|
Brain MRI (without contrast)
|
$5,577.00 |
$5,577.00 |
$5,577.00 |
$1,949.38
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$9,708.55 |
$9,708.55 |
$9,708.55 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$6,880.10 |
$6,880.10 |
$6,880.10 |
$865.26
|
|
Breast reduction
|
$11,104.10 |
$11,104.10 |
$11,104.10 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$41,097.00 |
$41,097.00 |
$41,097.00 |
$24,425.00
|
|
Budesonide non-comp unit
|
$4.64 |
$4.64 |
$4.64 |
$17.21
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$2.19 |
$2.19 |
$2.19 |
$36.04
|
|
Bundled special stain group 1 microorganisms
|
$459.00 |
$459.00 |
$459.00 |
$165.10
|
|
Bundled special stain group 2
|
$425.00 |
$425.00 |
$425.00 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.44 |
$0.44 |
$0.44 |
$33.89
|
|
Buprenorphine and metabolite - sendout
|
$232.00 |
$232.00 |
$232.00 |
$85.79
|
|
Buprenorphine hydrochloride
|
$49.89 |
$49.89 |
$49.89 |
$47.69
|
|
Busulfan injection
|
$29.56 |
$29.56 |
$29.56 |
$123.29
|
|
Butorphanol tartrate 1 mg
|
$22.61 |
$22.61 |
$22.61 |
$46.00
|
|
Bx breast 1st lesion mr imag
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$6,814.35 |
$6,814.35 |
$6,814.35 |
$3,742.20
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,366.00 |
$5,366.00 |
$5,366.00 |
$4,135.34
|
|
Bx skin tangential ea sep/ addl les
|
$259.00 |
$259.00 |
$259.00 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$2,902.00 |
$2,902.00 |
$2,902.00 |
$1,038.80
|
|
C-1 esterase, berinert
|
$11,865.39 |
$11,865.39 |
$11,865.39 |
$7,322.76
|
|
C-1 esterase, cinryze
|
$9,040.50 |
$9,040.50 |
$9,040.50 |
$65.73
|
|
C1 esterase inhibitor func - sendout
|
$27.00 |
$27.00 |
$27.00 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$825.21 |
$825.21 |
$825.21 |
$30,259.75
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$3,863.81 |
$3,863.81 |
$3,863.81 |
$13,578.53
|
|
Caffeine citrate 20 mg/ml inj for po
|
$33.95 |
$33.95 |
$33.95 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$18,951.32 |
$18,951.32 |
$18,951.32 |
$50,091.25
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,349.92 |
$1,349.92 |
$1,349.92 |
$2,802.31
|
|
Calcium 24 hour urine
|
$205.00 |
$205.00 |
$205.00 |
$51.75
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.69 |
$3.69 |
$3.69 |
$1.03
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$2.62 |
$2.62 |
$2.62 |
$66.17
|
|
Calcium ionized
|
$437.00 |
$437.00 |
$437.00 |
$88.40
|
|
Calcium total
|
$119.00 |
$119.00 |
$119.00 |
$48.75
|
|
Calculus analysis qual
|
$292.00 |
$292.00 |
$292.00 |
$29.60
|
|
Calprotectin fecal
|
$68.00 |
$68.00 |
$68.00 |
$169.20
|
|
Canakinumab injection
|
$68,053.51 |
$68,053.51 |
$68,053.51 |
$50,039.38
|
|
Candida dna
|
$161.00 |
$161.00 |
$161.00 |
$66.05
|
|
Canthotomy 67715
|
$7,496.00 |
$7,496.00 |
$7,496.00 |
$3,228.00
|
|
Capecitabine, oral, 50 mg
|
$1.77 |
$1.77 |
$1.77 |
$50.86
|
|
Capsaicin 8% patch
|
$3,141.85 |
$3,141.85 |
$3,141.85 |
$4.72
|
|
Carbamazepine free
|
$17.00 |
$17.00 |
$17.00 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$292.00 |
$292.00 |
$292.00 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$139.00 |
$139.00 |
$139.00 |
$113.36
|
|
Carbon dioxide
|
$76.00 |
$76.00 |
$76.00 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$4.45 |
$4.45 |
$4.45 |
$205.45
|
|
Carboxyhemoglobin quantitative
|
$227.00 |
$227.00 |
$227.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$333.00 |
$333.00 |
$333.00 |
$146.25
|
|
Cardiac perf planar sgl/ef/wm
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$1,961.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$11,832.00 |
$11,832.00 |
$11,832.00 |
$2,752.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$419.00 |
$419.00 |
$419.00 |
$258.10
|
|
Cardiolipin antibody iga
|
$332.00 |
$332.00 |
$332.00 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$9,288.67 |
$9,288.67 |
$9,288.67 |
$1,519.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$144.00 |
$144.00 |
$144.00 |
$129.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$71.00 |
$71.00 |
$71.00 |
$66.40
|
|
Carfilzomib 10 mg intravenous solution
|
$1,910.34 |
$1,910.34 |
$1,910.34 |
$7,098.70
|
|
Carmustine 100 mg intravenous powder for solution
|
$764.58 |
$764.58 |
$764.58 |
$1,986.00
|
|
Carotene
|
$18.00 |
$18.00 |
$18.00 |
$45.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$5,524.40 |
$5,524.40 |
$5,524.40 |
$3,639.36
|
|
Caspofungin acetate
|
$209.09 |
$209.09 |
$209.09 |
$788.58
|
|
Cataract Surgery
|
$4,501.45 |
$4,501.45 |
$4,501.45 |
$3,173.34
|
|
Catheter stripping venous
|
$13,466.00 |
$13,466.00 |
$13,466.00 |
$3,434.60
|
|
Cath stripping venous s&i
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$831.00 |
$831.00 |
$831.00 |
$369.60
|
|
Cciiv4 vacc abx free im
|
$114.70 |
$114.70 |
$114.70 |
$45.60
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$204.53 |
$204.53 |
$204.53 |
$32.80
|
|
Cdna analysis for variants
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$547.30
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$3.35 |
$3.35 |
$3.35 |
$39.48
|
|
Cefepime 1 gram solution for injection
|
$19.80 |
$19.80 |
$19.80 |
$44.76
|
|
Cefotaxime sodium injection
|
$4.91 |
$4.91 |
$4.91 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$18.33 |
$18.33 |
$18.33 |
$71.13
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$633.91 |
$633.91 |
$633.91 |
$634.46
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$29.45 |
$29.45 |
$29.45 |
$71.52
|
|
Ceftazidime and avibactam
|
$1,293.91 |
$1,293.91 |
$1,293.91 |
$995.91
|
|
Ceftriaxone 1 gram solution for injection
|
$7.92 |
$7.92 |
$7.92 |
$97.32
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$13.06 |
$13.06 |
$13.06 |
$27.18
|
|
Cell count body fluid
|
$105.00 |
$105.00 |
$105.00 |
$63.63
|
|
Cell count w differential body fluid
|
$103.00 |
$103.00 |
$103.00 |
$97.83
|
|
Cell function assay w/stim
|
$634.00 |
$634.00 |
$634.00 |
$331.65
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$5,303.38 |
$5,303.38 |
$5,303.38 |
$26,086.63
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$19,716.90 |
$19,716.90 |
$19,716.90 |
$13,638.94
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$54.88 |
$54.88 |
$54.88 |
$3,028.20
|
|
#cf-97variants
|
$164.00 |
$164.00 |
$164.00 |
$597.75
|
|
Change cystostomy tube simple
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$527.34
|
|
Change of windpipe airway 31502
|
$1,741.00 |
$1,741.00 |
$1,741.00 |
$412.00
|
|
Chemodenervation anal musc
|
$4,747.59 |
$4,747.59 |
$4,747.59 |
$2,359.53
|
|
Chemo intralesional over 7
|
$626.00 |
$626.00 |
$626.00 |
$292.48
|
|
Chest 2 vws w oblique
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$377.06
|
|
Chest apical lordotic proj
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$4,797.00 |
$4,797.00 |
$4,797.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$1,350.03
|
|
Chest X-ray
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$302.90
|
|
Chest X-ray (single view)
|
$460.00 |
$460.00 |
$460.00 |
$246.94
|
|
Chg pr pul rehab for copd patients
|
$228.00 |
$228.00 |
$228.00 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$1,614.00 |
$1,614.00 |
$1,614.00 |
$548.90
|
|
Chimerism anal no cell selec
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$400.00
|
|
Chimerism anal w/cell select
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
$585.60
|
|
Chlamydia culture
|
$269.00 |
$269.00 |
$269.00 |
$94.90
|
|
Chlamydia type
|
$227.00 |
$227.00 |
$227.00 |
$34.80
|
|
Chloramphenicol sodium injec
|
$159.99 |
$159.99 |
$159.99 |
$120.48
|
