|
Brace oths wrist hnd fngr without
|
$248.05 |
$248.05 |
$248.05 |
|
|
Brace wrist classic lft sm
|
$117.40 |
$147.20 |
$361.70 |
|
|
Brach/thor cath 1st
|
$1,744.20 |
$1,744.20 |
$1,744.20 |
|
|
Brach/thor cath 2nd
|
$1,859.35 |
$1,859.35 |
$1,859.35 |
|
|
Brach/thor cath 3rd
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
|
|
Brach/thor cath addl
|
$577.30 |
$577.30 |
$577.30 |
|
|
Braf gene
|
$494.00 |
$521.15 |
$1,020.35 |
|
|
Brain flow imaging only
|
$3,968.05 |
$3,968.05 |
$3,968.05 |
|
|
Brain image 4+ views
|
$3,968.05 |
$3,968.05 |
$3,968.05 |
|
|
Brain image w/flow 4 + views
|
$1,359.10 |
$1,910.10 |
$3,910.10 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,190.70 |
$3,347.25 |
$4,634.85 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,650.80 |
$2,822.25 |
$3,216.30 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,884.20 |
$2,139.80 |
$2,772.30 |
|
|
Brain MRI (with and without contrast)
|
$2,174.90 |
$3,088.05 |
$3,955.10 |
|
|
Brain MRI (with contrast)
|
$1,844.85 |
$2,725.05 |
$3,136.80 |
|
|
Brain MRI (without contrast)
|
$1,330.10 |
$1,492.10 |
$2,559.90 |
|
|
Brcassure comprehensive panel-sendout
|
$2,901.55 |
$3,475.40 |
$4,562.20 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,093.85 |
$3,069.25 |
$5,542.20 |
|
|
Breastbone (Sternum) X-ray
|
$273.70 |
$473.75 |
$725.30 |
|
|
Breast punct aspir cyst, bil
|
$632.25 |
$948.85 |
$1,581.85 |
|
|
Breathing response hypoxia
|
$455.50 |
$455.50 |
$455.50 |
|
|
Breath recording infant
|
$303.75 |
$303.75 |
$303.75 |
|
|
Breath tst attain/anal c-14
|
$208.95 |
$535.80 |
$685.65 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$29,131.16 |
$29,131.16 |
$32,112.84 |
|
|
Brief comunicaj tech-bsd svc
|
$22.20 |
$28.75 |
$35.00 |
|
|
Bronchial allergy tests
|
$706.35 |
$706.35 |
$979.90 |
|
|
Bronchial challenge
|
$445.30 |
$706.35 |
$1,268.70 |
|
|
Bronchoscopy w/fb removal 31635
|
$865.10 |
$2,528.55 |
$4,981.20 |
|
|
Br punct aspir ea add, l
|
$632.25 |
$727.50 |
$952.65 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$108.74 |
$156.55 |
$287.92 |
|
|
Bundled special stain group 1 microorganisms
|
$168.55 |
$195.20 |
$330.70 |
|
|
Bundled special stain group 2
|
$148.45 |
$168.55 |
$277.40 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$17.34 |
$41.26 |
$143.31 |
|
|
Buprenorphine and metabolite - sendout
|
$52.05 |
$71.30 |
$188.65 |
|
|
Buprenorphine hydrochloride
|
$165.47 |
$165.47 |
$165.47 |
|
|
Buprenorphine X-ray over 100 mg
|
$2,596.50 |
$5,055.79 |
$8,606.15 |
|
|
Buprenorph X-ray 100 mg or less
|
$2,596.50 |
$5,055.79 |
$8,606.15 |
|
|
Butorphanol tartrate 1 mg
|
$20.55 |
$70.26 |
$133.42 |
|
|
Bx bone trocar/ndl deep
|
$931.40 |
$1,907.60 |
$2,974.40 |
|
|
Bx breast 1st lesion mr imag
|
$5,010.05 |
$5,010.05 |
$5,010.05 |
|
|
Bx breast 1st lesion strtctc
|
$2,377.90 |
$4,498.70 |
$4,842.75 |
|
|
Bx breast add lesion strtctc
|
$168.50 |
$1,920.25 |
$4,498.70 |
|
|
Bx breast add lesion Ultrasound imag
|
$167.65 |
$1,989.70 |
$5,542.20 |
|
|
Bx breast pq tomo guide
|
$1,222.45 |
$1,222.45 |
$2,174.80 |
|
|
Bx liver with other
|
$566.95 |
$566.95 |
$1,020.35 |
|
|
Bx muscle
|
$4,684.45 |
$4,684.45 |
$4,684.45 |
|
|
Bx perianal mass
|
$2,490.35 |
$2,490.35 |
$2,490.35 |
|
|
Bx pleura pq ndl
|
$1,020.40 |
$1,913.80 |
$2,796.40 |
|
|
Bx skin incisnl ea sep/add l les
|
$26.75 |
$156.55 |
$337.05 |
|
|
Bx skin punch ea sep/ addl les
|
$26.75 |
$133.65 |
$189.45 |
|
|
Bx skin tangential ea sep/ addl les
|
$26.75 |
$116.05 |
$189.45 |
|
|
Bx soft tissue back/flank deep 21925
|
$4,601.10 |
$4,601.10 |
$4,601.10 |
|
|
Bx spinal cord pq ndl
|
$2,368.65 |
$2,368.65 |
$2,368.65 |
|
|
Bx thyroid/percutan core needle 60100
|
$486.65 |
$1,039.90 |
$1,768.10 |
|
|
Bx vag mucos smpl (sep proc)
|
$1,252.70 |
$1,252.70 |
$1,252.70 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$152.55 |
$152.55 |
$1,177.45 |
|
|
Bypass temp external fem-fem
|
$1,030.00 |
$3,560.95 |
$10,677.35 |
|
|
C-1 esterase, berinert
|
$10,199.75 |
$10,199.75 |
$13,641.82 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$70,432.45 |
$137,143.11 |
$151,180.21 |
|
|
Cacna1a gen detc abnor allel
|
$583.00 |
$583.00 |
$583.00 |
|
|
Cadd pump refill
|
$284.45 |
$417.80 |
$465.65 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$60.45 |
$60.45 |
$303.83 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,910.24 |
$3,041.20 |
$8,129.20 |
|
|
Calcium 24 hour urine
|
$29.70 |
$107.95 |
$163.65 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$50.47 |
$55.88 |
$116.26 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$99.49 |
$228.88 |
$479.88 |
|
|
Calcium ionized
|
$31.25 |
$125.55 |
$308.70 |
|
|
Calcium total
|
$29.70 |
$94.75 |
$133.20 |
|
|
Caloric vstblr test w/rec
|
$230.25 |
$230.25 |
$230.25 |
|
|
Calprotectin fecal
|
$214.30 |
$340.20 |
$421.90 |
|
|
Cannula ercp contour 5-4-3 tip
|
$478.40 |
$2,728.13 |
$6,400.00 |
|
|
Canthotomy 67715
|
$205.60 |
$4,432.80 |
$4,576.80 |
|
|
Cap nerve 2x15mm
|
$1,780.00 |
$2,857.00 |
$4,708.00 |
|
|
Cap trach decann 15mm
|
$325.00 |
$437.75 |
$625.00 |
|
|
Carbamazepine total therapeutic drug level
|
$78.10 |
$159.05 |
$304.70 |
|
|
Carbohydrate deficient transf - sendout
|
$107.25 |
$107.25 |
$107.25 |
|
|
Carbon dioxide
|
$28.35 |
$95.80 |
$102.35 |
|
|
Carboplatin 10 mg/ml desensitization
|
$155.48 |
$290.65 |
$752.54 |
|
|
Carboxyhemoglobin quantitative
|
$96.45 |
$113.40 |
$197.00 |
|
|
Carcinoembryonic ag (cea)
|
$85.65 |
$207.60 |
$346.05 |
|
|
Cardiac MRI w/stress img
|
$818.25 |
$818.25 |
$818.25 |
|
|
Cardiac perf planar mult/ef/wm
|
$2,785.75 |
$3,965.35 |
$7,323.45 |
|
|
Cardiac perf planar sgl/ef/wm
|
$3,793.90 |
$3,793.90 |
$4,566.00 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,625.90 |
$2,279.60 |
$3,869.10 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$218.35 |
$242.90 |
$328.65 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$190.05 |
$242.90 |
$328.65 |
|
|
Cardiolipin antibody iga
|
$30.75 |
$149.60 |
$304.70 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$328.00 |
$1,241.70 |
$2,129.85 |
|
|
Card MRI veloc flow mapping
|
$1,093.90 |
$1,093.90 |
$1,093.90 |
|
|
Caregiver health risk assmt
|
$10.80 |
$10.80 |
$10.80 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$68.60 |
$114.30 |
$137.20 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$36.90 |
$61.50 |
$73.85 |
|
|
Carfilzomib 10 mg intravenous solution
|
$4,337.66 |
$8,446.10 |
$12,323.22 |
|
|
Carotene
|
$89.15 |
$94.85 |
$219.85 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,166.15 |
$1,333.55 |
$1,877.25 |
|
|
Car seat/bed test 60 minutes
|
$100.50 |
$137.65 |
$233.25 |
|
|
Car seat/bed test additional 30 minutes
|
$47.25 |
$67.45 |
$233.25 |
|
|
Cast sup long arm adult fbrg
|
$46.00 |
$46.00 |
$46.00 |
|
|
Cast sup long arm ped fbrgls
|
$23.00 |
$23.00 |
$23.00 |
|
|
Cast sup shrt leg ped fbrgls
|
$32.00 |
$32.00 |
$139.55 |
|