|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.20 |
$1.20 |
$1.20 |
$32.47
|
|
Buprenorphine hydrochloride
|
$9.00 |
$9.00 |
$9.00 |
$42.08
|
|
Buprenorphine oral 1mg
|
$2.40 |
$2.40 |
$2.40 |
$10.70
|
|
Buprenorphine X-ray over 100 mg
|
$806.40 |
$806.40 |
$806.40 |
$3,702.22
|
|
Butorphanol tartrate 1 mg
|
$4.80 |
$4.80 |
$4.80 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,458.80 |
$2,458.80 |
$2,458.80 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$1,670.79
|
|
Bx breast pq tomo guide
|
$7,249.80 |
$7,249.80 |
$7,249.80 |
$4,509.59
|
|
Bx pancreas pq ndl
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,610.05
|
|
Bx perianal mass
|
$2,348.40 |
$2,348.40 |
$2,348.40 |
$1,557.40
|
|
Bx pleura pq ndl
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$478.80 |
$478.80 |
$478.80 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$366.60 |
$366.60 |
$366.60 |
$230.75
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$4,161.60 |
$4,161.60 |
$4,161.60 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$924.60 |
$924.60 |
$924.60 |
$963.80
|
|
C-1 esterase, berinert
|
$2,302.20 |
$2,302.20 |
$2,302.20 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$66.60 |
$66.60 |
$66.60 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$27,013.07
|
|
Cad breast MRI w/r&i
|
$150.60 |
$150.60 |
$150.60 |
$100.80
|
|
Cadd pump refill
|
$501.60 |
$501.60 |
$501.60 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$7.20 |
$7.20 |
$7.20 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$939.60 |
$939.60 |
$939.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$30.60 |
$30.60 |
$30.60 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$64.49
|
|
Calcium ionized
|
$69.60 |
$69.60 |
$69.60 |
$90.00
|
|
Calcium total
|
$25.80 |
$25.80 |
$25.80 |
$50.00
|
|
Calprotectin fecal
|
$99.00 |
$99.00 |
$99.00 |
$170.00
|
|
Canakinumab injection
|
$10,902.60 |
$10,902.60 |
$10,902.60 |
$35,959.82
|
|
Candida dna
|
$112.20 |
$112.20 |
$112.20 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$289.80 |
$289.80 |
$289.80 |
$44,000.00
|
|
Canthotomy 67715
|
$3,228.00 |
$3,228.00 |
$3,228.00 |
$3,099.00
|
|
Carbamazepine free -sendout
|
$67.20 |
$67.20 |
$67.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$103.80 |
$103.80 |
$103.80 |
$122.85
|
|
Carbohydrate urine - sendout
|
$21.00 |
$21.00 |
$21.00 |
$66.64
|
|
Carbon dioxide
|
$24.60 |
$24.60 |
$24.60 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$0.60 |
$0.60 |
$0.60 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$63.00 |
$63.00 |
$63.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$96.60 |
$96.60 |
$96.60 |
$145.20
|
|
Cardiac MRI w/stress img
|
$3,422.40 |
$3,422.40 |
$3,422.40 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,917.00
|
|
Cardiac shunt imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$142.20 |
$142.20 |
$142.20 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$865.20 |
$865.20 |
$865.20 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$321.60 |
$321.60 |
$321.60 |
$633.90
|
|
Carfilzomib 10 mg intravenous solution
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,582.20 |
$1,582.20 |
$1,582.20 |
$1,854.00
|
|
Carotene
|
$46.80 |
$46.80 |
$46.80 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$788.40 |
$788.40 |
$788.40 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$87.00 |
$87.00 |
$87.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$166.20 |
$166.20 |
$166.20 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$97.20 |
$97.20 |
$97.20 |
$830.58
|
|
Cath acuity innr ic130 6f 63cm
|
$982.80 |
$982.80 |
$982.80 |
$9,931.73
|
|
Cath combo lt&rt heart w/inj/s
|
$8,719.20 |
$8,719.20 |
$8,719.20 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$453.60 |
$453.60 |
$453.60 |
$4,488.99
|
|
Catheter declot mechanical
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,929.15
|
|
Catheter insert artery
|
$391.20 |
$391.20 |
$391.20 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$8.40 |
$8.40 |
$8.40 |
$40.95
|
|
Catheter stripping venous
|
$6,231.60 |
$6,231.60 |
$6,231.60 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$425.40 |
$425.40 |
$425.40 |
$246.00
|
|
Cath left heart/lv gram
|
$5,240.40 |
$5,240.40 |
$5,240.40 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$9,800.40 |
$9,800.40 |
$9,800.40 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$372.00 |
$372.00 |
$372.00 |
$2,549.50
|
|
Cath place 1st order venous 36011
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$7,636.80 |
$7,636.80 |
$7,636.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$5,873.40 |
$5,873.40 |
$5,873.40 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$6,685.80 |
$6,685.80 |
$6,685.80 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$4,762.80 |
$4,762.80 |
$4,762.80 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$1,847.40 |
$1,847.40 |
$1,847.40 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$548.40 |
$548.40 |
$548.40 |
$462.80
|
|
Cath segmntl pulm art
|
$4,567.80 |
$4,567.80 |
$4,567.80 |
$1,294.19
|
|
Cath stripping venous s&i
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$354.00 |
$354.00 |
$354.00 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$34.80 |
$34.80 |
$34.80 |
$36.21
|
|
Cdna analysis for variants
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$8.40 |
$8.40 |
$8.40 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$8.40 |
$8.40 |
$8.40 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$147.00 |
$147.00 |
$147.00 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$3.00 |
$3.00 |
$3.00 |
$58.89
|
|
Ceftazidime and avibactam
|
$237.00 |
$237.00 |
$237.00 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$37.20 |
$37.20 |
$37.20 |
$83.39
|
|
Cell count body fluid
|
$33.00 |
$33.00 |
$33.00 |
$63.52
|
|
Cell count w differential body fluid
|
$40.80 |
$40.80 |
$40.80 |
$92.56
|
|
Cell function assay w/stim
|
$490.20 |
$490.20 |
$490.20 |
$325.76
|
|
Cell marker study
|
$116.40 |
$116.40 |
$116.40 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$882.60 |
$882.60 |
$882.60 |
$21,625.43
|
|
Cerebrospinal fld flw imag
|
$1,475.40 |
$1,475.40 |
$1,475.40 |
$952.82
|
|
Cer post col occ/man sup adj
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$806.24
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$3,431.40 |
$3,431.40 |
$3,431.40 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$3,011.40
|
|
#cf-97variants
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$639.44
|
