|
2019-ncov diagnostic p
|
$33.60 |
$33.60 |
$33.60 |
$35.92
|
|
Adapter b 8 channel 10cm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,560.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$62.72 |
$62.72 |
$62.72 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$152.32 |
$152.32 |
$152.32 |
$695.37
|
|
Administration vaccine hepatitis b
|
$24.08 |
$24.08 |
$24.08 |
$37.10
|
|
Administration vaccine influenza virus
|
$24.08 |
$24.08 |
$24.08 |
$38.25
|
|
Administration vaccine pneumococcal
|
$24.08 |
$24.08 |
$24.08 |
$38.25
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$28.56 |
$28.56 |
$28.56 |
$30,615.48
|
|
An fluoro guide for cvp
|
$109.20 |
$109.20 |
$109.20 |
$469.17
|
|
Ankle X-ray
|
$231.28 |
$231.28 |
$231.28 |
$311.92
|
|
Applicator tag rfid localizer 12gx7cm
|
$3,428.88 |
$3,428.88 |
$3,428.88 |
$470.25
|
|
Aquatic exercise - group charge
|
$24.64 |
$24.64 |
$24.64 |
$86.90
|
|
Ascenda two piece catheter
|
$12,544.00 |
$12,544.00 |
$12,544.00 |
$28,797.60
|
|
Biopsy muscle percutaneous needle
|
$1,727.04 |
$1,727.04 |
$1,727.04 |
$1,798.20
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$6,582.60
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,048.48 |
$2,048.48 |
$2,048.48 |
$4,790.40
|
|
Bln dil 900ml preperitnl
|
$497.84 |
$497.84 |
$497.84 |
$1,241.51
|
|
Bln press regulation 71-80cm
|
$4,576.88 |
$4,576.88 |
$4,576.88 |
$10,951.85
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,576.68
|
|
Bone survey-lead poisoning
|
$112.56 |
$112.56 |
$112.56 |
$343.33
|
|
Bone tendon board add on
|
$2,424.24 |
$2,424.24 |
$2,424.24 |
$5,872.65
|
|
Bur rotalink 2.15mm
|
$4,369.68 |
$4,369.68 |
$4,369.68 |
$8,485.20
|
|
Cable cath 22-pin diag
|
$385.84 |
$385.84 |
$385.84 |
$3,621.35
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$983.79 |
$983.79 |
$983.79 |
$4,148.53
|
|
Cap nerve 2x15mm
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$10,080.00
|
|
Cap trach decann 15mm
|
$1,062.32 |
$1,062.32 |
$1,062.32 |
$1,787.50
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,041.04 |
$1,041.04 |
$1,041.04 |
$1,041.04
|
|
Cath ablt clsfast 7fx100cmx
|
$1,803.76 |
$1,803.76 |
$1,803.76 |
$1,687.50
|
|
Cath acuity innr ic130 6f 63cm
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$8,586.00
|
|
Cath adherent clot 10mm 6f 10
|
$11,200.00 |
$11,200.00 |
$11,200.00 |
$21,125.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$4,245.36
|
|
Cath cv dl inj 7fx16cm
|
$3,301.20 |
$3,301.20 |
$3,301.20 |
$2,363.20
|
|
Cath del ampltz 12f 45d 80cm
|
$178.64 |
$178.64 |
$178.64 |
$2,010.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,329.44 |
$1,329.44 |
$1,329.44 |
$2,295.00
|
|
Cath groshong MRI 8fr plstc port
|
$646.24 |
$646.24 |
$646.24 |
$2,380.80
|
|
Cath hawkone s directional
|
$2,792.16 |
$2,792.16 |
$2,792.16 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$5,895.00
|
|
Cath malecot 28fr 4-wing ltx
|
$641.20 |
$641.20 |
$641.20 |
$2,099.40
|
|
Cath uret open tp 6fx70cm
|
$178.64 |
$178.64 |
$178.64 |
$335.40
|
|
Ceftazidime and avibactam
|
$53.41 |
$53.41 |
$53.41 |
$824.61
|
|
Chest 2 vws w oblique
|
$178.08 |
$178.08 |
$178.08 |
$334.02
|
|
Chest apical lordotic proj
|
$131.04 |
$131.04 |
$131.04 |
$274.10
|
|
Chest X-ray
|
$155.68 |
$155.68 |
$155.68 |
$265.85
|
|
Chest X-ray (single view)
|
$91.28 |
$91.28 |
$91.28 |
$192.50
|
|
Chlamydia type
|
$13.77 |
$13.77 |
$13.77 |
$34.80
|
|
Cisplatin 1 mg/ml desensitization
|
$5.21 |
$5.21 |
$5.21 |
$52.43
|
|
Clip ligating vesolock lg
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,453.20
|
|
Collection of venous blood by venipuncture
|
$12.88 |
$12.88 |
$12.88 |
$20.30
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,425.20 |
$1,425.20 |
$1,425.20 |
$2,242.57
|
|
Connector tis 2x10mm
|
$1,597.12 |
$1,597.12 |
$1,597.12 |
$3,167.05
|
|
Controller infinity pt dbs
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$4,678.20
|
|
Coveredge 32 lead kit 40cm 48
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$7,683.00
|
|
Covid-19 lab test non-cdc
|
$43.12 |
$43.12 |
$43.12 |
$52.69
|
|
Critical care 30-74 minutes
|
$2,754.64 |
$2,754.64 |
$2,754.64 |
$2,540.23
|
|
CT guidance for needle placement
|
$604.80 |
$604.80 |
$604.80 |
$1,425.85
|
|
CT lower extremity without contrast (both sides)
|
$604.80 |
$604.80 |
$604.80 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$895.44 |
$895.44 |
$895.44 |
$1,618.50
|
|
CT upper extremity without contrast (both sides)
|
$604.80 |
$604.80 |
$604.80 |
$1,408.54
|
|
Cutter lead
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$5,644.60
|
|
Cyclophosphamide 25 mg capsule
|
$5.64 |
$5.64 |
$5.64 |
$22.51
|
|
Cylinder pump set 20cm titan zero angl
|
$12,096.00 |
$12,096.00 |
$12,096.00 |
$25,255.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$207.20 |
$207.20 |
$207.20 |
$487.04
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$72.24 |
$72.24 |
$72.24 |
$98.00
|
|
Device ablt adv novasure
|
$2,963.52 |
$2,963.52 |
$2,963.52 |
$7,153.60
|
|
Device tiss remov myosure reach
|
$787.36 |
$787.36 |
$787.36 |
$1,070.85
|
|
Dexamethasone 4 mg tablet
|
$1.21 |
$1.21 |
$1.21 |
$4.87
|
|
Dilator fascial 10fx20cm
|
$120.96 |
$120.96 |
$120.96 |
$291.87
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1,377.04 |
$1,377.04 |
$1,377.04 |
$5,715.36
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$845.60 |
$845.60 |
$845.60 |
$1,956.48
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$15.12 |
$15.12 |
$15.12 |
$983.03
|
|
Drug test def 1-7 classes
|
$196.00 |
$196.00 |
$196.00 |
$316.80
|
|
Drug test def 22+ classes
|
$18.88 |
$18.88 |
$18.88 |
$291.76
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$40.32 |
$40.32 |
$40.32 |
$278.85
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,691.76 |
$1,691.76 |
$1,691.76 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$840.00 |
$840.00 |
$840.00 |
$840.00
|
|
Electrical stimulation/unattended 97014
|
$40.88 |
$40.88 |
$40.88 |
$79.20
|
|
ER Visit (level 1, minor)
|
$174.16 |
$174.16 |
$174.16 |
$270.00
|
|
ER Visit (level 2)
|
$357.84 |
$357.84 |
$357.84 |
$469.39
|
|
ER Visit (level 3)
|
$750.96 |
$750.96 |
$750.96 |
$821.52
|
|
ER Visit (level 4)
|
$1,027.04 |
$1,027.04 |
$1,027.04 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,662.64 |
$1,662.64 |
$1,662.64 |
$1,900.20
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,101.12 |
$2,101.12 |
$2,101.12 |
$3,449.40
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$22.96 |
$22.96 |
$22.96 |
$102.50
|
|
Filter spider fx 3mmx320cm
|
$2,117.36 |
$2,117.36 |
$2,117.36 |
$8,212.50
|
|
Filter vena cava fem denali
|
$1,349.04 |
$1,349.04 |
$1,349.04 |
$4,659.75
|
|
Fl exam g/colon tube w contrast
|
$836.08 |
$836.08 |
$836.08 |
$522.75
|
|
Fluorescent antibody titer dna
|
$140.00 |
$140.00 |
$140.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$201.04 |
$201.04 |
$201.04 |
$497.25
|
|
Fluoroguide needle placement
|
$139.44 |
$139.44 |
$139.44 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$218.40 |
$218.40 |
$218.40 |
$474.50
|
|
Foot X-ray
|
$231.28 |
$231.28 |
$231.28 |
$339.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$61.60 |
$61.60 |
$61.60 |
$186.55
|
|
Generator barostim neo2 2014
|
$35,336.00 |
$35,336.00 |
$35,336.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$15,960.00 |
$15,960.00 |
$15,960.00 |
$61,875.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,000.08
|
|
Ghs community re-entry 15 minutes
|
$41.44 |
$41.44 |
$41.44 |
$85.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$663.60 |
$663.60 |
$663.60 |
$1,232.23
|
