|
Brain MRA (blood vessel MRI, without contrast)
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,804.00 |
$3,804.00 |
$3,804.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,910.60 |
$2,910.60 |
$2,910.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,398.20 |
$2,398.20 |
$2,398.20 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$148.80 |
$148.80 |
$148.80 |
$127.73
|
|
Brca1&2 gen ful dup/del alys
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$331.80 |
$331.80 |
$331.80 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$871.80
|
|
Breath tst attain/anal c-14
|
$592.80 |
$592.80 |
$592.80 |
$108.50
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$31,641.60 |
$31,641.60 |
$31,641.60 |
$22,383.57
|
|
Bronchial challenge
|
$761.40 |
$761.40 |
$761.40 |
$820.05
|
|
Br punct aspir ea add, l
|
$971.40 |
$971.40 |
$971.40 |
$357.51
|
|
Budesonide non-comp unit
|
$463.20 |
$463.20 |
$463.20 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$8.20 |
$8.20 |
$8.20 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$161.40 |
$161.40 |
$161.40 |
$159.00
|
|
Bundled special stain group 2
|
$237.60 |
$237.60 |
$237.60 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.40 |
$0.40 |
$0.40 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$27.00 |
$27.00 |
$27.00 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$64.40 |
$64.40 |
$64.40 |
$14.42
|
|
Buprenorphine hydrochloride
|
$14.20 |
$14.20 |
$14.20 |
$42.08
|
|
Buprenorphine X-ray over 100 mg
|
$7,236.00 |
$7,236.00 |
$7,236.00 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$5,427.00 |
$5,427.00 |
$5,427.00 |
$3,864.00
|
|
Bx bone trocar/ndl deep
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$2,079.60 |
$2,079.60 |
$2,079.60 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$971.40 |
$971.40 |
$971.40 |
$1,610.05
|
|
Bx pleura pq ndl
|
$971.40 |
$971.40 |
$971.40 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$148.80 |
$148.80 |
$148.80 |
$230.75
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,168.40
|
|
Bx thyroid/percutan core needle 60100
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$963.80
|
|
Bypass temp external fem-fem
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$1,938.60
|
|
C-1 esterase, berinert
|
$156.00 |
$156.00 |
$156.00 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$148.20 |
$148.20 |
$148.20 |
$96.72
|
|
Caffeine citrate 20 mg/ml inj for po
|
$111.00 |
$111.00 |
$111.00 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$20,030.40 |
$20,030.40 |
$20,030.40 |
$2,210.98
|
|
Calcium 24 hour urine
|
$82.80 |
$82.80 |
$82.80 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$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
|
$107.40 |
$107.40 |
$107.40 |
$90.00
|
|
Calcium total
|
$39.60 |
$39.60 |
$39.60 |
$50.00
|
|
Calprotectin fecal
|
$290.40 |
$290.40 |
$290.40 |
$170.00
|
|
Candida dna
|
$255.60 |
$255.60 |
$255.60 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$585.00 |
$585.00 |
$585.00 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$792.00 |
$792.00 |
$792.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$931.80 |
$931.80 |
$931.80 |
$3,238.70
|
|
Carbamazepine free
|
$235.20 |
$235.20 |
$235.20 |
$60.00
|
|
Carbamazepine free -sendout
|
$197.40 |
$197.40 |
$197.40 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$197.40 |
$197.40 |
$197.40 |
$122.85
|
|
Carbohydrate urine - sendout
|
$30.60 |
$30.60 |
$30.60 |
$66.64
|
|
Carbon dioxide
|
$39.60 |
$39.60 |
$39.60 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$500.40 |
$500.40 |
$500.40 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$226.80 |
$226.80 |
$226.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$411.00 |
$411.00 |
$411.00 |
$145.20
|
|
Cardiac MRI w/stress img
|
$2,657.40 |
$2,657.40 |
$2,657.40 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$3,198.60 |
$3,198.60 |
$3,198.60 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,772.20 |
$3,772.20 |
$3,772.20 |
$2,917.00
|
|
Cardiac shunt imaging
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$89.40 |
$89.40 |
$89.40 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$103.20 |
$103.20 |
$103.20 |
$97.01
|
|
Carfilzomib 10 mg intravenous solution
|
$10,440.00 |
$10,440.00 |
$10,440.00 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$21,846.60 |
$21,846.60 |
$21,846.60 |
$1,854.00
|
|
Carotene
|
$209.40 |
$209.40 |
$209.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$1,024.32
|
|
Casiri and imdev repeat
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$540.00
|
|
Caspofungin acetate
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$633.91
|
|
Cath ablt clsfast 7fx100cmx
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$35.40 |
$35.40 |
$35.40 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$130.20 |
$130.20 |
$130.20 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$228.00 |
$228.00 |
$228.00 |
$19,800.55
|
|
Cath bi-dir df smarttouch
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$8,461.48
|
|
Cath council tip 16fr 5cc
|
$45.60 |
$45.60 |
$45.60 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$532.80 |
$532.80 |
$532.80 |
$4,488.99
|
|
Cath epdrl brevi-stf 12in .043
|
$2,166.60 |
$2,166.60 |
$2,166.60 |
$1,928.17
|
|
Catheterization collection of specimen single patient all places of service
|
$42.60 |
$42.60 |
$42.60 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,690.71
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,237.80 |
$1,237.80 |
$1,237.80 |
$4,680.00
|
|
Cath indw foley 3 way
|
$60.60 |
$60.60 |
$60.60 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$114.00 |
$114.00 |
$114.00 |
$13.23
|
|
Cath malecot 28fr 4-wing ltx
|
$672.00 |
$672.00 |
$672.00 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$85.20 |
$85.20 |
$85.20 |
$64.06
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$380.40 |
$380.40 |
$380.40 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$288.60 |
$288.60 |
$288.60 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$128.40 |
$128.40 |
$128.40 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$64.20 |
$64.20 |
$64.20 |
$38.22
|
|
Cauterization chemical granulation tissue
|
$408.60 |
$408.60 |
$408.60 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
|
Cdna analysis for variants
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$542.87
|
|
Cebpa gene full sequence
|
$1,905.60 |
$1,905.60 |
$1,905.60 |
$493.21
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$42.00 |
$42.00 |
$42.00 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$186.60 |
$186.60 |
$186.60 |
$45.47
|
|
Cefotaxime sodium injection
|
$10.20 |
$10.20 |
$10.20 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$105.00 |
$105.00 |
$105.00 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$814.20 |
$814.20 |
$814.20 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$41.40 |
$41.40 |
$41.40 |
$58.89
|
|
Ceftazidime and avibactam
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$904.66
|
