|
Blood typing abo
|
$8.59 |
$8.59 |
$8.59 |
$83.03
|
|
Blood typing ag donor ea ag
|
$26.94 |
$26.94 |
$26.94 |
$166.80
|
|
Blood typing patient serum
|
$14.51 |
$14.51 |
$14.51 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$20.13 |
$20.13 |
$20.13 |
$181.74
|
|
Blood typing rh (d)
|
$38.78 |
$38.78 |
$38.78 |
$57.10
|
|
Bone Density Scan (DEXA)
|
$121.36 |
$121.36 |
$121.36 |
$395.00
|
|
Bone imaging multiple areas
|
$376.52 |
$376.52 |
$376.52 |
$1,210.00
|
|
Bone marrow;aspiration only 38220
|
$693.83 |
$693.83 |
$693.83 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,825.44 |
$1,825.44 |
$1,825.44 |
$1,881.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$38.19 |
$38.19 |
$38.19 |
$96.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$3,597.07 |
$3,597.07 |
$3,597.07 |
$2,105.38
|
|
Bowel imaging
|
$422.99 |
$422.99 |
$422.99 |
$1,200.00
|
|
Brach/thor cath 1st
|
$1,175.72 |
$1,175.72 |
$1,175.72 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$1,556.96 |
$1,556.96 |
$1,556.96 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$1,428.50 |
$1,428.50 |
$1,428.50 |
$2,151.93
|
|
Brach/thor cath addl
|
$1,428.50 |
$1,428.50 |
$1,428.50 |
$854.40
|
|
Brachy source i-125 injection
|
$19.54 |
$19.54 |
$19.54 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$13.32 |
$13.32 |
$13.32 |
$39.10
|
|
Brachy source palladium
|
$40.85 |
$40.85 |
$40.85 |
$110.25
|
|
Brachy source palladium-103 nonstranded
|
$34.64 |
$34.64 |
$34.64 |
$88.37
|
|
Brachy source yttrium-90
|
$13,053.60 |
$13,053.60 |
$13,053.60 |
$33,054.19
|
|
Brachy src nonstrand hdr ir-192
|
$296.00 |
$296.00 |
$296.00 |
$379.31
|
|
Brachytx isodose complex
|
$616.28 |
$616.28 |
$616.28 |
$1,631.00
|
|
Brachytx isodose intermed
|
$421.51 |
$421.51 |
$421.51 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$229.11 |
$229.11 |
$229.11 |
$817.20
|
|
Braf gene
|
$303.11 |
$303.11 |
$303.11 |
$421.00
|
|
Brain image w/flow < 4 views
|
$504.39 |
$504.39 |
$504.39 |
$884.65
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,736.93 |
$1,736.93 |
$1,736.93 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,456.03 |
$1,456.03 |
$1,456.03 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,277.24 |
$1,277.24 |
$1,277.24 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,479.89 |
$2,479.89 |
$2,479.89 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,736.04 |
$1,736.04 |
$1,736.04 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,636.88 |
$1,636.88 |
$1,636.88 |
$1,949.38
|
|
Brcassure comprehensive panel-sendout
|
$2,160.80 |
$2,160.80 |
$2,160.80 |
$2,299.75
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,084.25 |
$1,084.25 |
$1,084.25 |
$3,048.95
|
|
Breath tst attain/anal c-14
|
$134.09 |
$134.09 |
$134.09 |
$79.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$24,679.59 |
$24,679.59 |
$24,679.59 |
$24,248.87
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$441.34 |
$441.34 |
$441.34 |
$728.00
|
|
Bronch ebus ivntj perph les 31654
|
$1,811.82 |
$1,811.82 |
$1,811.82 |
$1,923.75
|
|
Bronch ebus samplng 1/2 node
|
$3,657.97 |
$3,657.97 |
$3,657.97 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$3,483.92 |
$3,483.92 |
$3,483.92 |
$5,110.00
|
|
Bronchial challenge
|
$1,154.11 |
$1,154.11 |
$1,154.11 |
$835.20
|
|
Bronchial valve init insert
|
$5,682.32 |
$5,682.32 |
$5,682.32 |
$7,565.43
|
|
Bronchial valve remov addl
|
$1,647.84 |
$1,647.84 |
$1,647.84 |
$2,040.67
|
|
Bronchial valve remov init
|
$3,417.32 |
$3,417.32 |
$3,417.32 |
$4,341.75
|
|
Bronchoscopy bronch stents
|
$6,534.50 |
$6,534.50 |
$6,534.50 |
$6,104.00
|
|
Bronchoscopy clear airways 31645
|
$1,696.97 |
$1,696.97 |
$1,696.97 |
$2,672.16
|
|
Bronchoscopy dilate/fx repr
|
$3,476.52 |
$3,476.52 |
$3,476.52 |
$4,380.35
|
|
Bronchoscopy dilate w/stent
|
$6,223.40 |
$6,223.40 |
$6,223.40 |
$6,768.75
|
|
Bronchoscopy/lung bx addl 31632
|
$1,658.20 |
$1,658.20 |
$1,658.20 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$3,476.52 |
$3,476.52 |
$3,476.52 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$1,658.20 |
$1,658.20 |
$1,658.20 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$2,085.92 |
$2,085.92 |
$2,085.92 |
$3,572.33
|
|
Bronchoscopy revise stent
|
$6,208.01 |
$6,208.01 |
$6,208.01 |
$6,311.00
|
|
Bronchoscopy treat blockage
|
$3,476.52 |
$3,476.52 |
$3,476.52 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,764.16 |
$1,764.16 |
$1,764.16 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,839.94 |
$1,839.94 |
$1,839.94 |
$2,672.16
|
|
Bronchoscopy w/markers
|
$6,410.18 |
$6,410.18 |
$6,410.18 |
$7,662.21
|
|
Bronchoscopy w/tumor excise
|
$3,410.22 |
$3,410.22 |
$3,410.22 |
$4,080.94
|
|
Bronch thermoplsty 1 lobe
|
$6,410.18 |
$6,410.18 |
$6,410.18 |
$7,346.25
|
|
Bronch thermoplsty 2/> lobes
|
$6,410.18 |
$6,410.18 |
$6,410.18 |
$7,662.21
|
|
Bronch w/balloon occlusion
|
$6,410.18 |
$6,410.18 |
$6,410.18 |
$7,870.50
|
|
Bundled special stain group 1 microorganisms
|
$88.21 |
$88.21 |
$88.21 |
$165.10
|
|
Bundled special stain group 2
|
$92.65 |
$92.65 |
$92.65 |
$169.00
|
|
Bundle his recording
|
$6,245.31 |
$6,245.31 |
$6,245.31 |
$5,410.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$20.96 |
$20.96 |
$20.96 |
$39.23
|
|
Buprenorphine hydrochloride
|
$33.47 |
$33.47 |
$33.47 |
$43.94
|
|
Burr hole implant ventricular cath/other device
|
$383.32 |
$383.32 |
$383.32 |
$2,964.65
|
|
Bx bone trocar/ndl deep
|
$1,187.26 |
$1,187.26 |
$1,187.26 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,622.56 |
$2,622.56 |
$2,622.56 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$1,892.04 |
$1,892.04 |
$1,892.04 |
$3,742.20
|
|
Bx breast add lesion strtctc
|
$1,002.85 |
$1,002.85 |
$1,002.85 |
$1,711.50
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,240.84 |
$1,240.84 |
$1,240.84 |
$3,297.44
|
|
Bx of breast open 19101
|
$3,583.97 |
$3,583.97 |
$3,583.97 |
$4,509.59
|
|
Bx pancreas pq ndl
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$1,780.47
|
|
Bx pleura pq ndl
|
$1,548.68 |
$1,548.68 |
$1,548.68 |
$1,742.30
|
|
Bx skin incisnl ea sep/add l les
|
$230.00 |
$230.00 |
$230.00 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$129.36 |
$129.36 |
$129.36 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$129.36 |
$129.36 |
$129.36 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,662.04 |
$1,662.04 |
$1,662.04 |
$1,915.68
|
|
Bx soft tissue back/flank supf 21920
|
$1,597.52 |
$1,597.52 |
$1,597.52 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$511.20 |
$511.20 |
$511.20 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$280.02 |
$280.02 |
$280.02 |
$1,038.80
|
|
Bypass temp external fem-fem
|
$769.90 |
$769.90 |
$769.90 |
$1,938.60
|
|
C-1 esterase, berinert
|
$4,105.03 |
$4,105.03 |
$4,105.03 |
$8,951.58
|
|
C1 esterase inhibitor func - sendout
|
$73.12 |
$73.12 |
$73.12 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$30,259.75 |
$30,259.75 |
$30,259.75 |
$25,362.42
|
|
Cable cath 22-pin diag
|
$806.31 |
$806.31 |
$806.31 |
$4,518.81
|
|
Cad breast MRI w/r&i
|
$69.56 |
$69.56 |
$69.56 |
$100.23
|
|
Cadd pump refill
|
$117.81 |
$117.81 |
$117.81 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$29.86 |
$29.86 |
$29.86 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,283.33 |
$1,283.33 |
$1,283.33 |
$2,802.31
|
|
Calcium 24 hour urine
|
$10.66 |
$10.66 |
$10.66 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$60.04 |
$60.04 |
$60.04 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$38.67 |
$38.67 |
$38.67 |
$91.04
|
|
Calcium ionized
|
$102.72 |
$102.72 |
$102.72 |
$88.40
|
|
Calcium total
|
$72.23 |
$72.23 |
$72.23 |
$48.75
|
|
Calprotectin fecal
|
$98.87 |
$98.87 |
$98.87 |
$169.20
|
|
Candida dna
|
$25.76 |
$25.76 |
$25.76 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$7,489.40 |
$7,489.40 |
$7,489.40 |
$51,677.49
|
