|
Autologous blood process
|
$139.10 |
$139.10 |
$139.10 |
$234.27
|
|
Avelumab 20 mg/ml intravenous solution
|
$5,699.40 |
$5,699.40 |
$5,699.40 |
$677.61
|
|
Avul nail plate addl
|
$354.90 |
$354.90 |
$354.90 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$583.70 |
$583.70 |
$583.70 |
$342.55
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$37,480.82 |
$37,480.82 |
$37,480.82 |
$54.08
|
|
Axicabtagene ciloleucel car+
|
$1,258,310.33 |
$1,258,310.33 |
$1,258,310.33 |
$533,076.48
|
|
Azacitidine injection
|
$1.36 |
$108.48 |
$108.48 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$4.00 |
$4.00 |
$4.00 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$30.82 |
$30.82 |
$30.82 |
$52.69
|
|
Aztreonam 1 gram solution for injection
|
$157.30 |
$157.30 |
$157.30 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$632.00 |
$795.40 |
$1,430.06 |
$920.45
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$217.13 |
$217.13 |
$217.13 |
$191.55
|
|
Baclofen eval charges
|
$103.35 |
$103.35 |
$103.35 |
$86.14
|
|
Bacterial meningitis antigen
|
$76.70 |
$76.70 |
$76.70 |
$68.40
|
|
Bacterial vaginosis pcr
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$109.20 |
$109.20 |
$109.20 |
$112.80
|
|
Balloon dilate urtrl strix
|
$2,290.60 |
$2,290.60 |
$2,290.60 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$179.40 |
$179.40 |
$179.40 |
$196.20
|
|
B cells total count
|
$377.00 |
$377.00 |
$377.00 |
$125.28
|
|
Bcg live 50 mg intravesical suspension
|
$9.59 |
$509.24 |
$509.24 |
$517.26
|
|
Belatacept 250 mg intravenous solution
|
$12.97 |
$12.97 |
$12.97 |
$2,843.40
|
|
Belimumab 120 mg intravenous solution
|
$5,871.90 |
$5,871.90 |
$5,871.90 |
$4,691.99
|
|
Bendamustine 100 mg intravenous powder for solution
|
$7,884.01 |
$7,884.01 |
$7,884.01 |
$3,101.94
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$3,834.02 |
$3,834.02 |
$3,834.02 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$463.45 |
$463.45 |
$463.45 |
$275.49
|
|
Benign lesion paring 4+
|
$651.30 |
$651.30 |
$651.30 |
$287.00
|
|
#_benzodiazconfur
|
$98.80 |
$98.80 |
$98.80 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$63.72 |
$96.75 |
$99.16 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$46.15 |
$46.15 |
$46.15 |
$97.21
|
|
Beta-2 microglobulin
|
$156.00 |
$156.00 |
$156.00 |
$84.66
|
|
Beta-amyloid 1-42
|
$570.70 |
$570.70 |
$570.70 |
$312.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$44.43 |
$44.43 |
$44.43 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$313.98 |
$313.98 |
$313.98 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,855.10 |
$7,260.21 |
$7,260.21 |
$3,871.35
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,497.05 |
$5,497.05 |
$5,497.05 |
$2,567.61
|
|
Bevacizumab injection
|
$80.21 |
$80.21 |
$80.21 |
$1,011.80
|
|
Bfb train 1st 15min cntct 90912
|
$110.50 |
$110.50 |
$110.50 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$110.50 |
$110.50 |
$110.50 |
$112.00
|
|
B-hexosaminidase ea assay
|
$486.85 |
$486.85 |
$486.85 |
$104.25
|
|
Bilateral n blobk inj pudendal 64430
|
$8,915.40 |
$8,915.40 |
$8,915.40 |
$1,489.35
|
|
Bilateral n block inj occipital 64405
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$881.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$593.45
|
|
Biliary endoscopy thru skin
|
$4,251.00 |
$4,251.00 |
$4,251.00 |
$4,292.73
|
|
Biliary endoscopy thru skin
|
$6,448.00 |
$6,448.00 |
$6,448.00 |
$7,482.93
|
|
Bilicheck
|
$299.65 |
$299.65 |
$299.65 |
$25.20
|
|
Bilirubin direct
|
$45.50 |
$45.50 |
$45.50 |
$49.29
|
|
Bilirubin total
|
$6.50 |
$6.50 |
$6.50 |
$51.39
|
|
Biopsy abdominal mass
|
$4,883.45 |
$4,883.45 |
$4,883.45 |
$1,917.33
|
|
Biopsy arm/elbow soft tissue
|
$6,792.50 |
$6,792.50 |
$6,792.50 |
$3,386.84
|
|
Biopsy bone trocar/needle superficial
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$3,771.95 |
$3,771.95 |
$3,771.95 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,380.65 |
$3,380.65 |
$3,380.65 |
$3,201.83
|
|
Biopsy lower leg soft tissue
|
$9,856.60 |
$9,856.60 |
$9,856.60 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$4,028.05 |
$4,028.05 |
$4,028.05 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$5,161.00 |
$5,161.00 |
$5,161.00 |
$1,878.88
|
|
Biopsy of heart lining
|
$7,976.15 |
$7,976.15 |
$7,976.15 |
$3,868.50
|
|
Biopsy of prostate
|
$1,394.90 |
$1,394.90 |
$1,394.90 |
$2,424.12
|
|
Biopsy of salivary gland 42400
|
$1,712.75 |
$1,712.75 |
$1,712.75 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$8,352.50 |
$8,352.50 |
$8,352.50 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$863.20 |
$863.20 |
$863.20 |
$668.98
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,088.80 |
$3,088.80 |
$3,088.80 |
$2,141.40
|
|
Biospy of bladder
|
$2,290.60 |
$2,290.60 |
$2,290.60 |
$1,132.95
|
|
Biotinidase - quest
|
$45.50 |
$45.50 |
$45.50 |
$72.80
|
|
Bivalirudin
|
$139.49 |
$197.89 |
$197.89 |
$1,246.70
|
|
Bladder irrigate/lavage/instill 51700
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$418.20
|
|
Bld prd mix
|
$193.05 |
$193.05 |
$193.05 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$125.48 |
$125.48 |
$220.45 |
$245.75
|
|
Blinatumomab 35 mcg intravenous solution
|
$411.43 |
$15,035.90 |
$15,035.90 |
$235.53
|
|
Blm gene
|
$733.20 |
$733.20 |
$733.20 |
$70.50
|
|
Bln 1.2 mono emrg 15x1.2
|
$2,775.28 |
$2,775.28 |
$2,775.28 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,225.00 |
$4,225.00 |
$4,225.00 |
$2,795.43
|
|
Bln dil 900ml preperitnl
|
$603.14 |
$603.14 |
$603.14 |
$726.10
|
|
Bln inpact admiral 4x150x130cm
|
$3,827.08 |
$3,827.08 |
$3,827.08 |
$4,259.82
|
|
Bln press regulation 71-80cm
|
$11,018.46 |
$11,018.46 |
$11,018.46 |
$11,018.46
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,677.15 |
$1,677.15 |
$1,677.15 |
$2,241.11
|
|
Block plantar digital nerve
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$495.21
|
|
Block tap inj(s) w/wo img bi
|
$7,151.30 |
$7,151.30 |
$7,151.30 |
$1,143.35
|
|
Block tap inj(s) w/wo img uni
|
$3,575.65 |
$3,575.65 |
$3,575.65 |
$916.30
|
|
Blood Clotting (PT/INR) Test
|
$146.90 |
$146.90 |
$146.90 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$204.75 |
$204.75 |
$204.75 |
$72.15
|
|
Blood Count (CBC) Test
|
$20.15 |
$20.15 |
$20.15 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$18.20 |
$18.20 |
$18.20 |
$62.28
|
|
Blood Culture Test
|
$157.95 |
$157.95 |
$157.95 |
$144.65
|
|
Blood draw capillary 36416
|
$13.00 |
$13.00 |
$13.00 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$72.15 |
$72.15 |
$72.15 |
$220.35
|
|
Blood gases ph venous
|
$61.75 |
$61.75 |
$61.75 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.85 |
$57.85 |
$57.85 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$32.50 |
$32.50 |
$32.50 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$46.80 |
$46.80 |
$46.80 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$45.50 |
$45.50 |
$45.50 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$115.05 |
$115.05 |
$115.05 |
$37.44
|
|
Blood typing abo
|
$86.45 |
$86.45 |
$86.45 |
$83.82
|
|
Blood typing ag donor ea ag
|
$323.70 |
$323.70 |
$323.70 |
$166.80
|
|
Blood typing patient serum
|
$447.20 |
$447.20 |
$447.20 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$273.65 |
$273.65 |
$273.65 |
$181.74
|
|
Blood typing rh (d)
|
$26.00 |
$26.00 |
$26.00 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$495.30 |
$495.30 |
$495.30 |
$77.25
|
|
Bone biopsy open superficial
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$291.20 |
$291.20 |
$291.20 |
$395.00
|
