|
Busulfan injection
|
$13.65 |
$13.65 |
$13.65 |
$834.60
|
|
Butorphanol tartrate 1 mg
|
$83.20 |
$83.20 |
$83.20 |
$41.79
|
|
Bx arm/elbow soft tissue supf 24065
|
$4,631.90 |
$4,631.90 |
$4,631.90 |
$1,917.33
|
|
Bx bone trocar/ndl deep
|
$3,448.90 |
$3,448.90 |
$3,448.90 |
$2,388.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,366.65 |
$2,366.65 |
$2,366.65 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$1,381.90 |
$1,381.90 |
$1,381.90 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$6,395.35 |
$6,395.35 |
$6,395.35 |
$4,509.59
|
|
Bx/exc lymph node/open/superfic 38500
|
$16,763.50 |
$16,763.50 |
$16,763.50 |
$4,184.94
|
|
Bx leg/ankle soft tissue deep 27614
|
$2,529.15 |
$2,529.15 |
$2,529.15 |
$3,370.52
|
|
Bx liver with other
|
$404.30 |
$404.30 |
$404.30 |
$601.53
|
|
Bx muscle
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$2,653.97
|
|
Bx pancreas pq ndl
|
$1,398.15 |
$1,398.15 |
$1,398.15 |
$1,610.05
|
|
Bx pleura pq ndl
|
$1,398.15 |
$1,398.15 |
$1,398.15 |
$1,608.00
|
|
Bx prst8 ndl sat sampling
|
$3,940.95 |
$3,940.95 |
$3,940.95 |
$4,627.00
|
|
Bx shoulder tissues deep 23066
|
$2,252.25 |
$2,252.25 |
$2,252.25 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$646.75 |
$646.75 |
$646.75 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$380.25 |
$380.25 |
$380.25 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$362.70 |
$362.70 |
$362.70 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$2,419.95 |
$2,419.95 |
$2,419.95 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,563.25 |
$1,563.25 |
$1,563.25 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,227.90 |
$3,227.90 |
$3,227.90 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$1,221.35 |
$1,221.35 |
$1,221.35 |
$1,929.85
|
|
Bx spinal cord pq ndl
|
$3,399.50 |
$3,399.50 |
$3,399.50 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,095.90 |
$1,095.90 |
$1,095.90 |
$963.80
|
|
Bypass temp external fem-fem
|
$48,616.75 |
$48,616.75 |
$48,616.75 |
$1,938.60
|
|
C-1 esterase, berinert
|
$728.00 |
$728.00 |
$728.00 |
$8,114.40
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$992.55 |
$992.55 |
$992.55 |
$27,013.07
|
|
Cabg 2 arterial grafts 33534
|
$19,137.95 |
$19,137.95 |
$19,137.95 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$22,326.85 |
$22,326.85 |
$22,326.85 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$25,517.70 |
$25,517.70 |
$25,517.70 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$17,708.60 |
$17,708.60 |
$17,708.60 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$15,948.40 |
$15,948.40 |
$15,948.40 |
$4,723.20
|
|
Cabg vein five
|
$28,706.60 |
$28,706.60 |
$28,706.60 |
$6,372.80
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$19,137.95 |
$19,137.95 |
$19,137.95 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$22,326.85 |
$22,326.85 |
$22,326.85 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$25,517.70 |
$25,517.70 |
$25,517.70 |
$6,062.40
|
|
Cabg vein six or more
|
$31,898.10 |
$31,898.10 |
$31,898.10 |
$31,898.10
|
|
Cabg venous & art 1 vein graft 33517
|
$16,099.20 |
$16,099.20 |
$16,099.20 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$19,137.95 |
$19,137.95 |
$19,137.95 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$22,326.85 |
$22,326.85 |
$22,326.85 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$25,517.70 |
$25,517.70 |
$25,517.70 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$28,706.60 |
$28,706.60 |
$28,706.60 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$31,898.10 |
$31,898.10 |
$31,898.10 |
$2,358.00
|
|
Cable cath 22-pin diag
|
$8,268.00 |
$8,268.00 |
$8,268.00 |
$4,946.50
|
|
Cadd pump refill
|
$626.60 |
$626.60 |
$626.60 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$100.10 |
$100.10 |
$100.10 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$286.65 |
$286.65 |
$286.65 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$13,294.45 |
$13,294.45 |
$13,294.45 |
$2,210.98
|
|
Calcium 24 hour urine
|
$54.60 |
$54.60 |
$54.60 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$2.60 |
$2.60 |
$2.60 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$289.90 |
$289.90 |
$289.90 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$184.60 |
$184.60 |
$184.60 |
$91.60
|
|
Calcium ionized
|
$54.60 |
$54.60 |
$54.60 |
$90.00
|
|
Calcium total
|
$54.60 |
$54.60 |
$54.60 |
$50.00
|
|
Calculi urinary-sendout
|
$57.20 |
$57.20 |
$57.20 |
$66.00
|
|
Caloric vstblr test w/rec
|
$410.15 |
$410.15 |
$410.15 |
$315.28
|
|
Calprotectin fecal
|
$186.55 |
$186.55 |
$186.55 |
$170.00
|
|
Candida skin test
|
$47.45 |
$47.45 |
$47.45 |
$62.05
|
|
Cannula declotting 36861
|
$4,135.30 |
$4,135.30 |
$4,135.30 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$166,972.00 |
$166,972.00 |
$166,972.00 |
$44,000.00
|
|
Capecitabine, oral, 50 mg
|
$6.50 |
$6.50 |
$6.50 |
$59.42
|
|
Cap nerve 2x15mm
|
$57,275.40 |
$57,275.40 |
$57,275.40 |
$18,466.88
|
|
Capsaicin 8% patch
|
$4,719.65 |
$4,719.65 |
$4,719.65 |
$5,668.65
|
|
Cap trach decann 15mm
|
$11,079.25 |
$11,079.25 |
$11,079.25 |
$3,238.70
|
|
Carbamazepine total therapeutic drug level
|
$163.15 |
$163.15 |
$163.15 |
$122.85
|
|
Carbon dioxide
|
$54.60 |
$54.60 |
$54.60 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$50.05 |
$50.05 |
$50.05 |
$196.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$843.05 |
$843.05 |
$843.05 |
$455.11
|
|
Carboxyhemoglobin quantitative
|
$156.65 |
$156.65 |
$156.65 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$265.85 |
$265.85 |
$265.85 |
$145.20
|
|
Cardiac drug stress test
|
$1,305.85 |
$1,305.85 |
$1,305.85 |
$558.56
|
|
Cardiac MRI w/stress img
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$4,065.75 |
$4,065.75 |
$4,065.75 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$3,357.25 |
$3,357.25 |
$3,357.25 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,313.40 |
$4,313.40 |
$4,313.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$331.50 |
$331.50 |
$331.50 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$156.00 |
$156.00 |
$156.00 |
$204.54
|
|
Cardiac shunt imaging
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$1,200.00
|
|
Cardioassist external
|
$8,724.30 |
$8,724.30 |
$8,724.30 |
$397.60
|
|
Cardiolipin antibody iga
|
$84.50 |
$84.50 |
$84.50 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,097.55 |
$2,097.55 |
$2,097.55 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$672.10 |
$672.10 |
$672.10 |
$633.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$133.90 |
$133.90 |
$133.90 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$70.85 |
$70.85 |
$70.85 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$263.90 |
$263.90 |
$263.90 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$4,885.40 |
$4,885.40 |
$4,885.40 |
$1,854.00
|
|
Carotene
|
$27.30 |
$27.30 |
$27.30 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,163.85 |
$2,163.85 |
$2,163.85 |
$1,024.32
|
|
Carotid intima atheroma eval
|
$205.40 |
$205.40 |
$205.40 |
$274.96
|
|
Car outp meas drg cath chd
|
$482.30 |
$482.30 |
$482.30 |
$482.30
|
|
Car seat/bed test 60 minutes
|
$202.15 |
$202.15 |
$202.15 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$101.40 |
$101.40 |
$101.40 |
$65.00
|
|
Caspofungin acetate
|
$267.15 |
$267.15 |
$267.15 |
$633.91
|
|
Catecholamines,fractionated, urine
|
$26.00 |
$26.00 |
$26.00 |
$133.70
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,794.65 |
$1,794.65 |
$1,794.65 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$20,801.95 |
$20,801.95 |
$20,801.95 |
$6,606.72
|
