|
Blood Clotting (PT/INR) Test
|
$12.80 |
$12.80 |
$12.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$19.20 |
$19.20 |
$19.20 |
$73.44
|
|
Blood Count (CBC) Test
|
$28.80 |
$28.80 |
$28.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$20.80 |
$20.80 |
$20.80 |
$61.80
|
|
Blood Culture Test
|
$33.28 |
$33.28 |
$33.28 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$76.48 |
$76.48 |
$76.48 |
$220.35
|
|
Blood gases ph venous
|
$6.40 |
$6.40 |
$6.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$43.84 |
$43.84 |
$43.84 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.24 |
$10.24 |
$10.24 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$11.20 |
$11.20 |
$11.20 |
$38.61
|
|
Blood split unit
|
$77.76 |
$77.76 |
$77.76 |
$250.00
|
|
Blood typing abo
|
$223.68 |
$223.68 |
$223.68 |
$83.03
|
|
Blood typing patient serum
|
$24.00 |
$24.00 |
$24.00 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$577.60 |
$577.60 |
$577.60 |
$199.50
|
|
Blood typing rh (d)
|
$21.76 |
$21.76 |
$21.76 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$38.40 |
$38.40 |
$38.40 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$108.16 |
$108.16 |
$108.16 |
$397.28
|
|
Bone imaging multiple areas
|
$330.24 |
$330.24 |
$330.24 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$241.92 |
$241.92 |
$241.92 |
$1,013.50
|
|
Bone marrow biopsyneedle/trocar 38221
|
$752.00 |
$752.00 |
$752.00 |
$1,570.80
|
|
Bone survey-lead poisoning
|
$111.04 |
$111.04 |
$111.04 |
$390.00
|
|
Boot mlti podous univ xlg
|
$543.00 |
$543.00 |
$543.00 |
$235.98
|
|
Boot softgait shrt m
|
$70.88 |
$70.88 |
$70.88 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$19.20 |
$19.20 |
$19.20 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$272.64 |
$272.64 |
$272.64 |
$2,825.96
|
|
Bowel imaging
|
$205.44 |
$205.44 |
$205.44 |
$1,065.00
|
|
Brace afo lg left 6607
|
$151.17 |
$151.17 |
$151.17 |
$461.76
|
|
Brace ank air stirrup univ
|
$46.77 |
$46.77 |
$46.77 |
$109.64
|
|
Brace back epic lso 637
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$1,023.66
|
|
Brace back epic tslo 456
|
$1,067.22 |
$1,067.22 |
$1,067.22 |
$1,631.36
|
|
Brace back pinnacle tlso 464
|
$588.99 |
$588.99 |
$588.99 |
$2,283.03
|
|
Brace knee extender plus 22-30in
|
$261.99 |
$261.99 |
$261.99 |
$676.06
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$201.83 |
$201.83 |
$201.83 |
$386.00
|
|
Brace ortho exos 28-50in sm
|
$578.16 |
$578.16 |
$578.16 |
$1,124.44
|
|
Brace wrist classic lft sm
|
$19.12 |
$19.12 |
$19.12 |
$81.62
|
|
Brach/thor cath 1st
|
$169.28 |
$169.28 |
$169.28 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$191.36 |
$191.36 |
$191.36 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$215.68 |
$215.68 |
$215.68 |
$2,079.00
|
|
Brach/thor cath addl
|
$215.68 |
$215.68 |
$215.68 |
$868.00
|
|
Brachytx isodose complex
|
$426.88 |
$426.88 |
$426.88 |
$1,631.00
|
|
Brachytx isodose intermed
|
$205.44 |
$205.44 |
$205.44 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$395.52 |
$395.52 |
$395.52 |
$929.40
|
|
Braf gene
|
$264.00 |
$264.00 |
$264.00 |
$427.50
|
|
Brain image 4+ views
|
$266.24 |
$266.24 |
$266.24 |
$952.80
|
|
Brain image w/flow 4 + views
|
$266.24 |
$266.24 |
$266.24 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$559.04 |
$559.04 |
$559.04 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$372.48 |
$372.48 |
$372.48 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$342.08 |
$342.08 |
$342.08 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$808.32 |
$808.32 |
$808.32 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$647.36 |
$647.36 |
$647.36 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$567.04 |
$567.04 |
$567.04 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$913.92 |
$913.92 |
$913.92 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$694.40 |
$694.40 |
$694.40 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$13,304.83 |
$13,304.83 |
$13,304.83 |
$22,383.57
|
|
Bronchial allergy tests
|
$254.72 |
$254.72 |
$254.72 |
$731.72
|
|
Bronchial challenge
|
$183.04 |
$183.04 |
$183.04 |
$777.60
|
|
Br punct aspir ea add, l
|
$213.44 |
$213.44 |
$213.44 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$14.96 |
$14.96 |
$14.96 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$85.76 |
$85.76 |
$85.76 |
$160.80
|
|
Bundled special stain group 2
|
$70.08 |
$70.08 |
$70.08 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$31.48 |
$31.48 |
$31.48 |
$32.88
|
|
Butorphanol tartrate 1 mg
|
$173.17 |
$173.17 |
$173.17 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$495.04 |
$495.04 |
$495.04 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$1,303.68 |
$1,303.68 |
$1,303.68 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$1,303.68 |
$1,303.68 |
$1,303.68 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$913.92 |
$913.92 |
$913.92 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$495.04 |
$495.04 |
$495.04 |
$1,588.50
|
|
Bx pleura pq ndl
|
$495.04 |
$495.04 |
$495.04 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$37.76 |
$37.76 |
$37.76 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$37.76 |
$37.76 |
$37.76 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$37.76 |
$37.76 |
$37.76 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$347.20 |
$347.20 |
$347.20 |
$964.62
|
|
C-1 esterase, berinert
|
$4,658.45 |
$4,658.45 |
$4,658.45 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$46.40 |
$46.40 |
$46.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$15,893.94 |
$15,893.94 |
$15,893.94 |
$27,723.08
|
|
Cad breast MRI w/r&i
|
$332.16 |
$332.16 |
$332.16 |
$122.40
|
|
Cadd pump refill
|
$104.32 |
$104.32 |
$104.32 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$872.45 |
$872.45 |
$872.45 |
$2,111.64
|
|
Calcium 24 hour urine
|
$19.52 |
$19.52 |
$19.52 |
$53.00
|
|
Calcium ionized
|
$44.16 |
$44.16 |
$44.16 |
$90.00
|
|
Calcium total
|
$16.64 |
$16.64 |
$16.64 |
$50.00
|
|
Calprotectin fecal
|
$70.40 |
$70.40 |
$70.40 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$4,905.60 |
$4,905.60 |
$4,905.60 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$83.98 |
$83.98 |
$83.98 |
$59.42
|
|
Cap trach decann 15mm
|
$937.20 |
$937.20 |
$937.20 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$47.04 |
$47.04 |
$47.04 |
$120.25
|
|
Carbon dioxide
|
$15.68 |
$15.68 |
$15.68 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$145.77 |
$145.77 |
$145.77 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$111.51 |
$111.51 |
$111.51 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$88.00 |
$88.00 |
$88.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$61.12 |
$61.12 |
$61.12 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$650.24 |
$650.24 |
$650.24 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$84.80 |
$84.80 |
$84.80 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$84.80 |
$84.80 |
$84.80 |
$196.50
|
|
Cardiolipin antibody iga
|
$20.80 |
$20.80 |
$20.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$324.16 |
$324.16 |
$324.16 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$83.52 |
$83.52 |
$83.52 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$42.24 |
$42.24 |
$42.24 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$3,857.52 |
$3,857.52 |
$3,857.52 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,876.23 |
$2,876.23 |
$2,876.23 |
$1,731.00
|
