|
Brachy src nonstrand hdr ir-192
|
$4,184.06 |
$4,184.06 |
$4,351.42 |
$378.98
|
|
Brachytx isodose complex
|
$1,985.79 |
$1,985.79 |
$1,985.79 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,614.62 |
$1,614.62 |
$1,614.62 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,358.39 |
$1,358.39 |
$1,358.39 |
$817.20
|
|
Braf gene
|
$222.10 |
$222.10 |
$2,707.30 |
$421.00
|
|
Brain flow imaging only
|
$1,305.79 |
$1,305.79 |
$1,305.79 |
$636.97
|
|
Brain image w/flow < 4 views
|
$3,951.75 |
$3,951.75 |
$6,722.16 |
$868.68
|
|
Brain image w/flow 4 + views
|
$4,228.74 |
$4,228.74 |
$13,779.48 |
$1,353.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,760.17 |
$7,760.17 |
$10,929.51 |
$2,676.04
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,318.03 |
$7,318.03 |
$16,084.84 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$5,763.15 |
$5,763.15 |
$9,948.57 |
$1,821.61
|
|
Brain MRI (with and without contrast)
|
$3,524.69 |
$6,834.44 |
$21,274.84 |
$2,919.80
|
|
Brain MRI (with contrast)
|
$5,209.36 |
$5,931.10 |
$6,507.93 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$5,841.17 |
$5,841.17 |
$10,642.54 |
$1,973.40
|
|
Brca1&2 gene full seq alys
|
$7,223.58 |
$7,223.58 |
$7,223.58 |
$770.25
|
|
Brca2 dna gene analy known fam var
|
$5,791.99 |
$5,791.99 |
$5,791.99 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$1,500.00 |
$1,632.00 |
$28,167.03 |
$2,299.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$2,039.50 |
$2,039.50 |
$2,124.65 |
$834.40
|
|
Breath hydrogen test 91065
|
$2,478.18 |
$2,478.18 |
$2,478.18 |
$462.00
|
|
Breath recording infant
|
$1,812.26 |
$1,812.26 |
$3,487.53 |
$1,077.10
|
|
Breath test analysis c-14
|
$1,457.22 |
$1,457.22 |
$1,457.22 |
$197.34
|
|
Breath tst attain/anal c-14
|
$359.25 |
$359.25 |
$359.25 |
$60.43
|
|
Bronchial allergy tests
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$734.40
|
|
Bronchial challenge
|
$1,433.16 |
$1,433.16 |
$1,433.16 |
$835.20
|
|
Bronchoscopy w/fb removal 31635
|
$17,485.67 |
$17,485.67 |
$17,485.67 |
$2,640.05
|
|
Br punct aspir ea add, l
|
$651.42 |
$651.42 |
$651.42 |
$387.96
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$87.10 |
$87.10 |
$93.78 |
$37.47
|
|
Bundled special stain group 1 microorganisms
|
$612.08 |
$612.08 |
$612.08 |
$164.89
|
|
Bundled special stain group 2
|
$418.76 |
$418.76 |
$418.76 |
$169.00
|
|
Bundle his recording
|
$1,599.02 |
$13,356.76 |
$13,997.32 |
$5,151.25
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$253.37 |
$253.37 |
$277.88 |
$33.89
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$50.95 |
$50.95 |
$50.95 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$144.07 |
$144.07 |
$144.07 |
$17.13
|
|
Buprenorphine and metabolite - sendout
|
$101.60 |
$101.60 |
$101.60 |
$88.92
|
|
Buprenorphine hydrochloride
|
$80.96 |
$80.96 |
$93.00 |
$42.14
|
|
Buprenorphine oral 1mg
|
$5.17 |
$5.17 |
$5.17 |
$11.24
|
|
Buprenorph X-ray 100 mg or less
|
$10,106.38 |
$10,106.38 |
$11,234.37 |
$5,784.06
|
|
Butorphanol tartrate 1 mg
|
$81.27 |
$81.27 |
$87.40 |
$42.76
|
|
Bx bone trocar/ndl deep
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$17,877.89 |
$17,877.89 |
$17,877.89 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$4,188.38 |
$4,188.38 |
$4,188.38 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$3,370.90 |
$3,370.90 |
$3,370.90 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$4,133.20 |
$4,133.20 |
$4,133.20 |
$1,708.85
|
|
Bx breast pq tomo guide
|
$39,361.95 |
$39,361.95 |
$39,361.95 |
$5,383.86
|
|
Bx/curett of cervix w/scope 57454
|
$3,467.74 |
$3,467.74 |
$3,467.74 |
$515.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$36,205.31 |
$36,205.31 |
$36,205.31 |
$4,135.34
|
|
Bx liver with other
|
$7,805.03 |
$7,805.03 |
$7,805.03 |
$548.87
|
|
Bx of cervix w/scope leep 57460
|
$30,377.57 |
$30,377.57 |
$30,377.57 |
$3,762.53
|
|
Bx pancreas pq ndl
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$1,767.94
|
|
Bx pleura pq ndl
|
$1,908.65 |
$1,908.65 |
$5,341.20 |
$1,732.00
|
|
Bx prst8 ndl sat sampling
|
$33,050.35 |
$33,050.35 |
$33,050.35 |
$4,081.37
|
|
Bx shoulder tissues supf 23065
|
$1,088.39 |
$1,088.39 |
$16,444.17 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$1,313.92 |
$1,313.92 |
$1,313.92 |
$235.15
|
|
Bx skin punch ea sep/ addl les
|
$788.19 |
$788.19 |
$788.19 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$280.48 |
$280.48 |
$428.21 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,479.45 |
$1,479.45 |
$4,912.86 |
$1,903.66
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,132.82 |
$1,132.82 |
$5,341.20 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,929.85
|
|
Bx soft tissue back/flank supf 21920
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$17,877.89 |
$17,877.89 |
$17,877.89 |
$2,080.80
|
|
Bx thigh/knee soft tiss supf 27323
|
$824.34 |
$824.34 |
$4,912.86 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$2,761.59 |
$2,761.59 |
$2,761.59 |
$1,037.37
|
|
Bx vag mucos smpl (sep proc)
|
$7,684.95 |
$7,684.95 |
$7,684.95 |
$1,255.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$7,684.95 |
$7,684.95 |
$7,684.95 |
$1,148.20
|
|
Bx vulva or perineum/ea add lesion 56606
|
$1,624.39 |
$1,624.39 |
$1,624.39 |
$465.09
|
|
Bypass temp external fem-fem
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$2,218.50
|
|
C1 esterase inhibitor func - sendout
|
$61.03 |
$61.03 |
$185.22 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$28,140.69 |
$28,140.69 |
$28,358.58 |
$18,884.63
|
|
Cad breast MRI w/r&i
|
$519.05 |
$519.05 |
$519.05 |
$99.41
|
|
Cadd pump refill
|
$329.02 |
$329.02 |
$329.02 |
$340.33
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,930.72 |
$2,930.72 |
$3,256.52 |
$2,802.31
|
|
Calcium 24 hour urine
|
$197.00 |
$197.00 |
$197.00 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$59.33 |
$59.33 |
$95.40 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$141.58 |
$352.38 |
$387.13 |
$50.70
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$163.16 |
$163.16 |
$180.71 |
$93.75
|
|
Calcium ionized
|
$230.30 |
$230.30 |
$526.12 |
$86.45
|
|
Calcium total
|
$277.38 |
$277.38 |
$277.38 |
$50.05
|
|
Calculi urinary-sendout
|
$13.00 |
$198.65 |
$198.65 |
$68.05
|
|
Calculus analysis qual
|
$63.96 |
$63.96 |
$63.96 |
$29.60
|
|
Caloric vstblr test w/rec
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$253.05
|
|
Calprotectin fecal
|
$119.00 |
$177.58 |
$302.99 |
$170.00
|
|
Campylobacter antibody
|
$92.11 |
$92.11 |
$202.50 |
$75.00
|
|
Candida dna
|
$309.48 |
$309.48 |
$309.48 |
$66.05
|
|
Candida skin test
|
$330.62 |
$330.62 |
$330.62 |
$47.40
|
|
Cannula declotting 36861
|
$46,619.20 |
$46,619.20 |
$46,619.20 |
$5,339.00
|
|
Cannula ercp contour 5-4-3 tip
|
$11,905.89 |
$11,905.89 |
$11,905.89 |
$28,000.00
|
|
Canthotomy 67715
|
$6,895.81 |
$6,895.81 |
$7,208.22 |
$3,225.24
|
|
Carbamazepine free
|
$204.52 |
$204.52 |
$204.52 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$510.79 |
$510.79 |
$3,619.57 |
$115.68
|
|
Carbohydrate deficient transf - sendout
|
$94.00 |
$278.75 |
$278.75 |
$114.23
|
|
Carbon dioxide
|
$189.75 |
$211.68 |
$954.69 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$139.00 |
$721.31 |
$751.48 |
$171.44
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$288.07 |
$288.07 |
$1,128.51 |
$437.68
|
|
Carboxyhemoglobin quantitative
|
$239.89 |
$239.89 |
$287.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$292.65 |
$292.65 |
$292.65 |
$146.90
|
|
Cardiac MRI w/stress img
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$6,808.27 |
$6,808.27 |
$24,118.93 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$4,878.66 |
$4,878.66 |
$15,632.60 |
$1,908.44
|
