|
Boot walker genesis mid-calf full shell s
|
$964.31 |
$964.31 |
$964.31 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$34.65 |
$34.65 |
$34.65 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$281.16 |
$281.16 |
$281.16 |
$2,825.96
|
|
Bowel imaging
|
$211.86 |
$211.86 |
$211.86 |
$1,065.00
|
|
Brace ank air stirrup univ
|
$48.23 |
$48.23 |
$48.23 |
$109.64
|
|
Brace ankle stablizing lg
|
$31.87 |
$31.87 |
$31.87 |
$116.35
|
|
Brace back epic lso 637
|
$432.14 |
$432.14 |
$432.14 |
$1,023.66
|
|
Brace back epic tslo 456
|
$2,113.65 |
$2,113.65 |
$2,113.65 |
$1,631.36
|
|
Brace back pinnacle tlso 464
|
$3,761.31 |
$3,761.31 |
$3,761.31 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,687.44 |
$3,687.44 |
$3,687.44 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$1,579.91
|
|
Brace cust back lso
|
$2,773.65 |
$2,773.65 |
$2,773.65 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$914.10 |
$914.10 |
$914.10 |
$597.11
|
|
Brace knee extender plus 22-30in
|
$1,585.37 |
$1,585.37 |
$1,585.37 |
$676.06
|
|
Brace m arm board
|
$35.64 |
$35.64 |
$35.64 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$2,862.90 |
$2,862.90 |
$2,862.90 |
$1,124.44
|
|
Brace oths wrist hnd fngr without
|
$35.64 |
$35.64 |
$35.64 |
$245.00
|
|
Brace wrist classic lft sm
|
$27.03 |
$27.03 |
$27.03 |
$81.62
|
|
Brain image 4+ views
|
$274.56 |
$274.56 |
$274.56 |
$952.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$576.51 |
$576.51 |
$576.51 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$384.12 |
$384.12 |
$384.12 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$352.77 |
$352.77 |
$352.77 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$833.58 |
$833.58 |
$833.58 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$667.59 |
$667.59 |
$667.59 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$584.76 |
$584.76 |
$584.76 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$942.48 |
$942.48 |
$942.48 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$716.10 |
$716.10 |
$716.10 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$13,720.61 |
$13,720.61 |
$13,720.61 |
$22,383.57
|
|
Bronchial allergy tests
|
$262.68 |
$262.68 |
$262.68 |
$731.72
|
|
Bronchial challenge
|
$188.76 |
$188.76 |
$188.76 |
$777.60
|
|
Br punct aspir ea add, l
|
$220.11 |
$220.11 |
$220.11 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$15.43 |
$15.43 |
$15.43 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$88.44 |
$88.44 |
$88.44 |
$160.80
|
|
Bundled special stain group 2
|
$72.27 |
$72.27 |
$72.27 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$32.47 |
$32.47 |
$32.47 |
$32.88
|
|
Butorphanol tartrate 1 mg
|
$178.59 |
$178.59 |
$178.59 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$510.51 |
$510.51 |
$510.51 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$942.48 |
$942.48 |
$942.48 |
$1,692.64
|
|
Bx pancreas pq ndl
|
$510.51 |
$510.51 |
$510.51 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,608.00
|
|
Bx thyroid/percutan core needle 60100
|
$358.05 |
$358.05 |
$358.05 |
$964.62
|
|
C-1 esterase, berinert
|
$4,804.02 |
$4,804.02 |
$4,804.02 |
$7,466.16
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$16,390.63 |
$16,390.63 |
$16,390.63 |
$27,723.08
|
|
Cad breast MRI w/r&i
|
$342.54 |
$342.54 |
$342.54 |
$122.40
|
|
Cadd pump refill
|
$107.58 |
$107.58 |
$107.58 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$899.71 |
$899.71 |
$899.71 |
$2,111.64
|
|
Calcium 24 hour urine
|
$20.13 |
$20.13 |
$20.13 |
$53.00
|
|
Calcium ionized
|
$45.54 |
$45.54 |
$45.54 |
$90.00
|
|
Calcium total
|
$17.16 |
$17.16 |
$17.16 |
$50.00
|
|
Calprotectin fecal
|
$72.60 |
$72.60 |
$72.60 |
$169.95
|
|
Candida skin test
|
$31.35 |
$31.35 |
$31.35 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$711.39 |
$711.39 |
$711.39 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$86.61 |
$86.61 |
$86.61 |
$59.42
|
|
Cap nerve 2x15mm
|
$4,372.50 |
$4,372.50 |
$4,372.50 |
$18,466.88
|
|
Cap trach decann 15mm
|
$598.95 |
$598.95 |
$598.95 |
$2,597.62
|
|
Carbamazepine total therapeutic drug level
|
$48.51 |
$48.51 |
$48.51 |
$120.25
|
|
Carbon dioxide
|
$5.61 |
$5.61 |
$5.61 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$150.32 |
$150.32 |
$150.32 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$115.00 |
$115.00 |
$115.00 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$41.58 |
$41.58 |
$41.58 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$63.03 |
$63.03 |
$63.03 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$670.56 |
$670.56 |
$670.56 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$87.45 |
$87.45 |
$87.45 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$87.45 |
$87.45 |
$87.45 |
$196.50
|
|
Cardiolipin antibody iga
|
$21.45 |
$21.45 |
$21.45 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$334.29 |
$334.29 |
$334.29 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$86.13 |
$86.13 |
$86.13 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$43.56 |
$43.56 |
$43.56 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$3,978.06 |
$3,978.06 |
$3,978.06 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,966.12 |
$2,966.12 |
$2,966.12 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$202.95 |
$202.95 |
$202.95 |
$1,018.68
|
|
Caspofungin acetate
|
$394.62 |
$394.62 |
$394.62 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$732.63 |
$732.63 |
$732.63 |
$830.58
|
|
Cath acuity innr ic130 6f 63cm
|
$167.81 |
$167.81 |
$167.81 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$439.44 |
$439.44 |
$439.44 |
$18,560.00
|
|
Cath cv dl inj 7fx16cm
|
$754.13 |
$754.13 |
$754.13 |
$3,889.06
|
|
Cath groshong MRI 8fr plstc port
|
$980.10 |
$980.10 |
$980.10 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$934.73 |
$934.73 |
$934.73 |
$2,173.58
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$135.30 |
$135.30 |
$135.30 |
$469.09
|
|
Cebpa gene full sequence
|
$286.44 |
$286.44 |
$286.44 |
$484.90
|
|
Cefoxitin 1 gram intravenous solution
|
$36.15 |
$36.15 |
$36.15 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$289.55 |
$289.55 |
$289.55 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$19.47 |
$19.47 |
$19.47 |
$63.05
|
|
Ceftazidime and avibactam
|
$467.13 |
$467.13 |
$467.13 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$176.16 |
$176.16 |
$176.16 |
$84.18
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$15.43 |
$15.43 |
$15.43 |
$29.45
|
|
Cell count body fluid
|
$15.84 |
$15.84 |
$15.84 |
$63.63
|
|
Cell count w differential body fluid
|
$18.48 |
$18.48 |
$18.48 |
$93.23
|
|
Cell cryopreserve/storage
|
$7.26 |
$7.26 |
$7.26 |
$62.72
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$12,286.65 |
$12,286.65 |
$12,286.65 |
$21,238.53
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,206.51 |
$3,206.51 |
$3,206.51 |
$3,028.20
|
|
Chemo adm cns w/lmbr punct
|
$166.98 |
$166.98 |
$166.98 |
$665.40
|
|
Chemo extend IV infus w/pump
|
$166.98 |
$166.98 |
$166.98 |
$737.10
|
|
Chemotx admn pertl cav impl
|
$166.98 |
$166.98 |
$166.98 |
$590.00
|
|
Chest 2 vws w oblique
|
$91.41 |
$91.41 |
$91.41 |
$377.06
|
|
Chest apical lordotic proj
|
$87.45 |
$87.45 |
$87.45 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$786.39 |
$786.39 |
$786.39 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$616.44 |
$616.44 |
$616.44 |
$1,689.00
|
