|
Bone Density Scan (DEXA)
|
$170.40 |
$170.40 |
$170.40 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$2,211.60 |
$2,211.60 |
$2,211.60 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,570.80
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$964.20 |
$964.20 |
$964.20 |
$2,825.96
|
|
Brace back pinnacle tlso 464
|
$370.44 |
$370.44 |
$370.44 |
$2,283.03
|
|
Braf gene
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,462.80 |
$1,462.80 |
$1,462.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,816.40 |
$2,816.40 |
$2,816.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,656.20 |
$2,656.20 |
$2,656.20 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,664.40 |
$4,664.40 |
$4,664.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,649.80 |
$3,649.80 |
$3,649.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,243.60 |
$3,243.60 |
$3,243.60 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,282.60 |
$3,282.60 |
$3,282.60 |
$3,043.44
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$23,665.20 |
$23,665.20 |
$23,665.20 |
$22,383.57
|
|
Bronchial challenge
|
$277.20 |
$277.20 |
$277.20 |
$777.60
|
|
Bronchoscopy/lung bx each 31628
|
$1,837.20 |
$1,837.20 |
$1,837.20 |
$3,877.44
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$12.60 |
$12.60 |
$12.60 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$349.80 |
$349.80 |
$349.80 |
$160.80
|
|
Bundled special stain group 2
|
$1,374.60 |
$1,374.60 |
$1,374.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$11.40 |
$11.40 |
$11.40 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$27.00 |
$27.00 |
$27.00 |
$82.82
|
|
Buprenorphine hydrochloride
|
$40.20 |
$40.20 |
$40.20 |
$41.79
|
|
Butorphanol tartrate 1 mg
|
$17.40 |
$17.40 |
$17.40 |
$39.09
|
|
Bx arm/elbow soft tissue supf 24065
|
$251.40 |
$251.40 |
$251.40 |
$1,935.63
|
|
Bx breast 1st lesion strtctc
|
$4,746.60 |
$4,746.60 |
$4,746.60 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,800.68
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$553.80 |
$553.80 |
$553.80 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$385.80 |
$385.80 |
$385.80 |
$4,184.94
|
|
Bx skin tangential ea sep/ addl les
|
$33.00 |
$33.00 |
$33.00 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$986.40 |
$986.40 |
$986.40 |
$964.62
|
|
Bx vulva or perineum/1 lesion 56605
|
$150.00 |
$150.00 |
$150.00 |
$1,127.00
|
|
Bypass graft/av fist patency
|
$374.40 |
$374.40 |
$374.40 |
$868.40
|
|
C1 esterase inhibitor func - sendout
|
$424.80 |
$424.80 |
$424.80 |
$96.72
|
|
Cable cath 22-pin diag
|
$166.01 |
$166.01 |
$166.01 |
$4,946.50
|
|
Cadd pump refill
|
$320.40 |
$320.40 |
$320.40 |
$360.00
|
|
Calcium 24 hour urine
|
$148.80 |
$148.80 |
$148.80 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$80.70 |
$80.70 |
$80.70 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$153.00 |
$153.00 |
$153.00 |
$91.60
|
|
Calcium ionized
|
$214.20 |
$214.20 |
$214.20 |
$90.00
|
|
Calcium total
|
$86.40 |
$86.40 |
$86.40 |
$50.00
|
|
Calculi urinary-sendout
|
$61.80 |
$61.80 |
$61.80 |
$68.05
|
|
Caloric vstblr test w/rec
|
$227.40 |
$227.40 |
$227.40 |
$310.00
|
|
Calprotectin fecal
|
$512.40 |
$512.40 |
$512.40 |
$169.95
|
|
Candida dna
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$23,484.13 |
$23,484.13 |
$23,484.13 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$823.26 |
$823.26 |
$823.26 |
$18,466.88
|
|
Capsaicin 8% patch
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,719.65
|
|
Cap trach decann 15mm
|
$2,406.98 |
$2,406.98 |
$2,406.98 |
$2,597.62
|
|
Carbamazepine free
|
$86.40 |
$86.40 |
$86.40 |
$59.15
|
|
Carbamazepine free -sendout
|
$214.20 |
$214.20 |
$214.20 |
$47.94
|
|
Carboplatin 10 mg/ml desensitization
|
$221.40 |
$221.40 |
$221.40 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$358.20 |
$358.20 |
$358.20 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$456.60 |
$456.60 |
$456.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$217.20 |
$217.20 |
$217.20 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$18.00 |
$18.00 |
$18.00 |
$196.50
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$821.40 |
$821.40 |
$821.40 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$876.60 |
$876.60 |
$876.60 |
$1,114.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$754.20 |
$754.20 |
$754.20 |
$1,018.68
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$432.18 |
$432.18 |
$432.18 |
$830.58
|
|
Cath ablt rx lasr 2.0mm turbo
|
$1,428.84 |
$1,428.84 |
$1,428.84 |
$6,463.80
|
|
Cath acuity innr ic130 6f 63cm
|
$793.80 |
$793.80 |
$793.80 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$3,311.03 |
$3,311.03 |
$3,311.03 |
$18,560.00
|
|
Cath cv dl inj 7fx16cm
|
$504.28 |
$504.28 |
$504.28 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$25.20 |
$25.20 |
$25.20 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$430.42 |
$430.42 |
$430.42 |
$1,653.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,261.26 |
$1,261.26 |
$1,261.26 |
$4,160.00
|
|
Cath malecot 28fr 4-wing ltx
|
$70.56 |
$70.56 |
$70.56 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$879.00 |
$879.00 |
$879.00 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$16,723.80 |
$16,723.80 |
$16,723.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$13,033.20 |
$13,033.20 |
$13,033.20 |
$9,954.00
|
|
Cath right heart w/o2 sat & card
|
$8,403.60 |
$8,403.60 |
$8,403.60 |
$6,406.86
|
|
Cath steerable flex adv 12f
|
$563.60 |
$563.60 |
$563.60 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$698.81 |
$698.81 |
$698.81 |
$554.52
|
|
#cbg+cort-cbg
|
$34.20 |
$34.20 |
$34.20 |
$73.10
|
|
Cdp-sot 6 cond w/i&r
|
$96.00 |
$96.00 |
$96.00 |
$215.25
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.10 |
$35.10 |
$35.10 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$40.80 |
$40.80 |
$40.80 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$606.21
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
#celiac hla-dq2
|
$148.20 |
$148.20 |
$148.20 |
$225.12
|
|
Cell count w differential body fluid
|
$133.20 |
$133.20 |
$133.20 |
$93.23
|
|
Cell function assay w/stim
|
$415.80 |
$415.80 |
$415.80 |
$314.25
|
|
Change cystostomy tube simple
|
$426.00 |
$426.00 |
$426.00 |
$451.00
|
|
Chemo adm cns w/lmbr punct
|
$523.80 |
$523.80 |
$523.80 |
$665.40
|
|
Chemodenerv musc neck dyston 64616
|
$150.60 |
$150.60 |
$150.60 |
$698.60
|
|
Chest apical lordotic proj
|
$340.80 |
$340.80 |
$340.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,141.00 |
$3,141.00 |
$3,141.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$1,350.03
|
|
Chest X-ray
|
$265.80 |
$265.80 |
$265.80 |
$294.06
|
|
Chest X-ray (single view)
|
$223.80 |
$223.80 |
$223.80 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$141.00 |
$141.00 |
$141.00 |
$147.95
|
|
Chloride 24 hour urine
|
$105.00 |
$105.00 |
$105.00 |
$49.50
|
