|
Brach/thor cath addl
|
$524.30 |
$524.30 |
$524.30 |
$854.40
|
|
Brachy source palladium
|
$110.25 |
$110.25 |
$110.25 |
$110.25
|
|
Brachy source yttrium-90
|
$28,025.99 |
$28,025.99 |
$28,025.99 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$157.50 |
$157.50 |
$157.50 |
$241.20
|
|
Brachy src stranded c-131
|
$168.00 |
$168.00 |
$168.00 |
$210.96
|
|
Braf gene
|
$63.00 |
$63.00 |
$63.00 |
$421.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,780.05 |
$2,780.05 |
$2,780.05 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,575.30 |
$2,575.30 |
$2,575.30 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,637.95 |
$2,637.95 |
$2,637.95 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,232.65 |
$2,232.65 |
$2,232.65 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,069.55 |
$2,069.55 |
$2,069.55 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$105.00 |
$105.00 |
$105.00 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,076.15 |
$3,076.15 |
$3,076.15 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$537.95 |
$537.95 |
$537.95 |
$865.26
|
|
Bronchial challenge
|
$254.10 |
$254.10 |
$254.10 |
$835.20
|
|
Bronchoscopy clear airways 31645
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,672.16
|
|
Br punct aspir ea add, l
|
$135.80 |
$135.80 |
$135.80 |
$380.50
|
|
Budesonide non-comp unit
|
$4.95 |
$4.95 |
$4.95 |
$27.35
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$32.92 |
$32.92 |
$32.92 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$114.80 |
$114.80 |
$114.80 |
$165.10
|
|
Bundled special stain group 2
|
$100.10 |
$100.10 |
$100.10 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$33.08 |
$33.08 |
$33.08 |
$39.23
|
|
Buprenorphine oral 1mg
|
$0.82 |
$0.82 |
$0.82 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$1,954.40 |
$1,954.40 |
$1,954.40 |
$4,225.86
|
|
Bur rotalink 2.15mm
|
$5,793.81 |
$5,793.81 |
$5,793.81 |
$7,201.94
|
|
Butorphanol tartrate 1 mg
|
$58.24 |
$58.24 |
$58.24 |
$43.70
|
|
Bx bone trocar/ndl deep
|
$942.55 |
$942.55 |
$942.55 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$3,231.90
|
|
Bx breast add lesion mr imag
|
$1,932.70 |
$1,932.70 |
$1,932.70 |
$1,550.54
|
|
Bx breast add lesion Ultrasound imag
|
$1,703.10 |
$1,703.10 |
$1,703.10 |
$1,708.85
|
|
Bx perianal mass
|
$666.75 |
$666.75 |
$666.75 |
$1,415.32
|
|
Bx skin incisnl ea sep/add l les
|
$271.95 |
$271.95 |
$271.95 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$230.30 |
$230.30 |
$230.30 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$230.30 |
$230.30 |
$230.30 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$537.95 |
$537.95 |
$537.95 |
$1,038.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$878.88 |
$878.88 |
$878.88 |
$1,155.36
|
|
Cable cath 22-pin diag
|
$5,206.25 |
$5,206.25 |
$5,206.25 |
$4,518.81
|
|
Cable centrimag pressure
|
$7,858.62 |
$7,858.62 |
$7,858.62 |
$10,306.02
|
|
Cad breast MRI w/r&i
|
$162.40 |
$162.40 |
$162.40 |
$100.23
|
|
Caffeine citrate 20 mg/ml inj for po
|
$34.64 |
$34.64 |
$34.64 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,621.19 |
$1,621.19 |
$1,621.19 |
$2,802.31
|
|
Calcium 24 hour urine
|
$107.10 |
$107.10 |
$107.10 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$34.18 |
$34.18 |
$34.18 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$86.92 |
$86.92 |
$86.92 |
$91.04
|
|
Calcium ionized
|
$128.80 |
$128.80 |
$128.80 |
$88.40
|
|
Calcium total
|
$90.65 |
$90.65 |
$90.65 |
$48.75
|
|
Cannula ercp contour 5-4-3 tip
|
$256,147.50 |
$256,147.50 |
$256,147.50 |
$51,677.49
|
|
Canthotomy 67715
|
$1,729.35 |
$1,729.35 |
$1,729.35 |
$3,228.00
|
|
Cap nerve 2x15mm
|
$40,515.58 |
$40,515.58 |
$40,515.58 |
$24,217.08
|
|
Cap trach decann 15mm
|
$3,973.20 |
$3,973.20 |
$3,973.20 |
$3,973.20
|
|
Carbamazepine free -sendout
|
$478.80 |
$478.80 |
$478.80 |
$50.49
|
|
Carbamazepine total therapeutic drug level
|
$306.25 |
$306.25 |
$306.25 |
$117.74
|
|
Carbon dioxide
|
$89.60 |
$89.60 |
$89.60 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$163.65 |
$163.65 |
$163.65 |
$482.27
|
|
Carboxyhemoglobin quantitative
|
$46.20 |
$46.20 |
$46.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$229.25 |
$229.25 |
$229.25 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,834.35 |
$1,834.35 |
$1,834.35 |
$2,752.20
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,502.20 |
$1,502.20 |
$1,502.20 |
$1,519.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$988.05 |
$988.05 |
$988.05 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$897.05 |
$897.05 |
$897.05 |
$3,639.36
|
|
Car seat/bed test 60 minutes
|
$69.30 |
$69.30 |
$69.30 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$35.00 |
$35.00 |
$35.00 |
$70.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$814.63 |
$814.63 |
$814.63 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,652.50 |
$5,652.50 |
$5,652.50 |
$6,190.10
|
|
Cath ablt clsfast 7fx100cmx
|
$3,380.30 |
$3,380.30 |
$3,380.30 |
$3,906.88
|
|
Cath ablt rx lasr 2.0mm turbo
|
$5,093.20 |
$5,093.20 |
$5,093.20 |
$6,606.72
|
|
Cath access del ds spyscop 2.0
|
$4,427.29 |
$4,427.29 |
$4,427.29 |
$5,805.19
|
|
Cath acuity innr ic130 6f 63cm
|
$8,379.00 |
$8,379.00 |
$8,379.00 |
$9,363.28
|
|
Cath acunav ge 10frx90cm
|
$5,567.71 |
$5,567.71 |
$5,567.71 |
$6,022.02
|
|
Cath adherent clot 10mm 6f 10
|
$21,213.50 |
$21,213.50 |
$21,213.50 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$5,875.79
|
|
Cath bi-dir df smarttouch
|
$9,018.45 |
$9,018.45 |
$9,018.45 |
$8,469.98
|
|
Cath blazer dx/20 2-10-2 space
|
$3,366.44 |
$3,366.44 |
$3,366.44 |
$4,348.60
|
|
Cath cv dl inj 7fx16cm
|
$7,595.08 |
$7,595.08 |
$7,595.08 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$3,388.00 |
$3,388.00 |
$3,388.00 |
$2,463.75
|
|
Cath epdrl brevi-stf 12in .043
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$2,103.20
|
|
Catheter declot mechanical
|
$2,374.05 |
$2,374.05 |
$2,374.05 |
$1,838.28
|
|
Catheter insert artery
|
$87.85 |
$87.85 |
$87.85 |
$391.20
|
|
Catheterization collection of specimen single patient all places of service
|
$14.35 |
$14.35 |
$14.35 |
$44.40
|
|
Catheter stripping venous
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$3,434.60
|
|
Cath groshong MRI 8fr plstc port
|
$1,853.72 |
$1,853.72 |
$1,853.72 |
$2,323.56
|
|
Cath hawkone s directional
|
$7,178.22 |
$7,178.22 |
$7,178.22 |
$7,160.28
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$493.76 |
$493.76 |
$493.76 |
$748.30
|
|
Cath imag ivus pv 8.5fx90 .035
|
$4,108.65 |
$4,108.65 |
$4,108.65 |
$4,499.78
|
|
Cathj umbilical vein dx/ther nb
|
$658.00 |
$658.00 |
$658.00 |
$268.73
|
|
Cath lt/rt pulm art
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$1,321.95
|
|
Cath malecot 28fr 4-wing ltx
|
$6,265.06 |
$6,265.06 |
$6,265.06 |
$2,744.00
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$14,161.84 |
$14,161.84 |
$14,161.84 |
$17,578.26
|
|
Cath place 1st order venous 36011
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,377.75
|
|
Cath ptca pcltxl agent 3x20mm
|
$8,305.50 |
$8,305.50 |
$8,305.50 |
$11,105.64
|
|
Cath right hrt mnpul art
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$1,073.38
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$113.75 |
$113.75 |
$113.75 |
$474.40
|
|
Cath steerable flex adv 12f
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$2,925.00
|
|
Cath stripping venous s&i
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$677.43 |
$677.43 |
$677.43 |
$951.16
|
|
Cath uret open tp 6fx70cm
|
$554.52 |
$554.52 |
$554.52 |
$505.37
|
|
Cauterization chemical granulation tissue
|
$275.80 |
$275.80 |
$275.80 |
$369.60
|
