|
Bronchoscopy dilate w/stent
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$997.28 |
$997.28 |
$997.28 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$398.82 |
$398.82 |
$2,389.50 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$628.82 |
$628.82 |
$628.82 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$834.90 |
$834.90 |
$834.90 |
$2,445.96
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$116.38 |
$116.38 |
$126.50 |
$571.00
|
|
Br punct aspir ea add, l
|
$149.50 |
$149.50 |
$149.50 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$33.58 |
$33.58 |
$86.00 |
$160.80
|
|
Bundled special stain group 2
|
$38.18 |
$38.18 |
$60.50 |
$173.46
|
|
Bundle his recording
|
$2,403.04 |
$2,403.04 |
$4,633.50 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.17 |
$1.17 |
$1.27 |
$32.88
|
|
Buprenorphine hydrochloride
|
$5.54 |
$5.54 |
$6.02 |
$41.79
|
|
Buprenorphine oral 1mg
|
$7.81 |
$7.81 |
$8.49 |
$10.50
|
|
Burr hole for vent puncture 61120
|
$1,107.68 |
$1,107.68 |
$1,300.00 |
$1,578.60
|
|
Bur rotalink 2.15mm
|
$5,715.83 |
$5,715.83 |
$6,212.85 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$3.98 |
$3.98 |
$4.33 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$1,740.50 |
$1,740.50 |
$1,740.50 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,347.00 |
$2,347.00 |
$2,347.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,243.50 |
$3,243.50 |
$3,243.50 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$2,347.00 |
$2,347.00 |
$2,347.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$2,480.50 |
$2,480.50 |
$2,480.50 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$824.50 |
$824.50 |
$824.50 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$640.78 |
$640.78 |
$752.50 |
$1,588.50
|
|
Bx pleura pq ndl
|
$702.88 |
$702.88 |
$750.00 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$150.50 |
$150.50 |
$150.50 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$87.00 |
$87.00 |
$87.00 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$98.44 |
$98.44 |
$133.00 |
$203.70
|
|
Bx spinal cord pq ndl
|
$1,328.50 |
$1,328.50 |
$1,328.50 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$776.00 |
$776.00 |
$776.00 |
$964.62
|
|
Bypass temp external fem-fem
|
$342.70 |
$342.70 |
$372.50 |
$1,806.00
|
|
C-1 esterase, berinert
|
$1,599.94 |
$1,599.94 |
$1,739.06 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$30.82 |
$30.82 |
$58.50 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$5,205.15 |
$5,205.15 |
$5,657.77 |
$27,723.08
|
|
Cabgsingle artery graft 33533
|
$7,348.04 |
$7,348.04 |
$7,348.04 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$7,522.38 |
$7,522.38 |
$7,522.38 |
$4,723.20
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$7,522.38 |
$7,522.38 |
$7,522.38 |
$5,904.80
|
|
Cabg venous & art 2 vein graft 33518
|
$7,522.38 |
$7,522.38 |
$7,522.38 |
$1,764.80
|
|
Cable cath 22-pin diag
|
$2,949.75 |
$2,949.75 |
$3,206.25 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$492.92 |
$492.92 |
$535.78 |
$12,338.18
|
|
Cad breast MRI w/r&i
|
$81.00 |
$81.00 |
$81.00 |
$122.40
|
|
Cadd pump refill
|
$226.78 |
$226.78 |
$246.50 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$4.37 |
$4.37 |
$4.75 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$173.55 |
$173.55 |
$188.64 |
$2,111.64
|
|
Calcium 24 hour urine
|
$34.04 |
$34.04 |
$43.50 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.08 |
$0.08 |
$0.09 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.04 |
$0.04 |
$0.05 |
$91.60
|
|
Calcium ionized
|
$46.00 |
$46.00 |
$103.00 |
$90.00
|
|
Calcium total
|
$14.26 |
$14.26 |
$94.00 |
$50.00
|
|
Calprotectin fecal
|
$250.70 |
$250.70 |
$468.00 |
$169.95
|
|
Canakinumab injection
|
$7,876.92 |
$7,876.92 |
$8,561.86 |
$35,959.82
|
|
Candida dna
|
$69.00 |
$69.00 |
$69.00 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$7,155.30 |
$7,155.30 |
$7,777.50 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$15,176.67 |
$15,176.67 |
$16,496.38 |
$18,466.88
|
|
Capsaicin 8% patch
|
$394.89 |
$394.89 |
$429.23 |
$4,719.65
|
|
Cap trach decann 15mm
|
$2,558.52 |
$2,558.52 |
$2,781.00 |
$2,597.62
|
|
Carbamazepine free
|
$75.50 |
$75.50 |
$75.50 |
$59.15
|
|
Carbamazepine free -sendout
|
$50.50 |
$50.50 |
$50.50 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$76.82 |
$76.82 |
$92.00 |
$120.25
|
|
Carbon dioxide
|
$11.50 |
$11.50 |
$21.16 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$0.77 |
$0.77 |
$0.84 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$23.92 |
$23.92 |
$133.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$79.58 |
$79.58 |
$114.50 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$316.94 |
$316.94 |
$974.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$214.50 |
$214.50 |
$214.50 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$230.50 |
$230.50 |
$230.50 |
$196.50
|
|
Cardiolipin antibody iga
|
$41.86 |
$41.86 |
$147.50 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$456.00 |
$456.00 |
$1,044.20 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$387.32 |
$387.32 |
$421.00 |
$1,114.00
|
|
Carfilzomib 10 mg intravenous solution
|
$1,506.44 |
$1,506.44 |
$1,637.43 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$651.10 |
$651.10 |
$707.72 |
$1,731.00
|
|
Carotene
|
$57.00 |
$57.00 |
$57.00 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$862.04 |
$862.04 |
$881.50 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$82.80 |
$82.80 |
$95.50 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$39.10 |
$39.10 |
$45.00 |
$65.00
|
|
Casiri and imdev repeat
|
$354.66 |
$354.66 |
$385.50 |
$540.00
|
|
Caspofungin acetate
|
$25.24 |
$25.24 |
$27.43 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$496.76 |
$496.76 |
$539.95 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$1,603.13 |
$1,603.13 |
$2,742.75 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$1,195.43 |
$1,195.43 |
$1,299.38 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3,539.70 |
$3,539.70 |
$3,847.50 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$3,032.55 |
$3,032.55 |
$3,296.25 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$5,478.47 |
$5,478.47 |
$5,954.85 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$4,209.00 |
$4,209.00 |
$4,575.00 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$18,519.60 |
$18,519.60 |
$20,130.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$3,847.03 |
$3,847.03 |
$4,181.55 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$3,673.22 |
$3,673.22 |
$3,937.50 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$2,476.58 |
$2,476.58 |
$2,691.93 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$6,098.22 |
$6,098.22 |
$7,895.00 |
$8,899.15
|
|
Cath council tip 16fr 5cc
|
$14.72 |
$14.72 |
$16.00 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,465.83 |
$1,465.83 |
$2,432.48 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$2,685.35 |
$2,685.35 |
$2,918.85 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,170.11 |
$1,170.11 |
$1,271.85 |
$1,911.42
|
|
Catheter declot mechanical
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$94.30 |
$94.30 |
$101.50 |
$40.95
|
|
Catheter stripping venous
|
$366.50 |
$366.50 |
$366.50 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,570.80 |
$1,570.80 |
$1,707.39 |
$1,653.00
|
|
Cath hawkone s directional
|
$4,293.18 |
$4,293.18 |
$4,666.50 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$1,138.50 |
$1,138.50 |
$1,237.50 |
$1,768.00
|
