|
Burr hole skull & remove clot 61154
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$4,374.23
|
|
Bur rotalink 2.15mm
|
$7,153.58 |
$7,153.58 |
$7,153.58 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$1,312.15
|
|
Bx pancreas pq ndl
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$1,610.05
|
|
Bx pleura pq ndl
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$122.50 |
$122.50 |
$122.50 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$122.50 |
$122.50 |
$122.50 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$122.50 |
$122.50 |
$122.50 |
$206.00
|
|
Bx soft tissue back/flank deep 21925
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,929.85
|
|
Bx thyroid/percutan core needle 60100
|
$865.00 |
$865.00 |
$865.00 |
$963.80
|
|
Bypass temp external fem-fem
|
$775.00 |
$775.00 |
$775.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$142.40 |
$142.40 |
$142.40 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$270.00 |
$270.00 |
$270.00 |
$96.72
|
|
Cable cath 22-pin diag
|
$4,901.00 |
$4,901.00 |
$4,901.00 |
$4,946.50
|
|
Cable centrimag pressure
|
$353.52 |
$353.52 |
$353.52 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$50.88 |
$50.88 |
$50.88 |
$13,247.32
|
|
Cad breast MRI w/r&i
|
$0.50 |
$0.50 |
$0.50 |
$100.80
|
|
Cadd pump refill
|
$210.00 |
$210.00 |
$210.00 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$24.54 |
$24.54 |
$24.54 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$122.61 |
$122.61 |
$122.61 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,321.02 |
$1,321.02 |
$1,321.02 |
$2,210.98
|
|
Calcium 24 hour urine
|
$67.50 |
$67.50 |
$67.50 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$1.31 |
$1.31 |
$1.31 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.83 |
$0.83 |
$0.83 |
$91.60
|
|
Calcium ionized
|
$77.50 |
$77.50 |
$77.50 |
$90.00
|
|
Calcium total
|
$37.50 |
$37.50 |
$37.50 |
$50.00
|
|
Caloric vstblr test w/rec
|
$310.00 |
$310.00 |
$310.00 |
$315.28
|
|
Calprotectin fecal
|
$170.00 |
$170.00 |
$170.00 |
$170.00
|
|
Campylobacter antibody
|
$75.00 |
$75.00 |
$75.00 |
$77.83
|
|
Candida dna
|
$87.50 |
$87.50 |
$87.50 |
$61.10
|
|
Cannabinoid synthetic 7/more
|
$330.00 |
$330.00 |
$330.00 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$10,358.08 |
$10,358.08 |
$10,358.08 |
$44,000.00
|
|
Canthotomy 67715
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$5,051.80 |
$5,051.80 |
$5,051.80 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,067.86 |
$1,067.86 |
$1,067.86 |
$3,238.70
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$60.00
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$167.50 |
$167.50 |
$167.50 |
$116.40
|
|
Carbon dioxide
|
$35.00 |
$35.00 |
$35.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$52.90 |
$52.90 |
$52.90 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$50.00 |
$50.00 |
$50.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$125.00 |
$125.00 |
$125.00 |
$145.20
|
|
Cardiac MRI w/stress img
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$240.00 |
$240.00 |
$240.00 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$220.00 |
$220.00 |
$220.00 |
$204.54
|
|
Cardiac shunt imaging
|
$890.00 |
$890.00 |
$890.00 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$130.00 |
$130.00 |
$130.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$150.00 |
$150.00 |
$150.00 |
$633.90
|
|
Carfilzomib 10 mg intravenous solution
|
$142.68 |
$142.68 |
$142.68 |
$6,306.47
|
|
Carotene
|
$62.50 |
$62.50 |
$62.50 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$905.00 |
$905.00 |
$905.00 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$482.30
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$483.51 |
$483.51 |
$483.51 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$7,643.25 |
$7,643.25 |
$7,643.25 |
$6,606.72
|
|
Cath ablt rx lasr 2.0mm turbo
|
$5,645.58 |
$5,645.58 |
$5,645.58 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$9,236.50 |
$9,236.50 |
$9,236.50 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$4,974.52 |
$4,974.52 |
$4,974.52 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$24,505.00 |
$24,505.00 |
$24,505.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$5,422.84 |
$5,422.84 |
$5,422.84 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$8,015.02 |
$8,015.02 |
$8,015.02 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$2,126.57 |
$2,126.57 |
$2,126.57 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$11,338.28 |
$11,338.28 |
$11,338.28 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$1,532.52 |
$1,532.52 |
$1,532.52 |
$2,393.00
|
|
Catheter declot mechanical
|
$835.00 |
$835.00 |
$835.00 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$87.50 |
$87.50 |
$87.50 |
$40.95
|
|
Catheter stripping venous
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$960.83 |
$960.83 |
$960.83 |
$1,690.71
|
|
Cath hawkone s directional
|
$5,834.08 |
$5,834.08 |
$5,834.08 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$7,163.00 |
$7,163.00 |
$7,163.00 |
$4,680.00
|
|
Cathj umbilical vein dx/ther nb
|
$367.50 |
$367.50 |
$367.50 |
$246.00
|
|
Cath left heart/lv gram
|
$3,665.00 |
$3,665.00 |
$3,665.00 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$457.50 |
$457.50 |
$457.50 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$964.28 |
$964.28 |
$964.28 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$18,246.80 |
$18,246.80 |
$18,246.80 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$860.00 |
$860.00 |
$860.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$4,835.00 |
$4,835.00 |
$4,835.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$4,205.00 |
$4,205.00 |
$4,205.00 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$10,429.27
|
|
Cath ptca pcltxl agent 3x20mm
|
$10,650.25 |
$10,650.25 |
$10,650.25 |
$11,167.20
|
|
Cath right heart w/o2 sat & card
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$505.00 |
$505.00 |
$505.00 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$310.00 |
$310.00 |
$310.00 |
$462.80
|
|
Cath segmntl pulm art
|
$450.00 |
$450.00 |
$450.00 |
$1,294.19
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$443.87 |
$443.87 |
$443.87 |
$381.36
|
|
Cath steerable flex adv 12f
|
$2,515.50 |
$2,515.50 |
$2,515.50 |
$2,925.00
|
|
Cath stripping venous s&i
|
$775.00 |
$775.00 |
$775.00 |
$682.34
|
