|
Breast punct aspir cyst, bil
|
$910.20 |
$910.20 |
$910.20 |
$871.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$369.60 |
$369.60 |
$369.60 |
$22,383.57
|
|
Bronchial challenge
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$2,629.80 |
$2,629.80 |
$2,629.80 |
$2,766.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$571.00
|
|
Budesonide non-comp con
|
$338.40 |
$338.40 |
$338.40 |
$604.80
|
|
Budesonide non-comp unit
|
$588.00 |
$588.00 |
$588.00 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$91.20 |
$91.20 |
$91.20 |
$159.00
|
|
Bundled special stain group 2
|
$241.20 |
$241.20 |
$241.20 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$2.60 |
$2.60 |
$2.60 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$13.80 |
$13.80 |
$13.80 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$49.40 |
$49.40 |
$49.40 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$6,615.60 |
$6,615.60 |
$6,615.60 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$6,615.60 |
$6,615.60 |
$6,615.60 |
$3,864.00
|
|
Butorphanol tartrate 1 mg
|
$94.80 |
$94.80 |
$94.80 |
$41.79
|
|
Bx breast 1st lesion strtctc
|
$4,273.80 |
$4,273.80 |
$4,273.80 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$4,273.80 |
$4,273.80 |
$4,273.80 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,660.40 |
$2,660.40 |
$2,660.40 |
$1,670.79
|
|
Bx perianal mass
|
$666.60 |
$666.60 |
$666.60 |
$1,557.40
|
|
Bx skin punch ea sep/ addl les
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$230.75
|
|
Bx thyroid/percutan core needle 60100
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$963.80
|
|
Bypass temp external fem-fem
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$6,103.20 |
$6,103.20 |
$6,103.20 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$204.00 |
$204.00 |
$204.00 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$364.20 |
$364.20 |
$364.20 |
$27,013.07
|
|
Caffeine citrate 20 mg/ml inj for po
|
$15.60 |
$15.60 |
$15.60 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,437.60 |
$9,437.60 |
$9,437.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$66.00 |
$66.00 |
$66.00 |
$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
|
$80.40 |
$80.40 |
$80.40 |
$90.00
|
|
Calcium total
|
$32.40 |
$32.40 |
$32.40 |
$50.00
|
|
Calprotectin fecal
|
$189.00 |
$189.00 |
$189.00 |
$170.00
|
|
Campylobacter antibody
|
$136.20 |
$136.20 |
$136.20 |
$77.83
|
|
Candida dna
|
$194.40 |
$194.40 |
$194.40 |
$61.10
|
|
Cap trach decann 15mm
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$3,238.70
|
|
Carbamazepine free
|
$114.60 |
$114.60 |
$114.60 |
$60.00
|
|
Carbamazepine free -sendout
|
$85.20 |
$85.20 |
$85.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$85.20 |
$85.20 |
$85.20 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$61.80 |
$61.80 |
$61.80 |
$116.40
|
|
Carbohydrate urine - sendout
|
$89.40 |
$89.40 |
$89.40 |
$66.64
|
|
Carbon dioxide
|
$32.40 |
$32.40 |
$32.40 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$56.40 |
$56.40 |
$56.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$129.60 |
$129.60 |
$129.60 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$1,711.20 |
$1,711.20 |
$1,711.20 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$150.60 |
$150.60 |
$150.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$70.80 |
$70.80 |
$70.80 |
$204.54
|
|
Cardiolipin antibody iga
|
$159.60 |
$159.60 |
$159.60 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,431.36
|
|
Carfilzomib 10 mg intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,854.00
|
|
Carotene
|
$45.00 |
$45.00 |
$45.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$935.40 |
$935.40 |
$935.40 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$3,255.60 |
$3,255.60 |
$3,255.60 |
$3,867.50
|
|
Caspofungin acetate
|
$2,903.40 |
$2,903.40 |
$2,903.40 |
$633.91
|
|
Catecholamines,fractionated, urine
|
$173.40 |
$173.40 |
$173.40 |
$133.70
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$752.40 |
$752.40 |
$752.40 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$2,545.80 |
$2,545.80 |
$2,545.80 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$5,349.00 |
$5,349.00 |
$5,349.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$126.60 |
$126.60 |
$126.60 |
$6,882.20
|
|
Cath council tip 16fr 5cc
|
$75.00 |
$75.00 |
$75.00 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$952.20 |
$952.20 |
$952.20 |
$4,488.99
|
|
Catheterization collection of specimen single patient all places of service
|
$18.00 |
$18.00 |
$18.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
$1,690.71
|
|
Cath impl vasc access portal
|
$367.80 |
$367.80 |
$367.80 |
$156.85
|
|
Cath indw foley 3 way
|
$181.20 |
$181.20 |
$181.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$46.80 |
$46.80 |
$46.80 |
$13.23
|
|
Cath malecot 28fr 4-wing ltx
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$187.20 |
$187.20 |
$187.20 |
$64.06
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$427.20 |
$427.20 |
$427.20 |
$462.80
|
|
Cath steerable flex adv 12f
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$691.80 |
$691.80 |
$691.80 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$73.80 |
$73.80 |
$73.80 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$362.40 |
$362.40 |
$362.40 |
$38.22
|
|
Cauterization chemical granulation tissue
|
$391.80 |
$391.80 |
$391.80 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
|
Cdna analysis for variants
|
$2,882.40 |
$2,882.40 |
$2,882.40 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$24.00 |
$24.00 |
$24.00 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$41.00 |
$41.00 |
$41.00 |
$45.47
|
|
Cefotaxime sodium injection
|
$81.00 |
$81.00 |
$81.00 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$115.20 |
$115.20 |
$115.20 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$197.40 |
$197.40 |
$197.40 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$32.40 |
$32.40 |
$32.40 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$123.20 |
$123.20 |
$123.20 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$53.60 |
$53.60 |
$53.60 |
$30.66
|
|
#celiac hla-dq8
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$246.88
|
|
Cell count body fluid
|
$37.20 |
$37.20 |
$37.20 |
$63.52
|
|
Cell count w differential body fluid
|
$81.00 |
$81.00 |
$81.00 |
$92.56
|
|
Cell cryopreserve/storage
|
$165.60 |
$165.60 |
$165.60 |
$62.72
|
|
Cell function assay w/stim
|
$721.80 |
$721.80 |
$721.80 |
$325.76
|
|
Cell marker study
|
$144.60 |
$144.60 |
$144.60 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$497.40 |
$497.40 |
$497.40 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$35.00 |
$35.00 |
$35.00 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$406.80 |
$406.80 |
$406.80 |
$3,011.40
|
|
#cf-97variants
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$639.44
|
