|
Brain image w/flow 4 + views
|
$1,097.85 |
$1,097.85 |
$1,291.55 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,308.80 |
$2,308.80 |
$2,456.35 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,795.95 |
$1,795.95 |
$2,090.40 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,574.30 |
$1,574.30 |
$1,587.30 |
|
|
Brain MRI (with and without contrast)
|
$2,133.95 |
$2,133.95 |
$2,925.65 |
|
|
Brain MRI (with contrast)
|
$1,901.90 |
$1,901.90 |
$2,343.90 |
|
|
Brain MRI (without contrast)
|
$1,661.40 |
$1,661.40 |
$1,973.40 |
|
|
Bra surgical elizabeth pink sm
|
$39.00 |
$39.00 |
$39.00 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$29,968.61 |
$29,968.61 |
$29,968.61 |
|
|
Bronch ebus ivntj perph les 31654
|
$13,629.90 |
$13,629.90 |
$13,629.90 |
|
|
Bronch ebus samplng 1/2 node
|
$13,629.90 |
$13,629.90 |
$13,629.90 |
|
|
Bronch ebus samplng 3/> node
|
$15,551.36 |
$15,551.36 |
$15,551.36 |
|
|
Bronchial challenge
|
$575.90 |
$575.90 |
$679.90 |
|
|
Bronchoscopy/lung bx addl 31632
|
$18,001.54 |
$18,001.54 |
$18,001.54 |
|
|
Bronchoscopy/lung bx each 31628
|
$13,423.44 |
$13,423.44 |
$13,423.44 |
|
|
Bronchoscopy/needle bx addl 31633
|
$18,001.54 |
$18,001.54 |
$18,001.54 |
|
|
Bronchoscopy/needle bx each 31629
|
$14,237.67 |
$14,237.67 |
$14,237.67 |
|
|
Bronchoscopy treat blockage
|
$15,071.24 |
$15,071.24 |
$15,071.24 |
|
|
Bronchoscopy w/biopsy(s) 31625
|
$16,964.30 |
$16,964.30 |
$16,964.30 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Bundled special stain group 1 microorganisms
|
$131.30 |
$4,398.93 |
$5,054.23 |
|
|
Bundled special stain group 2
|
$110.50 |
$110.50 |
$4,019.85 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$21.61 |
$24.36 |
$43.38 |
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.25 |
$3.25 |
$3.25 |
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$3.25 |
$3.25 |
$13.28 |
|
|
Buprenorphine and metabolite - sendout
|
$191.75 |
$191.75 |
$191.75 |
|
|
Buprenorphine hydrochloride
|
$36.92 |
$36.92 |
$36.92 |
|
|
Buprenorphine oral 1mg
|
$3.25 |
$4.02 |
$16.50 |
|
|
Butorphanol tartrate 1 mg
|
$30.91 |
$30.91 |
$50.53 |
|
|
Bx breast perq without image 19100
|
$242.45 |
$242.45 |
$242.45 |
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$1,086.80 |
$1,086.80 |
$7,879.42 |
|
|
Bx/exc lymph node/open/superfic 38500
|
$631.15 |
$631.15 |
$7,439.07 |
|
|
Bx liver with other
|
$239.20 |
$239.20 |
$239.20 |
|
|
Bx of breast open 19101
|
$549.90 |
$549.90 |
$549.90 |
|
|
Bx of cervix w/scope leep 57460
|
$4,542.45 |
$4,542.45 |
$4,542.45 |
|
|
Bx pancreas pq ndl
|
$4,606.55 |
$4,606.55 |
$4,606.55 |
|
|
Bx perianal mass
|
$4,716.22 |
$4,716.22 |
$6,822.33 |
|
|
Bx pleura pq ndl
|
$5,065.58 |
$5,065.58 |
$5,065.58 |
|
|
Bx prostate trnsrctl u/s guid
|
$8,272.61 |
$8,272.61 |
$8,272.61 |
|
|
Bx prst8 ndl sat sampling
|
$6,413.93 |
$6,413.93 |
$6,413.93 |
|
|
Bx skin incisnl ea sep/add l les
|
$100.75 |
$100.75 |
$100.75 |
|
|
Bx skin punch ea sep/ addl les
|
$83.85 |
$83.85 |
$83.85 |
|
|
Bx skin tangential ea sep/ addl les
|
$67.60 |
$67.60 |
$67.60 |
|
|
Bx vag mucos smpl (sep proc)
|
$3,935.86 |
$3,935.86 |
$3,935.86 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$3,937.06 |
$3,937.06 |
$3,937.06 |
|
|
Bypass temp external fem-fem
|
$107.90 |
$107.90 |
$107.90 |
|
|
C-1 esterase, berinert
|
$8,951.58 |
$8,951.58 |
$8,951.58 |
|
|
C1 esterase inhibitor func - sendout
|
$198.90 |
$205.40 |
$205.40 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$25,799.18 |
$25,799.18 |
$25,799.18 |
|
|
Cadd pump refill
|
$269.75 |
$269.75 |
$269.75 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$37.05 |
$37.05 |
$37.05 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,612.00 |
$1,612.00 |
$2,015.00 |
|
|
Calcium 24 hour urine
|
$54.60 |
$55.25 |
$65.00 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$62.43 |
$62.43 |
$62.43 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$15.44 |
$15.47 |
$17.63 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$38.39 |
$60.98 |
$121.96 |
|
|
Calcium ionized
|
$74.75 |
$74.75 |
$88.40 |
|
|
Calcium total
|
$48.75 |
$50.70 |
$61.10 |
|
|
Calculi urinary-sendout
|
$114.40 |
$114.40 |
$134.55 |
|
|
Calculus analysis qual
|
$98.80 |
$98.80 |
$116.35 |
|
|
Calprotectin fecal
|
$123.50 |
$183.30 |
$183.30 |
|
|
Campylobacter antibody
|
$63.70 |
$63.70 |
$75.40 |
|
|
Candida dna
|
$34.45 |
$35.75 |
$35.75 |
|
|
Carbamazepine free
|
$64.35 |
$64.35 |
$66.30 |
|
|
Carbamazepine total therapeutic drug level
|
$77.35 |
$92.30 |
$141.05 |
|
|
Carbohydrate deficient transf - sendout
|
$83.85 |
$85.80 |
$85.80 |
|
|
Carbon dioxide
|
$35.10 |
$35.10 |
$40.95 |
|
|
Carboplatin 10 mg/ml desensitization
|
$59.36 |
$59.36 |
$149.30 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$185.25 |
$423.15 |
$432.25 |
|
|
Carboxyhemoglobin quantitative
|
$89.05 |
$89.05 |
$105.30 |
|
|
Carcinoembryonic ag (cea)
|
$146.25 |
$146.25 |
$172.90 |
|
|
Cardiac perf planar sgl/ef/wm
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$828.10 |
$828.10 |
$1,383.20 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$206.05 |
$206.05 |
$313.30 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$178.75 |
$178.75 |
$178.75 |
|
|
Cardiolipin antibody iga
|
$118.30 |
$118.30 |
$139.75 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,095.90 |
$1,095.90 |
$1,294.15 |
|
|
Carfilzomib 10 mg intravenous solution
|
$8,616.90 |
$8,616.90 |
$8,616.90 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$396.46 |
$396.46 |
$396.46 |
|
|
Carotene
|
$103.35 |
$106.60 |
$106.60 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$761.80 |
$943.15 |
$1,127.75 |
|
|
Car outp meas drg cath chd
|
$261.95 |
$261.95 |
$261.95 |
|
|
Carpal Tunnel Release Surgery
|
$962.00 |
$2,326.82 |
$5,802.33 |
|
|
Car seat/bed test 60 minutes
|
$99.45 |
$99.45 |
$99.45 |
|
|
Car seat/bed test additional 30 minutes
|
$50.05 |
$50.05 |
$50.05 |
|
|
Ca screen;flexi sigmoidscope
|
$220.35 |
$220.35 |
$345.80 |
|
|
Cataract Surgery
|
$3,037.74 |
$3,037.74 |
$4,964.22 |
|
|
Cath combo lt&rt heart w/inj/s
|
$8,191.30 |
$8,191.30 |
$8,191.30 |
|
|
Catheterization collection of specimen single patient all places of service
|
$48.75 |
$48.75 |
$57.85 |
|
|
Cath left heart/lv gram
|
$5,373.55 |
$5,373.55 |
$5,373.55 |
|
|
Cath left heart transseptal punc
|
$6,088.55 |
$6,088.55 |
$6,088.55 |
|
|
Cath plc art ang/grft lt/rt hr
|
$8,380.45 |
$8,380.45 |
$8,380.45 |
|
|
Cath plc art/angio/rt hrt cath
|
$8,340.15 |
$8,340.15 |
$8,340.15 |
|
|
Cath plc art/grft/angio right hrt
|
$10,253.10 |
$10,253.10 |
$10,253.10 |
|
|
Cath right heart w/o2 sat & card
|
$3,891.55 |
$3,891.55 |
$3,891.55 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$984.59 |
$984.59 |
$984.59 |
|
|
Cath stripping venous s&i
|
$516.10 |
$516.10 |
$516.10 |
|
|
Cauterization chemical granulation tissue
|
$114.40 |
$114.40 |
$114.40 |
|
|
Cauterization of cervix 57510
|
$5,754.48 |
$5,754.48 |
$5,754.48 |
|
|
Cdna analysis for variants
|
$444.60 |
$444.60 |
$525.20 |
|