|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3,556.80 |
$3,556.80 |
$3,556.80 |
$6.10
|
|
Anti-inhibitor
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$8.33
|
|
Anti mog serum - sendout
|
$1,045.50 |
$1,045.50 |
$1,045.50 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$79.00 |
$79.00 |
$79.00 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$48.50 |
$48.50 |
$48.50 |
$40.00
|
|
Antinuclear antibodies
|
$56.50 |
$56.50 |
$56.50 |
$89.40
|
|
Antiphosphatidylserine antibody
|
$145.50 |
$145.50 |
$145.50 |
$65.97
|
|
Antistreptolysin o titer
|
$38.00 |
$38.00 |
$38.00 |
$51.45
|
|
Antithrombin iii activity
|
$61.00 |
$61.00 |
$61.00 |
$114.00
|
|
Antithrombin iii injection
|
$2,985.36 |
$2,985.36 |
$2,985.36 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,258.26 |
$5,258.26 |
$5,258.26 |
$7,704.70
|
|
Apl(pml-rara) quant - sendout
|
$500.00 |
$500.00 |
$500.00 |
$482.95
|
|
Application finger splntstatic 29130
|
$178.50 |
$178.50 |
$178.50 |
$208.16
|
|
Application long leg splint 29505
|
$161.50 |
$161.50 |
$161.50 |
$338.25
|
|
Application lower leg splint 29515
|
$167.50 |
$167.50 |
$167.50 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$233.00 |
$233.00 |
$233.00 |
$373.20
|
|
Application of paste boot 29580
|
$195.00 |
$195.00 |
$195.00 |
$331.74
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,356.00 |
$2,356.00 |
$2,356.00 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$28.00 |
$28.00 |
$28.00 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$42.00 |
$42.00 |
$42.00 |
$75.60
|
|
Apply rigid leg cast 29445
|
$306.50 |
$306.50 |
$306.50 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$333.10 |
$333.10 |
$333.10 |
$955.43
|
|
Aquaporin-4 antibody cba each
|
$147.00 |
$147.00 |
$147.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$570.00 |
$570.00 |
$570.00 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$90.50 |
$90.50 |
$90.50 |
$100.00
|
|
Argatroban nonesrd use 1mg
|
$123.92 |
$123.92 |
$123.92 |
$866.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$4,513.96 |
$4,513.96 |
$4,513.96 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$95.42 |
$95.42 |
$95.42 |
$1,313.89
|
|
Artery x-rays arm/leg 75710-26
|
$4,929.00 |
$4,929.00 |
$4,929.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,975.50 |
$3,975.50 |
$3,975.50 |
$3,729.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$343.50 |
$343.50 |
$343.50 |
$608.40
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$414.00 |
$414.00 |
$414.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$544.00 |
$544.00 |
$544.00 |
$715.37
|
|
Ascenda two piece catheter
|
$33,204.50 |
$33,204.50 |
$33,204.50 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,522.50 |
$3,522.50 |
$3,522.50 |
$3,162.72
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,226.87
|
|
Assay myeloperoxidase
|
$188.50 |
$188.50 |
$188.50 |
$100.98
|
|
Assay of breath ethanol
|
$53.50 |
$53.50 |
$53.50 |
$47.30
|
|
Assay of interleukin-6 (il-6)
|
$42.50 |
$42.50 |
$42.50 |
$79.97
|
|
Assay of osteocalcin
|
$112.00 |
$112.00 |
$112.00 |
$92.50
|
|
Assay of salicylate
|
$106.00 |
$106.00 |
$106.00 |
$95.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$145.00 |
$145.00 |
$145.00 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$20.50 |
$20.50 |
$20.50 |
$49.80
|
|
Ast/sgot
|
$34.00 |
$34.00 |
$34.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$14,201.33 |
$14,201.33 |
$14,201.33 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$16.30 |
$16.30 |
$16.30 |
$51.28
|
|
Augment injectable kit 3.0cc
|
$9,735.00 |
$9,735.00 |
$9,735.00 |
$7,469.28
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$9,848.50 |
$9,848.50 |
$9,848.50 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$9,848.50 |
$9,848.50 |
$9,848.50 |
$10,384.40
|
|
Automated diff wbc count
|
$40.00 |
$40.00 |
$40.00 |
$38.28
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,516.86 |
$2,516.86 |
$2,516.86 |
$3,683.86
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$120.00 |
$120.00 |
$120.00 |
$318.75
|
|
Azacitidine injection
|
$65.42 |
$65.42 |
$65.42 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$0.89 |
$0.89 |
$0.89 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$13.83 |
$13.83 |
$13.83 |
$35.06
|
|
Azithromycin dihydrate, oral
|
$40.21 |
$40.21 |
$40.21 |
$47.16
|
|
Aztreonam 1 gram solution for injection
|
$89.01 |
$89.01 |
$89.01 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$959.88 |
$959.88 |
$959.88 |
$1,800.33
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$139.54 |
$139.54 |
$139.54 |
$161.17
|
|
Baclofen eval charges
|
$83.00 |
$83.00 |
$83.00 |
$85.00
|
|
Bacterial vaginosis pcr
|
$468.50 |
$468.50 |
$468.50 |
$278.40
|
|
Bausch health Ultrasound surg
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$744.25
|
|
B cells total count
|
$171.00 |
$171.00 |
$171.00 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$266.26 |
$266.26 |
$266.26 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$1,406.33 |
$1,406.33 |
$1,406.33 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,696.49 |
$2,696.49 |
$2,696.49 |
$4,243.90
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$1,862.04 |
$1,862.04 |
$1,862.04 |
$4,702.68
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$4,255.86 |
$4,255.86 |
$4,255.86 |
$10,390.86
|
|
Benign lesion paring 2-4
|
$228.00 |
$228.00 |
$228.00 |
$257.50
|
|
Benztropine 1 mg/ml injection solution
|
$44.72 |
$44.72 |
$44.72 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$113.50 |
$113.50 |
$113.50 |
$78.50
|
|
Beta-2 microglobulin
|
$68.00 |
$68.00 |
$68.00 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$67.42 |
$67.42 |
$67.42 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$4,282.22 |
$4,282.22 |
$4,282.22 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,317.38 |
$3,317.38 |
$3,317.38 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,674.22 |
$2,674.22 |
$2,674.22 |
$2,508.56
|
|
Bilateral n blobk inj pudendal 64430
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$409.00 |
$409.00 |
$409.00 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$329.50 |
$329.50 |
$329.50 |
$556.40
|
|
Bilicheck
|
$34.00 |
$34.00 |
$34.00 |
$28.80
|
|
Bilirubin direct
|
$34.00 |
$34.00 |
$34.00 |
$50.00
|
|
Bilirubin total
|
$34.00 |
$34.00 |
$34.00 |
$52.57
|
|
Biopsy bone trocar/needle superficial
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$4,623.50 |
$4,623.50 |
$4,623.50 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,760.50 |
$2,760.50 |
$2,760.50 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$2,779.00 |
$2,779.00 |
$2,779.00 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$2,764.50 |
$2,764.50 |
$2,764.50 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$1,180.50 |
$1,180.50 |
$1,180.50 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,779.00 |
$2,779.00 |
$2,779.00 |
$2,086.50
|
|
Bivalirudin
|
$350.27 |
$350.27 |
$350.27 |
$1,033.55
|
|
Bleomycin 15 unit solution for injection
|
$45.66 |
$45.66 |
$45.66 |
$215.36
|
|
Blinatumomab 35 mcg intravenous solution
|
$6,742.22 |
$6,742.22 |
$6,742.22 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$13,865.00 |
$13,865.00 |
$13,865.00 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$5,169.58
|
|
Bln inpact admiral 4x150x130cm
|
$15,820.00 |
$15,820.00 |
$15,820.00 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$21,567.00 |
$21,567.00 |
$21,567.00 |
$13,796.54
|
|
Block tap inj(s) w/wo img uni
|
$697.00 |
$697.00 |
$697.00 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$30.00 |
$30.00 |
$30.00 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$40.00 |
$40.00 |
$40.00 |
$73.44
|
|
Blood Count (CBC) Test
|
$51.50 |
$51.50 |
$51.50 |
$74.75
|
