|
Brachioplasty 15836
|
$39,465.22 |
$39,465.22 |
$39,465.22 |
$3,694.40
|
|
Brach/thor cath 3rd
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$2,079.00
|
|
Brachy source i-125 injection
|
$389.93 |
$389.93 |
$389.93 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$140.38 |
$140.38 |
$140.38 |
$66.76
|
|
Brachy source palladium
|
$597.89 |
$597.89 |
$597.89 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$218.36 |
$218.36 |
$218.36 |
$116.48
|
|
Brachy source yttrium-90
|
$105,695.67 |
$105,695.67 |
$105,695.67 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$727.86 |
$727.86 |
$727.86 |
$210.62
|
|
Brachy src stranded c-131
|
$39,859.02 |
$39,859.02 |
$39,859.02 |
$210.96
|
|
Braf gene
|
$328.80 |
$328.80 |
$328.80 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,180.80 |
$4,180.80 |
$4,180.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,297.60 |
$3,297.60 |
$3,297.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$219.92 |
$219.92 |
$219.92 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$10,065.00 |
$10,065.00 |
$10,065.00 |
$2,287.20
|
|
Breast augmentation 19325
|
$142,930.12 |
$142,930.12 |
$142,930.12 |
$6,311.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$13,041.41 |
$13,041.41 |
$13,041.41 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,662.60 |
$1,662.60 |
$1,662.60 |
$847.00
|
|
Breast reconstruction 19357
|
$142,646.86 |
$142,646.86 |
$142,646.86 |
$11,720.80
|
|
Breast reduction
|
$37,264.15 |
$37,264.15 |
$37,264.15 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$72,252.06 |
$72,252.06 |
$72,252.06 |
$22,383.57
|
|
Bronch ebus samplng 1/2 node
|
$9,773.72 |
$9,773.72 |
$9,773.72 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$14,001.00 |
$14,001.00 |
$14,001.00 |
$4,643.40
|
|
Bronchoscopy clear airways 31645
|
$5,604.00 |
$5,604.00 |
$5,604.00 |
$2,653.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$9,632.90 |
$9,632.90 |
$9,632.90 |
$2,168.40
|
|
Brst rcnstj free flap
|
$32,053.28 |
$32,053.28 |
$32,053.28 |
$3,485.94
|
|
Budesonide non-comp unit
|
$84.01 |
$84.01 |
$84.01 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$243.60 |
$243.60 |
$243.60 |
$160.80
|
|
Bundled special stain group 2
|
$233.40 |
$233.40 |
$233.40 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$179.87 |
$179.87 |
$179.87 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$8.33 |
$8.33 |
$8.33 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.15 |
$12.15 |
$12.15 |
$14.27
|
|
Buprenorphine hydrochloride
|
$143.01 |
$143.01 |
$143.01 |
$41.79
|
|
Buprenorphine oral 1mg
|
$16.36 |
$16.36 |
$16.36 |
$10.50
|
|
Bur rotalink 2.15mm
|
$33,533.55 |
$33,533.55 |
$33,533.55 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$59.55 |
$59.55 |
$59.55 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$4,155.00 |
$4,155.00 |
$4,155.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$5,809.20 |
$5,809.20 |
$5,809.20 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$2,789.40 |
$2,789.40 |
$2,789.40 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$6,175.80 |
$6,175.80 |
$6,175.80 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$31,535.05 |
$31,535.05 |
$31,535.05 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$18,788.11 |
$18,788.11 |
$18,788.11 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$23,351.15 |
$23,351.15 |
$23,351.15 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$27,154.27 |
$27,154.27 |
$27,154.27 |
$4,184.94
|
|
Bx liver with other
|
$528.60 |
$528.60 |
$528.60 |
$543.40
|
|
Bx muscle
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$1,917.33
|
|
Bx of breast open 19101
|
$14,323.96 |
$14,323.96 |
$14,323.96 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$9,204.72 |
$9,204.72 |
$9,204.72 |
$3,876.00
|
|
Bx skin incisnl ea sep/add l les
|
$130.80 |
$130.80 |
$130.80 |
$249.60
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,271.01
|
|
Bypass temp external fem-fem
|
$483.60 |
$483.60 |
$483.60 |
$1,806.00
|
|
C-1 esterase, berinert
|
$23,323.00 |
$23,323.00 |
$23,323.00 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$91.80 |
$91.80 |
$91.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$55,381.62 |
$55,381.62 |
$55,381.62 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$71,429.06 |
$71,429.06 |
$71,429.06 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,824.85 |
$1,824.85 |
$1,824.85 |
$7,858.62
|
|
Caffeine citrate 20 mg/ml inj for po
|
$126.00 |
$126.00 |
$126.00 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$52.50 |
$52.50 |
$52.50 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$414.75 |
$414.75 |
$414.75 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$207.38 |
$207.38 |
$207.38 |
$91.60
|
|
Calcium ionized
|
$73.20 |
$73.20 |
$73.20 |
$90.00
|
|
Calcium total
|
$50.40 |
$50.40 |
$50.40 |
$50.00
|
|
Calculi urinary-sendout
|
$66.00 |
$66.00 |
$66.00 |
$68.05
|
|
Calprotectin fecal
|
$340.80 |
$340.80 |
$340.80 |
$169.95
|
|
Candida dna
|
$66.60 |
$66.60 |
$66.60 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$259,950.00 |
$259,950.00 |
$259,950.00 |
$34,218.66
|
|
Canthotomy 67715
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$240,037.83 |
$240,037.83 |
$240,037.83 |
$18,466.88
|
|
Capsulotomy mpj ea joint (sep proc)
|
$74,588.10 |
$74,588.10 |
$74,588.10 |
$3,545.97
|
|
Cap trach decann 15mm
|
$4,330.77 |
$4,330.77 |
$4,330.77 |
$2,597.62
|
|
Carbamazepine free
|
$84.60 |
$84.60 |
$84.60 |
$59.15
|
|
Carbamazepine free -sendout
|
$68.40 |
$68.40 |
$68.40 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$148.20 |
$148.20 |
$148.20 |
$120.25
|
|
Carbon dioxide
|
$42.60 |
$42.60 |
$42.60 |
$44.00
|
|
Carbon graphite lamination
|
$557.07 |
$557.07 |
$557.07 |
$228.52
|
|
Carboplatin 10 mg/ml desensitization
|
$376.54 |
$376.54 |
$376.54 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$351.62 |
$351.62 |
$351.62 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$223.80 |
$223.80 |
$223.80 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$156.00 |
$156.00 |
$156.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,153.20 |
$4,153.20 |
$4,153.20 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$311.40 |
$311.40 |
$311.40 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$262.20 |
$262.20 |
$262.20 |
$196.50
|
|
Cardiolipin antibody iga
|
$343.80 |
$343.80 |
$343.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$1,225.80 |
$1,225.80 |
$1,225.80 |
$1,114.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$99.60 |
$99.60 |
$99.60 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$45.60 |
$45.60 |
$45.60 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$20,161.99 |
$20,161.99 |
$20,161.99 |
$6,877.19
|
|
Carotid Artery Ultrasound (Duplex)
|
$970.80 |
$970.80 |
$970.80 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$28,828.35 |
$28,828.35 |
$28,828.35 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$405.60 |
$405.60 |
$405.60 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$247.80 |
$247.80 |
$247.80 |
$65.00
|
