|
Azithromycin dihydrate, oral
|
$5.89 |
$5.89 |
$5.89 |
$47.66
|
|
Baclofen eval charges
|
$312.04 |
$312.04 |
$312.04 |
$85.00
|
|
Barrier film 1.0ml wipe
|
$25.00 |
$25.00 |
$25.00 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$195.00 |
$195.00 |
$195.00 |
$19.50
|
|
Bartonella dna pcr-sendout
|
$2,674.98 |
$2,674.98 |
$2,674.98 |
$195.60
|
|
Battery elec/combo vad, rep
|
$20,223.00 |
$20,223.00 |
$20,223.00 |
$862.16
|
|
B cells total count
|
$617.30 |
$617.30 |
$617.30 |
$121.90
|
|
Belt ostomy lg 34-65in
|
$27.00 |
$27.00 |
$27.00 |
$7.45
|
|
Benztropine 1 mg/ml injection solution
|
$816.12 |
$816.12 |
$816.12 |
$103.27
|
|
Beta-2 microglobulin
|
$1,210.58 |
$1,210.58 |
$1,210.58 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$127.46 |
$127.46 |
$127.46 |
$64.15
|
|
Bevacizumab injection
|
$204.55 |
$204.55 |
$204.55 |
$214.18
|
|
B-hexosaminidase ea assay
|
$1,263.77 |
$1,263.77 |
$1,263.77 |
$124.00
|
|
Bilicheck
|
$106.31 |
$106.31 |
$106.31 |
$25.80
|
|
Biodfence dryflex, 1cm
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$4,528.16
|
|
Biofeedback, pt
|
$324.91 |
$324.91 |
$324.91 |
$122.40
|
|
Biopsy bone trocar/needle superficial
|
$6,992.01 |
$6,992.01 |
$6,992.01 |
$1,728.25
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$10,879.15 |
$10,879.15 |
$10,879.15 |
$2,747.00
|
|
Biopsy needle lymph node superficial
|
$4,142.66 |
$4,142.66 |
$4,142.66 |
$1,848.17
|
|
Biovance 1 square cm
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$7,928.07
|
|
Bivalirudin
|
$615.86 |
$615.86 |
$615.86 |
$1,033.55
|
|
Bleomycin 15 unit solution for injection
|
$690.28 |
$690.28 |
$690.28 |
$220.45
|
|
Blood draw capillary 36416
|
$125.17 |
$125.17 |
$125.17 |
$20.40
|
|
Blood gases o2 saturation direct measurement
|
$3,498.05 |
$3,498.05 |
$3,498.05 |
$213.60
|
|
Blood typing rbc ag non abo/rh ea
|
$817.92 |
$817.92 |
$817.92 |
$196.95
|
|
Blood typing rh phenotype complete reference
|
$946.52 |
$946.52 |
$946.52 |
$81.90
|
|
Bone/joint imaging ltd area
|
$3,886.30 |
$3,886.30 |
$3,886.30 |
$979.55
|
|
Bone marrow imaging ltd
|
$3,838.65 |
$3,838.65 |
$3,838.65 |
$799.81
|
|
Bone survey-lead poisoning
|
$3,216.27 |
$3,216.27 |
$3,216.27 |
$366.00
|
|
Boot softgait shrt m
|
$371.00 |
$371.00 |
$371.00 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$473.20
|
|
Borrelia antibody
|
$2,100.55 |
$2,100.55 |
$2,100.55 |
$77.84
|
|
Brace afo lg left 6607
|
$3,163.00 |
$3,163.00 |
$3,163.00 |
$480.16
|
|
Brace afopos solid ankle cust
|
$4,967.00 |
$4,967.00 |
$4,967.00 |
$1,087.89
|
|
Brace kafo dbl upright cust
|
$10,087.00 |
$10,087.00 |
$10,087.00 |
$3,720.57
|
|
Brace knee hing pat open med
|
$798.00 |
$798.00 |
$798.00 |
$231.92
|
|
Brace ortho exos 28-50in sm
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$933.68
|
|
Brace tlso flex cust
|
$10,338.00 |
$10,338.00 |
$10,338.00 |
$573.43
|
|
Brachy source iodine-125 nonstranded
|
$336.00 |
$336.00 |
$336.00 |
$66.76
|
|
Brain image w/flow 4 + views
|
$5,450.69 |
$5,450.69 |
$5,450.69 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$8,685.41 |
$8,685.41 |
$8,685.41 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$8,678.60 |
$8,678.60 |
$8,678.60 |
$2,121.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,149.09 |
$7,149.09 |
$7,149.09 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$12,380.49 |
$12,380.49 |
$12,380.49 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$11,150.61 |
$11,150.61 |
$11,150.61 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$9,307.85 |
$9,307.85 |
$9,307.85 |
$1,944.15
|
|
Budesonide non-comp unit
|
$140.31 |
$140.31 |
$140.31 |
$20.57
|
|
Bupren/nal 3.1 to 6mg bupren
|
$107.45 |
$107.45 |
$107.45 |
$21.65
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$43.18 |
$43.18 |
$43.18 |
$11.72
|
|
Bx bone trocar/ndl deep
|
$5,388.23 |
$5,388.23 |
$5,388.23 |
$2,264.77
|
|
C1 esterase inhibitor func - sendout
|
$793.92 |
$793.92 |
$793.92 |
$96.72
|
|
Cad breast MRI w/r&i
|
$819.52 |
$819.52 |
$819.52 |
$132.16
|
|
Caffeine citrate 20 mg/ml inj for po
|
$73.97 |
$73.97 |
$73.97 |
$49.36
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$6,096.48 |
$6,096.48 |
$6,096.48 |
$2,111.64
|
|
Calcium 24 hour urine
|
$402.95 |
$402.95 |
$402.95 |
$52.80
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$4.14 |
$4.14 |
$4.14 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$155.31 |
$155.31 |
$155.31 |
$45.49
|
|
Calprotectin fecal
|
$773.35 |
$773.35 |
$773.35 |
$170.00
|
|
Campylobacter antibody
|
$637.88 |
$637.88 |
$637.88 |
$76.72
|
|
Candida dna
|
$365.23 |
$365.23 |
$365.23 |
$62.50
|
|
Candida skin test
|
$430.40 |
$430.40 |
$430.40 |
$58.76
|
|
Cannabinoids synthetic 4-6
|
$112.17 |
$112.17 |
$112.17 |
$18.40
|
|
Cannabinoid synthetic 7/more
|
$112.17 |
$112.17 |
$112.17 |
$78.10
|
|
Carbamazepine free
|
$720.20 |
$720.20 |
$720.20 |
$59.15
|
|
Carbohydrate urine - sendout
|
$286.36 |
$286.36 |
$286.36 |
$63.00
|
|
Carcinoembryonic ag (cea)
|
$1,054.56 |
$1,054.56 |
$1,054.56 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$11,183.31 |
$11,183.31 |
$11,183.31 |
$2,499.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$6,750.17 |
$6,750.17 |
$6,750.17 |
$1,385.50
|
|
Carotene
|
$1,167.72 |
$1,167.72 |
$1,167.72 |
$44.10
|
|
Car seat/bed test 60 minutes
|
$395.43 |
$395.43 |
$395.43 |
$110.40
|
|
Catecholamines,fractionated, urine
|
$836.78 |
$836.78 |
$836.78 |
$70.67
|
|
Catheter stripping venous
|
$11,016.25 |
$11,016.25 |
$11,016.25 |
$3,193.94
|
|
Cath ext adhere actv m 28mm
|
$11.00 |
$11.00 |
$11.00 |
$1.81
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$4,372.00 |
$4,372.00 |
$4,372.00 |
$381.36
|
|
Cath stripping venous s&i
|
$2,298.05 |
$2,298.05 |
$2,298.05 |
$638.30
|
|
Cefotaxime sodium injection
|
$171.10 |
$171.10 |
$171.10 |
$43.10
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,678.76 |
$1,678.76 |
$1,678.76 |
$606.21
|
|
Ceftazidime and avibactam
|
$2,795.54 |
$2,795.54 |
$2,795.54 |
$904.66
|
|
Cer post col occ/man sup adj
|
$110.00 |
$110.00 |
$110.00 |
$806.24
|
|
#cf-97variants
|
$2,251.42 |
$2,251.42 |
$2,251.42 |
$612.26
|
|
Cftr gene dup/delet variants
|
$12,635.86 |
$12,635.86 |
$12,635.86 |
$757.25
|
|
Chlamydia trachomatis ag if
|
$932.81 |
$932.81 |
$932.81 |
$67.20
|
|
Chlamydia type
|
$19.50 |
$19.50 |
$19.50 |
$32.92
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$229.05 |
$229.05 |
$229.05 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,219.03 |
$2,219.03 |
$2,219.03 |
$602.40
|
|
Cholinesterase
|
$401.24 |
$401.24 |
$401.24 |
$39.48
|
|
Chrom analysis
|
$1,262.05 |
$1,262.05 |
$1,262.05 |
$151.84
|
|
Chromogenic substrate assay
|
$500.70 |
$500.70 |
$500.70 |
$142.80
|
|
Chromo high res and frag x - sendout
|
$2,539.50 |
$2,539.50 |
$2,539.50 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$2,549.81 |
$2,549.81 |
$2,549.81 |
$492.00
|
|
Chromosome analys placenta
|
$7,922.06 |
$7,922.06 |
$7,922.06 |
$611.09
|
|
Chromosome count additional
|
$444.11 |
$444.11 |
$444.11 |
$93.33
|
|
Chromosome karyotype study
|
$632.73 |
$632.73 |
$632.73 |
$115.00
|
|
Chylomicron screen, bf - sendout
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$123.20
|
|
Cilastatin sodium injection
|
$228.01 |
$228.01 |
$228.01 |
$76.82
|
|
Cinacalcet 30 mg tablet
|
$6.11 |
$6.11 |
$6.11 |
$42.32
|
|
Closure paravalvlr leak pq
|
$10,804.98 |
$10,804.98 |
$10,804.98 |
$7,723.17
|
|
Clot factor xii hageman
|
$1,512.38 |
$1,512.38 |
$1,512.38 |
$129.45
|
|
Clot factor xiii fibrin stab
|
$1,409.51 |
$1,409.51 |
$1,409.51 |
$105.00
|
|
Clozapine, 25 mg
|
$18.67 |
$18.67 |
$18.67 |
$4.87
|
