|
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
|
|
Baclofen eval charges
|
$50.40 |
$50.40 |
$50.40 |
$85.00
|
|
Bacterial meningitis antigen
|
$101.40 |
$101.40 |
$101.40 |
$66.30
|
|
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
|
|
Belimumab 120 mg intravenous solution
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$4,243.90
|
|
Benign lesion paring 2-4
|
$81.00 |
$81.00 |
$81.00 |
$257.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Beta-2 microglobulin
|
$150.60 |
$150.60 |
$150.60 |
$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
|
$78.00 |
$78.00 |
$78.00 |
$50.00
|
|
Bilirubin total
|
$115.80 |
$115.80 |
$115.80 |
$52.57
|
|
Biopsy abdominal mass
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$1,718.60
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$183.60 |
$183.60 |
$183.60 |
$2,716.95
|
|
Biopsy needle lymph node superficial
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,878.14
|
|
Biopsy/removal lymph nodes
|
$3,774.60 |
$3,774.60 |
$3,774.60 |
$4,196.54
|
|
Bladder irrigate/lavage/instill 51700
|
$316.80 |
$316.80 |
$316.80 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$350.24 |
$350.24 |
$350.24 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$303.41 |
$303.41 |
$303.41 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$112.80 |
$112.80 |
$112.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$260.40 |
$260.40 |
$260.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$71.40 |
$71.40 |
$71.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$57.60 |
$57.60 |
$57.60 |
$61.80
|
|
Blood Culture Test
|
$179.40 |
$179.40 |
$179.40 |
$145.80
|
|
Blood gases ph venous
|
$118.80 |
$118.80 |
$118.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$243.60 |
$243.60 |
$243.60 |
$57.42
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$24.60 |
$24.60 |
$24.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$126.00 |
$126.00 |
$126.00 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$78.60 |
$78.60 |
$78.60 |
$38.61
|
|
Blood typing abo
|
$37.20 |
$37.20 |
$37.20 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$77.40 |
$77.40 |
$77.40 |
$199.50
|
|
Blood typing rh (d)
|
$73.80 |
$73.80 |
$73.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$37.20 |
$37.20 |
$37.20 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$550.20 |
$550.20 |
$550.20 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$1,570.80
|
|
Bone marrow interpretation
|
$993.60 |
$993.60 |
$993.60 |
$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
|
|
Brach/thor cath 1st
|
$889.80 |
$889.80 |
$889.80 |
$1,751.55
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,623.80 |
$2,623.80 |
$2,623.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,344.00 |
$4,344.00 |
$4,344.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,399.60 |
$3,399.60 |
$3,399.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,022.20 |
$3,022.20 |
$3,022.20 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,211.80 |
$3,211.80 |
$3,211.80 |
$3,043.44
|
|
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
|
$309.00 |
$309.00 |
$309.00 |
$160.80
|
|
Bundled special stain group 2
|
$915.60 |
$915.60 |
$915.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$16.20 |
$16.20 |
$16.20 |
$32.88
|
|
Butorphanol tartrate 1 mg
|
$17.40 |
$17.40 |
$17.40 |
$39.09
|
|
Bx breast 1st lesion strtctc
|
$4,746.60 |
$4,746.60 |
$4,746.60 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$1,800.68
|
|
Bx skin punch ea sep/ addl les
|
$56.40 |
$56.40 |
$56.40 |
$227.13
|
|
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
|
$404.40 |
$404.40 |
$404.40 |
$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
|
$67.91 |
$67.91 |
$67.91 |
$4,946.50
|
|
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
|
$186.60 |
$186.60 |
$186.60 |
$90.00
|
|
Calcium total
|
$75.60 |
$75.60 |
$75.60 |
$50.00
|
|
Calculi urinary-sendout
|
$58.80 |
$58.80 |
$58.80 |
$68.05
|
|
Calprotectin fecal
|
$484.20 |
$484.20 |
$484.20 |
$169.95
|
|
Candida dna
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$4,459.39 |
$4,459.39 |
$4,459.39 |
$34,218.66
|
|
Carbamazepine free -sendout
|
$186.60 |
$186.60 |
$186.60 |
$47.94
|
|
Carboplatin 10 mg/ml desensitization
|
$221.40 |
$221.40 |
$221.40 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$74.40 |
$74.40 |
$74.40 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$422.40 |
$422.40 |
$422.40 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,899.60 |
$1,899.60 |
$1,899.60 |
$2,626.88
|
|
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
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$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
|
$57.10 |
$57.10 |
$57.10 |
$2,173.58
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$426.60 |
$426.60 |
$426.60 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$1.15 |
$1.15 |
$1.15 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$255.60 |
$255.60 |
$255.60 |
$340.90
|
|
#cbg+cort-cbg
|
$34.20 |
$34.20 |
$34.20 |
$73.10
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.10 |
$35.10 |
$35.10 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
#celiac hla-dq2
|
$139.20 |
$139.20 |
$139.20 |
$225.12
|
|
Cell count w differential body fluid
|
$114.00 |
$114.00 |
$114.00 |
$93.23
|
|
Cell function assay w/stim
|
$385.80 |
$385.80 |
$385.80 |
$314.25
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$31,844.40 |
$31,844.40 |
$31,844.40 |
$21,238.53
|
|
#cf-97variants
|
$411.00 |
$411.00 |
$411.00 |
$622.20
|
|
Chest CT scan (with and without contrast)
|
$2,921.40 |
$2,921.40 |
$2,921.40 |
$1,975.00
|
