|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$259.36 |
$259.36 |
$259.36 |
$33.08
|
|
Burr hole implant ventricular cath/other device
|
$793.51 |
$793.51 |
$793.51 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,174.09 |
$8,174.09 |
$8,174.09 |
$7,871.02
|
|
Busulfan injection
|
$1,729.13 |
$1,729.13 |
$1,729.13 |
$834.60
|
|
Bx bone trocar/ndl deep
|
$818.11 |
$818.11 |
$818.11 |
$2,347.69
|
|
Bx breast perq without image 19100
|
$611.98 |
$611.98 |
$611.98 |
$1,250.00
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,047.26 |
$1,047.26 |
$1,047.26 |
$3,370.52
|
|
Bx liver with other
|
$584.12 |
$584.12 |
$584.12 |
$601.53
|
|
Bx of breast open 19101
|
$1,933.90 |
$1,933.90 |
$1,933.90 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$611.98 |
$611.98 |
$611.98 |
$1,585.20
|
|
Bx pleura pq ndl
|
$611.98 |
$611.98 |
$611.98 |
$1,608.00
|
|
Bx shoulder tissues supf 23065
|
$630.73 |
$630.73 |
$630.73 |
$2,026.74
|
|
Bx skin incisnl ea sep/add l les
|
$180.27 |
$180.27 |
$180.27 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$116.93 |
$116.93 |
$116.93 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$82.83 |
$82.83 |
$82.83 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$611.98 |
$611.98 |
$611.98 |
$1,908.09
|
|
Bx soft tiss pelvis/hip deep 27041
|
$606.14 |
$606.14 |
$606.14 |
$2,168.40
|
|
Bx spinal cord pq ndl
|
$850.03 |
$850.03 |
$850.03 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$639.00 |
$639.00 |
$639.00 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$329.49 |
$329.49 |
$329.49 |
$957.60
|
|
Bx vulva or perineum/1 lesion 56605
|
$260.09 |
$260.09 |
$260.09 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$136.30 |
$136.30 |
$136.30 |
$403.07
|
|
Bypass temp external fem-fem
|
$9,261.96 |
$9,261.96 |
$9,261.96 |
$1,830.64
|
|
C-1 esterase, berinert
|
$8,640.04 |
$8,640.04 |
$8,640.04 |
$7,815.00
|
|
C-1 esterase, cinryze
|
$2,821.67 |
$2,821.67 |
$2,821.67 |
$7,278.02
|
|
C1 esterase inhibitor func - sendout
|
$96.90 |
$96.90 |
$96.90 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$23,738.37 |
$23,738.37 |
$23,738.37 |
$26,328.21
|
|
Cable cath 22-pin diag
|
$10,025.78 |
$10,025.78 |
$10,025.78 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$12,208.50 |
$12,208.50 |
$12,208.50 |
$13,247.32
|
|
Cad breast MRI w/r&i
|
$80.72 |
$80.72 |
$80.72 |
$100.80
|
|
Cadd pump refill
|
$412.76 |
$412.76 |
$412.76 |
$380.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$7,172.96 |
$7,172.96 |
$7,172.96 |
$46.64
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,860.67 |
$4,860.67 |
$4,860.67 |
$2,177.05
|
|
Calcium 24 hour urine
|
$27.60 |
$27.60 |
$27.60 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$255.14 |
$255.14 |
$255.14 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$710.99 |
$710.99 |
$710.99 |
$64.49
|
|
Calcium ionized
|
$55.84 |
$55.84 |
$55.84 |
$89.88
|
|
Calcium total
|
$22.59 |
$22.59 |
$22.59 |
$50.00
|
|
Calculi urinary-sendout
|
$32.88 |
$32.88 |
$32.88 |
$68.05
|
|
Calprotectin fecal
|
$94.41 |
$94.41 |
$94.41 |
$170.00
|
|
Candida dna
|
$30.27 |
$30.27 |
$30.27 |
$61.10
|
|
Cannula ercp contour 5-4-3 tip
|
$83,889.18 |
$83,889.18 |
$83,889.18 |
$42,021.72
|
|
Canthotomy 67715
|
$1,543.76 |
$1,543.76 |
$1,543.76 |
$3,014.70
|
|
Capecitabine, oral, 50 mg
|
$189.45 |
$189.45 |
$189.45 |
$60.00
|
|
Cap nerve 2x15mm
|
$39,673.45 |
$39,673.45 |
$39,673.45 |
$19,465.73
|
|
Cap trach decann 15mm
|
$5,057.91 |
$5,057.91 |
$5,057.91 |
$3,045.54
|
|
Carbamazepine free
|
$56.41 |
$56.41 |
$56.41 |
$59.15
|
|
Carbamazepine free -sendout
|
$66.25 |
$66.25 |
$66.25 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$59.83 |
$59.83 |
$59.83 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$46.92 |
$46.92 |
$46.92 |
$116.40
|
|
Carbon dioxide
|
$21.29 |
$21.29 |
$21.29 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$864.73 |
$864.73 |
$864.73 |
$197.57
|
|
Carboxyhemoglobin quantitative
|
$59.50 |
$59.50 |
$59.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$86.65 |
$86.65 |
$86.65 |
$144.00
|
|
Cardiac MRI w/stress img
|
$1,158.21 |
$1,158.21 |
$1,158.21 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,211.64 |
$1,211.64 |
$1,211.64 |
$2,895.62
|
|
Cardiac perf planar sgl/ef/wm
|
$923.77 |
$923.77 |
$923.77 |
$2,091.02
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,976.44 |
$1,976.44 |
$1,976.44 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$130.32 |
$130.32 |
$130.32 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$104.25 |
$104.25 |
$104.25 |
$203.34
|
|
Cardiac shunt imaging
|
$767.70 |
$767.70 |
$767.70 |
$1,200.00
|
|
Cardiolipin antibody iga
|
$137.84 |
$137.84 |
$137.84 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$875.16 |
$875.16 |
$875.16 |
$1,411.50
|
|
Card MRI veloc flow mapping
|
$111.70 |
$111.70 |
$111.70 |
$601.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$91.09 |
$91.09 |
$91.09 |
$96.50
|
|
Caregiver training strategies&tq ea addl 15 min
|
$45.55 |
$45.55 |
$45.55 |
$51.48
|
|
Carfilzomib 10 mg intravenous solution
|
$3,378.62 |
$3,378.62 |
$3,378.62 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,098.16 |
$1,098.16 |
$1,098.16 |
$1,681.47
|
|
Carotene
|
$62.51 |
$62.51 |
$62.51 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$622.06 |
$622.06 |
$622.06 |
$997.10
|
|
Car seat/bed test 60 minutes
|
$50.22 |
$50.22 |
$50.22 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$25.11 |
$25.11 |
$25.11 |
$65.00
|
|
Caspofungin acetate
|
$1,381.51 |
$1,381.51 |
$1,381.51 |
$633.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$432.52 |
$432.52 |
$432.52 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$7,775.10 |
$7,775.10 |
$7,775.10 |
$6,736.00
|
|
Cath ablt clsfast 7fx100cmx
|
$3,263.50 |
$3,263.50 |
$3,263.50 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,997.59 |
$6,997.59 |
$6,997.59 |
$6,386.85
|
|
Cath access del ds spyscop 2.0
|
$5,995.01 |
$5,995.01 |
$5,995.01 |
$5,244.39
|
|
Cath acuity innr ic130 6f 63cm
|
$8,082.01 |
$8,082.01 |
$8,082.01 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$7,672.80 |
$7,672.80 |
$7,672.80 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$23,785.66 |
$23,785.66 |
$23,785.66 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$34,783.32 |
$34,783.32 |
$34,783.32 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$8,082.01 |
$8,082.01 |
$8,082.01 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$4,675.29 |
$4,675.29 |
$4,675.29 |
$4,231.00
|
|
Cath combo lt&rt heart w/inj/s
|
$10,536.53 |
$10,536.53 |
$10,536.53 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$4,286.54 |
$4,286.54 |
$4,286.54 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$2,035.85 |
$2,035.85 |
$2,035.85 |
$2,451.84
|
|
Cath epdrl brevi-stf 12in .043
|
$2,496.22 |
$2,496.22 |
$2,496.22 |
$2,003.82
|
|
Catheter declot mechanical
|
$721.06 |
$721.06 |
$721.06 |
$1,838.28
|
|
Catheter insert artery
|
$165.79 |
$165.79 |
$165.79 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$62.22 |
$62.22 |
$62.22 |
$40.95
|
|
Catheter stripping venous
|
$1,160.68 |
$1,160.68 |
$1,160.68 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,595.95 |
$1,595.95 |
$1,595.95 |
$1,758.92
|
|
Cath hawkone s directional
|
$6,997.59 |
$6,997.59 |
$6,997.59 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,217.50 |
$5,217.50 |
$5,217.50 |
$4,536.00
|
|
Cath indw foley 3 way
|
$24.09 |
$24.09 |
$24.09 |
$38.52
|
|
Cathj umbilical vein dx/ther nb
|
$158.70 |
$158.70 |
$158.70 |
$246.00
|
|
Cath left heart/lv gram
|
$9,515.37 |
$9,515.37 |
$9,515.37 |
$7,923.88
|
|
Cath left heart transseptal punc
|
$1,646.91 |
$1,646.91 |
$1,646.91 |
$5,716.10
|
|
Cath malecot 28fr 4-wing ltx
|
$1,586.06 |
$1,586.06 |
$1,586.06 |
$2,502.00
|
