|
Blood occult feces colorectal neoplasm screening qualitative
|
$36.00 |
$36.00 |
$36.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$16.62 |
$16.62 |
$16.62 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$31.00 |
$31.00 |
$31.00 |
$38.61
|
|
Blood typing abo
|
$57.00 |
$57.00 |
$57.00 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$140.50 |
$140.50 |
$140.50 |
$199.50
|
|
Blood typing rh (d)
|
$34.75 |
$34.75 |
$34.75 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$41.50 |
$41.50 |
$41.50 |
$82.80
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$11,578.75 |
$11,578.75 |
$11,578.75 |
$11,579.00
|
|
Bone Density Scan (DEXA)
|
$159.38 |
$159.38 |
$159.38 |
$397.28
|
|
Bone filler cerament 10cc
|
$19,600.00 |
$19,600.00 |
$19,600.00 |
$15,161.03
|
|
Bone/joint imaging ltd area
|
$563.38 |
$563.38 |
$563.38 |
$1,013.50
|
|
Boot j walker l
|
$563.22 |
$563.22 |
$563.22 |
$231.75
|
|
Boot mlti podous univ xlg
|
$235.50 |
$235.50 |
$235.50 |
$235.98
|
|
Boot walker genesis full shell 3-strap s
|
$219.37 |
$219.37 |
$219.37 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$114.25 |
$114.25 |
$114.25 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,875.87 |
$2,875.87 |
$2,875.87 |
$2,825.96
|
|
Brace afo lg left 6607
|
$357.18 |
$357.18 |
$357.18 |
$461.76
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$385.94 |
$385.94 |
$385.94 |
$386.00
|
|
Brace knee support neoprene padded open patella med
|
$358.08 |
$358.08 |
$358.08 |
$215.70
|
|
Brace ortho exos 28-50in sm
|
$4,116.13 |
$4,116.13 |
$4,116.13 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,394.49 |
$3,394.49 |
$3,394.49 |
$1,702.94
|
|
Brachy source yttrium-90
|
$27,545.00 |
$27,545.00 |
$27,545.00 |
$29,856.80
|
|
Brachy src nonstrand hdr ir-192
|
$2,600.50 |
$2,600.50 |
$2,600.50 |
$475.73
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$732.50 |
$732.50 |
$732.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$772.00 |
$772.00 |
$772.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$702.50 |
$702.50 |
$702.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$665.00 |
$665.00 |
$665.00 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,079.12 |
$1,079.12 |
$1,079.12 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$905.88 |
$905.88 |
$905.88 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$29,381.00 |
$29,381.00 |
$29,381.00 |
$22,383.57
|
|
Bronchial challenge
|
$171.00 |
$171.00 |
$171.00 |
$777.60
|
|
Br punct aspir ea add, l
|
$376.50 |
$376.50 |
$376.50 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$44.68 |
$44.68 |
$44.68 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$109.62 |
$109.62 |
$109.62 |
$160.80
|
|
Bundled special stain group 2
|
$85.12 |
$85.12 |
$85.12 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$486.60 |
$486.60 |
$486.60 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.32 |
$3.32 |
$3.32 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$4.02 |
$4.02 |
$4.02 |
$14.27
|
|
Buprenorphine oral 1mg
|
$3.64 |
$3.64 |
$3.64 |
$10.50
|
|
Bur rotalink 2.15mm
|
$10,015.25 |
$10,015.25 |
$10,015.25 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$57.12 |
$57.12 |
$57.12 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$1,445.75 |
$1,445.75 |
$1,445.75 |
$3,601.35
|
|
Bx breast add lesion Ultrasound imag
|
$799.75 |
$799.75 |
$799.75 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$1,588.50
|
|
Bx skin punch ea sep/ addl les
|
$30.10 |
$30.10 |
$30.10 |
$227.13
|
|
Bx thyroid/percutan core needle 60100
|
$1,052.12 |
$1,052.12 |
$1,052.12 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$66.15 |
$66.15 |
$66.15 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$46.02 |
$46.02 |
$46.02 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$27.82 |
$27.82 |
$27.82 |
$465.09
|
|
C-1 esterase, berinert
|
$8,718.28 |
$8,718.28 |
$8,718.28 |
$7,466.16
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$35,392.40 |
$35,392.40 |
$35,392.40 |
$27,723.08
|
|
Cabergoline, oral 0.25mg
|
$41.95 |
$41.95 |
$41.95 |
$65.85
|
|
Cable cath 22-pin diag
|
$7,670.00 |
$7,670.00 |
$7,670.00 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$16,582.14 |
$16,582.14 |
$16,582.14 |
$12,338.18
|
|
Caffeine citrate 20 mg/ml inj for po
|
$46.64 |
$46.64 |
$46.64 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$64,488.50 |
$64,488.50 |
$64,488.50 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,659.82 |
$2,659.82 |
$2,659.82 |
$2,111.64
|
|
Calcium 24 hour urine
|
$40.50 |
$40.50 |
$40.50 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$416.26 |
$416.26 |
$416.26 |
$64.49
|
|
Calcium ionized
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Calcium total
|
$23.50 |
$23.50 |
$23.50 |
$50.00
|
|
Calprotectin fecal
|
$32.88 |
$32.88 |
$32.88 |
$169.95
|
|
Canakinumab injection
|
$27,305.91 |
$27,305.91 |
$27,305.91 |
$35,959.82
|
|
Candida dna
|
$40.00 |
$40.00 |
$40.00 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$112,500.00 |
$112,500.00 |
$112,500.00 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$14,747.05 |
$14,747.05 |
$14,747.05 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$119.12 |
$119.12 |
$119.12 |
$120.25
|
|
Carbon dioxide
|
$32.75 |
$32.75 |
$32.75 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$158.75 |
$158.75 |
$158.75 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$80.38 |
$80.38 |
$80.38 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$105.38 |
$105.38 |
$105.38 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$126.62 |
$126.62 |
$126.62 |
$244.00
|
|
Cardiolipin antibody iga
|
$92.00 |
$92.00 |
$92.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,283.50 |
$1,283.50 |
$1,283.50 |
$1,396.00
|
|
Carfilzomib 10 mg intravenous solution
|
$8,213.95 |
$8,213.95 |
$8,213.95 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,913.55 |
$1,913.55 |
$1,913.55 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$719.12 |
$719.12 |
$719.12 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$133.75 |
$133.75 |
$133.75 |
$111.28
|
|
Caspofungin acetate
|
$187.30 |
$187.30 |
$187.30 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$830.58 |
$830.58 |
$830.58 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$13,806.00 |
$13,806.00 |
$13,806.00 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$1,535.50 |
$1,535.50 |
$1,535.50 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$11,195.25 |
$11,195.25 |
$11,195.25 |
$6,463.80
|
|
Cath acuity innr ic130 6f 63cm
|
$9,425.25 |
$9,425.25 |
$9,425.25 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$11,472.55 |
$11,472.55 |
$11,472.55 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$31,800.00 |
$31,800.00 |
$31,800.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$12,139.25 |
$12,139.25 |
$12,139.25 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$18,029.20 |
$18,029.20 |
$18,029.20 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$4,012.78
|
|
Cath cv dl inj 7fx16cm
|
$3,745.18 |
$3,745.18 |
$3,745.18 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$4,784.00 |
$4,784.00 |
$4,784.00 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$57.75 |
$57.75 |
$57.75 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,461.50 |
$1,461.50 |
$1,461.50 |
$1,653.00
|
|
Cath hawkone s directional
|
$9,130.25 |
$9,130.25 |
$9,130.25 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,992.00 |
$2,992.00 |
$2,992.00 |
$4,160.00
|
