|
Blood gases ph venous
|
$18.27 |
$18.27 |
$18.27 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$9.28 |
$9.28 |
$9.28 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$9.28 |
$9.28 |
$9.28 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$9.28 |
$9.28 |
$9.28 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$10.15 |
$10.15 |
$10.15 |
$38.61
|
|
Blood split unit
|
$70.47 |
$70.47 |
$70.47 |
$250.00
|
|
Blood typing abo
|
$202.71 |
$202.71 |
$202.71 |
$83.03
|
|
Blood typing patient serum
|
$21.75 |
$21.75 |
$21.75 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$523.45 |
$523.45 |
$523.45 |
$199.50
|
|
Blood typing rh (d)
|
$19.72 |
$19.72 |
$19.72 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$34.80 |
$34.80 |
$34.80 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$98.02 |
$98.02 |
$98.02 |
$397.28
|
|
Bone filler cerament 10cc
|
$10,783.65 |
$10,783.65 |
$10,783.65 |
$15,161.03
|
|
Bone imaging multiple areas
|
$299.28 |
$299.28 |
$299.28 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$219.24 |
$219.24 |
$219.24 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$448.63 |
$448.63 |
$448.63 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$681.50 |
$681.50 |
$681.50 |
$1,570.80
|
|
Bone survey-lead poisoning
|
$100.63 |
$100.63 |
$100.63 |
$390.00
|
|
Boot walker genesis full shell 3-strap s
|
$834.27 |
$834.27 |
$834.27 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$847.42 |
$847.42 |
$847.42 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$17.40 |
$17.40 |
$17.40 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$247.08 |
$247.08 |
$247.08 |
$2,825.96
|
|
Bowel imaging
|
$186.18 |
$186.18 |
$186.18 |
$1,065.00
|
|
Brace ankle stablizing lg
|
$28.01 |
$28.01 |
$28.01 |
$116.35
|
|
Brace back epic lso 637
|
$2,904.35 |
$2,904.35 |
$2,904.35 |
$1,023.66
|
|
Brace back pinnacle tlso 464
|
$3,556.85 |
$3,556.85 |
$3,556.85 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,240.47 |
$3,240.47 |
$3,240.47 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,092.35 |
$2,092.35 |
$2,092.35 |
$1,579.91
|
|
Brace cust back lso
|
$2,437.45 |
$2,437.45 |
$2,437.45 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$440.65 |
$440.65 |
$440.65 |
$597.11
|
|
Brace knee extender plus 22-30in
|
$1,393.20 |
$1,393.20 |
$1,393.20 |
$676.06
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,387.65 |
$1,387.65 |
$1,387.65 |
$386.00
|
|
Brace m arm board
|
$31.32 |
$31.32 |
$31.32 |
$121.10
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,412.80 |
$2,412.80 |
$2,412.80 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$31.32 |
$31.32 |
$31.32 |
$245.00
|
|
Brace wrist classic lft sm
|
$23.75 |
$23.75 |
$23.75 |
$81.62
|
|
Brach/thor cath 1st
|
$153.41 |
$153.41 |
$153.41 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$173.42 |
$173.42 |
$173.42 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$195.46 |
$195.46 |
$195.46 |
$2,079.00
|
|
Brach/thor cath addl
|
$195.46 |
$195.46 |
$195.46 |
$868.00
|
|
Brachy src nonstrand hdr ir-192
|
$230.55 |
$230.55 |
$230.55 |
$475.73
|
|
Brachytx isodose complex
|
$386.86 |
$386.86 |
$386.86 |
$1,631.00
|
|
Brachytx isodose intermed
|
$186.18 |
$186.18 |
$186.18 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$358.44 |
$358.44 |
$358.44 |
$929.40
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$506.63 |
$506.63 |
$506.63 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$337.56 |
$337.56 |
$337.56 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$310.01 |
$310.01 |
$310.01 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$732.54 |
$732.54 |
$732.54 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$586.67 |
$586.67 |
$586.67 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$513.88 |
$513.88 |
$513.88 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$828.24 |
$828.24 |
$828.24 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$629.30 |
$629.30 |
$629.30 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$12,057.50 |
$12,057.50 |
$12,057.50 |
$22,383.57
|
|
Bronchial allergy tests
|
$230.84 |
$230.84 |
$230.84 |
$731.72
|
|
Bronchial challenge
|
$165.88 |
$165.88 |
$165.88 |
$777.60
|
|
Br punct aspir ea add, l
|
$193.43 |
$193.43 |
$193.43 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.56 |
$13.56 |
$13.56 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$77.72 |
$77.72 |
$77.72 |
$160.80
|
|
Bundled special stain group 2
|
$63.51 |
$63.51 |
$63.51 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$28.53 |
$28.53 |
$28.53 |
$32.88
|
|
Butorphanol tartrate 1 mg
|
$156.94 |
$156.94 |
$156.94 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$448.63 |
$448.63 |
$448.63 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$1,340.67 |
$1,340.67 |
$1,340.67 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,181.46 |
$1,181.46 |
$1,181.46 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$1,340.67 |
$1,340.67 |
$1,340.67 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,181.46 |
$1,181.46 |
$1,181.46 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$828.24 |
$828.24 |
$828.24 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$448.63 |
$448.63 |
$448.63 |
$1,588.50
|
|
Bx pleura pq ndl
|
$897.26 |
$897.26 |
$897.26 |
$1,608.00
|
|
Bx thyroid/percutan core needle 60100
|
$314.65 |
$314.65 |
$314.65 |
$964.62
|
|
C-1 esterase, berinert
|
$4,221.72 |
$4,221.72 |
$4,221.72 |
$7,466.16
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$14,403.89 |
$14,403.89 |
$14,403.89 |
$27,723.08
|
|
Cad breast MRI w/r&i
|
$301.02 |
$301.02 |
$301.02 |
$122.40
|
|
Cadd pump refill
|
$94.54 |
$94.54 |
$94.54 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$790.66 |
$790.66 |
$790.66 |
$2,111.64
|
|
Calcium 24 hour urine
|
$17.69 |
$17.69 |
$17.69 |
$53.00
|
|
Calcium ionized
|
$40.02 |
$40.02 |
$40.02 |
$90.00
|
|
Calcium total
|
$15.08 |
$15.08 |
$15.08 |
$50.00
|
|
Calprotectin fecal
|
$63.80 |
$63.80 |
$63.80 |
$169.95
|
|
Candida skin test
|
$27.55 |
$27.55 |
$27.55 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$2,660.75 |
$2,660.75 |
$2,660.75 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$76.11 |
$76.11 |
$76.11 |
$59.42
|
|
Cap nerve 2x15mm
|
$3,842.50 |
$3,842.50 |
$3,842.50 |
$18,466.88
|
|
Cap trach decann 15mm
|
$753.64 |
$753.64 |
$753.64 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$42.63 |
$42.63 |
$42.63 |
$120.25
|
|
Carbon dioxide
|
$14.21 |
$14.21 |
$14.21 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$132.10 |
$132.10 |
$132.10 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$101.06 |
$101.06 |
$101.06 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$36.54 |
$36.54 |
$36.54 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$55.39 |
$55.39 |
$55.39 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$589.28 |
$589.28 |
$589.28 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$76.85 |
$76.85 |
$76.85 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$76.85 |
$76.85 |
$76.85 |
$196.50
|
|
Cardiolipin antibody iga
|
$12.47 |
$12.47 |
$12.47 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$293.77 |
$293.77 |
$293.77 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$75.69 |
$75.69 |
$75.69 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$38.28 |
$38.28 |
$38.28 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$3,495.87 |
$3,495.87 |
$3,495.87 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,606.59 |
$2,606.59 |
$2,606.59 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$178.35 |
$178.35 |
$178.35 |
$1,018.68
|
