|
Assay of salicylate
|
$40.00 |
$40.00 |
$40.00 |
$104.00
|
|
Assay of somatostatin
|
$40.00 |
$40.00 |
$40.00 |
$165.75
|
|
Assay of urine sulfate
|
$22.50 |
$22.50 |
$22.50 |
$31.35
|
|
Assay toxin or antitoxin
|
$31.25 |
$31.25 |
$31.25 |
$77.55
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$125.00 |
$125.00 |
$125.00 |
$312.00
|
|
Assess cyst contrast inject
|
$198.75 |
$198.75 |
$198.75 |
$456.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$20.00 |
$20.00 |
$20.00 |
$47.25
|
|
Ast/sgot
|
$22.50 |
$22.50 |
$22.50 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$695.63 |
$695.63 |
$695.63 |
$31,198.64
|
|
Athrectomy fem/pop/unilateral 37225
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$19,875.58
|
|
Atropine 0.1 mg/ml injection syringe
|
$36.12 |
$36.12 |
$36.12 |
$43.85
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$3,500.00 |
$3,500.00 |
$3,500.00 |
$11,040.83
|
|
Avelumab 20 mg/ml intravenous solution
|
$329.76 |
$329.76 |
$329.76 |
$710.46
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$105.00 |
$105.00 |
$105.00 |
$356.00
|
|
Axicabtagene ciloleucel car+
|
$281,822.80 |
$281,822.80 |
$281,822.80 |
$533,076.48
|
|
Azacitidine injection
|
$782.75 |
$782.75 |
$782.75 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$1.15 |
$1.15 |
$1.15 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$33.56 |
$33.56 |
$33.56 |
$55.63
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$4,328.88 |
$4,328.88 |
$4,328.88 |
$1,320.00
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$77.81 |
$77.81 |
$77.81 |
$184.00
|
|
Baclofen eval charges
|
$32.50 |
$32.50 |
$32.50 |
$85.00
|
|
Bacterial meningitis antigen
|
$26.50 |
$26.50 |
$26.50 |
$66.76
|
|
#bac vag cand-c. albicans naa
|
$37.50 |
$37.50 |
$37.50 |
$109.20
|
|
Balloon dilate urtrl strix
|
$750.00 |
$750.00 |
$750.00 |
$2,044.97
|
|
Barrier film 1.0ml wipe
|
$12.00 |
$12.00 |
$12.00 |
$12.00
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.94 |
$0.94 |
$0.94 |
$2.40
|
|
Bartonella dna pcr-sendout
|
$37.50 |
$37.50 |
$37.50 |
$196.20
|
|
Basiliximab
|
$2,393.82 |
$2,393.82 |
$2,393.82 |
$5,358.99
|
|
Bausch health Ultrasound surg
|
$310.00 |
$310.00 |
$310.00 |
$2,054.61
|
|
B cells total count
|
$40.00 |
$40.00 |
$40.00 |
$128.13
|
|
Bcg live 50 mg intravesical suspension
|
$267.69 |
$267.69 |
$267.69 |
$517.26
|
|
Belatacept 250 mg intravenous solution
|
$702.99 |
$702.99 |
$702.99 |
$2,843.40
|
|
Belimumab 120 mg intravenous solution
|
$1,589.42 |
$1,589.42 |
$1,589.42 |
$5,274.97
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,513.33 |
$2,513.33 |
$2,513.33 |
$3,452.53
|
|
Benign lesion paring 2-4
|
$137.50 |
$137.50 |
$137.50 |
$280.20
|
|
#_benzodiazconfur
|
$25.00 |
$25.00 |
$25.00 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$33.88 |
$33.88 |
$33.88 |
$116.84
|
|
Beta 2 glycoprotein 1 antibody iga
|
$43.75 |
$43.75 |
$43.75 |
$92.82
|
|
Beta-2 microglobulin
|
$40.00 |
$40.00 |
$40.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$39.50 |
$39.50 |
$39.50 |
$70.37
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$339.19 |
$339.19 |
$339.19 |
$5,250.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$266.86 |
$266.86 |
$266.86 |
$4,868.42
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$215.39 |
$215.39 |
$215.39 |
$4,620.63
|
|
Bevacizumab injection
|
$1,796.94 |
$1,796.94 |
$1,796.94 |
$697.32
|
|
B-hexosaminidase ea assay
|
$26.25 |
$26.25 |
$26.25 |
$104.25
|
|
Bilateral n blobk inj pudendal 64430
|
$446.25 |
$446.25 |
$446.25 |
$1,584.16
|
|
Bilateral n block inj occipital 64405
|
$200.00 |
$200.00 |
$200.00 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$200.00 |
$200.00 |
$200.00 |
$667.26
|
|
Bilicheck
|
$22.50 |
$22.50 |
$22.50 |
$22.75
|
|
Bilirubin direct
|
$25.00 |
$25.00 |
$25.00 |
$49.31
|
|
Bilirubin total
|
$25.00 |
$25.00 |
$25.00 |
$51.50
|
|
Biopsy abdominal mass
|
$600.00 |
$600.00 |
$600.00 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$800.00 |
$800.00 |
$800.00 |
$1,760.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$3,211.00
|
|
Biopsy muscle percutaneous needle
|
$800.00 |
$800.00 |
$800.00 |
$1,877.40
|
|
Biopsy needle liver percutaneous
|
$600.00 |
$600.00 |
$600.00 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$600.00 |
$600.00 |
$600.00 |
$1,879.09
|
|
Biopsy of salivary gland 42400
|
$557.50 |
$557.50 |
$557.50 |
$1,152.50
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$600.00 |
$600.00 |
$600.00 |
$2,211.08
|
|
Biopsy skin incisional single lesion
|
$325.00 |
$325.00 |
$325.00 |
$724.37
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$600.00 |
$600.00 |
$600.00 |
$2,310.84
|
|
Biotinidase - quest
|
$40.00 |
$40.00 |
$40.00 |
$73.50
|
|
Bivalirudin
|
$168.84 |
$168.84 |
$168.84 |
$923.93
|
|
Bladder irrigate/lavage/instill 51700
|
$131.25 |
$131.25 |
$131.25 |
$440.70
|
|
Bld prd mix
|
$30.75 |
$30.75 |
$30.75 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$276.68 |
$276.68 |
$276.68 |
$255.96
|
|
Blinatumomab 35 mcg intravenous solution
|
$3,619.41 |
$3,619.41 |
$3,619.41 |
$13,356.14
|
|
Block tap inj(s) w/wo img bi
|
$400.00 |
$400.00 |
$400.00 |
$1,413.50
|
|
Block tap inj(s) w/wo img uni
|
$200.00 |
$200.00 |
$200.00 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$20.00 |
$20.00 |
$20.00 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$31.25 |
$31.25 |
$31.25 |
$73.15
|
|
Blood Count (CBC) Test
|
$33.25 |
$33.25 |
$33.25 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$26.25 |
$26.25 |
$26.25 |
$62.15
|
|
Blood Culture Test
|
$65.00 |
$65.00 |
$65.00 |
$145.60
|
|
Blood draw capillary 36416
|
$10.00 |
$10.00 |
$10.00 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$73.75 |
$73.75 |
$73.75 |
$226.50
|
|
Blood gases ph venous
|
$35.00 |
$35.00 |
$35.00 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$20.00 |
$20.00 |
$20.00 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$10.75 |
$10.75 |
$10.75 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.00 |
$10.00 |
$10.00 |
$33.85
|
|
Blood smear interpretation
|
$31.25 |
$31.25 |
$31.25 |
$79.20
|
|
Blood smear microscopic w manual differential wbc count
|
$20.00 |
$20.00 |
$20.00 |
$37.05
|
|
Blood split unit
|
$62.50 |
$62.50 |
$62.50 |
$226.31
|
|
Blood typing abo
|
$35.00 |
$35.00 |
$35.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$28.75 |
$28.75 |
$28.75 |
$166.80
|
|
Blood typing patient serum
|
$22.25 |
$22.25 |
$22.25 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$62.50 |
$62.50 |
$62.50 |
$181.74
|
|
Blood typing rh (d)
|
$27.50 |
$27.50 |
$27.50 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$27.50 |
$27.50 |
$27.50 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$175.00 |
$175.00 |
$175.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$433.75 |
$433.75 |
$433.75 |
$1,151.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,881.00
|
|
Bone marrow interpretation
|
$250.00 |
$250.00 |
$250.00 |
$436.00
|
|
Bone survey-lead poisoning
|
$87.50 |
$87.50 |
$87.50 |
$370.18
|
|
Boot softgait shrt m
|
$89.33 |
$89.33 |
$89.33 |
$136.99
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$40.00 |
$40.00 |
$40.00 |
$96.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,129.58 |
$2,129.58 |
$2,129.58 |
$2,105.38
|
