|
Avul nail plate addl
|
$370.80 |
$370.80 |
$370.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$606.60 |
$606.60 |
$606.60 |
$326.27
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$100.20 |
$100.20 |
$100.20 |
$23,112.50
|
|
Azacitidine injection
|
$24.00 |
$24.00 |
$24.00 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$19.60 |
$19.60 |
$19.60 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$355.20 |
$355.20 |
$355.20 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$239.20 |
$239.20 |
$239.20 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$21.20 |
$21.20 |
$21.20 |
$157.30
|
|
Baclofen eval charges
|
$102.00 |
$102.00 |
$102.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$75.60 |
$75.60 |
$75.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$334.20 |
$334.20 |
$334.20 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$298.80 |
$298.80 |
$298.80 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$24.00 |
$24.00 |
$24.00 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$144.60 |
$144.60 |
$144.60 |
$102.20
|
|
Balloon dilate urtrl strix
|
$7,646.40 |
$7,646.40 |
$7,646.40 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$810.00 |
$810.00 |
$810.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$810.00 |
$810.00 |
$810.00 |
$484.80
|
|
Basiliximab
|
$10,048.80 |
$10,048.80 |
$10,048.80 |
$8,127.89
|
|
B cells total count
|
$286.80 |
$286.80 |
$286.80 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$18.20 |
$18.20 |
$18.20 |
$2,036.75
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$70.80 |
$70.80 |
$70.80 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$354.00 |
$354.00 |
$354.00 |
$264.60
|
|
Benign lesion paring 4+
|
$436.20 |
$436.20 |
$436.20 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$67.20 |
$67.20 |
$67.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$254.40 |
$254.40 |
$254.40 |
$82.55
|
|
Beta-2 microglobulin
|
$260.40 |
$260.40 |
$260.40 |
$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
|
$299.40 |
$299.40 |
$299.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$349.60 |
$349.60 |
$349.60 |
$3,496.79
|
|
B-hexosaminidase ea assay
|
$190.80 |
$190.80 |
$190.80 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$587.60
|
|
Bilirubin direct
|
$93.00 |
$93.00 |
$93.00 |
$51.35
|
|
Bilirubin total
|
$93.00 |
$93.00 |
$93.00 |
$54.60
|
|
Biofeedback, pt
|
$557.40 |
$557.40 |
$557.40 |
$127.05
|
|
Biopsy abdominal mass
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,412.60 |
$2,412.60 |
$2,412.60 |
$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 muscle percutaneous needle
|
$1,877.40 |
$1,877.40 |
$1,877.40 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$1,890.72
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$823.80 |
$823.80 |
$823.80 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,462.35
|
|
Bivalirudin
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$736.20 |
$736.20 |
$736.20 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$907.80 |
$907.80 |
$907.80 |
$412.80
|
|
Bld prd mix
|
$236.40 |
$236.40 |
$236.40 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$1,246.80 |
$1,246.80 |
$1,246.80 |
$220.56
|
|
Bln 1.2 mono emrg 15x1.2
|
$5,268.00 |
$5,268.00 |
$5,268.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,323.20 |
$2,323.20 |
$2,323.20 |
$1,320.21
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$12,127.80 |
$12,127.80 |
$12,127.80 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$66.60 |
$66.60 |
$66.60 |
$34.40
|
|
Block brachial plexus w/cath plmt w/img
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,340.53
|
|
Blood Clotting (PT/INR) Test
|
$146.40 |
$146.40 |
$146.40 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$238.80 |
$238.80 |
$238.80 |
$74.00
|
|
Blood component/product noc
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$57.90
|
|
Blood Count (CBC) Test
|
$63.00 |
$63.00 |
$63.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$70.80 |
$70.80 |
$70.80 |
$62.28
|
|
Blood Culture Test
|
$225.00 |
$225.00 |
$225.00 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$15.00 |
$15.00 |
$15.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$308.40 |
$308.40 |
$308.40 |
$226.50
|
|
Blood gases ph venous
|
$76.80 |
$76.80 |
$76.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$32.40 |
$32.40 |
$32.40 |
$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
|
$24.00 |
$24.00 |
$24.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$24.00 |
$24.00 |
$24.00 |
$38.35
|
|
Blood split unit
|
$429.60 |
$429.60 |
$429.60 |
$282.88
|
|
Blood Transfusion
|
$802.80 |
$802.80 |
$802.80 |
$989.60
|
|
Blood typing abo
|
$27.60 |
$27.60 |
$27.60 |
$86.45
|
|
Blood typing ag donor ea ag
|
$110.40 |
$110.40 |
$110.40 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$66.60 |
$66.60 |
$66.60 |
$211.90
|
|
Blood typing rh (d)
|
$83.40 |
$83.40 |
$83.40 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$424.20 |
$424.20 |
$424.20 |
$252.75
|
|
Bone marrow;aspiration only 38220
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$1,618.00
|
|
Bone marrow imaging ltd
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$811.00
|
|
Bone marrow interpretation
|
$136.20 |
$136.20 |
$136.20 |
$542.03
|
|
Bone survey-lead poisoning
|
$711.60 |
$711.60 |
$711.60 |
$387.00
|
|
Boot heel care softcare one sz
|
$76.80 |
$76.80 |
$76.80 |
$24.00
|
|
Boot j walker l
|
$1,975.20 |
$1,975.20 |
$1,975.20 |
$234.00
|
|
Boot walker genesis full shell 3-strap s
|
$838.80 |
$838.80 |
$838.80 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$131.40 |
$131.40 |
$131.40 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$320.00 |
$320.00 |
$320.00 |
$2,915.40
|
|
Bowel imaging
|
$781.80 |
$781.80 |
$781.80 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$304.20 |
$304.20 |
$304.20 |
$108.67
|
|
Brace ankle stablizing lg
|
$302.40 |
$302.40 |
$302.40 |
$122.82
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$162.00 |
$162.00 |
$162.00 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$189.60 |
$189.60 |
$189.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$225.00 |
$225.00 |
$225.00 |
$89.04
|
|
Brach/thor cath 1st
|
$5,436.60 |
$5,436.60 |
$5,436.60 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$6,741.00 |
$6,741.00 |
$6,741.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$6,742.20 |
$6,742.20 |
$6,742.20 |
$2,050.00
|
|
Braf gene
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$450.90
|
|
Brain image w/flow < 4 views
|
$880.20 |
$880.20 |
$880.20 |
$919.45
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,136.60
|
