|
Bronchoscopy/needle bx each 31629
|
$4,012.00 |
$4,012.00 |
$4,012.00 |
|
|
Bronchoscopy revise stent
|
$5,600.80 |
$5,600.80 |
$5,600.80 |
|
|
Bronchoscopy stent add-on
|
$2,339.20 |
$2,339.20 |
$2,339.20 |
|
|
Bronchoscopy treat blockage
|
$4,970.40 |
$4,970.40 |
$4,970.40 |
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,668.00 |
$2,668.00 |
$3,442.40 |
|
|
Bronchoscopy w/fb removal 31635
|
$2,465.60 |
$2,465.60 |
$2,612.80 |
|
|
Bronchoscopy w/markers
|
$5,932.00 |
$5,932.00 |
$5,932.00 |
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,391.20 |
$2,391.20 |
$2,534.40 |
|
|
Br punct aspir ea add, l
|
$404.00 |
$404.00 |
$404.00 |
|
|
Brush provox 4-10mm
|
$62.59 |
$62.59 |
$190.00 |
|
|
Budesonide non-comp unit
|
$10.78 |
$11.57 |
$19.68 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.63 |
$16.80 |
$56.36 |
|
|
Bundled special stain group 1 microorganisms
|
$208.00 |
$217.60 |
$223.20 |
|
|
Bundled special stain group 2
|
$168.00 |
$169.60 |
$178.40 |
|
|
Bundle his recording
|
$6,651.20 |
$6,651.20 |
$6,651.20 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$26.11 |
$28.76 |
$88.57 |
|
|
Buprenorphine hydrochloride
|
$24.72 |
$24.72 |
$24.72 |
|
|
Burr hole implant ventricular cath/other device
|
$3,940.80 |
$3,940.80 |
$4,533.60 |
|
|
Burr hole skull & remove clot 61154
|
$3,867.20 |
$3,867.20 |
$3,867.20 |
|
|
Bur rotalink 2.15mm
|
$6,679.20 |
$6,679.20 |
$7,893.60 |
|
|
Busulfan injection
|
$215.59 |
$215.59 |
$215.59 |
|
|
Butorphanol tartrate 1 mg
|
$27.92 |
$27.92 |
$147.21 |
|
|
Bx bone trocar/ndl deep
|
$2,715.20 |
$2,715.20 |
$3,129.60 |
|
|
Bx breast 1st lesion mr imag
|
$3,018.40 |
$3,018.40 |
$4,408.00 |
|
|
Bx breast 1st lesion strtctc
|
$3,796.80 |
$3,796.80 |
$4,036.00 |
|
|
Bx breast add lesion mr imag
|
$1,907.20 |
$1,907.20 |
$3,080.80 |
|
|
Bx breast add lesion strtctc
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
|
|
Bx breast add lesion Ultrasound imag
|
$2,328.00 |
$2,328.00 |
$2,640.00 |
|
|
Bx breast pq tomo guide
|
$7,210.40 |
$7,210.40 |
$7,210.40 |
|
|
Bx leg/ankle soft tissue deep 27614
|
$5,193.60 |
$5,193.60 |
$5,193.60 |
|
|
Bx muscle
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
|
|
Bx of breast open 19101
|
$5,082.40 |
$5,082.40 |
$5,082.40 |
|
|
Bx pancreas pq ndl
|
$2,248.00 |
$2,248.00 |
$2,338.40 |
|
|
Bx perianal mass
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
|
|
Bx pleura pq ndl
|
$2,201.60 |
$2,201.60 |
$2,256.00 |
|
|
Bx skin incisnl ea sep/add l les
|
$436.00 |
$436.00 |
$436.00 |
|
|
Bx skin punch ea sep/ addl les
|
$337.60 |
$337.60 |
$368.00 |
|
|
Bx skin tangential ea sep/ addl les
|
$336.80 |
$336.80 |
$336.80 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
|
|
Bx spinal cord pq ndl
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
|
|
Bx thyroid/percutan core needle 60100
|
$1,206.40 |
$1,206.40 |
$1,212.00 |
|
|
Bx vag mucos smpl (sep proc)
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
|
|
Bypass temp external fem-fem
|
$2,895.20 |
$2,895.20 |
$3,956.80 |
|
|
C-1 esterase, berinert
|
$2,949.08 |
$2,949.08 |
$3,600.00 |
|
|
C-1 esterase, cinryze
|
$4,894.44 |
$4,894.44 |
$4,894.44 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$4,103.49 |
$4,103.49 |
$4,103.49 |
|
|
Cabergoline, oral 0.25mg
|
$13.80 |
$13.80 |
$13.80 |
|
|
Cable cath 22-pin diag
|
$4,336.64 |
$4,336.64 |
$5,541.12 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$7,088.56 |
$7,088.56 |
$7,088.56 |
|
|
Cadd pump refill
|
$499.20 |
$499.20 |
$499.20 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$66.18 |
$66.18 |
$113.93 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$26,785.00 |
$26,785.00 |
$46,690.10 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$332.33 |
$332.33 |
$1,575.24 |
|
|
Calcium 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$28.26 |
$30.50 |
$32.97 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$32.69 |
$32.99 |
$119.60 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$93.60 |
$93.60 |
$93.60 |
|
|
Calcium ionized
|
$76.00 |
$76.00 |
$76.00 |
|
|
Calcium total
|
$36.00 |
$36.00 |
$36.00 |
|
|
Caloric vstblr test w/rec
|
$695.20 |
$695.20 |
$695.20 |
|
|
Calprotectin fecal
|
$117.60 |
$117.60 |
$117.60 |
|
|
Canakinumab injection
|
$17,055.11 |
$17,055.11 |
$17,055.11 |
|
|
Cannula ercp contour 5-4-3 tip
|
$44,000.00 |
$44,000.00 |
$48,000.00 |
|
|
Canthotomy 67715
|
$3,175.20 |
$3,175.20 |
$3,231.20 |
|
|
Capecitabine, oral, 50 mg
|
$64.76 |
$64.76 |
$91.35 |
|
|
Cap nerve 2x15mm
|
$9,220.64 |
$9,220.64 |
$10,058.88 |
|
|
Capsaicin 8% patch
|
$1,098.56 |
$1,098.56 |
$1,098.56 |
|
|
Cap trach decann 15mm
|
$4,646.40 |
$4,646.40 |
$5,491.20 |
|
|
Carbamazepine free -sendout
|
$71.20 |
$71.20 |
$71.20 |
|
|
Carbamazepine total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
|
|
Carbon dioxide
|
$27.20 |
$27.20 |
$27.20 |
|
|
Carboplatin 10 mg/ml desensitization
|
$172.27 |
$172.27 |
$202.34 |
|
|
Carboxyhemoglobin quantitative
|
$107.20 |
$107.20 |
$107.20 |
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,792.00 |
$2,792.00 |
$2,984.80 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$169.60 |
$169.60 |
$292.00 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$208.80 |
$208.80 |
$283.20 |
|
|
Cardiac shunt imaging
|
$1,419.20 |
$1,419.20 |
$1,419.20 |
|
|
Cardioassist internal
|
$565.60 |
$565.60 |
$565.60 |
|
|
Cardiolipin antibody iga
|
$119.20 |
$119.20 |
$119.20 |
|
|
Cardioversion/elective/internal 92961
|
$1,611.20 |
$1,611.20 |
$1,611.20 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,602.40 |
$1,602.40 |
$1,714.40 |
|
|
Card MRI veloc flow mapping
|
$644.00 |
$644.00 |
$725.60 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$117.60 |
$132.00 |
$136.00 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$58.40 |
$65.60 |
$67.20 |
|
|
Carfilzomib 10 mg intravenous solution
|
$2,733.84 |
$2,733.84 |
$5,655.96 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$699.88 |
$699.88 |
$3,981.40 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,025.60 |
$1,037.60 |
$1,066.40 |
|
|
Carpal Tunnel Release Surgery
|
$3,639.20 |
$3,639.20 |
$3,820.80 |
|
|
Car seat/bed test 60 minutes
|
$108.00 |
$108.00 |
$144.00 |
|
|
Car seat/bed test additional 30 minutes
|
$45.60 |
$45.60 |
$72.80 |
|
|
Car-t admn autologous
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$4,550.40 |
$4,550.40 |
$4,550.40 |
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$4,095.20 |
$4,095.20 |
$4,095.20 |
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$4,265.60 |
$4,265.60 |
$4,265.60 |
|
|
Ca screen;flexi sigmoidscope
|
$1,494.40 |
$1,494.40 |
$2,358.40 |
|
|
Caspofungin acetate
|
$728.16 |
$728.16 |
$728.16 |
|
|
Cataract Surgery
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
|
