|
Breast reconstruction 19357
|
$1,776.48 |
$1,776.48 |
$1,776.48 |
$11,720.80
|
|
Breast reconstr w/lat flap 19361
|
$2,375.52 |
$2,375.52 |
$2,375.52 |
$6,073.60
|
|
Breast reduction
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$23,472.00 |
$23,472.00 |
$23,472.00 |
$22,383.57
|
|
Brief alcohol misuse counsel
|
$32.16 |
$32.16 |
$32.16 |
$108.93
|
|
Brief comunicaj tech-bsd svc
|
$18.24 |
$18.24 |
$18.24 |
$29.25
|
|
Bronchoscopy clear airways 31645
|
$418.08 |
$418.08 |
$418.08 |
$2,653.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$530.88 |
$530.88 |
$530.88 |
$2,168.40
|
|
Br punct aspir ea add, l
|
$240.00 |
$240.00 |
$240.00 |
$358.00
|
|
Bso omentectomy w/tah 58956
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$3,372.00
|
|
Budesonide non-comp unit
|
$28.46 |
$28.46 |
$28.46 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$55.24 |
$55.24 |
$55.24 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$81.92 |
$81.92 |
$81.92 |
$160.00
|
|
Bundled special stain group 2
|
$123.64 |
$123.64 |
$123.64 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$64.63 |
$64.63 |
$64.63 |
$33.08
|
|
Bupren/nal 3.1 to 6mg bupren
|
$785.47 |
$785.47 |
$785.47 |
$23.32
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$253.85 |
$253.85 |
$253.85 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$785.47 |
$785.47 |
$785.47 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$224.88 |
$224.88 |
$224.88 |
$82.82
|
|
Buprenorphine oral 1mg
|
$312.00 |
$312.00 |
$312.00 |
$10.50
|
|
Butorphanol tartrate 1 mg
|
$38.35 |
$38.35 |
$38.35 |
$39.20
|
|
Bx bone trocar/ndl deep
|
$1,019.04 |
$1,019.04 |
$1,019.04 |
$2,278.20
|
|
Bx breast 1st lesion mr imag
|
$1,153.92 |
$1,153.92 |
$1,153.92 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,399.52 |
$2,399.52 |
$2,399.52 |
$3,700.20
|
|
Bx breast add lesion mr imag
|
$892.32 |
$892.32 |
$892.32 |
$1,631.50
|
|
Bx breast add lesion strtctc
|
$649.44 |
$649.44 |
$649.44 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$693.12 |
$693.12 |
$693.12 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$228.00 |
$228.00 |
$228.00 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$89.04 |
$89.04 |
$89.04 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$259.68 |
$259.68 |
$259.68 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$809.76 |
$809.76 |
$809.76 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$7,264.80 |
$7,264.80 |
$7,264.80 |
$4,184.94
|
|
Bx leg/ankle soft tissue deep 27614
|
$906.24 |
$906.24 |
$906.24 |
$3,386.84
|
|
Bx liver with other
|
$156.48 |
$156.48 |
$156.48 |
$543.40
|
|
Bx muscle
|
$330.72 |
$330.72 |
$330.72 |
$1,917.33
|
|
Bx of breast open 19101
|
$503.04 |
$503.04 |
$503.04 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$480.96 |
$480.96 |
$480.96 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$1,620.48 |
$1,620.48 |
$1,620.48 |
$1,588.50
|
|
Bx prst8 ndl sat sampling
|
$6,772.80 |
$6,772.80 |
$6,772.80 |
$4,096.52
|
|
Bx shoulder tissues supf 23065
|
$346.56 |
$346.56 |
$346.56 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$108.96 |
$108.96 |
$108.96 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$91.20 |
$91.20 |
$91.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$77.28 |
$77.28 |
$77.28 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,358.72 |
$2,358.72 |
$2,358.72 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,028.16 |
$1,028.16 |
$1,028.16 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$159.36 |
$159.36 |
$159.36 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$148.32 |
$148.32 |
$148.32 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$58.08 |
$58.08 |
$58.08 |
$465.09
|
|
Bypass temp external fem-fem
|
$2,485.44 |
$2,485.44 |
$2,485.44 |
$1,781.60
|
|
C-1 esterase, berinert
|
$9,479.72 |
$9,479.72 |
$9,479.72 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$69.71 |
$69.71 |
$69.71 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$27,209.34 |
$27,209.34 |
$27,209.34 |
$27,723.08
|
|
Caffeine citrate 20 mg/ml inj for po
|
$92.16 |
$92.16 |
$92.16 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,525.68 |
$7,525.68 |
$7,525.68 |
$2,111.64
|
|
Calcium 24 hour urine
|
$23.40 |
$23.40 |
$23.40 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$70.13 |
$70.13 |
$70.13 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$104.40 |
$104.40 |
$104.40 |
$91.60
|
|
Calcium ionized
|
$91.58 |
$91.58 |
$91.58 |
$89.88
|
|
Calcium total
|
$16.79 |
$16.79 |
$16.79 |
$50.00
|
|
Calprotectin fecal
|
$167.40 |
$167.40 |
$167.40 |
$169.95
|
|
Candida dna
|
$39.41 |
$39.41 |
$39.41 |
$62.50
|
|
Canthotomy 67715
|
$396.96 |
$396.96 |
$396.96 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$13,017.41 |
$13,017.41 |
$13,017.41 |
$59.42
|
|
Capsulotomy mpj ea joint (sep proc)
|
$743.52 |
$743.52 |
$743.52 |
$3,545.97
|
|
Carbamazepine total therapeutic drug level
|
$87.51 |
$87.51 |
$87.51 |
$120.25
|
|
Carbon dioxide
|
$26.46 |
$26.46 |
$26.46 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$255.36 |
$255.36 |
$255.36 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$48.84 |
$48.84 |
$48.84 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$79.88 |
$79.88 |
$79.88 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,893.60 |
$1,893.60 |
$1,893.60 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$129.24 |
$129.24 |
$129.24 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$87.00 |
$87.00 |
$87.00 |
$196.50
|
|
Cardiac Stress Test
|
$109.92 |
$109.92 |
$109.92 |
$210.00
|
|
Cardiolipin antibody iga
|
$112.95 |
$112.95 |
$112.95 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,110.24 |
$1,110.24 |
$1,110.24 |
$1,396.00
|
|
Caregiver health risk assmt
|
$4.80 |
$4.80 |
$4.80 |
$43.50
|
|
Care mgmt svc bhvl hlth cond
|
$70.56 |
$70.56 |
$70.56 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$6,839.40 |
$6,839.40 |
$6,839.40 |
$6,877.19
|
|
Carotene
|
$33.07 |
$33.07 |
$33.07 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$570.72 |
$570.72 |
$570.72 |
$1,007.40
|
|
Carpal Tunnel Release Surgery
|
$2,129.28 |
$2,129.28 |
$2,129.28 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$53.93 |
$53.93 |
$53.93 |
$112.50
|
|
Car seat/bed test additional 30 minutes
|
$75.30 |
$75.30 |
$75.30 |
$65.00
|
|
Ca screen;flexi sigmoidscope
|
$284.64 |
$284.64 |
$284.64 |
$1,206.00
|
|
Caspofungin acetate
|
$588.96 |
$588.96 |
$588.96 |
$615.86
|
|
Cast sup lng arm splint fbrg
|
$22.56 |
$22.56 |
$22.56 |
$34.00
|
|
Cast sup lng arm splnt ped f
|
$11.52 |
$11.52 |
$11.52 |
$18.72
|
|
Cast sup lng leg ped fbrgls
|
$58.08 |
$58.08 |
$58.08 |
$87.36
|
|
Cast sup lng leg splnt fbrgl
|
$52.80 |
$52.80 |
$52.80 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$26.40 |
$26.40 |
$26.40 |
$43.20
|
|
Cast sup long arm adult fbrg
|
$45.12 |
$45.12 |
$45.12 |
$73.60
|
|
Cast sup long arm ped fbrgls
|
$22.56 |
$22.56 |
$22.56 |
$36.80
|
|
Cast sup long leg fiberglass
|
$116.16 |
$116.16 |
$116.16 |
$174.16
|
|
Cast sup shrt leg ped fbrgls
|
$31.68 |
$31.68 |
$31.68 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$29.76 |
$29.76 |
$29.76 |
$40.26
|
|
Cast sup sht arm ped fbrglas
|
$14.88 |
$14.88 |
$14.88 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$18.72 |
$18.72 |
$18.72 |
$30.40
|
|
Cast sup sht arm splint plst
|
$10.56 |
$10.56 |
$10.56 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$9.60 |
$9.60 |
$9.60 |
$16.00
|