|
Brace knee extender plus 22-30in
|
$795.70 |
$795.70 |
$1,051.20 |
$414.17
|
|
Brace knee hing pat open med
|
$163.50 |
$163.50 |
$216.00 |
$246.72
|
|
Brace knee support neoprene padded open patella med
|
$125.35 |
$125.35 |
$165.60 |
$261.05
|
|
Brace ortho exos 28-50in sm
|
$1,345.06 |
$1,345.06 |
$1,776.96 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,034.41 |
$1,034.41 |
$1,366.56 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$276.86 |
$276.86 |
$365.76 |
$237.83
|
|
Brace wrist classic lft sm
|
$73.03 |
$73.03 |
$96.48 |
$75.66
|
|
Brach/thor cath 1st
|
$477.21 |
$477.21 |
$630.44 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$636.13 |
$636.13 |
$840.39 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$793.52 |
$793.52 |
$1,048.32 |
$2,151.93
|
|
Brach/thor cath addl
|
$793.52 |
$793.52 |
$1,048.32 |
$854.40
|
|
Brachy source i-125 injection
|
$40.12 |
$40.12 |
$53.00 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$40.12 |
$40.12 |
$53.00 |
$39.10
|
|
Brachy source palladium
|
$41.42 |
$41.42 |
$54.72 |
$110.25
|
|
Brachy source palladium-103 nonstranded
|
$41.42 |
$41.42 |
$54.72 |
$88.37
|
|
Brachy source yttrium-90
|
$17,440.00 |
$17,440.00 |
$23,040.00 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$67.58 |
$67.58 |
$89.28 |
$241.20
|
|
Brachy src stranded c-131
|
$85.02 |
$85.02 |
$112.32 |
$210.96
|
|
Braf gene
|
$17.44 |
$17.44 |
$23.04 |
$421.00
|
|
Brain flow imaging only
|
$1,383.87 |
$1,383.87 |
$1,828.23 |
$636.97
|
|
Brain image w/flow < 4 views
|
$1,106.57 |
$1,106.57 |
$1,461.89 |
$884.65
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,370.54 |
$2,370.54 |
$3,131.72 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,370.54 |
$2,370.54 |
$3,131.72 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,549.33 |
$1,549.33 |
$2,046.82 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$1,892.03 |
$1,892.03 |
$2,499.56 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,892.03 |
$1,892.03 |
$2,499.56 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,236.50 |
$1,236.50 |
$1,633.54 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$95.92 |
$95.92 |
$126.72 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,263.53 |
$1,263.53 |
$1,669.25 |
$3,048.95
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$7,395.00 |
$7,395.00 |
$7,395.00 |
$24,248.87
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$1,425.29 |
$1,425.29 |
$1,882.95 |
$728.00
|
|
Bronch ebus samplng 1/2 node
|
$1,561.32 |
$1,561.32 |
$2,062.66 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$2,655.24 |
$2,655.24 |
$3,507.84 |
$5,110.00
|
|
Bronchial allergy tests
|
$392.19 |
$392.19 |
$518.12 |
$737.46
|
|
Bronchial challenge
|
$273.38 |
$273.38 |
$361.16 |
$835.20
|
|
Bronchoscopy clear airways 31645
|
$1,657.46 |
$1,657.46 |
$2,189.67 |
$2,672.16
|
|
Bronchoscopy/lung bx addl 31632
|
$501.62 |
$501.62 |
$662.69 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$883.12 |
$883.12 |
$1,166.69 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$644.19 |
$644.19 |
$851.04 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$953.97 |
$953.97 |
$1,260.29 |
$3,572.33
|
|
Bronchoscopy treat blockage
|
$1,029.84 |
$1,029.84 |
$1,360.52 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,117.47 |
$1,117.47 |
$1,476.29 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,624.10 |
$1,624.10 |
$2,145.60 |
$2,672.16
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$26.60 |
$26.60 |
$35.14 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$66.71 |
$66.71 |
$88.13 |
$165.10
|
|
Bundled special stain group 2
|
$51.89 |
$51.89 |
$68.55 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$11.78 |
$11.78 |
$15.56 |
$39.23
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$5.67 |
$5.67 |
$5.67 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$10.25 |
$10.25 |
$10.25 |
$17.13
|
|
Buprenorphine hydrochloride
|
$14.39 |
$14.39 |
$19.01 |
$43.94
|
|
Buprenorphine oral 1mg
|
$10.90 |
$10.90 |
$14.40 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$2,384.05 |
$2,384.05 |
$3,149.57 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$7,201.94
|
|
Butorphanol tartrate 1 mg
|
$10.90 |
$10.90 |
$14.40 |
$43.70
|
|
Bx bone trocar/ndl deep
|
$1,179.82 |
$1,179.82 |
$1,558.66 |
$2,271.01
|
|
Bx breast pq tomo guide
|
$4,157.26 |
$4,157.26 |
$5,492.16 |
$5,383.86
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$2,582.87 |
$2,582.87 |
$3,412.23 |
$4,242.15
|
|
Bx pancreas pq ndl
|
$1,301.03 |
$1,301.03 |
$1,718.79 |
$1,780.47
|
|
Bx pleura pq ndl
|
$866.55 |
$866.55 |
$1,144.80 |
$1,742.30
|
|
Bx skin incisnl ea sep/add l les
|
$76.30 |
$76.30 |
$100.80 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$793.31 |
$793.31 |
$1,048.04 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$76.30 |
$76.30 |
$100.80 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$786.11 |
$786.11 |
$1,038.53 |
$1,915.68
|
|
Bx soft tiss pelvis/hip deep 27041
|
$786.11 |
$786.11 |
$1,038.53 |
$2,366.40
|
|
Bx thigh/knee soft tiss supf 27323
|
$2,070.13 |
$2,070.13 |
$2,734.85 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$825.35 |
$825.35 |
$1,090.37 |
$1,038.80
|
|
Bypass temp external fem-fem
|
$442.98 |
$442.98 |
$585.22 |
$1,938.60
|
|
C-1 esterase, berinert
|
$1,805.04 |
$1,805.04 |
$1,805.04 |
$8,951.58
|
|
C1 esterase inhibitor func - sendout
|
$4.36 |
$4.36 |
$5.76 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$15,025.00 |
$15,025.00 |
$15,025.00 |
$25,362.42
|
|
Cable cath 22-pin diag
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$4,518.81
|
|
Cable centrimag pressure
|
$6,501.85 |
$6,501.85 |
$8,589.60 |
$10,306.02
|
|
Cad breast MRI w/r&i
|
$43.17 |
$43.17 |
$57.03 |
$100.23
|
|
Cadd pump refill
|
$147.81 |
$147.81 |
$195.27 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$39.90 |
$39.90 |
$52.71 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,277.63 |
$3,277.63 |
$4,330.08 |
$2,802.31
|
|
Calcium 24 hour urine
|
$14.17 |
$14.17 |
$18.72 |
$51.75
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$0.66 |
$0.66 |
$2.60 |
$2.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$10.90 |
$10.90 |
$14.40 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$436.00 |
$436.00 |
$436.00 |
$91.04
|
|
Calcium ionized
|
$128.62 |
$128.62 |
$169.92 |
$88.40
|
|
Calcium total
|
$45.57 |
$45.57 |
$60.20 |
$48.75
|
|
Calprotectin fecal
|
$8.72 |
$8.72 |
$11.52 |
$169.20
|
|
Candida dna
|
$81.97 |
$81.97 |
$108.29 |
$66.05
|
|
Cannula ercp contour 5-4-3 tip
|
$98,394.30 |
$98,394.30 |
$129,988.80 |
$51,677.49
|
|
Capecitabine, oral, 50 mg
|
$38.37 |
$38.37 |
$50.69 |
$38.23
|
|
Cap nerve 2x15mm
|
$31,352.76 |
$31,352.76 |
$41,420.16 |
$24,217.08
|
|
Cap trach decann 15mm
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$3,973.20
|
|
Carbamazepine total therapeutic drug level
|
$72.82 |
$72.82 |
$96.20 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$63.53 |
$63.53 |
$83.93 |
$113.36
|
|
Carbon dioxide
|
$16.79 |
$16.79 |
$22.18 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$13.74 |
$13.74 |
$18.15 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$85.02 |
$85.02 |
$112.32 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$227.60 |
$227.60 |
$300.68 |
$146.25
|
|
Cardiac perf planar sgl/ef/wm
|
$2,109.59 |
$2,109.59 |
$2,786.98 |
$1,961.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,842.98 |
$1,842.98 |
$2,434.76 |
$2,752.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$79.36 |
$79.36 |
$104.84 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$72.16 |
$72.16 |
$95.33 |
$205.57
|
|
Cardiac shunt imaging
|
$1,010.43 |
$1,010.43 |
$1,334.88 |
$860.63
|
|
Cardiolipin antibody iga
|
$4.48 |
$4.48 |
$5.91 |
$114.40
|
