|
Azacitidine injection
|
$868.20 |
$868.20 |
$1,203.57 |
|
|
Azathioprine 50 mg tablet
|
$1.26 |
$2.40 |
$2.87 |
|
|
Azithromycin 500 mg intravenous solution
|
$23.96 |
$29.52 |
$31.44 |
|
|
Azithromycin dihydrate, oral
|
$17.34 |
$22.04 |
$43.25 |
|
|
Aztreonam 1 gram solution for injection
|
$99.40 |
$100.95 |
$188.86 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,545.15 |
$1,545.15 |
$1,899.14 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$131.20 |
$131.20 |
$255.57 |
|
|
Baclofen eval charges
|
$116.80 |
$121.60 |
$142.40 |
|
|
Bacterial meningitis antigen
|
$60.80 |
$60.80 |
$60.80 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$108.80 |
$111.20 |
$120.80 |
|
|
Balloon dilate urtrl strix
|
$2,748.80 |
$2,748.80 |
$4,317.60 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$833.60 |
$1,132.80 |
$1,140.80 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$583.20 |
$872.80 |
$1,024.00 |
|
|
Barium Swallow (Esophagus X-ray)
|
$415.20 |
$616.80 |
$635.20 |
|
|
Basic vestibular evaluation
|
$300.00 |
$300.00 |
$300.00 |
|
|
Basiliximab
|
$5,064.87 |
$5,064.87 |
$6,931.88 |
|
|
Bausch health Ultrasound surg
|
$1,812.80 |
$1,812.80 |
$2,560.00 |
|
|
B cells total count
|
$156.00 |
$156.00 |
$156.00 |
|
|
Bcg vaccine intravesical
|
$305.11 |
$305.11 |
$429.50 |
|
|
Belatacept 250 mg intravenous solution
|
$1,484.72 |
$1,484.72 |
$1,484.72 |
|
|
Belimumab 120 mg intravenous solution
|
$2,615.20 |
$2,615.20 |
$2,615.20 |
|
|
Below knee cuff suspension
|
$149.52 |
$149.52 |
$149.52 |
|
|
Below knee sus/seal sleeve
|
$281.36 |
$281.36 |
$317.76 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,908.37 |
$2,908.37 |
$2,908.37 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,559.75 |
$2,559.75 |
$2,648.86 |
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$3,735.72 |
$3,735.72 |
$3,735.72 |
|
|
Benign lesion paring 2-4
|
$259.20 |
$259.20 |
$402.40 |
|
|
#_benzodiazconfur
|
$90.40 |
$90.40 |
$90.40 |
|
|
Benztropine 1 mg/ml injection solution
|
$62.63 |
$62.63 |
$218.56 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$140.00 |
$140.00 |
$140.00 |
|
|
Beta-2 microglobulin
|
$52.80 |
$52.80 |
$52.80 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$12.68 |
$30.17 |
$71.26 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,523.17 |
$3,523.17 |
$3,719.50 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,069.03 |
$3,069.03 |
$4,120.68 |
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,477.81 |
$2,477.81 |
$2,477.81 |
|
|
Bevacizumab injection
|
$118.80 |
$118.80 |
$118.80 |
|
|
Bfb train 1st 15min cntct 90912
|
$124.80 |
$124.80 |
$181.60 |
|
|
Bfb train ea addl 15 min 90913
|
$66.40 |
$66.40 |
$112.00 |
|
|
Bilateral n blobk inj pudendal 64430
|
$1,407.20 |
$1,407.20 |
$1,615.20 |
|
|
Bilateral n block inj occipital 64405
|
$744.80 |
$744.80 |
$1,190.40 |
|
|
Bilateral n block inj trigeminal 64400
|
$679.20 |
$1,064.80 |
$1,064.80 |
|
|
Biliary endoscopy thru skin
|
$5,979.20 |
$5,979.20 |
$5,979.20 |
|
|
Biliary endoscopy thru skin
|
$6,796.80 |
$6,796.80 |
$6,796.80 |
|
|
Biliary endoscopy thru skin
|
$4,508.80 |
$4,508.80 |
$5,633.60 |
|
|
Biliary endoscopy thru skin
|
$6,921.60 |
$6,921.60 |
$8,180.00 |
|
|
Bilicheck
|
$20.80 |
$20.80 |
$20.80 |
|
|
Bilirubin direct
|
$30.40 |
$30.40 |
$30.40 |
|
|
Bilirubin total
|
$31.20 |
$31.20 |
$31.20 |
|
|
Binder abdominal lg 12 x 62-74
|
$770.00 |
$770.00 |
$857.34 |
|
|
Biofeedback, pt
|
$124.00 |
$124.00 |
$133.60 |
|
|
Biopsy abdominal mass
|
$2,118.40 |
$2,118.40 |
$2,188.00 |
|
|
Biopsy bone trocar/needle superficial
|
$2,284.00 |
$2,284.00 |
$2,391.20 |
|
|
Biopsy cervixsingle/multiple 57500
|
$1,288.80 |
$1,288.80 |
$1,774.40 |
|
|
Biopsy external ear 69100
|
$510.40 |
$510.40 |
$510.40 |
|
|
Biopsy forearm soft tissues
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,264.00 |
$2,264.00 |
$3,320.80 |
|
|
Biopsy lower leg soft tissue
|
$1,955.20 |
$1,955.20 |
$2,399.20 |
|
|
Biopsy muscle percutaneous needle
|
$2,016.80 |
$2,016.80 |
$2,082.40 |
|
|
Biopsy needle liver percutaneous
|
$2,358.40 |
$2,358.40 |
$2,421.60 |
|
|
Biopsy needle lymph node superficial
|
$2,048.00 |
$2,048.00 |
$2,204.00 |
|
|
Biopsy of heart lining
|
$5,187.20 |
$5,187.20 |
$5,367.20 |
|
|
Biopsy of nail unit 11755
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
|
|
Biopsy of ovary(s) 58900
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
|
|
Biopsy of penis
|
$4,360.00 |
$4,360.00 |
$4,360.00 |
|
|
Biopsy of penis 54100
|
$2,156.80 |
$2,156.80 |
$2,156.80 |
|
|
Biopsy of rectum wall anal approach 45100
|
$4,299.20 |
$4,299.20 |
$4,421.60 |
|
|
Biopsy of sacroiliac joint
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
|
|
Biopsy of salivary gland 42400
|
$1,683.20 |
$1,683.20 |
$1,806.40 |
|
|
Biopsy oocyte polar body
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
|
|
Biopsy oocyte polar body <=5
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,449.60 |
$2,449.60 |
$2,707.20 |
|
|
Biopsy roof of mouth
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
|
|
Biopsy skin incisional single lesion
|
$436.00 |
$436.00 |
$1,208.00 |
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,606.40 |
$2,606.40 |
$2,612.80 |
|
|
Biopsy tongue anterior two-thirds
|
$877.60 |
$877.60 |
$877.60 |
|
|
Biopsy vrt bdy open lmbr/crv
|
$8,810.40 |
$8,810.40 |
$8,810.40 |
|
|
Biopsy vrt bdy open thoracic
|
$6,730.40 |
$6,730.40 |
$6,730.40 |
|
|
Biospy of bladder
|
$2,031.20 |
$2,031.20 |
$2,189.60 |
|
|
Biotinidase - quest
|
$53.60 |
$53.60 |
$53.60 |
|
|
Bis xtracell fluid analysis
|
$238.40 |
$238.40 |
$238.40 |
|
|
Bivalirudin
|
$732.72 |
$732.72 |
$1,200.00 |
|
|
Bladder Catheter Insertion (simple)
|
$250.40 |
$250.40 |
$447.20 |
|
|
Bladder irrigate/lavage/instill 51700
|
$525.60 |
$525.60 |
$537.60 |
|
|
Bleomycin 15 unit solution for injection
|
$146.62 |
$146.62 |
$229.01 |
|
|
Blepharoplasty upper eyelid 15823
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
|
|
Blinatumomab 35 mcg intravenous solution
|
$5,627.15 |
$5,627.15 |
$8,888.87 |
|
|
Bln 1.2 mono emrg 15x1.2
|
$8,272.00 |
$8,272.00 |
$9,776.00 |
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,028.00 |
$6,028.00 |
$7,124.00 |
|
|
Bln dil 900ml preperitnl
|
$1,218.50 |
$1,218.50 |
$1,595.12 |
|
|
Bln inpact admiral 4x150x130cm
|
$5,808.00 |
$5,808.00 |
$6,864.00 |
|
|
Bln press regulation 71-80cm
|
$14,757.60 |
$14,757.60 |
$16,099.20 |
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$2,640.00 |
$2,640.00 |
$10,321.92 |
|
|
Block plantar digital nerve
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
|
|
Block tap inj(s) w/wo img bi
|
$655.20 |
$655.20 |
$748.80 |
|
|
Block tap inj(s) w/wo img uni
|
$612.80 |
$612.80 |
$673.60 |
|
|
Blood Clotting (PT/INR) Test
|
$35.20 |
$35.20 |
$35.20 |
|
|
Blood Clotting (PTT) Test
|
$38.40 |
$38.40 |
$38.40 |
|
|
Blood Count (CBC) Test
|
$76.80 |
$76.80 |
$76.80 |
|
|
Blood Count (CBC) Test (without differential)
|
$36.80 |
$36.80 |
$36.80 |
|
|
Blood Culture Test
|
$66.40 |
$66.40 |
$66.40 |
|
