|
Buprenorphine X-ray over 100 mg
|
$2,757.98 |
$2,757.98 |
$2,757.98 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$2,757.98 |
$2,757.98 |
$2,757.98 |
$3,864.00
|
|
Bur hol/trph drg brn abs/cst
|
$2,067.27 |
$2,067.27 |
$2,067.27 |
$2,067.27
|
|
Burr hol aspir hmtm/cst icer
|
$1,894.26 |
$1,894.26 |
$1,894.26 |
$2,916.80
|
|
Burr hole for vent puncture 61120
|
$1,175.86 |
$1,175.86 |
$1,175.86 |
$2,496.00
|
|
Burr hole implant ventricular cath/other device
|
$535.29 |
$535.29 |
$535.29 |
$2,964.65
|
|
Burr hole skull for biopsy 61140
|
$1,948.86 |
$1,948.86 |
$1,948.86 |
$2,978.40
|
|
Burr hole skull & remove clot 61154
|
$1,972.52 |
$1,972.52 |
$1,972.52 |
$4,374.23
|
|
Burr hole treph ittl uni/bi
|
$1,534.84 |
$1,534.84 |
$1,534.84 |
$1,534.84
|
|
Burr hole/treph sbsq tapping
|
$1,534.84 |
$1,534.84 |
$1,534.84 |
$1,534.84
|
|
Burr hole/treph sttl expl
|
$1,351.31 |
$1,351.31 |
$1,351.31 |
$4,076.80
|
|
Busulfan injection
|
$1.23 |
$1.23 |
$1.23 |
$834.60
|
|
Butorphanol tartrate 1 mg
|
$7.65 |
$7.65 |
$7.65 |
$41.79
|
|
Buttock fasciotomy
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Buttock fasciotomy w/dbrdmt
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$3,786.00
|
|
Bx arm/elbow soft tissue supf 24065
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Bx bone trocar/ndl deep
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$109.03 |
$109.03 |
$109.03 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$100.77 |
$100.77 |
$100.77 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$94.49 |
$94.49 |
$94.49 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,509.59
|
|
Bx/curett of cervix w/scope 57454
|
$419.01 |
$419.01 |
$419.01 |
$515.50
|
|
Bx/exc idrl imed lesn cervl
|
$3,941.64 |
$3,941.64 |
$3,941.64 |
$6,138.40
|
|
Bx/exc idrl imed lesn thrc
|
$3,892.40 |
$3,892.40 |
$3,892.40 |
$6,069.60
|
|
Bx/exc idrl imed lesn thrlmb
|
$4,128.09 |
$4,128.09 |
$4,128.09 |
$6,440.80
|
|
Bx/exc idrl spine lesn crvl
|
$3,202.39 |
$3,202.39 |
$3,202.39 |
$4,980.80
|
|
Bx/exc idrl spine lesn scrl
|
$2,901.86 |
$2,901.86 |
$2,901.86 |
$4,463.20
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,184.94
|
|
Bx/exc xdrl/idrl lsn any lvl
|
$4,197.71 |
$4,197.71 |
$4,197.71 |
$6,551.20
|
|
Bx/exc xdrl spine lesn crvl
|
$2,671.98 |
$2,671.98 |
$2,671.98 |
$4,260.80
|
|
Bx/exc xdrl spine lesn lmbr
|
$2,304.78 |
$2,304.78 |
$2,304.78 |
$3,712.80
|
|
Bx/exc xdrl spine lesn scrl
|
$2,441.34 |
$2,441.34 |
$2,441.34 |
$3,737.60
|
|
Bx/exc xdrl spine lesn thrc
|
$2,666.82 |
$2,666.82 |
$2,666.82 |
$4,230.40
|
|
Bx leg/ankle soft tissue deep 27614
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,370.52
|
|
Bx liver with other
|
$141.81 |
$141.81 |
$141.81 |
$601.53
|
|
Bx muscle
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,213.60
|
|
Bx of breast open 19101
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,010.04
|
|
Bx pancreas pq ndl
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,610.05
|
|
Bx perianal mass
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,557.40
|
|
Bx pleura pq ndl
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,051.50
|
|
Bx prst8 ndl sat sampling
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,627.00
|
|
Bx shoulder tissues deep 23066
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$36.21 |
$36.21 |
$36.21 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$31.51 |
$31.51 |
$31.51 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$25.50 |
$25.50 |
$25.50 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,929.85
|
|
Bx spinal cord pq ndl
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$973.71 |
$973.71 |
$973.71 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$1,266.48 |
$1,266.48 |
$1,266.48 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,266.48 |
$1,266.48 |
$1,266.48 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$37.66 |
$37.66 |
$37.66 |
$461.40
|
|
Bypass graft/av fist patency
|
$226.33 |
$226.33 |
$226.33 |
$2,889.15
|
|
Bypass graft patency/patch
|
$278.22 |
$278.22 |
$278.22 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$862.57 |
$862.57 |
$862.57 |
$1,938.60
|
|
C-1 esterase, berinert
|
$104.69 |
$104.69 |
$104.69 |
$8,114.40
|
|
C-1 esterase, cinryze
|
$90.57 |
$90.57 |
$90.57 |
$7,189.05
|
|
C1 esterase inhibitor func - sendout
|
$16.56 |
$16.56 |
$16.56 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$318.50 |
$318.50 |
$318.50 |
$27,013.07
|
|
Cabg 2 arterial grafts 33534
|
$3,126.96 |
$3,126.96 |
$3,126.96 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$3,470.41 |
$3,470.41 |
$3,470.41 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$3,740.19 |
$3,740.19 |
$3,740.19 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$2,664.26 |
$2,664.26 |
$2,664.26 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$2,749.79 |
$2,749.79 |
$2,749.79 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$731.98 |
$731.98 |
$731.98 |
$1,285.60
|
|
Cabg vein five
|
$3,715.88 |
$3,715.88 |
$3,715.88 |
$6,372.80
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$3,024.56 |
$3,024.56 |
$3,024.56 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$3,426.08 |
$3,426.08 |
$3,426.08 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$3,496.74 |
$3,496.74 |
$3,496.74 |
$6,062.40
|
|
Cabg vein six or more
|
$3,848.03 |
$3,848.03 |
$3,848.03 |
$31,898.10
|
|
Cabg venous & art 1 vein graft 33517
|
$261.44 |
$261.44 |
$261.44 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$573.68 |
$573.68 |
$573.68 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$758.12 |
$758.12 |
$758.12 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$910.47 |
$910.47 |
$910.47 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,020.95 |
$1,020.95 |
$1,020.95 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$1,157.39 |
$1,157.39 |
$1,157.39 |
$2,358.00
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$33.35 |
$33.35 |
$33.35 |
$13,247.32
|
|
Cacna1a gen detc abnor allel
|
$189.06 |
$189.06 |
$189.06 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,167.85 |
$1,167.85 |
$1,167.85 |
$846.27
|
|
Cacna1a gen known famil vrnt
|
$255.58 |
$255.58 |
$255.58 |
$304.59
|
|
Cadd pump refill
|
$292.48 |
$292.48 |
$292.48 |
$386.60
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$113.26 |
$113.26 |
$113.26 |
$48,025.40
|
|
Calcitonin stimul panel
|
$110.91 |
$110.91 |
$110.91 |
$110.91
|
|
Calcium 24 hour urine
|
$8.32 |
$8.32 |
$8.32 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.12 |
$0.12 |
$0.12 |
$91.60
|
|
Calcium infusion test
|
$18.41 |
$18.41 |
$18.41 |
$18.41
|
|
Calcium ionized
|
$18.88 |
$18.88 |
$18.88 |
$90.00
|