|
Brace afo lg left 6607
|
$113.77 |
$113.77 |
$113.77 |
$401.11
|
|
Brace afopos solid ankle cust
|
$410.60 |
$410.60 |
$410.60 |
$890.52
|
|
Brace ank air stirrup univ
|
$8.46 |
$8.46 |
$8.46 |
$56.65
|
|
Brace ankle stablizing lg
|
$12.84 |
$12.84 |
$12.84 |
$113.10
|
|
Brace fx hum ovr shldr sm
|
$53.75 |
$53.75 |
$53.75 |
$453.47
|
|
Brace knee extender plus 22-30in
|
$52.78 |
$52.78 |
$52.78 |
$505.05
|
|
Brace oths wrist hnd fngr without
|
$145.48 |
$145.48 |
$145.48 |
$179.93
|
|
Brace wrist classic lft sm
|
$15.00 |
$15.00 |
$15.00 |
$79.23
|
|
Brachioplasty 15836
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,370.52
|
|
Brach/thor cath 1st
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.00
|
|
Brach/thor cath addl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$881.40
|
|
Brachy source i-125 injection
|
$47.13 |
$47.13 |
$47.13 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$33.06 |
$33.06 |
$33.06 |
$34.61
|
|
Brachy source palladium
|
$70.03 |
$70.03 |
$70.03 |
$61.50
|
|
Brachy source palladium-103 nonstranded
|
$68.93 |
$68.93 |
$68.93 |
$71.75
|
|
Brachy source yttrium-90
|
$11,302.02 |
$11,302.02 |
$11,302.02 |
$33,054.19
|
|
Brachy src nonstrand hdr ir-192
|
$284.06 |
$284.06 |
$284.06 |
$372.70
|
|
Brachy src stranded c-131
|
$4,132.57 |
$4,132.57 |
$4,132.57 |
$3,027.95
|
|
Brachytx isodose complex
|
$940.01 |
$940.01 |
$940.01 |
$1,637.68
|
|
Brachytx isodose intermed
|
$613.45 |
$613.45 |
$613.45 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$561.61 |
$561.61 |
$561.61 |
$1,000.20
|
|
Braf gene
|
$192.94 |
$192.94 |
$192.94 |
$432.00
|
|
Brain image w/flow 4 + views
|
$533.25 |
$533.25 |
$533.25 |
$1,353.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$913.35 |
$913.35 |
$913.35 |
$2,710.45
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$815.65 |
$815.65 |
$815.65 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$725.64 |
$725.64 |
$725.64 |
$1,825.25
|
|
Brain MRI (with and without contrast)
|
$1,074.60 |
$1,074.60 |
$1,074.60 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$771.07 |
$771.07 |
$771.07 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$699.41 |
$699.41 |
$699.41 |
$1,973.40
|
|
Brca1&2 gene full seq alys
|
$514.80 |
$514.80 |
$514.80 |
$846.61
|
|
Brca1&2 gen ful dup/del alys
|
$642.65 |
$642.65 |
$642.65 |
$806.24
|
|
Brca1 dna gene analy known fam var
|
$412.78 |
$412.78 |
$412.78 |
$517.85
|
|
Brca1 gene full dup/del alys
|
$331.49 |
$331.49 |
$331.49 |
$331.49
|
|
Brca1 gene full seq alys
|
$311.17 |
$311.17 |
$311.17 |
$311.17
|
|
Brca2 dna gene analy full seq analy
|
$203.63 |
$203.63 |
$203.63 |
$222.14
|
|
Brca2 dna gene analy known fam var
|
$412.78 |
$412.78 |
$412.78 |
$517.85
|
|
Brca2 gene full dup/del alys
|
$311.17 |
$311.17 |
$311.17 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$484.00 |
$484.00 |
$484.00 |
$528.00
|
|
Brcassure comprehensive panel-sendout
|
$2,007.37 |
$2,007.37 |
$2,007.37 |
$2,359.00
|
|
Breast augmentation 19325
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,881.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$834.40
|
|
Breast reconstruction 19357
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$8,977.64
|
|
Breast reduction
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Breathing response hypoxia
|
$97.05 |
$97.05 |
$97.05 |
$169.23
|
|
Breath test analysis c-14
|
$103.85 |
$103.85 |
$103.85 |
$197.34
|
|
Breath tst attain/anal c-14
|
$12.17 |
$12.17 |
$12.17 |
$72.60
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$870.87
|
|
Bronch ebus samplng 1/2 node
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,452.00
|
|
Bronch ebus samplng 3/> node
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,126.62
|
|
Bronchial brush biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$673.60
|
|
Bronchial challenge
|
$338.93 |
$338.93 |
$338.93 |
$875.94
|
|
Bronchial valve init insert
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,257.25
|
|
Bronchial valve remov addl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,129.40
|
|
Bronchial valve remov init
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,330.61
|
|
Bronchoscopy bronch stents
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Bronchoscopy clear airways 31645
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,629.80
|
|
Bronchoscopy dilate/fx repr
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,627.00
|
|
Bronchoscopy dilate w/stent
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,768.75
|
|
Bronchoscopy/lung bx each 31628
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,799.90
|
|
Bronchoscopy/needle bx each 31629
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,411.36
|
|
Bronchoscopy revise stent
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,855.00
|
|
Bronchoscopy treat blockage
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,350.00
|
|
Bronchoscopy w/biopsy(s) 31625
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,672.16
|
|
Bronchoscopy w/markers
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,565.43
|
|
Bronchoscopy w/tumor excise
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,034.55
|
|
Bronch thermoplsty 1 lobe
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,792.00
|
|
Bronch thermoplsty 2/> lobes
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,179.75
|
|
Bronch w/balloon occlusion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,662.21
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$335.40
|
|
Br punct aspir ea add, l
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$57.80 |
$57.80 |
$57.80 |
$166.15
|
|
Bundled special stain group 2
|
$55.03 |
$55.03 |
$55.03 |
$170.65
|
|
Bundle his recording
|
$2,096.95 |
$2,096.95 |
$2,096.95 |
$5,151.25
|
|
Buprenorphine and metabolite - sendout
|
$53.32 |
$53.32 |
$53.32 |
$99.72
|
|
Buttock fasciotomy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Buttock fasciotomy w/dbrdmt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,509.30
|
|
Bx arm/elbow soft tissue supf 24065
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,374.91
|
|
Bx breast pq tomo guide
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.36
|
|
Bx/curett of cervix w/scope 57454
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$594.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,184.94
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,135.34
|
|
Bx leg/ankle soft tissue deep 27614
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,225.86
|
|
Bx muscle
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,855.89
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,544.29
|
|
Bx of breast open 19101
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,390.01
|
|
Bx of cervix w/scope leep 57460
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,761.70
|
|
Bx perianal mass
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,397.50
|
|
Bx pleura pq ndl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,637.90
|