|
Brain MRA (blood vessel MRI, without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,948.00
|
|
Brca1&2 gen ful dup/del alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
|
Breastbone (Sternum) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$274.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$373.20 |
$373.20 |
$373.20 |
$22,383.57
|
|
Bronchial challenge
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$820.05
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,943.00 |
$2,943.00 |
$2,943.00 |
$2,168.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,596.20 |
$2,596.20 |
$2,596.20 |
$571.00
|
|
Budesonide non-comp con
|
$752.00 |
$752.00 |
$752.00 |
$604.80
|
|
Budesonide non-comp unit
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$19.00 |
$19.00 |
$19.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$125.40 |
$125.40 |
$125.40 |
$159.00
|
|
Bundled special stain group 2
|
$85.20 |
$85.20 |
$85.20 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$2.20 |
$2.20 |
$2.20 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$18.40 |
$18.40 |
$18.40 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$36.00 |
$36.00 |
$36.00 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$10,550.40 |
$10,550.40 |
$10,550.40 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$10,550.40 |
$10,550.40 |
$10,550.40 |
$3,864.00
|
|
Bur rotalink 2.15mm
|
$3,279.60 |
$3,279.60 |
$3,279.60 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$3,002.40 |
$3,002.40 |
$3,002.40 |
$2,388.00
|
|
Bx skin punch ea sep/ addl les
|
$706.20 |
$706.20 |
$706.20 |
$230.75
|
|
Bx soft tissue back/flank supf 21920
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$1,929.85
|
|
Bx thyroid/percutan core needle 60100
|
$909.00 |
$909.00 |
$909.00 |
$963.80
|
|
Bypass temp external fem-fem
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$128.80 |
$128.80 |
$128.80 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$202.80 |
$202.80 |
$202.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$580.80 |
$580.80 |
$580.80 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$130.80 |
$130.80 |
$130.80 |
$66.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,437.60 |
$9,437.60 |
$9,437.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.80 |
$0.80 |
$0.80 |
$64.49
|
|
Calcium ionized
|
$103.20 |
$103.20 |
$103.20 |
$90.00
|
|
Calcium total
|
$154.80 |
$154.80 |
$154.80 |
$50.00
|
|
Calprotectin fecal
|
$189.00 |
$189.00 |
$189.00 |
$170.00
|
|
Campylobacter antibody
|
$136.20 |
$136.20 |
$136.20 |
$77.83
|
|
Candida dna
|
$186.60 |
$186.60 |
$186.60 |
$61.10
|
|
Capsaicin 8% patch
|
$16.20 |
$16.20 |
$16.20 |
$5,668.65
|
|
Cap trach decann 15mm
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$3,238.70
|
|
Carbamazepine free
|
$94.80 |
$94.80 |
$94.80 |
$60.00
|
|
Carbamazepine free -sendout
|
$119.40 |
$119.40 |
$119.40 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$119.40 |
$119.40 |
$119.40 |
$122.85
|
|
Carbon dioxide
|
$93.00 |
$93.00 |
$93.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$1,796.80 |
$1,796.80 |
$1,796.80 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$119.40 |
$119.40 |
$119.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$205.80 |
$205.80 |
$205.80 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$2,902.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,238.80 |
$3,238.80 |
$3,238.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$393.60 |
$393.60 |
$393.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$66.00 |
$66.00 |
$66.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$235.20 |
$235.20 |
$235.20 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,263.80 |
$2,263.80 |
$2,263.80 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$105.00 |
$105.00 |
$105.00 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$52.20 |
$52.20 |
$52.20 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$121.60 |
$121.60 |
$121.60 |
$6,306.47
|
|
Carotene
|
$198.60 |
$198.60 |
$198.60 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$880.20 |
$880.20 |
$880.20 |
$1,024.32
|
|
Ca screen;flexi sigmoidscope
|
$598.20 |
$598.20 |
$598.20 |
$1,278.72
|
|
Caspofungin acetate
|
$3,906.60 |
$3,906.60 |
$3,906.60 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$950.40 |
$950.40 |
$950.40 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$8,284.20 |
$8,284.20 |
$8,284.20 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$2,679.00 |
$2,679.00 |
$2,679.00 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$14,453.40 |
$14,453.40 |
$14,453.40 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$9,011.40 |
$9,011.40 |
$9,011.40 |
$6,882.20
|
|
Cath combo lt&rt heart w/inj/s
|
$13,462.80 |
$13,462.80 |
$13,462.80 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$63.60 |
$63.60 |
$63.60 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$962.40 |
$962.40 |
$962.40 |
$4,488.99
|
|
Catheterization collection of specimen single patient all places of service
|
$21.60 |
$21.60 |
$21.60 |
$40.95
|
|
Catheter stripping venous
|
$5,831.40 |
$5,831.40 |
$5,831.40 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$1,690.71
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,257.80 |
$2,257.80 |
$2,257.80 |
$4,680.00
|
|
Cath indw foley 3 way
|
$74.40 |
$74.40 |
$74.40 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$50.40 |
$50.40 |
$50.40 |
$13.23
|
|
Cathj umbilical vein dx/ther nb
|
$675.60 |
$675.60 |
$675.60 |
$246.00
|
|
Cath left heart/lv gram
|
$6,876.00 |
$6,876.00 |
$6,876.00 |
$8,035.50
|
|
Cath malecot 28fr 4-wing ltx
|
$931.80 |
$931.80 |
$931.80 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$102.60 |
$102.60 |
$102.60 |
$64.06
|
|
Cath place 1st order venous 36011
|
$6,510.00 |
$6,510.00 |
$6,510.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$15,454.20 |
$15,454.20 |
$15,454.20 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$8,716.80 |
$8,716.80 |
$8,716.80 |
$10,086.05
|
|
Cath right heart w/o2 sat & card
|
$4,024.20 |
$4,024.20 |
$4,024.20 |
$6,406.86
|
|
Cath stripping venous s&i
|
$416.40 |
$416.40 |
$416.40 |
$682.34
|
|
Cath uret open tp 6fx70cm
|
$760.80 |
$760.80 |
$760.80 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$44.40 |
$44.40 |
$44.40 |
$71.20
|
|
Cauterization chemical granulation tissue
|
$370.80 |
$370.80 |
$370.80 |
$340.90
|
|
Cbc/diffwbc without platelet
|
$75.00 |
$75.00 |
$75.00 |
$60.32
|
|
#cbg+cort-cbg
|
$201.00 |
$201.00 |
$201.00 |
$66.55
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
|
Cdna analysis for variants
|
$1,892.40 |
$1,892.40 |
$1,892.40 |
$542.87
|
|
Cebpa gene full sequence
|
$2,182.20 |
$2,182.20 |
$2,182.20 |
$493.21
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$24.00 |
$24.00 |
$24.00 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$96.00 |
$96.00 |
$96.00 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$144.80 |
$144.80 |
$144.80 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$189.00 |
$189.00 |
$189.00 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$70.80 |
$70.80 |
$70.80 |
$58.89
|
|
Ceftazidime and avibactam
|
$296.00 |
$296.00 |
$296.00 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$165.60 |
$165.60 |
$165.60 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$54.00 |
$54.00 |
$54.00 |
$30.66
|
