|
Azacitidine injection
|
$2,645.08 |
$2,645.08 |
$2,645.08 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$26.02 |
$26.02 |
$26.02 |
$3.46
|
|
Azithromycin dihydrate, oral
|
$1.57 |
$1.57 |
$1.57 |
$47.16
|
|
Aztreonam 1 gram solution for injection
|
$1,081.41 |
$1,081.41 |
$1,081.41 |
$157.30
|
|
Bacterial meningitis antigen
|
$561.97 |
$561.97 |
$561.97 |
$66.30
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$17.00 |
$17.00 |
$17.00 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$26.00 |
$26.00 |
$26.00 |
$9.55
|
|
Bartonella dna pcr-sendout
|
$1,217.34 |
$1,217.34 |
$1,217.34 |
$195.66
|
|
Battery elec/combo vad, rep
|
$11,125.00 |
$11,125.00 |
$11,125.00 |
$1,489.00
|
|
Becaplermin 0.01% gel 15 gm
|
$12,471.55 |
$12,471.55 |
$12,471.55 |
$47.04
|
|
Bendamustine 100 mg intravenous powder for solution
|
$5,943.09 |
$5,943.09 |
$5,943.09 |
$4,844.85
|
|
#_benzodiazconfur
|
$2,016.08 |
$2,016.08 |
$2,016.08 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$1,253.47 |
$1,253.47 |
$1,253.47 |
$103.20
|
|
Beta-2 microglobulin
|
$1,357.41 |
$1,357.41 |
$1,357.41 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$1,111.68 |
$1,111.68 |
$1,111.68 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$6,519.98 |
$6,519.98 |
$6,519.98 |
$5,705.92
|
|
Bfb train 1st 15min cntct 90912
|
$228.01 |
$228.01 |
$228.01 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$228.01 |
$228.01 |
$228.01 |
$92.82
|
|
Bilicheck
|
$93.39 |
$93.39 |
$93.39 |
$28.80
|
|
Biofeedback, pt
|
$303.86 |
$303.86 |
$303.86 |
$118.25
|
|
Biotinidase - quest
|
$658.70 |
$658.70 |
$658.70 |
$71.02
|
|
Bivalirudin
|
$15,041.12 |
$15,041.12 |
$15,041.12 |
$1,019.23
|
|
Bk fork strap
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$107.25
|
|
Bk molded distal cushion
|
$2,026.00 |
$2,026.00 |
$2,026.00 |
$194.06
|
|
Bk waist belt webbing
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$136.13
|
|
Bld prd mix
|
$401.54 |
$401.54 |
$401.54 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$13,663.56 |
$13,663.56 |
$13,663.56 |
$215.36
|
|
Blood occult peroxidase activity qualitative gastric
|
$420.22 |
$420.22 |
$420.22 |
$34.00
|
|
Blood typing rbc ag non abo/rh ea
|
$737.06 |
$737.06 |
$737.06 |
$199.50
|
|
Blood typing rh phenotype complete reference
|
$475.24 |
$475.24 |
$475.24 |
$82.80
|
|
Bone imaging multiple areas
|
$6,086.53 |
$6,086.53 |
$6,086.53 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$5,290.50 |
$5,290.50 |
$5,290.50 |
$1,013.50
|
|
Bone marrow imaging body
|
$10,803.11 |
$10,803.11 |
$10,803.11 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$3,317.88 |
$3,317.88 |
$3,317.88 |
$811.00
|
|
Bone marrow imaging mult
|
$6,086.53 |
$6,086.53 |
$6,086.53 |
$923.00
|
|
Bone marrow interpretation
|
$778.75 |
$778.75 |
$778.75 |
$542.03
|
|
Bone tendon board add on
|
$21,811.00 |
$21,811.00 |
$21,811.00 |
$7,448.27
|
|
Boot mlti podous univ xlg
|
$984.00 |
$984.00 |
$984.00 |
$235.98
|
|
Boot softgait shrt m
|
$370.00 |
$370.00 |
$370.00 |
$139.20
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$1,287.35 |
$1,287.35 |
$1,287.35 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$22,412.49 |
$22,412.49 |
$22,412.49 |
$2,825.96
|
|
(both sides) smear without diff wbc count
|
$40.00 |
$40.00 |
$40.00 |
$30.68
|
|
Bowel imaging
|
$5,766.03 |
$5,766.03 |
$5,766.03 |
$1,065.00
|
|
Brace adj motion lerman type
|
$519.00 |
$519.00 |
$519.00 |
$281.75
|
|
Brace afopos solid ankle cust
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$1,087.89
|
|
Brace ankle joint dflxn assist
|
$445.00 |
$445.00 |
$445.00 |
$142.89
|
|
Brace back pinnacle lo 627 lumbar
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$857.43
|
|
Brace fx hum ovr shldr sm
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$597.11
|
|
Brace halo bremer l2830
|
$475.00 |
$475.00 |
$475.00 |
$195.59
|
|
Brace kafo dbl upright cust
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$3,609.22
|
|
Brace knee hing pat open med
|
$496.00 |
$496.00 |
$496.00 |
$213.82
|
|
Brace m arm board
|
$662.00 |
$662.00 |
$662.00 |
$121.10
|
|
Brachy source iodine-125 nonstranded
|
$350.00 |
$350.00 |
$350.00 |
$66.76
|
|
Brain flow imaging only
|
$5,141.43 |
$5,141.43 |
$5,141.43 |
$636.97
|
|
Brain image w/flow 4 + views
|
$7,100.20 |
$7,100.20 |
$7,100.20 |
$1,332.80
|
|
Brca2 dna gene analy known fam var
|
$1,364.08 |
$1,364.08 |
$1,364.08 |
$450.30
|
|
Breath recording infant
|
$6,681.38 |
$6,681.38 |
$6,681.38 |
$1,158.00
|
|
Bronchial allergy tests
|
$3,902.79 |
$3,902.79 |
$3,902.79 |
$731.72
|
|
Bronchial challenge
|
$4,415.73 |
$4,415.73 |
$4,415.73 |
$777.60
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$39.09 |
$39.09 |
$39.09 |
$23.92
|
|
Bundle his recording
|
$25,914.84 |
$25,914.84 |
$25,914.84 |
$5,026.45
|
|
Buprenorphine hydrochloride
|
$202.31 |
$202.31 |
$202.31 |
$41.79
|
|
Busulfan injection
|
$34,542.44 |
$34,542.44 |
$34,542.44 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$195.66 |
$195.66 |
$195.66 |
$39.20
|
|
C-1 esterase, berinert
|
$10,706.35 |
$10,706.35 |
$10,706.35 |
$7,466.16
|
|
Cad breast MRI w/r&i
|
$913.58 |
$913.58 |
$913.58 |
$122.40
|
|
Cadd pump refill
|
$1,879.58 |
$1,879.58 |
$1,879.58 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$459.96 |
$459.96 |
$459.96 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$21,012.58 |
$21,012.58 |
$21,012.58 |
$2,111.64
|
|
Calcium 24 hour urine
|
$593.66 |
$593.66 |
$593.66 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$71.27 |
$71.27 |
$71.27 |
$45.49
|
|
Calculi urinary-sendout
|
$1,165.62 |
$1,165.62 |
$1,165.62 |
$68.05
|
|
Calprotectin fecal
|
$807.10 |
$807.10 |
$807.10 |
$169.95
|
|
Campylobacter antibody
|
$1,065.58 |
$1,065.58 |
$1,065.58 |
$77.83
|
|
Candida skin test
|
$55.04 |
$55.04 |
$55.04 |
$58.76
|
|
Carboplatin 10 mg/ml desensitization
|
$2,708.34 |
$2,708.34 |
$2,708.34 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,840.51 |
$1,840.51 |
$1,840.51 |
$513.08
|
|
Carcinoembryonic ag (cea)
|
$556.97 |
$556.97 |
$556.97 |
$144.00
|
|
Cardiac MRI w/stress img
|
$5,145.77 |
$5,145.77 |
$5,145.77 |
$1,474.98
|
|
Cardiac perf planar sgl/ef/wm
|
$17,725.90 |
$17,725.90 |
$17,725.90 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$15,132.09 |
$15,132.09 |
$15,132.09 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,052.61 |
$1,052.61 |
$1,052.61 |
$244.00
|
|
Card MRI veloc flow mapping
|
$2,476.83 |
$2,476.83 |
$2,476.83 |
$600.50
|
|
Carfilzomib 10 mg intravenous solution
|
$15,697.50 |
$15,697.50 |
$15,697.50 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$34,773.17 |
$34,773.17 |
$34,773.17 |
$1,731.00
|
|
Carotene
|
$878.82 |
$878.82 |
$878.82 |
$45.24
|
|
Catecholamines,fractionated, urine
|
$1,519.16 |
$1,519.16 |
$1,519.16 |
$117.14
|
|
Catheter declot mechanical
|
$2,074.16 |
$2,074.16 |
$2,074.16 |
$1,838.28
|
|
Cath stripping venous s&i
|
$2,483.93 |
$2,483.93 |
$2,483.93 |
$682.34
|
|
Cefotaxime sodium injection
|
$96.99 |
$96.99 |
$96.99 |
$43.26
|
|
Ceftazidime and avibactam
|
$1,954.35 |
$1,954.35 |
$1,954.35 |
$904.66
|
|
Cerebrospinal fld flw imag
|
$4,336.44 |
$4,336.44 |
$4,336.44 |
$938.50
|
|
Cer post col occ/man sup adj
|
$85.00 |
$85.00 |
$85.00 |
$802.30
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$12,263.37 |
$12,263.37 |
$12,263.37 |
$3,028.20
|
|
#cf-97variants
|
$1,188.98 |
$1,188.98 |
$1,188.98 |
$622.20
|
|
Chemo adm cns w/lmbr punct
|
$1,035.85 |
$1,035.85 |
$1,035.85 |
$665.40
|
|
Chg radiologic exam esophagus double contrast
|
$1,711.15 |
$1,711.15 |
$1,711.15 |
$511.59
|
|
Chlamydia culture
|
$1,180.64 |
$1,180.64 |
$1,180.64 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$375.21 |
$375.21 |
$375.21 |
$74.88
|
|
Chlamydia type
|
$241.80 |
$241.80 |
$241.80 |
$34.20
|
