|
Buprenorph X-ray 100 mg or less
|
$4,958.33 |
$4,958.33 |
$4,958.33 |
$4,288.86
|
|
Bur rotalink 2.15mm
|
$315.40 |
$315.40 |
$315.40 |
$7,754.17
|
|
Busulfan injection
|
$1,203.75 |
$1,203.75 |
$1,203.75 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$38.46 |
$38.46 |
$38.46 |
$37.50
|
|
Bx bone trocar/ndl deep
|
$1,886.25 |
$1,886.25 |
$1,886.25 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$2,789.25 |
$2,789.25 |
$2,789.25 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,650.88
|
|
Bx breast add lesion strtctc
|
$2,043.75 |
$2,043.75 |
$2,043.75 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$502.50 |
$502.50 |
$502.50 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$798.00 |
$798.00 |
$798.00 |
$559.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$2,530.50 |
$2,530.50 |
$2,530.50 |
$4,184.94
|
|
Bx liver with other
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$554.45
|
|
Bx muscle
|
$1,076.25 |
$1,076.25 |
$1,076.25 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$1,588.50 |
$1,588.50 |
$1,588.50 |
$1,635.24
|
|
Bx pleura pq ndl
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$1,633.46
|
|
Bx shoulder tissues supf 23065
|
$4,138.50 |
$4,138.50 |
$4,138.50 |
$1,917.33
|
|
Bx skin punch ea sep/ addl les
|
$146.25 |
$146.25 |
$146.25 |
$230.02
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$1,908.09
|
|
Bx soft tissue back/flank deep 21925
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$2,748.61
|
|
Bx soft tissue back/flank supf 21920
|
$1,076.25 |
$1,076.25 |
$1,076.25 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$4,358.25 |
$4,358.25 |
$4,358.25 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,076.25 |
$1,076.25 |
$1,076.25 |
$2,086.51
|
|
Bx thyroid/percutan core needle 60100
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$963.86
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,998.75 |
$1,998.75 |
$1,998.75 |
$1,148.20
|
|
C-1 esterase, berinert
|
$9,999.32 |
$9,999.32 |
$9,999.32 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$7,487.52 |
$7,487.52 |
$7,487.52 |
$7,483.77
|
|
C1 esterase inhibitor func - sendout
|
$75.00 |
$75.00 |
$75.00 |
$87.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$19,043.44 |
$19,043.44 |
$19,043.44 |
$28,742.48
|
|
Cabergoline, oral 0.25mg
|
$94.98 |
$94.98 |
$94.98 |
$65.85
|
|
Cable cath 22-pin diag
|
$741.00 |
$741.00 |
$741.00 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$16,287.79 |
$16,287.79 |
$16,287.79 |
$12,161.55
|
|
Caffeine citrate 20 mg/ml inj for po
|
$50.03 |
$50.03 |
$50.03 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$64,319.73 |
$64,319.73 |
$64,319.73 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$296.25 |
$296.25 |
$296.25 |
$2,132.00
|
|
Calcitonin stimul panel
|
$304.50 |
$304.50 |
$304.50 |
$88.41
|
|
Calcium 24 hour urine
|
$38.25 |
$38.25 |
$38.25 |
$52.08
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$65.61 |
$65.61 |
$65.61 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$86.37 |
$86.37 |
$86.37 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$132.12 |
$132.12 |
$132.12 |
$91.60
|
|
Calcium infusion test
|
$66.00 |
$66.00 |
$66.00 |
$16.01
|
|
Calcium ionized
|
$102.00 |
$102.00 |
$102.00 |
$88.00
|
|
Calcium total
|
$40.50 |
$40.50 |
$40.50 |
$50.00
|
|
Calculi urinary-sendout
|
$86.25 |
$86.25 |
$86.25 |
$68.05
|
|
Calculus analysis qual
|
$70.50 |
$70.50 |
$70.50 |
$57.20
|
|
Calprotectin fecal
|
$130.50 |
$130.50 |
$130.50 |
$167.40
|
|
Campylobacter antibody
|
$80.25 |
$80.25 |
$80.25 |
$75.04
|
|
Canakinumab injection
|
$46,193.95 |
$46,193.95 |
$46,193.95 |
$40,455.73
|
|
Candida dna
|
$105.75 |
$105.75 |
$105.75 |
$62.50
|
|
Candida dna quant
|
$275.25 |
$275.25 |
$275.25 |
$61.31
|
|
Candida skin test
|
$80.25 |
$80.25 |
$80.25 |
$58.76
|
|
Cannabinoids synthetic 1-3
|
$86.25 |
$86.25 |
$86.25 |
$57.20
|
|
Cannula ercp contour 5-4-3 tip
|
$748.98 |
$748.98 |
$748.98 |
$36,313.87
|
|
Cantharidin top, applicator
|
$1,606.65 |
$1,606.65 |
$1,606.65 |
$905.97
|
|
Canthotomy 67715
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$2,968.65
|
|
Capecitabine, oral, 50 mg
|
$125.76 |
$125.76 |
$125.76 |
$50.86
|
|
Cap nerve 2x15mm
|
$748.98 |
$748.98 |
$748.98 |
$24,158.39
|
|
Cap trach decann 15mm
|
$725.40 |
$725.40 |
$725.40 |
$3,120.00
|
|
Carbamazepine free
|
$81.00 |
$81.00 |
$81.00 |
$50.40
|
|
Carbamazepine total therapeutic drug level
|
$91.50 |
$91.50 |
$91.50 |
$115.05
|
|
Carbidopa levodopa ent 100ml
|
$548.67 |
$548.67 |
$548.67 |
$243.99
|
|
Carbohydrate deficient transf - sendout
|
$109.50 |
$109.50 |
$109.50 |
$121.80
|
|
Carbohydrate urine - sendout
|
$33.75 |
$33.75 |
$33.75 |
$44.88
|
|
Carbon dioxide
|
$30.75 |
$30.75 |
$30.75 |
$44.88
|
|
Carboplatin 10 mg/ml desensitization
|
$536.85 |
$536.85 |
$536.85 |
$195.06
|
|
Carboxyhemoglobin quantitative
|
$77.25 |
$77.25 |
$77.25 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$132.75 |
$132.75 |
$132.75 |
$142.50
|
|
Cardiac drug stress test
|
$282.00 |
$282.00 |
$282.00 |
$517.33
|
|
Cardiac MRI w/stress img
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$2,764.32
|
|
Cardiac perf planar sgl/ef/wm
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$2,046.61
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,278.25 |
$3,278.25 |
$3,278.25 |
$2,631.75
|
|
Cardiac shunt imaging
|
$997.50 |
$997.50 |
$997.50 |
$890.00
|
|
Cardiac Stress Test
|
$235.50 |
$235.50 |
$235.50 |
$214.50
|
|
Cardioassist internal
|
$607.50 |
$607.50 |
$607.50 |
$1,400.85
|
|
Cardiolipin antibody iga
|
$84.75 |
$84.75 |
$84.75 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$1,728.75 |
$1,728.75 |
$1,728.75 |
$1,170.78
|
|
Card MRI veloc flow mapping
|
$330.00 |
$330.00 |
$330.00 |
$569.38
|
|
Carfilzomib 10 mg intravenous solution
|
$8,310.78 |
$8,310.78 |
$8,310.78 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$434.85 |
$434.85 |
$434.85 |
$1,596.90
|
|
Carotene
|
$57.75 |
$57.75 |
$57.75 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$822.75 |
$822.75 |
$822.75 |
$1,030.00
|
|
Carpal Tunnel Release Surgery
|
$1,370.25 |
$1,370.25 |
$1,370.25 |
$3,639.20
|
|
Caspofungin acetate
|
$824.82 |
$824.82 |
$824.82 |
$757.91
|
|
Cataract Surgery
|
$2,753.25 |
$2,753.25 |
$2,753.25 |
$4,301.64
|
|
Catecholamines,fractionated, urine
|
$135.00 |
$135.00 |
$135.00 |
$59.92
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$746.97 |
$746.97 |
$746.97 |
$855.70
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$92.14 |
$92.14 |
$92.14 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$675.00 |
$675.00 |
$675.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3.00 |
$3.00 |
$3.00 |
$6,237.92
|
|
Cath access del ds spyscop 2.0
|
$3.00 |
$3.00 |
$3.00 |
$5,512.80
|
|
Cath acuity innr ic130 6f 63cm
|
$748.13 |
$748.13 |
$748.13 |
$8,379.00
|
|
Cath acunav ge 10frx90cm
|
$655.99 |
$655.99 |
$655.99 |
$6,254.43
|
|
Cath adherent clot 10mm 6f 10
|
$727.50 |
$727.50 |
$727.50 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$726.15 |
$726.15 |
$726.15 |
$6,157.12
|
|
Cath bi-dir df smarttouch
|
$627.00 |
$627.00 |
$627.00 |
$8,280.00
|
|
Cath blazer dx/20 2-10-2 space
|
$658.50 |
$658.50 |
$658.50 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$5,325.00 |
$5,325.00 |
$5,325.00 |
$8,910.89
|
