|
Brachy src nonstrand c-131
|
$219.60 |
$219.60 |
$219.60 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$738.00 |
$738.00 |
$738.00 |
$475.73
|
|
Brachy src stranded c-131
|
$159.12 |
$159.12 |
$159.12 |
$210.96
|
|
Brachytx, non-str, gold-198
|
$267.12 |
$267.12 |
$267.12 |
$124.55
|
|
Brachytx, non-str, ha, i-125
|
$129.60 |
$129.60 |
$129.60 |
$110.24
|
|
Brachytx, non-str, ha, p-103
|
$129.60 |
$129.60 |
$129.60 |
$122.08
|
|
Brachytx, ns, non-hdrir-192
|
$144.00 |
$144.00 |
$144.00 |
$142.80
|
|
Braf gene
|
$718.56 |
$718.56 |
$718.56 |
$427.50
|
|
Brain image w/flow < 4 views
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$884.65
|
|
Brain image w/flow 4 + views
|
$2,189.52 |
$2,189.52 |
$2,189.52 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,388.40 |
$4,388.40 |
$4,388.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,684.96 |
$3,684.96 |
$3,684.96 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,422.88 |
$3,422.88 |
$3,422.88 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,458.32 |
$5,458.32 |
$5,458.32 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,746.24 |
$4,746.24 |
$4,746.24 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,503.52 |
$3,503.52 |
$3,503.52 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$3,995.28 |
$3,995.28 |
$3,995.28 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,043.44 |
$3,043.44 |
$3,043.44 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$847.00
|
|
Breath hydrogen test 91065
|
$465.12 |
$465.12 |
$465.12 |
$462.00
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,087.28 |
$2,087.28 |
$2,087.28 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$3,361.68 |
$3,361.68 |
$3,361.68 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$7,925.04 |
$7,925.04 |
$7,925.04 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$7,963.92 |
$7,963.92 |
$7,963.92 |
$4,643.40
|
|
Bronchial challenge
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$3,821.04 |
$3,821.04 |
$3,821.04 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$7,963.92 |
$7,963.92 |
$7,963.92 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$7,963.92 |
$7,963.92 |
$7,963.92 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$3,765.60 |
$3,765.60 |
$3,765.60 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$4,482.72 |
$4,482.72 |
$4,482.72 |
$2,445.96
|
|
Bronch thermoplsty 1 lobe
|
$14,952.24 |
$14,952.24 |
$14,952.24 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$14,952.24 |
$14,952.24 |
$14,952.24 |
$6,408.60
|
|
Br punct aspir ea add, l
|
$584.64 |
$584.64 |
$584.64 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$21.60 |
$21.60 |
$21.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$348.48 |
$348.48 |
$348.48 |
$160.80
|
|
Bundled special stain group 2
|
$298.08 |
$298.08 |
$298.08 |
$173.46
|
|
Bundle his recording
|
$16,390.08 |
$16,390.08 |
$16,390.08 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$2.06 |
$2.06 |
$2.06 |
$32.88
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$25.34 |
$25.34 |
$25.34 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$66.24 |
$66.24 |
$66.24 |
$82.82
|
|
Bur rotalink 2.15mm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,817.85
|
|
Bx bone trocar/ndl deep
|
$5,036.40 |
$5,036.40 |
$5,036.40 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$4,939.92 |
$4,939.92 |
$4,939.92 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$4,980.96 |
$4,980.96 |
$4,980.96 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$2,096.64 |
$2,096.64 |
$2,096.64 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,158.48 |
$1,158.48 |
$1,158.48 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$8,271.36 |
$8,271.36 |
$8,271.36 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,588.50
|
|
Bx perianal mass
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$1,540.50
|
|
Bx pleura pq ndl
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$522.72 |
$522.72 |
$522.72 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$295.20 |
$295.20 |
$295.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$313.20 |
$313.20 |
$313.20 |
$203.70
|
|
Bx soft tissue back/flank supf 21920
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,998.72 |
$1,998.72 |
$1,998.72 |
$964.62
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,880.64 |
$1,880.64 |
$1,880.64 |
$1,127.00
|
|
Bypass temp external fem-fem
|
$14,799.60 |
$14,799.60 |
$14,799.60 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$171.36 |
$171.36 |
$171.36 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$489.78 |
$489.78 |
$489.78 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$68.40 |
$68.40 |
$68.40 |
$122.40
|
|
Cadd pump refill
|
$467.28 |
$467.28 |
$467.28 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$12.00 |
$12.00 |
$12.00 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$200.70 |
$200.70 |
$200.70 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$6,898.25 |
$6,898.25 |
$6,898.25 |
$2,111.64
|
|
Calcium 24 hour urine
|
$112.32 |
$112.32 |
$112.32 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.17 |
$0.17 |
$0.17 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.94 |
$0.94 |
$0.94 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.94 |
$0.94 |
$0.94 |
$91.60
|
|
Calcium ionized
|
$164.88 |
$164.88 |
$164.88 |
$90.00
|
|
Calcium total
|
$67.68 |
$67.68 |
$67.68 |
$50.00
|
|
Calprotectin fecal
|
$393.84 |
$393.84 |
$393.84 |
$169.95
|
|
Candida dna
|
$117.36 |
$117.36 |
$117.36 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$64.80 |
$64.80 |
$64.80 |
$78.10
|
|
Cannula declotting 36861
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,855.00
|
|
Cannula ercp contour 5-4-3 tip
|
$17,820.00 |
$17,820.00 |
$17,820.00 |
$34,218.66
|
|
Canthotomy 67715
|
$5,039.28 |
$5,039.28 |
$5,039.28 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$2,597.62
|
|
Carbamazepine free
|
$94.32 |
$94.32 |
$94.32 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$807.84 |
$807.84 |
$807.84 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$223.92 |
$223.92 |
$223.92 |
$139.00
|
|
Carbohydrate urine - sendout
|
$166.32 |
$166.32 |
$166.32 |
$66.64
|
|
Carbon dioxide
|
$56.16 |
$56.16 |
$56.16 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$106.76 |
$106.76 |
$106.76 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$459.36 |
$459.36 |
$459.36 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$103.68 |
$103.68 |
$103.68 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$158.40 |
$158.40 |
$158.40 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,489.84 |
$3,489.84 |
$3,489.84 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$272.16 |
$272.16 |
$272.16 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$257.76 |
$257.76 |
$257.76 |
$196.50
|
|
Cardiolipin antibody iga
|
$67.68 |
$67.68 |
$67.68 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,387.52 |
$2,387.52 |
$2,387.52 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$1,114.00
|
|
Card MRI veloc flow mapping
|
$727.92 |
$727.92 |
$727.92 |
$600.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$112.32 |
$112.32 |
$112.32 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$56.16 |
$56.16 |
$56.16 |
$51.50
|
|
Carotene
|
$37.44 |
$37.44 |
$37.44 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,018.68
|
