|
Biopsy bone trocar/needle superficial
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$1,608.00
|
|
Biopsy muscle percutaneous needle
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$1,798.20
|
|
Biopsy needle liver percutaneous
|
$1,930.80 |
$1,930.80 |
$1,930.80 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$1,793.38
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
$2,175.51
|
|
Biotinidase - quest
|
$214.20 |
$214.20 |
$214.20 |
$88.00
|
|
Bivalirudin
|
$923.93 |
$923.93 |
$923.93 |
$634.79
|
|
Bladder irrigate/lavage/instill 51700
|
$343.20 |
$343.20 |
$343.20 |
$420.80
|
|
Bld prd mix
|
$155.40 |
$155.40 |
$155.40 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$465.62 |
$465.62 |
$465.62 |
$176.86
|
|
Blinatumomab 35 mcg intravenous solution
|
$235.53 |
$235.53 |
$235.53 |
$211.38
|
|
Blood Clotting (PT/INR) Test
|
$111.60 |
$111.60 |
$111.60 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$147.00 |
$147.00 |
$147.00 |
$67.35
|
|
Blood Count (CBC) Test
|
$170.40 |
$170.40 |
$170.40 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$128.40 |
$128.40 |
$128.40 |
$52.43
|
|
Blood count spun microhematocrit
|
$48.60 |
$48.60 |
$48.60 |
$20.40
|
|
Blood Culture Test
|
$287.40 |
$287.40 |
$287.40 |
$112.20
|
|
Blood draw capillary 36416
|
$47.40 |
$47.40 |
$47.40 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$213.60 |
$213.60 |
$213.60 |
$210.35
|
|
Blood gases ph venous
|
$135.00 |
$135.00 |
$135.00 |
$54.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$61.20 |
$61.20 |
$61.20 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$81.00 |
$81.00 |
$81.00 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$67.80 |
$67.80 |
$67.80 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$97.20 |
$97.20 |
$97.20 |
$34.40
|
|
Blood split unit
|
$378.60 |
$378.60 |
$378.60 |
$247.80
|
|
Blood typing abo
|
$71.40 |
$71.40 |
$71.40 |
$71.40
|
|
Blood typing ag donor ea ag
|
$105.00 |
$105.00 |
$105.00 |
$134.40
|
|
Blood typing rbc ag non abo/rh ea
|
$130.20 |
$130.20 |
$130.20 |
$156.21
|
|
Blood typing rh (d)
|
$75.60 |
$75.60 |
$75.60 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$367.20 |
$367.20 |
$367.20 |
$70.20
|
|
Bone Density Scan (DEXA)
|
$290.40 |
$290.40 |
$290.40 |
$381.19
|
|
Bone/joint imaging ltd area
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$935.00
|
|
Bone marrow;aspiration only 38220
|
$634.20 |
$634.20 |
$634.20 |
$1,616.80
|
|
Bone marrow biopsyneedle/trocar 38221
|
$792.00 |
$792.00 |
$792.00 |
$1,497.75
|
|
Bone marrow imaging body
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$973.73
|
|
Bone marrow imaging ltd
|
$859.20 |
$859.20 |
$859.20 |
$702.26
|
|
Bone marrow imaging mult
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$759.27
|
|
Bone marrow interpretation
|
$309.00 |
$309.00 |
$309.00 |
$542.03
|
|
Bone survey-lead poisoning
|
$501.00 |
$501.00 |
$501.00 |
$343.33
|
|
Boot softgait shrt m
|
$100.80 |
$100.80 |
$100.80 |
$113.72
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$216.00 |
$216.00 |
$216.00 |
$105.90
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$107.97 |
$107.97 |
$107.97 |
$103.66
|
|
Bowel imaging
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$1,077.60
|
|
Brace afo lg left 6607
|
$57.00 |
$57.00 |
$57.00 |
$70.65
|
|
Braf gene
|
$303.60 |
$303.60 |
$303.60 |
$421.20
|
|
Brain flow imaging only
|
$2,376.60 |
$2,376.60 |
$2,376.60 |
$559.44
|
|
Brain image w/flow < 4 views
|
$907.20 |
$907.20 |
$907.20 |
$828.39
|
|
Brain image w/flow 4 + views
|
$2,673.00 |
$2,673.00 |
$2,673.00 |
$1,186.77
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$582.00 |
$582.00 |
$582.00 |
$1,765.28
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,825.40 |
$2,825.40 |
$2,825.40 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$832.00
|
|
Breath tst attain/anal c-14
|
$429.00 |
$429.00 |
$429.00 |
$57.55
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$361.98 |
$361.98 |
$361.98 |
$258.52
|
|
Br punct aspir ea add, l
|
$515.40 |
$515.40 |
$515.40 |
$423.60
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$78.22 |
$78.22 |
$78.22 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$237.60 |
$237.60 |
$237.60 |
$161.46
|
|
Bundled special stain group 2
|
$220.80 |
$220.80 |
$220.80 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$647.53 |
$647.53 |
$647.53 |
$15.11
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$11.72 |
$11.72 |
$11.72 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.17 |
$12.17 |
$12.17 |
$12.17
|
|
Buprenorphine hydrochloride
|
$43.94 |
$43.94 |
$43.94 |
$14.40
|
|
Buprenorphine oral 1mg
|
$11.24 |
$11.24 |
$11.24 |
$11.24
|
|
Busulfan injection
|
$2,905.77 |
$2,905.77 |
$2,905.77 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$43.70 |
$43.70 |
$43.70 |
$42.76
|
|
Bx bone trocar/ndl deep
|
$3,042.00 |
$3,042.00 |
$3,042.00 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$4,713.60 |
$4,713.60 |
$4,713.60 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$4,735.80 |
$4,735.80 |
$4,735.80 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$4,713.60 |
$4,713.60 |
$4,713.60 |
$1,626.95
|
|
Bx breast add lesion strtctc
|
$4,735.80 |
$4,735.80 |
$4,735.80 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$2,825.40 |
$2,825.40 |
$2,825.40 |
$1,944.10
|
|
Bx pancreas pq ndl
|
$2,295.60 |
$2,295.60 |
$2,295.60 |
$1,767.94
|
|
Bx pleura pq ndl
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,764.77
|
|
Bx thyroid/percutan core needle 60100
|
$957.60 |
$957.60 |
$957.60 |
$995.00
|
|
C-1 esterase, berinert
|
$5,314.37 |
$5,314.37 |
$5,314.37 |
$5,314.37
|
|
C1 esterase inhibitor func - sendout
|
$276.00 |
$276.00 |
$276.00 |
$123.49
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$355.02 |
$355.02 |
$355.02 |
$355.02
|
|
Cadd pump refill
|
$741.60 |
$741.60 |
$741.60 |
$378.45
|
|
Caffeine citrate 20 mg/ml inj for po
|
$49.75 |
$49.75 |
$49.75 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,345.79 |
$4,345.79 |
$4,345.79 |
$4,148.53
|
|
Calcium 24 hour urine
|
$14.40 |
$14.40 |
$14.40 |
$51.63
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$127.36 |
$127.36 |
$127.36 |
$50.14
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$91.04 |
$91.04 |
$91.04 |
$62.87
|
|
Calcium ionized
|
$246.60 |
$246.60 |
$246.60 |
$80.80
|
|
Calcium total
|
$88.80 |
$88.80 |
$88.80 |
$43.20
|
|
Caloric vstblr test w/rec
|
$103.20 |
$103.20 |
$103.20 |
$296.91
|
|
Calprotectin fecal
|
$358.80 |
$358.80 |
$358.80 |
$170.00
|
|
Candida dna
|
$84.60 |
$84.60 |
$84.60 |
$66.05
|
|
Capecitabine, oral, 50 mg
|
$41.33 |
$41.33 |
$41.33 |
$37.64
|
|
Carbamazepine total therapeutic drug level
|
$320.40 |
$320.40 |
$320.40 |
$108.81
|
|
Carbon dioxide
|
$89.40 |
$89.40 |
$89.40 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$253.20 |
$253.20 |
$253.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$390.60 |
$390.60 |
$390.60 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,084.60 |
$3,084.60 |
$3,084.60 |
$2,538.00
|
|
Cardiolipin antibody iga
|
$382.20 |
$382.20 |
$382.20 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$1,461.75
|
