|
Brace back epic lso 637
|
$3,996.48 |
$3,996.48 |
$3,996.48 |
$1,787.52
|
|
Brace back pinnacle lo 627 lumbar
|
$890.52 |
$890.52 |
$890.52 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$2,283.03 |
$2,283.03 |
$2,283.03 |
$2,901.32
|
|
Brace back t-lso custom
|
$5,504.07 |
$5,504.07 |
$5,504.07 |
$3,570.57
|
|
Brace back vista 464 tlso
|
$1,579.91 |
$1,579.91 |
$1,579.91 |
$1,541.40
|
|
Brace cust back lso
|
$1,458.21 |
$1,458.21 |
$1,458.21 |
$758.94
|
|
Brace fx hum ovr shldr lg
|
$2,528.66 |
$2,528.66 |
$2,528.66 |
$2,528.66
|
|
Brace fx hum ovr shldr sm
|
$468.44 |
$468.44 |
$468.44 |
$643.45
|
|
Brace halo bremer l2830
|
$318.68 |
$318.68 |
$318.68 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$1,597.40 |
$1,597.40 |
$1,597.40 |
$414.17
|
|
Brace knee hing pat open med
|
$410.70 |
$410.70 |
$410.70 |
$246.72
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,935.76 |
$1,935.76 |
$1,935.76 |
$268.92
|
|
Brace knee postop tscope xl
|
$1,343.91 |
$1,343.91 |
$1,343.91 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$292.43 |
$292.43 |
$292.43 |
$261.05
|
|
Brace m arm board
|
$783.30 |
$783.30 |
$783.30 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$1,592.99 |
$1,592.99 |
$1,592.99 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,479.49 |
$1,479.49 |
$1,479.49 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$606.02 |
$606.02 |
$606.02 |
$237.83
|
|
Brace tlso flex cust
|
$802.74 |
$802.74 |
$802.74 |
$346.45
|
|
Brace wrist classic lft sm
|
$93.33 |
$93.33 |
$93.33 |
$75.66
|
|
Brach/thor cath 1st
|
$3,708.53 |
$3,708.53 |
$3,708.53 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$5,381.86 |
$5,381.86 |
$5,381.86 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$6,882.90 |
$6,882.90 |
$6,882.90 |
$2,151.93
|
|
Brach/thor cath addl
|
$3,688.13 |
$3,688.13 |
$3,688.13 |
$854.40
|
|
Brachy source iodine-125 nonstranded
|
$1,522.10 |
$1,522.10 |
$1,522.10 |
$39.10
|
|
Brachy source yttrium-90
|
$87,910.89 |
$87,910.89 |
$87,910.89 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$388.82 |
$388.82 |
$388.82 |
$241.20
|
|
Brachy src nonstrand hdr ir-192
|
$2,290.51 |
$2,290.51 |
$2,290.51 |
$379.31
|
|
Brachytx isodose complex
|
$10,067.49 |
$10,067.49 |
$10,067.49 |
$1,631.00
|
|
Brachytx isodose intermed
|
$7,805.98 |
$7,805.98 |
$7,805.98 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$7,213.84 |
$7,213.84 |
$7,213.84 |
$817.20
|
|
Braf gene
|
$301.60 |
$301.60 |
$301.60 |
$421.00
|
|
Brain image w/flow < 4 views
|
$1,398.90 |
$1,398.90 |
$1,398.90 |
$884.65
|
|
Brain image w/flow 4 + views
|
$2,631.01 |
$2,631.01 |
$2,631.01 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$8,116.63 |
$8,116.63 |
$8,116.63 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$5,621.40 |
$5,621.40 |
$5,621.40 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$5,303.82 |
$5,303.82 |
$5,303.82 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$8,803.52 |
$8,803.52 |
$8,803.52 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$6,664.90 |
$6,664.90 |
$6,664.90 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$6,456.42 |
$6,456.42 |
$6,456.42 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$76.33 |
$76.33 |
$76.33 |
$131.85
|
|
Brca1&2 gene full seq alys
|
$609.93 |
$609.93 |
$609.93 |
$770.25
|
|
Brca2 dna gene analy known fam var
|
$487.83 |
$487.83 |
$487.83 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$2,715.84 |
$2,715.84 |
$2,715.84 |
$2,299.75
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$6,985.13 |
$6,985.13 |
$6,985.13 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$1,121.45 |
$1,121.45 |
$1,121.45 |
$865.26
|
|
Breath hydrogen test 91065
|
$1,905.83 |
$1,905.83 |
$1,905.83 |
$459.81
|
|
Breath recording infant
|
$4,001.26 |
$4,001.26 |
$4,001.26 |
$1,130.96
|
|
Breath test analysis c-14
|
$1,220.88 |
$1,220.88 |
$1,220.88 |
$197.34
|
|
Breath tst attain/anal c-14
|
$487.67 |
$487.67 |
$487.67 |
$79.80
|
|
Bronchial allergy tests
|
$1,150.39 |
$1,150.39 |
$1,150.39 |
$737.46
|
|
Bronchial challenge
|
$4,107.47 |
$4,107.47 |
$4,107.47 |
$835.20
|
|
Bronchoscopy clear airways 31645
|
$5,186.15 |
$5,186.15 |
$5,186.15 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$5,186.15 |
$5,186.15 |
$5,186.15 |
$2,672.16
|
|
Br punct aspir ea add, l
|
$453.37 |
$453.37 |
$453.37 |
$380.50
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$174.63 |
$174.63 |
$174.63 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$599.53 |
$599.53 |
$599.53 |
$165.10
|
|
Bundled special stain group 2
|
$599.53 |
$599.53 |
$599.53 |
$169.00
|
|
Bundle his recording
|
$7,175.84 |
$7,175.84 |
$7,175.84 |
$5,410.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$544.64 |
$544.64 |
$544.64 |
$39.23
|
|
Buprenorphine and metabolite - sendout
|
$161.88 |
$161.88 |
$161.88 |
$85.79
|
|
Buprenorph X-ray 100 mg or less
|
$5,276.69 |
$5,276.69 |
$5,276.69 |
$5,784.06
|
|
Burr hole skull & remove clot 61154
|
$6,152.98 |
$6,152.98 |
$6,152.98 |
$4,225.86
|
|
Butorphanol tartrate 1 mg
|
$161.96 |
$161.96 |
$161.96 |
$43.70
|
|
Bx bone trocar/ndl deep
|
$4,585.57 |
$4,585.57 |
$4,585.57 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$12,299.13 |
$12,299.13 |
$12,299.13 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$9,845.18 |
$9,845.18 |
$9,845.18 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$11,069.23 |
$11,069.23 |
$11,069.23 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$8,860.64 |
$8,860.64 |
$8,860.64 |
$1,711.50
|
|
Bx breast add lesion Ultrasound imag
|
$6,276.56 |
$6,276.56 |
$6,276.56 |
$1,708.85
|
|
Bx breast pq tomo guide
|
$10,019.82 |
$10,019.82 |
$10,019.82 |
$5,383.86
|
|
Bx liver with other
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$548.87
|
|
Bx pancreas pq ndl
|
$4,392.40 |
$4,392.40 |
$4,392.40 |
$1,780.47
|
|
Bx pleura pq ndl
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$1,742.30
|
|
Bx prst8 ndl sat sampling
|
$9,341.65 |
$9,341.65 |
$9,341.65 |
$4,081.37
|
|
Bx shoulder tissues supf 23065
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$909.69 |
$909.69 |
$909.69 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$511.06 |
$511.06 |
$511.06 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$481.68 |
$481.68 |
$481.68 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,915.68
|
|
Bx soft tiss pelvis/hip deep 27041
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,366.40
|
|
Bx soft tissue back/flank deep 21925
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,271.01
|
|
Bx soft tissue back/flank supf 21920
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$4,665.98 |
$4,665.98 |
$4,665.98 |
$2,080.80
|
|
Bx thigh/knee soft tiss supf 27323
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$4,151.58 |
$4,151.58 |
$4,151.58 |
$1,038.80
|
|
Bx vag mucos smpl (sep proc)
|
$2,050.33 |
$2,050.33 |
$2,050.33 |
$1,266.48
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,050.33 |
$2,050.33 |
$2,050.33 |
$1,155.36
|
|
Bx vulva or perineum/ea add lesion 56606
|
$195.73 |
$195.73 |
$195.73 |
$465.09
|
|
Bypass temp external fem-fem
|
$4,407.60 |
$4,407.60 |
$4,407.60 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$252.66 |
$252.66 |
$252.66 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$15,429.55 |
$15,429.55 |
$15,429.55 |
$25,362.42
|
|
Cad breast MRI w/r&i
|
$75.78 |
$75.78 |
$75.78 |
$100.23
|
|
Cadd pump refill
|
$1,008.14 |
$1,008.14 |
$1,008.14 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$318.73 |
$318.73 |
$318.73 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$763.47 |
$763.47 |
$763.47 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$246.97 |
$246.97 |
$246.97 |
$91.04
|
|
Calcium ionized
|
$304.64 |
$304.64 |
$304.64 |
$88.40
|
|
Calcium total
|
$211.92 |
$211.92 |
$211.92 |
$48.75
|
