|
Apply intrcav radiat simple
|
$7,871.27 |
$7,871.27 |
$7,871.27 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$1,045.12 |
$1,045.12 |
$1,045.12 |
$593.57
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$3,651.97 |
$3,651.97 |
$3,651.97 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$645.84 |
$645.84 |
$645.84 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$617.96 |
$617.96 |
$617.96 |
$151.45
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$204.70 |
$204.70 |
$204.70 |
$100.00
|
|
Aquatic exercise - group charge
|
$580.03 |
$580.03 |
$580.03 |
$91.87
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$807.18 |
$807.18 |
$807.18 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$386.27 |
$386.27 |
$386.27 |
$496.47
|
|
Artery x-rays arm/leg 75710-26
|
$7,818.96 |
$7,818.96 |
$7,818.96 |
$3,458.54
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,601.45 |
$1,601.45 |
$1,601.45 |
$572.80
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,601.45 |
$1,601.45 |
$1,601.45 |
$471.20
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,568.77 |
$2,568.77 |
$2,568.77 |
$715.37
|
|
Aspirate pleura without imaging 32554
|
$2,054.64 |
$2,054.64 |
$2,054.64 |
$1,284.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,538.62 |
$1,538.62 |
$1,538.62 |
$1,293.12
|
|
Assay dir meas fr estradiol
|
$87.90 |
$87.90 |
$87.90 |
$75.11
|
|
Assay of salicylate
|
$999.03 |
$999.03 |
$999.03 |
$107.25
|
|
Assay of somatostatin
|
$979.74 |
$979.74 |
$979.74 |
$165.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,534.85 |
$1,534.85 |
$1,534.85 |
$312.00
|
|
Ast/sgot
|
$516.44 |
$516.44 |
$516.44 |
$46.82
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$37,445.55 |
$37,445.55 |
$37,445.55 |
$31,208.35
|
|
Atropine 0.1 mg/ml injection syringe
|
$244.50 |
$244.50 |
$244.50 |
$43.85
|
|
Automated diff wbc count
|
$346.77 |
$346.77 |
$346.77 |
$35.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$346.40
|
|
Azacitidine injection
|
$469.16 |
$469.16 |
$469.16 |
$953.61
|
|
Azithromycin 500 mg intravenous solution
|
$193.90 |
$193.90 |
$193.90 |
$54.90
|
|
Baclofen eval charges
|
$69.00 |
$69.00 |
$69.00 |
$86.14
|
|
Bacterial meningitis antigen
|
$338.37 |
$338.37 |
$338.37 |
$67.20
|
|
Bacterial vaginosis pcr
|
$2,667.10 |
$2,667.10 |
$2,667.10 |
$289.00
|
|
Bartonella dna pcr-sendout
|
$1,880.67 |
$1,880.67 |
$1,880.67 |
$196.20
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$8,933.67 |
$8,933.67 |
$8,933.67 |
$6,784.08
|
|
#_benzodiazconfur
|
$575.34 |
$575.34 |
$575.34 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$278.03 |
$278.03 |
$278.03 |
$116.84
|
|
Beta 2 glycoprotein 1 antibody iga
|
$1,364.02 |
$1,364.02 |
$1,364.02 |
$92.40
|
|
Beta-2 microglobulin
|
$779.84 |
$779.84 |
$779.84 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$292.00 |
$292.00 |
$292.00 |
$71.09
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$11,394.69 |
$11,394.69 |
$11,394.69 |
$5,187.91
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$2,019.67 |
$2,019.67 |
$2,019.67 |
$4,002.27
|
|
Bevacizumab injection
|
$1,504.76 |
$1,504.76 |
$1,504.76 |
$1,011.80
|
|
Bilateral n block inj trigeminal 64400
|
$1,601.45 |
$1,601.45 |
$1,601.45 |
$618.12
|
|
Bilirubin direct
|
$295.90 |
$295.90 |
$295.90 |
$49.31
|
|
Bilirubin total
|
$616.94 |
$616.94 |
$616.94 |
$51.50
|
|
Biopsy abdominal mass
|
$3,730.77 |
$3,730.77 |
$3,730.77 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$3,470.85 |
$3,470.85 |
$3,470.85 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$6,562.33 |
$6,562.33 |
$6,562.33 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$1,821.87
|
|
Biopsy needle liver percutaneous
|
$6,550.02 |
$6,550.02 |
$6,550.02 |
$1,961.11
|
|
Biopsy needle lymph node superficial
|
$3,651.66 |
$3,651.66 |
$3,651.66 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,932.29 |
$5,932.29 |
$5,932.29 |
$2,195.00
|
|
Bladder irrigate/lavage/instill 51700
|
$1,171.37 |
$1,171.37 |
$1,171.37 |
$422.51
|
|
Blood Clotting (PT/INR) Test
|
$363.48 |
$363.48 |
$363.48 |
$52.80
|
|
Blood Clotting (PTT) Test
|
$474.83 |
$474.83 |
$474.83 |
$76.32
|
|
Blood Count (CBC) Test
|
$416.44 |
$416.44 |
$416.44 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$785.06 |
$785.06 |
$785.06 |
$62.28
|
|
Blood Culture Test
|
$949.68 |
$949.68 |
$949.68 |
$144.65
|
|
Blood draw capillary 36416
|
$47.37 |
$47.37 |
$47.37 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$4,221.74 |
$4,221.74 |
$4,221.74 |
$225.00
|
|
Blood gases ph venous
|
$589.55 |
$589.55 |
$589.55 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$853.24 |
$853.24 |
$853.24 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$226.71 |
$226.71 |
$226.71 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$285.13 |
$285.13 |
$285.13 |
$33.80
|
|
Blood smear microscopic w manual differential wbc count
|
$367.83 |
$367.83 |
$367.83 |
$37.05
|
|
Blood typing abo
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$83.82
|
|
Blood typing ag donor ea ag
|
$3,876.19 |
$3,876.19 |
$3,876.19 |
$171.60
|
|
Blood typing rbc ag non abo/rh ea
|
$3,876.19 |
$3,876.19 |
$3,876.19 |
$181.74
|
|
Blood typing rh (d)
|
$317.12 |
$317.12 |
$317.12 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$493.50 |
$493.50 |
$493.50 |
$71.55
|
|
Bone Density Scan (DEXA)
|
$931.71 |
$931.71 |
$931.71 |
$395.00
|
|
Bone marrow interpretation
|
$9,136.14 |
$9,136.14 |
$9,136.14 |
$439.78
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$863.05 |
$863.05 |
$863.05 |
$96.85
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$746.38 |
$746.38 |
$746.38 |
$1,923.60
|
|
(both sides) smear without diff wbc count
|
$183.84 |
$183.84 |
$183.84 |
$33.57
|
|
Brachytx isodose complex
|
$4,916.24 |
$4,916.24 |
$4,916.24 |
$1,631.00
|
|
Brachytx isodose intermed
|
$4,916.24 |
$4,916.24 |
$4,916.24 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$4,916.24 |
$4,916.24 |
$4,916.24 |
$817.20
|
|
Braf gene
|
$9,400.68 |
$9,400.68 |
$9,400.68 |
$421.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$14,753.51 |
$14,753.51 |
$14,753.51 |
$2,676.04
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$11,676.27 |
$11,676.27 |
$11,676.27 |
$1,821.61
|
|
Brain MRI (with and without contrast)
|
$12,550.09 |
$12,550.09 |
$12,550.09 |
$2,919.80
|
|
Brain MRI (with contrast)
|
$9,101.83 |
$9,101.83 |
$9,101.83 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$11,676.27 |
$11,676.27 |
$11,676.27 |
$1,973.40
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$15,943.74 |
$15,943.74 |
$15,943.74 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$834.40
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$160.82 |
$160.82 |
$160.82 |
$37.47
|
|
Bundled special stain group 1 microorganisms
|
$721.33 |
$721.33 |
$721.33 |
$164.89
|
|
Bundled special stain group 2
|
$975.68 |
$975.68 |
$975.68 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$505.99 |
$505.99 |
$505.99 |
$33.89
|
|
Buprenorph X-ray 100 mg or less
|
$20,729.62 |
$20,729.62 |
$20,729.62 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$148.94 |
$148.94 |
$148.94 |
$42.76
|
|
Bx bone trocar/ndl deep
|
$2,841.85 |
$2,841.85 |
$2,841.85 |
$2,264.77
|
|
Bx breast 1st lesion strtctc
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$3,735.03
|
|
Bx breast add lesion Ultrasound imag
|
$1,949.68 |
$1,949.68 |
$1,949.68 |
$1,708.85
|
|
Bx thyroid/percutan core needle 60100
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$1,037.37
|
|
Bypass temp external fem-fem
|
$7,445.51 |
$7,445.51 |
$7,445.51 |
$2,218.50
|
|
C1 esterase inhibitor func - sendout
|
$1,216.56 |
$1,216.56 |
$1,216.56 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$13,106.88 |
$13,106.88 |
$13,106.88 |
$18,884.63
|
|
Cad breast MRI w/r&i
|
$572.16 |
$572.16 |
$572.16 |
$99.41
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$5,999.25 |
$5,999.25 |
$5,999.25 |
$2,802.31
|
|
Calcium 24 hour urine
|
$452.31 |
$452.31 |
$452.31 |
$52.00
|
