|
Brace oths wrist hnd fngr without
|
$109.80 |
$109.80 |
$109.80 |
$257.45
|
|
Brace wrist classic lft sm
|
$210.60 |
$210.60 |
$210.60 |
$89.04
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$981.60 |
$981.60 |
$981.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$737.40 |
$737.40 |
$737.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$682.20 |
$682.20 |
$682.20 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$975.00 |
$975.00 |
$975.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$736.20 |
$736.20 |
$736.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$682.20 |
$682.20 |
$682.20 |
$1,948.00
|
|
Brca1&2 gen ful dup/del alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$975.00 |
$975.00 |
$975.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$146.40 |
$146.40 |
$146.40 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$294.60 |
$294.60 |
$294.60 |
$871.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$367.20 |
$367.20 |
$367.20 |
$22,383.57
|
|
Bronchial challenge
|
$375.00 |
$375.00 |
$375.00 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$2,766.40
|
|
Br punct aspir ea add, l
|
$130.80 |
$130.80 |
$130.80 |
$357.51
|
|
Budesonide non-comp unit
|
$10.00 |
$10.00 |
$10.00 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$4.60 |
$4.60 |
$4.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$131.40 |
$131.40 |
$131.40 |
$159.00
|
|
Bundled special stain group 2
|
$103.80 |
$103.80 |
$103.80 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.60 |
$0.60 |
$0.60 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$7.60 |
$7.60 |
$7.60 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.20 |
$12.20 |
$12.20 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$7,850.40 |
$7,850.40 |
$7,850.40 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$7,850.40 |
$7,850.40 |
$7,850.40 |
$3,864.00
|
|
Bur rotalink 2.15mm
|
$9,690.00 |
$9,690.00 |
$9,690.00 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$92.80 |
$92.80 |
$92.80 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$2,336.40 |
$2,336.40 |
$2,336.40 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$2,336.40 |
$2,336.40 |
$2,336.40 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$975.00 |
$975.00 |
$975.00 |
$1,670.79
|
|
Bx pleura pq ndl
|
$605.40 |
$605.40 |
$605.40 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$226.20 |
$226.20 |
$226.20 |
$257.37
|
|
Bx thyroid/percutan core needle 60100
|
$559.20 |
$559.20 |
$559.20 |
$963.80
|
|
Bypass temp external fem-fem
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$29.40 |
$29.40 |
$29.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$362.40 |
$362.40 |
$362.40 |
$27,013.07
|
|
Caffeine citrate 20 mg/ml inj for po
|
$3.20 |
$3.20 |
$3.20 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,715.20 |
$7,715.20 |
$7,715.20 |
$2,210.98
|
|
Calcium 24 hour urine
|
$27.60 |
$27.60 |
$27.60 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.80 |
$0.80 |
$0.80 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.80 |
$0.80 |
$0.80 |
$91.60
|
|
Calcium ionized
|
$39.60 |
$39.60 |
$39.60 |
$90.00
|
|
Calcium total
|
$27.60 |
$27.60 |
$27.60 |
$50.00
|
|
Calprotectin fecal
|
$165.00 |
$165.00 |
$165.00 |
$170.00
|
|
Campylobacter antibody
|
$124.20 |
$124.20 |
$124.20 |
$77.83
|
|
Candida dna
|
$67.80 |
$67.80 |
$67.80 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$481.80 |
$481.80 |
$481.80 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$2,195.40 |
$2,195.40 |
$2,195.40 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$3,238.70
|
|
Carbamazepine free
|
$66.60 |
$66.60 |
$66.60 |
$60.00
|
|
Carbamazepine free -sendout
|
$39.60 |
$39.60 |
$39.60 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$35.40 |
$35.40 |
$35.40 |
$122.85
|
|
Carbohydrate urine - sendout
|
$27.00 |
$27.00 |
$27.00 |
$66.64
|
|
Carbon dioxide
|
$12.00 |
$12.00 |
$12.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$28.40 |
$28.40 |
$28.40 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$30.60 |
$30.60 |
$30.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$46.80 |
$46.80 |
$46.80 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$742.80 |
$742.80 |
$742.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$91.20 |
$91.20 |
$91.20 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$66.60 |
$66.60 |
$66.60 |
$204.54
|
|
Cardiolipin antibody iga
|
$62.40 |
$62.40 |
$62.40 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$412.80 |
$412.80 |
$412.80 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$105.00 |
$105.00 |
$105.00 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$52.20 |
$52.20 |
$52.20 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$106.20 |
$106.20 |
$106.20 |
$6,306.47
|
|
Carotene
|
$99.00 |
$99.00 |
$99.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$631.80 |
$631.80 |
$631.80 |
$1,024.32
|
|
Casiri and imdev repeat
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$540.00
|
|
Caspofungin acetate
|
$74.00 |
$74.00 |
$74.00 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$896.40 |
$896.40 |
$896.40 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$988.80 |
$988.80 |
$988.80 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$957.60 |
$957.60 |
$957.60 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$6,495.60 |
$6,495.60 |
$6,495.60 |
$19,800.55
|
|
Cath combo lt&rt heart w/inj/s
|
$7,765.20 |
$7,765.20 |
$7,765.20 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$25.20 |
$25.20 |
$25.20 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$597.00 |
$597.00 |
$597.00 |
$4,488.99
|
|
Cath entrl fd nutri 5fr 40cm
|
$8.40 |
$8.40 |
$8.40 |
$18.40
|
|
Catheterization collection of specimen single patient all places of service
|
$7.80 |
$7.80 |
$7.80 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$1,690.71
|
|
Cath hawkone s directional
|
$3,988.20 |
$3,988.20 |
$3,988.20 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$6,612.00 |
$6,612.00 |
$6,612.00 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$4,680.00
|
|
Cath indw foley 3 way
|
$43.20 |
$43.20 |
$43.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$118.20 |
$118.20 |
$118.20 |
$13.23
|
|
Cath insertion tray w/bag
|
$23.40 |
$23.40 |
$23.40 |
$33.56
|
|
Cath left heart/lv gram
|
$5,552.40 |
$5,552.40 |
$5,552.40 |
$8,035.50
|
|
Cath malecot 28fr 4-wing ltx
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$55.20 |
$55.20 |
$55.20 |
$64.06
|
|
Cath place 1st order venous 36011
|
$80.40 |
$80.40 |
$80.40 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$4,666.80 |
$4,666.80 |
$4,666.80 |
$11,645.40
|
|
Cath right heart w/o2 sat & card
|
$4,666.80 |
$4,666.80 |
$4,666.80 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$201.00 |
$201.00 |
$201.00 |
$462.80
|
|
Cath steerable flex adv 12f
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$733.20 |
$733.20 |
$733.20 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$93.00 |
$93.00 |
$93.00 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$45.00 |
$45.00 |
$45.00 |
$38.22
|
|
Cauterization chemical granulation tissue
|
$584.40 |
$584.40 |
$584.40 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
