932.80 |
$5,932.80 |
$5,932.80 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$5,937.12 |
$5,937.12 |
$5,937.12 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$535.00 |
$535.00 |
$535.00 |
$264.60
|
|
Benign lesion paring 4+
|
$448.00 |
$448.00 |
$448.00 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$262.50 |
$262.50 |
$262.50 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$117.00 |
$117.00 |
$117.00 |
$82.55
|
|
Beta-2 microglobulin
|
$75.00 |
$75.00 |
$75.00 |
$85.20
|
|
Beta-amyloid 1-40
|
$34.00 |
$34.00 |
$34.00 |
$312.00
|
|
Beta-amyloid 1-42
|
$34.00 |
$34.00 |
$34.00 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$231.14 |
$231.14 |
$231.14 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$11,820.21 |
$11,820.21 |
$11,820.21 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$10,348.63 |
$10,348.63 |
$10,348.63 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,888.64 |
$5,888.64 |
$5,888.64 |
$2,617.16
|
|
Bevacizumab injection
|
$219.91 |
$219.91 |
$219.91 |
$97.76
|
|
Bilateral n block inj trigeminal 64400
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$587.60
|
|
Bilicheck
|
$23.00 |
$23.00 |
$23.00 |
$27.60
|
|
Bilirubin direct
|
$23.00 |
$23.00 |
$23.00 |
$51.35
|
|
Bilirubin total
|
$25.00 |
$25.00 |
$25.00 |
$54.60
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$10,379.00 |
$10,379.00 |
$10,379.00 |
$2,716.95
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$661.80
|
|
Biotinidase - quest
|
$78.00 |
$78.00 |
$78.00 |
$64.40
|
|
Biovance 1 square cm
|
$6,414.93 |
$6,414.93 |
$6,414.93 |
$6,008.70
|
|
Bivalirudin
|
$3,514.16 |
$3,514.16 |
$3,514.16 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$466.00 |
$466.00 |
$466.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$412.80
|
|
Bleomycin 15 unit solution for injection
|
$445.62 |
$445.62 |
$445.62 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$13,336.24 |
$13,336.24 |
$13,336.24 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$19,364.00 |
$19,364.00 |
$19,364.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,906.52 |
$6,906.52 |
$6,906.52 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$8,446.00 |
$8,446.00 |
$8,446.00 |
$4,951.39
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$2,294.32 |
$2,294.32 |
$2,294.32 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$20.00 |
$20.00 |
$20.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$28.00 |
$28.00 |
$28.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$36.00 |
$36.00 |
$36.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$30.00 |
$30.00 |
$30.00 |
$62.28
|
|
Blood Culture Test
|
$47.00 |
$47.00 |
$47.00 |
$146.16
|
|
Blood draw capillary 36416
|
$10.00 |
$10.00 |
$10.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$14.00 |
$14.00 |
$14.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$362.00 |
$362.00 |
$362.00 |
$226.50
|
|
Blood gases ph venous
|
$51.00 |
$51.00 |
$51.00 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$20.00 |
$20.00 |
$20.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$21.00 |
$21.00 |
$21.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.00 |
$24.00 |
$24.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$17.00 |
$17.00 |
$17.00 |
$38.35
|
|
Blood Transfusion
|
$4,394.00 |
$4,394.00 |
$4,394.00 |
$989.60
|
|
Blood typing abo
|
$423.00 |
$423.00 |
$423.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$207.60
|
|
Blood typing patient serum
|
$186.00 |
$186.00 |
$186.00 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$211.90
|
|
Blood typing rh (d)
|
$136.00 |
$136.00 |
$136.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$152.00 |
$152.00 |
$152.00 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$566.00 |
$566.00 |
$566.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$542.00 |
$542.00 |
$542.00 |
$407.94
|
|
Bone imaging multiple areas
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$6,142.00 |
$6,142.00 |
$6,142.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$566.00 |
$566.00 |
$566.00 |
$387.00
|
|
Boot mlti podous univ xlg
|
$257.42 |
$257.42 |
$257.42 |
$253.86
|
|
Borrelia antibody
|
$62.00 |
$62.00 |
$62.00 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$85.00 |
$85.00 |
$85.00 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$161.00 |
$161.00 |
$161.00 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$3,847.20 |
$3,847.20 |
$3,847.20 |
$2,915.40
|
|
Bowel imaging
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$246.00 |
$246.00 |
$246.00 |
$105.30
|
|
Brachy source palladium
|
$123.60 |
$123.60 |
$123.60 |
$173.70
|
|
Braf gene
|
$807.00 |
$807.00 |
$807.00 |
$450.90
|
|
Brain image w/flow < 4 views
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$919.45
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,948.00 |
$1,948.00 |
$1,948.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,854.80
|
