|
Assay of osteocalcin
|
$51.00 |
$51.00 |
$51.00 |
$93.60
|
|
Assay of procainamide
|
$164.00 |
$164.00 |
$164.00 |
$72.00
|
|
Assay of procainamide w/metab
|
$237.00 |
$237.00 |
$237.00 |
$63.07
|
|
Assay of prostaglandin
|
$70.00 |
$70.00 |
$70.00 |
$220.00
|
|
Assay of salicylate
|
$122.00 |
$122.00 |
$122.00 |
$104.00
|
|
Assay of semen fructose
|
$56.00 |
$56.00 |
$56.00 |
$53.00
|
|
Assay of somatostatin
|
$122.00 |
$122.00 |
$122.00 |
$165.75
|
|
Assay of thiocyanate
|
$145.00 |
$145.00 |
$145.00 |
$56.55
|
|
Assay of troponin qual
|
$133.00 |
$133.00 |
$133.00 |
$22.40
|
|
Assay of tyrosine
|
$125.00 |
$125.00 |
$125.00 |
$56.10
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$146.00 |
$146.00 |
$146.00 |
$47.25
|
|
Ast/sgot
|
$69.00 |
$69.00 |
$69.00 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$1,911.72 |
$1,911.72 |
$1,911.72 |
$25,944.32
|
|
Atropine 0.1 mg/ml injection syringe
|
$34.90 |
$34.90 |
$34.90 |
$47.69
|
|
Autochondrocyte implant knee
|
$8,511.32 |
$8,511.32 |
$8,511.32 |
$8,123.20
|
|
Autonomic nrv syst funj test
|
$599.00 |
$599.00 |
$599.00 |
$358.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$677.61 |
$677.61 |
$677.61 |
$653.33
|
|
Av fusion direct any site
|
$6,420.36 |
$6,420.36 |
$6,420.36 |
$4,044.69
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$471.00 |
$471.00 |
$471.00 |
$356.00
|
|
Azacitidine injection
|
$75.29 |
$75.29 |
$75.29 |
$1,083.43
|
|
Azathioprine 50 mg tablet
|
$1.95 |
$1.95 |
$1.95 |
$4.00
|
|
Azathioprine parenteral
|
$721.60 |
$721.60 |
$721.60 |
$532.53
|
|
Azithromycin 500 mg intravenous solution
|
$30.27 |
$30.27 |
$30.27 |
$54.90
|
|
Azithromycin dihydrate, oral
|
$9.71 |
$9.71 |
$9.71 |
$36.78
|
|
Aztreonam 1 gram solution for injection
|
$194.55 |
$194.55 |
$194.55 |
$159.46
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$24.63 |
$24.63 |
$24.63 |
$1,725.97
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$257.04 |
$257.04 |
$257.04 |
$164.85
|
|
Bacterial meningitis antigen
|
$104.00 |
$104.00 |
$104.00 |
$66.76
|
|
Bacterial vaginosis pcr
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$284.00
|
|
Bactericidal level serum
|
$788.00 |
$788.00 |
$788.00 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$139.00 |
$139.00 |
$139.00 |
$109.20
|
|
Bartonella dna pcr-sendout
|
$239.00 |
$239.00 |
$239.00 |
$196.20
|
|
Basiliximab
|
$14,627.31 |
$14,627.31 |
$14,627.31 |
$8,045.59
|
|
B cells total count
|
$270.00 |
$270.00 |
$270.00 |
$128.13
|
|
Bcg live 50 mg intravesical suspension
|
$579.53 |
$579.53 |
$579.53 |
$567.74
|
|
Belatacept 250 mg intravenous solution
|
$3,353.88 |
$3,353.88 |
$3,353.88 |
$2,269.53
|
|
Belimumab 120 mg intravenous solution
|
$2,178.05 |
$2,178.05 |
$2,178.05 |
$5,153.33
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,774.75 |
$1,774.75 |
$1,774.75 |
$5,305.05
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$1,883.59 |
$1,883.59 |
$1,883.59 |
$2,555.49
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$1,266.28 |
$1,266.28 |
$1,266.28 |
$4,702.68
|
|
#_benzodiazconfur
|
$397.00 |
$397.00 |
$397.00 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$75.04 |
$75.04 |
$75.04 |
$118.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$174.00 |
$174.00 |
$174.00 |
$92.82
|
|
Beta-2 microglobulin
|
$7.00 |
$7.00 |
$7.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$27.18 |
$27.18 |
$27.18 |
$70.37
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$697.32 |
$697.32 |
$697.32 |
$4,773.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$409.41 |
$409.41 |
$409.41 |
$3,422.48
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$433.24 |
$433.24 |
$433.24 |
$2,276.50
|
|
Bevacizumab injection
|
$697.32 |
$697.32 |
$697.32 |
$693.24
|
|
Bhv id assmt by phys/qhp
|
$776.00 |
$776.00 |
$776.00 |
$109.46
|
|
Bilateral n block inj occipital 64405
|
$1,607.00 |
$1,607.00 |
$1,607.00 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,607.00 |
$1,607.00 |
$1,607.00 |
$667.26
|
|
Bilicheck
|
$123.00 |
$123.00 |
$123.00 |
$22.75
|
|
Bilirubin direct
|
$122.00 |
$122.00 |
$122.00 |
$49.31
|
|
Bilirubin total
|
$170.00 |
$170.00 |
$170.00 |
$51.50
|
|
Biopsy abdominal mass
|
$5,904.00 |
$5,904.00 |
$5,904.00 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$6,687.65 |
$6,687.65 |
$6,687.65 |
$1,760.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$6,587.99 |
$6,587.99 |
$6,587.99 |
$3,211.00
|
|
Biopsy needle liver percutaneous
|
$6,811.23 |
$6,811.23 |
$6,811.23 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$7,577.37 |
$7,577.37 |
$7,577.37 |
$1,879.09
|
|
Biopsy of lip 40490
|
$1,253.00 |
$1,253.00 |
$1,253.00 |
$325.68
|
|
Biopsy of rectum wall anal approach 45100
|
$8,950.00 |
$8,950.00 |
$8,950.00 |
$3,329.95
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$7,208.11 |
$7,208.11 |
$7,208.11 |
$2,211.08
|
|
Biotinidase - quest
|
$43.00 |
$43.00 |
$43.00 |
$73.50
|
|
Bivalirudin
|
$471.98 |
$471.98 |
$471.98 |
$1,310.40
|
|
Bld prd mix
|
$8.00 |
$8.00 |
$8.00 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$107.35 |
$107.35 |
$107.35 |
$250.00
|
|
Blinatumomab 35 mcg intravenous solution
|
$18,006.28 |
$18,006.28 |
$18,006.28 |
$11,295.48
|
|
Blood Clotting (PT/INR) Test
|
$78.00 |
$78.00 |
$78.00 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$126.00 |
$126.00 |
$126.00 |
$73.15
|
|
Blood Count (CBC) Test
|
$113.00 |
$113.00 |
$113.00 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$87.00 |
$87.00 |
$87.00 |
$62.15
|
|
Blood count spun microhematocrit
|
$37.00 |
$37.00 |
$37.00 |
$20.40
|
|
Blood Culture Test
|
$295.00 |
$295.00 |
$295.00 |
$145.60
|
|
Blood draw capillary 36416
|
$50.00 |
$50.00 |
$50.00 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$700.00 |
$700.00 |
$700.00 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$77.00 |
$77.00 |
$77.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$232.00 |
$232.00 |
$232.00 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$79.00 |
$79.00 |
$79.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$85.00 |
$85.00 |
$85.00 |
$37.05
|
|
Blood typing abo
|
$35.00 |
$35.00 |
$35.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$61.00 |
$61.00 |
$61.00 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$57.00 |
$57.00 |
$57.00 |
$181.74
|
|
Blood typing rh (d)
|
$35.00 |
$35.00 |
$35.00 |
$57.10
|
|
Bone Density Scan (DEXA)
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$395.00
|
|
Bone imaging multiple areas
|
$2,716.00 |
$2,716.00 |
$2,716.00 |
$1,210.00
|
|
Bone/joint imaging ltd area
|
$1,406.00 |
$1,406.00 |
$1,406.00 |
$1,151.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$6,587.99 |
$6,587.99 |
$6,587.99 |
$1,881.00
|
|
Bone survey-lead poisoning
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$370.18
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$379.00 |
$379.00 |
$379.00 |
$96.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$62.16 |
$62.16 |
$62.16 |
$2,880.64
|
|
Bowel imaging
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$1,200.00
|
|
Brachy source yttrium-90
|
$67,532.50 |
$67,532.50 |
$67,532.50 |
$33,054.19
|
|
Brain image w/flow < 4 views
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$884.65
|
|
Brain image w/flow 4 + views
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,546.00 |
$10,546.00 |
$10,546.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,595.00 |
$7,595.00 |
$7,595.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$10,547.00 |
$10,547.00 |
$10,547.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$6,277.00 |
$6,277.00 |
$6,277.00 |
$2,267.23
|
