|
Brace afo spiral prefab
|
$4,630.07 |
$4,630.07 |
$4,630.07 |
$1,424.28
|
|
Brace ank aftr bioskn med lg
|
$979.49 |
$979.49 |
$979.49 |
$170.80
|
|
Brace ank air stirrup univ
|
$759.89 |
$759.89 |
$759.89 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$1,178.72 |
$1,178.72 |
$1,178.72 |
$129.78
|
|
Brace ankle stablizing lg
|
$650.23 |
$650.23 |
$650.23 |
$110.51
|
|
Brace back epic lo 627
|
$5,657.48 |
$5,657.48 |
$5,657.48 |
$497.68
|
|
Brace back epic lso 637
|
$5,240.59 |
$5,240.59 |
$5,240.59 |
$635.40
|
|
Brace back epic tslo 456
|
$7,066.69 |
$7,066.69 |
$7,066.69 |
$1,515.56
|
|
Brace back pinnacle lo 627 lumbar
|
$3,257.22 |
$3,257.22 |
$3,257.22 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$8,196.83 |
$8,196.83 |
$8,196.83 |
$2,223.92
|
|
Brace back t-lso custom
|
$8,910.37 |
$8,910.37 |
$8,910.37 |
$3,470.41
|
|
Brace back vista 464 tlso
|
$7,851.50 |
$7,851.50 |
$7,851.50 |
$731.02
|
|
Brace cust back lso
|
$1,783.82 |
$1,783.82 |
$1,783.82 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$4,357.83 |
$4,357.83 |
$4,357.83 |
$472.36
|
|
Brace halo bremer l2830
|
$713.22 |
$713.22 |
$713.22 |
$193.72
|
|
Brace kafo dbl upright cust
|
$6,777.58 |
$6,777.58 |
$6,777.58 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$5,951.86 |
$5,951.86 |
$5,951.86 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$6,674.65 |
$6,674.65 |
$6,674.65 |
$497.95
|
|
Brace knee hing pat open med
|
$579.22 |
$579.22 |
$579.22 |
$205.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$4,894.09 |
$4,894.09 |
$4,894.09 |
$348.50
|
|
Brace knee postop tscope xl
|
$6,017.90 |
$6,017.90 |
$6,017.90 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$4,290.85 |
$4,290.85 |
$4,290.85 |
$215.70
|
|
Brace m arm board
|
$12,789.92 |
$12,789.92 |
$12,789.92 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$2,089.61 |
$2,089.61 |
$2,089.61 |
$850.77
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$5,482.51 |
$5,482.51 |
$5,482.51 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$2,705.26 |
$2,705.26 |
$2,705.26 |
$231.80
|
|
Brace tlso flex cust
|
$7,142.51 |
$7,142.51 |
$7,142.51 |
$573.43
|
|
Brace wrist classic lft sm
|
$579.70 |
$579.70 |
$579.70 |
$78.86
|
|
Brach/thor cath 1st
|
$867.00 |
$867.00 |
$867.00 |
$1,930.20
|
|
Brach/thor cath 2nd
|
$851.40 |
$851.40 |
$851.40 |
$2,022.60
|
|
Brach/thor cath 3rd
|
$946.80 |
$946.80 |
$946.80 |
$2,151.93
|
|
Brach/thor cath addl
|
$450.00 |
$450.00 |
$450.00 |
$868.74
|
|
Brachy source i-125 injection
|
$724.62 |
$724.62 |
$724.62 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$276.89 |
$276.89 |
$276.89 |
$64.48
|
|
Brachy source palladium
|
$1,111.09 |
$1,111.09 |
$1,111.09 |
$145.44
|
|
Brachy source palladium-103 nonstranded
|
$430.73 |
$430.73 |
$430.73 |
$110.22
|
|
Brachy source yttrium-90
|
$41,278.03 |
$41,278.03 |
$41,278.03 |
$31,103.54
|
|
Brachy src nonstrand c-131
|
$1,352.63 |
$1,352.63 |
$1,352.63 |
$197.78
|
|
Brachy src nonstrand hdr ir-192
|
$755.40 |
$755.40 |
$755.40 |
$473.52
|
|
Brachy src stranded c-131
|
$27,102.29 |
$27,102.29 |
$27,102.29 |
$210.96
|
|
Brachytx isodose complex
|
$2,328.60 |
$2,328.60 |
$2,328.60 |
$1,641.90
|
|
Brachytx isodose intermed
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$929.40
|
|
Braf gene
|
$483.60 |
$483.60 |
$483.60 |
$421.20
|
|
Brain flow imaging only
|
$944.40 |
$944.40 |
$944.40 |
$636.97
|
|
Bra surgical elizabeth pink sm
|
$433.80 |
$433.80 |
$433.80 |
$120.56
|
|
Brca1 dna gene analy known fam var
|
$391.20 |
$391.20 |
$391.20 |
$471.52
|
|
Brca2 dna gene analy known fam var
|
$366.60 |
$366.60 |
$366.60 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$2,448.50
|
|
Breast augmentation 19325
|
$41,033.52 |
$41,033.52 |
$41,033.52 |
$5,910.18
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,634.00 |
$5,634.00 |
$5,634.00 |
$3,069.25
|
|
Breast punct aspir cyst, bil
|
$1,810.80 |
$1,810.80 |
$1,810.80 |
$858.60
|
|
Breast reconstruction 19357
|
$109,838.34 |
$109,838.34 |
$109,838.34 |
$11,720.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$50,576.46 |
$50,576.46 |
$50,576.46 |
$22,377.96
|
|
Bronch ebus ivntj perph les 31654
|
$27,032.12 |
$27,032.12 |
$27,032.12 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$25,129.36 |
$25,129.36 |
$25,129.36 |
$4,350.00
|
|
Bronch ebus samplng 3/> node
|
$25,843.00 |
$25,843.00 |
$25,843.00 |
$4,881.00
|
|
Bronchoscopy bronch stents
|
$48,055.51 |
$48,055.51 |
$48,055.51 |
$6,104.00
|
|
Bronchoscopy clear airways 31645
|
$38,149.72 |
$38,149.72 |
$38,149.72 |
$2,766.40
|
|
Bronchoscopy dilate/fx repr
|
$5,931.60 |
$5,931.60 |
$5,931.60 |
$5,137.60
|
|
Bronchoscopy/lung bx each 31628
|
$23,017.76 |
$23,017.76 |
$23,017.76 |
$4,029.39
|
|
Bronchoscopy/needle bx addl 31633
|
$27,118.03 |
$27,118.03 |
$27,118.03 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$32,423.57 |
$32,423.57 |
$32,423.57 |
$4,084.48
|
|
Bronchoscopy revise stent
|
$38,149.72 |
$38,149.72 |
$38,149.72 |
$7,023.50
|
|
Bronchoscopy treat blockage
|
$38,559.53 |
$38,559.53 |
$38,559.53 |
$4,627.00
|
|
Bronchoscopy w/biopsy(s) 31625
|
$19,122.42 |
$19,122.42 |
$19,122.42 |
$2,256.75
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$27,243.60 |
$27,243.60 |
$27,243.60 |
$388.50
|
|
Br punct aspir ea add, l
|
$523.20 |
$523.20 |
$523.20 |
$371.80
|
|
Budesonide non-comp unit
|
$24.78 |
$24.78 |
$24.78 |
$19.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$17.70 |
$17.70 |
$17.70 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$172.20 |
$172.20 |
$172.20 |
$161.46
|
|
Bundled special stain group 2
|
$174.60 |
$174.60 |
$174.60 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$319.44 |
$319.44 |
$319.44 |
$35.43
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$13.98 |
$13.98 |
$13.98 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$25.08 |
$25.08 |
$25.08 |
$14.27
|
|
Buprenorphine oral 1mg
|
$5.10 |
$5.10 |
$5.10 |
$10.74
|
|
Bur rotalink 2.15mm
|
$22,801.27 |
$22,801.27 |
$22,801.27 |
$7,754.17
|
|
Butorphanol tartrate 1 mg
|
$66.36 |
$66.36 |
$66.36 |
$39.73
|
|
Bx bone trocar/ndl deep
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$5,152.20 |
$5,152.20 |
$5,152.20 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$4,222.80 |
$4,222.80 |
$4,222.80 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$1,165.80 |
$1,165.80 |
$1,165.80 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$4,855.20 |
$4,855.20 |
$4,855.20 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$4,259.40 |
$4,259.40 |
$4,259.40 |
$1,827.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$26,102.70 |
$26,102.70 |
$26,102.70 |
$4,608.88
|
|
Bx pancreas pq ndl
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,711.20
|
|
Bx perianal mass
|
$22,738.97 |
$22,738.97 |
$22,738.97 |
$1,501.50
|
|
Bx pleura pq ndl
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$1,672.80
|
|
Bx prst8 ndl sat sampling
|
$14,009.58 |
$14,009.58 |
$14,009.58 |
$4,489.00
|
|
Bx skin incisnl ea sep/add l les
|
$210.00 |
$210.00 |
$210.00 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$277.20 |
$277.20 |
$277.20 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$277.20 |
$277.20 |
$277.20 |
$206.55
|
|
Bypass temp external fem-fem
|
$996.60 |
$996.60 |
$996.60 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$148.20 |
$148.20 |
$148.20 |
$86.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$38,767.14 |
$38,767.14 |
$38,767.14 |
$28,742.48
|
|
Cable cath 22-pin diag
|
$27,895.67 |
$27,895.67 |
$27,895.67 |
$4,946.50
|
|
Cable centrimag pressure
|
$3,391.23 |
$3,391.23 |
$3,391.23 |
$9,015.12
|
|
Cacna1a gen detc abnor allel
|
$132.60 |
$132.60 |
$132.60 |
$189.06
|
|
Cacna1a gene full gene seq
|
$777.60 |
$777.60 |
$777.60 |
$846.27
|
|
Cadd pump refill
|
$565.20 |
$565.20 |
$565.20 |
$371.28
|
