|
Assay of thiocyanate
|
$290.75 |
$290.75 |
$588.57 |
$72.60
|
|
Assay phosphatidylglycerol
|
$514.00 |
$514.00 |
$1,035.44 |
$134.16
|
|
Assay toxin or antitoxin
|
$431.10 |
$431.10 |
$431.10 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$666.52 |
$666.52 |
$666.52 |
$300.00
|
|
Autologous blood process
|
$2,912.65 |
$2,912.65 |
$2,912.65 |
$266.75
|
|
Automated diff wbc count
|
$1,017.45 |
$1,017.45 |
$1,017.45 |
$36.30
|
|
Azacitidine injection
|
$2,174.04 |
$2,174.04 |
$2,174.04 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$5.00 |
$5.00 |
$5.01 |
$3.25
|
|
Azathioprine parenteral
|
$233.00 |
$233.00 |
$333.25 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$165.00 |
$165.00 |
$165.00 |
$36.36
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$796.25 |
$796.25 |
$796.25 |
$1,667.48
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$271.75 |
$271.75 |
$280.00 |
$161.17
|
|
Bacterial meningitis antigen
|
$248.75 |
$248.75 |
$540.48 |
$66.30
|
|
Bacterial vaginosis pcr
|
$2,413.64 |
$2,413.64 |
$2,413.64 |
$287.04
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$78.00 |
$78.00 |
$78.00 |
$16.00
|
|
Barrier skin flextend 2.25in floating flang new image
|
$3.00 |
$3.00 |
$3.00 |
$3.00
|
|
Basiliximab
|
$6,296.25 |
$6,296.25 |
$13,282.85 |
$8,045.59
|
|
Belatacept 250 mg intravenous solution
|
$3,876.13 |
$3,876.13 |
$3,876.13 |
$2,036.75
|
|
Bendamustine 100 mg intravenous powder for solution
|
$83.16 |
$83.16 |
$83.16 |
$5,145.52
|
|
Benztropine 1 mg/ml injection solution
|
$147.52 |
$147.52 |
$147.52 |
$106.46
|
|
Beta-2 microglobulin
|
$416.25 |
$416.25 |
$837.66 |
$84.75
|
|
Bilicheck
|
$74.03 |
$74.03 |
$74.03 |
$27.00
|
|
Bivalirudin
|
$13,996.50 |
$13,996.50 |
$13,996.50 |
$1,038.91
|
|
Bld prd mix
|
$33.75 |
$33.75 |
$33.75 |
$140.25
|
|
Blood Clotting (PT/INR) Test
|
$44.25 |
$44.25 |
$433.11 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$41.50 |
$41.50 |
$431.10 |
$73.80
|
|
Blood Count (CBC) Test (without differential)
|
$41.50 |
$41.50 |
$858.28 |
$61.80
|
|
Blood count spun microhematocrit
|
$44.25 |
$44.25 |
$86.72 |
$25.00
|
|
Blood gases o2 saturation direct measurement
|
$1,089.88 |
$1,089.88 |
$1,089.88 |
$226.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$37.75 |
$37.75 |
$186.68 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$73.50 |
$73.50 |
$173.46 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$37.75 |
$37.75 |
$186.68 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$307.00 |
$307.00 |
$307.00 |
$38.35
|
|
Blood typing abo
|
$176.64 |
$176.64 |
$176.64 |
$84.75
|
|
Blood typing ag donor ea ag
|
$469.00 |
$469.00 |
$1,019.03 |
$204.84
|
|
Blood typing patient serum
|
$459.60 |
$459.60 |
$459.60 |
$70.07
|
|
Blood typing rbc ag non abo/rh ea
|
$472.50 |
$472.50 |
$1,026.43 |
$206.33
|
|
Blood typing rh phenotype complete reference
|
$459.60 |
$459.60 |
$459.60 |
$86.33
|
|
Bone imaging multiple areas
|
$14,669.46 |
$14,669.46 |
$14,669.46 |
$1,194.00
|
|
Boot mlti podous univ xlg
|
$2,006.00 |
$2,006.00 |
$2,006.00 |
$246.13
|
|
Boot softgait shrt m
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$265.25 |
$265.25 |
$531.69 |
$91.20
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$5,271.00 |
$5,271.00 |
$5,271.00 |
$2,880.64
|
|
(both sides) smear without diff wbc count
|
$98.00 |
$98.00 |
$483.86 |
$30.68
|
|
Brace afo dbl upright cust
|
$4,877.00 |
$4,877.00 |
$4,877.00 |
$841.97
|
|
Brace ank aftr bioskn med lg
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$108.67
|
|
Brace back pinnacle lo 627 lumbar
|
$4,209.00 |
$4,209.00 |
$4,209.00 |
$867.82
|
|
Brace cust back lso
|
$8,958.00 |
$8,958.00 |
$8,958.00 |
$966.00
|
|
Brace halo bremer l2830
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$195.59
|
|
Brace kafo dbl upright cust
|
$11,985.00 |
$11,985.00 |
$11,985.00 |
$3,609.22
|
|
Brace m arm board
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$162.50
|
|
Brace ortho exos 28-50in sm
|
$8,958.00 |
$8,958.00 |
$8,958.00 |
$1,332.80
|
|
Brachytx isodose complex
|
$16,914.03 |
$16,914.03 |
$16,914.03 |
$1,699.92
|
|
Brachytx isodose intermed
|
$12,880.30 |
$12,880.30 |
$12,880.30 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$7,550.67 |
$7,550.67 |
$7,550.67 |
$1,039.80
|
|
Braf gene
|
$1,087.35 |
$1,087.35 |
$2,376.00 |
$436.47
|
|
Brain image 4+ views
|
$11,310.26 |
$11,310.26 |
$11,310.26 |
$847.80
|
|
Brain image w/flow 4 + views
|
$7,871.57 |
$7,871.57 |
$7,871.57 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$8,239.75 |
$8,239.75 |
$8,239.75 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$4,495.25 |
$4,495.25 |
$4,495.25 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$6,314.00 |
$6,314.00 |
$6,314.00 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$6,314.00 |
$6,314.00 |
$6,314.00 |
$1,932.50
|
|
Brcassure comprehensive panel-sendout
|
$4,424.67 |
$4,424.67 |
$4,424.67 |
$2,365.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$16,303.00 |
$16,303.00 |
$38,073.00 |
$22,383.57
|
|
Bronchial allergy tests
|
$1,771.31 |
$1,771.31 |
$1,771.31 |
$734.40
|
|
Bronchial challenge
|
$4,216.83 |
$4,216.83 |
$4,216.83 |
$805.90
|
|
Bundle his recording
|
$25,856.57 |
$25,856.57 |
$25,856.57 |
$4,781.70
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$5.60 |
$5.60 |
$5.60 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$8.96 |
$8.96 |
$8.96 |
$14.42
|
|
Buprenorphine oral 1mg
|
$5.88 |
$5.88 |
$5.88 |
$10.74
|
|
Butorphanol tartrate 1 mg
|
$82.56 |
$82.56 |
$85.65 |
$41.79
|
|
C1 esterase inhibitor func - sendout
|
$197.75 |
$197.75 |
$398.22 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$28,218.79 |
$28,218.79 |
$47,128.17 |
$26,328.21
|
|
Caffeine citrate 20 mg/ml inj for po
|
$11.25 |
$11.25 |
$11.37 |
$46.64
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$90,244.39 |
$90,244.39 |
$90,244.39 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,493.70 |
$3,493.70 |
$3,493.70 |
$2,177.05
|
|
Calcium 24 hour urine
|
$247.25 |
$247.25 |
$497.08 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$99.97 |
$99.97 |
$99.97 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$89.78 |
$89.78 |
$89.78 |
$64.49
|
|
Calcium ionized
|
$197.75 |
$197.75 |
$398.22 |
$89.88
|
|
Calculi urinary-sendout
|
$731.88 |
$731.88 |
$731.88 |
$68.05
|
|
Calculus analysis qual
|
$176.58 |
$176.58 |
$176.58 |
$81.90
|
|
Calprotectin fecal
|
$527.75 |
$527.75 |
$1,153.38 |
$170.00
|
|
Candida skin test
|
$177.89 |
$177.89 |
$411.75 |
$62.05
|
|
Capecitabine, oral, 50 mg
|
$2.15 |
$2.15 |
$2.15 |
$60.00
|
|
Carbamazepine free
|
$687.02 |
$687.02 |
$687.02 |
$59.15
|
|
Carbamazepine free -sendout
|
$162.32 |
$162.32 |
$162.32 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$346.75 |
$346.75 |
$879.95 |
$122.85
|
|
Carbohydrate urine - sendout
|
$50.00 |
$50.00 |
$108.43 |
$66.64
|
|
Carbon dioxide
|
$141.25 |
$141.25 |
$285.03 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$84.54 |
$84.54 |
$84.54 |
$197.57
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$226.53 |
$226.53 |
$226.53 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$445.79 |
$445.79 |
$445.79 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$197.75 |
$197.75 |
$941.28 |
$144.00
|
|
Cardiac MRI w/stress img
|
$3,196.75 |
$3,196.75 |
$3,196.75 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$10,543.00 |
$10,543.00 |
$10,543.00 |
$2,895.62
|
|
Cardiac perf planar sgl/ef/wm
|
$10,543.00 |
$10,543.00 |
$10,543.00 |
$2,091.02
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$24,146.53 |
$24,146.53 |
$24,146.53 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,156.46 |
$1,156.46 |
$1,156.46 |
$248.00
|
