|
Bladder irrigate/lavage/instill 51700
|
$167.27 |
$167.27 |
$167.27 |
$418.20
|
|
Bleomycin 15 unit solution for injection
|
$58.57 |
$58.57 |
$58.57 |
$245.75
|
|
Bln 1.2 mono emrg 15x1.2
|
$1,722.11 |
$1,722.11 |
$1,722.11 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$237.41 |
$237.41 |
$237.41 |
$2,795.43
|
|
Bln inpact admiral 4x150x130cm
|
$4,390.89 |
$4,390.89 |
$4,390.89 |
$4,259.82
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$112.90 |
$112.90 |
$112.90 |
$2,241.11
|
|
Blood Clotting (PT/INR) Test
|
$72.10 |
$72.10 |
$72.10 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$68.95 |
$68.95 |
$68.95 |
$72.15
|
|
Blood Count (CBC) Test
|
$86.45 |
$86.45 |
$86.45 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$72.40 |
$72.40 |
$72.40 |
$62.28
|
|
Blood Culture Test
|
$148.84 |
$148.84 |
$148.84 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$280.25 |
$280.25 |
$280.25 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$39.90 |
$39.90 |
$39.90 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.06 |
$40.06 |
$40.06 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$25.35 |
$25.35 |
$25.35 |
$33.57
|
|
Blood typing abo
|
$163.10 |
$163.10 |
$163.10 |
$83.82
|
|
Blood typing ag donor ea ag
|
$415.10 |
$415.10 |
$415.10 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$451.15 |
$451.15 |
$451.15 |
$181.74
|
|
Blood typing rh (d)
|
$69.30 |
$69.30 |
$69.30 |
$56.24
|
|
Bone biopsy open superficial
|
$1,400.70 |
$1,400.70 |
$1,400.70 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$399.70 |
$399.70 |
$399.70 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,063.65 |
$1,063.65 |
$1,063.65 |
$1,151.16
|
|
Bone marrow biopsyneedle/trocar 38221
|
$737.10 |
$737.10 |
$737.10 |
$1,822.36
|
|
Bone marrow imaging body
|
$1,011.78 |
$1,011.78 |
$1,011.78 |
$973.73
|
|
Boot j walker l
|
$71.51 |
$71.51 |
$71.51 |
$291.75
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$42.13 |
$42.13 |
$42.13 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,441.96 |
$1,441.96 |
$1,441.96 |
$1,683.04
|
|
Bowel imaging
|
$807.98 |
$807.98 |
$807.98 |
$1,186.25
|
|
Brace afo lg left 6607
|
$115.72 |
$115.72 |
$115.72 |
$401.11
|
|
Brace wrist classic lft sm
|
$126.54 |
$126.54 |
$126.54 |
$79.23
|
|
Brach/thor cath 1st
|
$417.06 |
$417.06 |
$417.06 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$404.46 |
$404.46 |
$404.46 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$440.37 |
$440.37 |
$440.37 |
$2,244.00
|
|
Brach/thor cath addl
|
$559.13 |
$559.13 |
$559.13 |
$881.40
|
|
Braf gene
|
$182.39 |
$182.39 |
$182.39 |
$421.20
|
|
Brain flow imaging only
|
$381.78 |
$381.78 |
$381.78 |
$636.97
|
|
Brain image < 4 views
|
$438.80 |
$438.80 |
$438.80 |
$475.51
|
|
Brain image 4+ views
|
$469.98 |
$469.98 |
$469.98 |
$746.61
|
|
Brain image w/flow < 4 views
|
$488.88 |
$488.88 |
$488.88 |
$828.39
|
|
Brain image w/flow 4 + views
|
$572.67 |
$572.67 |
$572.67 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$922.04 |
$922.04 |
$922.04 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,102.82 |
$1,102.82 |
$1,102.82 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,930.95 |
$1,930.95 |
$1,930.95 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$4,338.95 |
$4,338.95 |
$4,338.95 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,640.45 |
$1,640.45 |
$1,640.45 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,927.04
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,029.70 |
$1,029.70 |
$1,029.70 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$405.72 |
$405.72 |
$405.72 |
$832.60
|
|
Breath hydrogen test 91065
|
$153.41 |
$153.41 |
$153.41 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$8,343.06 |
$8,343.06 |
$8,343.06 |
$24,679.59
|
|
Bronchial challenge
|
$601.65 |
$601.65 |
$601.65 |
$835.20
|
|
Br punct aspir ea add, l
|
$278.78 |
$278.78 |
$278.78 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$129.61 |
$129.61 |
$129.61 |
$164.89
|
|
Bundled special stain group 2
|
$172.55 |
$172.55 |
$172.55 |
$169.60
|
|
Buprenorphine and metabolite - sendout
|
$0.95 |
$0.95 |
$0.95 |
$99.72
|
|
Bur rotalink 2.15mm
|
$793.07 |
$793.07 |
$793.07 |
$5,211.46
|
|
Butorphanol tartrate 1 mg
|
$5.88 |
$5.88 |
$5.88 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$2,264.77
|
|
Bx breast add lesion Ultrasound imag
|
$185.50 |
$185.50 |
$185.50 |
$1,708.85
|
|
Bx skin incisnl ea sep/add l les
|
$66.85 |
$66.85 |
$66.85 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$66.85 |
$66.85 |
$66.85 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$167.58 |
$167.58 |
$167.58 |
$203.00
|
|
Bx thyroid/percutan core needle 60100
|
$674.10 |
$674.10 |
$674.10 |
$1,020.60
|
|
Bypass temp external fem-fem
|
$6,401.85 |
$6,401.85 |
$6,401.85 |
$2,428.80
|
|
C1 esterase inhibitor func - sendout
|
$11.97 |
$11.97 |
$11.97 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$11,027.84 |
$11,027.84 |
$11,027.84 |
$18,370.09
|
|
Cadd pump refill
|
$222.08 |
$222.08 |
$222.08 |
$340.33
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,917.73 |
$2,917.73 |
$2,917.73 |
$2,910.00
|
|
Calcium 24 hour urine
|
$63.58 |
$63.58 |
$63.58 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$27.30 |
$27.30 |
$27.30 |
$45.30
|
|
Calcium ionized
|
$72.77 |
$72.77 |
$72.77 |
$86.35
|
|
Calcium total
|
$38.85 |
$38.85 |
$38.85 |
$48.75
|
|
Calculi urinary-sendout
|
$79.10 |
$79.10 |
$79.10 |
$68.05
|
|
Calprotectin fecal
|
$32.90 |
$32.90 |
$32.90 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$10,932.10 |
$10,932.10 |
$10,932.10 |
$19,500.00
|
|
Cap trach decann 15mm
|
$458.64 |
$458.64 |
$458.64 |
$1,842.60
|
|
Carbamazepine total therapeutic drug level
|
$117.46 |
$117.46 |
$117.46 |
$113.25
|
|
Carbon dioxide
|
$17.64 |
$17.64 |
$17.64 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$435.70 |
$435.70 |
$435.70 |
$141.98
|
|
Carcinoembryonic ag (cea)
|
$133.70 |
$133.70 |
$133.70 |
$146.90
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,809.05 |
$3,809.05 |
$3,809.05 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$209.30 |
$209.30 |
$209.30 |
$254.80
|
|
Cardiolipin antibody iga
|
$73.50 |
$73.50 |
$73.50 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$544.42 |
$544.42 |
$544.42 |
$1,504.08
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,178.10 |
$1,178.10 |
$1,178.10 |
$1,067.40
|
|
Car outp meas drg cath chd
|
$200.97 |
$200.97 |
$200.97 |
$259.60
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$456.29 |
$456.29 |
$456.29 |
$459.03
|
|
Cath acuity innr ic130 6f 63cm
|
$1,278.08 |
$1,278.08 |
$1,278.08 |
$3,803.52
|
|
Cath adherent clot 10mm 6f 10
|
$3,317.43 |
$3,317.43 |
$3,317.43 |
$13,074.30
|
|
Cath combo lt&rt heart w/inj/s
|
$5,206.32 |
$5,206.32 |
$5,206.32 |
$8,832.72
|
|
Cath cv dl inj 7fx16cm
|
$182.00 |
$182.00 |
$182.00 |
$2,712.53
|
|
Cath del ampltz 12f 45d 80cm
|
$855.91 |
$855.91 |
$855.91 |
$1,406.20
|
|
Cath groshong MRI 8fr plstc port
|
$743.40 |
$743.40 |
$743.40 |
$1,290.87
|
|
Cath hawkone s directional
|
$873.55 |
$873.55 |
$873.55 |
$6,285.56
|
|
Cath left heart/lv gram
|
$4,122.09 |
$4,122.09 |
$4,122.09 |
$7,226.24
|
|
Cath left heart transseptal punc
|
$1,651.55 |
$1,651.55 |
$1,651.55 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$360.05 |
$360.05 |
$360.05 |
$1,527.00
|
|
Cath malecot 28fr 4-wing ltx
|
$492.45 |
$492.45 |
$492.45 |
$1,882.80
|
|
Cath plc art ang/grft lt/rt hr
|
$11,176.55 |
$11,176.55 |
$11,176.55 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$9,173.85 |
$9,173.85 |
$9,173.85 |
$10,086.05
|
