|
Bivalirudin
|
$281.04 |
$281.04 |
$281.04 |
$1,540.19
|
|
Bladder irrigate/lavage/instill 51700
|
$72.22 |
$72.22 |
$72.22 |
$408.00
|
|
Bld prd mix
|
$21.62 |
$21.62 |
$21.62 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$59.76 |
$59.76 |
$59.76 |
$225.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$39.10 |
$39.10 |
$39.10 |
$5,330.60
|
|
Block tap inj(s) w/wo img bi
|
$155.48 |
$155.48 |
$155.48 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$150.65 |
$150.65 |
$150.65 |
$897.95
|
|
Blood Clotting (PT/INR) Test
|
$37.95 |
$37.95 |
$37.95 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$37.95 |
$37.95 |
$37.95 |
$71.85
|
|
Blood component/product noc
|
$58.19 |
$58.19 |
$58.19 |
$57.90
|
|
Blood Count (CBC) Test
|
$39.33 |
$39.33 |
$39.33 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$33.81 |
$33.81 |
$33.81 |
$60.50
|
|
Blood Culture Test
|
$79.81 |
$79.81 |
$79.81 |
$143.88
|
|
Blood draw capillary 36416
|
$8.74 |
$8.74 |
$8.74 |
$20.00
|
|
Blood gases ph venous
|
$7.36 |
$7.36 |
$7.36 |
$61.92
|
|
Blood, l/r, irradiated
|
$259.44 |
$259.44 |
$259.44 |
$470.64
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$28.29 |
$28.29 |
$28.29 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$28.29 |
$28.29 |
$28.29 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$28.29 |
$28.29 |
$28.29 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$36.57 |
$36.57 |
$36.57 |
$37.80
|
|
Blood typing abo
|
$53.13 |
$53.13 |
$53.13 |
$83.03
|
|
Blood typing ag donor ea ag
|
$56.35 |
$56.35 |
$56.35 |
$179.30
|
|
Blood typing rbc ag non abo/rh ea
|
$92.92 |
$92.92 |
$92.92 |
$190.00
|
|
Blood typing rh (d)
|
$22.31 |
$22.31 |
$22.31 |
$57.10
|
|
Bls-emergency
|
$526.47 |
$526.47 |
$526.47 |
$892.32
|
|
Bone Density Scan (DEXA)
|
$114.77 |
$114.77 |
$114.77 |
$398.56
|
|
Bone imaging multiple areas
|
$287.96 |
$287.96 |
$287.96 |
$1,168.20
|
|
Bone/joint imaging ltd area
|
$357.42 |
$357.42 |
$357.42 |
$997.50
|
|
Bone marrow biopsyneedle/trocar 38221
|
$438.15 |
$438.15 |
$438.15 |
$1,770.73
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$57.04 |
$57.04 |
$57.04 |
$92.88
|
|
Borrelia miyamotoi amp prb
|
$25.99 |
$25.99 |
$25.99 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$191.50 |
$191.50 |
$191.50 |
$2,840.38
|
|
Bowel imaging
|
$350.29 |
$350.29 |
$350.29 |
$1,065.00
|
|
Brach/thor cath 1st
|
$546.25 |
$546.25 |
$546.25 |
$1,888.32
|
|
Brach/thor cath 2nd
|
$554.07 |
$554.07 |
$554.07 |
$1,986.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$922.07 |
$922.07 |
$922.07 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,158.74 |
$1,158.74 |
$1,158.74 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$1,020.74 |
$1,020.74 |
$1,020.74 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$823.17 |
$823.17 |
$823.17 |
$1,944.15
|
|
Bronchial challenge
|
$244.49 |
$244.49 |
$244.49 |
$761.40
|
|
Bronchoscopy clear airways 31645
|
$393.76 |
$393.76 |
$393.76 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$1,058.92 |
$1,058.92 |
$1,058.92 |
$2,597.70
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$8.62 |
$8.62 |
$8.62 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$14.49 |
$14.49 |
$14.49 |
$161.46
|
|
Bundled special stain group 2
|
$103.96 |
$103.96 |
$103.96 |
$169.60
|
|
Buprenorphine and metabolite - sendout
|
$88.78 |
$88.78 |
$88.78 |
$80.25
|
|
Buprenorphine hydrochloride
|
$35.01 |
$35.01 |
$35.01 |
$42.08
|
|
Buprenorphine oral 1mg
|
$9.31 |
$9.31 |
$9.31 |
$10.32
|
|
Busulfan injection
|
$319.16 |
$319.16 |
$319.16 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$35.43 |
$35.43 |
$35.43 |
$37.50
|
|
Bx perianal mass
|
$183.31 |
$183.31 |
$183.31 |
$1,501.50
|
|
Bx skin punch ea sep/ addl les
|
$45.77 |
$45.77 |
$45.77 |
$230.02
|
|
Bx skin tangential ea sep/ addl les
|
$81.88 |
$81.88 |
$81.88 |
$206.00
|
|
Bypass temp external fem-fem
|
$955.42 |
$955.42 |
$955.42 |
$1,828.50
|
|
Cabergoline, oral 0.25mg
|
$1.56 |
$1.56 |
$1.56 |
$65.85
|
|
Caffeine citrate 20 mg/ml inj for po
|
$55.96 |
$55.96 |
$55.96 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$957.48 |
$957.48 |
$957.48 |
$2,132.00
|
|
Calcium 24 hour urine
|
$54.28 |
$54.28 |
$54.28 |
$52.08
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$61.41 |
$61.41 |
$61.41 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$28.81 |
$28.81 |
$28.81 |
$91.60
|
|
Calcium ionized
|
$67.62 |
$67.62 |
$67.62 |
$88.00
|
|
Calcium total
|
$48.76 |
$48.76 |
$48.76 |
$50.00
|
|
Calprotectin fecal
|
$141.22 |
$141.22 |
$141.22 |
$167.40
|
|
Canthotomy 67715
|
$1,517.31 |
$1,517.31 |
$1,517.31 |
$2,968.65
|
|
Capecitabine, oral, 50 mg
|
$9.34 |
$9.34 |
$9.34 |
$50.86
|
|
Carbamazepine free
|
$31.97 |
$31.97 |
$31.97 |
$50.40
|
|
Carbamazepine free -sendout
|
$17.71 |
$17.71 |
$17.71 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$53.82 |
$53.82 |
$53.82 |
$115.05
|
|
Carbon dioxide
|
$48.76 |
$48.76 |
$48.76 |
$44.88
|
|
Carboplatin 10 mg/ml desensitization
|
$143.98 |
$143.98 |
$143.98 |
$195.06
|
|
Carboxyhemoglobin quantitative
|
$66.01 |
$66.01 |
$66.01 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$63.48 |
$63.48 |
$63.48 |
$142.50
|
|
Cardiac perf planar mult/ef/wm
|
$1,260.17 |
$1,260.17 |
$1,260.17 |
$2,764.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,027.64 |
$1,027.64 |
$1,027.64 |
$2,631.75
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$75.21 |
$75.21 |
$75.21 |
$245.39
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$75.21 |
$75.21 |
$75.21 |
$196.50
|
|
Cardiolipin antibody iga
|
$120.75 |
$120.75 |
$120.75 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$348.91 |
$348.91 |
$348.91 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$35.88 |
$35.88 |
$35.88 |
$105.56
|
|
Caregiver training strategies&tq ea addl 15 min
|
$17.94 |
$17.94 |
$17.94 |
$52.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$478.74 |
$478.74 |
$478.74 |
$1,596.90
|
|
Carotid Artery Ultrasound (Duplex)
|
$471.27 |
$471.27 |
$471.27 |
$1,030.00
|
|
Carpal Tunnel Release Surgery
|
$1,161.04 |
$1,161.04 |
$1,161.04 |
$3,639.20
|
|
Casiri and imdev repeat
|
$698.51 |
$698.51 |
$698.51 |
$540.00
|
|
Caspofungin acetate
|
$392.39 |
$392.39 |
$392.39 |
$757.91
|
|
Cath combo lt&rt heart w/inj/s
|
$3,302.34 |
$3,302.34 |
$3,302.34 |
$8,910.89
|
|
Cath cv dl inj 7fx16cm
|
$196.65 |
$196.65 |
$196.65 |
$4,624.54
|
|
Cathj umbilical vein dx/ther nb
|
$205.85 |
$205.85 |
$205.85 |
$246.00
|
|
Cath left heart/lv gram
|
$3,162.27 |
$3,162.27 |
$3,162.27 |
$7,685.82
|
|
Cath plc art ang/grft lt/rt hr
|
$4,154.03 |
$4,154.03 |
$4,154.03 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$4,376.44 |
$4,376.44 |
$4,376.44 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$4,759.62 |
$4,759.62 |
$4,759.62 |
$10,253.10
|
|
Cath right heart w/o2 sat & card
|
$3,576.96 |
$3,576.96 |
$3,576.96 |
$6,404.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,121.94 |
$1,121.94 |
$1,121.94 |
$478.21
|
|
Cauterization chemical granulation tissue
|
$112.47 |
$112.47 |
$112.47 |
$336.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$50.34 |
$50.34 |
$50.34 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$15.96 |
$15.96 |
$15.96 |
$44.80
|
|
Cefotaxime sodium injection
|
$20.06 |
$20.06 |
$20.06 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$80.07 |
$80.07 |
$80.07 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$17.55 |
$17.55 |
$17.55 |
$64.48
|
