|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$13.80 |
$13.80 |
$13.80 |
$955.43
|
|
Aqmbf pet rest & rx stress
|
$105.60 |
$105.60 |
$105.60 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$66.60 |
$66.60 |
$66.60 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$58.80 |
$58.80 |
$58.80 |
$150.00
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$579.60 |
$579.60 |
$579.60 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$876.00 |
$876.00 |
$876.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$394.20 |
$394.20 |
$394.20 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$35.40 |
$35.40 |
$35.40 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$667.80 |
$667.80 |
$667.80 |
$478.96
|
|
Artery-vein nonautograft
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$1,365.60 |
$1,365.60 |
$1,365.60 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$9,796.20 |
$9,796.20 |
$9,796.20 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$3,476.40 |
$3,476.40 |
$3,476.40 |
$3,320.35
|
|
Artery x-rays adrenals
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,860.40
|
|
Artery x-rays chest
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$2,895.07
|
|
Artery x-rays lung
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,296.15
|
|
Artery x-rays lung
|
$3,476.40 |
$3,476.40 |
$3,476.40 |
$2,427.50
|
|
Artery x-rays lungs
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$9,796.20 |
$9,796.20 |
$9,796.20 |
$4,306.40
|
|
Artery x-rays spine
|
$9,796.20 |
$9,796.20 |
$9,796.20 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$453.60 |
$453.60 |
$453.60 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$948.00 |
$948.00 |
$948.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$817.20 |
$817.20 |
$817.20 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$453.60 |
$453.60 |
$453.60 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$817.20 |
$817.20 |
$817.20 |
$699.00
|
|
Asp core fat pad
|
$1,589.40 |
$1,589.40 |
$1,589.40 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$6,756.00 |
$6,756.00 |
$6,756.00 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$401.40 |
$401.40 |
$401.40 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,861.20 |
$1,861.20 |
$1,861.20 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$924.60 |
$924.60 |
$924.60 |
$872.50
|
|
Asp pq spinal cord cyst/syrinx
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$1,330.50
|
|
Assay alkaline phosphatase
|
$44.40 |
$44.40 |
$44.40 |
$42.60
|
|
Assay of chloramphenicol
|
$45.60 |
$45.60 |
$45.60 |
$70.56
|
|
Assay of corticosterone
|
$49.20 |
$49.20 |
$49.20 |
$55.20
|
|
Assay of galactose
|
$41.40 |
$41.40 |
$41.40 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$87.60 |
$87.60 |
$87.60 |
$79.00
|
|
Assay of lap enzyme
|
$34.80 |
$34.80 |
$34.80 |
$72.00
|
|
Assay of osteocalcin
|
$150.60 |
$150.60 |
$150.60 |
$93.60
|
|
Assay of procainamide w/metab
|
$61.20 |
$61.20 |
$61.20 |
$73.80
|
|
Assay of prostaglandin
|
$211.80 |
$211.80 |
$211.80 |
$230.00
|
|
Assay of salicylate
|
$159.60 |
$159.60 |
$159.60 |
$96.50
|
|
Assay of thiocyanate
|
$42.60 |
$42.60 |
$42.60 |
$73.71
|
|
Assay of urine sulfate
|
$27.60 |
$27.60 |
$27.60 |
$28.20
|
|
Assay toxin or antitoxin
|
$110.40 |
$110.40 |
$110.40 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$214.20 |
$214.20 |
$214.20 |
$300.00
|
|
Assess cyst contrast inject
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
$453.04
|
|
Ast/sgot
|
$25.80 |
$25.80 |
$25.80 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$318.00 |
$318.00 |
$318.00 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$24,161.40 |
$24,161.40 |
$24,161.40 |
$15,188.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$6.60 |
$6.60 |
$6.60 |
$53.24
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$7,900.20 |
$7,900.20 |
$7,900.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$17,602.20 |
$17,602.20 |
$17,602.20 |
$10,415.40
|
|
Autologous blood process
|
$201.60 |
$201.60 |
$201.60 |
$266.75
|
|
Automated diff wbc count
|
$32.40 |
$32.40 |
$32.40 |
$36.30
|
|
Avelumab 20 mg/ml intravenous solution
|
$112.20 |
$112.20 |
$112.20 |
$3,721.71
|
|
Av fistula revision
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$7,740.32
|
|
Av fuse uppr arm cephalic
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$6,396.89
|
|
Av fusion direct any site
|
$5,832.00 |
$5,832.00 |
$5,832.00 |
$5,419.00
|
|
Av fusion/forearm vein 36820
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$6,396.89
|
|
Avul nail plate addl
|
$370.80 |
$370.80 |
$370.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$520.80 |
$520.80 |
$520.80 |
$326.27
|
|
Azacitidine injection
|
$351.00 |
$351.00 |
$351.00 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$6.00 |
$6.00 |
$6.00 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$0.60 |
$0.60 |
$0.60 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$21.60 |
$21.60 |
$21.60 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$28.20 |
$28.20 |
$28.20 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$43.80 |
$43.80 |
$43.80 |
$158.07
|
|
Bacterial meningitis antigen
|
$42.60 |
$42.60 |
$42.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$390.60 |
$390.60 |
$390.60 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$195.60 |
$195.60 |
$195.60 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$96.00 |
$96.00 |
$96.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$427.80 |
$427.80 |
$427.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$427.80 |
$427.80 |
$427.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$427.80 |
$427.80 |
$427.80 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$195.60 |
$195.60 |
$195.60 |
$195.25
|
|
Basiliximab
|
$2,629.20 |
$2,629.20 |
$2,629.20 |
$8,127.89
|
|
B cells total count
|
$210.00 |
$210.00 |
$210.00 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$97.80 |
$97.80 |
$97.80 |
$404.04
|
|
Bebtelovimab injection
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$450.00
|
|
Belatacept 250 mg intravenous solution
|
$581.40 |
$581.40 |
$581.40 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$1,225.80 |
$1,225.80 |
$1,225.80 |
$4,047.32
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,782.60 |
$1,782.60 |
$1,782.60 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$370.80 |
$370.80 |
$370.80 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$364.20 |
$364.20 |
$364.20 |
$264.60
|
|
Benign lesion paring 4+
|
$435.60 |
$435.60 |
$435.60 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$43.80 |
$43.80 |
$43.80 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$142.20 |
$142.20 |
$142.20 |
$82.55
|
|
Beta-2 microglobulin
|
$81.60 |
$81.60 |
$81.60 |
$85.20
|
|
Beta-amyloid 1-40
|
$94.80 |
$94.80 |
$94.80 |
$312.00
|
|
Beta-amyloid 1-42
|
$94.80 |
$94.80 |
$94.80 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$6.60 |
$6.60 |
$6.60 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$119.40 |
$119.40 |
$119.40 |
$5,737.97
|
