|
Brachy src stranded c-131
|
$17,883.45 |
$17,883.45 |
$17,883.45 |
$221.00
|
|
Braf gene
|
$145.60 |
$145.60 |
$145.60 |
$450.90
|
|
Brain flow imaging only
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$677.66
|
|
Brain image w/flow 4 + views
|
$1,797.90 |
$1,797.90 |
$1,797.90 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,244.50 |
$4,244.50 |
$4,244.50 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,395.60 |
$3,395.60 |
$3,395.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,825.55 |
$2,825.55 |
$2,825.55 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,919.85 |
$4,919.85 |
$4,919.85 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,900.65 |
$3,900.65 |
$3,900.65 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,469.05 |
$3,469.05 |
$3,469.05 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$627.90 |
$627.90 |
$627.90 |
$274.65
|
|
Breath tst attain/anal c-14
|
$272.35 |
$272.35 |
$272.35 |
$108.50
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$1,158.95 |
$1,158.95 |
$1,158.95 |
$22,383.57
|
|
Bronchial challenge
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
$820.05
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$187.85 |
$187.85 |
$187.85 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$248.95 |
$248.95 |
$248.95 |
$159.00
|
|
Bundled special stain group 2
|
$202.80 |
$202.80 |
$202.80 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$7.15 |
$7.15 |
$7.15 |
$80.64
|
|
Buprenorphine oral 1mg
|
$7.15 |
$7.15 |
$7.15 |
$10.70
|
|
Bur rotalink 2.15mm
|
$17,602.00 |
$17,602.00 |
$17,602.00 |
$7,887.38
|
|
Busulfan injection
|
$15.60 |
$15.60 |
$15.60 |
$834.60
|
|
Butorphanol tartrate 1 mg
|
$83.20 |
$83.20 |
$83.20 |
$41.79
|
|
C-1 esterase, berinert
|
$798.85 |
$798.85 |
$798.85 |
$8,114.40
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$1,184.95 |
$1,184.95 |
$1,184.95 |
$27,013.07
|
|
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
|
$341.90 |
$341.90 |
$341.90 |
$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
|
|
Calprotectin fecal
|
$186.55 |
$186.55 |
$186.55 |
$170.00
|
|
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
|
$54.60 |
$54.60 |
$54.60 |
$196.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$958.75 |
$958.75 |
$958.75 |
$455.11
|
|
Carboxyhemoglobin quantitative
|
$156.65 |
$156.65 |
$156.65 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$265.85 |
$265.85 |
$265.85 |
$145.20
|
|
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
|
|
Cardiolipin antibody iga
|
$84.50 |
$84.50 |
$84.50 |
$107.25
|
|
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
|
$306.80 |
$306.80 |
$306.80 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$5,688.15 |
$5,688.15 |
$5,688.15 |
$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
|
|
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
|
|
Cath ablt clsfast 7fx100cmx
|
$4,470.70 |
$4,470.70 |
$4,470.70 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$16,134.30 |
$16,134.30 |
$16,134.30 |
$6,540.75
|
|
Cath access del ds spyscop 2.0
|
$13,525.85 |
$13,525.85 |
$13,525.85 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$119,340.00 |
$119,340.00 |
$119,340.00 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$15,695.55 |
$15,695.55 |
$15,695.55 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$36,550.80 |
$36,550.80 |
$36,550.80 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$13,826.15 |
$13,826.15 |
$13,826.15 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$18,065.45 |
$18,065.45 |
$18,065.45 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$10,714.60 |
$10,714.60 |
$10,714.60 |
$4,212.11
|
|
Cath cv dl inj 7fx16cm
|
$12,325.30 |
$12,325.30 |
$12,325.30 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$7,616.70 |
$7,616.70 |
$7,616.70 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$6,718.40 |
$6,718.40 |
$6,718.40 |
$1,928.17
|
|
Catheter declot mechanical
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$38.35 |
$38.35 |
$38.35 |
$40.95
|
|
Catheter w/bag 3-way
|
$128.70 |
$128.70 |
$128.70 |
$128.70
|
|
Catheter without bag 2-way latex
|
$4.55 |
$4.55 |
$4.55 |
$82.80
|
|
Cath groshong MRI 8fr plstc port
|
$99,684.00 |
$99,684.00 |
$99,684.00 |
$1,690.71
|
|
Cath hawkone s directional
|
$10,132.85 |
$10,132.85 |
$10,132.85 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$16,337.10 |
$16,337.10 |
$16,337.10 |
$4,680.00
|
|
Cath indw foley 3 way
|
$142.35 |
$142.35 |
$142.35 |
$41.20
|
|
Cath intrdsc spnecth 8 pin
|
$403.00 |
$403.00 |
$403.00 |
$1,994.50
|
|
Cath malecot 28fr 4-wing ltx
|
$5,739.50 |
$5,739.50 |
$5,739.50 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$33,211.10 |
$33,211.10 |
$33,211.10 |
$19,384.20
|
|
Cath ptca pcltxl agent 3x20mm
|
$18,773.95 |
$18,773.95 |
$18,773.95 |
$11,167.20
|
|
Cath steerable flex adv 12f
|
$8,102.90 |
$8,102.90 |
$8,102.90 |
$2,925.00
|
|
Cath suction replogle 8fr neonatal esophageal
|
$10.40 |
$10.40 |
$10.40 |
$3.92
|
|
Cath symplicity spyral
|
$52,101.40 |
$52,101.40 |
$52,101.40 |
$32,630.40
|
|
Cath temp pace flo bipol 5fr electrd
|
$0.65 |
$0.65 |
$0.65 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$1,600.95 |
$1,600.95 |
$1,600.95 |
$573.88
|
|
Cath without bag 2-way silicone
|
$45.50 |
$45.50 |
$45.50 |
$68.50
|
