|
Brace ortho exos 28-50in sm
|
$231.40 |
$231.40 |
$231.40 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$226.36 |
$226.36 |
$226.36 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$231.80 |
$231.80 |
$231.80 |
$257.45
|
|
Brace wrist classic lft sm
|
$55.25 |
$55.25 |
$55.25 |
$89.04
|
|
Brach/thor cath 1st
|
$4,878.25 |
$4,878.25 |
$4,878.25 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$4,964.70 |
$4,964.70 |
$4,964.70 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$5,281.25 |
$5,281.25 |
$5,281.25 |
$2,050.00
|
|
Brach/thor cath addl
|
$643.50 |
$643.50 |
$643.50 |
$868.00
|
|
Brachy source i-125 injection
|
$45.50 |
$45.50 |
$45.50 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$62.47 |
$62.47 |
$62.47 |
$70.85
|
|
Brachy source yttrium-90
|
$21,730.80 |
$21,730.80 |
$21,730.80 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$487.50 |
$487.50 |
$487.50 |
$478.50
|
|
Brachytx isodose complex
|
$1,641.90 |
$1,641.90 |
$1,641.90 |
$1,705.20
|
|
Braf gene
|
$867.75 |
$867.75 |
$867.75 |
$450.90
|
|
Brain flow imaging only
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$677.66
|
|
Brain image w/flow 4 + views
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$395.20 |
$395.20 |
$395.20 |
$274.65
|
|
Breast prosthes without adhesive
|
$253.58 |
$253.58 |
$253.58 |
$431.20
|
|
Breast punct aspir cyst, bil
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$871.80
|
|
Breath hydrogen test 91065
|
$468.00 |
$468.00 |
$468.00 |
$462.00
|
|
Breathing response hypoxia
|
$468.00 |
$468.00 |
$468.00 |
$185.15
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$41,090.89 |
$41,090.89 |
$41,090.89 |
$22,383.57
|
|
Brexucabtagene car pos t
|
$1,441,440.00 |
$1,441,440.00 |
$1,441,440.00 |
$1,430,103.22
|
|
Brief alcohol misuse counsel
|
$414.70 |
$414.70 |
$414.70 |
$109.46
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$981.06
|
|
Bronch ebus samplng 1/2 node
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$4,746.40
|
|
Bronchial allergy tests
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$746.46
|
|
Bronchial challenge
|
$930.80 |
$930.80 |
$930.80 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$2,766.40
|
|
Bronchoscopy/lung bx addl 31632
|
$769.60 |
$769.60 |
$769.60 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$4,038.80
|
|
Bronchoscopy treat blockage
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$2,447.43
|
|
Bronchoscopy w/markers
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$6,839.00
|
|
Bronch w/balloon occlusion
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$6,718.40
|
|
Br punct aspir ea add, l
|
$167.05 |
$167.05 |
$167.05 |
$357.51
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$1.77 |
$1.77 |
$1.77 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$134.55 |
$134.55 |
$134.55 |
$159.00
|
|
Bundled special stain group 2
|
$81.90 |
$81.90 |
$81.90 |
$173.40
|
|
Bundle his recording
|
$13,485.55 |
$13,485.55 |
$13,485.55 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$1.81 |
$1.81 |
$1.81 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$7.81 |
$7.81 |
$7.81 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$14.01 |
$14.01 |
$14.01 |
$14.42
|
|
Buprenorphine and metabolite - sendout
|
$18.20 |
$18.20 |
$18.20 |
$80.64
|
|
Buprenorphine hydrochloride
|
$74.88 |
$74.88 |
$74.88 |
$42.08
|
|
Buprenorph X-ray 100 mg or less
|
$10,305.50 |
$10,305.50 |
$10,305.50 |
$3,864.00
|
|
Burr hole implant ventricular cath/other device
|
$2,964.65 |
$2,964.65 |
$2,964.65 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$8,385.00 |
$8,385.00 |
$8,385.00 |
$7,887.38
|
|
Busulfan injection
|
$123.29 |
$123.29 |
$123.29 |
$834.60
|
|
Butorphanol tartrate 1 mg
|
$48.38 |
$48.38 |
$48.38 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
$3,536.63
|
|
Bx breast add lesion strtctc
|
$1,657.50 |
$1,657.50 |
$1,657.50 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,708.85 |
$1,708.85 |
$1,708.85 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$909.35 |
$909.35 |
$909.35 |
$515.50
|
|
Bx of breast open 19101
|
$7,467.20 |
$7,467.20 |
$7,467.20 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,010.04
|
|
Bx pancreas pq ndl
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,610.05
|
|
Bx perianal mass
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,557.40
|
|
Bx pleura pq ndl
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$10,767.90 |
$10,767.90 |
$10,767.90 |
$4,051.50
|
|
Bx prst8 ndl sat sampling
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,627.00
|
|
Bx skin incisnl ea sep/add l les
|
$183.95 |
$183.95 |
$183.95 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$119.60 |
$119.60 |
$119.60 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$103.35 |
$103.35 |
$103.35 |
$206.00
|
|
Bx spinal cord pq ndl
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$2,603.25 |
$2,603.25 |
$2,603.25 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,603.25 |
$2,603.25 |
$2,603.25 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$509.60 |
$509.60 |
$509.60 |
$461.40
|
|
Bypass temp external fem-fem
|
$31,860.40 |
$31,860.40 |
$31,860.40 |
$1,938.60
|
|
C-1 esterase, berinert
|
$10,395.37 |
$10,395.37 |
$10,395.37 |
$8,114.40
|
|
C-1 esterase, cinryze
|
$7,483.77 |
$7,483.77 |
$7,483.77 |
$7,189.05
|
|
C1 esterase inhibitor func - sendout
|
$53.95 |
$53.95 |
$53.95 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$30,617.29 |
$30,617.29 |
$30,617.29 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$47.66 |
$47.66 |
$47.66 |
$66.09
|
|
Cable cath 22-pin diag
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$2,781.85 |
$2,781.85 |
$2,781.85 |
$13,247.32
|
|
Cad breast MRI w/r&i
|
$864.50 |
$864.50 |
$864.50 |
$100.80
|
|
Cadd pump refill
|
$945.10 |
$945.10 |
$945.10 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$15.60 |
$15.60 |
$15.60 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$13,928.64 |
$13,928.64 |
$13,928.64 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$936.00 |
$936.00 |
$936.00 |
$2,210.98
|
|
Calcium 24 hour urine
|
$27.30 |
$27.30 |
$27.30 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$4.74 |
$4.74 |
$4.74 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$2.34 |
$2.34 |
$2.34 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.92 |
$0.92 |
$0.92 |
$91.60
|
|
Calcium ionized
|
$61.10 |
$61.10 |
$61.10 |
$90.00
|
