|
Brach/thor cath addl
|
$1,621.76 |
$1,621.76 |
$1,621.76 |
$881.40
|
|
Brachy source i-125 injection
|
$277.20 |
$277.20 |
$277.20 |
$41.03
|
|
Brachy source iodine-125 nonstranded
|
$233.52 |
$233.52 |
$233.52 |
$38.90
|
|
Brachy src nonstrand hdr ir-192
|
$1,943.76 |
$1,943.76 |
$1,943.76 |
$403.22
|
|
Brachytx isodose complex
|
$1,411.76 |
$1,411.76 |
$1,411.76 |
$1,484.81
|
|
Brachytx isodose intermed
|
$1,250.48 |
$1,250.48 |
$1,250.48 |
$991.80
|
|
Brachytx isodose plan simple
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$793.62
|
|
Braf gene
|
$83.44 |
$83.44 |
$83.44 |
$421.20
|
|
Brain image w/flow < 4 views
|
$634.48 |
$634.48 |
$634.48 |
$828.39
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,009.68 |
$1,009.68 |
$1,009.68 |
$2,477.80
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$866.88 |
$866.88 |
$866.88 |
$1,795.95
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$838.88 |
$838.88 |
$838.88 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,110.55
|
|
Brain MRI (without contrast)
|
$983.92 |
$983.92 |
$983.92 |
$1,765.28
|
|
Brca1 dna gene analy known fam var
|
$483.84 |
$483.84 |
$483.84 |
$517.85
|
|
Brca2 dna gene analy known fam var
|
$483.84 |
$483.84 |
$483.84 |
$517.85
|
|
Brcassure ashkenazi panel-sendout
|
$368.48 |
$368.48 |
$368.48 |
$723.84
|
|
Brcassure comprehensive panel-sendout
|
$1,527.68 |
$1,527.68 |
$1,527.68 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,153.04 |
$1,153.04 |
$1,153.04 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$610.40 |
$610.40 |
$610.40 |
$832.00
|
|
Breath hydrogen test 91065
|
$180.88 |
$180.88 |
$180.88 |
$459.81
|
|
Br punct aspir ea add, l
|
$313.60 |
$313.60 |
$313.60 |
$423.60
|
|
Bundled special stain group 1 microorganisms
|
$71.12 |
$71.12 |
$71.12 |
$161.46
|
|
Bundled special stain group 2
|
$90.72 |
$90.72 |
$90.72 |
$169.60
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$6.77 |
$6.77 |
$6.77 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$9.90 |
$9.90 |
$9.90 |
$12.17
|
|
Buprenorphine oral 1mg
|
$2.33 |
$2.33 |
$2.33 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$1,758.96 |
$1,758.96 |
$1,758.96 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$4,369.68 |
$4,369.68 |
$4,369.68 |
$8,485.20
|
|
Bx bone trocar/ndl deep
|
$5,385.52 |
$5,385.52 |
$5,385.52 |
$2,264.77
|
|
Bx breast 1st lesion strtctc
|
$1,692.88 |
$1,692.88 |
$1,692.88 |
$3,735.03
|
|
Bx breast add lesion strtctc
|
$1,692.88 |
$1,692.88 |
$1,692.88 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,153.04 |
$1,153.04 |
$1,153.04 |
$1,944.10
|
|
Bx breast perq without image 19100
|
$815.92 |
$815.92 |
$815.92 |
$1,250.00
|
|
Bx pancreas pq ndl
|
$2,324.56 |
$2,324.56 |
$2,324.56 |
$1,767.94
|
|
Bx pleura pq ndl
|
$948.64 |
$948.64 |
$948.64 |
$1,764.77
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$2,192.40
|
|
Bx thyroid/percutan core needle 60100
|
$683.76 |
$683.76 |
$683.76 |
$995.00
|
|
Bypass temp external fem-fem
|
$3,873.52 |
$3,873.52 |
$3,873.52 |
$2,650.40
|
|
C-1 esterase, berinert
|
$55.06 |
$55.06 |
$55.06 |
$5,314.37
|
|
C1 esterase inhibitor func - sendout
|
$65.28 |
$65.28 |
$65.28 |
$123.49
|
|
Cabergoline, oral 0.25mg
|
$12.37 |
$12.37 |
$12.37 |
$173.02
|
|
Cable cath 22-pin diag
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$3,621.35
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$833.44 |
$833.44 |
$833.44 |
$4,148.53
|
|
Calcium 24 hour urine
|
$14.56 |
$14.56 |
$14.56 |
$51.63
|
|
Calcium ionized
|
$33.60 |
$33.60 |
$33.60 |
$80.80
|
|
Calcium total
|
$19.04 |
$19.04 |
$19.04 |
$43.20
|
|
Calprotectin fecal
|
$22.96 |
$22.96 |
$22.96 |
$170.00
|
|
Candida dna
|
$68.32 |
$68.32 |
$68.32 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$28,000.00 |
$28,000.00 |
$28,000.00 |
$9,296.00
|
|
Cap nerve 2x15mm
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$10,080.00
|
|
Cap trach decann 15mm
|
$2,156.56 |
$2,156.56 |
$2,156.56 |
$1,787.50
|
|
Carbamazepine free
|
$15.68 |
$15.68 |
$15.68 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$63.28 |
$63.28 |
$63.28 |
$108.81
|
|
Carbon dioxide
|
$19.04 |
$19.04 |
$19.04 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$24.35 |
$24.35 |
$24.35 |
$59.36
|
|
Carboxyhemoglobin quantitative
|
$47.04 |
$47.04 |
$47.04 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$42.00 |
$42.00 |
$42.00 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,832.32 |
$1,832.32 |
$1,832.32 |
$2,538.00
|
|
Cardiolipin antibody iga
|
$52.08 |
$52.08 |
$52.08 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$763.84 |
$763.84 |
$763.84 |
$1,461.75
|
|
Carfilzomib 10 mg intravenous solution
|
$22.78 |
$22.78 |
$22.78 |
$91.43
|
|
Car ion chnnlpath inc 10 gns
|
$489.44 |
$489.44 |
$489.44 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$489.44 |
$489.44 |
$489.44 |
$1,168.44
|
|
Carotene
|
$10.64 |
$10.64 |
$10.64 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$565.04 |
$565.04 |
$565.04 |
$1,037.60
|
|
Catecholamines,fractionated, urine
|
$59.92 |
$59.92 |
$59.92 |
$70.67
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,041.04 |
$1,041.04 |
$1,041.04 |
$1,041.04
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$27,000.00
|
|
Cath ablt clsfast 7fx100cmx
|
$1,196.72 |
$1,196.72 |
$1,196.72 |
$1,687.50
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3,720.64 |
$3,720.64 |
$3,720.64 |
$7,380.00
|
|
Cath acuity innr ic130 6f 63cm
|
$11,060.00 |
$11,060.00 |
$11,060.00 |
$8,586.00
|
|
Cath acunav ge 10frx90cm
|
$3,522.96 |
$3,522.96 |
$3,522.96 |
$7,951.50
|
|
Cath adherent clot 10mm 6f 10
|
$11,200.00 |
$11,200.00 |
$11,200.00 |
$21,125.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$4,245.36 |
$4,245.36 |
$4,245.36 |
$4,245.36
|
|
Cath bi-dir df smarttouch
|
$5,209.12 |
$5,209.12 |
$5,209.12 |
$8,813.25
|
|
Cath blazer dx/20 2-10-2 space
|
$2,289.84 |
$2,289.84 |
$2,289.84 |
$5,062.50
|
|
Cath combo lt&rt heart w/inj/s
|
$10,362.80 |
$10,362.80 |
$10,362.80 |
$10,029.00
|
|
Cath cv dl inj 7fx16cm
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$2,363.20
|
|
Cath del ampltz 12f 45d 80cm
|
$1,128.96 |
$1,128.96 |
$1,128.96 |
$2,010.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$2,295.00
|
|
Catheter declot mechanical
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
$1,852.05
|
|
Catheter stripping venous
|
$4,816.56 |
$4,816.56 |
$4,816.56 |
$3,414.00
|
|
Cath groshong MRI 8fr plstc port
|
$646.24 |
$646.24 |
$646.24 |
$2,380.80
|
|
Cath hawkone s directional
|
$4,197.76 |
$4,197.76 |
$4,197.76 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$1,062.32 |
$1,062.32 |
$1,062.32 |
$1,062.32
|
|
Cath imag ivus pv 8.5fx90 .035
|
$3,053.12 |
$3,053.12 |
$3,053.12 |
$5,895.00
|
|
Cath left heart/lv gram
|
$7,524.72 |
$7,524.72 |
$7,524.72 |
$8,923.85
|
|
Cath left heart transseptal punc
|
$7,148.96 |
$7,148.96 |
$7,148.96 |
$6,169.00
|
|
Cath lt/rt pulm art
|
$770.56 |
$770.56 |
$770.56 |
$1,963.80
|
|
Cath malecot 28fr 4-wing ltx
|
$11,200.00 |
$11,200.00 |
$11,200.00 |
$2,099.40
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$11,418.40 |
$11,418.40 |
$11,418.40 |
$38,250.00
|
|
Cath place 1st order venous 36011
|
$2,905.84 |
$2,905.84 |
$2,905.84 |
$2,240.12
|
|
Cath plc art ang/grft lt/rt hr
|
$16,438.80 |
$16,438.80 |
$16,438.80 |
$11,903.70
|
|
Cath plc art/angio/rt hrt cath
|
$7,544.88 |
$7,544.88 |
$7,544.88 |
$11,927.25
|
|
Cath plc art/grft/angio right hrt
|
$9,440.48 |
$9,440.48 |
$9,440.48 |
$11,222.25
|
|
Cath right heart w/o2 sat & card
|
$4,397.68 |
$4,397.68 |
$4,397.68 |
$6,790.00
|
|
Cath right hrt mnpul art
|
$4,561.20 |
$4,561.20 |
$4,561.20 |
$1,417.44
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$353.92 |
$353.92 |
$353.92 |
$505.90
|
