|
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
|
$55.20 |
$55.20 |
$55.20 |
$127.73
|
|
Brca1&2 gen ful dup/del alys
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$960.96
|
|
Brcassure comprehensive panel-sendout
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$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
|
$845.40 |
$845.40 |
$845.40 |
$871.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$843.20 |
$843.20 |
$843.20 |
$22,383.57
|
|
Bronch ebus ivntj perph les 31654
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$4,362.99
|
|
Bronchial challenge
|
$761.40 |
$761.40 |
$761.40 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$2,766.40
|
|
Bronchoscopy/lung bx each 31628
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,447.43
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,203.80 |
$2,203.80 |
$2,203.80 |
$571.00
|
|
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
|
|
Burr hole implant ventricular cath/other device
|
$4,290.60 |
$4,290.60 |
$4,290.60 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,485.20 |
$8,485.20 |
$8,485.20 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$90.60 |
$90.60 |
$90.60 |
$41.79
|
|
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/curett of cervix w/scope 57454
|
$218.40 |
$218.40 |
$218.40 |
$515.50
|
|
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 skin tangential ea sep/ addl les
|
$148.80 |
$148.80 |
$148.80 |
$206.00
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,168.40
|
|
Bx vulva or perineum/1 lesion 56605
|
$489.60 |
$489.60 |
$489.60 |
$1,110.40
|
|
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
|
$118.20 |
$118.20 |
$118.20 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$808.20 |
$808.20 |
$808.20 |
$27,013.07
|
|
Cable cath 22-pin diag
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$874.80 |
$874.80 |
$874.80 |
$260.58
|
|
Caffeine citrate 20 mg/ml inj for po
|
$109.80 |
$109.80 |
$109.80 |
$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
|
$78.60 |
$78.60 |
$78.60 |
$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
|
$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
|
|
Campylobacter antibody
|
$80.40 |
$80.40 |
$80.40 |
$77.83
|
|
Candida dna
|
$255.60 |
$255.60 |
$255.60 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$11,907.00 |
$11,907.00 |
$11,907.00 |
$44,000.00
|
|
Canthotomy 67715
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,842.60 |
$1,842.60 |
$1,842.60 |
$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 deficient transf - sendout
|
$71.40 |
$71.40 |
$71.40 |
$116.40
|
|
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
|
$420.80 |
$420.80 |
$420.80 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$226.80 |
$226.80 |
$226.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$334.20 |
$334.20 |
$334.20 |
$145.20
|
|
Cardiac MRI w/stress img
|
$2,657.40 |
$2,657.40 |
$2,657.40 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,772.20 |
$3,772.20 |
$3,772.20 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$180.60 |
$180.60 |
$180.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$176.40 |
$176.40 |
$176.40 |
$204.54
|
|
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
|
$232.00 |
$232.00 |
$232.00 |
$6,306.47
|
|
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
|
|
Carpal Tunnel Release Surgery
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$3,867.50
|
|
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
|
|
Catecholamines,fractionated, urine
|
$234.00 |
$234.00 |
$234.00 |
$133.70
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$403.80 |
$403.80 |
$403.80 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,022.80 |
$6,022.80 |
$6,022.80 |
$6,540.75
|
|
Cath access del ds spyscop 2.0
|
$6,411.60 |
$6,411.60 |
$6,411.60 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$5,743.20 |
$5,743.20 |
$5,743.20 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$3,905.40 |
$3,905.40 |
$3,905.40 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$15,737.40 |
$15,737.40 |
$15,737.40 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$3,581.40 |
$3,581.40 |
$3,581.40 |
$6,882.20
|
|
Cath blazer dx/20 2-10-2 space
|
$219.00 |
$219.00 |
$219.00 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$4,239.00 |
$4,239.00 |
$4,239.00 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$42.00 |
$42.00 |
$42.00 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$2,393.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$8.40 |
$8.40 |
$8.40 |
$18.40
|
