|
Brain MRI (with contrast)
|
$2,212.50 |
$2,212.50 |
$2,212.50 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$2,081.25 |
$2,081.25 |
$2,081.25 |
$1,932.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,049.25 |
$4,049.25 |
$4,049.25 |
$2,975.48
|
|
Breastbone (Sternum) X-ray
|
$521.25 |
$521.25 |
$521.25 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$542.25 |
$542.25 |
$542.25 |
$881.60
|
|
Breath hydrogen test 91065
|
$577.50 |
$577.50 |
$577.50 |
$463.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$46,868.78 |
$46,868.78 |
$46,868.78 |
$22,383.57
|
|
Brexucabtagene car pos t
|
$1,475,302.50 |
$1,475,302.50 |
$1,475,302.50 |
$1,430,103.22
|
|
Bronch ebus ivntj perph les 31654
|
$2,765.25 |
$2,765.25 |
$2,765.25 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$5,532.00 |
$5,532.00 |
$5,532.00 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$5,532.00 |
$5,532.00 |
$5,532.00 |
$4,746.40
|
|
Bronchial allergy tests
|
$573.00 |
$573.00 |
$573.00 |
$746.46
|
|
Bronchial challenge
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$806.40
|
|
Bronchial valve addl insert
|
$7,346.25 |
$7,346.25 |
$7,346.25 |
$3,417.67
|
|
Bronchial valve remov addl
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$2,611.20
|
|
Bronchial valve remov init
|
$4,341.75 |
$4,341.75 |
$4,341.75 |
$4,881.00
|
|
Bronchoscopy clear airways 31645
|
$3,143.25 |
$3,143.25 |
$3,143.25 |
$2,755.53
|
|
Bronchoscopy dilate w/stent
|
$6,768.75 |
$6,768.75 |
$6,768.75 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,872.75 |
$1,872.75 |
$1,872.75 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$2,785.50 |
$2,785.50 |
$2,785.50 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$1,872.75 |
$1,872.75 |
$1,872.75 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$2,834.25 |
$2,834.25 |
$2,834.25 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,256.75 |
$2,256.75 |
$2,256.75 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,919.75 |
$2,919.75 |
$2,919.75 |
$2,445.96
|
|
Bronchoscopy w/markers
|
$11,335.50 |
$11,335.50 |
$11,335.50 |
$6,839.00
|
|
Bronchoscopy w/tumor excise
|
$3,691.50 |
$3,691.50 |
$3,691.50 |
$4,362.99
|
|
Bronch thermoplsty 1 lobe
|
$7,346.25 |
$7,346.25 |
$7,346.25 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$7,765.50 |
$7,765.50 |
$7,765.50 |
$6,534.50
|
|
Bronch w/balloon occlusion
|
$7,870.50 |
$7,870.50 |
$7,870.50 |
$6,718.40
|
|
Br punct aspir ea add, l
|
$507.75 |
$507.75 |
$507.75 |
$361.80
|
|
Btk gene common variants
|
$383.25 |
$383.25 |
$383.25 |
$357.00
|
|
Budesonide non-comp unit
|
$32.78 |
$32.78 |
$32.78 |
$20.52
|
|
Bundled special stain group 1 microorganisms
|
$167.25 |
$167.25 |
$167.25 |
$155.00
|
|
Bundled special stain group 2
|
$134.25 |
$134.25 |
$134.25 |
$173.40
|
|
Bundle his recording
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$44.19 |
$44.19 |
$44.19 |
$32.47
|
|
Bupren/nal 3.1 to 6mg bupren
|
$1,091.62 |
$1,091.62 |
$1,091.62 |
$22.73
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$545.43 |
$545.43 |
$545.43 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$621.18 |
$621.18 |
$621.18 |
$14.42
|
|
Buprenorphine and metabolite - sendout
|
$151.50 |
$151.50 |
$151.50 |
$85.14
|
|
Buprenorphine hydrochloride
|
$52.01 |
$52.01 |
$52.01 |
$42.08
|
|
Buprenorphine oral 1mg
|
$715.66 |
$715.66 |
$715.66 |
$10.70
|
|
Buprenorphine X-ray over 100 mg
|
$7,360.99 |
$7,360.99 |
$7,360.99 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$7,360.99 |
$7,360.99 |
$7,360.99 |
$3,864.00
|
|
Bur rotalink 2.15mm
|
$11,463.75 |
$11,463.75 |
$11,463.75 |
$7,887.38
|
|
Busulfan injection
|
$783.10 |
$783.10 |
$783.10 |
$834.60
|
|
Butorphanol tartrate 1 mg
|
$63.62 |
$63.62 |
$63.62 |
$40.66
|
|
Bx bone trocar/ndl deep
|
$2,610.75 |
$2,610.75 |
$2,610.75 |
$2,409.55
|
|
Bx breast 1st lesion mr imag
|
$3,197.25 |
$3,197.25 |
$3,197.25 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$4,984.50 |
$4,984.50 |
$4,984.50 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$3,008.25 |
$3,008.25 |
$3,008.25 |
$1,698.00
|
|
Bx breast add lesion strtctc
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$1,749.41
|
|
Bx breast add lesion Ultrasound imag
|
$2,906.25 |
$2,906.25 |
$2,906.25 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$1,748.25 |
$1,748.25 |
$1,748.25 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$1,140.75 |
$1,140.75 |
$1,140.75 |
$515.50
|
|
Bx liver with other
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$601.53
|
|
Bx of cervix w/scope leep 57460
|
$3,876.00 |
$3,876.00 |
$3,876.00 |
$4,094.40
|
|
Bx pancreas pq ndl
|
$1,917.75 |
$1,917.75 |
$1,917.75 |
$1,623.60
|
|
Bx perianal mass
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$1,788.75 |
$1,788.75 |
$1,788.75 |
$1,617.00
|
|
Bx prostate trnsrctl u/s guid
|
$4,050.75 |
$4,050.75 |
$4,050.75 |
$4,051.50
|
|
Bx skin incisnl ea sep/add l les
|
$323.25 |
$323.25 |
$323.25 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$291.75 |
$291.75 |
$291.75 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$291.75 |
$291.75 |
$291.75 |
$206.00
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,084.75 |
$3,084.75 |
$3,084.75 |
$2,168.40
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,148.25 |
$1,148.25 |
$1,148.25 |
$964.83
|
|
Bx vag mucos smpl (sep proc)
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,212.50 |
$2,212.50 |
$2,212.50 |
$1,155.36
|
|
Bx vulva or perineum/ea add lesion 56606
|
$1,827.75 |
$1,827.75 |
$1,827.75 |
$465.09
|
|
Bypass temp external fem-fem
|
$15,243.75 |
$15,243.75 |
$15,243.75 |
$1,867.12
|
|
C-1 esterase, berinert
|
$13,165.77 |
$13,165.77 |
$13,165.77 |
$7,815.00
|
|
C1 esterase inhibitor func - sendout
|
$132.75 |
$132.75 |
$132.75 |
$90.93
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$53,887.78 |
$53,887.78 |
$53,887.78 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$173.02 |
$173.02 |
$173.02 |
$66.09
|
|
Cable cath 22-pin diag
|
$5,737.50 |
$5,737.50 |
$5,737.50 |
$4,946.50
|
|
Cable centrimag pressure
|
$371.25 |
$371.25 |
$371.25 |
$9,015.12
|
|
Cacna1a gene full gene seq
|
$635.25 |
$635.25 |
$635.25 |
$846.27
|
|
Caffeine citrate 20 mg/ml inj for po
|
$106.71 |
$106.71 |
$106.71 |
$46.05
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,840.35 |
$9,840.35 |
$9,840.35 |
$2,210.98
|
|
Calcium 24 hour urine
|
$78.75 |
$78.75 |
$78.75 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$71.82 |
$71.82 |
$71.82 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$62.13 |
$62.13 |
$62.13 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$61.76 |
$61.76 |
$61.76 |
$91.60
|
|
Calcium ionized
|
$101.25 |
$101.25 |
$101.25 |
$90.00
|
|
Calcium total
|
$52.50 |
$52.50 |
$52.50 |
$50.00
|
|
Caloric vstblr test w/rec
|
$465.75 |
$465.75 |
$465.75 |
$333.00
|
|
Calprotectin fecal
|
$351.00 |
$351.00 |
$351.00 |
$170.00
|
|
Canakinumab injection
|
$79,068.64 |
$79,068.64 |
$79,068.64 |
$35,959.82
|
|
Cannabinoid synthetic 7/more
|
$147.75 |
$147.75 |
$147.75 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$235,532.25 |
$235,532.25 |
$235,532.25 |
$41,167.62
|
|
Canthotomy 67715
|
$2,709.00 |
$2,709.00 |
$2,709.00 |
$3,164.00
|
|
Capecitabine, oral, 50 mg
|
$20,888.96 |
$20,888.96 |
$20,888.96 |
$59.42
|
|
Cap nerve 2x15mm
|
$28,177.88 |
$28,177.88 |
$28,177.88 |
$18,466.88
|
|
Cap trach decann 15mm
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$3,172.92
|
|
Carbamazepine free
|
$131.25 |
$131.25 |
$131.25 |
$59.85
|
|
Carbamazepine free -sendout
|
$168.75 |
$168.75 |
$168.75 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$113.25 |
$113.25 |
$113.25 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$162.00 |
$162.00 |
$162.00 |
$116.40
|
|
Carbohydrate urine - sendout
|
$936.00 |
$936.00 |
$936.00 |
$66.64
|
