|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$58.24 |
$58.24 |
$58.24 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$58.24 |
$58.24 |
$58.24 |
$17.13
|
|
Buprenorphine and metabolite - sendout
|
$130.20 |
$130.20 |
$161.88 |
$99.72
|
|
Buprenorph X-ray 100 mg or less
|
$5,276.69 |
$5,276.69 |
$5,276.69 |
$5,784.06
|
|
Burr hole skull & remove clot 61154
|
$6,152.98 |
$6,152.98 |
$6,152.98 |
$4,438.20
|
|
Butorphanol tartrate 1 mg
|
$161.96 |
$161.96 |
$552.72 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$4,585.57 |
$4,585.57 |
$4,585.57 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$12,299.13 |
$12,299.13 |
$12,299.13 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$9,845.18 |
$9,845.18 |
$9,845.18 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$11,069.23 |
$11,069.23 |
$11,069.23 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$8,860.64 |
$8,860.64 |
$8,860.64 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$6,276.56 |
$6,276.56 |
$6,276.56 |
$1,708.85
|
|
Bx breast pq tomo guide
|
$10,019.82 |
$10,019.82 |
$10,019.82 |
$5,383.86
|
|
Bx liver with other
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$548.87
|
|
Bx pancreas pq ndl
|
$4,392.40 |
$4,392.40 |
$4,392.40 |
$1,761.70
|
|
Bx pleura pq ndl
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$1,732.00
|
|
Bx prst8 ndl sat sampling
|
$9,341.65 |
$9,341.65 |
$9,341.65 |
$4,081.37
|
|
Bx shoulder tissues supf 23065
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$909.69 |
$909.69 |
$909.69 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$511.06 |
$511.06 |
$511.06 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$481.68 |
$481.68 |
$481.68 |
$203.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,794.93
|
|
Bx soft tiss pelvis/hip deep 27041
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,917.33
|
|
Bx soft tissue back/flank supf 21920
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$4,665.98 |
$4,665.98 |
$4,665.98 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$1,020.60
|
|
Bx vag mucos smpl (sep proc)
|
$2,050.33 |
$2,050.33 |
$2,050.33 |
$1,255.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,050.33 |
$2,050.33 |
$2,050.33 |
$1,117.94
|
|
Bx vulva or perineum/ea add lesion 56606
|
$195.73 |
$195.73 |
$195.73 |
$465.09
|
|
Bypass temp external fem-fem
|
$4,407.60 |
$4,407.60 |
$4,407.60 |
$2,428.80
|
|
C-1 esterase, berinert
|
$14,079.70 |
$14,079.70 |
$14,079.70 |
$5,694.60
|
|
C1 esterase inhibitor func - sendout
|
$252.66 |
$252.66 |
$1,287.90 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$15,429.55 |
$15,429.55 |
$15,429.55 |
$18,370.09
|
|
Cad breast MRI w/r&i
|
$75.78 |
$75.78 |
$75.78 |
$78.75
|
|
Cadd pump refill
|
$1,008.14 |
$1,008.14 |
$1,008.14 |
$340.33
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$58.50 |
$58.50 |
$1,539.00 |
$2,910.00
|
|
Calcium 24 hour urine
|
$318.73 |
$318.73 |
$711.76 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$902.72 |
$902.72 |
$902.72 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$505.68 |
$505.68 |
$763.47 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$246.97 |
$246.97 |
$246.97 |
$92.91
|
|
Calcium ionized
|
$304.64 |
$304.64 |
$326.00 |
$86.35
|
|
Calcium total
|
$211.92 |
$211.92 |
$211.92 |
$48.75
|
|
Calculi urinary-sendout
|
$246.17 |
$246.17 |
$2,069.10 |
$68.05
|
|
Calculus analysis qual
|
$184.14 |
$184.14 |
$184.14 |
$29.60
|
|
Calprotectin fecal
|
$253.52 |
$253.52 |
$2,675.61 |
$170.00
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$85.18 |
$85.18 |
$85.18 |
$85.18
|
|
Campylobacter antibody
|
$205.87 |
$205.87 |
$1,127.86 |
$66.61
|
|
Candida dna
|
$265.00 |
$265.00 |
$299.13 |
$66.05
|
|
Candida skin test
|
$530.57 |
$530.57 |
$530.57 |
$39.77
|
|
Cannula declotting 36861
|
$12,060.45 |
$12,060.45 |
$12,060.45 |
$5,339.00
|
|
Cannula ercp contour 5-4-3 tip
|
$28,006.00 |
$28,006.00 |
$28,006.00 |
$19,500.00
|
|
Canthotomy 67715
|
$6,162.10 |
$6,162.10 |
$6,162.10 |
$3,014.70
|
|
Carbamazepine free
|
$233.20 |
$233.20 |
$498.56 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$233.20 |
$233.20 |
$1,032.00 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$280.00 |
$280.00 |
$280.00 |
$113.36
|
|
Carbohydrate urine - sendout
|
$659.14 |
$659.14 |
$659.14 |
$43.51
|
|
Carbon dioxide
|
$139.10 |
$139.10 |
$139.10 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$269.00 |
$269.00 |
$858.20 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$3,073.50 |
$3,073.50 |
$3,073.50 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$258.00 |
$258.00 |
$602.18 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$303.85 |
$303.85 |
$1,395.85 |
$146.90
|
|
Cardiac MRI w/stress img
|
$2,596.97 |
$2,596.97 |
$27,669.40 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$7,777.00 |
$7,777.00 |
$7,777.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$21,656.50 |
$21,656.50 |
$21,656.50 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$9,800.46 |
$9,800.46 |
$17,253.50 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$726.79 |
$726.79 |
$726.79 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$509.55 |
$509.55 |
$509.55 |
$195.00
|
|
Cardiolipin antibody iga
|
$46.82 |
$46.82 |
$46.82 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$11,144.55 |
$11,144.55 |
$11,144.55 |
$1,504.08
|
|
Cardioversion/elective/internal 92961
|
$5,615.03 |
$5,615.03 |
$5,615.03 |
$1,001.38
|
|
Card MRI veloc flow mapping
|
$386.71 |
$386.71 |
$386.71 |
$492.05
|
|
Carfilzomib 10 mg intravenous solution
|
$16,659.44 |
$16,659.44 |
$16,659.44 |
$3,574.20
|
|
Car ion chnnlpath inc 10 gns
|
$1,414.34 |
$1,414.34 |
$1,414.34 |
$962.80
|
|
Car ion chnnlpath inc 2 gns
|
$1,414.34 |
$1,414.34 |
$1,414.34 |
$1,091.81
|
|
Carmustine 100 mg intravenous powder for solution
|
$7,612.64 |
$7,612.64 |
$7,612.64 |
$1,582.20
|
|
Carotene
|
$142.84 |
$142.84 |
$1,377.41 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$1,067.40
|
|
Carpal Tunnel Release Surgery
|
$5,239.05 |
$5,239.05 |
$5,239.05 |
$3,899.19
|
|
Car seat/bed test 60 minutes
|
$466.63 |
$466.63 |
$466.63 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$150.00 |
$150.00 |
$150.00 |
$79.05
|
|
Cataract Surgery
|
$6,293.91 |
$6,293.91 |
$6,293.91 |
$3,173.34
|
|
Catecholamines,fractionated, urine
|
$1,192.96 |
$1,192.96 |
$1,192.96 |
$55.20
|
|
Cath combo lt&rt heart w/inj/s
|
$21,551.28 |
$21,551.28 |
$21,551.28 |
$8,832.72
|
|
Cath cv dl inj 7fx16cm
|
$1,030.51 |
$1,030.51 |
$1,030.51 |
$2,712.53
|
|
Catheter declot mechanical
|
$2,699.58 |
$2,699.58 |
$2,699.58 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$433.63 |
$433.63 |
$433.63 |
$48.75
|
|
Catheter stripping venous
|
$5,057.22 |
$5,057.22 |
$5,057.22 |
$3,430.00
|
|
Cath left heart/lv gram
|
$6,967.46 |
$6,967.46 |
$6,967.46 |
$7,226.24
|
|
Cath left heart transseptal punc
|
$12,563.92 |
$12,563.92 |
$12,563.92 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$1,273.15 |
$1,273.15 |
$1,273.15 |
$1,527.00
|
|
Cath place 1st order venous 36011
|
$3,671.71 |
$3,671.71 |
$3,671.71 |
$1,492.70
|
|
Cath place cardio brachytx
|
$28,190.28 |
$28,190.28 |
$28,190.28 |
$3,404.95
|
|
Cath plc art ang/grft lt/rt hr
|
$29,964.76 |
$29,964.76 |
$29,964.76 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$30,326.21 |
$30,326.21 |
$30,326.21 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$13,118.16 |
$13,118.16 |
$13,118.16 |
$6,306.85
|
|
Cath right hrt mnpul art
|
$1,273.15 |
$1,273.15 |
$1,273.15 |
$1,210.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$483.69 |
$483.69 |
$483.69 |
$474.40
|
