|
Assess cyst contrast inject
|
$1,873.80 |
$1,873.80 |
$1,873.80 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$70.20 |
$70.20 |
$70.20 |
$46.80
|
|
Ast/sgot
|
$36.00 |
$36.00 |
$36.00 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$313.60 |
$313.60 |
$313.60 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$120,934.20 |
$120,934.20 |
$120,934.20 |
$16,141.30
|
|
Atropine 0.1 mg/ml injection syringe
|
$22.80 |
$22.80 |
$22.80 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$7,492.80 |
$7,492.80 |
$7,492.80 |
$6,963.84
|
|
Avelumab 20 mg/ml intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$3,721.71
|
|
Avul nail plate addl
|
$571.80 |
$571.80 |
$571.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$417.00 |
$417.00 |
$417.00 |
$326.27
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$100.20 |
$100.20 |
$100.20 |
$23,112.50
|
|
Azacitidine injection
|
$22.60 |
$22.60 |
$22.60 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$10.40 |
$10.40 |
$10.40 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$319.20 |
$319.20 |
$319.20 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$225.60 |
$225.60 |
$225.60 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$19.80 |
$19.80 |
$19.80 |
$157.30
|
|
Baclofen eval charges
|
$118.20 |
$118.20 |
$118.20 |
$87.50
|
|
Bacterial meningitis antigen
|
$236.40 |
$236.40 |
$236.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$424.80 |
$424.80 |
$424.80 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$474.00 |
$474.00 |
$474.00 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$70.80 |
$70.80 |
$70.80 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$80.40 |
$80.40 |
$80.40 |
$102.20
|
|
Balloon dilate urtrl strix
|
$10,138.20 |
$10,138.20 |
$10,138.20 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$502.20 |
$502.20 |
$502.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$385.80 |
$385.80 |
$385.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$253.20 |
$253.20 |
$253.20 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$306.00 |
$306.00 |
$306.00 |
$195.25
|
|
Bausch health Ultrasound surg
|
$609.00 |
$609.00 |
$609.00 |
$768.50
|
|
B cells total count
|
$335.40 |
$335.40 |
$335.40 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$732.60 |
$732.60 |
$732.60 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$220.80 |
$220.80 |
$220.80 |
$4,047.32
|
|
Bendamustine 100 mg intravenous powder for solution
|
$56.40 |
$56.40 |
$56.40 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$70.80 |
$70.80 |
$70.80 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$576.60 |
$576.60 |
$576.60 |
$264.60
|
|
Benztropine 1 mg/ml injection solution
|
$100.20 |
$100.20 |
$100.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$229.20 |
$229.20 |
$229.20 |
$82.55
|
|
Beta-2 microglobulin
|
$74.40 |
$74.40 |
$74.40 |
$85.20
|
|
Beta-amyloid 1-40
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$312.00
|
|
Beta-amyloid 1-42
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$49.20 |
$49.20 |
$49.20 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$398.40 |
$398.40 |
$398.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$3,496.79
|
|
Bilateral n block inj occipital 64405
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$587.60
|
|
Bilirubin direct
|
$33.00 |
$33.00 |
$33.00 |
$51.35
|
|
Bilirubin total
|
$33.00 |
$33.00 |
$33.00 |
$54.60
|
|
Biopsy abdominal mass
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,094.00 |
$2,094.00 |
$2,094.00 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$8,072.40 |
$8,072.40 |
$8,072.40 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,890.72
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$2,115.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,198.60 |
$3,198.60 |
$3,198.60 |
$2,462.35
|
|
Biospy of bladder
|
$111.60 |
$111.60 |
$111.60 |
$945.00
|
|
Bladder Catheter Insertion (simple)
|
$538.20 |
$538.20 |
$538.20 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$611.40 |
$611.40 |
$611.40 |
$412.80
|
|
Bleomycin 15 unit solution for injection
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$311.40 |
$311.40 |
$311.40 |
$10,187.42
|
|
Blink reflex test
|
$159.60 |
$159.60 |
$159.60 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,042.60 |
$3,042.60 |
$3,042.60 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$752.40 |
$752.40 |
$752.40 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,067.60 |
$2,067.60 |
$2,067.60 |
$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
|
$2,530.20 |
$2,530.20 |
$2,530.20 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$102.00 |
$102.00 |
$102.00 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$34.80 |
$34.80 |
$34.80 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$119.40 |
$119.40 |
$119.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$89.40 |
$89.40 |
$89.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$51.00 |
$51.00 |
$51.00 |
$62.28
|
|
Blood Culture Test
|
$137.40 |
$137.40 |
$137.40 |
$146.16
|
|
Blood draw capillary 36416
|
$7.80 |
$7.80 |
$7.80 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$10.20 |
$10.20 |
$10.20 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$436.20 |
$436.20 |
$436.20 |
$226.50
|
|
Blood gases ph venous
|
$60.00 |
$60.00 |
$60.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$30.60 |
$30.60 |
$30.60 |
$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
|
$52.20 |
$52.20 |
$52.20 |
$34.98
|
|
Blood smear interpretation
|
$92.40 |
$92.40 |
$92.40 |
$71.76
|
|
Blood split unit
|
$300.60 |
$300.60 |
$300.60 |
$282.88
|
|
Blood Transfusion
|
$931.80 |
$931.80 |
$931.80 |
$989.60
|
|
Blood typing abo
|
$34.80 |
$34.80 |
$34.80 |
$86.45
|
|
Blood typing ag donor ea ag
|
$106.20 |
$106.20 |
$106.20 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$80.40 |
$80.40 |
$80.40 |
$211.90
|
|
Blood typing rh (d)
|
$47.40 |
$47.40 |
$47.40 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$145.80 |
$145.80 |
$145.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$240.00 |
$240.00 |
$240.00 |
$407.94
|
|
Bone/joint imaging ltd area
|
$508.80 |
$508.80 |
$508.80 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$1,728.00
|
|
Bone marrow interpretation
|
$250.80 |
$250.80 |
$250.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$420.60 |
$420.60 |
$420.60 |
$387.00
|
|
Boot j walker l
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$234.00
|
|
Boot walker genesis full shell 3-strap s
|
$861.60 |
$861.60 |
$861.60 |
$439.09
|
|
Borrelia antibody
|
$210.60 |
$210.60 |
$210.60 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$99.00 |
$99.00 |
$99.00 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$189.00 |
$189.00 |
$189.00 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$241.20 |
$241.20 |
$241.20 |
$2,915.40
|
