|
Antibody elution rbc reference
|
$393.00 |
$393.00 |
$393.00 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$632.00 |
$632.00 |
$632.00 |
$224.00
|
|
Antibody id rbc panel
|
$52,462.38 |
$52,462.38 |
$52,462.38 |
$291.75
|
|
Antibody screen rbc
|
$197.00 |
$197.00 |
$197.00 |
$108.55
|
|
Antidepressant not specified
|
$75.00 |
$75.00 |
$75.00 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,144.60 |
$5,144.60 |
$5,144.60 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$72.00 |
$72.00 |
$72.00 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$130.00 |
$130.00 |
$130.00 |
$42.00
|
|
Antinuclear antibodies
|
$280.00 |
$280.00 |
$280.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$338.00 |
$338.00 |
$338.00 |
$80.04
|
|
Antistreptolysin o screen
|
$75.00 |
$75.00 |
$75.00 |
$58.56
|
|
Antistreptolysin o titer
|
$60.00 |
$60.00 |
$60.00 |
$54.00
|
|
Antithrombin iii activity
|
$255.00 |
$255.00 |
$255.00 |
$115.15
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,664.50 |
$14,664.50 |
$14,664.50 |
$8,214.07
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$32,651.55 |
$32,651.55 |
$32,651.55 |
$4,155.20
|
|
Aortic Aneurysm Screening Ultrasound
|
$503.00 |
$503.00 |
$503.00 |
$394.55
|
|
Appendectomy
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$5,681.93
|
|
Appendix Removal (Laparoscopic)
|
$21,990.65 |
$21,990.65 |
$21,990.65 |
$7,202.00
|
|
Application multi layer compression below knee (both sides)
|
$843.00 |
$843.00 |
$843.00 |
$375.06
|
|
Application of paste boot 29580
|
$721.00 |
$721.00 |
$721.00 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$23,202.15 |
$23,202.15 |
$23,202.15 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,281.57 |
$4,281.57 |
$4,281.57 |
$981.75
|
|
Appl mltpln uni ext fixj sys
|
$112,432.88 |
$112,432.88 |
$112,432.88 |
$5,855.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,185.25 |
$1,185.25 |
$1,185.25 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$509.00 |
$509.00 |
$509.00 |
$231.66
|
|
Arm CT Scan (with contrast, both arms)
|
$5,094.00 |
$5,094.00 |
$5,094.00 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$4,853.00 |
$4,853.00 |
$4,853.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$956.00 |
$956.00 |
$956.00 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,478.30 |
$2,478.30 |
$2,478.30 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$152.00 |
$152.00 |
$152.00 |
$478.96
|
|
Artery x-rays arm/leg 75710-26
|
$7,493.00 |
$7,493.00 |
$7,493.00 |
$3,513.67
|
|
Artery x-rays lungs
|
$7,332.00 |
$7,332.00 |
$7,332.00 |
$3,660.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$494.40
|
|
Arthrodesis subtalar
|
$59,707.78 |
$59,707.78 |
$59,707.78 |
$13,057.20
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$27,599.65 |
$27,599.65 |
$27,599.65 |
$4,627.00
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$26,195.43 |
$26,195.43 |
$26,195.43 |
$5,241.60
|
|
Ascenda two piece catheter
|
$23,576.00 |
$23,576.00 |
$23,576.00 |
$22,792.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$1,250.04
|
|
Assay of breath ethanol
|
$52.00 |
$52.00 |
$52.00 |
$52.62
|
|
Assess cyst contrast inject
|
$1,945.00 |
$1,945.00 |
$1,945.00 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$97.00 |
$97.00 |
$97.00 |
$46.80
|
|
Ast/sgot
|
$196.00 |
$196.00 |
$196.00 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$35,811.20 |
$35,811.20 |
$35,811.20 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$33,115.00 |
$33,115.00 |
$33,115.00 |
$16,141.30
|
|
Atropine 0.1 mg/ml injection syringe
|
$53.40 |
$53.40 |
$53.40 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$7,157.00 |
$7,157.00 |
$7,157.00 |
$6,963.84
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,470.55 |
$6,470.55 |
$6,470.55 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$9,829.15 |
$9,829.15 |
$9,829.15 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$66.00 |
$66.00 |
$66.00 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$9.20 |
$9.20 |
$9.20 |
$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
|
|
Bacterial vaginosis pcr
|
$521.00 |
$521.00 |
$521.00 |
$287.04
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$97.63 |
$97.63 |
$97.63 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$160.00 |
$160.00 |
$160.00 |
$102.20
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$549.00 |
$549.00 |
$549.00 |
$484.80
|
|
Barrier film 1.0ml wipe
|
$0.35 |
$0.35 |
$0.35 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$29.40 |
$29.40 |
$29.40 |
$19.50
|
|
Barrier skin flat ctf 2.75in
|
$0.67 |
$0.67 |
$0.67 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.40 |
$0.40 |
$0.40 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$1.72 |
$1.72 |
$1.72 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$73.30 |
$73.30 |
$73.30 |
$8.45
|
|
Bausch health Ultrasound surg
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$768.50
|
|
B cells total count
|
$263.00 |
$263.00 |
$263.00 |
$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
|
$0.75 |
$0.75 |
$0.75 |
$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
|
|
Benztropine 1 mg/ml injection solution
|
$89.95 |
$89.95 |
$89.95 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$267.00 |
$267.00 |
$267.00 |
$82.55
|
|
Beta-2 microglobulin
|
$95.00 |
$95.00 |
$95.00 |
$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
|
|
Bilirubin direct
|
$96.00 |
$96.00 |
$96.00 |
$51.35
|
|
Bilirubin total
|
$150.00 |
$150.00 |
$150.00 |
$54.60
|
|
Biopsy abdominal mass
|
$3,659.00 |
$3,659.00 |
$3,659.00 |
$1,722.60
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$9,918.00 |
$9,918.00 |
$9,918.00 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,813.00 |
$2,813.00 |
$2,813.00 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$2,078.00 |
$2,078.00 |
$2,078.00 |
$1,895.76
|
|
Biopsy/removal lymph nodes
|
$160,000.41 |
$160,000.41 |
$160,000.41 |
$4,242.15
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,257.00 |
$5,257.00 |
$5,257.00 |
$2,115.00
|
|
Biopsy thigh soft tissues
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$3,854.40
|
|
Bivalirudin
|
$413.95 |
$413.95 |
$413.95 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$333.00 |
$333.00 |
$333.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$974.00 |
$974.00 |
$974.00 |
$412.80
|
|
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
|
$15,124.43 |
$15,124.43 |
$15,124.43 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$7,446.33 |
$7,446.33 |
$7,446.33 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$3,133.15 |
$3,133.15 |
$3,133.15 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$5,567.73 |
$5,567.73 |
$5,567.73 |
$4,951.39
|