|
Azithromycin dihydrate, oral
|
$150.40 |
$150.40 |
$150.40 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$22.00 |
$22.00 |
$22.00 |
$157.30
|
|
Bacterial meningitis antigen
|
$93.60 |
$93.60 |
$93.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$424.80 |
$424.80 |
$424.80 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$266.40 |
$266.40 |
$266.40 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$59.40 |
$59.40 |
$59.40 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$147.60 |
$147.60 |
$147.60 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$855.00 |
$855.00 |
$855.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$316.20 |
$316.20 |
$316.20 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$400.80 |
$400.80 |
$400.80 |
$484.80
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$2.40 |
$2.40 |
$2.40 |
$3.30
|
|
Bartonella dna pcr-sendout
|
$335.40 |
$335.40 |
$335.40 |
$195.25
|
|
B cells total count
|
$320.40 |
$320.40 |
$320.40 |
$132.48
|
|
Belimumab 120 mg intravenous solution
|
$202.40 |
$202.40 |
$202.40 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$70.80 |
$70.80 |
$70.80 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$271.20 |
$271.20 |
$271.20 |
$264.60
|
|
Benztropine 1 mg/ml injection solution
|
$100.20 |
$100.20 |
$100.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$204.00 |
$204.00 |
$204.00 |
$82.55
|
|
Beta-2 microglobulin
|
$138.00 |
$138.00 |
$138.00 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$49.80 |
$49.80 |
$49.80 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$285.00 |
$285.00 |
$285.00 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$247.20 |
$247.20 |
$247.20 |
$3,496.79
|
|
B-hexosaminidase ea assay
|
$195.60 |
$195.60 |
$195.60 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,528.20 |
$1,528.20 |
$1,528.20 |
$587.60
|
|
Bilirubin direct
|
$96.60 |
$96.60 |
$96.60 |
$51.35
|
|
Bilirubin total
|
$52.20 |
$52.20 |
$52.20 |
$54.60
|
|
Biofeedback, pt
|
$406.80 |
$406.80 |
$406.80 |
$127.05
|
|
Biopsy abdominal mass
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,745.40 |
$1,745.40 |
$1,745.40 |
$2,716.95
|
|
Biopsy needle liver percutaneous
|
$1,957.80 |
$1,957.80 |
$1,957.80 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,890.72
|
|
Biospy of bladder
|
$254.40 |
$254.40 |
$254.40 |
$945.00
|
|
Biotinidase - quest
|
$175.20 |
$175.20 |
$175.20 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$722.40 |
$722.40 |
$722.40 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$859.80 |
$859.80 |
$859.80 |
$412.80
|
|
Bld prd mix
|
$109.20 |
$109.20 |
$109.20 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$310.20 |
$310.20 |
$310.20 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,237.00 |
$6,237.00 |
$6,237.00 |
$5,330.60
|
|
Bln press regulation 71-80cm
|
$11,097.00 |
$11,097.00 |
$11,097.00 |
$13,796.54
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$96.00 |
$96.00 |
$96.00 |
$34.40
|
|
Block brachial plexus w/cath plmt w/img
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$691.20 |
$691.20 |
$691.20 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$691.20 |
$691.20 |
$691.20 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$29.40 |
$29.40 |
$29.40 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$44.40 |
$44.40 |
$44.40 |
$74.00
|
|
Blood component/product noc
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$57.90
|
|
Blood Count (CBC) Test
|
$48.00 |
$48.00 |
$48.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$40.80 |
$40.80 |
$40.80 |
$62.28
|
|
Blood Culture Test
|
$112.80 |
$112.80 |
$112.80 |
$146.16
|
|
Blood draw capillary 36416
|
$12.00 |
$12.00 |
$12.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$15.60 |
$15.60 |
$15.60 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$469.80 |
$469.80 |
$469.80 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$22.20 |
$22.20 |
$22.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$20.40 |
$20.40 |
$20.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.40 |
$20.40 |
$20.40 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$30.60 |
$30.60 |
$30.60 |
$34.98
|
|
Blood smear interpretation
|
$66.00 |
$66.00 |
$66.00 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$29.40 |
$29.40 |
$29.40 |
$38.35
|
|
Blood split unit
|
$417.00 |
$417.00 |
$417.00 |
$282.88
|
|
Blood Transfusion
|
$703.20 |
$703.20 |
$703.20 |
$989.60
|
|
Blood typing abo
|
$88.20 |
$88.20 |
$88.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$181.80 |
$181.80 |
$181.80 |
$207.60
|
|
Blood typing patient serum
|
$96.00 |
$96.00 |
$96.00 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$181.80 |
$181.80 |
$181.80 |
$211.90
|
|
Blood typing rh (d)
|
$27.00 |
$27.00 |
$27.00 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$421.80 |
$421.80 |
$421.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$240.00 |
$240.00 |
$240.00 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$924.60 |
$924.60 |
$924.60 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$507.60 |
$507.60 |
$507.60 |
$811.00
|
|
Bone marrow interpretation
|
$456.60 |
$456.60 |
$456.60 |
$542.03
|
|
Bone survey-lead poisoning
|
$346.20 |
$346.20 |
$346.20 |
$387.00
|
|
Boot j walker l
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$234.00
|
|
Boot walker genesis full shell 3-strap s
|
$831.00 |
$831.00 |
$831.00 |
$439.09
|
|
Borrelia antibody
|
$130.80 |
$130.80 |
$130.80 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$129.60 |
$129.60 |
$129.60 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$317.40 |
$317.40 |
$317.40 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$118.20 |
$118.20 |
$118.20 |
$2,915.40
|
|
Brace afo lg left 6607
|
$42.00 |
$42.00 |
$42.00 |
$461.76
|
|
Brace ank air stirrup univ
|
$302.40 |
$302.40 |
$302.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$302.40 |
$302.40 |
$302.40 |
$122.82
|
|
Brace back epic lso 637
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$1,611.50
|
|
Brace oths wrist hnd fngr without
|
$189.00 |
$189.00 |
$189.00 |
$257.45
|
|
Brace wrist classic lft sm
|
$223.20 |
$223.20 |
$223.20 |
$89.04
|
|
Braf gene
|
$686.40 |
$686.40 |
$686.40 |
$450.90
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,601.80 |
$3,601.80 |
$3,601.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,470.80 |
$2,470.80 |
$2,470.80 |
$1,948.00
|
|
Brca1&2 gen ful dup/del alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$960.96
|
|
Brcassure ashkenazi panel-sendout
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$666.57
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$369.60 |
$369.60 |
$369.60 |
$274.65
|
