|
Bundled special stain group 2
|
$119.07 |
$119.07 |
$119.07 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$48.76 |
$48.76 |
$48.76 |
$32.88
|
|
Buprenorphine hydrochloride
|
$48.76 |
$48.76 |
$48.76 |
$41.79
|
|
Buprenorphine oral 1mg
|
$1,995.32 |
$1,995.32 |
$1,995.32 |
$10.50
|
|
Bur rotalink 2.15mm
|
$6,088.60 |
$6,088.60 |
$6,088.60 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$48.76 |
$48.76 |
$48.76 |
$39.09
|
|
Bx breast 1st lesion mr imag
|
$4,055.73 |
$4,055.73 |
$4,055.73 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,880.31 |
$3,880.31 |
$3,880.31 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$3,641.19 |
$3,641.19 |
$3,641.19 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$3,167.85 |
$3,167.85 |
$3,167.85 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$904.54 |
$904.54 |
$904.54 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$319.97 |
$319.97 |
$319.97 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$151.41 |
$151.41 |
$151.41 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$718.34 |
$718.34 |
$718.34 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$455.21 |
$455.21 |
$455.21 |
$4,184.94
|
|
Bx liver with other
|
$134.75 |
$134.75 |
$134.75 |
$543.40
|
|
Bx of breast open 19101
|
$1,416.59 |
$1,416.59 |
$1,416.59 |
$4,531.42
|
|
Bx skin tangential ea sep/ addl les
|
$101.43 |
$101.43 |
$101.43 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$354.27 |
$354.27 |
$354.27 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$185.71 |
$185.71 |
$185.71 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$257.25 |
$257.25 |
$257.25 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$240.59 |
$240.59 |
$240.59 |
$465.09
|
|
C-1 esterase, berinert
|
$8,521.40 |
$8,521.40 |
$8,521.40 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$7,029.40 |
$7,029.40 |
$7,029.40 |
$7,483.77
|
|
C1 esterase inhibitor func - sendout
|
$594.86 |
$594.86 |
$594.86 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$27,723.08 |
$27,723.08 |
$27,723.08 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$3,142.13 |
$3,142.13 |
$3,142.13 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$15,751.89 |
$15,751.89 |
$15,751.89 |
$12,338.18
|
|
Cadd pump refill
|
$230.30 |
$230.30 |
$230.30 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$69.74 |
$69.74 |
$69.74 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$11,696.30 |
$11,696.30 |
$11,696.30 |
$2,111.64
|
|
Calcium 24 hour urine
|
$44.59 |
$44.59 |
$44.59 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$1,356.08 |
$1,356.08 |
$1,356.08 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$101.31 |
$101.31 |
$101.31 |
$91.60
|
|
Calcium ionized
|
$109.27 |
$109.27 |
$109.27 |
$90.00
|
|
Calcium total
|
$45.57 |
$45.57 |
$45.57 |
$50.00
|
|
Calculus analysis qual
|
$69.58 |
$69.58 |
$69.58 |
$70.50
|
|
Calprotectin fecal
|
$136.22 |
$136.22 |
$136.22 |
$169.95
|
|
Canakinumab injection
|
$41,953.12 |
$41,953.12 |
$41,953.12 |
$35,959.82
|
|
Candida dna
|
$50.96 |
$50.96 |
$50.96 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$7,621.95 |
$7,621.95 |
$7,621.95 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$16,166.45 |
$16,166.45 |
$16,166.45 |
$18,466.88
|
|
Capsaicin 8% patch
|
$6,730.25 |
$6,730.25 |
$6,730.25 |
$4,719.65
|
|
Capsulotomy mpj ea joint (sep proc)
|
$1,203.93 |
$1,203.93 |
$1,203.93 |
$3,545.97
|
|
Cap trach decann 15mm
|
$2,725.38 |
$2,725.38 |
$2,725.38 |
$2,597.62
|
|
Carbamazepine free
|
$86.73 |
$86.73 |
$86.73 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$111.72 |
$111.72 |
$111.72 |
$120.25
|
|
Carbon dioxide
|
$58.31 |
$58.31 |
$58.31 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$201.69 |
$201.69 |
$201.69 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$115.15 |
$115.15 |
$115.15 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$117.60 |
$117.60 |
$117.60 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$1,692.95 |
$1,692.95 |
$1,692.95 |
$2,768.80
|
|
Cardiac perf planar sgl/ef/wm
|
$622.30 |
$622.30 |
$622.30 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,045.66 |
$1,045.66 |
$1,045.66 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$173.46 |
$173.46 |
$173.46 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$131.81 |
$131.81 |
$131.81 |
$196.50
|
|
Cardiac shunt imaging
|
$328.79 |
$328.79 |
$328.79 |
$890.00
|
|
Cardiolipin antibody iga
|
$164.15 |
$164.15 |
$164.15 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$823.20 |
$823.20 |
$823.20 |
$1,396.00
|
|
Card MRI veloc flow mapping
|
$1,396.99 |
$1,396.99 |
$1,396.99 |
$600.50
|
|
Carfilzomib 10 mg intravenous solution
|
$8,023.39 |
$8,023.39 |
$8,023.39 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,467.81 |
$3,467.81 |
$3,467.81 |
$1,731.00
|
|
Carotene
|
$80.36 |
$80.36 |
$80.36 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$732.55 |
$732.55 |
$732.55 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$365.05 |
$365.05 |
$365.05 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$171.01 |
$171.01 |
$171.01 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$85.26 |
$85.26 |
$85.26 |
$65.00
|
|
Ca screen;flexi sigmoidscope
|
$262.15 |
$262.15 |
$262.15 |
$1,206.00
|
|
Casiri and imdev repeat
|
$364.07 |
$364.07 |
$364.07 |
$540.00
|
|
Caspofungin acetate
|
$134.41 |
$134.41 |
$134.41 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$308.70 |
$308.70 |
$308.70 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$1,571.07 |
$1,571.07 |
$1,571.07 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$1,273.39 |
$1,273.39 |
$1,273.39 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3,770.55 |
$3,770.55 |
$3,770.55 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$3,230.33 |
$3,230.33 |
$3,230.33 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$5,835.76 |
$5,835.76 |
$5,835.76 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$4,483.50 |
$4,483.50 |
$4,483.50 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$19,727.40 |
$19,727.40 |
$19,727.40 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$4,097.92 |
$4,097.92 |
$4,097.92 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$3,858.75 |
$3,858.75 |
$3,858.75 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$2,638.10 |
$2,638.10 |
$2,638.10 |
$4,012.78
|
|
Cath council tip 16fr 5cc
|
$15.68 |
$15.68 |
$15.68 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,436.52 |
$1,436.52 |
$1,436.52 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$2,860.48 |
$2,860.48 |
$2,860.48 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,246.42 |
$1,246.42 |
$1,246.42 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$73.50 |
$73.50 |
$73.50 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,673.25 |
$1,673.25 |
$1,673.25 |
$1,653.00
|
|
Cath hawkone s directional
|
$4,573.17 |
$4,573.17 |
$4,573.17 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$1,212.75 |
$1,212.75 |
$1,212.75 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,614.06 |
$1,614.06 |
$1,614.06 |
$4,160.00
|
|
Cath impl vasc access portal
|
$102.20 |
$102.20 |
$102.20 |
$150.00
|
|
Cath indw foley 3 way
|
$35.05 |
$35.05 |
$35.05 |
$38.52
|
|
Cath infuse micro 150cm rapidtransit
|
$13.73 |
$13.73 |
$13.73 |
$13.23
|
|
Cath insertion tray w/bag
|
$39.15 |
$39.15 |
$39.15 |
$33.56
|
|
Cath malecot 28fr 4-wing ltx
|
$1,253.01 |
$1,253.01 |
$1,253.01 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$17,463.60 |
$17,463.60 |
$17,463.60 |
$19,384.20
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$77.71 |
$77.71 |
$77.71 |
$64.06
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$290.08 |
$290.08 |
$290.08 |
$469.09
|
|
Cath steerable flex adv 12f
|
$3,591.95 |
$3,591.95 |
$3,591.95 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$1,428.31 |
$1,428.31 |
$1,428.31 |
$554.52
|
