|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,959.05 |
$1,959.05 |
$1,959.05 |
$7.80
|
|
#aptt mix-1:1 incubated
|
$234.00 |
$234.00 |
$234.00 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$53.30 |
$53.30 |
$53.30 |
$90.52
|
|
Aquatic exercise - group charge
|
$131.95 |
$131.95 |
$131.95 |
$87.00
|
|
Arterial blood draw/perc 36620
|
$267.80 |
$267.80 |
$267.80 |
$529.19
|
|
Artery x-rays arm/leg 75710-26
|
$4,523.35 |
$4,523.35 |
$4,523.35 |
$3,458.54
|
|
Artery x-rays arms/legs 75716-26
|
$3,284.45 |
$3,284.45 |
$3,284.45 |
$3,936.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$25,971.67 |
$25,971.67 |
$25,971.67 |
$3,594.44
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$22,984.08 |
$22,984.08 |
$22,984.08 |
$1,060.80
|
|
Aspirate bladder/sprapubic cath 51102
|
$11,533.26 |
$11,533.26 |
$11,533.26 |
$3,162.90
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,219.50
|
|
Assay of salicylate
|
$154.05 |
$154.05 |
$154.05 |
$83.85
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$247.00 |
$247.00 |
$247.00 |
$302.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$63.70 |
$63.70 |
$63.70 |
$44.20
|
|
Ast/sgot
|
$31.85 |
$31.85 |
$31.85 |
$43.40
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$21,345.26 |
$21,345.26 |
$21,345.26 |
$18,202.87
|
|
Atropine 0.1 mg/ml injection syringe
|
$24.19 |
$24.19 |
$24.19 |
$24.19
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$155.35 |
$155.35 |
$155.35 |
$200.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$3,863.15 |
$3,863.15 |
$3,863.15 |
$2,517.93
|
|
Azacitidine injection
|
$1,053.92 |
$1,053.92 |
$1,053.92 |
$1,053.92
|
|
Azathioprine 50 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$21.12 |
$21.12 |
$21.12 |
$27.12
|
|
Baclofen eval charges
|
$47.45 |
$47.45 |
$47.45 |
$85.00
|
|
Bacterial vaginosis pcr
|
$207.35 |
$207.35 |
$207.35 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$137.80 |
$137.80 |
$137.80 |
$137.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$10,194.61 |
$10,194.61 |
$10,194.61 |
$3,474.84
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,429.72 |
$4,429.72 |
$4,429.72 |
$58.21
|
|
#_benzodiazconfur
|
$132.60 |
$132.60 |
$132.60 |
$99.45
|
|
Benztropine 1 mg/ml injection solution
|
$126.75 |
$126.75 |
$126.75 |
$97.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$177.45 |
$177.45 |
$177.45 |
$109.60
|
|
Beta-2 microglobulin
|
$107.25 |
$107.25 |
$107.25 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$13.96 |
$13.96 |
$13.96 |
$52.65
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$5,705.92 |
$5,705.92 |
$5,705.92 |
$2,946.69
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,996.53 |
$4,996.53 |
$4,996.53 |
$1,708.52
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$4,393.61 |
$4,393.61 |
$4,393.61 |
$162.60
|
|
Bilirubin direct
|
$55.25 |
$55.25 |
$55.25 |
$43.60
|
|
Bilirubin total
|
$65.00 |
$65.00 |
$65.00 |
$49.77
|
|
Biopsy abdominal mass
|
$3,919.50 |
$3,919.50 |
$3,919.50 |
$1,874.89
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$11,676.63 |
$11,676.63 |
$11,676.63 |
$3,201.83
|
|
Biopsy needle liver percutaneous
|
$9,056.00 |
$9,056.00 |
$9,056.00 |
$1,897.20
|
|
Biopsy needle lymph node superficial
|
$6,480.29 |
$6,480.29 |
$6,480.29 |
$1,794.36
|
|
Biopsy of nail unit 11755
|
$527.15 |
$527.15 |
$527.15 |
$841.23
|
|
Biopsy of prostate
|
$11,291.99 |
$11,291.99 |
$11,291.99 |
$2,412.22
|
|
Biopsy/removal lymph nodes
|
$15,355.76 |
$15,355.76 |
$15,355.76 |
$4,184.94
|
|
Bladder irrigate/lavage/instill 51700
|
$13,584.07 |
$13,584.07 |
$13,584.07 |
$417.95
|
|
Bld push tfuj 2 yr/<
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$809.20
|
|
Bleomycin 15 unit solution for injection
|
$127.01 |
$127.01 |
$127.01 |
$176.86
|
|
Blood Clotting (PT/INR) Test
|
$61.10 |
$61.10 |
$61.10 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$78.65 |
$78.65 |
$78.65 |
$68.25
|
|
Blood Count (CBC) Test
|
$82.55 |
$82.55 |
$82.55 |
$66.60
|
|
Blood Count (CBC) Test (without differential)
|
$82.55 |
$82.55 |
$82.55 |
$56.40
|
|
Blood Culture Test
|
$184.60 |
$184.60 |
$184.60 |
$115.00
|
|
Blood draw capillary 36416
|
$1,514.24 |
$1,514.24 |
$1,514.24 |
$22.20
|
|
Blood gases ph venous
|
$80.60 |
$80.60 |
$80.60 |
$55.48
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$35.10 |
$35.10 |
$35.10 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$49.40 |
$49.40 |
$49.40 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$47.45 |
$47.45 |
$47.45 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$20.15 |
$20.15 |
$20.15 |
$31.20
|
|
Blood typing abo
|
$150.80 |
$150.80 |
$150.80 |
$73.51
|
|
Blood typing ag donor ea ag
|
$245.05 |
$245.05 |
$245.05 |
$131.95
|
|
Blood typing patient serum
|
$50.05 |
$50.05 |
$50.05 |
$76.80
|
|
Blood typing rbc ag non abo/rh ea
|
$293.15 |
$293.15 |
$293.15 |
$148.59
|
|
Blood typing rh (d)
|
$63.70 |
$63.70 |
$63.70 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$473.85 |
$473.85 |
$473.85 |
$381.19
|
|
Bone/joint imaging ltd area
|
$1,321.45 |
$1,321.45 |
$1,321.45 |
$911.58
|
|
Bone survey-lead poisoning
|
$413.40 |
$413.40 |
$413.40 |
$346.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$157.95 |
$157.95 |
$157.95 |
$107.25
|
|
Borrelia miyamotoi amp prb
|
$191.75 |
$191.75 |
$191.75 |
$95.45
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,873.16 |
$2,873.16 |
$2,873.16 |
$107.97
|
|
Brace back pinnacle tlso 464
|
$369.85 |
$369.85 |
$369.85 |
$962.64
|
|
Brace tlso flex cust
|
$432.90 |
$432.90 |
$432.90 |
$346.45
|
|
Brach/thor cath 1st
|
$22,245.99 |
$22,245.99 |
$22,245.99 |
$2,223.00
|
|
Brachytx isodose complex
|
$828.10 |
$828.10 |
$828.10 |
$1,270.00
|
|
Brachytx isodose intermed
|
$1,279.85 |
$1,279.85 |
$1,279.85 |
$843.60
|
|
Brachytx isodose plan simple
|
$1,106.30 |
$1,106.30 |
$1,106.30 |
$719.25
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$2,486.90
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,676.35 |
$1,676.35 |
$1,676.35 |
$1,800.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,490.45 |
$1,490.45 |
$1,490.45 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$3,790.80 |
$3,790.80 |
$3,790.80 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,905.50 |
$2,905.50 |
$2,905.50 |
$2,163.67
|
|
Brain MRI (without contrast)
|
$2,473.25 |
$2,473.25 |
$2,473.25 |
$1,790.00
|
|
Bronchial allergy tests
|
$461.50 |
$461.50 |
$461.50 |
$701.47
|
|
Bronchial challenge
|
$453.70 |
$453.70 |
$453.70 |
$789.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$8,144.64 |
$8,144.64 |
$8,144.64 |
$161.46
|
|
Bundled special stain group 2
|
$12,774.55 |
$12,774.55 |
$12,774.55 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$19.01 |
$19.01 |
$19.01 |
$21.61
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$5.48 |
$5.48 |
$5.48 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$7.88 |
$7.88 |
$7.88 |
$12.17
|
|
Buprenorphine oral 1mg
|
$3.25 |
$3.25 |
$3.25 |
$11.24
|
|
Butorphanol tartrate 1 mg
|
$136.28 |
$136.28 |
$136.28 |
$42.76
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$15,385.23 |
$15,385.23 |
$15,385.23 |
$4,184.94
|
|
Bx prostate trnsrctl u/s guid
|
$11,295.06 |
$11,295.06 |
$11,295.06 |
$4,050.75
|
|
Cadd pump refill
|
$184.60 |
$184.60 |
$184.60 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$50.70 |
$50.70 |
$50.70 |
$47.78
|
|
Calcium 24 hour urine
|
$57.85 |
$57.85 |
$57.85 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$22.18 |
$22.18 |
$22.18 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.13 |
$24.13 |
$24.13 |
$53.39
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$53.66 |
$53.66 |
$53.66 |
$62.87
|
|
Calcium ionized
|
$72.80 |
$72.80 |
$72.80 |
$81.90
|
