|
Azithromycin dihydrate, oral
|
$101.60 |
$101.60 |
$101.60 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$18.80 |
$18.80 |
$18.80 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$1,639.90
|
|
Baclofen eval charges
|
$102.60 |
$102.60 |
$102.60 |
$87.50
|
|
Bacterial meningitis antigen
|
$37.80 |
$37.80 |
$37.80 |
$66.30
|
|
Bacterial vaginosis pcr
|
$304.80 |
$304.80 |
$304.80 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$265.80 |
$265.80 |
$265.80 |
$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)
|
$115.80 |
$115.80 |
$115.80 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$478.20 |
$478.20 |
$478.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$346.20 |
$346.20 |
$346.20 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$237.00 |
$237.00 |
$237.00 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$306.00 |
$306.00 |
$306.00 |
$195.25
|
|
Bausch health Ultrasound surg
|
$597.00 |
$597.00 |
$597.00 |
$768.50
|
|
B cells total count
|
$320.40 |
$320.40 |
$320.40 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$2,903.40 |
$2,903.40 |
$2,903.40 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$202.40 |
$202.40 |
$202.40 |
$4,047.32
|
|
Benign lesion paring 2-4
|
$271.20 |
$271.20 |
$271.20 |
$264.60
|
|
Benign lesion paring 4+
|
$479.40 |
$479.40 |
$479.40 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$100.20 |
$100.20 |
$100.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$81.00 |
$81.00 |
$81.00 |
$82.55
|
|
Beta-2 microglobulin
|
$54.60 |
$54.60 |
$54.60 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$27.20 |
$27.20 |
$27.20 |
$65.00
|
|
Bilateral n blobk inj pudendal 64430
|
$2,374.20 |
$2,374.20 |
$2,374.20 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$664.80 |
$664.80 |
$664.80 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$370.20 |
$370.20 |
$370.20 |
$587.60
|
|
Bilirubin direct
|
$22.20 |
$22.20 |
$22.20 |
$51.35
|
|
Bilirubin total
|
$22.20 |
$22.20 |
$22.20 |
$54.60
|
|
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 muscle percutaneous needle
|
$1,798.20 |
$1,798.20 |
$1,798.20 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$1,890.72
|
|
Biopsy of prostate
|
$2,635.80 |
$2,635.80 |
$2,635.80 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$738.00 |
$738.00 |
$738.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$394.80 |
$394.80 |
$394.80 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,720.20 |
$1,720.20 |
$1,720.20 |
$2,462.35
|
|
Biospy of bladder
|
$85.20 |
$85.20 |
$85.20 |
$945.00
|
|
Bivalirudin
|
$7.00 |
$7.00 |
$7.00 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$231.60 |
$231.60 |
$231.60 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$379.80 |
$379.80 |
$379.80 |
$412.80
|
|
Bld prd mix
|
$109.20 |
$109.20 |
$109.20 |
$140.25
|
|
Blinatumomab 35 mcg intravenous solution
|
$311.40 |
$311.40 |
$311.40 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$6,210.00 |
$6,210.00 |
$6,210.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$5,752.20 |
$5,752.20 |
$5,752.20 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$679.20 |
$679.20 |
$679.20 |
$1,320.21
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$37.20 |
$37.20 |
$37.20 |
$34.40
|
|
Block brachial plexus w/cath plmt w/img
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,289.40 |
$1,289.40 |
$1,289.40 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$652.20 |
$652.20 |
$652.20 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$652.20 |
$652.20 |
$652.20 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$15.60 |
$15.60 |
$15.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$25.80 |
$25.80 |
$25.80 |
$74.00
|
|
Blood component/product noc
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$57.90
|
|
Blood Count (CBC) Test
|
$31.80 |
$31.80 |
$31.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$28.20 |
$28.20 |
$28.20 |
$62.28
|
|
Blood Culture Test
|
$64.80 |
$64.80 |
$64.80 |
$146.16
|
|
Blood draw capillary 36416
|
$12.00 |
$12.00 |
$12.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$7.80 |
$7.80 |
$7.80 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$308.40 |
$308.40 |
$308.40 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$42.00 |
$42.00 |
$42.00 |
$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 microscopic w manual differential wbc count
|
$14.40 |
$14.40 |
$14.40 |
$38.35
|
|
Blood split unit
|
$417.00 |
$417.00 |
$417.00 |
$282.88
|
|
Blood Transfusion
|
$526.80 |
$526.80 |
$526.80 |
$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 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
|
$632.40 |
$632.40 |
$632.40 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$507.60 |
$507.60 |
$507.60 |
$811.00
|
|
Bone marrow imaging mult
|
$653.40 |
$653.40 |
$653.40 |
$923.00
|
|
Bone marrow interpretation
|
$456.60 |
$456.60 |
$456.60 |
$542.03
|
|
Bone survey-lead poisoning
|
$265.80 |
$265.80 |
$265.80 |
$387.00
|
|
Bone tendon board add on
|
$4,203.60 |
$4,203.60 |
$4,203.60 |
$6,606.72
|
|
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 burgdorferi (lyme disease) antibody nonspecific
|
$74.40 |
$74.40 |
$74.40 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$40.80 |
$40.80 |
$40.80 |
$82.55
|
|
Brace ank air stirrup univ
|
$83.40 |
$83.40 |
$83.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$302.40 |
$302.40 |
$302.40 |
$122.82
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$111.60 |
$111.60 |
$111.60 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$189.00 |
$189.00 |
$189.00 |
$257.45
|
|
Brace wrist classic lft sm
|
$16.20 |
$16.20 |
$16.20 |
$89.04
|
|
Brach/thor cath 1st
|
$5,931.00 |
$5,931.00 |
$5,931.00 |
$1,701.00
|
|
Braf gene
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,584.20 |
$2,584.20 |
$2,584.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,911.60 |
$1,911.60 |
$1,911.60 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$55.20 |
$55.20 |
$55.20 |
$127.73
|
|
Brca1&2 gen ful dup/del alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
