|
Bundled special stain group 2
|
$151.20 |
$151.20 |
$151.20 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$59.70 |
$59.70 |
$59.70 |
$34.75
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.00 |
$3.00 |
$3.00 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$26.94 |
$26.94 |
$26.94 |
$14.27
|
|
Buprenorphine oral 1mg
|
$5.46 |
$5.46 |
$5.46 |
$10.74
|
|
Bur rotalink 2.15mm
|
$16,926.22 |
$16,926.22 |
$16,926.22 |
$7,754.17
|
|
Butorphanol tartrate 1 mg
|
$169.20 |
$169.20 |
$169.20 |
$39.73
|
|
Bx bone trocar/ndl deep
|
$1,827.60 |
$1,827.60 |
$1,827.60 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$5,504.40 |
$5,504.40 |
$5,504.40 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$8,388.00 |
$8,388.00 |
$8,388.00 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$5,504.40 |
$5,504.40 |
$5,504.40 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$8,807.40 |
$8,807.40 |
$8,807.40 |
$1,816.50
|
|
Bx breast add lesion Ultrasound imag
|
$3,276.60 |
$3,276.60 |
$3,276.60 |
$1,827.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$36,508.70 |
$36,508.70 |
$36,508.70 |
$4,608.88
|
|
Bx liver with other
|
$244.80 |
$244.80 |
$244.80 |
$586.30
|
|
Bx pancreas pq ndl
|
$505.20 |
$505.20 |
$505.20 |
$1,687.20
|
|
Bx pleura pq ndl
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,637.90
|
|
Bx skin incisnl ea sep/add l les
|
$325.80 |
$325.80 |
$325.80 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$325.80 |
$325.80 |
$325.80 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$325.80 |
$325.80 |
$325.80 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$411.00 |
$411.00 |
$411.00 |
$995.00
|
|
Bypass temp external fem-fem
|
$7,250.40 |
$7,250.40 |
$7,250.40 |
$1,970.15
|
|
C1 esterase inhibitor func - sendout
|
$33.60 |
$33.60 |
$33.60 |
$86.00
|
|
Cable cath 22-pin diag
|
$36,054.16 |
$36,054.16 |
$36,054.16 |
$4,946.50
|
|
Cable centrimag pressure
|
$921.10 |
$921.10 |
$921.10 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$30,062.88 |
$30,062.88 |
$30,062.88 |
$12,161.55
|
|
Cadd pump refill
|
$683.40 |
$683.40 |
$683.40 |
$371.28
|
|
Caffeine citrate 20 mg/ml inj for po
|
$90.30 |
$90.30 |
$90.30 |
$47.24
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$2,210.98
|
|
Calcium 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$4.20 |
$4.20 |
$4.20 |
$1.55
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$178.26 |
$178.26 |
$178.26 |
$92.91
|
|
Calcium ionized
|
$101.40 |
$101.40 |
$101.40 |
$87.20
|
|
Calcium total
|
$41.40 |
$41.40 |
$41.40 |
$50.00
|
|
Calprotectin fecal
|
$149.40 |
$149.40 |
$149.40 |
$165.00
|
|
Candida dna
|
$33.60 |
$33.60 |
$33.60 |
$63.00
|
|
Cannula ercp contour 5-4-3 tip
|
$131,211.00 |
$131,211.00 |
$131,211.00 |
$36,313.87
|
|
Cap nerve 2x15mm
|
$121,160.24 |
$121,160.24 |
$121,160.24 |
$25,972.19
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$3,131.40 |
$3,131.40 |
$3,131.40 |
$2,211.05
|
|
Cap trach decann 15mm
|
$7,872.66 |
$7,872.66 |
$7,872.66 |
$3,283.80
|
|
Carbamazepine free
|
$25.80 |
$25.80 |
$25.80 |
$51.15
|
|
Carbamazepine free -sendout
|
$60.00 |
$60.00 |
$60.00 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$136.80 |
$136.80 |
$136.80 |
$115.68
|
|
Carbohydrate deficient transf - sendout
|
$116.40 |
$116.40 |
$116.40 |
$123.49
|
|
Carbohydrate urine - sendout
|
$20.40 |
$20.40 |
$20.40 |
$43.51
|
|
Carbon dioxide
|
$35.40 |
$35.40 |
$35.40 |
$44.00
|
|
Carbon graphite lamination
|
$281.18 |
$281.18 |
$281.18 |
$181.35
|
|
Carboplatin 10 mg/ml desensitization
|
$240.54 |
$240.54 |
$240.54 |
$205.45
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,439.34 |
$1,439.34 |
$1,439.34 |
$482.27
|
|
Carboxyhemoglobin quantitative
|
$151.20 |
$151.20 |
$151.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$122.40 |
$122.40 |
$122.40 |
$142.50
|
|
Cardiac perf planar sgl/ef/wm
|
$2,130.60 |
$2,130.60 |
$2,130.60 |
$2,051.40
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,606.60 |
$3,606.60 |
$3,606.60 |
$2,632.82
|
|
Cardiolipin antibody iga
|
$133.20 |
$133.20 |
$133.20 |
$105.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$78.60 |
$78.60 |
$78.60 |
$114.45
|
|
Caregiver training strategies&tq ea addl 15 min
|
$34.80 |
$34.80 |
$34.80 |
$52.20
|
|
Car ion chnnlpath inc 10 gns
|
$1,860.60 |
$1,860.60 |
$1,860.60 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$1,860.60 |
$1,860.60 |
$1,860.60 |
$1,091.81
|
|
Carotene
|
$30.60 |
$30.60 |
$30.60 |
$45.24
|
|
Carpal Tunnel Release Surgery
|
$7,686.48 |
$7,686.48 |
$7,686.48 |
$3,804.50
|
|
Ca screen;flexi sigmoidscope
|
$5,522.76 |
$5,522.76 |
$5,522.76 |
$1,122.92
|
|
Cataract Surgery
|
$12,856.01 |
$12,856.01 |
$12,856.01 |
$4,501.45
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$3,936.33 |
$3,936.33 |
$3,936.33 |
$855.70
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$10,365.67 |
$10,365.67 |
$10,365.67 |
$6,541.38
|
|
Cath ablt clsfast 7fx100cmx
|
$7,736.20 |
$7,736.20 |
$7,736.20 |
$3,024.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$9,222.82 |
$9,222.82 |
$9,222.82 |
$6,034.32
|
|
Cath access del ds spyscop 2.0
|
$36,725.96 |
$36,725.96 |
$36,725.96 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$78,726.60 |
$78,726.60 |
$78,726.60 |
$8,379.00
|
|
Cath acunav ge 10frx90cm
|
$8,966.96 |
$8,966.96 |
$8,966.96 |
$6,025.32
|
|
Cath adherent clot 10mm 6f 10
|
$65,605.50 |
$65,605.50 |
$65,605.50 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$17,057.43 |
$17,057.43 |
$17,057.43 |
$5,955.00
|
|
Cath bi-dir df smarttouch
|
$22,174.66 |
$22,174.66 |
$22,174.66 |
$8,280.00
|
|
Cath blazer dx/20 2-10-2 space
|
$8,743.90 |
$8,743.90 |
$8,743.90 |
$3,890.86
|
|
Cath cv dl inj 7fx16cm
|
$10,700.10 |
$10,700.10 |
$10,700.10 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$2,298.50
|
|
Cath epdrl brevi-stf 12in .043
|
$2,361.80 |
$2,361.80 |
$2,361.80 |
$1,911.42
|
|
Catheter declot mechanical
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$1,829.42
|
|
Catheterization collection of specimen single patient all places of service
|
$19.20 |
$19.20 |
$19.20 |
$40.95
|
|
Catheter stripping venous
|
$2,904.60 |
$2,904.60 |
$2,904.60 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$9,895.01 |
$9,895.01 |
$9,895.01 |
$1,778.40
|
|
Cath hawkone s directional
|
$8,515.60 |
$8,515.60 |
$8,515.60 |
$6,886.93
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$2,230.59 |
$2,230.59 |
$2,230.59 |
$1,270.57
|
|
Cath imag ivus pv 8.5fx90 .035
|
$9,171.65 |
$9,171.65 |
$9,171.65 |
$4,471.74
|
|
Cath intrdsc spnecth 8 pin
|
$214.06 |
$214.06 |
$214.06 |
$2,045.54
|
|
Cath lt/rt pulm art
|
$633.60 |
$633.60 |
$633.60 |
$1,292.85
|
|
Cath malecot 28fr 4-wing ltx
|
$18,228.25 |
$18,228.25 |
$18,228.25 |
$2,311.20
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$31,490.64 |
$31,490.64 |
$31,490.64 |
$18,457.82
|
|
Cath place 1st order venous 36011
|
$646.80 |
$646.80 |
$646.80 |
$1,650.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$11,356.50
|
|
Cath right hrt mnpul art
|
$605.40 |
$605.40 |
$605.40 |
$1,073.38
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$136.80 |
$136.80 |
$136.80 |
$479.00
|
|
Cath segmntl pulm art
|
$741.00 |
$741.00 |
$741.00 |
$1,500.33
|
|
Cath steerable flex adv 12f
|
$4,500.54 |
$4,500.54 |
$4,500.54 |
$2,834.00
|
|
Cath stripping venous s&i
|
$376.20 |
$376.20 |
$376.20 |
$682.34
|
|
Cath symplicity spyral
|
$41,987.52 |
$41,987.52 |
$41,987.52 |
$32,630.40
|
|
Cath temp pace flo bipol 5fr electrd
|
$17,647.88 |
$17,647.88 |
$17,647.88 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$918.48 |
$918.48 |
$918.48 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$633.00 |
$633.00 |
$633.00 |
$351.78
|
|
#cbg+cort-cbg
|
$120.00 |
$120.00 |
$120.00 |
$78.00
|
|
Cebpa gene full sequence
|
$482.40 |
$482.40 |
$482.40 |
$484.90
|
