|
Brain flow imaging only
|
$1,180.90 |
$1,180.90 |
$1,180.90 |
$677.66
|
|
Brain image w/flow < 4 views
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$907.20
|
|
Brain image w/flow 4 + views
|
$2,521.40 |
$2,521.40 |
$2,521.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,710.60 |
$5,710.60 |
$5,710.60 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,889.50 |
$4,889.50 |
$4,889.50 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,946.60 |
$3,946.60 |
$3,946.60 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$5,385.10 |
$5,385.10 |
$5,385.10 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$4,291.00 |
$4,291.00 |
$4,291.00 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$3,887.10 |
$3,887.10 |
$3,887.10 |
$1,932.50
|
|
Brca1&2 gen ful dup/del alys
|
$1,227.10 |
$1,227.10 |
$1,227.10 |
$960.96
|
|
Brca1 dna gene analy known fam var
|
$867.30 |
$867.30 |
$867.30 |
$517.85
|
|
Brca1 gene full dup/del alys
|
$695.80 |
$695.80 |
$695.80 |
$331.49
|
|
Brca1 gene full seq alys
|
$594.30 |
$594.30 |
$594.30 |
$311.17
|
|
Brca2 gene full dup/del alys
|
$653.80 |
$653.80 |
$653.80 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$959.00 |
$959.00 |
$959.00 |
$607.20
|
|
Brcassure comprehensive panel-sendout
|
$3,018.40 |
$3,018.40 |
$3,018.40 |
$2,365.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,747.10 |
$3,747.10 |
$3,747.10 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$968.10 |
$968.10 |
$968.10 |
$863.10
|
|
Breath hydrogen test 91065
|
$529.90 |
$529.90 |
$529.90 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$73,980.90 |
$73,980.90 |
$73,980.90 |
$22,383.57
|
|
Bronch ebus ivntj perph les 31654
|
$41,535.86 |
$41,535.86 |
$41,535.86 |
$1,858.50
|
|
Bronch ebus samplng 1/2 node
|
$42,521.32 |
$42,521.32 |
$42,521.32 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$26,437.86 |
$26,437.86 |
$26,437.86 |
$4,746.40
|
|
Bronchial challenge
|
$1,077.30 |
$1,077.30 |
$1,077.30 |
$805.90
|
|
Bronchial valve addl insert
|
$1,490.30 |
$1,490.30 |
$1,490.30 |
$3,013.40
|
|
Bronchial valve init insert
|
$2,534.00 |
$2,534.00 |
$2,534.00 |
$6,718.40
|
|
Bronchial valve remov init
|
$22,000.37 |
$22,000.37 |
$22,000.37 |
$4,362.99
|
|
Bronchoscopy bronch stents
|
$2,534.00 |
$2,534.00 |
$2,534.00 |
$5,079.20
|
|
Bronchoscopy clear airways 31645
|
$18,479.28 |
$18,479.28 |
$18,479.28 |
$2,672.16
|
|
Bronchoscopy dilate/fx repr
|
$44,187.01 |
$44,187.01 |
$44,187.01 |
$5,133.02
|
|
Bronchoscopy dilate w/stent
|
$2,723.70 |
$2,723.70 |
$2,723.70 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$51,906.25 |
$51,906.25 |
$51,906.25 |
$1,336.08
|
|
Bronchoscopy/lung bx each 31628
|
$41,644.69 |
$41,644.69 |
$41,644.69 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$47,734.73 |
$47,734.73 |
$47,734.73 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$42,374.48 |
$42,374.48 |
$42,374.48 |
$4,038.80
|
|
Bronchoscopy revise stent
|
$380.10 |
$380.10 |
$380.10 |
$6,718.40
|
|
Bronchoscopy stent add-on
|
$380.10 |
$380.10 |
$380.10 |
$1,259.28
|
|
Bronchoscopy treat blockage
|
$30,431.23 |
$30,431.23 |
$30,431.23 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$27,878.92 |
$27,878.92 |
$27,878.92 |
$2,132.40
|
|
Bronchoscopy w/fb removal 31635
|
$5,241.60 |
$5,241.60 |
$5,241.60 |
$2,379.60
|
|
Bronchoscopy w/tumor excise
|
$6,760.60 |
$6,760.60 |
$6,760.60 |
$4,362.99
|
|
Bronch thermoplsty 2/> lobes
|
$6,534.50 |
$6,534.50 |
$6,534.50 |
$6,311.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$1,944.60 |
$1,944.60 |
$1,944.60 |
$660.95
|
|
Br punct aspir ea add, l
|
$708.40 |
$708.40 |
$708.40 |
$356.50
|
|
Btk gene common variants
|
$405.30 |
$405.30 |
$405.30 |
$357.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$17.85 |
$17.85 |
$17.85 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$16,675.05 |
$16,675.05 |
$16,675.05 |
$154.70
|
|
Bundled special stain group 2
|
$17,069.50 |
$17,069.50 |
$17,069.50 |
$170.65
|
|
Bundle his recording
|
$4,547.90 |
$4,547.90 |
$4,547.90 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$15.92 |
$15.92 |
$15.92 |
$33.08
|
|
Buprenorphine and metabolite - sendout
|
$207.20 |
$207.20 |
$207.20 |
$83.48
|
|
Buprenorphine oral 1mg
|
$97.47 |
$97.47 |
$97.47 |
$10.74
|
|
Burr hole implant ventricular cath/other device
|
$2,941.40 |
$2,941.40 |
$2,941.40 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$25,431.76 |
$25,431.76 |
$25,431.76 |
$7,871.02
|
|
Busulfan injection
|
$2,847.42 |
$2,847.42 |
$2,847.42 |
$834.60
|
|
Bx bone trocar/ndl deep
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$2,347.69
|
|
Bx breast 1st lesion mr imag
|
$4,705.40 |
$4,705.40 |
$4,705.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$5,044.90 |
$5,044.90 |
$5,044.90 |
$3,570.00
|
|
Bx breast add lesion mr imag
|
$2,858.10 |
$2,858.10 |
$2,858.10 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$2,892.40 |
$2,892.40 |
$2,892.40 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,847.60 |
$2,847.60 |
$2,847.60 |
$1,604.40
|
|
Bx breast pq tomo guide
|
$825.30 |
$825.30 |
$825.30 |
$4,428.15
|
|
Bx/curett of cervix w/scope 57454
|
$8,640.62 |
$8,640.62 |
$8,640.62 |
$502.15
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$33,802.86 |
$33,802.86 |
$33,802.86 |
$4,627.00
|
|
Bx/exc lymph node/open/superfic 38500
|
$39,268.70 |
$39,268.70 |
$39,268.70 |
$4,135.34
|
|
Bx liver with other
|
$5,256.30 |
$5,256.30 |
$5,256.30 |
$601.53
|
|
Bx muscle
|
$6,603.10 |
$6,603.10 |
$6,603.10 |
$2,653.97
|
|
Bx of breast open 19101
|
$7,942.90 |
$7,942.90 |
$7,942.90 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$14,416.60 |
$14,416.60 |
$14,416.60 |
$3,986.00
|
|
Bx perianal mass
|
$13,218.30 |
$13,218.30 |
$13,218.30 |
$1,540.50
|
|
Bx pleura pq ndl
|
$26,086.47 |
$26,086.47 |
$26,086.47 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$7,932.40 |
$7,932.40 |
$7,932.40 |
$4,051.50
|
|
Bx skin punch ea sep/ addl les
|
$388.50 |
$388.50 |
$388.50 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$326.20 |
$326.20 |
$326.20 |
$206.00
|
|
Bx thigh/knee soft tiss supf 27323
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$4,978.40 |
$4,978.40 |
$4,978.40 |
$957.60
|
|
Bx vag mucos smpl (sep proc)
|
$9,641.79 |
$9,641.79 |
$9,641.79 |
$1,103.36
|
|
Bx vulva or perineum/1 lesion 56605
|
$17,292.53 |
$17,292.53 |
$17,292.53 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$14,899.62 |
$14,899.62 |
$14,899.62 |
$403.07
|
|
Bypass temp external fem-fem
|
$26,035.88 |
$26,035.88 |
$26,035.88 |
$1,830.64
|
|
C-1 esterase, berinert
|
$21,314.65 |
$21,314.65 |
$21,314.65 |
$7,815.00
|
|
C1 esterase inhibitor func - sendout
|
$776.30 |
$776.30 |
$776.30 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$340,240.78 |
$340,240.78 |
$340,240.78 |
$26,328.21
|
|
Cable cath 22-pin diag
|
$12,276.04 |
$12,276.04 |
$12,276.04 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$1,018.50 |
$1,018.50 |
$1,018.50 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,955.10 |
$1,955.10 |
$1,955.10 |
$846.27
|
|
Cadd pump refill
|
$696.50 |
$696.50 |
$696.50 |
$380.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$28.70 |
$28.70 |
$28.70 |
$46.64
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,698.67 |
$2,698.67 |
$2,698.67 |
$2,177.05
|
|
Calcium 24 hour urine
|
$115.50 |
$115.50 |
$115.50 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$30.80 |
$30.80 |
$30.80 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$22.22 |
$22.22 |
$22.22 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$97.47 |
$97.47 |
$97.47 |
$91.60
|
|
Calcium ionized
|
$174.30 |
$174.30 |
$174.30 |
$89.88
|
|
Calcium total
|
$85.40 |
$85.40 |
$85.40 |
$50.00
|
|
Calprotectin fecal
|
$184.10 |
$184.10 |
$184.10 |
$170.00
|
|
Campylobacter antibody
|
$104.30 |
$104.30 |
$104.30 |
$77.83
|
|
Canakinumab injection
|
$124,807.55 |
$124,807.55 |
$124,807.55 |
$35,959.82
|
|
Candida dna
|
$78.40 |
$78.40 |
$78.40 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$613,341.60 |
$613,341.60 |
$613,341.60 |
$42,021.72
|
