|
Brach/thor cath 1st
|
$4,877.30 |
$4,877.30 |
$4,877.30 |
$1,865.00
|
|
Brach/thor cath 2nd
|
$5,452.75 |
$5,452.75 |
$5,452.75 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$6,876.50 |
$6,876.50 |
$6,876.50 |
$2,151.93
|
|
Brach/thor cath addl
|
$1,083.75 |
$1,083.75 |
$1,083.75 |
$868.74
|
|
Brachy source i-125 injection
|
$46.75 |
$46.75 |
$46.75 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$26.25 |
$26.25 |
$26.25 |
$65.45
|
|
Brachy source yttrium-90
|
$23,390.30 |
$23,390.30 |
$23,390.30 |
$31,103.54
|
|
Brachytx isodose complex
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$851.50
|
|
Brachytx, non-str, ha, i-125
|
$56.10 |
$56.10 |
$56.10 |
$180.24
|
|
Braf gene
|
$650.25 |
$650.25 |
$650.25 |
$427.05
|
|
Brain aneurysm repr simple
|
$43,015.95 |
$43,015.95 |
$43,015.95 |
$13,161.20
|
|
Brain image w/flow 4 + views
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,351.48
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,241.05 |
$3,241.05 |
$3,241.05 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,065.50 |
$2,065.50 |
$2,065.50 |
$1,892.40
|
|
Brain MRI (with and without contrast)
|
$3,705.15 |
$3,705.15 |
$3,705.15 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$1,943.70
|
|
Brcassure comprehensive panel-sendout
|
$6,758.35 |
$6,758.35 |
$6,758.35 |
$2,160.80
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$847.00
|
|
Breath test analysis c-14
|
$245.65 |
$245.65 |
$245.65 |
$237.44
|
|
Breath tst attain/anal c-14
|
$31.45 |
$31.45 |
$31.45 |
$108.50
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$33,654.48 |
$33,654.48 |
$33,654.48 |
$22,377.96
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$1,143.25 |
$1,143.25 |
$1,143.25 |
$870.87
|
|
Bronch ebus samplng 3/> node
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$4,740.00
|
|
Bronchial challenge
|
$174.25 |
$174.25 |
$174.25 |
$761.40
|
|
Bronchial valve remov init
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$4,362.99
|
|
Bronchoscopy bronch stents
|
$16,785.80 |
$16,785.80 |
$16,785.80 |
$5,855.00
|
|
Bronchoscopy clear airways 31645
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,672.16
|
|
Bronchoscopy dilate/fx repr
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$5,137.60
|
|
Bronchoscopy/lung bx each 31628
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$4,012.00
|
|
Bronchoscopy treat blockage
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$4,551.50
|
|
Bronchoscopy w/biopsy(s) 31625
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,597.70
|
|
Bronchoscopy w/tumor excise
|
$9,184.25 |
$9,184.25 |
$9,184.25 |
$4,362.99
|
|
Bronch w/balloon occlusion
|
$16,785.80 |
$16,785.80 |
$16,785.80 |
$6,839.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$663.85 |
$663.85 |
$663.85 |
$571.00
|
|
Br punct aspir ea add, l
|
$765.00 |
$765.00 |
$765.00 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.49 |
$9.49 |
$9.49 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$464.95 |
$464.95 |
$464.95 |
$161.46
|
|
Bundled special stain group 2
|
$380.80 |
$380.80 |
$380.80 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$407.75 |
$407.75 |
$407.75 |
$33.85
|
|
Bupren/nal 3.1 to 6mg bupren
|
$24.47 |
$24.47 |
$24.47 |
$21.65
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$22.65 |
$22.65 |
$22.65 |
$11.45
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$41.07 |
$41.07 |
$41.07 |
$14.27
|
|
Buprenorphine hydrochloride
|
$51.49 |
$51.49 |
$51.49 |
$42.08
|
|
Buprenorphine oral 1mg
|
$28.77 |
$28.77 |
$28.77 |
$10.32
|
|
Buprenorphine X-ray over 100 mg
|
$5,619.44 |
$5,619.44 |
$5,619.44 |
$3,658.00
|
|
Buprenorph X-ray 100 mg or less
|
$5,619.44 |
$5,619.44 |
$5,619.44 |
$4,288.86
|
|
Bur hol/trph drg brn abs/cst
|
$4,198.15 |
$4,198.15 |
$4,198.15 |
$2,067.27
|
|
Burr hole implant ventricular cath/other device
|
$14,483.15 |
$14,483.15 |
$14,483.15 |
$2,964.65
|
|
Burr hole skull for biopsy 61140
|
$4,198.15 |
$4,198.15 |
$4,198.15 |
$2,978.40
|
|
Burr hole skull & remove clot 61154
|
$14,483.15 |
$14,483.15 |
$14,483.15 |
$4,225.86
|
|
Bur rotalink 2.15mm
|
$5,161.20 |
$5,161.20 |
$5,161.20 |
$7,754.17
|
|
Busulfan injection
|
$518.50 |
$518.50 |
$518.50 |
$783.10
|
|
Butorphanol tartrate 1 mg
|
$28.31 |
$28.31 |
$28.31 |
$37.50
|
|
Bx bone trocar/ndl deep
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,264.77
|
|
Bx breast 1st lesion strtctc
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$3,735.03
|
|
Bx breast add lesion Ultrasound imag
|
$1,762.05 |
$1,762.05 |
$1,762.05 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$3,860.62 |
$3,860.62 |
$3,860.62 |
$4,531.42
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$9,076.98 |
$9,076.98 |
$9,076.98 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$9,349.15 |
$9,349.15 |
$9,349.15 |
$4,184.94
|
|
Bx liver with other
|
$3,246.15 |
$3,246.15 |
$3,246.15 |
$554.45
|
|
Bx muscle
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,917.33
|
|
Bx of breast open 19101
|
$9,349.15 |
$9,349.15 |
$9,349.15 |
$4,627.00
|
|
Bx pancreas pq ndl
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,635.24
|
|
Bx pleura pq ndl
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,633.46
|
|
Bx shoulder tissues supf 23065
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,917.33
|
|
Bx skin incisnl ea sep/add l les
|
$759.05 |
$759.05 |
$759.05 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$557.60 |
$557.60 |
$557.60 |
$230.02
|
|
Bx skin tangential ea sep/ addl les
|
$441.15 |
$441.15 |
$441.15 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,908.09
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,748.61
|
|
Bx soft tissue back/flank supf 21920
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$963.86
|
|
Bx vag mucos smpl (sep proc)
|
$2,251.65 |
$2,251.65 |
$2,251.65 |
$1,134.38
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,251.65 |
$2,251.65 |
$2,251.65 |
$1,148.20
|
|
Bypass temp external fem-fem
|
$7,589.40 |
$7,589.40 |
$7,589.40 |
$1,828.50
|
|
C-1 esterase, berinert
|
$11,332.56 |
$11,332.56 |
$11,332.56 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$8,485.85 |
$8,485.85 |
$8,485.85 |
$7,483.77
|
|
C1 esterase inhibitor func - sendout
|
$48.45 |
$48.45 |
$48.45 |
$86.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$23,377.92 |
$23,377.92 |
$23,377.92 |
$28,742.48
|
|
Cabergoline, oral 0.25mg
|
$107.65 |
$107.65 |
$107.65 |
$65.85
|
|
Cabgsingle artery graft 33533
|
$44,846.00 |
$44,846.00 |
$44,846.00 |
$4,567.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$9,416.30 |
$9,416.30 |
$9,416.30 |
$1,285.60
|
|
Cabg venous & art 2 vein graft 33518
|
$7,383.95 |
$7,383.95 |
$7,383.95 |
$1,764.80
|
|
Cable cath 22-pin diag
|
$4,263.60 |
$4,263.60 |
$4,263.60 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$7,106.68 |
$7,106.68 |
$7,106.68 |
$12,161.55
|
|
Cad breast MRI w/r&i
|
$53.55 |
$53.55 |
$53.55 |
$136.08
|
|
Caffeine citrate 20 mg/ml inj for po
|
$38.93 |
$38.93 |
$38.93 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$30,365.78 |
$30,365.78 |
$30,365.78 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$335.75 |
$335.75 |
$335.75 |
$2,131.45
|
|
Calcium 24 hour urine
|
$24.65 |
$24.65 |
$24.65 |
$52.08
|
