|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$273.68 |
$273.68 |
$273.68 |
$33.08
|
|
Burr hole implant ventricular cath/other device
|
$837.31 |
$837.31 |
$837.31 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,625.21 |
$8,625.21 |
$8,625.21 |
$7,871.02
|
|
Busulfan injection
|
$1,824.56 |
$1,824.56 |
$1,824.56 |
$834.60
|
|
Bx bone trocar/ndl deep
|
$863.26 |
$863.26 |
$863.26 |
$2,347.69
|
|
Bx breast perq without image 19100
|
$645.76 |
$645.76 |
$645.76 |
$1,250.00
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,105.06 |
$1,105.06 |
$1,105.06 |
$3,370.52
|
|
Bx liver with other
|
$616.35 |
$616.35 |
$616.35 |
$601.53
|
|
Bx of breast open 19101
|
$2,040.63 |
$2,040.63 |
$2,040.63 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$645.76 |
$645.76 |
$645.76 |
$1,585.20
|
|
Bx pleura pq ndl
|
$645.76 |
$645.76 |
$645.76 |
$1,608.00
|
|
Bx shoulder tissues supf 23065
|
$665.54 |
$665.54 |
$665.54 |
$2,026.74
|
|
Bx skin incisnl ea sep/add l les
|
$190.22 |
$190.22 |
$190.22 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$123.39 |
$123.39 |
$123.39 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$87.40 |
$87.40 |
$87.40 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$645.76 |
$645.76 |
$645.76 |
$1,908.09
|
|
Bx soft tiss pelvis/hip deep 27041
|
$639.60 |
$639.60 |
$639.60 |
$2,168.40
|
|
Bx spinal cord pq ndl
|
$896.94 |
$896.94 |
$896.94 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$674.26 |
$674.26 |
$674.26 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$347.68 |
$347.68 |
$347.68 |
$957.60
|
|
Bx vulva or perineum/1 lesion 56605
|
$274.45 |
$274.45 |
$274.45 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$143.82 |
$143.82 |
$143.82 |
$403.07
|
|
Bypass temp external fem-fem
|
$9,773.12 |
$9,773.12 |
$9,773.12 |
$1,830.64
|
|
C-1 esterase, berinert
|
$9,116.88 |
$9,116.88 |
$9,116.88 |
$7,815.00
|
|
C-1 esterase, cinryze
|
$2,977.39 |
$2,977.39 |
$2,977.39 |
$7,278.02
|
|
C1 esterase inhibitor func - sendout
|
$102.24 |
$102.24 |
$102.24 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$25,048.47 |
$25,048.47 |
$25,048.47 |
$26,328.21
|
|
Cable cath 22-pin diag
|
$10,579.10 |
$10,579.10 |
$10,579.10 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$12,882.28 |
$12,882.28 |
$12,882.28 |
$13,247.32
|
|
Cad breast MRI w/r&i
|
$85.18 |
$85.18 |
$85.18 |
$100.80
|
|
Cadd pump refill
|
$435.54 |
$435.54 |
$435.54 |
$380.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$7,568.84 |
$7,568.84 |
$7,568.84 |
$46.64
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$5,128.92 |
$5,128.92 |
$5,128.92 |
$2,177.05
|
|
Calcium 24 hour urine
|
$29.13 |
$29.13 |
$29.13 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$269.22 |
$269.22 |
$269.22 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$750.23 |
$750.23 |
$750.23 |
$64.49
|
|
Calcium ionized
|
$58.92 |
$58.92 |
$58.92 |
$89.88
|
|
Calcium total
|
$23.83 |
$23.83 |
$23.83 |
$50.00
|
|
Calculi urinary-sendout
|
$34.69 |
$34.69 |
$34.69 |
$68.05
|
|
Calprotectin fecal
|
$99.62 |
$99.62 |
$99.62 |
$170.00
|
|
Candida dna
|
$31.94 |
$31.94 |
$31.94 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$88,518.98 |
$88,518.98 |
$88,518.98 |
$42,021.72
|
|
Canthotomy 67715
|
$1,628.96 |
$1,628.96 |
$1,628.96 |
$3,014.70
|
|
Capecitabine, oral, 50 mg
|
$199.91 |
$199.91 |
$199.91 |
$60.00
|
|
Cap nerve 2x15mm
|
$41,863.00 |
$41,863.00 |
$41,863.00 |
$19,465.73
|
|
Cap trach decann 15mm
|
$5,337.05 |
$5,337.05 |
$5,337.05 |
$3,045.54
|
|
Carbamazepine free
|
$59.52 |
$59.52 |
$59.52 |
$59.15
|
|
Carbamazepine free -sendout
|
$69.91 |
$69.91 |
$69.91 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$63.13 |
$63.13 |
$63.13 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$49.51 |
$49.51 |
$49.51 |
$116.40
|
|
Carbon dioxide
|
$22.46 |
$22.46 |
$22.46 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$912.45 |
$912.45 |
$912.45 |
$197.57
|
|
Carboxyhemoglobin quantitative
|
$62.79 |
$62.79 |
$62.79 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$91.43 |
$91.43 |
$91.43 |
$144.00
|
|
Cardiac MRI w/stress img
|
$1,222.13 |
$1,222.13 |
$1,222.13 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,278.51 |
$1,278.51 |
$1,278.51 |
$2,895.62
|
|
Cardiac perf planar sgl/ef/wm
|
$974.76 |
$974.76 |
$974.76 |
$2,091.02
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,085.52 |
$2,085.52 |
$2,085.52 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$137.51 |
$137.51 |
$137.51 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$110.01 |
$110.01 |
$110.01 |
$203.34
|
|
Cardiac shunt imaging
|
$810.07 |
$810.07 |
$810.07 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$145.45 |
$145.45 |
$145.45 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$923.46 |
$923.46 |
$923.46 |
$1,411.50
|
|
Card MRI veloc flow mapping
|
$117.87 |
$117.87 |
$117.87 |
$601.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$96.12 |
$96.12 |
$96.12 |
$96.50
|
|
Caregiver training strategies&tq ea addl 15 min
|
$48.06 |
$48.06 |
$48.06 |
$51.48
|
|
Carfilzomib 10 mg intravenous solution
|
$3,565.08 |
$3,565.08 |
$3,565.08 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,158.77 |
$1,158.77 |
$1,158.77 |
$1,681.47
|
|
Carotene
|
$65.96 |
$65.96 |
$65.96 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$656.39 |
$656.39 |
$656.39 |
$997.10
|
|
Car seat/bed test 60 minutes
|
$52.99 |
$52.99 |
$52.99 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$26.50 |
$26.50 |
$26.50 |
$65.00
|
|
Caspofungin acetate
|
$1,457.76 |
$1,457.76 |
$1,457.76 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$456.40 |
$456.40 |
$456.40 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$8,204.20 |
$8,204.20 |
$8,204.20 |
$6,736.00
|
|
Cath ablt clsfast 7fx100cmx
|
$3,443.61 |
$3,443.61 |
$3,443.61 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$7,383.78 |
$7,383.78 |
$7,383.78 |
$6,386.85
|
|
Cath access del ds spyscop 2.0
|
$6,325.87 |
$6,325.87 |
$6,325.87 |
$5,244.39
|
|
Cath acuity innr ic130 6f 63cm
|
$8,528.05 |
$8,528.05 |
$8,528.05 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$8,096.25 |
$8,096.25 |
$8,096.25 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$25,098.37 |
$25,098.37 |
$25,098.37 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$36,702.99 |
$36,702.99 |
$36,702.99 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$8,528.05 |
$8,528.05 |
$8,528.05 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$4,933.32 |
$4,933.32 |
$4,933.32 |
$4,231.00
|
|
Cath combo lt&rt heart w/inj/s
|
$11,118.04 |
$11,118.04 |
$11,118.04 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$4,523.11 |
$4,523.11 |
$4,523.11 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$2,148.21 |
$2,148.21 |
$2,148.21 |
$2,451.84
|
|
Cath epdrl brevi-stf 12in .043
|
$2,633.98 |
$2,633.98 |
$2,633.98 |
$2,003.82
|
|
Catheter declot mechanical
|
$760.85 |
$760.85 |
$760.85 |
$1,838.28
|
|
Catheter insert artery
|
$174.94 |
$174.94 |
$174.94 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$65.66 |
$65.66 |
$65.66 |
$40.95
|
|
Catheter stripping venous
|
$1,224.74 |
$1,224.74 |
$1,224.74 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,684.02 |
$1,684.02 |
$1,684.02 |
$1,758.92
|
|
Cath hawkone s directional
|
$7,383.78 |
$7,383.78 |
$7,383.78 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,505.45 |
$5,505.45 |
$5,505.45 |
$4,536.00
|
|
Cath indw foley 3 way
|
$25.42 |
$25.42 |
$25.42 |
$38.52
|
|
Cathj umbilical vein dx/ther nb
|
$167.46 |
$167.46 |
$167.46 |
$246.00
|
|
Cath left heart/lv gram
|
$10,040.52 |
$10,040.52 |
$10,040.52 |
$7,923.88
|
|
Cath left heart transseptal punc
|
$1,737.80 |
$1,737.80 |
$1,737.80 |
$5,716.10
|
|
Cath malecot 28fr 4-wing ltx
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
$2,502.00
|
