|
Arterial blood draw/perc 36620
|
$924.00 |
$924.00 |
$924.00 |
$500.82
|
|
Artery xray each vessel 7577426
|
$4,867.00 |
$4,867.00 |
$4,867.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$13,385.00 |
$13,385.00 |
$13,385.00 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$16,279.00 |
$16,279.00 |
$16,279.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$16,279.00 |
$16,279.00 |
$16,279.00 |
$4,029.72
|
|
Artery x-rays lung
|
$8,574.00 |
$8,574.00 |
$8,574.00 |
$3,150.00
|
|
Artery xrays of pelvis 75736 26
|
$16,279.00 |
$16,279.00 |
$16,279.00 |
$4,551.20
|
|
Artery x-rays spine
|
$33,855.00 |
$33,855.00 |
$33,855.00 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,679.00 |
$1,679.00 |
$1,679.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,679.00 |
$1,679.00 |
$1,679.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$2,231.00 |
$2,231.00 |
$2,231.00 |
$471.34
|
|
Aspirate/inj ganglion cyst 20612
|
$780.00 |
$780.00 |
$780.00 |
$440.00
|
|
Assay duodenal fluid trypsin
|
$326.00 |
$326.00 |
$326.00 |
$7.92
|
|
Assay of corticosterone
|
$82.00 |
$82.00 |
$82.00 |
$47.10
|
|
Assay of feces porphyrins
|
$158.00 |
$158.00 |
$158.00 |
$166.20
|
|
Assay of glucosidase
|
$309.00 |
$309.00 |
$309.00 |
$158.73
|
|
Assay of interleukin-6 (il-6)
|
$435.00 |
$435.00 |
$435.00 |
$77.35
|
|
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
|
$156.00 |
$156.00 |
$156.00 |
$63.07
|
|
Assay of prostaglandin
|
$70.00 |
$70.00 |
$70.00 |
$220.00
|
|
Assay of salicylate
|
$112.00 |
$112.00 |
$112.00 |
$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
|
$35.00 |
$35.00 |
$35.00 |
$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
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$342.00 |
$342.00 |
$342.00 |
$206.70
|
|
Audit/dast 15-30 min
|
$579.00 |
$579.00 |
$579.00 |
$85.00
|
|
Avelumab 20 mg/ml intravenous solution
|
$677.61 |
$677.61 |
$677.61 |
$653.33
|
|
Avul nail plate addl
|
$484.00 |
$484.00 |
$484.00 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$5,063.00 |
$5,063.00 |
$5,063.00 |
$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
|
|
Baclofen eval charges
|
$270.00 |
$270.00 |
$270.00 |
$85.00
|
|
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
|
|
Bebtelovimab injection
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$518.74
|
|
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
|
|
Benign lesion paring 2-4
|
$931.00 |
$931.00 |
$931.00 |
$280.20
|
|
#_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
|
$641.00 |
$641.00 |
$641.00 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$667.26
|
|
Bilicheck
|
$171.00 |
$171.00 |
$171.00 |
$22.75
|
|
Bilirubin direct
|
$122.00 |
$122.00 |
$122.00 |
$49.31
|
|
Bilirubin total
|
$183.00 |
$183.00 |
$183.00 |
$51.50
|
|
Biopsy cervixsingle/multiple 57500
|
$6,086.00 |
$6,086.00 |
$6,086.00 |
$1,268.54
|
|
Biopsy of lip 40490
|
$3,381.00 |
$3,381.00 |
$3,381.00 |
$325.68
|
|
Biopsy of rectum wall anal approach 45100
|
$8,950.00 |
$8,950.00 |
$8,950.00 |
$3,329.95
|
|
Biopsy skin incisional single lesion
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$724.37
|
|
Biopsy tongue anterior two-thirds
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$2,311.00 |
$2,311.00 |
$2,311.00 |
$644.67
|
|
Biotinidase - quest
|
$43.00 |
$43.00 |
$43.00 |
$73.50
|
|
Bivalirudin
|
$471.98 |
$471.98 |
$471.98 |
$1,310.40
|
|
Bladder irrigate/lavage/instill 51700
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$440.70
|
|
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
|
$57.00 |
$57.00 |
$57.00 |
$73.15
|
|
Blood Count (CBC) Test
|
$57.00 |
$57.00 |
$57.00 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$38.00 |
$38.00 |
$38.00 |
$62.15
|
|
Blood count spun microhematocrit
|
$37.00 |
$37.00 |
$37.00 |
$20.40
|
|
Blood Culture Test
|
$184.00 |
$184.00 |
$184.00 |
$145.60
|
|
Blood draw capillary 36416
|
$56.00 |
$56.00 |
$56.00 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$243.00 |
$243.00 |
$243.00 |
$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
|
$61.00 |
$61.00 |
$61.00 |
$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
|
