|
Brace ankle stablizing lg
|
$54.18 |
$126.59 |
$126.59 |
|
|
Brace back epic lo 627
|
$374.09 |
$374.09 |
$374.09 |
|
|
Brace back epic lso 637
|
$1,080.97 |
$1,080.97 |
$1,080.97 |
|
|
Brace back epic tslo 456
|
$904.92 |
$904.92 |
$904.92 |
|
|
Brace back pinnacle lo 627 lumbar
|
$266.28 |
$697.08 |
$697.08 |
|
|
Brace back pinnacle tlso 464
|
$962.64 |
$2,520.97 |
$2,520.97 |
|
|
Brace back t-lso custom
|
$1,277.64 |
$3,470.41 |
$3,470.41 |
|
|
Brace back vista 464 tlso
|
$934.25 |
$934.25 |
$934.25 |
|
|
Brace cust back lso
|
$664.86 |
$1,741.01 |
$1,741.01 |
|
|
Brace fx hum ovr shldr lg
|
$711.20 |
$1,553.60 |
$1,553.60 |
|
|
Brace fx hum ovr shldr sm
|
$204.96 |
$597.11 |
$597.11 |
|
|
Brace halo bremer l2830
|
$63.84 |
$148.98 |
$148.98 |
|
|
Brace kafo dbl upright cust
|
$1,257.48 |
$3,144.23 |
$3,144.23 |
|
|
Brace knee 32in univ t-scope short lt/rt
|
$885.57 |
$885.57 |
$885.57 |
|
|
Brace knee extender plus 22-30in
|
$412.02 |
$1,168.18 |
$1,168.18 |
|
|
Brace knee hing pat open med
|
$87.78 |
$241.02 |
$241.02 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$703.29 |
$703.29 |
$703.29 |
|
|
Brace knee postop tscope xl
|
$1,420.68 |
$1,420.68 |
$1,420.68 |
|
|
Brace knee support neoprene padded open patella med
|
$66.78 |
$174.60 |
$174.60 |
|
|
Brace m arm board
|
$385.94 |
$385.94 |
$385.94 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$41.44 |
$107.71 |
$166.00 |
|
|
Brace ortho exos 28-50in sm
|
$759.78 |
$2,197.14 |
$2,197.14 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$643.86 |
$1,686.79 |
$1,686.79 |
|
|
Brace oths wrist hnd fngr without
|
$147.42 |
$385.94 |
$385.94 |
|
|
Brace tlso flex cust
|
$76.02 |
$169.97 |
$169.97 |
|
|
Brace wrist classic lft sm
|
$39.90 |
$113.16 |
$113.16 |
|
|
Brachioplasty 15836
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Brach/thor cath 1st
|
$277.59 |
$1,995.00 |
$10,218.00 |
|
|
Brach/thor cath 2nd
|
$370.10 |
$3,305.00 |
$12,406.00 |
|
|
Brach/thor cath 3rd
|
$462.40 |
$3,953.00 |
$11,129.00 |
|
|
Brach/thor cath addl
|
$70.39 |
$1,265.00 |
$2,190.00 |
|
|
Brachy linear, non-str,p-103
|
$120.32 |
$120.32 |
$120.32 |
|
|
Brachy source i-125 injection
|
$47.46 |
$47.46 |
$277.20 |
|
|
Brachy source iodine-125 nonstranded
|
$49.31 |
$49.31 |
$233.52 |
|
|
Brachy source palladium
|
$118.79 |
$118.79 |
$271.60 |
|
|
Brachy source palladium-103 nonstranded
|
$86.79 |
$86.79 |
$271.60 |
|
|
Brachy source yttrium-90
|
$19,629.68 |
$54,553.30 |
$54,786.06 |
|
|
Brachy src nonstrand c-131
|
$134.32 |
$134.32 |
$179.20 |
|
|
Brachy src nonstrand hdr ir-192
|
$481.14 |
$481.14 |
$1,943.76 |
|
|
Brachy src stranded c-131
|
$160.31 |
$160.31 |
$194.32 |
|
|
Brachytx isodose complex
|
$514.85 |
$1,244.00 |
$1,631.00 |
|
|
Brachytx isodose intermed
|
$514.85 |
$1,120.00 |
$1,250.48 |
|
|
Brachytx isodose plan simple
|
$371.28 |
$514.85 |
$1,103.20 |
|
|
Brachytx, non-str, gold-198
|
$691.20 |
$691.20 |
$691.20 |
|
|
Brachytx, non-str, ha, i-125
|
$234.27 |
$234.27 |
$234.27 |
|
|
Brachytx, non-str, ha, p-103
|
$143.67 |
$143.67 |
$143.67 |
|
|
Brachytx, ns, non-hdrir-192
|
$1,223.01 |
$1,223.01 |
$1,223.01 |
|
|
Braf gene
|
$83.44 |
$432.00 |
$957.60 |
|
|
Brain aneurysm repr complx
|
$6,297.16 |
$6,297.16 |
$6,297.16 |
|
|
Brain aneurysm repr complx
|
$6,883.98 |
$6,883.98 |
$6,883.98 |
|
|
Brain aneurysm repr simple
|
$5,022.14 |
$5,022.14 |
$5,022.14 |
|
|
Brain biopsy w/ct/mr guide
|
$2,131.81 |
$2,131.81 |
$2,131.81 |
|
|
Brain cavity shunt w/scope
|
$1,876.22 |
$1,876.22 |
$1,876.22 |
|
|
Brain flow imaging only
|
$274.40 |
$746.61 |
$1,703.20 |
|
|
Brain image < 4 views
|
$549.70 |
$549.70 |
$549.70 |
|
|
Brain image 4+ views
|
$746.61 |
$746.61 |
$746.61 |
|
|
Brain image w/flow < 4 views
|
$549.70 |
$549.70 |
$720.16 |
|
|
Brain image w/flow 4 + views
|
$580.45 |
$746.61 |
$1,920.00 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$360.49 |
$3,520.00 |
$5,993.00 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$287.17 |
$2,949.00 |
$4,828.00 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$233.59 |
$1,902.00 |
$3,936.00 |
|
|
Brain MRI (with and without contrast)
|
$360.49 |
$3,387.00 |
$6,234.00 |
|
|
Brain MRI (with contrast)
|
$287.17 |
$2,949.00 |
$4,563.00 |
|
|
Brain MRI (without contrast)
|
$233.59 |
$1,902.00 |
$3,936.00 |
|
|
Bra surgical elizabeth pink sm
|
$71.94 |
$71.94 |
$71.94 |
|
|
Brca1&2 gene full seq alys
|
$645.84 |
$645.84 |
$645.84 |
|
|
Brca1&2 gen ful dup/del alys
|
$806.24 |
$806.24 |
$806.24 |
|
|
Brca1 dna gene analy known fam var
|
$443.52 |
$517.85 |
$517.85 |
|
|
Brca1 gene full dup/del alys
|
$415.86 |
$415.86 |
$415.86 |
|
|
Brca1 gene full seq alys
|
$390.37 |
$390.37 |
$390.37 |
|
|
Brca2 dna gene analy full seq analy
|
$86.95 |
$255.47 |
$255.47 |
|
|
Brca2 dna gene analy known fam var
|
$176.25 |
$483.84 |
$517.85 |
|
|
Brca2 gene full dup/del alys
|
$390.37 |
$390.37 |
$390.37 |
|
|
Brcassure ashkenazi panel-sendout
|
$337.68 |
$607.20 |
$607.20 |
|
|
Brcassure comprehensive panel-sendout
|
$1,400.56 |
$2,518.33 |
$8,196.80 |
|
|
Breast augmentation 19325
|
$11,238.72 |
$11,238.72 |
$11,238.72 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,153.04 |
$2,275.00 |
$5,359.00 |
|
|
Breastbone (Sternum) X-ray
|
$53.76 |
$302.00 |
$540.00 |
|
|
Breast prosthesis bra & form
|
$213.20 |
$213.20 |
$213.20 |
|
|
Breast prosthesis w adhesive
|
$593.94 |
$593.94 |
$593.94 |
|
|
Breast prosthes without adhesive
|
$593.94 |
$593.94 |
$593.94 |
|
|
Breast punct aspir cyst, bil
|
$550.00 |
$706.00 |
$2,525.00 |
|
|
Breast reconstruction 19357
|
$18,949.33 |
$18,949.33 |
$18,949.33 |
|
|
Breast reconstruction tram flap 19367
|
$2,279.66 |
$2,279.66 |
$2,279.66 |
|
|
Breast reconstr w/lat flap 19361
|
$2,019.91 |
$2,019.91 |
$2,019.91 |
|
|
Breast reduction
|
$9,130.48 |
$9,130.48 |
$9,130.48 |
|
|
Breath hydrogen test 91065
|
$180.88 |
$462.00 |
$552.00 |
|
|
Breathing response hypoxia
|
$145.60 |
$176.93 |
$176.93 |
|
|
Breath recording infant
|
$513.11 |
$513.11 |
$513.11 |
|
|
Breath test analysis c-14
|
$130.29 |
$130.29 |
$130.29 |
|
|
Breath tst attain/anal c-14
|
$15.26 |
$15.26 |
$15.26 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$370.46 |
$370.46 |
$370.46 |
|
|
Brexucabtagene car pos t
|
$675,441.28 |
$675,441.28 |
$675,441.28 |
|
|
Brief alcohol misuse counsel
|
$139.68 |
$139.68 |
$139.68 |
|
|
Brief chkin, 5-10, non-e/m
|
$14.97 |
$14.97 |
$14.97 |
|
|
Brief chkin by md/qhp, 11-20
|
$31.93 |
$31.93 |
$31.93 |
|
|
Brief comunicaj tech-bsd svc
|
$18.49 |
$18.49 |
$18.49 |
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$537.80 |
$537.80 |
$537.80 |
|
|
Bronch ebus ivntj perph les 31654
|
$86.15 |
$86.15 |
$86.15 |
|
|
Bronch ebus samplng 1/2 node
|
$2,259.76 |
$5,126.62 |
$5,126.62 |
|
