|
Brace ank air stirrup univ
|
$54.20 |
$54.20 |
$54.20 |
$108.67
|
|
Brace ankle stablizing lg
|
$132.60 |
$132.60 |
$132.60 |
$122.82
|
|
Brace back epic lo 627
|
$263.84 |
$263.84 |
$263.84 |
$497.68
|
|
Brace back pinnacle tlso 464
|
$787.36 |
$787.36 |
$787.36 |
$2,632.87
|
|
Brace back t-lso custom
|
$4,267.55 |
$4,267.55 |
$4,267.55 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$516.00 |
$516.00 |
$516.00 |
$1,579.91
|
|
Brace fx hum ovr shldr sm
|
$375.57 |
$375.57 |
$375.57 |
$620.54
|
|
Brace knee 32in univ t-scope short lt/rt
|
$653.16 |
$653.16 |
$653.16 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$259.02 |
$259.02 |
$259.02 |
$767.20
|
|
Brace knee hing pat open med
|
$305.60 |
$305.60 |
$305.60 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$365.73 |
$365.73 |
$365.73 |
$411.01
|
|
Brace knee postop tscope xl
|
$1,232.16 |
$1,232.16 |
$1,232.16 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$126.18 |
$126.18 |
$126.18 |
$215.70
|
|
Brace m arm board
|
$323.20 |
$323.20 |
$323.20 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$132.80 |
$132.80 |
$132.80 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$510.40 |
$510.40 |
$510.40 |
$1,332.80
|
|
Brace oths wrist hnd fngr without
|
$279.52 |
$279.52 |
$279.52 |
$257.45
|
|
Brace tlso flex cust
|
$1,048.19 |
$1,048.19 |
$1,048.19 |
$573.43
|
|
Brace wrist classic lft sm
|
$116.39 |
$116.39 |
$116.39 |
$89.04
|
|
Brach/thor cath 1st
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$3,956.80 |
$3,956.80 |
$3,956.80 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$6,535.20 |
$6,535.20 |
$6,535.20 |
$2,050.00
|
|
Brach/thor cath addl
|
$648.80 |
$648.80 |
$648.80 |
$868.00
|
|
Brachy source yttrium-90
|
$29,856.80 |
$29,856.80 |
$29,856.80 |
$30,879.20
|
|
Brachytx isodose complex
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$1,705.20
|
|
Brachytx isodose intermed
|
$750.40 |
$750.40 |
$750.40 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$571.20 |
$571.20 |
$571.20 |
$1,032.38
|
|
Brain flow imaging only
|
$749.60 |
$749.60 |
$749.60 |
$677.66
|
|
Brain image w/flow 4 + views
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,496.80 |
$3,496.80 |
$3,496.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,331.20 |
$3,331.20 |
$3,331.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,457.60 |
$2,457.60 |
$2,457.60 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$160.80 |
$160.80 |
$160.80 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$871.80
|
|
Breath hydrogen test 91065
|
$388.80 |
$388.80 |
$388.80 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$7,055.00 |
$7,055.00 |
$7,055.00 |
$22,383.57
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$981.06
|
|
Bronchial allergy tests
|
$815.20 |
$815.20 |
$815.20 |
$746.46
|
|
Bronchial challenge
|
$517.60 |
$517.60 |
$517.60 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$2,599.20 |
$2,599.20 |
$2,599.20 |
$2,766.40
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,668.00 |
$2,668.00 |
$2,668.00 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,465.60 |
$2,465.60 |
$2,465.60 |
$2,447.43
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$2,391.20 |
$2,391.20 |
$2,391.20 |
$571.00
|
|
Br punct aspir ea add, l
|
$404.00 |
$404.00 |
$404.00 |
$357.51
|
|
Brush provox 4-10mm
|
$190.00 |
$190.00 |
$190.00 |
$170.91
|
|
Budesonide non-comp unit
|
$14.94 |
$14.94 |
$14.94 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$56.36 |
$56.36 |
$56.36 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$208.00 |
$208.00 |
$208.00 |
$159.00
|
|
Bundled special stain group 2
|
$168.00 |
$168.00 |
$168.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$88.57 |
$88.57 |
$88.57 |
$32.47
|
|
Burr hole implant ventricular cath/other device
|
$4,533.60 |
$4,533.60 |
$4,533.60 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$3,867.20 |
$3,867.20 |
$3,867.20 |
$4,374.23
|
|
Bur rotalink 2.15mm
|
$6,679.20 |
$6,679.20 |
$6,679.20 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$27.92 |
$27.92 |
$27.92 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$4,408.00 |
$4,408.00 |
$4,408.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$3,080.80 |
$3,080.80 |
$3,080.80 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,670.79
|
|
Bx breast pq tomo guide
|
$7,210.40 |
$7,210.40 |
$7,210.40 |
$4,509.59
|
|
Bx leg/ankle soft tissue deep 27614
|
$5,193.60 |
$5,193.60 |
$5,193.60 |
$3,370.52
|
|
Bx of breast open 19101
|
$5,082.40 |
$5,082.40 |
$5,082.40 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$2,338.40 |
$2,338.40 |
$2,338.40 |
$1,610.05
|
|
Bx pleura pq ndl
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$337.60 |
$337.60 |
$337.60 |
$230.75
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
$2,168.40
|
|
Bx spinal cord pq ndl
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$1,110.40
|
|
Bypass temp external fem-fem
|
$2,895.20 |
$2,895.20 |
$2,895.20 |
$1,938.60
|
|
C-1 esterase, berinert
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$8,114.40
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$4,103.49 |
$4,103.49 |
$4,103.49 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$13.80 |
$13.80 |
$13.80 |
$66.09
|
|
Cable cath 22-pin diag
|
$4,336.64 |
$4,336.64 |
$4,336.64 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$7,088.56 |
$7,088.56 |
$7,088.56 |
$13,247.32
|
|
Cadd pump refill
|
$499.20 |
$499.20 |
$499.20 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$66.18 |
$66.18 |
$66.18 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$26,785.00 |
$26,785.00 |
$26,785.00 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,575.24 |
$1,575.24 |
$1,575.24 |
$2,210.98
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$30.50 |
$30.50 |
$30.50 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$119.60 |
$119.60 |
$119.60 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$93.60 |
$93.60 |
$93.60 |
$91.60
|
|
Caloric vstblr test w/rec
|
$695.20 |
$695.20 |
$695.20 |
$315.28
|
|
Canakinumab injection
|
$17,055.11 |
$17,055.11 |
$17,055.11 |
$35,959.82
|
|
Cannula ercp contour 5-4-3 tip
|
$44,000.00 |
$44,000.00 |
$44,000.00 |
$44,000.00
|
|
Canthotomy 67715
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$64.76 |
$64.76 |
$64.76 |
$59.42
|
|
Cap nerve 2x15mm
|
$9,220.64 |
$9,220.64 |
$9,220.64 |
$18,466.88
|
|
Capsaicin 8% patch
|
$1,098.56 |
$1,098.56 |
$1,098.56 |
$5,668.65
|
|
Cap trach decann 15mm
|
$4,646.40 |
$4,646.40 |
$4,646.40 |
$3,238.70
|
|
Carboplatin 10 mg/ml desensitization
|
$202.34 |
$202.34 |
$202.34 |
$196.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$214.40 |
$214.40 |
$214.40 |
$249.60
|
