|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,394.49 |
$3,394.49 |
$8,363.72 |
|
|
Brace oths wrist hnd fngr without
|
$309.04 |
$309.04 |
$309.04 |
|
|
Brace tlso flex cust
|
$824.72 |
$824.72 |
$824.72 |
|
|
Brace wrist classic lft sm
|
$22.20 |
$25.20 |
$718.00 |
|
|
Brach/thor cath 1st
|
$1,082.00 |
$2,125.80 |
$2,931.00 |
|
|
Brach/thor cath 2nd
|
$1,015.50 |
$2,364.00 |
$3,256.80 |
|
|
Brach/thor cath 3rd
|
$1,015.50 |
$2,599.80 |
$3,582.00 |
|
|
Brach/thor cath addl
|
$625.31 |
$1,627.20 |
$2,364.00 |
|
|
Brachy source i-125 injection
|
$264.34 |
$264.34 |
$264.34 |
|
|
Brachy source iodine-125 nonstranded
|
$339.59 |
$339.59 |
$339.59 |
|
|
Brachy source palladium-103 nonstranded
|
$562.76 |
$562.76 |
$562.76 |
|
|
Brachy source yttrium-90
|
$27,545.00 |
$27,545.00 |
$87,464.36 |
|
|
Brachy src nonstrand c-131
|
$1,120.09 |
$1,120.09 |
$1,120.09 |
|
|
Brachy src nonstrand hdr ir-192
|
$711.60 |
$2,600.50 |
$4,878.89 |
|
|
Brachytx isodose complex
|
$1,174.20 |
$2,052.60 |
$5,104.92 |
|
|
Brachytx isodose intermed
|
$843.60 |
$1,808.40 |
$4,384.20 |
|
|
Brachytx isodose plan simple
|
$682.80 |
$1,000.20 |
$3,392.87 |
|
|
Braf gene
|
$266.40 |
$333.00 |
$1,850.59 |
|
|
Brain flow imaging only
|
$1,086.00 |
$1,119.00 |
$3,070.20 |
|
|
Brain image 4+ views
|
$2,309.66 |
$2,309.66 |
$2,309.66 |
|
|
Brain image w/flow < 4 views
|
$792.60 |
$907.20 |
$1,969.23 |
|
|
Brain image w/flow 4 + views
|
$2,005.81 |
$2,673.00 |
$2,673.00 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$582.60 |
$1,045.50 |
$3,957.44 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$582.60 |
$1,012.00 |
$3,602.77 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$582.60 |
$783.00 |
$3,258.04 |
|
|
Brain MRI (with and without contrast)
|
$582.60 |
$910.50 |
$3,910.93 |
|
|
Brain MRI (with contrast)
|
$582.60 |
$710.00 |
$3,556.25 |
|
|
Brain MRI (without contrast)
|
$582.00 |
$671.50 |
$3,566.85 |
|
|
Bra surgical elizabeth pink sm
|
$345.68 |
$345.68 |
$345.68 |
|
|
Brca1&2 gen ful dup/del alys
|
$2,249.15 |
$2,249.15 |
$2,249.15 |
|
|
Brca1 dna gene analy known fam var
|
$2,155.28 |
$2,155.28 |
$2,155.28 |
|
|
Brca2 dna gene analy known fam var
|
$2,155.28 |
$2,155.28 |
$2,155.28 |
|
|
Brcassure comprehensive panel-sendout
|
$6,197.24 |
$6,197.24 |
$6,197.24 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,079.12 |
$2,825.40 |
$4,255.20 |
|
|
Breastbone (Sternum) X-ray
|
$165.25 |
$195.00 |
$987.16 |
|
|
Breast prosthes without adhesive
|
$1,532.61 |
$1,532.61 |
$1,532.61 |
|
|
Breast punct aspir cyst, bil
|
$681.00 |
$1,009.80 |
$1,451.40 |
|
|
Breath hydrogen test 91065
|
$590.40 |
$590.40 |
$590.40 |
|
|
Breath test analysis c-14
|
$389.18 |
$389.18 |
$389.18 |
|
|
Breath tst attain/anal c-14
|
$137.40 |
$429.00 |
$429.00 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$361.98 |
$29,381.00 |
$29,381.00 |
|
|
Bronchial allergy tests
|
$465.60 |
$707.00 |
$734.40 |
|
|
Bronchial challenge
|
$171.00 |
$1,576.20 |
$3,045.05 |
|
|
Br punct aspir ea add, l
|
$376.50 |
$515.40 |
$781.50 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$16.28 |
$44.68 |
$78.22 |
|
|
Bundled special stain group 1 microorganisms
|
$109.62 |
$222.54 |
$266.40 |
|
|
Bundled special stain group 2
|
$85.12 |
$220.80 |
$250.20 |
|
|
Bundle his recording
|
$3,994.20 |
$3,994.20 |
$21,655.74 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$24.71 |
$486.60 |
$877.92 |
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.32 |
$11.72 |
$11.72 |
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$4.02 |
$12.17 |
$12.17 |
|
|
Buprenorphine hydrochloride
|
$43.94 |
$43.94 |
$150.38 |
|
|
Buprenorphine oral 1mg
|
$3.64 |
$11.24 |
$11.24 |
|
|
Buprenorphine X-ray over 100 mg
|
$20,931.49 |
$20,931.49 |
$20,931.49 |
|
|
Buprenorph X-ray 100 mg or less
|
$20,768.15 |
$20,768.15 |
$20,768.15 |
|
|
Burr hole implant ventricular cath/other device
|
$4,374.23 |
$4,374.23 |
$4,374.23 |
|
|
Burr hole skull & remove clot 61154
|
$4,374.23 |
$4,374.23 |
$4,374.23 |
|
|
Bur rotalink 2.15mm
|
$10,015.25 |
$10,015.25 |
$56,743.88 |
|
|
Busulfan injection
|
$2,905.77 |
$2,905.77 |
$2,905.77 |
|
|
Butorphanol tartrate 1 mg
|
$42.76 |
$43.70 |
$218.42 |
|
|
Bx arm/elbow soft tissue supf 24065
|
$2,589.00 |
$2,589.00 |
$2,589.00 |
|
|
Bx bone trocar/ndl deep
|
$2,229.50 |
$2,950.50 |
$13,203.56 |
|
|
Bx breast 1st lesion mr imag
|
$1,629.50 |
$1,711.50 |
$4,713.60 |
|
|
Bx breast 1st lesion strtctc
|
$1,445.75 |
$1,797.00 |
$4,801.20 |
|
|
Bx breast add lesion mr imag
|
$1,095.00 |
$1,150.00 |
$4,713.60 |
|
|
Bx breast add lesion strtctc
|
$1,198.50 |
$3,814.80 |
$4,801.20 |
|
|
Bx breast add lesion Ultrasound imag
|
$799.75 |
$2,825.40 |
$4,255.20 |
|
|
Bx/curett of cervix w/scope 57454
|
$105.70 |
$105.70 |
$105.70 |
|
|
Bx liver with other
|
$1,393.20 |
$1,393.20 |
$1,393.20 |
|
|
Bx pancreas pq ndl
|
$1,113.00 |
$1,359.00 |
$2,295.60 |
|
|
Bx pleura pq ndl
|
$822.60 |
$1,362.00 |
$1,896.60 |
|
|
Bx shoulder tissues supf 23065
|
$2,959.80 |
$2,959.80 |
$2,959.80 |
|
|
Bx skin incisnl ea sep/add l les
|
$643.20 |
$812.40 |
$871.80 |
|
|
Bx skin punch ea sep/ addl les
|
$30.10 |
$361.20 |
$489.00 |
|
|
Bx skin tangential ea sep/ addl les
|
$295.20 |
$456.60 |
$489.00 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
|
|
Bx soft tissue back/flank supf 21920
|
$2,483.40 |
$2,483.40 |
$2,483.40 |
|
|
Bx thyroid/percutan core needle 60100
|
$957.60 |
$1,078.00 |
$1,992.00 |
|
|
Bx vag mucos smpl (sep proc)
|
$66.15 |
$66.15 |
$66.15 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$46.02 |
$46.02 |
$46.02 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$27.82 |
$27.82 |
$27.82 |
|
|
Bypass temp external fem-fem
|
$100.20 |
$2,682.60 |
$61,199.96 |
|
|
C-1 esterase, berinert
|
$5,314.37 |
$8,718.28 |
$24,359.27 |
|
|
C1 esterase inhibitor func - sendout
|
$80.40 |
$186.50 |
$303.60 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$355.02 |
$2,532.71 |
$35,392.40 |
|
|
Cabergoline, oral 0.25mg
|
$41.95 |
$41.95 |
$41.95 |
|
|
Cable cath 22-pin diag
|
$7,670.00 |
$7,670.00 |
$54,306.97 |
|
|
Cable centrimag pressure
|
$493.20 |
$14,306.40 |
$14,306.40 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$9,501.48 |
$16,582.14 |
$16,582.14 |
|
|
Cacna1a gen detc abnor allel
|
$303.32 |
$303.32 |
$303.32 |
|
|
Cad breast MRI w/r&i
|
$50.77 |
$50.77 |
$50.77 |
|
|
Cadd pump refill
|
$524.40 |
$741.60 |
$1,533.00 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$46.64 |
$47.78 |
$49.75 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$64,488.50 |
$64,488.50 |
$64,488.50 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,659.82 |
$4,345.79 |
$4,345.79 |
|
|
Calcium 24 hour urine
|
$14.40 |
$62.00 |
$138.60 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.90 |
$127.36 |
$416.26 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.99 |
$91.04 |
$91.04 |
|
|
Calcium ionized
|
$90.00 |
$179.40 |
$247.80 |
|