|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$258.00 |
$258.00 |
$258.00 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$858.60 |
$858.60 |
$858.60 |
$871.80
|
|
Bronch ebus samplng 1/2 node
|
$2,221.20 |
$2,221.20 |
$2,221.20 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$4,746.40
|
|
Bronchial challenge
|
$5,345.40 |
$5,345.40 |
$5,345.40 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$2,629.80 |
$2,629.80 |
$2,629.80 |
$2,766.40
|
|
Bronchoscopy/lung bx each 31628
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$3,445.20 |
$3,445.20 |
$3,445.20 |
$2,168.40
|
|
Budesonide non-comp con
|
$338.40 |
$338.40 |
$338.40 |
$604.80
|
|
Budesonide non-comp unit
|
$338.40 |
$338.40 |
$338.40 |
$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
|
$58.80 |
$58.80 |
$58.80 |
$159.00
|
|
Bundled special stain group 2
|
$81.00 |
$81.00 |
$81.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.60 |
$0.60 |
$0.60 |
$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
|
$37.60 |
$37.60 |
$37.60 |
$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
|
|
Bur rotalink 2.15mm
|
$9,973.80 |
$9,973.80 |
$9,973.80 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$4,273.80 |
$4,273.80 |
$4,273.80 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$3,612.00 |
$3,612.00 |
$3,612.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,660.40 |
$2,660.40 |
$2,660.40 |
$1,670.79
|
|
Bx perianal mass
|
$81.00 |
$81.00 |
$81.00 |
$1,557.40
|
|
Bx skin punch ea sep/ addl les
|
$408.60 |
$408.60 |
$408.60 |
$230.75
|
|
Bypass temp external fem-fem
|
$1,757.40 |
$1,757.40 |
$1,757.40 |
$1,938.60
|
|
C-1 esterase, berinert
|
$6,093.60 |
$6,093.60 |
$6,093.60 |
$8,114.40
|
|
C1 esterase inhibitor func - sendout
|
$44.40 |
$44.40 |
$44.40 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,039.20 |
$9,039.20 |
$9,039.20 |
$2,210.98
|
|
Calcium 24 hour urine
|
$28.80 |
$28.80 |
$28.80 |
$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
|
$42.00 |
$42.00 |
$42.00 |
$90.00
|
|
Calcium total
|
$25.80 |
$25.80 |
$25.80 |
$50.00
|
|
Calprotectin fecal
|
$52.80 |
$52.80 |
$52.80 |
$170.00
|
|
Campylobacter antibody
|
$136.20 |
$136.20 |
$136.20 |
$77.83
|
|
Candida dna
|
$132.00 |
$132.00 |
$132.00 |
$61.10
|
|
Cap trach decann 15mm
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$3,238.70
|
|
Carbamazepine free
|
$66.60 |
$66.60 |
$66.60 |
$60.00
|
|
Carbamazepine free -sendout
|
$40.20 |
$40.20 |
$40.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$40.20 |
$40.20 |
$40.20 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$61.80 |
$61.80 |
$61.80 |
$116.40
|
|
Carbon dioxide
|
$18.60 |
$18.60 |
$18.60 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$53.40 |
$53.40 |
$53.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$70.80 |
$70.80 |
$70.80 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,069.40 |
$2,069.40 |
$2,069.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$405.60 |
$405.60 |
$405.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$70.80 |
$70.80 |
$70.80 |
$204.54
|
|
Cardiolipin antibody iga
|
$129.60 |
$129.60 |
$129.60 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$843.60 |
$843.60 |
$843.60 |
$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
|
$45.00 |
$45.00 |
$45.00 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$598.20 |
$598.20 |
$598.20 |
$1,024.32
|
|
Caspofungin acetate
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$351.00 |
$351.00 |
$351.00 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$2,513.40 |
$2,513.40 |
$2,513.40 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$30.60 |
$30.60 |
$30.60 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$16,058.40 |
$16,058.40 |
$16,058.40 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
$6,882.20
|
|
Cath combo lt&rt heart w/inj/s
|
$8,231.40 |
$8,231.40 |
$8,231.40 |
$9,316.35
|
|
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
|
|
Cath del ampltz 12f 45d 80cm
|
$235.20 |
$235.20 |
$235.20 |
$2,393.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$9.60 |
$9.60 |
$9.60 |
$18.40
|
|
Catheterization collection of specimen single patient all places of service
|
$18.00 |
$18.00 |
$18.00 |
$40.95
|
|
Catheter without bag 2-way latex
|
$52.20 |
$52.20 |
$52.20 |
$82.80
|
|
Cath groshong MRI 8fr plstc port
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,690.71
|
|
Cath hawkone s directional
|
$11,068.80 |
$11,068.80 |
$11,068.80 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$55.20 |
$55.20 |
$55.20 |
$4,680.00
|
|
Cath indw foley 3 way
|
$181.20 |
$181.20 |
$181.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$90.60 |
$90.60 |
$90.60 |
$13.23
|
|
Cathj umbilical vein dx/ther nb
|
$572.40 |
$572.40 |
$572.40 |
$246.00
|
|
Cath left heart/lv gram
|
$5,673.00 |
$5,673.00 |
$5,673.00 |
$8,035.50
|
|
Cath malecot 28fr 4-wing ltx
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$187.20 |
$187.20 |
$187.20 |
$64.06
|
|
Cath plc art ang/grft lt/rt hr
|
$4,640.40 |
$4,640.40 |
$4,640.40 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$4,640.40 |
$4,640.40 |
$4,640.40 |
$10,086.05
|
|
Cath right heart w/o2 sat & card
|
$5,159.40 |
$5,159.40 |
$5,159.40 |
$6,406.86
|
|
Cath suction replogle 8fr neonatal esophageal
|
$0.60 |
$0.60 |
$0.60 |
$3.92
|
|
Cath uret open tp 6fx70cm
|
$733.20 |
$733.20 |
$733.20 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$55.80 |
$55.80 |
$55.80 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$60.00 |
$60.00 |
$60.00 |
$38.22
|
|
Cauterization chemical granulation tissue
|
$619.20 |
$619.20 |
$619.20 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$21.00 |
$21.00 |
$21.00 |
$36.21
|
|
Cdna analysis for variants
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$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
|
$24.80 |
$24.80 |
$24.80 |
$45.47
|
|
Cefotaxime sodium injection
|
$21.00 |
$21.00 |
$21.00 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$115.20 |
$115.20 |
$115.20 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$222.60 |
$222.60 |
$222.60 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$114.60 |
$114.60 |
$114.60 |
$58.89
|
|
Ceftazidime and avibactam
|
$311.20 |
$311.20 |
$311.20 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$70.60 |
$70.60 |
$70.60 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$41.60 |
$41.60 |
$41.60 |
$30.66
|
|
#celiac hla-dq8
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$246.88
|
|
Cell count body fluid
|
$56.40 |
$56.40 |
$56.40 |
$63.52
|
