|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$8,363.72 |
$8,363.72 |
$8,363.72 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$309.04 |
$309.04 |
$309.04 |
$250.88
|
|
Brace tlso flex cust
|
$824.72 |
$824.72 |
$824.72 |
$573.43
|
|
Brace wrist classic lft sm
|
$718.00 |
$718.00 |
$718.00 |
$89.04
|
|
Brach/thor cath 1st
|
$1,978.92 |
$1,978.92 |
$1,978.92 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$2,016.17 |
$2,016.17 |
$2,016.17 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$2,075.47 |
$2,075.47 |
$2,075.47 |
$1,983.11
|
|
Brach/thor cath addl
|
$625.31 |
$625.31 |
$625.31 |
$868.00
|
|
Brachy source i-125 injection
|
$264.34 |
$264.34 |
$264.34 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$339.59 |
$339.59 |
$339.59 |
$70.85
|
|
Brachy source palladium-103 nonstranded
|
$562.76 |
$562.76 |
$562.76 |
$121.68
|
|
Brachy source yttrium-90
|
$87,464.36 |
$87,464.36 |
$87,464.36 |
$30,870.00
|
|
Brachy src nonstrand c-131
|
$1,120.09 |
$1,120.09 |
$1,120.09 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$4,878.89 |
$4,878.89 |
$4,878.89 |
$475.73
|
|
Brachytx isodose complex
|
$5,104.92 |
$5,104.92 |
$5,104.92 |
$1,699.92
|
|
Brachytx isodose intermed
|
$4,384.20 |
$4,384.20 |
$4,384.20 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$3,392.87 |
$3,392.87 |
$3,392.87 |
$1,039.80
|
|
Braf gene
|
$1,850.59 |
$1,850.59 |
$1,850.59 |
$436.47
|
|
Brain flow imaging only
|
$1,379.16 |
$1,379.16 |
$1,379.16 |
$677.66
|
|
Brain image 4+ views
|
$2,309.66 |
$2,309.66 |
$2,309.66 |
$847.80
|
|
Brain image w/flow < 4 views
|
$1,969.23 |
$1,969.23 |
$1,969.23 |
$907.20
|
|
Brain image w/flow 4 + views
|
$2,005.81 |
$2,005.81 |
$2,005.81 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,957.44 |
$3,957.44 |
$3,957.44 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,602.77 |
$3,602.77 |
$3,602.77 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$3,910.93 |
$3,910.93 |
$3,910.93 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$3,556.25 |
$3,556.25 |
$3,556.25 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$3,566.85 |
$3,566.85 |
$3,566.85 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$345.68 |
$345.68 |
$345.68 |
$127.73
|
|
Brca1&2 gen ful dup/del alys
|
$2,249.15 |
$2,249.15 |
$2,249.15 |
$960.96
|
|
Brca1 dna gene analy known fam var
|
$2,155.28 |
$2,155.28 |
$2,155.28 |
$517.85
|
|
Brca2 dna gene analy known fam var
|
$2,155.28 |
$2,155.28 |
$2,155.28 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$6,197.24 |
$6,197.24 |
$6,197.24 |
$2,365.20
|
|
Breast prosthes without adhesive
|
$1,532.61 |
$1,532.61 |
$1,532.61 |
$431.20
|
|
Breath test analysis c-14
|
$389.18 |
$389.18 |
$389.18 |
$245.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$2,690.15 |
$2,690.15 |
$2,690.15 |
$22,383.57
|
|
Bronchial challenge
|
$3,045.05 |
$3,045.05 |
$3,045.05 |
$805.90
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$16.28 |
$16.28 |
$16.28 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$222.54 |
$222.54 |
$222.54 |
$154.70
|
|
Bundled special stain group 2
|
$227.21 |
$227.21 |
$227.21 |
$170.65
|
|
Bundle his recording
|
$21,655.74 |
$21,655.74 |
$21,655.74 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$24.71 |
$24.71 |
$24.71 |
$33.08
|
|
Buprenorphine hydrochloride
|
$150.38 |
$150.38 |
$150.38 |
$42.08
|
|
Buprenorphine X-ray over 100 mg
|
$20,931.49 |
$20,931.49 |
$20,931.49 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$20,768.15 |
$20,768.15 |
$20,768.15 |
$3,864.00
|
|
Burr hole implant ventricular cath/other device
|
$4,374.23 |
$4,374.23 |
$4,374.23 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$4,374.23 |
$4,374.23 |
$4,374.23 |
$4,374.23
|
|
Bur rotalink 2.15mm
|
$56,743.88 |
$56,743.88 |
$56,743.88 |
$7,871.02
|
|
Butorphanol tartrate 1 mg
|
$218.42 |
$218.42 |
$218.42 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$13,203.56 |
$13,203.56 |
$13,203.56 |
$2,347.69
|
|
Bypass temp external fem-fem
|
$61,199.96 |
$61,199.96 |
$61,199.96 |
$1,830.64
|
|
C-1 esterase, berinert
|
$24,359.27 |
$24,359.27 |
$24,359.27 |
$7,815.00
|
|
C1 esterase inhibitor func - sendout
|
$150.38 |
$150.38 |
$150.38 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$2,532.71 |
$2,532.71 |
$2,532.71 |
$26,328.21
|
|
Cable cath 22-pin diag
|
$54,306.97 |
$54,306.97 |
$54,306.97 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$303.32 |
$303.32 |
$303.32 |
$260.58
|
|
Cad breast MRI w/r&i
|
$50.77 |
$50.77 |
$50.77 |
$100.80
|
|
Cadd pump refill
|
$1,173.26 |
$1,173.26 |
$1,173.26 |
$380.00
|
|
Calcium 24 hour urine
|
$46.61 |
$46.61 |
$46.61 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$219.02 |
$219.02 |
$219.02 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.99 |
$0.99 |
$0.99 |
$91.60
|
|
Calcium ionized
|
$172.53 |
$172.53 |
$172.53 |
$89.88
|
|
Calcium total
|
$65.24 |
$65.24 |
$65.24 |
$50.00
|
|
Calculi urinary-sendout
|
$163.16 |
$163.16 |
$163.16 |
$68.05
|
|
Calprotectin fecal
|
$247.01 |
$247.01 |
$247.01 |
$170.00
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$460.10 |
$460.10 |
$460.10 |
$78.94
|
|
Campylobacter antibody
|
$250.53 |
$250.53 |
$250.53 |
$77.83
|
|
Canakinumab injection
|
$1,497.74 |
$1,497.74 |
$1,497.74 |
$35,959.82
|
|
Candida dna
|
$247.01 |
$247.01 |
$247.01 |
$61.10
|
|
Candida skin test
|
$62.89 |
$62.89 |
$62.89 |
$62.05
|
|
Cannula ercp contour 5-4-3 tip
|
$343,102.50 |
$343,102.50 |
$343,102.50 |
$42,021.72
|
|
Cap nerve 2x15mm
|
$32,867.46 |
$32,867.46 |
$32,867.46 |
$19,465.73
|
|
Capsaicin 8% patch
|
$9,665.29 |
$9,665.29 |
$9,665.29 |
$5,668.65
|
|
Cap trach decann 15mm
|
$5,746.88 |
$5,746.88 |
$5,746.88 |
$3,045.54
|
|
Carbamazepine free
|
$166.66 |
$166.66 |
$166.66 |
$59.15
|
|
Carbamazepine free -sendout
|
$113.36 |
$113.36 |
$113.36 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$184.11 |
$184.11 |
$184.11 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$1,293.80 |
$1,293.80 |
$1,293.80 |
$116.40
|
|
Carbohydrate urine - sendout
|
$2,399.92 |
$2,399.92 |
$2,399.92 |
$66.64
|
|
Carbon dioxide
|
$59.38 |
$59.38 |
$59.38 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$569.24 |
$569.24 |
$569.24 |
$197.57
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$319.30 |
$319.30 |
$319.30 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$152.61 |
$152.61 |
$152.61 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$635.14 |
$635.14 |
$635.14 |
$144.00
|
|
Cardiac drug stress test
|
$1,474.82 |
$1,474.82 |
$1,474.82 |
$543.20
|
|
Cardiac MRI w/stress img
|
$10,892.21 |
$10,892.21 |
$10,892.21 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$10,901.67 |
$10,901.67 |
$10,901.67 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$260.25 |
$260.25 |
$260.25 |
$248.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$222.75 |
$222.75 |
$222.75 |
$203.34
|
|
Cardiac shunt imaging
|
$2,193.08 |
$2,193.08 |
$2,193.08 |
$1,200.00
|
|
Cardioassist external
|
$309.17 |
$309.17 |
$309.17 |
$397.60
|
|
Cardioassist internal
|
$22,744.39 |
$22,744.39 |
$22,744.39 |
$954.20
|
|
Cardiolipin antibody iga
|
$319.28 |
$319.28 |
$319.28 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$6,047.16 |
$6,047.16 |
$6,047.16 |
$1,411.50
|
|
Cardioversion/elective/internal 92961
|
$6,047.16 |
$6,047.16 |
$6,047.16 |
$1,074.00
|
|
Card MRI veloc flow mapping
|
$1,350.50 |
$1,350.50 |
$1,350.50 |
$601.90
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$275.63 |
$275.63 |
$275.63 |
$96.50
|
|
Caregiver training strategies&tq ea addl 15 min
|
$118.13 |
$118.13 |
$118.13 |
$51.48
|
|
Carfilzomib 10 mg intravenous solution
|
$654.77 |
$654.77 |
$654.77 |
$6,306.47
|
|
Car ion chnnlpath inc 10 gns
|
$9,394.94 |
$9,394.94 |
$9,394.94 |
$1,038.57
|
