|
Brace fx hum ovr shldr sm
|
$522.56 |
$522.56 |
$658.38 |
$643.45
|
|
Brace halo bremer l2830
|
$181.38 |
$181.38 |
$228.52 |
$291.75
|
|
Brace kafo dbl upright cust
|
$1,501.61 |
$1,501.61 |
$1,891.89 |
$3,966.59
|
|
Brace knee extender plus 22-30in
|
$986.09 |
$986.09 |
$1,242.39 |
$414.17
|
|
Brace knee hing pat open med
|
$236.77 |
$236.77 |
$298.30 |
$246.72
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$886.21 |
$886.21 |
$1,116.55 |
$268.92
|
|
Brace knee postop tscope xl
|
$986.09 |
$986.09 |
$1,242.39 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$181.38 |
$181.38 |
$228.52 |
$261.05
|
|
Brace m arm board
|
$308.27 |
$308.27 |
$388.39 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$1,282.55 |
$1,282.55 |
$1,615.90 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,282.55 |
$1,282.55 |
$1,615.90 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$401.11 |
$401.11 |
$505.37 |
$237.83
|
|
Brace tlso flex cust
|
$308.27 |
$308.27 |
$388.39 |
$346.45
|
|
Brace wrist classic lft sm
|
$158.22 |
$158.22 |
$199.35 |
$75.66
|
|
Brach/thor cath 1st
|
$820.61 |
$820.61 |
$820.61 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$984.73 |
$984.73 |
$984.73 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$1,181.77 |
$1,181.77 |
$1,181.77 |
$2,151.93
|
|
Brach/thor cath addl
|
$1,418.07 |
$1,418.07 |
$1,418.07 |
$854.40
|
|
Brachy source palladium
|
$68.10 |
$68.10 |
$68.10 |
$110.25
|
|
Brachy source palladium-103 nonstranded
|
$79.45 |
$79.45 |
$79.45 |
$88.37
|
|
Brachy source yttrium-90
|
$16,925.12 |
$16,925.12 |
$16,925.12 |
$33,054.19
|
|
Braf gene
|
$330.97 |
$330.97 |
$416.99 |
$421.00
|
|
Brain image w/flow 4 + views
|
$462.86 |
$462.86 |
$462.86 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,507.67 |
$2,507.67 |
$2,507.67 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,210.98 |
$2,210.98 |
$2,210.98 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,483.90 |
$1,483.90 |
$1,483.90 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,342.19 |
$2,342.19 |
$2,342.19 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,320.17 |
$2,320.17 |
$2,320.17 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,188.97 |
$2,188.97 |
$2,188.97 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$120.31 |
$120.31 |
$151.58 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,295.72 |
$1,295.72 |
$1,632.49 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$241.53 |
$241.53 |
$304.31 |
$865.26
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$3,510.56 |
$3,510.56 |
$3,510.56 |
$24,248.87
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$6.13 |
$6.13 |
$7.44 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$12.26 |
$12.26 |
$15.45 |
$165.10
|
|
Bundled special stain group 2
|
$44.27 |
$44.27 |
$55.77 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$7.44 |
$7.44 |
$9.08 |
$39.23
|
|
Buprenorphine hydrochloride
|
$16.80 |
$16.80 |
$16.80 |
$43.94
|
|
Buprenorphine oral 1mg
|
$4.32 |
$4.32 |
$10.01 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$2,133.80 |
$2,133.80 |
$2,133.80 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$7,201.94
|
|
Butorphanol tartrate 1 mg
|
$7.44 |
$7.44 |
$12.26 |
$43.70
|
|
Bx bone trocar/ndl deep
|
$1,044.66 |
$1,044.66 |
$1,316.18 |
$2,271.01
|
|
Bx breast add lesion Ultrasound imag
|
$816.25 |
$816.25 |
$816.25 |
$1,708.85
|
|
Bx pancreas pq ndl
|
$542.08 |
$542.08 |
$682.97 |
$1,780.47
|
|
Bx pleura pq ndl
|
$1,265.76 |
$1,265.76 |
$1,594.74 |
$1,742.30
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$564.00 |
$564.00 |
$564.00 |
$1,915.68
|
|
Bx thyroid/percutan core needle 60100
|
$392.49 |
$392.49 |
$494.50 |
$1,038.80
|
|
C1 esterase inhibitor func - sendout
|
$174.11 |
$174.11 |
$219.37 |
$103.35
|
|
Cabergoline, oral 0.25mg
|
$37.46 |
$37.46 |
$37.46 |
$35.76
|
|
Cable cath 22-pin diag
|
$199.35 |
$199.35 |
$2,539.23 |
$4,518.81
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$2,427.09 |
$2,427.09 |
$2,427.09 |
$16,574.15
|
|
Caffeine citrate 20 mg/ml inj for po
|
$46.09 |
$46.09 |
$46.09 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,279.83 |
$1,279.83 |
$1,612.47 |
$2,802.31
|
|
Calcium 24 hour urine
|
$56.53 |
$56.53 |
$71.22 |
$51.75
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.14 |
$1.14 |
$1.43 |
$2.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$12.26 |
$12.26 |
$15.45 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$24.29 |
$24.29 |
$30.61 |
$91.04
|
|
Calcium ionized
|
$25.20 |
$25.20 |
$31.75 |
$88.40
|
|
Calcium total
|
$106.92 |
$106.92 |
$134.71 |
$48.75
|
|
Calprotectin fecal
|
$75.37 |
$75.37 |
$94.96 |
$169.20
|
|
Cannula ercp contour 5-4-3 tip
|
$24,994.69 |
$24,994.69 |
$35,143.01 |
$51,677.49
|
|
Capecitabine, oral, 50 mg
|
$36.10 |
$36.10 |
$36.10 |
$38.23
|
|
Cap nerve 2x15mm
|
$7,256.74 |
$7,256.74 |
$9,142.85 |
$24,217.08
|
|
Capsulotomy mpj ea joint (sep proc)
|
$2,442.07 |
$2,442.07 |
$2,442.07 |
$3,591.33
|
|
Cap trach decann 15mm
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$3,973.20
|
|
Carbamazepine free
|
$45.63 |
$45.63 |
$57.49 |
$66.43
|
|
Carbamazepine free -sendout
|
$15.67 |
$15.67 |
$19.74 |
$50.49
|
|
Carbamazepine total therapeutic drug level
|
$113.28 |
$113.28 |
$142.72 |
$117.74
|
|
Carbon dioxide
|
$15.21 |
$15.21 |
$19.17 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$14.31 |
$14.31 |
$14.31 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$18.39 |
$18.39 |
$23.17 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$117.36 |
$117.36 |
$147.87 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,010.64 |
$4,010.64 |
$4,010.64 |
$2,752.20
|
|
Cardiolipin antibody iga
|
$123.95 |
$123.95 |
$156.16 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,006.98 |
$1,006.98 |
$1,268.70 |
$1,519.00
|
|
Carfilzomib 10 mg intravenous solution
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$8,057.09
|
|
Carotene
|
$9.77 |
$9.77 |
$12.30 |
$45.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$889.62 |
$889.62 |
$1,120.84 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$2,667.25 |
$2,667.25 |
$2,667.25 |
$3,639.36
|
|
Car seat/bed test 60 minutes
|
$35.87 |
$35.87 |
$35.87 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$17.94 |
$17.94 |
$17.94 |
$70.00
|
|
Caspofungin acetate
|
$429.26 |
$429.26 |
$429.26 |
$492.20
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$680.55 |
$680.55 |
$857.43 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$3,301.95 |
$3,301.95 |
$3,301.95 |
$6,190.10
|
|
Cath ablt clsfast 7fx100cmx
|
$3,199.20 |
$3,199.20 |
$3,301.95 |
$3,906.88
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$6,606.72
|
|
Cath acuity innr ic130 6f 63cm
|
$5,409.12 |
$5,409.12 |
$35,143.01 |
$9,363.28
|
|
Cath acunav ge 10frx90cm
|
$3,301.95 |
$3,301.95 |
$3,301.95 |
$6,022.02
|
|
Cath adherent clot 10mm 6f 10
|
$9,142.85 |
$9,142.85 |
$12,317.71 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$505.37 |
$505.37 |
$1,952.66 |
$5,875.79
|
|
Cath bi-dir df smarttouch
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$8,469.98
|
|
Cath blazer dx/20 2-10-2 space
|
$1,952.66 |
$1,952.66 |
$1,952.66 |
$4,348.60
|
|
Cath combo lt&rt heart w/inj/s
|
$6,702.18 |
$6,702.18 |
$6,702.18 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$1,615.90 |
$1,615.90 |
$7,256.74 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$1,282.55 |
$1,282.55 |
$1,282.55 |
$2,463.75
|
|
Cath epdrl brevi-stf 12in .043
|
$1,282.55 |
$1,282.55 |
$1,282.55 |
$2,103.20
|
|
Catheter declot mechanical
|
$730.94 |
$730.94 |
$730.94 |
$1,838.28
|
|
Catheter insert artery
|
$741.61 |
$741.61 |
$741.61 |
$391.20
|
|
Catheterization collection of specimen single patient all places of service
|
$16.35 |
$16.35 |
$20.60 |
$44.40
|
