|
Brach/thor cath 1st
|
$5,645.40 |
$5,645.40 |
$5,645.40 |
$1,701.00
|
|
Brach/thor cath 3rd
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$2,050.00
|
|
Brachy src nonstrand hdr ir-192
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$478.50
|
|
Brachytx isodose plan simple
|
$688.80 |
$688.80 |
$688.80 |
$1,032.38
|
|
Braf gene
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$450.90
|
|
Brain image w/flow < 4 views
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$919.45
|
|
Brain image w/flow 4 + views
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,542.20 |
$2,542.20 |
$2,542.20 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$74.40 |
$74.40 |
$74.40 |
$127.73
|
|
Brca1&2 gen ful dup/del alys
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,409.00
|
|
Breastbone (Sternum) X-ray
|
$436.20 |
$436.20 |
$436.20 |
$274.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$20,014.20 |
$20,014.20 |
$20,014.20 |
$22,383.57
|
|
Bronchoscopy clear airways 31645
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$2,766.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$105.00 |
$105.00 |
$105.00 |
$571.00
|
|
Budesonide non-comp con
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$604.80
|
|
Budesonide non-comp unit
|
$729.60 |
$729.60 |
$729.60 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.60 |
$13.60 |
$13.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$61.20 |
$61.20 |
$61.20 |
$159.00
|
|
Bundled special stain group 2
|
$48.00 |
$48.00 |
$48.00 |
$173.40
|
|
Bundle his recording
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.20 |
$1.20 |
$1.20 |
$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
|
$36.40 |
$36.40 |
$36.40 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$7,886.40 |
$7,886.40 |
$7,886.40 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$7,886.40 |
$7,886.40 |
$7,886.40 |
$3,864.00
|
|
Bur rotalink 2.15mm
|
$8,553.60 |
$8,553.60 |
$8,553.60 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$1,753.20 |
$1,753.20 |
$1,753.20 |
$2,388.00
|
|
Bx pancreas pq ndl
|
$3,529.80 |
$3,529.80 |
$3,529.80 |
$1,610.05
|
|
Bx perianal mass
|
$106.20 |
$106.20 |
$106.20 |
$1,557.40
|
|
Bx pleura pq ndl
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$706.20 |
$706.20 |
$706.20 |
$230.75
|
|
Bypass temp external fem-fem
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$6,036.00 |
$6,036.00 |
$6,036.00 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$191.40 |
$191.40 |
$191.40 |
$96.72
|
|
Cabergoline, oral 0.25mg
|
$289.80 |
$289.80 |
$289.80 |
$66.09
|
|
Cable cath 22-pin diag
|
$2,461.80 |
$2,461.80 |
$2,461.80 |
$4,946.50
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,437.60 |
$9,437.60 |
$9,437.60 |
$2,210.98
|
|
Calcium 24 hour urine
|
$90.60 |
$90.60 |
$90.60 |
$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
|
$203.40 |
$203.40 |
$203.40 |
$90.00
|
|
Calcium total
|
$76.20 |
$76.20 |
$76.20 |
$50.00
|
|
Calprotectin fecal
|
$394.80 |
$394.80 |
$394.80 |
$170.00
|
|
Campylobacter antibody
|
$204.00 |
$204.00 |
$204.00 |
$77.83
|
|
Candida dna
|
$203.40 |
$203.40 |
$203.40 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$7,828.80 |
$7,828.80 |
$7,828.80 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$3,131.40 |
$3,131.40 |
$3,131.40 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$3,238.70
|
|
Carbamazepine total therapeutic drug level
|
$216.00 |
$216.00 |
$216.00 |
$122.85
|
|
Carbohydrate urine - sendout
|
$70.80 |
$70.80 |
$70.80 |
$66.64
|
|
Carbon dioxide
|
$70.80 |
$70.80 |
$70.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$71.40 |
$71.40 |
$71.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$283.20 |
$283.20 |
$283.20 |
$145.20
|
|
Cardiac perf planar sgl/ef/wm
|
$2,296.80 |
$2,296.80 |
$2,296.80 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,460.60 |
$2,460.60 |
$2,460.60 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$255.00 |
$255.00 |
$255.00 |
$249.60
|
|
Cardiolipin antibody iga
|
$388.20 |
$388.20 |
$388.20 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,788.60 |
$1,788.60 |
$1,788.60 |
$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
|
|
Carotene
|
$138.00 |
$138.00 |
$138.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$831.00 |
$831.00 |
$831.00 |
$1,024.32
|
|
Caspofungin acetate
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$966.00 |
$966.00 |
$966.00 |
$830.58
|
|
Cath ablt rx lasr 2.0mm turbo
|
$57.00 |
$57.00 |
$57.00 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$2,401.80 |
$2,401.80 |
$2,401.80 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$20,988.00 |
$20,988.00 |
$20,988.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$1,429.80 |
$1,429.80 |
$1,429.80 |
$6,882.20
|
|
Cath council tip 16fr 5cc
|
$138.60 |
$138.60 |
$138.60 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$3,640.20 |
$3,640.20 |
$3,640.20 |
$2,393.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$10.20 |
$10.20 |
$10.20 |
$18.40
|
|
Cath epdrl brevi-stf 12in .043
|
$2,679.00 |
$2,679.00 |
$2,679.00 |
$1,928.17
|
|
Catheter declot mechanical
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$42.60 |
$42.60 |
$42.60 |
$40.95
|
|
Catheter stripping venous
|
$5,776.20 |
$5,776.20 |
$5,776.20 |
$3,193.94
|
|
Catheter without bag 2-way latex
|
$46.20 |
$46.20 |
$46.20 |
$82.80
|
|
Cath groshong MRI 8fr plstc port
|
$3,170.40 |
$3,170.40 |
$3,170.40 |
$1,690.71
|
|
Cath hawkone s directional
|
$6,286.80 |
$6,286.80 |
$6,286.80 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$6,164.40 |
$6,164.40 |
$6,164.40 |
$4,680.00
|
|
Cath indw foley 3 way
|
$81.60 |
$81.60 |
$81.60 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$155.40 |
$155.40 |
$155.40 |
$13.23
|
|
Cath insertion tray w/bag
|
$18.60 |
$18.60 |
$18.60 |
$33.56
|
|
Cath malecot 28fr 4-wing ltx
|
$1,728.60 |
$1,728.60 |
$1,728.60 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$108.60 |
$108.60 |
$108.60 |
$64.06
|
|
Cath plc art ang/grft lt/rt hr
|
$9,090.00 |
$9,090.00 |
$9,090.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$8,307.60 |
$8,307.60 |
$8,307.60 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$7,956.60 |
$7,956.60 |
$7,956.60 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$5,670.60 |
$5,670.60 |
$5,670.60 |
$6,406.86
|
|
Cath stripping venous s&i
|
$424.20 |
$424.20 |
$424.20 |
$682.34
|
|
Cath uret open tp 6fx70cm
|
$733.20 |
$733.20 |
$733.20 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$202.80 |
$202.80 |
$202.80 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$60.00 |
$60.00 |
$60.00 |
$38.22
|
