|
Blood Count (CBC) Test (without differential)
|
$21.45 |
$21.45 |
$21.45 |
$61.80
|
|
Blood Culture Test
|
$34.32 |
$34.32 |
$34.32 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$78.87 |
$78.87 |
$78.87 |
$220.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$10.56 |
$10.56 |
$10.56 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.56 |
$10.56 |
$10.56 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$11.55 |
$11.55 |
$11.55 |
$38.61
|
|
Blood split unit
|
$80.19 |
$80.19 |
$80.19 |
$250.00
|
|
Blood typing abo
|
$230.67 |
$230.67 |
$230.67 |
$83.03
|
|
Blood typing patient serum
|
$24.75 |
$24.75 |
$24.75 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$595.65 |
$595.65 |
$595.65 |
$199.50
|
|
Blood typing rh (d)
|
$22.44 |
$22.44 |
$22.44 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$39.60 |
$39.60 |
$39.60 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$111.54 |
$111.54 |
$111.54 |
$397.28
|
|
Bone imaging multiple areas
|
$340.56 |
$340.56 |
$340.56 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$249.48 |
$249.48 |
$249.48 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$510.51 |
$510.51 |
$510.51 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$775.50 |
$775.50 |
$775.50 |
$1,570.80
|
|
Bone survey-lead poisoning
|
$114.51 |
$114.51 |
$114.51 |
$390.00
|
|
Boot softgait shrt m
|
$73.09 |
$73.09 |
$73.09 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$1,069.94 |
$1,069.94 |
$1,069.94 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$964.31 |
$964.31 |
$964.31 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$34.65 |
$34.65 |
$34.65 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$281.16 |
$281.16 |
$281.16 |
$2,825.96
|
|
Bowel imaging
|
$211.86 |
$211.86 |
$211.86 |
$1,065.00
|
|
Brace ank air stirrup univ
|
$48.23 |
$48.23 |
$48.23 |
$109.64
|
|
Brace back epic lso 637
|
$432.14 |
$432.14 |
$432.14 |
$1,023.66
|
|
Brace back pinnacle tlso 464
|
$4,412.10 |
$4,412.10 |
$4,412.10 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,995.36 |
$3,995.36 |
$3,995.36 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$1,579.91
|
|
Brace cust back lso
|
$1,450.22 |
$1,450.22 |
$1,450.22 |
$959.89
|
|
Brace knee extender plus 22-30in
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$676.06
|
|
Brace knee hing pat open med
|
$672.46 |
$672.46 |
$672.46 |
$216.00
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,702.94
|
|
Brace wrist classic lft sm
|
$15.68 |
$15.68 |
$15.68 |
$81.62
|
|
Brach/thor cath 1st
|
$174.57 |
$174.57 |
$174.57 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$197.34 |
$197.34 |
$197.34 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$222.42 |
$222.42 |
$222.42 |
$2,079.00
|
|
Brach/thor cath addl
|
$222.42 |
$222.42 |
$222.42 |
$868.00
|
|
Braf gene
|
$272.25 |
$272.25 |
$272.25 |
$427.50
|
|
Brain image 4+ views
|
$274.56 |
$274.56 |
$274.56 |
$952.80
|
|
Brain image w/flow 4 + views
|
$274.56 |
$274.56 |
$274.56 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$576.51 |
$576.51 |
$576.51 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$384.12 |
$384.12 |
$384.12 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$352.77 |
$352.77 |
$352.77 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$833.58 |
$833.58 |
$833.58 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$667.59 |
$667.59 |
$667.59 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$584.76 |
$584.76 |
$584.76 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$942.48 |
$942.48 |
$942.48 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$716.10 |
$716.10 |
$716.10 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$13,720.61 |
$13,720.61 |
$13,720.61 |
$22,383.57
|
|
Bronchial allergy tests
|
$262.68 |
$262.68 |
$262.68 |
$731.72
|
|
Bronchial challenge
|
$188.76 |
$188.76 |
$188.76 |
$777.60
|
|
Br punct aspir ea add, l
|
$220.11 |
$220.11 |
$220.11 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$15.43 |
$15.43 |
$15.43 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$88.44 |
$88.44 |
$88.44 |
$160.80
|
|
Bundled special stain group 2
|
$72.27 |
$72.27 |
$72.27 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$32.47 |
$32.47 |
$32.47 |
$32.88
|
|
Bur rotalink 2.15mm
|
$6,228.75 |
$6,228.75 |
$6,228.75 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$178.59 |
$178.59 |
$178.59 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$510.51 |
$510.51 |
$510.51 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$942.48 |
$942.48 |
$942.48 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$510.51 |
$510.51 |
$510.51 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,608.00
|
|
Bx thyroid/percutan core needle 60100
|
$358.05 |
$358.05 |
$358.05 |
$964.62
|
|
C-1 esterase, berinert
|
$4,804.02 |
$4,804.02 |
$4,804.02 |
$7,466.16
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$16,390.63 |
$16,390.63 |
$16,390.63 |
$27,723.08
|
|
Cad breast MRI w/r&i
|
$342.54 |
$342.54 |
$342.54 |
$122.40
|
|
Cadd pump refill
|
$107.58 |
$107.58 |
$107.58 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$899.71 |
$899.71 |
$899.71 |
$2,111.64
|
|
Calcium 24 hour urine
|
$20.13 |
$20.13 |
$20.13 |
$53.00
|
|
Calcium ionized
|
$45.54 |
$45.54 |
$45.54 |
$90.00
|
|
Calcium total
|
$17.16 |
$17.16 |
$17.16 |
$50.00
|
|
Calprotectin fecal
|
$72.60 |
$72.60 |
$72.60 |
$169.95
|
|
Candida skin test
|
$31.35 |
$31.35 |
$31.35 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$1,476.75 |
$1,476.75 |
$1,476.75 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$86.61 |
$86.61 |
$86.61 |
$59.42
|
|
Cap nerve 2x15mm
|
$4,372.50 |
$4,372.50 |
$4,372.50 |
$18,466.88
|
|
Cap trach decann 15mm
|
$598.95 |
$598.95 |
$598.95 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$48.51 |
$48.51 |
$48.51 |
$120.25
|
|
Carbon dioxide
|
$5.61 |
$5.61 |
$5.61 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$150.32 |
$150.32 |
$150.32 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$115.00 |
$115.00 |
$115.00 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$50.49 |
$50.49 |
$50.49 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$63.03 |
$63.03 |
$63.03 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$670.56 |
$670.56 |
$670.56 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$87.45 |
$87.45 |
$87.45 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$87.45 |
$87.45 |
$87.45 |
$196.50
|
|
Cardiolipin antibody iga
|
$21.45 |
$21.45 |
$21.45 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$334.29 |
$334.29 |
$334.29 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$86.13 |
$86.13 |
$86.13 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$43.56 |
$43.56 |
$43.56 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$3,978.06 |
$3,978.06 |
$3,978.06 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,966.12 |
$2,966.12 |
$2,966.12 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$202.95 |
$202.95 |
$202.95 |
$1,018.68
|
|
Caspofungin acetate
|
$394.62 |
$394.62 |
$394.62 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$270.27 |
$270.27 |
$270.27 |
$830.58
|
|
Cath acuity innr ic130 6f 63cm
|
$800.42 |
$800.42 |
$800.42 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$439.44 |
$439.44 |
$439.44 |
$18,560.00
|
