|
Brentuximab vedotin 50 mg intravenous solution
|
$16,885.80 |
$16,885.80 |
$16,885.80 |
$22,383.57
|
|
Bronch ebus ivntj perph les 31654
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$777.60 |
$777.60 |
$777.60 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$973.80 |
$973.80 |
$973.80 |
$4,746.40
|
|
Bronchial challenge
|
$335.40 |
$335.40 |
$335.40 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$2,766.40
|
|
Bronchoscopy dilate/fx repr
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$5,137.60
|
|
Bronchoscopy/lung bx each 31628
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$975.60 |
$975.60 |
$975.60 |
$4,038.80
|
|
Bronchoscopy treat blockage
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$2,447.43
|
|
Br punct aspir ea add, l
|
$231.60 |
$231.60 |
$231.60 |
$357.51
|
|
Budesonide non-comp con
|
$29.60 |
$29.60 |
$29.60 |
$604.80
|
|
Budesonide non-comp unit
|
$463.20 |
$463.20 |
$463.20 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$10.00 |
$10.00 |
$10.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$174.60 |
$174.60 |
$174.60 |
$159.00
|
|
Bundled special stain group 2
|
$139.20 |
$139.20 |
$139.20 |
$173.40
|
|
Bundle his recording
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.60 |
$0.60 |
$0.60 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$18.00 |
$18.00 |
$18.00 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$32.80 |
$32.80 |
$32.80 |
$14.42
|
|
Buprenorphine hydrochloride
|
$16.40 |
$16.40 |
$16.40 |
$42.08
|
|
Buprenorphine X-ray over 100 mg
|
$5,427.00 |
$5,427.00 |
$5,427.00 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$3,849.60 |
$3,849.60 |
$3,849.60 |
$3,864.00
|
|
Burr hole implant ventricular cath/other device
|
$4,219.80 |
$4,219.80 |
$4,219.80 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$10,791.00 |
$10,791.00 |
$10,791.00 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,697.40 |
$1,697.40 |
$1,697.40 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,923.20 |
$2,923.20 |
$2,923.20 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$2,923.20 |
$2,923.20 |
$2,923.20 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,945.20 |
$1,945.20 |
$1,945.20 |
$1,670.79
|
|
Bx/curett of cervix w/scope 57454
|
$192.00 |
$192.00 |
$192.00 |
$515.50
|
|
Bx perianal mass
|
$120.00 |
$120.00 |
$120.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$644.40 |
$644.40 |
$644.40 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$644.40 |
$644.40 |
$644.40 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$644.40 |
$644.40 |
$644.40 |
$206.00
|
|
Bx soft tissue back/flank supf 21920
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$1,929.85
|
|
Bx thyroid/percutan core needle 60100
|
$445.20 |
$445.20 |
$445.20 |
$963.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$33.00 |
$33.00 |
$33.00 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$461.40 |
$461.40 |
$461.40 |
$461.40
|
|
Bypass temp external fem-fem
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$5,886.00 |
$5,886.00 |
$5,886.00 |
$8,114.40
|
|
C-1 esterase, cinryze
|
$141.60 |
$141.60 |
$141.60 |
$7,189.05
|
|
C1 esterase inhibitor func - sendout
|
$143.40 |
$143.40 |
$143.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$334.20 |
$334.20 |
$334.20 |
$27,013.07
|
|
Cable cath 22-pin diag
|
$3,072.00 |
$3,072.00 |
$3,072.00 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$874.80 |
$874.80 |
$874.80 |
$260.58
|
|
Caffeine citrate 20 mg/ml inj for po
|
$29.40 |
$29.40 |
$29.40 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$8,582.40 |
$8,582.40 |
$8,582.40 |
$2,210.98
|
|
Calcium 24 hour urine
|
$36.60 |
$36.60 |
$36.60 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.80 |
$0.80 |
$0.80 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.80 |
$0.80 |
$0.80 |
$91.60
|
|
Calcium ionized
|
$149.40 |
$149.40 |
$149.40 |
$90.00
|
|
Calcium total
|
$85.20 |
$85.20 |
$85.20 |
$50.00
|
|
Calprotectin fecal
|
$234.00 |
$234.00 |
$234.00 |
$170.00
|
|
Campylobacter antibody
|
$169.20 |
$169.20 |
$169.20 |
$77.83
|
|
Candida dna
|
$255.60 |
$255.60 |
$255.60 |
$61.10
|
|
Candida skin test
|
$39.00 |
$39.00 |
$39.00 |
$62.05
|
|
Cannula ercp contour 5-4-3 tip
|
$2,069.40 |
$2,069.40 |
$2,069.40 |
$44,000.00
|
|
Capecitabine, oral, 50 mg
|
$7.80 |
$7.80 |
$7.80 |
$59.42
|
|
Cap nerve 2x15mm
|
$6,388.80 |
$6,388.80 |
$6,388.80 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$3,238.70
|
|
Carbamazepine free
|
$79.20 |
$79.20 |
$79.20 |
$60.00
|
|
Carbamazepine free -sendout
|
$208.80 |
$208.80 |
$208.80 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$208.80 |
$208.80 |
$208.80 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$71.40 |
$71.40 |
$71.40 |
$116.40
|
|
Carbohydrate urine - sendout
|
$30.60 |
$30.60 |
$30.60 |
$66.64
|
|
Carbon dioxide
|
$40.80 |
$40.80 |
$40.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$679.20 |
$679.20 |
$679.20 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$34.80 |
$34.80 |
$34.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$201.60 |
$201.60 |
$201.60 |
$145.20
|
|
Cardiac MRI w/stress img
|
$3,597.60 |
$3,597.60 |
$3,597.60 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,538.00 |
$2,538.00 |
$2,538.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$259.20 |
$259.20 |
$259.20 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$216.00 |
$216.00 |
$216.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$136.80 |
$136.80 |
$136.80 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$849.60 |
$849.60 |
$849.60 |
$633.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$103.20 |
$103.20 |
$103.20 |
$97.01
|
|
Carfilzomib 10 mg intravenous solution
|
$119.20 |
$119.20 |
$119.20 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,854.00
|
|
Carotene
|
$110.40 |
$110.40 |
$110.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,024.32
|
|
Casiri and imdev repeat
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$540.00
|
|
Caspofungin acetate
|
$538.20 |
$538.20 |
$538.20 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$349.80 |
$349.80 |
$349.80 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$19,131.60 |
$19,131.60 |
$19,131.60 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$8,743.20 |
$8,743.20 |
$8,743.20 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$21,389.40 |
$21,389.40 |
$21,389.40 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$4,984.80 |
$4,984.80 |
$4,984.80 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$10,602.00 |
$10,602.00 |
$10,602.00 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$6,329.40 |
$6,329.40 |
$6,329.40 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$9,891.60 |
$9,891.60 |
$9,891.60 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$40.80 |
$40.80 |
$40.80 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$2,393.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$22.80 |
$22.80 |
$22.80 |
$18.40
|
