|
Blood Count (CBC) Test (without differential)
|
$40.00 |
$40.00 |
$40.00 |
$61.80
|
|
Blood count spun microhematocrit
|
$40.00 |
$40.00 |
$40.00 |
$22.36
|
|
Blood Culture Test
|
$82.50 |
$82.50 |
$82.50 |
$145.80
|
|
Blood draw capillary 36416
|
$14.00 |
$14.00 |
$14.00 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$262.50 |
$262.50 |
$262.50 |
$220.35
|
|
Blood gases ph venous
|
$53.50 |
$53.50 |
$53.50 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$81.50 |
$81.50 |
$81.50 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$34.00 |
$34.00 |
$34.00 |
$34.00
|
|
Blood typing abo
|
$41.00 |
$41.00 |
$41.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$459.50 |
$459.50 |
$459.50 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$59.00 |
$59.00 |
$59.00 |
$199.50
|
|
Blood typing rh (d)
|
$29.00 |
$29.00 |
$29.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$88.00 |
$88.00 |
$88.00 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$288.50 |
$288.50 |
$288.50 |
$397.28
|
|
Bone filler cerament 10cc
|
$19,600.00 |
$19,600.00 |
$19,600.00 |
$15,161.03
|
|
Bone/joint imaging ltd area
|
$633.00 |
$633.00 |
$633.00 |
$1,013.50
|
|
Bone marrow interpretation
|
$272.50 |
$272.50 |
$272.50 |
$542.03
|
|
Bone survey-lead poisoning
|
$294.00 |
$294.00 |
$294.00 |
$390.00
|
|
Boot j walker l
|
$577.88 |
$577.88 |
$577.88 |
$231.75
|
|
Boot mlti podous univ xlg
|
$235.50 |
$235.50 |
$235.50 |
$235.98
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$76.50 |
$76.50 |
$76.50 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,175.69 |
$1,175.69 |
$1,175.69 |
$2,825.96
|
|
Brace afo lg left 6607
|
$357.18 |
$357.18 |
$357.18 |
$461.76
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$385.94 |
$385.94 |
$385.94 |
$386.00
|
|
Brace knee support neoprene padded open patella med
|
$358.08 |
$358.08 |
$358.08 |
$215.70
|
|
Brace ortho exos 28-50in sm
|
$4,116.13 |
$4,116.13 |
$4,116.13 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,394.49 |
$3,394.49 |
$3,394.49 |
$1,702.94
|
|
Brach/thor cath 3rd
|
$616.00 |
$616.00 |
$616.00 |
$2,079.00
|
|
Brachy source yttrium-90
|
$23,848.50 |
$23,848.50 |
$23,848.50 |
$29,856.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,069.50 |
$2,069.50 |
$2,069.50 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,208.50 |
$2,208.50 |
$2,208.50 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,432.50 |
$1,432.50 |
$1,432.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,317.50 |
$2,317.50 |
$2,317.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,419.00 |
$1,419.00 |
$1,419.00 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,123.50 |
$3,123.50 |
$3,123.50 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$15,264.60 |
$15,264.60 |
$15,264.60 |
$22,383.57
|
|
Br punct aspir ea add, l
|
$223.00 |
$223.00 |
$223.00 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$8.18 |
$8.18 |
$8.18 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$123.00 |
$123.00 |
$123.00 |
$160.80
|
|
Bundled special stain group 2
|
$385.00 |
$385.00 |
$385.00 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$176.40 |
$176.40 |
$176.40 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$2.82 |
$2.82 |
$2.82 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$3.52 |
$3.52 |
$3.52 |
$14.27
|
|
Buprenorphine oral 1mg
|
$3.14 |
$3.14 |
$3.14 |
$10.50
|
|
Bur rotalink 2.15mm
|
$10,015.25 |
$10,015.25 |
$10,015.25 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$12.88 |
$12.88 |
$12.88 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$2,779.00 |
$2,779.00 |
$2,779.00 |
$2,271.01
|
|
Bx breast add lesion Ultrasound imag
|
$1,157.50 |
$1,157.50 |
$1,157.50 |
$1,692.64
|
|
Bx thyroid/percutan core needle 60100
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$964.62
|
|
C-1 esterase, berinert
|
$4,521.54 |
$4,521.54 |
$4,521.54 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$56.50 |
$56.50 |
$56.50 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$18,390.53 |
$18,390.53 |
$18,390.53 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$7,670.00 |
$7,670.00 |
$7,670.00 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$8,610.76 |
$8,610.76 |
$8,610.76 |
$12,338.18
|
|
Caffeine citrate 20 mg/ml inj for po
|
$8.92 |
$8.92 |
$8.92 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$33,520.50 |
$33,520.50 |
$33,520.50 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,086.18 |
$1,086.18 |
$1,086.18 |
$2,111.64
|
|
Calcium 24 hour urine
|
$34.00 |
$34.00 |
$34.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$140.98 |
$140.98 |
$140.98 |
$64.49
|
|
Calcium ionized
|
$59.50 |
$59.50 |
$59.50 |
$90.00
|
|
Calcium total
|
$34.00 |
$34.00 |
$34.00 |
$50.00
|
|
Calprotectin fecal
|
$146.00 |
$146.00 |
$146.00 |
$169.95
|
|
Canakinumab injection
|
$25,327.58 |
$25,327.58 |
$25,327.58 |
$35,959.82
|
|
Cannula ercp contour 5-4-3 tip
|
$112,500.00 |
$112,500.00 |
$112,500.00 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$11,357.50 |
$11,357.50 |
$11,357.50 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$2,597.62
|
|
Carbamazepine free
|
$45.50 |
$45.50 |
$45.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$44.50 |
$44.50 |
$44.50 |
$120.25
|
|
Carbon dioxide
|
$25.00 |
$25.00 |
$25.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$100.89 |
$100.89 |
$100.89 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$53.50 |
$53.50 |
$53.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$77.50 |
$77.50 |
$77.50 |
$144.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$175.00 |
$175.00 |
$175.00 |
$244.00
|
|
Cardiolipin antibody iga
|
$113.50 |
$113.50 |
$113.50 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,396.00
|
|
Carfilzomib 10 mg intravenous solution
|
$4,257.74 |
$4,257.74 |
$4,257.74 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$679.09 |
$679.09 |
$679.09 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$606.50 |
$606.50 |
$606.50 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$224.50 |
$224.50 |
$224.50 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$112.00 |
$112.00 |
$112.00 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$830.58 |
$830.58 |
$830.58 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$12,425.40 |
$12,425.40 |
$12,425.40 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$1,535.50 |
$1,535.50 |
$1,535.50 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$11,195.25 |
$11,195.25 |
$11,195.25 |
$6,463.80
|
|
Cath acuity innr ic130 6f 63cm
|
$9,425.25 |
$9,425.25 |
$9,425.25 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$8,646.45 |
$8,646.45 |
$8,646.45 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$31,800.00 |
$31,800.00 |
$31,800.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$8,512.96 |
$8,512.96 |
$8,512.96 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$13,204.20 |
$13,204.20 |
$13,204.20 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$4,012.78
|
|
Cath cv dl inj 7fx16cm
|
$3,745.18 |
$3,745.18 |
$3,745.18 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$29.50 |
$29.50 |
$29.50 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,672.40 |
$1,672.40 |
$1,672.40 |
$1,653.00
|
|
Cath hawkone s directional
|
$9,130.25 |
$9,130.25 |
$9,130.25 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,992.00 |
$2,992.00 |
$2,992.00 |
$4,160.00
|
|
Cath malecot 28fr 4-wing ltx
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$2,173.58
|
