|
Assess aphasia/interp/rpt/per hr 96105
|
$733.20 |
$733.20 |
$733.20 |
$292.50
|
|
Ast/sgot
|
$116.40 |
$116.40 |
$116.40 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$29,607.60 |
$29,607.60 |
$29,607.60 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$30.60 |
$30.60 |
$30.60 |
$51.28
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$925.10
|
|
Avul nail plate addl
|
$152.40 |
$152.40 |
$152.40 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$260.40 |
$260.40 |
$260.40 |
$318.75
|
|
Azacitidine injection
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$3.60 |
$3.60 |
$3.60 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$295.20 |
$295.20 |
$295.20 |
$157.30
|
|
Bacterial meningitis antigen
|
$100.20 |
$100.20 |
$100.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$120.00 |
$120.00 |
$120.00 |
$278.40
|
|
B cells total count
|
$121.20 |
$121.20 |
$121.20 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$12.00 |
$12.00 |
$12.00 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$3,474.60 |
$3,474.60 |
$3,474.60 |
$2,036.75
|
|
Benign lesion paring 2-4
|
$303.00 |
$303.00 |
$303.00 |
$257.50
|
|
Benztropine 1 mg/ml injection solution
|
$217.80 |
$217.80 |
$217.80 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Beta-2 microglobulin
|
$163.80 |
$163.80 |
$163.80 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$6.60 |
$6.60 |
$6.60 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$10,628.40 |
$10,628.40 |
$10,628.40 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$9,482.40 |
$9,482.40 |
$9,482.40 |
$3,291.73
|
|
Bilirubin direct
|
$85.20 |
$85.20 |
$85.20 |
$50.00
|
|
Bilirubin total
|
$118.80 |
$118.80 |
$118.80 |
$52.57
|
|
Biopsy skin incisional single lesion
|
$295.20 |
$295.20 |
$295.20 |
$657.66
|
|
Biopsy thigh soft tissues
|
$594.00 |
$594.00 |
$594.00 |
$3,550.00
|
|
Bladder irrigate/lavage/instill 51700
|
$369.60 |
$369.60 |
$369.60 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$39.05 |
$39.05 |
$39.05 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$535.28 |
$535.28 |
$535.28 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$115.80 |
$115.80 |
$115.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$256.80 |
$256.80 |
$256.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$72.00 |
$72.00 |
$72.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$55.20 |
$55.20 |
$55.20 |
$61.80
|
|
Blood Culture Test
|
$178.80 |
$178.80 |
$178.80 |
$145.80
|
|
Blood gases ph venous
|
$109.80 |
$109.80 |
$109.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$252.60 |
$252.60 |
$252.60 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$55.20 |
$55.20 |
$55.20 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$55.20 |
$55.20 |
$55.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$124.80 |
$124.80 |
$124.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$84.60 |
$84.60 |
$84.60 |
$38.61
|
|
Blood typing abo
|
$54.60 |
$54.60 |
$54.60 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$87.00 |
$87.00 |
$87.00 |
$199.50
|
|
Blood typing rh (d)
|
$74.40 |
$74.40 |
$74.40 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$37.20 |
$37.20 |
$37.20 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$170.40 |
$170.40 |
$170.40 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$118.20 |
$118.20 |
$118.20 |
$1,508.78
|
|
Bone marrow interpretation
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$542.03
|
|
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
|
|
Brace back pinnacle tlso 464
|
$441.00 |
$441.00 |
$441.00 |
$2,283.03
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,051.60 |
$3,051.60 |
$3,051.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,409.00 |
$5,409.00 |
$5,409.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,239.00 |
$4,239.00 |
$4,239.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$5,333.40 |
$5,333.40 |
$5,333.40 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$3,043.44
|
|
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
|
$304.20 |
$304.20 |
$304.20 |
$160.80
|
|
Bundled special stain group 2
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$11.40 |
$11.40 |
$11.40 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$27.00 |
$27.00 |
$27.00 |
$82.82
|
|
Butorphanol tartrate 1 mg
|
$14.40 |
$14.40 |
$14.40 |
$39.09
|
|
C1 esterase inhibitor func - sendout
|
$412.20 |
$412.20 |
$412.20 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$36,051.00 |
$36,051.00 |
$36,051.00 |
$27,723.08
|
|
Cadd pump refill
|
$316.20 |
$316.20 |
$316.20 |
$360.00
|
|
Calcium 24 hour urine
|
$139.80 |
$139.80 |
$139.80 |
$53.00
|
|
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
|
$204.00 |
$204.00 |
$204.00 |
$90.00
|
|
Calcium total
|
$82.80 |
$82.80 |
$82.80 |
$50.00
|
|
Calculi urinary-sendout
|
$57.00 |
$57.00 |
$57.00 |
$68.05
|
|
Calprotectin fecal
|
$498.60 |
$498.60 |
$498.60 |
$169.95
|
|
Candida dna
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$3,845.84 |
$3,845.84 |
$3,845.84 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$1,945.69 |
$1,945.69 |
$1,945.69 |
$18,466.88
|
|
Cap trach decann 15mm
|
$551.21 |
$551.21 |
$551.21 |
$2,597.62
|
|
Carbamazepine free
|
$76.80 |
$76.80 |
$76.80 |
$59.15
|
|
Carbamazepine free -sendout
|
$186.00 |
$186.00 |
$186.00 |
$47.94
|
|
Carbon dioxide
|
$208.80 |
$208.80 |
$208.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$221.40 |
$221.40 |
$221.40 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$313.20 |
$313.20 |
$313.20 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$443.40 |
$443.40 |
$443.40 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,023.20 |
$2,023.20 |
$2,023.20 |
$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
|
$30.60 |
$30.60 |
$30.60 |
$196.50
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$780.60 |
$780.60 |
$780.60 |
$1,396.00
|
|
Carfilzomib 10 mg intravenous solution
|
$7,515.60 |
$7,515.60 |
$7,515.60 |
$6,877.19
|
|
Carotene
|
$57.60 |
$57.60 |
$57.60 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$819.60 |
$819.60 |
$819.60 |
$1,018.68
|
|
Cath cv dl inj 7fx16cm
|
$366.49 |
$366.49 |
$366.49 |
$3,889.06
|
|
Cath groshong MRI 8fr plstc port
|
$381.02 |
$381.02 |
$381.02 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$501.31 |
$501.31 |
$501.31 |
$2,173.58
|
|
Cath uret open tp 6fx70cm
|
$29.28 |
$29.28 |
$29.28 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$249.60 |
$249.60 |
$249.60 |
$340.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$57.60 |
$57.60 |
$57.60 |
$37.70
|
