|
Assay of somatostatin
|
$499.80 |
$499.80 |
$499.80 |
$165.60
|
|
Assay of thiocyanate
|
$101.40 |
$101.40 |
$101.40 |
$62.72
|
|
Assay of tyrosine
|
$52.80 |
$52.80 |
$52.80 |
$56.10
|
|
Assay of urine sulfate
|
$26.40 |
$26.40 |
$26.40 |
$30.00
|
|
Assay phosphatidylglycerol
|
$202.20 |
$202.20 |
$202.20 |
$134.16
|
|
Assay phosphohexose enzymes
|
$168.00 |
$168.00 |
$168.00 |
$92.04
|
|
Assay toxin or antitoxin
|
$75.60 |
$75.60 |
$75.60 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$224.40 |
$224.40 |
$224.40 |
$292.50
|
|
Ast/sgot
|
$73.20 |
$73.20 |
$73.20 |
$45.60
|
|
Asxl1 full gene sequence
|
$760.80 |
$760.80 |
$760.80 |
$744.15
|
|
Atn1 gene detc abnor alleles
|
$480.60 |
$480.60 |
$480.60 |
$225.42
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$640.80 |
$640.80 |
$640.80 |
$188.16
|
|
Atxn1 gene detc abnor allele
|
$132.60 |
$132.60 |
$132.60 |
$225.42
|
|
Atxn2 gene detc abnor allele
|
$123.00 |
$123.00 |
$123.00 |
$225.42
|
|
Atxn3 gene detc abnor allele
|
$132.60 |
$132.60 |
$132.60 |
$189.06
|
|
Atxn7 gene detc abnor allele
|
$132.60 |
$132.60 |
$132.60 |
$153.56
|
|
Augment injectable kit 3.0cc
|
$8,712.41 |
$8,712.41 |
$8,712.41 |
$6,666.16
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,390.20 |
$1,390.20 |
$1,390.20 |
$924.72
|
|
Autologous blood process
|
$176.40 |
$176.40 |
$176.40 |
$247.52
|
|
Automated diff wbc count
|
$20.40 |
$20.40 |
$20.40 |
$35.10
|
|
Avul nail plate addl
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$263.40 |
$263.40 |
$263.40 |
$324.80
|
|
Azathioprine 50 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$3.59
|
|
Azithromycin 500 mg intravenous solution
|
$33.54 |
$33.54 |
$33.54 |
$38.55
|
|
Aztreonam 1 gram solution for injection
|
$258.12 |
$258.12 |
$258.12 |
$158.74
|
|
Bacterial meningitis antigen
|
$232.20 |
$232.20 |
$232.20 |
$65.16
|
|
Bacterial vaginosis pcr
|
$316.20 |
$316.20 |
$316.20 |
$275.71
|
|
Bartonella dna pcr-sendout
|
$139.20 |
$139.20 |
$139.20 |
$195.66
|
|
Bausch health Ultrasound surg
|
$672.75 |
$672.75 |
$672.75 |
$777.28
|
|
B cells total count
|
$88.80 |
$88.80 |
$88.80 |
$131.95
|
|
Belimumab 120 mg intravenous solution
|
$2,797.02 |
$2,797.02 |
$2,797.02 |
$4,243.90
|
|
Below knee total contact
|
$747.64 |
$747.64 |
$747.64 |
$483.36
|
|
Beta 2 glycoprotein 1 antibody iga
|
$63.60 |
$63.60 |
$63.60 |
$82.55
|
|
Beta-2 microglobulin
|
$72.00 |
$72.00 |
$72.00 |
$84.00
|
|
Bilateral n block inj occipital 64405
|
$601.20 |
$601.20 |
$601.20 |
$783.90
|
|
Bilateral n block inj trigeminal 64400
|
$601.20 |
$601.20 |
$601.20 |
$587.60
|
|
Bilicheck
|
$25.80 |
$25.80 |
$25.80 |
$25.80
|
|
Bilirubin direct
|
$42.60 |
$42.60 |
$42.60 |
$49.86
|
|
Bilirubin total
|
$52.20 |
$52.20 |
$52.20 |
$50.65
|
|
Binder abdominal lg 12 x 62-74
|
$792.52 |
$792.52 |
$792.52 |
$44.74
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,120.40 |
$2,120.40 |
$2,120.40 |
$2,835.93
|
|
Biopsy skin incisional single lesion
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$677.54
|
|
Biotinidase - quest
|
$33.60 |
$33.60 |
$33.60 |
$68.00
|
|
Biovance 1 square cm
|
$9,315.98 |
$9,315.98 |
$9,315.98 |
$8,064.76
|
|
Bk flex inner socket ext fra
|
$1,752.74 |
$1,752.74 |
$1,752.74 |
$1,655.39
|
|
Bk fork strap
|
$105.70 |
$105.70 |
$105.70 |
$105.70
|
|
Bk molded distal cushion
|
$223.16 |
$223.16 |
$223.16 |
$159.64
|
|
Bk waist belt webbing
|
$134.18 |
$134.18 |
$134.18 |
$113.28
|
|
Bladder irrigate/lavage/instill 51700
|
$260.40 |
$260.40 |
$260.40 |
$422.51
|
|
Bld prd mix
|
$273.60 |
$273.60 |
$273.60 |
$139.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$86,599.26 |
$86,599.26 |
$86,599.26 |
$8,481.73
|
|
Bln 30frx10mmx12cm renal nephromax
|
$12,333.83 |
$12,333.83 |
$12,333.83 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,755.43 |
$2,755.43 |
$2,755.43 |
$1,396.01
|
|
Bln inpact admiral 4x150x130cm
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$19,996.72 |
$19,996.72 |
$19,996.72 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$21,518.60 |
$21,518.60 |
$21,518.60 |
$5,175.00
|
|
Blood Clotting (PT/INR) Test
|
$39.00 |
$39.00 |
$39.00 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$66.60 |
$66.60 |
$66.60 |
$70.65
|
|
Blood Count (CBC) Test
|
$54.00 |
$54.00 |
$54.00 |
$72.50
|
|
Blood Count (CBC) Test (without differential)
|
$39.00 |
$39.00 |
$39.00 |
$60.50
|
|
Blood Culture Test
|
$84.60 |
$84.60 |
$84.60 |
$140.80
|
|
Blood draw capillary 36416
|
$15.60 |
$15.60 |
$15.60 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$88.80 |
$88.80 |
$88.80 |
$220.35
|
|
Blood gases ph venous
|
$83.40 |
$83.40 |
$83.40 |
$61.75
|
|
Blood, l/r, irradiated
|
$277.80 |
$277.80 |
$277.80 |
$470.64
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$47.40 |
$47.40 |
$47.40 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$27.60 |
$27.60 |
$27.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$33.60 |
$33.60 |
$33.60 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$29.40 |
$29.40 |
$29.40 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$57.60 |
$57.60 |
$57.60 |
$38.16
|
|
Blood typing abo
|
$201.60 |
$201.60 |
$201.60 |
$83.03
|
|
Blood typing ag donor ea ag
|
$247.20 |
$247.20 |
$247.20 |
$179.30
|
|
Blood typing rbc ag non abo/rh ea
|
$563.40 |
$563.40 |
$563.40 |
$190.00
|
|
Blood typing rh (d)
|
$34.20 |
$34.20 |
$34.20 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$74.40 |
$74.40 |
$74.40 |
$81.90
|
|
Body jacket mold to patient
|
$4,077.91 |
$4,077.91 |
$4,077.91 |
$2,352.00
|
|
Bone Density Scan (DEXA)
|
$870.60 |
$870.60 |
$870.60 |
$403.20
|
|
Bone filler cerament 10cc
|
$19,516.33 |
$19,516.33 |
$19,516.33 |
$14,338.98
|
|
Bone imaging multiple areas
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$1,168.20
|
|
Bone/joint imaging ltd area
|
$1,414.20 |
$1,414.20 |
$1,414.20 |
$1,063.65
|
|
Bone marrow;aspiration only 38220
|
$1,056.60 |
$1,056.60 |
$1,056.60 |
$1,664.84
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,063.80 |
$1,063.80 |
$1,063.80 |
$1,793.38
|
|
Bone marrow imaging ltd
|
$991.80 |
$991.80 |
$991.80 |
$811.00
|
|
Bone tendon board add on
|
$8,266.30 |
$8,266.30 |
$8,266.30 |
$5,835.10
|
|
Bone void filler nanoss 10cc
|
$11,808.99 |
$11,808.99 |
$11,808.99 |
$3,816.00
|
|
Boot j walker l
|
$1,335.70 |
$1,335.70 |
$1,335.70 |
$195.00
|
|
Boot mlti podous univ xlg
|
$1,495.15 |
$1,495.15 |
$1,495.15 |
$235.98
|
|
Boot softgait shrt m
|
$834.50 |
$834.50 |
$834.50 |
$120.58
|
|
Boot walker genesis full shell 3-strap s
|
$787.27 |
$787.27 |
$787.27 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$3,526.95 |
$3,526.95 |
$3,526.95 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$67.80 |
$67.80 |
$67.80 |
$93.50
|
|
Bowel imaging
|
$1,500.60 |
$1,500.60 |
$1,500.60 |
$1,089.88
|
|
Brace adj motion lerman type
|
$388.60 |
$388.60 |
$388.60 |
$281.75
|
|
Brace afo dbl upright cust
|
$919.10 |
$919.10 |
$919.10 |
$834.17
|
|
Brace afo lg left 6607
|
$813.51 |
$813.51 |
$813.51 |
$453.47
|
|
Brace afopos solid ankle cust
|
$1,219.19 |
$1,219.19 |
$1,219.19 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,708.20 |
$2,708.20 |
$2,708.20 |
$1,424.28
|
|
Brace ank aftr bioskn med lg
|
$266.05 |
$266.05 |
$266.05 |
$170.80
|
|
Brace ank air stirrup univ
|
$206.39 |
$206.39 |
$206.39 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$141.89 |
$141.89 |
$141.89 |
$129.78
|
