|
Brace ank air stirrup univ
|
$249.60 |
$249.60 |
$249.60 |
$108.67
|
|
Brace ankle stablizing lg
|
$231.60 |
$231.60 |
$231.60 |
$122.82
|
|
Brace knee support neoprene padded open patella med
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$215.70
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$173.40 |
$173.40 |
$173.40 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$642.00 |
$642.00 |
$642.00 |
$257.45
|
|
Brace wrist classic lft sm
|
$522.60 |
$522.60 |
$522.60 |
$89.04
|
|
Brach/thor cath 1st
|
$8,405.40 |
$8,405.40 |
$8,405.40 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$10,167.00 |
$10,167.00 |
$10,167.00 |
$1,859.35
|
|
Braf gene
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,969.40 |
$5,969.40 |
$5,969.40 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,827.40 |
$3,827.40 |
$3,827.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,449.80 |
$2,449.80 |
$2,449.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$55.20 |
$55.20 |
$55.20 |
$127.73
|
|
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
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,145.20 |
$3,145.20 |
$3,145.20 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$129.60 |
$129.60 |
$129.60 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$777.00 |
$777.00 |
$777.00 |
$871.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$492.80 |
$492.80 |
$492.80 |
$22,383.57
|
|
Bronchial challenge
|
$520.20 |
$520.20 |
$520.20 |
$820.05
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,168.40
|
|
Br punct aspir ea add, l
|
$361.80 |
$361.80 |
$361.80 |
$357.51
|
|
Budesonide non-comp con
|
$932.80 |
$932.80 |
$932.80 |
$604.80
|
|
Budesonide non-comp unit
|
$875.20 |
$875.20 |
$875.20 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$67.20 |
$67.20 |
$67.20 |
$159.00
|
|
Bundled special stain group 2
|
$67.20 |
$67.20 |
$67.20 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.40 |
$1.40 |
$1.40 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$15.40 |
$15.40 |
$15.40 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$25.00 |
$25.00 |
$25.00 |
$14.42
|
|
Buprenorphine X-ray over 100 mg
|
$6,604.80 |
$6,604.80 |
$6,604.80 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$6,604.80 |
$6,604.80 |
$6,604.80 |
$3,864.00
|
|
Butorphanol tartrate 1 mg
|
$89.40 |
$89.40 |
$89.40 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,792.40 |
$2,792.40 |
$2,792.40 |
$1,670.79
|
|
Bx pancreas pq ndl
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$1,610.05
|
|
Bx skin punch ea sep/ addl les
|
$658.20 |
$658.20 |
$658.20 |
$230.75
|
|
Bx thyroid/percutan core needle 60100
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$963.80
|
|
Bypass temp external fem-fem
|
$114.60 |
$114.60 |
$114.60 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$202.80 |
$202.80 |
$202.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$441.60 |
$441.60 |
$441.60 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$105.00 |
$105.00 |
$105.00 |
$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
|
$43.80 |
$43.80 |
$43.80 |
$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
|
$66.60 |
$66.60 |
$66.60 |
$90.00
|
|
Calcium total
|
$37.20 |
$37.20 |
$37.20 |
$50.00
|
|
Calprotectin fecal
|
$175.20 |
$175.20 |
$175.20 |
$170.00
|
|
Candida dna
|
$175.80 |
$175.80 |
$175.80 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$7,828.80 |
$7,828.80 |
$7,828.80 |
$44,000.00
|
|
Canthotomy 67715
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$706.20 |
$706.20 |
$706.20 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$3,238.70
|
|
Carbamazepine free
|
$89.40 |
$89.40 |
$89.40 |
$60.00
|
|
Carbamazepine free -sendout
|
$89.40 |
$89.40 |
$89.40 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$89.40 |
$89.40 |
$89.40 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$111.60 |
$111.60 |
$111.60 |
$116.40
|
|
Carbohydrate urine - sendout
|
$28.80 |
$28.80 |
$28.80 |
$66.64
|
|
Carbon dioxide
|
$36.00 |
$36.00 |
$36.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$72.00 |
$72.00 |
$72.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$96.60 |
$96.60 |
$96.60 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,963.80 |
$1,963.80 |
$1,963.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$121.20 |
$121.20 |
$121.20 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$90.60 |
$90.60 |
$90.60 |
$204.54
|
|
Cardiolipin antibody iga
|
$129.60 |
$129.60 |
$129.60 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$883.20 |
$883.20 |
$883.20 |
$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
|
$136.00 |
$136.00 |
$136.00 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$287.40 |
$287.40 |
$287.40 |
$1,854.00
|
|
Carotene
|
$65.40 |
$65.40 |
$65.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$979.80 |
$979.80 |
$979.80 |
$1,024.32
|
|
Caspofungin acetate
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$428.40 |
$428.40 |
$428.40 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$1,504.20 |
$1,504.20 |
$1,504.20 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$358.80 |
$358.80 |
$358.80 |
$6,882.20
|
|
Cath council tip 16fr 5cc
|
$130.20 |
$130.20 |
$130.20 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$670.80 |
$670.80 |
$670.80 |
$4,488.99
|
|
Catheterization collection of specimen single patient all places of service
|
$39.00 |
$39.00 |
$39.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$1,690.71
|
|
Cath hawkone s directional
|
$7,936.80 |
$7,936.80 |
$7,936.80 |
$7,076.25
|
|
Cath impl vasc access portal
|
$370.80 |
$370.80 |
$370.80 |
$156.85
|
|
Cath indw foley 3 way
|
$181.20 |
$181.20 |
$181.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$81.60 |
$81.60 |
$81.60 |
$13.23
|
|
Cath left heart/lv gram
|
$5,695.80 |
$5,695.80 |
$5,695.80 |
$8,035.50
|
|
Cath malecot 28fr 4-wing ltx
|
$655.20 |
$655.20 |
$655.20 |
$2,549.50
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$201.00 |
$201.00 |
$201.00 |
$64.06
|
|
Cath place 1st order venous 36011
|
$10,167.00 |
$10,167.00 |
$10,167.00 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$11,503.20 |
$11,503.20 |
$11,503.20 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$8,503.80 |
$8,503.80 |
$8,503.80 |
$10,086.05
|
|
Cath right heart w/o2 sat & card
|
$6,459.60 |
$6,459.60 |
$6,459.60 |
$6,406.86
|
|
Cath steerable flex adv 12f
|
$2,410.80 |
$2,410.80 |
$2,410.80 |
$2,925.00
|
