|
Antinuclear antibodies
|
$105.95 |
$105.95 |
$105.95 |
$90.00
|
|
Antinuclear antibodies titer
|
$85.80 |
$85.80 |
$85.80 |
$80.04
|
|
Antipsychotics nos 1-3
|
$183.30 |
$183.30 |
$183.30 |
$136.61
|
|
Antistreptolysin o screen
|
$48.75 |
$48.75 |
$48.75 |
$58.56
|
|
Antithrombin iii activity
|
$135.20 |
$135.20 |
$135.20 |
$115.15
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,664.50 |
$14,664.50 |
$14,664.50 |
$8,214.07
|
|
Aortic Aneurysm Screening Ultrasound
|
$393.90 |
$393.90 |
$393.90 |
$394.55
|
|
Application multi layer compression below knee (both sides)
|
$612.30 |
$612.30 |
$612.30 |
$375.06
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$310.00 |
$310.00 |
$310.00 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,783.02 |
$2,783.02 |
$2,783.02 |
$981.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,185.25 |
$1,185.25 |
$1,185.25 |
$955.43
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$129.35 |
$129.35 |
$129.35 |
$100.75
|
|
Arm CT Scan (with contrast, both arms)
|
$2,163.85 |
$2,163.85 |
$2,163.85 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$514.15 |
$514.15 |
$514.15 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,478.30 |
$2,478.30 |
$2,478.30 |
$1,303.25
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$910.79
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$18,623.27 |
$18,623.27 |
$18,623.27 |
$4,627.00
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$2,878.00 |
$2,878.00 |
$2,878.00 |
$4,670.40
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$21,931.44 |
$21,931.44 |
$21,931.44 |
$4,499.12
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$27,866.36 |
$27,866.36 |
$27,866.36 |
$5,241.60
|
|
Ascenda two piece catheter
|
$15,324.40 |
$15,324.40 |
$15,324.40 |
$22,792.00
|
|
Aspirate pleura without imaging 32554
|
$1,748.50 |
$1,748.50 |
$1,748.50 |
$1,195.15
|
|
Assay of prostaglandin
|
$162.50 |
$162.50 |
$162.50 |
$230.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$276.90 |
$276.90 |
$276.90 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$43.55 |
$43.55 |
$43.55 |
$46.80
|
|
Ast/sgot
|
$526.00 |
$526.00 |
$526.00 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$35,811.20 |
$35,811.20 |
$35,811.20 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$46.00 |
$46.00 |
$46.00 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$4,652.05 |
$4,652.05 |
$4,652.05 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,925.40 |
$5,925.40 |
$5,925.40 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$11,850.80 |
$11,850.80 |
$11,850.80 |
$10,415.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,470.55 |
$6,470.55 |
$6,470.55 |
$3,721.71
|
|
Azacitidine injection
|
$207.00 |
$207.00 |
$207.00 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$66.00 |
$66.00 |
$66.00 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$23.50 |
$23.50 |
$23.50 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$225.40 |
$225.40 |
$225.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,156.90 |
$3,156.90 |
$3,156.90 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$164.85 |
$164.85 |
$164.85 |
$158.07
|
|
Baclofen eval charges
|
$154.70 |
$154.70 |
$154.70 |
$87.50
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$63.46 |
$63.46 |
$63.46 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$3,519.00 |
$3,519.00 |
$3,519.00 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$648.70 |
$648.70 |
$648.70 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$460.85 |
$460.85 |
$460.85 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$338.00 |
$338.00 |
$338.00 |
$484.80
|
|
Barrier film 1.0ml wipe
|
$0.23 |
$0.23 |
$0.23 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$19.11 |
$19.11 |
$19.11 |
$19.50
|
|
Barrier skin flat ctf 2.75in
|
$0.44 |
$0.44 |
$0.44 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.26 |
$0.26 |
$0.26 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$1.10 |
$1.10 |
$1.10 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$47.64 |
$47.64 |
$47.64 |
$8.45
|
|
Bausch health Ultrasound surg
|
$744.25 |
$744.25 |
$744.25 |
$768.50
|
|
B cells total count
|
$131.30 |
$131.30 |
$131.30 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$864.15 |
$864.15 |
$864.15 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$4,849.40 |
$4,849.40 |
$4,849.40 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$11,005.85 |
$11,005.85 |
$11,005.85 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$0.49 |
$0.49 |
$0.49 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$14,338.95 |
$14,338.95 |
$14,338.95 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$11,945.90 |
$11,945.90 |
$11,945.90 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$8,355.30 |
$8,355.30 |
$8,355.30 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$19,642.40 |
$19,642.40 |
$19,642.40 |
$9,029.40
|
|
#_benzodiazconfur
|
$99.45 |
$99.45 |
$99.45 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$108.55 |
$108.55 |
$108.55 |
$82.55
|
|
Beta-2 microglobulin
|
$96.20 |
$96.20 |
$96.20 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$175.75 |
$175.75 |
$175.75 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$2,390.85 |
$2,390.85 |
$2,390.85 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,925.35 |
$1,925.35 |
$1,925.35 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$6,770.50 |
$6,770.50 |
$6,770.50 |
$2,617.16
|
|
Bilateral n block inj occipital 64405
|
$1,364.35 |
$1,364.35 |
$1,364.35 |
$820.97
|
|
Bilirubin direct
|
$42.90 |
$42.90 |
$42.90 |
$51.35
|
|
Bilirubin total
|
$129.00 |
$129.00 |
$129.00 |
$54.60
|
|
Bladder Catheter Insertion (simple)
|
$312.00 |
$312.00 |
$312.00 |
$232.30
|
|
Bleomycin 15 unit solution for injection
|
$488.00 |
$488.00 |
$488.00 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$17,670.55 |
$17,670.55 |
$17,670.55 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$9,830.88 |
$9,830.88 |
$9,830.88 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,840.11 |
$4,840.11 |
$4,840.11 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,036.55 |
$2,036.55 |
$2,036.55 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$3,619.02 |
$3,619.02 |
$3,619.02 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$10,109.53 |
$10,109.53 |
$10,109.53 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,815.54 |
$1,815.54 |
$1,815.54 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$1.82 |
$1.82 |
$1.82 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$353.00 |
$353.00 |
$353.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$786.00 |
$786.00 |
$786.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$662.00 |
$662.00 |
$662.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$605.00 |
$605.00 |
$605.00 |
$62.28
|
|
Blood Culture Test
|
$411.00 |
$411.00 |
$411.00 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$29.25 |
$29.25 |
$29.25 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$220.35 |
$220.35 |
$220.35 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$42.90 |
$42.90 |
$42.90 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$23.40 |
$23.40 |
$23.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$32.50 |
$32.50 |
$32.50 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$56.55 |
$56.55 |
$56.55 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$38.35 |
$38.35 |
$38.35 |
$38.35
|
|
Blood Transfusion
|
$2,798.00 |
$2,798.00 |
$2,798.00 |
$989.60
|
|
Blood typing abo
|
$83.85 |
$83.85 |
$83.85 |
$86.45
|
|
Blood typing ag donor ea ag
|
$6,873.00 |
$6,873.00 |
$6,873.00 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$90.35 |
$90.35 |
$90.35 |
$211.90
|
|
Blood typing rh (d)
|
$681.00 |
$681.00 |
$681.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$148.20 |
$148.20 |
$148.20 |
$88.00
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$1,983.96 |
$1,983.96 |
$1,983.96 |
$11,579.00
|
