|
Brachytx isodose complex
|
$2,342.20 |
$2,342.20 |
$2,342.20 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,649.20 |
$1,649.20 |
$1,649.20 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,253.70 |
$1,253.70 |
$1,253.70 |
$817.20
|
|
Braf gene
|
$202.30 |
$451.44 |
$2,226.00 |
$421.20
|
|
Brain flow imaging only
|
$232.75 |
$232.75 |
$7,353.00 |
$636.97
|
|
Brain image 4+ views
|
$9,961.84 |
$9,961.84 |
$9,961.84 |
$746.61
|
|
Brain image w/flow < 4 views
|
$336.35 |
$336.35 |
$336.35 |
$828.39
|
|
Brain image w/flow 4 + views
|
$1,168.65 |
$1,168.65 |
$4,187.18 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,251.55 |
$2,251.55 |
$21,079.61 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,545.25 |
$1,545.25 |
$8,428.39 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,471.40 |
$1,471.40 |
$19,806.09 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$4,119.50 |
$4,119.50 |
$33,674.16 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,224.60 |
$2,224.60 |
$19,164.09 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$1,647.80 |
$1,647.80 |
$18,251.80 |
$1,927.04
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,854.90 |
$3,854.90 |
$3,854.90 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$646.10 |
$646.10 |
$646.10 |
$832.60
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$29,181.94 |
$29,181.94 |
$29,181.94 |
$24,679.59
|
|
Bronchial challenge
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$835.20
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,998.45 |
$2,998.45 |
$2,998.45 |
$2,256.75
|
|
Br punct aspir ea add, l
|
$252.00 |
$252.00 |
$252.00 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$178.85 |
$178.85 |
$178.85 |
$164.89
|
|
Bundled special stain group 2
|
$187.25 |
$187.25 |
$187.25 |
$169.60
|
|
Bundle his recording
|
$6,157.90 |
$6,157.90 |
$10,799.87 |
$5,157.39
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$34.75 |
$34.75 |
$34.75 |
$30.97
|
|
Buprenorphine and metabolite - sendout
|
$21.00 |
$21.00 |
$21.00 |
$99.72
|
|
Buprenorphine hydrochloride
|
$39.58 |
$39.58 |
$112.68 |
$42.14
|
|
Buprenorphine oral 1mg
|
$5.25 |
$5.25 |
$5.25 |
$11.95
|
|
Bur rotalink 2.15mm
|
$8,530.41 |
$8,530.41 |
$8,530.41 |
$5,211.46
|
|
Butorphanol tartrate 1 mg
|
$23.21 |
$23.21 |
$23.21 |
$39.89
|
|
Bx bone trocar/ndl deep
|
$1,837.50 |
$1,837.50 |
$22,731.21 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$3,262.70 |
$3,262.70 |
$3,262.70 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$4,840.85 |
$4,840.85 |
$4,840.85 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$1,305.15 |
$1,305.15 |
$1,305.15 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$2,275.35 |
$2,275.35 |
$2,275.35 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$1,312.15 |
$1,312.15 |
$1,312.15 |
$1,547.10
|
|
Bx/curett of cervix w/scope 57454
|
$114.80 |
$114.80 |
$114.80 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$3,114.30 |
$3,114.30 |
$3,114.30 |
$4,238.48
|
|
Bx liver with other
|
$63.00 |
$63.00 |
$63.00 |
$548.87
|
|
Bx of cervix w/scope leep 57460
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$3,762.53
|
|
Bx pancreas pq ndl
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$1,761.70
|
|
Bx pleura pq ndl
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$1,732.00
|
|
Bx skin incisnl ea sep/add l les
|
$232.05 |
$232.05 |
$232.05 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$193.55 |
$193.55 |
$193.55 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$166.25 |
$166.25 |
$166.25 |
$203.00
|
|
Bx thyroid/percutan core needle 60100
|
$309.40 |
$309.40 |
$309.40 |
$1,020.60
|
|
Bx vag mucos smpl (sep proc)
|
$637.35 |
$637.35 |
$637.35 |
$1,255.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$528.50 |
$528.50 |
$528.50 |
$1,117.94
|
|
Bypass temp external fem-fem
|
$3,603.85 |
$5,792.66 |
$12,058.90 |
$2,428.80
|
|
C1 esterase inhibitor func - sendout
|
$166.17 |
$166.17 |
$478.00 |
$106.60
|
|
Cable cath 22-pin diag
|
$6,190.10 |
$6,190.10 |
$6,190.10 |
$1,530.12
|
|
Cable centrimag pressure
|
$17,103.10 |
$17,103.10 |
$17,103.10 |
$10,239.26
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$16,574.15 |
$16,574.15 |
$16,574.15 |
$22.90
|
|
Cad breast MRI w/r&i
|
$78.75 |
$78.75 |
$15,667.00 |
$78.75
|
|
Cadd pump refill
|
$274.40 |
$274.40 |
$274.40 |
$340.33
|
|
Caffeine citrate 20 mg/ml inj for po
|
$35.31 |
$35.31 |
$429.49 |
$43.81
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,275.00 |
$2,822.99 |
$24,370.38 |
$2,910.00
|
|
Calcium 24 hour urine
|
$39.20 |
$39.20 |
$498.00 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$5.40 |
$5.40 |
$5.40 |
$2.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$39.09 |
$39.09 |
$39.09 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$43.45 |
$43.45 |
$43.45 |
$92.91
|
|
Calcium ionized
|
$182.70 |
$182.70 |
$182.70 |
$86.35
|
|
Calcium total
|
$53.20 |
$53.20 |
$53.20 |
$48.75
|
|
Calculus analysis qual
|
$981.00 |
$981.00 |
$981.00 |
$29.60
|
|
Calprotectin fecal
|
$589.00 |
$589.00 |
$1,657.72 |
$170.00
|
|
Cannula ercp contour 5-4-3 tip
|
$298,251.98 |
$298,251.98 |
$298,251.98 |
$19,500.00
|
|
Capecitabine, oral, 50 mg
|
$14.53 |
$14.53 |
$14.53 |
$46.43
|
|
Cap nerve 2x15mm
|
$18,466.88 |
$18,466.88 |
$18,466.88 |
$9,142.85
|
|
Cap trach decann 15mm
|
$9,084.60 |
$9,084.60 |
$9,084.60 |
$1,842.60
|
|
Carbamazepine total therapeutic drug level
|
$57.75 |
$57.75 |
$1,045.00 |
$113.25
|
|
Carbohydrate urine - sendout
|
$3.85 |
$3.85 |
$430.00 |
$43.51
|
|
Carbon dioxide
|
$25.55 |
$25.55 |
$352.00 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$390.29 |
$390.29 |
$390.29 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$58.10 |
$595.00 |
$1,024.70 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$211.75 |
$211.75 |
$1,223.00 |
$146.90
|
|
Cardiac drug stress test
|
$3,825.86 |
$3,825.86 |
$3,825.86 |
$543.20
|
|
Cardiac MRI w/stress img
|
$1,264.55 |
$1,264.55 |
$1,264.55 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$4,876.90 |
$4,876.90 |
$19,592.35 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$4,048.10 |
$4,048.10 |
$18,876.20 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,048.10 |
$4,048.10 |
$18,876.20 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$254.80 |
$254.80 |
$254.80 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$247.10 |
$247.10 |
$247.10 |
$195.00
|
|
Cardiolipin antibody iga
|
$101.85 |
$101.85 |
$101.85 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,519.00 |
$1,519.00 |
$6,775.00 |
$1,504.08
|
|
Cardioversion/elective/internal 92961
|
$679.70 |
$679.70 |
$679.70 |
$1,001.38
|
|
Card MRI veloc flow mapping
|
$1,075.55 |
$1,075.55 |
$1,075.55 |
$492.05
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$74.55 |
$74.55 |
$74.55 |
$129.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$34.30 |
$34.30 |
$228.81 |
$66.00
|
|
Carfilzomib 10 mg intravenous solution
|
$8,172.53 |
$8,172.53 |
$8,172.53 |
$3,574.20
|
|
Car ion chnnlpath inc 10 gns
|
$19,746.25 |
$19,746.25 |
$19,746.25 |
$962.80
|
|
Carmustine 100 mg intravenous powder for solution
|
$573.78 |
$573.78 |
$573.78 |
$1,582.20
|
|
Carotene
|
$34.30 |
$34.30 |
$573.00 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,324.40 |
$1,324.40 |
$1,324.40 |
$1,067.40
|
|
Car outp meas drg cath chd
|
$200.90 |
$200.90 |
$200.90 |
$259.60
|
|
Car seat/bed test 60 minutes
|
$141.75 |
$141.75 |
$386.13 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$42.35 |
$42.35 |
$386.13 |
$79.05
|
|
Car-t admn autologous
|
$581.35 |
$581.35 |
$581.35 |
$828.60
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$581.35 |
$581.35 |
$581.35 |
$3,685.48
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$494.20 |
$494.20 |
$494.20 |
$2,840.75
|
