|
Autologous blood op salvage
|
$235.80 |
$235.80 |
$235.80 |
$943.80
|
|
Autologous blood process
|
$680.40 |
$680.40 |
$680.40 |
$266.75
|
|
Avelumab 20 mg/ml intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$543.60 |
$543.60 |
$543.60 |
$326.27
|
|
Azacitidine injection
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$14.40 |
$14.40 |
$14.40 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$249.60 |
$249.60 |
$249.60 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$235.20 |
$235.20 |
$235.20 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$10.40 |
$10.40 |
$10.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$1,639.90
|
|
Baclofen eval charges
|
$103.20 |
$103.20 |
$103.20 |
$87.50
|
|
Bacterial meningitis antigen
|
$153.00 |
$153.00 |
$153.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$721.20 |
$721.20 |
$721.20 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$338.40 |
$338.40 |
$338.40 |
$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)
|
$87.60 |
$87.60 |
$87.60 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$832.80 |
$832.80 |
$832.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$832.80 |
$832.80 |
$832.80 |
$484.80
|
|
Barrier film 28ml spray no stng cavilon
|
$16.80 |
$16.80 |
$16.80 |
$19.50
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.60 |
$0.60 |
$0.60 |
$2.60
|
|
Bartonella dna pcr-sendout
|
$697.20 |
$697.20 |
$697.20 |
$195.25
|
|
Bausch health Ultrasound surg
|
$609.00 |
$609.00 |
$609.00 |
$768.50
|
|
B cells total count
|
$757.20 |
$757.20 |
$757.20 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$11.60 |
$11.60 |
$11.60 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$6,606.00 |
$6,606.00 |
$6,606.00 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$269.60 |
$269.60 |
$269.60 |
$4,898.13
|
|
Benztropine 1 mg/ml injection solution
|
$103.20 |
$103.20 |
$103.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$521.40 |
$521.40 |
$521.40 |
$82.55
|
|
Beta-2 microglobulin
|
$241.20 |
$241.20 |
$241.20 |
$85.20
|
|
Beta-amyloid 1-40
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$312.00
|
|
Beta-amyloid 1-42
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$52.00 |
$52.00 |
$52.00 |
$65.00
|
|
B-hexosaminidase ea assay
|
$216.00 |
$216.00 |
$216.00 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$587.60
|
|
Bilirubin direct
|
$102.60 |
$102.60 |
$102.60 |
$51.35
|
|
Bilirubin total
|
$102.60 |
$102.60 |
$102.60 |
$54.60
|
|
Biofeedback, pt
|
$369.60 |
$369.60 |
$369.60 |
$127.05
|
|
Biopsy abdominal mass
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$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
|
$1,704.60 |
$1,704.60 |
$1,704.60 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,519.80 |
$1,519.80 |
$1,519.80 |
$1,890.72
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,704.60 |
$1,704.60 |
$1,704.60 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$823.80 |
$823.80 |
$823.80 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,462.35
|
|
Biopsy vrt bdy open thoracic
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$4,914.00
|
|
Bivalirudin
|
$3,416.40 |
$3,416.40 |
$3,416.40 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$720.00 |
$720.00 |
$720.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$856.80 |
$856.80 |
$856.80 |
$412.80
|
|
Bld prd mix
|
$369.60 |
$369.60 |
$369.60 |
$140.25
|
|
Bln 1.2 mono emrg 15x1.2
|
$7,396.20 |
$7,396.20 |
$7,396.20 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,323.20 |
$2,323.20 |
$2,323.20 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$4,954.20 |
$4,954.20 |
$4,954.20 |
$4,951.39
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$5,268.60 |
$5,268.60 |
$5,268.60 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$45.60 |
$45.60 |
$45.60 |
$34.40
|
|
Block brachial plexus w/cath plmt w/img
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$584.40 |
$584.40 |
$584.40 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$585.60 |
$585.60 |
$585.60 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$58.80 |
$58.80 |
$58.80 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$89.40 |
$89.40 |
$89.40 |
$74.00
|
|
Blood component/product noc
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$57.90
|
|
Blood Count (CBC) Test
|
$115.80 |
$115.80 |
$115.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$96.60 |
$96.60 |
$96.60 |
$62.28
|
|
Blood Culture Test
|
$155.40 |
$155.40 |
$155.40 |
$146.16
|
|
Blood draw capillary 36416
|
$15.60 |
$15.60 |
$15.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$15.60 |
$15.60 |
$15.60 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$591.00 |
$591.00 |
$591.00 |
$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
|
$64.80 |
$64.80 |
$64.80 |
$34.98
|
|
Blood split unit
|
$173.40 |
$173.40 |
$173.40 |
$282.88
|
|
Blood Transfusion
|
$741.60 |
$741.60 |
$741.60 |
$989.60
|
|
Blood typing abo
|
$44.40 |
$44.40 |
$44.40 |
$86.45
|
|
Blood typing ag donor ea ag
|
$50.40 |
$50.40 |
$50.40 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$49.20 |
$49.20 |
$49.20 |
$211.90
|
|
Blood typing rh (d)
|
$158.40 |
$158.40 |
$158.40 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$436.20 |
$436.20 |
$436.20 |
$252.75
|
|
Bone/joint imaging ltd area
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$811.00
|
|
Bone marrow interpretation
|
$175.20 |
$175.20 |
$175.20 |
$542.03
|
|
Bone tendon board add on
|
$5,006.40 |
$5,006.40 |
$5,006.40 |
$6,606.72
|
|
Boot j walker l
|
$1,501.20 |
$1,501.20 |
$1,501.20 |
$234.00
|
|
Boot walker genesis full shell 3-strap s
|
$289.20 |
$289.20 |
$289.20 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$253.80 |
$253.80 |
$253.80 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$697.20 |
$697.20 |
$697.20 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$5,581.20 |
$5,581.20 |
$5,581.20 |
$2,915.40
|
|
Bowel imaging
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$1,074.00
|
|
Brace ank air stirrup univ
|
$126.60 |
$126.60 |
$126.60 |
$108.67
|
|
Brace ankle stablizing lg
|
$70.80 |
$70.80 |
$70.80 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$235.20 |
$235.20 |
$235.20 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$223.20 |
$223.20 |
$223.20 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$68.40 |
$68.40 |
$68.40 |
$257.45
|
|
Brace wrist classic lft sm
|
$51.00 |
$51.00 |
$51.00 |
$89.04
|
