|
Ast/sgot
|
$19.04 |
$19.04 |
$19.04 |
$43.40
|
|
Athrectomy fem/pop/unilateral 37225
|
$21,960.96 |
$21,960.96 |
$21,960.96 |
$21,960.96
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$21,960.96 |
$21,960.96 |
$21,960.96 |
$21,960.96
|
|
Audiometry air + bone
|
$82.32 |
$82.32 |
$82.32 |
$178.81
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$10,788.40 |
$10,788.40 |
$10,788.40 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$15,641.36 |
$15,641.36 |
$15,641.36 |
$11,566.33
|
|
Autologous blood op salvage
|
$645.68 |
$645.68 |
$645.68 |
$910.70
|
|
Autologous blood process
|
$247.52 |
$247.52 |
$247.52 |
$262.50
|
|
Avul nail plate addl
|
$108.08 |
$108.08 |
$108.08 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$227.36 |
$227.36 |
$227.36 |
$356.00
|
|
Azacitidine injection
|
$2.98 |
$2.98 |
$2.98 |
$201.43
|
|
Azathioprine 50 mg tablet
|
$3.59 |
$3.59 |
$3.59 |
$2.18
|
|
Azathioprine parenteral
|
$178.64 |
$178.64 |
$178.64 |
$224.97
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$110.78 |
$110.78 |
$110.78 |
$1,062.64
|
|
Baclofen eval charges
|
$52.64 |
$52.64 |
$52.64 |
$84.35
|
|
Bacterial meningitis antigen
|
$72.24 |
$72.24 |
$72.24 |
$66.30
|
|
Bacterial vaginosis pcr
|
$113.12 |
$113.12 |
$113.12 |
$314.60
|
|
Bactericidal level serum
|
$117.04 |
$117.04 |
$117.04 |
$67.60
|
|
#bac vag cand-c. albicans naa
|
$16.17 |
$16.17 |
$16.17 |
$132.72
|
|
Balloon dilate urtrl strix
|
$1,027.60 |
$1,027.60 |
$1,027.60 |
$1,958.25
|
|
Bartonella dna pcr-sendout
|
$41.44 |
$41.44 |
$41.44 |
$234.50
|
|
Basiliximab
|
$2,173.85 |
$2,173.85 |
$2,173.85 |
$4,672.47
|
|
Bausch health Ultrasound surg
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,170.40
|
|
B cells total count
|
$96.88 |
$96.88 |
$96.88 |
$131.30
|
|
Belatacept 250 mg intravenous solution
|
$4.95 |
$4.95 |
$4.95 |
$6.30
|
|
Bendamustine 100 mg intravenous powder for solution
|
$18.90 |
$18.90 |
$18.90 |
$66.40
|
|
Benign lesion paring 2-4
|
$345.52 |
$345.52 |
$345.52 |
$275.88
|
|
Benign lesion paring 4+
|
$546.00 |
$546.00 |
$546.00 |
$276.75
|
|
Beta 2 glycoprotein 1 antibody iga
|
$30.24 |
$30.24 |
$30.24 |
$108.55
|
|
Beta-2 microglobulin
|
$28.00 |
$28.00 |
$28.00 |
$84.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$781.24 |
$781.24 |
$781.24 |
$2,946.69
|
|
Bilateral n block inj occipital 64405
|
$605.36 |
$605.36 |
$605.36 |
$820.97
|
|
Biliary endoscopy thru skin
|
$3,060.96 |
$3,060.96 |
$3,060.96 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$3,590.72 |
$3,590.72 |
$3,590.72 |
$5,424.00
|
|
Bilirubin direct
|
$19.04 |
$19.04 |
$19.04 |
$42.90
|
|
Bilirubin total
|
$19.04 |
$19.04 |
$19.04 |
$48.00
|
|
Biopsy abdominal mass
|
$1,626.80 |
$1,626.80 |
$1,626.80 |
$1,857.60
|
|
Biopsy bone trocar/needle superficial
|
$1,241.52 |
$1,241.52 |
$1,241.52 |
$1,608.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$1,690.08 |
$1,690.08 |
$1,690.08 |
$1,798.20
|
|
Biopsy needle liver percutaneous
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,168.16 |
$1,168.16 |
$1,168.16 |
$1,793.38
|
|
Biopsy of heart lining
|
$2,506.00 |
$2,506.00 |
$2,506.00 |
$4,466.67
|
|
Biopsy of rectum wall anal approach 45100
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$3,214.09
|
|
Biopsy of salivary gland 42400
|
$784.56 |
$784.56 |
$784.56 |
$1,145.90
|
|
Biopsy/removal lymph nodes
|
$539.84 |
$539.84 |
$539.84 |
$4,184.94
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,953.28 |
$1,953.28 |
$1,953.28 |
$2,175.51
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,762.88 |
$1,762.88 |
$1,762.88 |
$2,017.63
|
|
Biospy of bladder
|
$173.04 |
$173.04 |
$173.04 |
$2,031.20
|
|
Bivalirudin
|
$1.39 |
$1.39 |
$1.39 |
$634.79
|
|
Bld prd mix
|
$17.92 |
$17.92 |
$17.92 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$47.42 |
$47.42 |
$47.42 |
$176.86
|
|
Blinatumomab 35 mcg intravenous solution
|
$100.03 |
$100.03 |
$100.03 |
$211.38
|
|
Blm gene
|
$50.96 |
$50.96 |
$50.96 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$5,264.00 |
$5,264.00 |
$5,264.00 |
$6,582.60
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,048.48 |
$2,048.48 |
$2,048.48 |
$4,790.40
|
|
Bln dil 900ml preperitnl
|
$497.84 |
$497.84 |
$497.84 |
$1,241.51
|
|
Bln inpact admiral 4x150x130cm
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$4,954.20
|
|
Bln press regulation 71-80cm
|
$4,576.88 |
$4,576.88 |
$4,576.88 |
$10,951.85
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,576.68
|
|
Block tap inj(s) w/wo img bi
|
$248.64 |
$248.64 |
$248.64 |
$1,122.44
|
|
Block tap inj(s) w/wo img uni
|
$165.76 |
$165.76 |
$165.76 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$18.48 |
$18.48 |
$18.48 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$24.08 |
$24.08 |
$24.08 |
$67.35
|
|
Blood Count (CBC) Test
|
$28.56 |
$28.56 |
$28.56 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$16.80 |
$16.80 |
$16.80 |
$52.43
|
|
Blood count spun microhematocrit
|
$18.48 |
$18.48 |
$18.48 |
$20.40
|
|
Blood Culture Test
|
$51.52 |
$51.52 |
$51.52 |
$112.20
|
|
Blood draw capillary 36416
|
$12.32 |
$12.32 |
$12.32 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$141.12 |
$141.12 |
$141.12 |
$210.35
|
|
Blood gases ph venous
|
$33.04 |
$33.04 |
$33.04 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$33.04 |
$33.04 |
$33.04 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$12.32 |
$12.32 |
$12.32 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$7.28 |
$7.28 |
$7.28 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$11.76 |
$11.76 |
$11.76 |
$34.40
|
|
Blood typing abo
|
$16.80 |
$16.80 |
$16.80 |
$71.40
|
|
Blood typing ag donor ea ag
|
$236.32 |
$236.32 |
$236.32 |
$134.40
|
|
Blood typing patient serum
|
$30.80 |
$30.80 |
$30.80 |
$80.00
|
|
Blood typing rbc ag non abo/rh ea
|
$24.64 |
$24.64 |
$24.64 |
$156.21
|
|
Blood typing rh (d)
|
$16.80 |
$16.80 |
$16.80 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$19.04 |
$19.04 |
$19.04 |
$70.20
|
|
Bone biopsy open superficial
|
$2,852.08 |
$2,852.08 |
$2,852.08 |
$3,965.54
|
|
Bone Density Scan (DEXA)
|
$155.12 |
$155.12 |
$155.12 |
$381.19
|
|
Bone/joint imaging ltd area
|
$312.48 |
$312.48 |
$312.48 |
$935.00
|
|
Bone marrow;aspiration only 38220
|
$677.60 |
$677.60 |
$677.60 |
$1,616.80
|
|
Bone marrow biopsyneedle/trocar 38221
|
$677.60 |
$677.60 |
$677.60 |
$1,497.75
|
|
Bone marrow imaging ltd
|
$308.56 |
$308.56 |
$308.56 |
$702.26
|
|
Bone marrow interpretation
|
$58.80 |
$58.80 |
$58.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$87.92 |
$87.92 |
$87.92 |
$343.33
|
|
Bone tendon board add on
|
$2,424.24 |
$2,424.24 |
$2,424.24 |
$5,872.65
|
|
Bone void filler nanoss 10cc
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$3,780.00
|
|
Boot walker genesis full shell 3-strap s
|
$161.28 |
$161.28 |
$161.28 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$60.48 |
$60.48 |
$60.48 |
$105.90
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$32.37 |
$32.37 |
$32.37 |
$103.66
|
|
Bowel imaging
|
$410.48 |
$410.48 |
$410.48 |
$1,077.60
|
|
Brach/thor cath 1st
|
$5,563.04 |
$5,563.04 |
$5,563.04 |
$2,223.00
|
|
Brach/thor cath 2nd
|
$4,656.96 |
$4,656.96 |
$4,656.96 |
$2,546.25
|
|
Brach/thor cath 3rd
|
$3,123.68 |
$3,123.68 |
$3,123.68 |
$3,168.80
|
