|
Brain MRA (blood vessel MRI, without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$1,944.15
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$130.99
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$863.10
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$22,377.96 |
$22,377.96 |
$22,377.96 |
$22,377.96
|
|
Bronchoscopy clear airways 31645
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,727.40
|
|
Bronchoscopy dilate/fx repr
|
$5,183.70 |
$5,183.70 |
$5,183.70 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,768.75
|
|
Bronchoscopy/lung bx each 31628
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,029.39
|
|
Bronchoscopy treat blockage
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,551.50
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,597.70
|
|
Bronchoscopy w/markers
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,296.50
|
|
Bundled special stain group 1 microorganisms
|
$466.35 |
$466.35 |
$466.35 |
$161.46
|
|
Bundled special stain group 2
|
$470.25 |
$470.25 |
$470.25 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$13.48 |
$13.48 |
$13.48 |
$33.85
|
|
Buprenorphine hydrochloride
|
$37.27 |
$37.27 |
$37.27 |
$42.08
|
|
Bur rotalink 2.15mm
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$7,754.17
|
|
Butorphanol tartrate 1 mg
|
$22.58 |
$22.58 |
$22.58 |
$38.35
|
|
Bx breast 1st lesion mr imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,650.88
|
|
Bx breast add lesion strtctc
|
$3,609.00 |
$3,609.00 |
$3,609.00 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,799.35
|
|
Bx breast pq tomo guide
|
$4,428.15 |
$4,428.15 |
$4,428.15 |
$4,531.42
|
|
Bx perianal mass
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$1,533.72
|
|
Bypass temp external fem-fem
|
$2,780.70 |
$2,780.70 |
$2,780.70 |
$1,917.17
|
|
C-1 esterase, berinert
|
$15,198.21 |
$15,198.21 |
$15,198.21 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$11,590.13 |
$11,590.13 |
$11,590.13 |
$7,483.77
|
|
Cable cath 22-pin diag
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$5,098.50
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$669.02 |
$669.02 |
$669.02 |
$2,131.45
|
|
Calcium 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$52.08
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$99.54 |
$99.54 |
$99.54 |
$64.49
|
|
Calcium ionized
|
$160.50 |
$160.50 |
$160.50 |
$88.20
|
|
Calcium total
|
$158.10 |
$158.10 |
$158.10 |
$50.00
|
|
Calculus analysis qual
|
$145.20 |
$145.20 |
$145.20 |
$57.20
|
|
Calprotectin fecal
|
$221.40 |
$221.40 |
$221.40 |
$163.20
|
|
Candida skin test
|
$63.90 |
$63.90 |
$63.90 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$68,400.00 |
$68,400.00 |
$68,400.00 |
$36,313.87
|
|
Cap nerve 2x15mm
|
$15,606.00 |
$15,606.00 |
$15,606.00 |
$24,158.39
|
|
Cap trach decann 15mm
|
$10,560.00 |
$10,560.00 |
$10,560.00 |
$3,149.76
|
|
Carbamazepine free
|
$40.59 |
$40.59 |
$40.59 |
$50.49
|
|
Carbamazepine total therapeutic drug level
|
$352.50 |
$352.50 |
$352.50 |
$115.05
|
|
Carbidopa levodopa ent 100ml
|
$243.99 |
$243.99 |
$243.99 |
$243.99
|
|
Carbon dioxide
|
$168.00 |
$168.00 |
$168.00 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$167.78 |
$167.78 |
$167.78 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$126.30 |
$126.30 |
$126.30 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$150.00 |
$150.00 |
$150.00 |
$142.50
|
|
Cardiac perf planar mult/ef/wm
|
$3,231.15 |
$3,231.15 |
$3,231.15 |
$2,735.47
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,905.10 |
$3,905.10 |
$3,905.10 |
$2,631.75
|
|
Cardiolipin antibody iga
|
$173.55 |
$173.55 |
$173.55 |
$105.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$114.45 |
$114.45 |
$114.45 |
$110.85
|
|
Caregiver training strategies&tq ea addl 15 min
|
$57.00 |
$57.00 |
$57.00 |
$52.20
|
|
Carfilzomib 10 mg intravenous solution
|
$6,193.76 |
$6,193.76 |
$6,193.76 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$7,782.96 |
$7,782.96 |
$7,782.96 |
$1,596.90
|
|
Carotene
|
$67.95 |
$67.95 |
$67.95 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,031.10
|
|
Caspofungin acetate
|
$757.91 |
$757.91 |
$757.91 |
$757.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,047.99 |
$1,047.99 |
$1,047.99 |
$855.70
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$11,352.00 |
$11,352.00 |
$11,352.00 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$8,388.00 |
$8,388.00 |
$8,388.00 |
$6,258.62
|
|
Cath access del ds spyscop 2.0
|
$7,032.00 |
$7,032.00 |
$7,032.00 |
$5,512.80
|
|
Cath acuity innr ic130 6f 63cm
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$8,379.00
|
|
Cath acunav ge 10frx90cm
|
$8,400.00 |
$8,400.00 |
$8,400.00 |
$6,274.07
|
|
Cath adherent clot 10mm 6f 10
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$11,988.00 |
$11,988.00 |
$11,988.00 |
$6,285.56
|
|
Cath bi-dir df smarttouch
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$8,280.00
|
|
Cath blazer dx/20 2-10-2 space
|
$5,728.80 |
$5,728.80 |
$5,728.80 |
$4,012.78
|
|
Cath council tip 16fr 5cc
|
$114.59 |
$114.59 |
$114.59 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$7,363.20 |
$7,363.20 |
$7,363.20 |
$4,631.18
|
|
Cath del ampltz 12f 45d 80cm
|
$2,337.00 |
$2,337.00 |
$2,337.00 |
$2,337.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$45.20 |
$45.20 |
$45.20 |
$18.40
|
|
Cath epdrl brevi-stf 12in .043
|
$1,911.42 |
$1,911.42 |
$1,911.42 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$148.80 |
$148.80 |
$148.80 |
$40.32
|
|
Cath groshong MRI 8fr plstc port
|
$7,762.40 |
$7,762.40 |
$7,762.40 |
$1,834.80
|
|
Cath hawkone s directional
|
$8,040.00 |
$8,040.00 |
$8,040.00 |
$6,905.81
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$2,275.50 |
$2,275.50 |
$2,275.50 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$7,668.00 |
$7,668.00 |
$7,668.00 |
$4,499.78
|
|
Cath infuse micro 150cm rapidtransit
|
$13.23 |
$13.23 |
$13.23 |
$13.23
|
|
Cath intrdsc spnecth 8 pin
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$2,045.54
|
|
Cath malecot 28fr 4-wing ltx
|
$6,864.00 |
$6,864.00 |
$6,864.00 |
$2,507.46
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$18,457.82
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$64.06 |
$64.06 |
$64.06 |
$57.72
|
|
Cath ptca pcltxl agent 3x20mm
|
$16,672.50 |
$16,672.50 |
$16,672.50 |
$11,356.50
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$1,709.70 |
$1,709.70 |
$1,709.70 |
$381.36
|
|
Cath steerable flex adv 12f
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$2,895.67
|
|
Cath uret open tp 6fx70cm
|
$864.65 |
$864.65 |
$864.65 |
$554.52
|
|
Cath without bag 2-way silicone
|
$252.82 |
$252.82 |
$252.82 |
$45.50
|
|
Cauterization chemical granulation tissue
|
$293.25 |
$293.25 |
$293.25 |
$338.10
|
|
Cdna analysis for variants
|
$804.00 |
$804.00 |
$804.00 |
$529.10
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$40.39 |
$40.39 |
$40.39 |
$39.48
|
|
Cefepime 1 gram solution for injection
|
$99.65 |
$99.65 |
$99.65 |
$44.80
|
|
Cefotaxime sodium injection
|
$12.32 |
$12.32 |
$12.32 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$84.53 |
$84.53 |
$84.53 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$529.64 |
$529.64 |
$529.64 |
$622.32
|
