|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$666.60 |
$666.60 |
$666.60 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,632.08 |
$2,632.08 |
$2,632.08 |
$10,384.40
|
|
Autologous blood process
|
$193.38 |
$193.38 |
$369.18 |
$262.50
|
|
Automated diff wbc count
|
$21.45 |
$21.45 |
$40.95 |
$38.28
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,205.16 |
$2,205.16 |
$2,425.67 |
$3,683.86
|
|
Avul nail plate addl
|
$288.09 |
$288.09 |
$288.09 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$250.47 |
$250.47 |
$250.47 |
$318.75
|
|
Azacitidine injection
|
$1,861.55 |
$1,861.55 |
$2,047.71 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$0.26 |
$0.26 |
$0.28 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$10.51 |
$10.51 |
$11.56 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$89.65 |
$89.65 |
$98.61 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,930.70 |
$1,930.70 |
$2,123.76 |
$1,800.33
|
|
Baclofen eval charges
|
$18.90 |
$18.90 |
$20.79 |
$85.00
|
|
Bacterial meningitis antigen
|
$62.70 |
$62.70 |
$119.70 |
$66.30
|
|
Balloon dilate urtrl strix
|
$99.99 |
$99.99 |
$181.80 |
$2,118.00
|
|
B cells total count
|
$68.04 |
$68.04 |
$107.58 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$180.62 |
$180.62 |
$198.69 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$991.61 |
$991.61 |
$1,090.77 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,206.35 |
$2,206.35 |
$2,426.99 |
$4,243.90
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,038.37 |
$3,038.37 |
$3,342.20 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,529.21 |
$2,529.21 |
$2,782.13 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$250.47 |
$250.47 |
$250.47 |
$257.50
|
|
Benign lesion paring 4+
|
$250.47 |
$250.47 |
$250.47 |
$287.00
|
|
Benztropine 1 mg/ml injection solution
|
$108.90 |
$108.90 |
$119.79 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$14.19 |
$14.19 |
$27.09 |
$78.50
|
|
Beta-2 microglobulin
|
$18.90 |
$18.90 |
$36.30 |
$85.94
|
|
Beta-amyloid 1-40
|
$85.14 |
$85.14 |
$85.14 |
$184.80
|
|
Beta-amyloid 1-42
|
$85.14 |
$85.14 |
$85.14 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$19.70 |
$19.70 |
$21.66 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,259.16 |
$3,259.16 |
$3,585.08 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$2,853.41 |
$2,853.41 |
$3,138.75 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,508.56 |
$2,508.56 |
$2,759.42 |
$2,508.56
|
|
Bfb train 1st 15min cntct 90912
|
$47.70 |
$47.70 |
$52.47 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$47.70 |
$47.70 |
$52.47 |
$92.82
|
|
Bhv id assmt by phys/qhp
|
$20.13 |
$20.13 |
$20.13 |
$121.50
|
|
Bilateral n block inj occipital 64405
|
$298.20 |
$298.20 |
$656.04 |
$768.60
|
|
Bilicheck
|
$11.10 |
$11.10 |
$12.21 |
$28.80
|
|
Bilirubin direct
|
$5.94 |
$5.94 |
$11.34 |
$50.00
|
|
Bilirubin total
|
$16.83 |
$16.83 |
$153.09 |
$52.57
|
|
Biopsy abdominal mass
|
$464.10 |
$464.10 |
$510.51 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$464.10 |
$464.10 |
$510.51 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$962.10 |
$962.10 |
$1,058.31 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$318.00 |
$318.00 |
$349.80 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$464.10 |
$464.10 |
$510.51 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$464.10 |
$464.10 |
$510.51 |
$1,878.14
|
|
Biopsy of heart lining
|
$886.20 |
$886.20 |
$974.82 |
$3,640.00
|
|
Biopsy of salivary gland 42400
|
$325.50 |
$325.50 |
$358.05 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$928.20 |
$928.20 |
$1,021.02 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$373.89 |
$373.89 |
$373.89 |
$657.66
|
|
Biospy of bladder
|
$134.64 |
$134.64 |
$244.50 |
$813.15
|
|
Biotinidase - quest
|
$5.61 |
$5.61 |
$10.71 |
$71.02
|
|
Bivalirudin
|
$968.95 |
$968.95 |
$1,065.85 |
$1,033.55
|
|
Bld prd mix
|
$59.73 |
$59.73 |
$114.03 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$132.92 |
$132.92 |
$146.21 |
$215.36
|
|
Blinatumomab 35 mcg intravenous solution
|
$5,260.41 |
$5,260.41 |
$5,786.45 |
$10,187.42
|
|
Blink reflex test
|
$93.30 |
$93.30 |
$102.63 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,300.00 |
$3,300.00 |
$3,630.00 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,719.79 |
$3,719.79 |
$6,204.00 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$680.63 |
$680.63 |
$722.74 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$2,220.00 |
$2,220.00 |
$2,442.00 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$11,319.75 |
$11,319.75 |
$12,451.73 |
$13,796.54
|
|
Blood Clotting (PT/INR) Test
|
$13.20 |
$13.20 |
$25.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$19.80 |
$19.80 |
$37.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$29.70 |
$29.70 |
$56.70 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$21.45 |
$21.45 |
$40.95 |
$61.80
|
|
Blood count spun microhematocrit
|
$7.92 |
$7.92 |
$15.12 |
$22.36
|
|
Blood Culture Test
|
$34.32 |
$34.32 |
$65.52 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$78.87 |
$78.87 |
$78.87 |
$220.35
|
|
Blood gases ph venous
|
$20.79 |
$20.79 |
$20.79 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$10.56 |
$10.56 |
$20.16 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$10.56 |
$10.56 |
$20.16 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.56 |
$10.56 |
$20.16 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$11.55 |
$11.55 |
$22.05 |
$38.61
|
|
Blood split unit
|
$80.19 |
$80.19 |
$153.09 |
$250.00
|
|
Blood typing abo
|
$230.67 |
$230.67 |
$440.37 |
$83.03
|
|
Blood typing patient serum
|
$24.75 |
$24.75 |
$47.25 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$595.65 |
$595.65 |
$1,137.15 |
$199.50
|
|
Blood typing rh (d)
|
$22.44 |
$22.44 |
$42.84 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$39.60 |
$39.60 |
$75.60 |
$82.80
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$6,509.25 |
$6,509.25 |
$6,509.25 |
$11,579.00
|
|
Bone Density Scan (DEXA)
|
$101.40 |
$101.40 |
$111.54 |
$397.28
|
|
Bone filler cerament 10cc
|
$12,271.05 |
$12,271.05 |
$12,271.05 |
$15,161.03
|
|
Bone imaging multiple areas
|
$309.60 |
$309.60 |
$340.56 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$226.80 |
$226.80 |
$249.48 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$464.10 |
$464.10 |
$510.51 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$705.00 |
$705.00 |
$775.50 |
$1,570.80
|
|
Bone marrow imaging body
|
$273.57 |
$273.57 |
$273.57 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$202.29 |
$202.29 |
$202.29 |
$811.00
|
|
Bone survey-lead poisoning
|
$104.10 |
$104.10 |
$114.51 |
$390.00
|
|
Boot mlti podous univ xlg
|
$829.13 |
$829.13 |
$912.04 |
$235.98
|
|
Boot softgait shrt m
|
$555.39 |
$555.39 |
$569.25 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$863.03 |
$863.03 |
$949.34 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$876.65 |
$876.65 |
$964.31 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$34.65 |
$34.65 |
$66.15 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$255.60 |
$255.60 |
$281.16 |
$2,825.96
|
|
Bowel imaging
|
$192.60 |
$192.60 |
$211.86 |
$1,065.00
|
|
Brace afo spiral prefab
|
$2,206.50 |
$2,206.50 |
$2,206.50 |
$1,652.50
|
|
Brace ank air stirrup univ
|
$43.85 |
$43.85 |
$48.23 |
$109.64
|
|
Brace ankle stablizing lg
|
$50.84 |
$50.84 |
$50.84 |
$116.35
|
|
Brace back epic lso 637
|
$3,004.50 |
$3,004.50 |
$3,304.95 |
$1,023.66
|
