|
Antithrombin iii injection
|
$9.33 |
$9.33 |
$9.33 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,002.19 |
$5,002.19 |
$5,002.19 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$1,106.39 |
$1,106.39 |
$1,106.39 |
$2,111.00
|
|
Application finger splntstatic 29130
|
$59.74 |
$59.74 |
$59.74 |
$208.16
|
|
Application long leg splint 29505
|
$72.21 |
$72.21 |
$72.21 |
$338.25
|
|
Application lower leg splint 29515
|
$72.21 |
$72.21 |
$72.21 |
$330.48
|
|
Application of cylinder cast 29365
|
$124.41 |
$124.41 |
$124.41 |
$420.00
|
|
Application of long leg cast 29345
|
$124.41 |
$124.41 |
$124.41 |
$455.00
|
|
Application short leg cast 29405
|
$124.41 |
$124.41 |
$124.41 |
$388.80
|
|
Applicator tag rfid localizer 12gx7cm
|
$669.35 |
$669.35 |
$669.35 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$10.44 |
$10.44 |
$10.44 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$10.44 |
$10.44 |
$10.44 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$59.74 |
$59.74 |
$59.74 |
$246.18
|
|
Apply of finger splint 29131
|
$59.74 |
$59.74 |
$59.74 |
$168.00
|
|
Apply rigid leg cast 29445
|
$124.41 |
$124.41 |
$124.41 |
$555.00
|
|
Apply short leg castambul type 29425
|
$124.41 |
$124.41 |
$124.41 |
$381.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,104.96 |
$1,104.96 |
$1,104.96 |
$955.43
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$14.50 |
$14.50 |
$14.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$10.44 |
$10.44 |
$10.44 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$504.04 |
$504.04 |
$504.04 |
$866.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,261.37 |
$1,261.37 |
$1,261.37 |
$1,313.89
|
|
Artery xray each vessel 7577426
|
$220.98 |
$220.98 |
$220.98 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,473.12 |
$2,473.12 |
$2,473.12 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$1,403.31 |
$1,403.31 |
$1,403.31 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,403.31 |
$1,403.31 |
$1,403.31 |
$3,729.00
|
|
Artery xrays of pelvis 75736 26
|
$2,473.12 |
$2,473.12 |
$2,473.12 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$357.86 |
$357.86 |
$357.86 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$313.78 |
$313.78 |
$313.78 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$167.91 |
$167.91 |
$167.91 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$357.86 |
$357.86 |
$357.86 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$715.72 |
$715.72 |
$715.72 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$136.30 |
$136.30 |
$136.30 |
$699.00
|
|
Ascenda two piece catheter
|
$19,221.20 |
$19,221.20 |
$19,221.20 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$596.82 |
$596.82 |
$596.82 |
$3,162.72
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$568.40 |
$568.40 |
$568.40 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$314.65 |
$314.65 |
$314.65 |
$850.78
|
|
Assay of galactose
|
$9.28 |
$9.28 |
$9.28 |
$49.21
|
|
Assay of procainamide
|
$13.34 |
$13.34 |
$13.34 |
$114.91
|
|
Assay of procainamide w/metab
|
$39.15 |
$39.15 |
$39.15 |
$70.50
|
|
Assay of salicylate
|
$20.88 |
$20.88 |
$20.88 |
$95.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$52.78 |
$52.78 |
$52.78 |
$292.50
|
|
Assess cyst contrast inject
|
$38.86 |
$38.86 |
$38.86 |
$447.33
|
|
Assistive tech assessment, ot
|
$12.47 |
$12.47 |
$12.47 |
$96.08
|
|
Ast/sgot
|
$14.50 |
$14.50 |
$14.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,120.39 |
$11,120.39 |
$11,120.39 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$39.63 |
$39.63 |
$39.63 |
$51.28
|
|
Augment injectable kit 3.0cc
|
$4,789.35 |
$4,789.35 |
$4,789.35 |
$7,469.28
|
|
Autologous blood process
|
$169.94 |
$169.94 |
$169.94 |
$262.50
|
|
Automated diff wbc count
|
$18.85 |
$18.85 |
$18.85 |
$38.28
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,131.65 |
$2,131.65 |
$2,131.65 |
$3,683.86
|
|
Azacitidine injection
|
$1,799.50 |
$1,799.50 |
$1,799.50 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$0.25 |
$0.25 |
$0.25 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$10.16 |
$10.16 |
$10.16 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$86.66 |
$86.66 |
$86.66 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,866.34 |
$1,866.34 |
$1,866.34 |
$1,800.33
|
|
Baclofen eval charges
|
$18.27 |
$18.27 |
$18.27 |
$85.00
|
|
Bacterial meningitis antigen
|
$55.10 |
$55.10 |
$55.10 |
$66.30
|
|
Bausch health Ultrasound surg
|
$290.00 |
$290.00 |
$290.00 |
$744.25
|
|
Bcg live 50 mg intravesical suspension
|
$174.60 |
$174.60 |
$174.60 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$958.55 |
$958.55 |
$958.55 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,132.81 |
$2,132.81 |
$2,132.81 |
$4,243.90
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,937.09 |
$2,937.09 |
$2,937.09 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,444.91 |
$2,444.91 |
$2,444.91 |
$4,702.68
|
|
Benztropine 1 mg/ml injection solution
|
$105.27 |
$105.27 |
$105.27 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$12.47 |
$12.47 |
$12.47 |
$78.50
|
|
Beta-2 microglobulin
|
$8.70 |
$8.70 |
$8.70 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$19.04 |
$19.04 |
$19.04 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,150.53 |
$3,150.53 |
$3,150.53 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$2,758.29 |
$2,758.29 |
$2,758.29 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,424.94 |
$2,424.94 |
$2,424.94 |
$2,508.56
|
|
Bfb train 1st 15min cntct 90912
|
$46.11 |
$46.11 |
$46.11 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$46.11 |
$46.11 |
$46.11 |
$92.82
|
|
Bilicheck
|
$10.73 |
$10.73 |
$10.73 |
$28.80
|
|
Bilirubin direct
|
$5.22 |
$5.22 |
$5.22 |
$50.00
|
|
Bilirubin total
|
$14.79 |
$14.79 |
$14.79 |
$52.57
|
|
Biopsy abdominal mass
|
$448.63 |
$448.63 |
$448.63 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$448.63 |
$448.63 |
$448.63 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$930.03 |
$930.03 |
$930.03 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$307.40 |
$307.40 |
$307.40 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$448.63 |
$448.63 |
$448.63 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$448.63 |
$448.63 |
$448.63 |
$1,878.14
|
|
Biopsy of heart lining
|
$856.66 |
$856.66 |
$856.66 |
$3,640.00
|
|
Biopsy of salivary gland 42400
|
$314.65 |
$314.65 |
$314.65 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$897.26 |
$897.26 |
$897.26 |
$2,086.50
|
|
Biotinidase - quest
|
$4.93 |
$4.93 |
$4.93 |
$71.02
|
|
Bivalirudin
|
$936.65 |
$936.65 |
$936.65 |
$1,033.55
|
|
Bld prd mix
|
$52.49 |
$52.49 |
$52.49 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$128.48 |
$128.48 |
$128.48 |
$215.36
|
|
Blinatumomab 35 mcg intravenous solution
|
$5,085.06 |
$5,085.06 |
$5,085.06 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$461.66 |
$461.66 |
$461.66 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,595.80 |
$3,595.80 |
$3,595.80 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$670.80 |
$670.80 |
$670.80 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$4,816.50
|
|
Blood Clotting (PT/INR) Test
|
$11.60 |
$11.60 |
$11.60 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$17.40 |
$17.40 |
$17.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$26.10 |
$26.10 |
$26.10 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$18.85 |
$18.85 |
$18.85 |
$61.80
|
|
Blood count spun microhematocrit
|
$6.96 |
$6.96 |
$6.96 |
$22.36
|
|
Blood Culture Test
|
$30.16 |
$30.16 |
$30.16 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$69.31 |
$69.31 |
$69.31 |
$220.35
|
