|
Automated diff wbc count
|
$20.40 |
$20.40 |
$20.40 |
$35.10
|
|
Av fusion direct any site
|
$21,383.44 |
$21,622.86 |
$26,696.22 |
$4,804.00
|
|
Avul nail plate addl
|
$537.00 |
$537.00 |
$11,554.62 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$11,513.58 |
$11,554.62 |
$20,399.34 |
$328.50
|
|
Axicabtagene ciloleucel car+
|
$1,963,962.00 |
$1,963,962.00 |
$1,963,962.00 |
$1,510,740.00
|
|
Azacitidine injection
|
$2,984.76 |
$2,984.76 |
$3,019.86 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$3.61
|
|
Azathioprine parenteral
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$484.20
|
|
Azithromycin 500 mg intravenous solution
|
$15.84 |
$31.26 |
$33.54 |
$38.55
|
|
Aztreonam 1 gram solution for injection
|
$232.20 |
$240.24 |
$268.26 |
$157.83
|
|
Baclofen eval charges
|
$62.40 |
$65.40 |
$65.40 |
$85.15
|
|
Bacterial meningitis antigen
|
$181.80 |
$181.80 |
$181.80 |
$65.16
|
|
Bacterial vaginosis pcr
|
$278.40 |
$319.20 |
$319.20 |
$275.71
|
|
#bac vag cand-c. albicans naa
|
$67.20 |
$67.20 |
$67.20 |
$105.00
|
|
Balloon dilate urtrl strix
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$2,118.00
|
|
Bartholin gland cyst/marsupializat 56440
|
$12,139.20 |
$12,139.20 |
$12,139.20 |
$3,982.44
|
|
Bartonella dna pcr-sendout
|
$139.80 |
$139.80 |
$139.80 |
$195.60
|
|
Bausch health Ultrasound surg
|
$672.75 |
$672.75 |
$2,348.68 |
$768.50
|
|
B cells total count
|
$85.20 |
$85.20 |
$85.20 |
$131.95
|
|
Bcg live 50 mg intravesical suspension
|
$901.02 |
$901.02 |
$901.02 |
$509.24
|
|
Bckdhb gene
|
$316.20 |
$316.20 |
$316.20 |
$190.40
|
|
Belatacept 250 mg intravenous solution
|
$3,549.78 |
$4,189.92 |
$4,189.92 |
$2,138.04
|
|
Belimumab 120 mg intravenous solution
|
$7,898.34 |
$7,898.34 |
$9,322.62 |
$4,243.90
|
|
Below knee total contact
|
$747.64 |
$747.64 |
$747.64 |
$483.36
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,103.26 |
$3,103.26 |
$8,256.00 |
$5,217.53
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$12,074.40 |
$12,074.40 |
$12,074.40 |
$2,512.82
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$12,764.82 |
$12,764.82 |
$12,764.82 |
$4,482.84
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$16,892.46 |
$16,892.46 |
$16,892.46 |
$11,778.71
|
|
Benign lesion paring 2-4
|
$352.20 |
$352.20 |
$352.20 |
$264.85
|
|
Benign lesion paring 4+
|
$430.20 |
$430.20 |
$430.20 |
$315.70
|
|
Benztropine 1 mg/ml injection solution
|
$49.38 |
$67.68 |
$67.68 |
$106.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$101.40 |
$101.40 |
$101.40 |
$82.80
|
|
Beta-2 microglobulin
|
$85.20 |
$85.20 |
$85.20 |
$84.00
|
|
Beta-amyloid 1-42
|
$339.00 |
$339.00 |
$339.00 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$46.26 |
$49.68 |
$49.68 |
$65.20
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$16,257.60 |
$16,257.60 |
$16,448.88 |
$5,594.85
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$14,233.62 |
$14,233.62 |
$14,401.08 |
$2,473.15
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$12,513.36 |
$12,513.36 |
$12,660.60 |
$1,214.54
|
|
Bilateral n blobk inj pudendal 64430
|
$2,426.40 |
$2,426.40 |
$2,426.40 |
$1,613.40
|
|
Bilateral n block inj occipital 64405
|
$547.20 |
$547.20 |
$547.20 |
$783.90
|
|
Biliary endo perq dx w/speci
|
$2,686.80 |
$2,686.80 |
$2,686.80 |
$5,307.00
|
|
Biliary endoscopy thru skin
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$3,120.25
|
|
Biliary endoscopy thru skin
|
$6,764.40 |
$6,764.40 |
$6,764.40 |
$5,614.82
|
|
Bilicheck
|
$16.80 |
$50.40 |
$50.40 |
$25.76
|
|
Bilirubin direct
|
$41.40 |
$41.40 |
$41.40 |
$49.61
|
|
Bilirubin total
|
$35.40 |
$35.40 |
$35.40 |
$50.65
|
|
Binder abdominal lg 12 x 62-74
|
$792.52 |
$792.52 |
$792.52 |
$44.40
|
|
Biopsy abdominal mass
|
$4,220.40 |
$4,220.40 |
$4,220.40 |
$1,807.00
|
|
Biopsy, bone open deep
|
$8,679.60 |
$8,679.60 |
$21,435.59 |
$3,994.09
|
|
Biopsy bone trocar/needle superficial
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$1,793.38
|
|
Biopsy cervixsingle/multiple 57500
|
$1,485.60 |
$1,485.60 |
$19,643.00 |
$1,268.54
|
|
Biopsy finger joint lining
|
$13,452.72 |
$13,452.72 |
$13,452.72 |
$2,263.68
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,111.60 |
$3,111.60 |
$15,478.69 |
$2,854.80
|
|
Biopsy lower leg soft tissue 27610
|
$58,614.27 |
$58,614.27 |
$58,614.27 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$1,719.22
|
|
Biopsy needle liver percutaneous
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$1,917.33
|
|
Biopsy needle lymph node superficial
|
$1,630.80 |
$1,630.80 |
$1,630.80 |
$1,875.17
|
|
Biopsy of foot joint lining
|
$12,815.10 |
$12,815.10 |
$12,815.10 |
$3,839.54
|
|
Biopsy of nail unit 11755
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$973.71
|
|
Biopsy of prostate
|
$8,613.90 |
$8,613.90 |
$8,613.90 |
$2,412.45
|
|
Biopsy of rectum wall anal approach 45100
|
$20,242.86 |
$20,242.86 |
$20,242.86 |
$3,245.23
|
|
Biopsy of salivary gland 42400
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$1,145.90
|
|
Biopsy/removal lymph nodes
|
$24,937.47 |
$70,145.10 |
$119,117.92 |
$4,238.48
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,827.60 |
$1,827.60 |
$1,827.60 |
$2,175.51
|
|
Biopsy skin incisional single lesion
|
$606.60 |
$1,529.70 |
$18,435.06 |
$677.54
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$2,494.20
|
|
Biospy of bladder
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$987.25
|
|
Biovance 1 square cm
|
$9,315.98 |
$9,315.98 |
$9,315.98 |
$8,064.76
|
|
Bivalirudin
|
$163.20 |
$378.00 |
$1,141.80 |
$1,540.19
|
|
Bk flex inner socket ext fra
|
$1,752.74 |
$1,752.74 |
$1,752.74 |
$1,655.39
|
|
Bk fork strap
|
$105.70 |
$105.70 |
$105.70 |
$105.70
|
|
Bk molded distal cushion
|
$223.16 |
$223.16 |
$223.16 |
$159.64
|
|
Bk waist belt webbing
|
$134.18 |
$134.18 |
$134.18 |
$113.28
|
|
Bladder irrigate/lavage/instill 51700
|
$22,396.31 |
$22,396.31 |
$22,396.31 |
$422.51
|
|
Bld prd mix
|
$140.40 |
$140.40 |
$140.40 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$168.96 |
$168.96 |
$170.94 |
$227.72
|
|
Blinatumomab 35 mcg intravenous solution
|
$28,672.98 |
$28,672.98 |
$28,672.98 |
$11,137.43
|
|
Blm gene
|
$316.20 |
$316.20 |
$316.20 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$86,599.26 |
$86,599.26 |
$86,599.26 |
$8,323.70
|
|
Bln 30frx10mmx12cm renal nephromax
|
$12,333.83 |
$12,333.83 |
$12,333.83 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,755.43 |
$2,755.43 |
$2,755.43 |
$1,329.60
|
|
Bln inpact admiral 4x150x130cm
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$19,996.72 |
$19,996.72 |
$19,996.72 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$21,518.60 |
$21,518.60 |
$21,518.60 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$1,560.60
|
|
Block femoral nerve cont infusion cath w/img
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$1,642.30
|
|
Block plantar digital nerve
|
$858.60 |
$858.60 |
$858.60 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$1,157.00
|
|
Block tap inj(s) w/wo img uni
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$905.00
|
|
Blood Clotting (PT/INR) Test
|
$35.40 |
$35.40 |
$35.40 |
$51.20
|
|
Blood Clotting (PTT) Test
|
$62.40 |
$62.40 |
$62.40 |
$70.20
|
|
Blood Count (CBC) Test
|
$54.00 |
$54.00 |
$54.00 |
$72.50
|
|
Blood Count (CBC) Test (without differential)
|
$39.60 |
$39.60 |
$39.60 |
$60.16
|
|
Blood Culture Test
|
$90.60 |
$90.60 |
$90.60 |
$140.07
|
|
Blood draw capillary 36416
|
$22.80 |
$22.80 |
$22.80 |
$20.25
|
|
Blood gases o2 saturation direct measurement
|
$94.80 |
$94.80 |
$94.80 |
$220.35
|
|
Blood, l/r, irradiated
|
$253.80 |
$411.00 |
$411.00 |
$470.64
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$45.60 |
$45.60 |
$45.60 |
$56.07
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$3.00 |
$27.60 |
$27.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$31.80 |
$31.80 |
$31.80 |
$33.15
|
