|
Assay of procainamide w/metab
|
$42.70 |
$42.70 |
$42.70 |
$61.20
|
|
Assay of PSA complexed
|
$43.40 |
$43.40 |
$43.40 |
$64.28
|
|
Assay of urine sulfate
|
$9.45 |
$9.45 |
$9.45 |
$31.35
|
|
Assay toxin or antitoxin
|
$144.20 |
$144.20 |
$144.20 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$182.35 |
$182.35 |
$182.35 |
$312.00
|
|
Assess cyst contrast inject
|
$101.50 |
$101.50 |
$101.50 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$103.60 |
$103.60 |
$103.60 |
$49.80
|
|
Ast/sgot
|
$35.00 |
$35.00 |
$35.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$27,392.86 |
$27,392.86 |
$27,392.86 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$16,141.30 |
$16,141.30 |
$16,141.30 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$7,073.15 |
$7,073.15 |
$7,073.15 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$39.46 |
$39.46 |
$39.46 |
$43.01
|
|
Augment injectable kit 3.0cc
|
$11,025.00 |
$11,025.00 |
$11,025.00 |
$6,285.56
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,288.90 |
$4,288.90 |
$4,288.90 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$6,917.40 |
$6,917.40 |
$6,917.40 |
$10,578.36
|
|
Autologous blood process
|
$112.00 |
$112.00 |
$112.00 |
$234.27
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$142.10 |
$142.10 |
$142.10 |
$342.55
|
|
Azacitidine injection
|
$1,637.42 |
$1,637.42 |
$1,637.42 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$0.20 |
$0.20 |
$0.20 |
$6.76
|
|
Azathioprine parenteral
|
$86.14 |
$86.14 |
$86.14 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$27.34 |
$27.34 |
$27.34 |
$52.69
|
|
Aztreonam 1 gram solution for injection
|
$99.28 |
$99.28 |
$99.28 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,505.95 |
$2,505.95 |
$2,505.95 |
$920.45
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$161.17 |
$161.17 |
$161.17 |
$191.55
|
|
Bacterial meningitis antigen
|
$144.20 |
$144.20 |
$144.20 |
$68.40
|
|
Bacterial vaginosis pcr
|
$152.95 |
$152.95 |
$152.95 |
$298.04
|
|
Bactericidal level serum
|
$114.45 |
$114.45 |
$114.45 |
$82.50
|
|
Balloon dilate urtrl strix
|
$1,874.25 |
$1,874.25 |
$1,874.25 |
$2,044.97
|
|
Bartholin gland cyst/marsupializat 56440
|
$2,222.50 |
$2,222.50 |
$2,222.50 |
$3,522.35
|
|
Basiliximab
|
$10,838.84 |
$10,838.84 |
$10,838.84 |
$4,672.47
|
|
Bausch health Ultrasound surg
|
$3,730.13 |
$3,730.13 |
$3,730.13 |
$1,158.25
|
|
B cells total count
|
$199.50 |
$199.50 |
$199.50 |
$125.28
|
|
Bcg live 50 mg intravesical suspension
|
$517.26 |
$517.26 |
$517.26 |
$517.26
|
|
Belatacept 250 mg intravenous solution
|
$1,572.29 |
$1,572.29 |
$1,572.29 |
$2,843.40
|
|
Belimumab 120 mg intravenous solution
|
$5,274.97 |
$5,274.97 |
$5,274.97 |
$4,691.99
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,652.30 |
$2,652.30 |
$2,652.30 |
$3,101.94
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$5,428.90 |
$5,428.90 |
$5,428.90 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$206.50 |
$206.50 |
$206.50 |
$275.49
|
|
Benign lesion paring 4+
|
$270.20 |
$270.20 |
$270.20 |
$287.00
|
|
Benztropine 1 mg/ml injection solution
|
$93.28 |
$93.28 |
$93.28 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$70.35 |
$70.35 |
$70.35 |
$97.21
|
|
Beta-2 microglobulin
|
$96.25 |
$96.25 |
$96.25 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$75.12 |
$75.12 |
$75.12 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$8,326.49 |
$8,326.49 |
$8,326.49 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$6,638.94 |
$6,638.94 |
$6,638.94 |
$3,871.35
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,463.59 |
$5,463.59 |
$5,463.59 |
$2,567.61
|
|
Bevacizumab injection
|
$214.18 |
$214.18 |
$214.18 |
$1,011.80
|
|
Bilateral n block inj occipital 64405
|
$186.55 |
$186.55 |
$186.55 |
$881.00
|
|
Bilateral n block inj trigeminal 64400
|
$494.55 |
$494.55 |
$494.55 |
$593.45
|
|
Biliary endo perq dx w/speci
|
$6,238.05 |
$6,238.05 |
$6,238.05 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$1,528.45 |
$1,528.45 |
$1,528.45 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$8,487.50 |
$8,487.50 |
$8,487.50 |
$5,461.50
|
|
Bilicheck
|
$3.50 |
$3.50 |
$3.50 |
$25.20
|
|
Bilirubin direct
|
$144.20 |
$144.20 |
$144.20 |
$49.29
|
|
Bilirubin total
|
$57.05 |
$57.05 |
$57.05 |
$51.39
|
|
Biopsy abdominal mass
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$1,680.35 |
$1,680.35 |
$1,680.35 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$637.35 |
$637.35 |
$637.35 |
$1,268.54
|
|
Biopsy external ear 69100
|
$198.10 |
$198.10 |
$198.10 |
$416.52
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,768.80 |
$3,768.80 |
$3,768.80 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$2,251.55 |
$2,251.55 |
$2,251.55 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$1,520.75 |
$1,520.75 |
$1,520.75 |
$1,878.88
|
|
Biopsy of heart lining
|
$3,336.90 |
$3,336.90 |
$3,336.90 |
$3,868.50
|
|
Biopsy of prostate
|
$849.80 |
$849.80 |
$849.80 |
$2,424.12
|
|
Biopsy of salivary gland 42400
|
$348.25 |
$348.25 |
$348.25 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,073.65 |
$4,073.65 |
$4,073.65 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$427.70 |
$427.70 |
$427.70 |
$668.98
|
|
Biopsy vaginal mucosa xtnsv
|
$2,561.30 |
$2,561.30 |
$2,561.30 |
$2,561.30
|
|
Biospy of bladder
|
$1,024.45 |
$1,024.45 |
$1,024.45 |
$1,132.95
|
|
Bivalirudin
|
$2,412.12 |
$2,412.12 |
$2,412.12 |
$1,246.70
|
|
Bladder irrigate/lavage/instill 51700
|
$145.95 |
$145.95 |
$145.95 |
$418.20
|
|
Bld prd mix
|
$92.40 |
$92.40 |
$92.40 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$176.05 |
$176.05 |
$176.05 |
$245.75
|
|
Blinatumomab 35 mcg intravenous solution
|
$13,356.14 |
$13,356.14 |
$13,356.14 |
$235.53
|
|
Blind cor sinus reducer impl
|
$13,210.40 |
$13,210.40 |
$13,210.40 |
$13,355.34
|
|
Blind interatrial shunt ide
|
$8,268.75 |
$8,268.75 |
$8,268.75 |
$20,609.64
|
|
Bln 1.2 mono emrg 15x1.2
|
$8,530.55 |
$8,530.55 |
$8,530.55 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$10,425.98 |
$10,425.98 |
$10,425.98 |
$2,795.43
|
|
Bln dil 900ml preperitnl
|
$780.57 |
$780.57 |
$780.57 |
$726.10
|
|
Bln inpact admiral 4x150x130cm
|
$6,634.11 |
$6,634.11 |
$6,634.11 |
$4,259.82
|
|
Bln press regulation 71-80cm
|
$25,691.75 |
$25,691.75 |
$25,691.75 |
$11,018.46
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$11,019.40 |
$11,019.40 |
$11,019.40 |
$2,241.11
|
|
Block brachial plexus w/cath plmt w/img
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,394.61
|
|
Block femoral nerve cont infusion cath w/img
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$1,576.68
|
|
Block paracervical nrv
|
$583.80 |
$583.80 |
$583.80 |
$819.50
|
|
Block tap inj(s) w/wo img bi
|
$3,264.45 |
$3,264.45 |
$3,264.45 |
$1,143.35
|
|
Block tap inj(s) w/wo img uni
|
$1,951.25 |
$1,951.25 |
$1,951.25 |
$916.30
|
|
Blood Clotting (PT/INR) Test
|
$178.15 |
$178.15 |
$178.15 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$210.70 |
$210.70 |
$210.70 |
$72.15
|
|
Blood Count (CBC) Test
|
$93.80 |
$93.80 |
$93.80 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$174.30 |
$174.30 |
$174.30 |
$62.28
|
|
Blood count spun microhematocrit
|
$12.60 |
$12.60 |
$12.60 |
$20.40
|
|
Blood Culture Test
|
$245.70 |
$245.70 |
$245.70 |
$144.65
|
|
Blood draw capillary 36416
|
$24.50 |
$24.50 |
$24.50 |
$22.32
|
|
Blood gases ph venous
|
$41.30 |
$41.30 |
$41.30 |
$63.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.45 |
$16.45 |
$16.45 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$11.90 |
$11.90 |
$11.90 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$24.50 |
$24.50 |
$24.50 |
$37.44
|
|
Blood split unit
|
$302.75 |
$302.75 |
$302.75 |
$235.30
|
