|
Assay of procainamide
|
$862.43 |
$862.43 |
$862.43 |
$114.91
|
|
Assay of procainamide w/metab
|
$1,029.18 |
$1,029.18 |
$1,029.18 |
$70.50
|
|
Assay of progesterone
|
$1,835.52 |
$1,835.52 |
$1,835.52 |
$285.19
|
|
Assay of thiocyanate
|
$1,149.39 |
$1,149.39 |
$1,149.39 |
$63.72
|
|
Assay of tyrosine
|
$2,542.46 |
$2,542.46 |
$2,542.46 |
$60.00
|
|
Assay of urine urobilinogen
|
$299.77 |
$299.77 |
$299.77 |
$13.18
|
|
Assay phosphatidylglycerol
|
$1,801.84 |
$1,801.84 |
$1,801.84 |
$134.16
|
|
Assay toxin or antitoxin
|
$2,005.44 |
$2,005.44 |
$2,005.44 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$721.15 |
$721.15 |
$721.15 |
$292.50
|
|
Assess cyst contrast inject
|
$983.39 |
$983.39 |
$983.39 |
$447.33
|
|
Athrectomy fem/pop/unilateral 37225
|
$52,582.68 |
$52,582.68 |
$52,582.68 |
$16,875.93
|
|
Atropine 0.1 mg/ml injection syringe
|
$240.22 |
$240.22 |
$240.22 |
$51.24
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$517.91 |
$517.91 |
$517.91 |
$186.60
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$23,419.88 |
$23,419.88 |
$23,419.88 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$46,837.90 |
$46,837.90 |
$46,837.90 |
$10,384.40
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$6,341.75 |
$6,341.75 |
$6,341.75 |
$925.10
|
|
Autologous blood process
|
$849.23 |
$849.23 |
$849.23 |
$261.30
|
|
Azacitidine injection
|
$7,748.54 |
$7,748.54 |
$7,748.54 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$13.13 |
$13.13 |
$13.13 |
$3.46
|
|
Bacterial vaginosis pcr
|
$2,148.12 |
$2,148.12 |
$2,148.12 |
$275.71
|
|
#bac vag cand-c. albicans naa
|
$360.69 |
$360.69 |
$360.69 |
$105.00
|
|
Balloon dilate urtrl strix
|
$13,295.49 |
$13,295.49 |
$13,295.49 |
$2,082.30
|
|
Barrier skin flextend 2.25in floating flang new image
|
$69.00 |
$69.00 |
$69.00 |
$4.77
|
|
Battery elec/combo vad, rep
|
$32,400.00 |
$32,400.00 |
$32,400.00 |
$1,489.00
|
|
Benztropine 1 mg/ml injection solution
|
$509.31 |
$509.31 |
$509.31 |
$103.27
|
|
Beta-2 microglobulin
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$202.26 |
$202.26 |
$202.26 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$6,800.85 |
$6,800.85 |
$6,800.85 |
$5,687.56
|
|
Bevacizumab injection
|
$126.88 |
$126.88 |
$126.88 |
$202.85
|
|
Bilicheck
|
$104.21 |
$104.21 |
$104.21 |
$28.00
|
|
Biotinidase - quest
|
$604.35 |
$604.35 |
$604.35 |
$70.56
|
|
Bivalirudin
|
$294.48 |
$294.48 |
$294.48 |
$1,038.91
|
|
Bld prd mix
|
$535.15 |
$535.15 |
$535.15 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$3,296.47 |
$3,296.47 |
$3,296.47 |
$220.45
|
|
Blood draw capillary 36416
|
$125.04 |
$125.04 |
$125.04 |
$19.89
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$360.69 |
$360.69 |
$360.69 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$317.40 |
$317.40 |
$317.40 |
$33.85
|
|
Blood typing rh phenotype complete reference
|
$267.71 |
$267.71 |
$267.71 |
$82.50
|
|
Blood volume
|
$1,803.52 |
$1,803.52 |
$1,803.52 |
$704.60
|
|
Bone imaging multiple areas
|
$4,900.58 |
$4,900.58 |
$4,900.58 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$4,032.69 |
$4,032.69 |
$4,032.69 |
$1,006.56
|
|
Bone marrow imaging body
|
$4,805.22 |
$4,805.22 |
$4,805.22 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$3,676.12 |
$3,676.12 |
$3,676.12 |
$811.00
|
|
Bone marrow imaging mult
|
$4,454.19 |
$4,454.19 |
$4,454.19 |
$923.00
|
|
Bone marrow interpretation
|
$1,187.87 |
$1,187.87 |
$1,187.87 |
$542.03
|
|
Bone tendon board add on
|
$54,000.00 |
$54,000.00 |
$54,000.00 |
$7,448.27
|
|
Boot mlti podous univ xlg
|
$2,605.00 |
$2,605.00 |
$2,605.00 |
$235.98
|
|
Bowel imaging
|
$4,556.45 |
$4,556.45 |
$4,556.45 |
$1,065.00
|
|
Brace adj motion lerman type
|
$1,249.00 |
$1,249.00 |
$1,249.00 |
$281.75
|
|
Brace afo lg left 6607
|
$5,068.00 |
$5,068.00 |
$5,068.00 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$391.00 |
$391.00 |
$391.00 |
$190.72
|
|
Brace ankle joint dflxn assist
|
$972.00 |
$972.00 |
$972.00 |
$142.89
|
|
Brace fx hum ovr shldr sm
|
$2,987.00 |
$2,987.00 |
$2,987.00 |
$597.11
|
|
Brace halo bremer l2830
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$195.59
|
|
Brace kafo dbl upright cust
|
$16,162.00 |
$16,162.00 |
$16,162.00 |
$3,609.22
|
|
Brace knee hing pat open med
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$213.82
|
|
Brace oths wrist hnd fngr without
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$245.00
|
|
Brach/thor cath 2nd
|
$8,659.41 |
$8,659.41 |
$8,659.41 |
$1,930.20
|
|
Brach/thor cath addl
|
$5,057.89 |
$5,057.89 |
$5,057.89 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$395.00 |
$395.00 |
$395.00 |
$68.20
|
|
Brain flow imaging only
|
$1,810.43 |
$1,810.43 |
$1,810.43 |
$636.97
|
|
Brain image < 4 views
|
$2,809.60 |
$2,809.60 |
$2,809.60 |
$549.70
|
|
Brain image 4+ views
|
$3,287.78 |
$3,287.78 |
$3,287.78 |
$952.80
|
|
Brain image w/flow < 4 views
|
$3,074.94 |
$3,074.94 |
$3,074.94 |
$893.40
|
|
Brain image w/flow 4 + views
|
$4,260.71 |
$4,260.71 |
$4,260.71 |
$1,335.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$15,280.39 |
$15,280.39 |
$15,280.39 |
$2,780.05
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$15,280.39 |
$15,280.39 |
$15,280.39 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$13,440.12 |
$13,440.12 |
$13,440.12 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$17,845.61 |
$17,845.61 |
$17,845.61 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,556.93 |
$14,556.93 |
$14,556.93 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$13,307.48 |
$13,307.48 |
$13,307.48 |
$1,946.40
|
|
Breathing response hypoxia
|
$519.31 |
$519.31 |
$519.31 |
$185.15
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$91,374.84 |
$91,374.84 |
$91,374.84 |
$22,383.57
|
|
Bronchial allergy tests
|
$4,752.12 |
$4,752.12 |
$4,752.12 |
$731.72
|
|
Bronchial challenge
|
$5,579.01 |
$5,579.01 |
$5,579.01 |
$765.50
|
|
Bundle his recording
|
$4,623.77 |
$4,623.77 |
$4,623.77 |
$5,026.45
|
|
Butorphanol tartrate, nasal
|
$2,141.47 |
$2,141.47 |
$2,141.47 |
$248.82
|
|
Bx bone trocar/ndl deep
|
$4,499.58 |
$4,499.58 |
$4,499.58 |
$2,271.01
|
|
Bypass temp external fem-fem
|
$32,260.17 |
$32,260.17 |
$32,260.17 |
$1,780.35
|
|
C-1 esterase, cinryze
|
$50,416.10 |
$50,416.10 |
$50,416.10 |
$7,278.02
|
|
C1 esterase inhibitor func - sendout
|
$655.67 |
$655.67 |
$655.67 |
$96.72
|
|
Cad breast MRI w/r&i
|
$200.54 |
$200.54 |
$200.54 |
$123.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$265.33 |
$265.33 |
$265.33 |
$47.78
|
|
Calcium 24 hour urine
|
$492.15 |
$492.15 |
$492.15 |
$53.00
|
|
Calculi urinary-sendout
|
$1,401.07 |
$1,401.07 |
$1,401.07 |
$68.05
|
|
Calprotectin fecal
|
$692.52 |
$692.52 |
$692.52 |
$166.25
|
|
Campylobacter antibody
|
$740.63 |
$740.63 |
$740.63 |
$77.83
|
|
Capecitabine, oral, 50 mg
|
$134.20 |
$134.20 |
$134.20 |
$64.61
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$626.53 |
$626.53 |
$626.53 |
$513.08
|
|
Cardiac perf planar mult/ef/wm
|
$9,310.54 |
$9,310.54 |
$9,310.54 |
$2,764.32
|
|
Cardiac perf planar sgl/ef/wm
|
$5,624.75 |
$5,624.75 |
$5,624.75 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$8,893.18 |
$8,893.18 |
$8,893.18 |
$2,576.60
|
|
Card MRI veloc flow mapping
|
$5,691.97 |
$5,691.97 |
$5,691.97 |
$600.50
|
|
Carmustine 100 mg intravenous powder for solution
|
$36,642.78 |
$36,642.78 |
$36,642.78 |
$1,805.10
|
|
Carotene
|
$710.15 |
$710.15 |
$710.15 |
$45.24
|
|
Catecholamines,fractionated, urine
|
$573.90 |
$573.90 |
$573.90 |
$117.14
|
|
Cath access del ds spyscop 2.0
|
$112,457.00 |
$112,457.00 |
$112,457.00 |
$5,212.99
|
|
Cath combo lt&rt heart w/inj/s
|
$48,296.10 |
$48,296.10 |
$48,296.10 |
$8,899.15
|
|
Cath ext adhere actv m 28mm
|
$40.00 |
$40.00 |
$40.00 |
$1.81
|
|
Cath left heart/lv gram
|
$33,343.11 |
$33,343.11 |
$33,343.11 |
$7,685.82
|
