|
Brace ank air stirrup univ
|
$156.41 |
$156.41 |
$156.41 |
$76.50
|
|
Brace back epic lo 627
|
$344.57 |
$344.57 |
$344.57 |
$601.92
|
|
Brace back epic tslo 456
|
$864.36 |
$864.36 |
$864.36 |
$1,558.20
|
|
Brace back pinnacle lo 627 lumbar
|
$664.74 |
$664.74 |
$664.74 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$1,123.67 |
$1,123.67 |
$1,123.67 |
$2,901.32
|
|
Brace back t-lso custom
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$3,570.57
|
|
Brace back vista 464 tlso
|
$864.36 |
$864.36 |
$864.36 |
$1,541.40
|
|
Brace fx hum ovr shldr sm
|
$264.60 |
$264.60 |
$264.60 |
$643.45
|
|
Brace halo bremer l2830
|
$103.20 |
$103.20 |
$103.20 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$664.74 |
$664.74 |
$664.74 |
$414.17
|
|
Brace knee hing pat open med
|
$156.41 |
$156.41 |
$156.41 |
$246.72
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$583.30 |
$583.30 |
$583.30 |
$268.92
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$864.36 |
$864.36 |
$864.36 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$203.45 |
$203.45 |
$203.45 |
$237.83
|
|
Brace tlso flex cust
|
$203.45 |
$203.45 |
$203.45 |
$346.45
|
|
Brace wrist classic lft sm
|
$78.21 |
$78.21 |
$78.21 |
$75.66
|
|
Brach/thor cath 1st
|
$3,851.99 |
$3,851.99 |
$3,851.99 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$3,022.03 |
$3,022.03 |
$3,022.03 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$3,555.35 |
$3,555.35 |
$3,555.35 |
$2,151.93
|
|
Brach/thor cath addl
|
$568.89 |
$568.89 |
$568.89 |
$854.40
|
|
Brachy source yttrium-90
|
$20,674.38 |
$20,674.38 |
$20,674.38 |
$33,054.19
|
|
Brachy src nonstrand hdr ir-192
|
$470.11 |
$470.11 |
$470.11 |
$379.31
|
|
Brachytx isodose complex
|
$1,413.85 |
$1,413.85 |
$1,413.85 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,149.54 |
$1,149.54 |
$1,149.54 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$735.89 |
$735.89 |
$735.89 |
$817.20
|
|
Braf gene
|
$102.90 |
$102.90 |
$102.90 |
$421.00
|
|
Brain flow imaging only
|
$495.10 |
$495.10 |
$495.10 |
$636.97
|
|
Brain image < 4 views
|
$490.98 |
$490.98 |
$490.98 |
$475.51
|
|
Brain image 4+ views
|
$361.04 |
$361.04 |
$361.04 |
$767.00
|
|
Brain image w/flow < 4 views
|
$2,888.26 |
$2,888.26 |
$2,888.26 |
$884.65
|
|
Brain image w/flow 4 + views
|
$361.04 |
$361.04 |
$361.04 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,605.76 |
$10,605.76 |
$10,605.76 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$9,208.38 |
$9,208.38 |
$9,208.38 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,350.70 |
$6,350.70 |
$6,350.70 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$9,469.45 |
$9,469.45 |
$9,469.45 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$8,222.01 |
$8,222.01 |
$8,222.01 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$5,670.38 |
$5,670.38 |
$5,670.38 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$35.87 |
$35.87 |
$35.87 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$903.17 |
$903.17 |
$903.17 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$308.12 |
$308.12 |
$308.12 |
$865.26
|
|
Breathing response hypoxia
|
$173.76 |
$173.76 |
$173.76 |
$173.18
|
|
Breath test analysis c-14
|
$185.52 |
$185.52 |
$185.52 |
$197.34
|
|
Breath tst attain/anal c-14
|
$115.55 |
$115.55 |
$115.55 |
$79.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$8,103.23 |
$8,103.23 |
$8,103.23 |
$24,248.87
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$1,492.05 |
$1,492.05 |
$2,772.21 |
$728.00
|
|
Bronch ebus ivntj perph les 31654
|
$294.59 |
$294.59 |
$650.94 |
$1,923.75
|
|
Bronch ebus samplng 1/2 node
|
$2,265.86 |
$2,265.86 |
$5,012.24 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$3,398.64 |
$3,398.64 |
$7,517.79 |
$5,110.00
|
|
Bronchial challenge
|
$441.59 |
$441.59 |
$441.59 |
$835.20
|
|
Bronchial valve remov addl
|
$1,589.66 |
$1,589.66 |
$3,413.44 |
$2,040.67
|
|
Bronchial valve remov init
|
$3,181.97 |
$3,181.97 |
$6,833.16 |
$4,341.75
|
|
Bronchoscopy clear airways 31645
|
$1,735.19 |
$1,735.19 |
$3,223.30 |
$2,672.16
|
|
Bronchoscopy/lung bx addl 31632
|
$599.47 |
$599.47 |
$1,180.26 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$372.21 |
$372.21 |
$732.03 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$672.97 |
$672.97 |
$1,325.30 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$1,747.54 |
$1,747.54 |
$3,439.14 |
$3,572.33
|
|
Bronchoscopy w/biopsy(s) 31625
|
$485.40 |
$485.40 |
$991.83 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$326.05 |
$326.05 |
$640.67 |
$2,672.16
|
|
Bronchoscopy w/tumor excise
|
$372.21 |
$372.21 |
$732.03 |
$4,080.94
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$161.70 |
$161.70 |
$318.05 |
$318.05
|
|
Br punct aspir ea add, l
|
$154.06 |
$154.06 |
$154.06 |
$380.50
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$29.40 |
$29.40 |
$29.40 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$70.36 |
$70.36 |
$191.69 |
$165.10
|
|
Bundled special stain group 2
|
$57.66 |
$57.66 |
$191.69 |
$169.00
|
|
Bundle his recording
|
$7,464.66 |
$7,464.66 |
$7,464.66 |
$5,410.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$19.11 |
$19.11 |
$19.11 |
$39.23
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$11.42 |
$11.42 |
$11.42 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$20.56 |
$20.56 |
$20.56 |
$17.13
|
|
Buprenorphine oral 1mg
|
$12.06 |
$12.06 |
$12.06 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$2,292.32 |
$2,292.32 |
$2,292.32 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$7,201.94
|
|
Bx bone trocar/ndl deep
|
$1,548.21 |
$1,548.21 |
$1,548.21 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,703.33 |
$2,703.33 |
$2,703.33 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$720.30 |
$720.30 |
$720.30 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$1,825.45 |
$1,825.45 |
$1,825.45 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$662.68 |
$662.68 |
$662.68 |
$1,711.50
|
|
Bx breast add lesion Ultrasound imag
|
$632.40 |
$632.40 |
$632.40 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$325.46 |
$325.46 |
$325.46 |
$1,547.10
|
|
Bx breast pq tomo guide
|
$4,708.41 |
$4,708.41 |
$4,708.41 |
$5,383.86
|
|
Bx of breast open 19101
|
$6,389.21 |
$6,389.21 |
$6,389.21 |
$4,509.59
|
|
Bx pancreas pq ndl
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$1,780.47
|
|
Bx pleura pq ndl
|
$1,474.41 |
$1,474.41 |
$1,474.41 |
$1,742.30
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$3,022.62 |
$3,022.62 |
$3,022.62 |
$1,915.68
|
|
Bx soft tiss pelvis/hip deep 27041
|
$10,325.58 |
$10,325.58 |
$10,325.58 |
$2,366.40
|
|
Bx soft tissue back/flank deep 21925
|
$1,597.01 |
$1,597.01 |
$1,597.01 |
$2,271.01
|
|
Bx soft tissue back/flank supf 21920
|
$1,597.01 |
$1,597.01 |
$1,597.01 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,726.67 |
$1,726.67 |
$1,726.67 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$964.62 |
$964.62 |
$964.62 |
$1,038.80
|
|
C-1 esterase, berinert
|
$1,978.04 |
$1,978.04 |
$1,978.04 |
$8,951.58
|
|
C1 esterase inhibitor func - sendout
|
$29.40 |
$29.40 |
$57.10 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$16,464.00 |
$16,464.00 |
$16,464.00 |
$25,362.42
|
|
Cable cath 22-pin diag
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$4,518.81
|
|
Cad breast MRI w/r&i
|
$301.65 |
$301.65 |
$301.65 |
$100.23
|
|
Caffeine citrate 20 mg/ml inj for po
|
$43.81 |
$43.81 |
$43.81 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,591.51 |
$3,591.51 |
$3,591.51 |
$2,802.31
|
|
Calcium 24 hour urine
|
$125.62 |
$125.62 |
$195.22 |
$51.75
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.72 |
$1.72 |
$2.36 |
$2.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$29.11 |
$29.11 |
$37.12 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$477.75 |
$477.75 |
$477.75 |
$91.04
|
|
Calcium ionized
|
$132.89 |
$132.89 |
$204.42 |
$88.40
|