|
Brace ankle joint dflxn assist
|
$99.46 |
$135.91 |
$135.91 |
|
|
Brace ankle stablizing lg
|
$54.40 |
$138.34 |
$161.39 |
|
|
Brace back epic lo 627
|
$279.36 |
$279.36 |
$279.36 |
|
|
Brace back epic lso 637
|
$1,678.85 |
$1,958.66 |
$2,050.05 |
|
|
Brace back pinnacle lo 627 lumbar
|
$650.44 |
$863.91 |
$863.91 |
|
|
Brace back pinnacle tlso 464
|
$787.36 |
$3,124.46 |
$3,612.80 |
|
|
Brace back t-lso custom
|
$3,238.09 |
$4,301.19 |
$4,301.19 |
|
|
Brace back vista 464 tlso
|
$443.01 |
$1,573.04 |
$1,829.80 |
|
|
Brace cust back lso
|
$1,624.45 |
$2,157.79 |
$2,157.79 |
|
|
Brace fx hum ovr shldr sm
|
$597.37 |
$823.70 |
$958.16 |
|
|
Brace halo bremer l2830
|
$138.99 |
$189.95 |
$189.95 |
|
|
Brace kafo dbl upright cust
|
$2,933.73 |
$3,896.87 |
$3,896.87 |
|
|
Brace knee 32in univ t-scope short lt/rt
|
$746.47 |
$746.47 |
$746.47 |
|
|
Brace knee extender plus 22-30in
|
$66.40 |
$1,240.99 |
$1,447.82 |
|
|
Brace knee hing pat open med
|
$224.90 |
$307.27 |
$323.57 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$390.12 |
$470.57 |
$547.40 |
|
|
Brace knee postop tscope xl
|
$1,325.58 |
$1,760.75 |
$2,270.48 |
|
|
Brace knee support neoprene padded open patella med
|
$133.60 |
$190.75 |
$222.54 |
|
|
Brace m arm board
|
$178.56 |
$208.32 |
$255.17 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$65.46 |
$113.60 |
$178.40 |
|
|
Brace ortho exos 28-50in sm
|
$2,050.05 |
$2,723.11 |
$2,723.11 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,573.82 |
$2,090.54 |
$2,090.54 |
|
|
Brace oths wrist hnd fngr without
|
$29.60 |
$387.35 |
$492.02 |
|
|
Brace tlso flex cust
|
$252.43 |
$294.50 |
$1,048.19 |
|
|
Brace wrist classic lft sm
|
$16.00 |
$408.10 |
$476.11 |
|
|
Brach/thor cath 1st
|
$887.15 |
$887.15 |
$1,811.47 |
|
|
Brach/thor cath 2nd
|
$1,221.86 |
$1,221.86 |
$2,442.14 |
|
|
Brach/thor cath 3rd
|
$1,197.56 |
$1,197.56 |
$2,382.38 |
|
|
Brach/thor cath addl
|
$268.80 |
$375.48 |
$744.91 |
|
|
Brachy source yttrium-90
|
$25,280.47 |
$36,771.84 |
$36,771.84 |
|
|
Brachy src nonstrand hdr ir-192
|
$469.58 |
$469.58 |
$469.58 |
|
|
Brachytx isodose complex
|
$2,101.60 |
$4,759.39 |
$4,759.39 |
|
|
Brachytx isodose intermed
|
$1,696.00 |
$3,639.60 |
$3,639.60 |
|
|
Brachytx isodose plan simple
|
$1,260.80 |
$2,519.71 |
$2,519.71 |
|
|
Braf gene
|
$460.00 |
$673.06 |
$918.91 |
|
|
Brain biopsy w/ct/mr guide
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
|
|
Brain flow imaging only
|
$552.44 |
$552.44 |
$597.46 |
|
|
Brain image < 4 views
|
$575.29 |
$575.29 |
$597.46 |
|
|
Brain image 4+ views
|
$597.46 |
$708.23 |
$708.23 |
|
|
Brain image w/flow < 4 views
|
$597.46 |
$920.75 |
$920.75 |
|
|
Brain image w/flow 4 + views
|
$892.80 |
$1,192.58 |
$2,457.60 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,094.50 |
$2,772.11 |
$4,066.40 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$912.00 |
$2,761.60 |
$3,313.60 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$729.74 |
$2,638.40 |
$3,235.20 |
|
|
Brain MRI (with and without contrast)
|
$912.00 |
$3,704.80 |
$4,214.40 |
|
|
Brain MRI (with contrast)
|
$719.28 |
$1,848.11 |
$3,405.60 |
|
|
Brain MRI (without contrast)
|
$548.35 |
$2,676.80 |
$3,092.80 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,295.45 |
$1,790.50 |
$3,622.40 |
|
|
Breastbone (Sternum) X-ray
|
$138.43 |
$187.20 |
$416.00 |
|
|
Breast punct aspir cyst, bil
|
$150.91 |
$174.33 |
$1,294.40 |
|
|
Breath hydrogen test 91065
|
$475.20 |
$475.20 |
$475.20 |
|
|
Breathing response hypoxia
|
$424.76 |
$424.76 |
$424.76 |
|
|
Breath recording infant
|
$6,477.94 |
$7,476.11 |
$7,476.11 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$6,521.24 |
$16,447.10 |
$19,188.29 |
|
|
Bronchial allergy tests
|
$299.20 |
$1,105.15 |
$1,445.36 |
|
|
Bronchial challenge
|
$392.83 |
$591.75 |
$1,084.00 |
|
|
Bronchoscopy clear airways 31645
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
|
|
Bronchoscopy dilate/fx repr
|
$5,133.02 |
$5,133.02 |
$5,133.02 |
|
|
Bronchoscopy dilate w/stent
|
$5,170.27 |
$5,170.27 |
$5,170.27 |
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
|
|
Br punct aspir ea add, l
|
$156.80 |
$174.33 |
$525.60 |
|
|
Budesonide non-comp unit
|
$7.38 |
$11.52 |
$20.69 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$23.59 |
$27.37 |
$91.60 |
|
|
Bundled special stain group 1 microorganisms
|
$65.63 |
$144.00 |
$225.60 |
|
|
Bundled special stain group 2
|
$93.60 |
$236.80 |
$303.63 |
|
|
Bundle his recording
|
$1,370.78 |
$1,785.95 |
$1,785.95 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$26.48 |
$52.04 |
$70.48 |
|
|
Bupren/nal 3.1 to 6mg bupren
|
$20.58 |
$20.58 |
$32.35 |
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$18.27 |
$28.61 |
$28.61 |
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$30.04 |
$35.05 |
$35.05 |
|
|
Buprenorphine and metabolite - sendout
|
$124.00 |
$124.00 |
$124.00 |
|
|
Buprenorphine hydrochloride
|
$39.45 |
$77.61 |
$77.61 |
|
|
Buprenorphine oral 1mg
|
$37.62 |
$48.56 |
$48.56 |
|
|
Buprenorphine X-ray over 100 mg
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
|
|
Bur rotalink 2.15mm
|
$8,056.85 |
$9,374.80 |
$9,399.66 |
|
|
Butorphanol tartrate 1 mg
|
$39.77 |
$64.57 |
$78.23 |
|
|
Bx arm/elbow soft tissue supf 24065
|
$1,343.72 |
$1,343.72 |
$1,604.83 |
|
|
Bx bone trocar/ndl deep
|
$486.81 |
$801.47 |
$3,408.80 |
|
|
Bx breast 1st lesion mr imag
|
$2,478.90 |
$3,017.09 |
$4,804.69 |
|
|
Bx breast 1st lesion strtctc
|
$1,617.73 |
$1,819.10 |
$4,372.00 |
|
|
Bx breast add lesion mr imag
|
$1,859.20 |
$2,552.00 |
$4,804.69 |
|
|
Bx breast add lesion strtctc
|
$992.80 |
$1,213.35 |
$1,749.41 |
|
|
Bx breast add lesion Ultrasound imag
|
$909.60 |
$971.54 |
$1,398.40 |
|
|
Bx breast perq without image 19100
|
$342.10 |
$342.10 |
$602.16 |
|
|
Bx breast pq tomo guide
|
$164.36 |
$164.36 |
$4,400.00 |
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$7,581.60 |
$7,581.60 |
$7,581.60 |
|
|
Bx/exc lymph node/open/superfic 38500
|
$6,068.00 |
$6,068.00 |
$6,068.00 |
|
|
Bx liver with other
|
$717.47 |
$717.47 |
$1,163.95 |
|
|
Bx of breast open 19101
|
$2,236.85 |
$2,236.85 |
$2,236.85 |
|
|
Bx pancreas pq ndl
|
$1,057.97 |
$1,057.97 |
$2,388.00 |
|
|
Bx perianal mass
|
$1,416.91 |
$1,416.91 |
$4,265.60 |
|
|
Bx pleura pq ndl
|
$523.10 |
$882.78 |
$2,276.80 |
|
|
Bx prst8 ndl sat sampling
|
$6,427.20 |
$6,427.20 |
$6,427.20 |
|
|
Bx shoulder tissues supf 23065
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
|
|
Bx skin incisnl ea sep/add l les
|
$57.34 |
$57.34 |
$276.00 |
|
|
Bx skin punch ea sep/ addl les
|
$57.34 |
$57.34 |
$235.20 |
|
|
Bx skin tangential ea sep/ addl les
|
$57.34 |
$57.34 |
$144.80 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$801.47 |
$1,149.23 |
$1,444.90 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$463.74 |
$634.20 |
$2,444.80 |
|
|
Bx soft tissue back/flank deep 21925
|
$400.74 |
$483.17 |
$719.52 |
|