|
Blood Culture Test
|
$203.40 |
$203.40 |
$203.40 |
$145.80
|
|
Blood gases ph venous
|
$166.20 |
$166.20 |
$166.20 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$261.00 |
$261.00 |
$261.00 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$141.60 |
$141.60 |
$141.60 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$88.20 |
$88.20 |
$88.20 |
$38.61
|
|
Blood typing abo
|
$55.80 |
$55.80 |
$55.80 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$88.80 |
$88.80 |
$88.80 |
$199.50
|
|
Blood typing rh (d)
|
$60.00 |
$60.00 |
$60.00 |
$57.14
|
|
Bone biopsy open superficial
|
$4,759.20 |
$4,759.20 |
$4,759.20 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$170.40 |
$170.40 |
$170.40 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$2,211.60 |
$2,211.60 |
$2,211.60 |
$1,508.78
|
|
Boot mlti podous univ xlg
|
$163.61 |
$163.61 |
$163.61 |
$235.98
|
|
Boot walker genesis full shell 3-strap s
|
$41.51 |
$41.51 |
$41.51 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$964.20 |
$964.20 |
$964.20 |
$2,825.96
|
|
Bowel imaging
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$1,065.00
|
|
Brain image w/flow 4 + views
|
$1,462.80 |
$1,462.80 |
$1,462.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,816.40 |
$2,816.40 |
$2,816.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,656.20 |
$2,656.20 |
$2,656.20 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,664.40 |
$4,664.40 |
$4,664.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,649.80 |
$3,649.80 |
$3,649.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,243.60 |
$3,243.60 |
$3,243.60 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$4,026.60 |
$4,026.60 |
$4,026.60 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,282.60 |
$3,282.60 |
$3,282.60 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$814.20 |
$814.20 |
$814.20 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$23,665.20 |
$23,665.20 |
$23,665.20 |
$22,383.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$349.80 |
$349.80 |
$349.80 |
$160.80
|
|
Bundled special stain group 2
|
$1,374.60 |
$1,374.60 |
$1,374.60 |
$173.46
|
|
Bundle his recording
|
$8,866.20 |
$8,866.20 |
$8,866.20 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$16.20 |
$16.20 |
$16.20 |
$32.88
|
|
Bur rotalink 2.15mm
|
$5,547.34 |
$5,547.34 |
$5,547.34 |
$7,817.85
|
|
Bx bone trocar/ndl deep
|
$2,689.20 |
$2,689.20 |
$2,689.20 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$4,746.60 |
$4,746.60 |
$4,746.60 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$945.00 |
$945.00 |
$945.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$1,692.64
|
|
Bx/curett of cervix w/scope 57454
|
$148.20 |
$148.20 |
$148.20 |
$515.50
|
|
Bx muscle
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$1,920.60 |
$1,920.60 |
$1,920.60 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$126.60 |
$126.60 |
$126.60 |
$227.13
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,901.40 |
$1,901.40 |
$1,901.40 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$986.40 |
$986.40 |
$986.40 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$94.80 |
$94.80 |
$94.80 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$97.80 |
$97.80 |
$97.80 |
$1,127.00
|
|
C1 esterase inhibitor func - sendout
|
$424.80 |
$424.80 |
$424.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$36,051.00 |
$36,051.00 |
$36,051.00 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$1,666.98 |
$1,666.98 |
$1,666.98 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$63.00 |
$63.00 |
$63.00 |
$122.40
|
|
Cadd pump refill
|
$320.40 |
$320.40 |
$320.40 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$95.40 |
$95.40 |
$95.40 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,012.60 |
$9,012.60 |
$9,012.60 |
$2,111.64
|
|
Calcium 24 hour urine
|
$148.80 |
$148.80 |
$148.80 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$80.70 |
$80.70 |
$80.70 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$153.00 |
$153.00 |
$153.00 |
$91.60
|
|
Calcium ionized
|
$214.20 |
$214.20 |
$214.20 |
$90.00
|
|
Calcium total
|
$86.40 |
$86.40 |
$86.40 |
$50.00
|
|
Calculi urinary-sendout
|
$61.80 |
$61.80 |
$61.80 |
$68.05
|
|
Calprotectin fecal
|
$512.40 |
$512.40 |
$512.40 |
$169.95
|
|
Campylobacter antibody
|
$292.80 |
$292.80 |
$292.80 |
$77.83
|
|
Canakinumab injection
|
$80,684.40 |
$80,684.40 |
$80,684.40 |
$35,959.82
|
|
Candida dna
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$7,812.76 |
$7,812.76 |
$7,812.76 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$2,627.42 |
$2,627.42 |
$2,627.42 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,067.22 |
$1,067.22 |
$1,067.22 |
$2,597.62
|
|
Carbamazepine free
|
$86.40 |
$86.40 |
$86.40 |
$59.15
|
|
Carbamazepine free -sendout
|
$214.20 |
$214.20 |
$214.20 |
$47.94
|
|
Carboplatin 10 mg/ml desensitization
|
$221.40 |
$221.40 |
$221.40 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$358.20 |
$358.20 |
$358.20 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$456.60 |
$456.60 |
$456.60 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$2,015.40 |
$2,015.40 |
$2,015.40 |
$2,768.80
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$217.20 |
$217.20 |
$217.20 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$29.40 |
$29.40 |
$29.40 |
$196.50
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$821.40 |
$821.40 |
$821.40 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$876.60 |
$876.60 |
$876.60 |
$1,114.00
|
|
Carfilzomib 10 mg intravenous solution
|
$7,515.60 |
$7,515.60 |
$7,515.60 |
$6,877.19
|
|
Carotid Artery Ultrasound (Duplex)
|
$754.20 |
$754.20 |
$754.20 |
$1,018.68
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$553.90 |
$553.90 |
$553.90 |
$6,545.59
|
|
Cath access del ds spyscop 2.0
|
$6,747.30 |
$6,747.30 |
$6,747.30 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$3,653.24 |
$3,653.24 |
$3,653.24 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$21,168.00 |
$21,168.00 |
$21,168.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$832.61 |
$832.61 |
$832.61 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$6,674.98 |
$6,674.98 |
$6,674.98 |
$8,282.05
|
|
Cath cv dl inj 7fx16cm
|
$380.32 |
$380.32 |
$380.32 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$25.20 |
$25.20 |
$25.20 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$855.71 |
$855.71 |
$855.71 |
$1,653.00
|
|
Cath hawkone s directional
|
$4,851.00 |
$4,851.00 |
$4,851.00 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$555.66 |
$555.66 |
$555.66 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,261.26 |
$1,261.26 |
$1,261.26 |
$4,160.00
|
|
Cath left heart/lv gram
|
$3,725.40 |
$3,725.40 |
$3,725.40 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$7,350.60 |
$7,350.60 |
$7,350.60 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$2,197.20 |
$2,197.20 |
$2,197.20 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$501.31 |
$501.31 |
$501.31 |
$2,173.58
|
