|
Brace ank air stirrup univ
|
$234.31 |
$234.31 |
$234.31 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$363.45 |
$363.45 |
$363.45 |
$129.78
|
|
Brace ankle stablizing lg
|
$200.50 |
$200.50 |
$200.50 |
$110.51
|
|
Brace back epic lo 627
|
$3,756.67 |
$3,756.67 |
$3,756.67 |
$497.68
|
|
Brace back epic lso 637
|
$3,479.85 |
$3,479.85 |
$3,479.85 |
$635.40
|
|
Brace back epic tslo 456
|
$2,671.52 |
$2,671.52 |
$2,671.52 |
$1,515.56
|
|
Brace back pinnacle lo 627 lumbar
|
$1,004.35 |
$1,004.35 |
$1,004.35 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$5,442.85 |
$5,442.85 |
$5,442.85 |
$2,251.44
|
|
Brace back t-lso custom
|
$5,916.65 |
$5,916.65 |
$5,916.65 |
$3,470.41
|
|
Brace back vista 464 tlso
|
$2,968.22 |
$2,968.22 |
$2,968.22 |
$865.20
|
|
Brace cust back lso
|
$550.03 |
$550.03 |
$550.03 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$1,647.46 |
$1,647.46 |
$1,647.46 |
$472.36
|
|
Brace halo bremer l2830
|
$219.92 |
$219.92 |
$219.92 |
$193.72
|
|
Brace kafo dbl upright cust
|
$4,500.44 |
$4,500.44 |
$4,500.44 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,250.07 |
$2,250.07 |
$2,250.07 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$2,523.31 |
$2,523.31 |
$2,523.31 |
$497.95
|
|
Brace knee hing pat open med
|
$178.60 |
$178.60 |
$178.60 |
$210.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,850.18 |
$1,850.18 |
$1,850.18 |
$353.91
|
|
Brace knee postop tscope xl
|
$2,275.03 |
$2,275.03 |
$2,275.03 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,622.13 |
$1,622.13 |
$1,622.13 |
$215.70
|
|
Brace m arm board
|
$10,778.45 |
$10,778.45 |
$10,778.45 |
$153.66
|
|
Brace ortho exos 28-50in sm
|
$644.32 |
$644.32 |
$644.32 |
$850.77
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,640.48 |
$3,640.48 |
$3,640.48 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$834.16 |
$834.16 |
$834.16 |
$231.80
|
|
Brace tlso flex cust
|
$4,742.76 |
$4,742.76 |
$4,742.76 |
$573.43
|
|
Brace wrist classic lft sm
|
$178.75 |
$178.75 |
$178.75 |
$79.23
|
|
Brach/thor cath 1st
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,972.10
|
|
Brach/thor cath 2nd
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$2,079.35
|
|
Brach/thor cath 3rd
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$2,151.93
|
|
Brach/thor cath addl
|
$321.60 |
$321.60 |
$321.60 |
$881.40
|
|
Brachy source i-125 injection
|
$223.43 |
$223.43 |
$223.43 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$80.44 |
$80.44 |
$80.44 |
$64.48
|
|
Brachy source palladium
|
$342.60 |
$342.60 |
$342.60 |
$138.44
|
|
Brachy source palladium-103 nonstranded
|
$126.00 |
$126.00 |
$126.00 |
$110.22
|
|
Brachy source yttrium-90
|
$60,565.51 |
$60,565.51 |
$60,565.51 |
$30,655.90
|
|
Brachy src nonstrand c-131
|
$417.08 |
$417.08 |
$417.08 |
$197.78
|
|
Brachy src nonstrand hdr ir-192
|
$546.00 |
$546.00 |
$546.00 |
$473.52
|
|
Brachy src stranded c-131
|
$22,839.93 |
$22,839.93 |
$22,839.93 |
$210.62
|
|
Brachytx isodose complex
|
$2,717.40 |
$2,717.40 |
$2,717.40 |
$1,641.90
|
|
Brachytx isodose intermed
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$657.60 |
$657.60 |
$657.60 |
$929.40
|
|
Braf gene
|
$493.80 |
$493.80 |
$493.80 |
$427.05
|
|
Bra surgical elizabeth pink sm
|
$126.02 |
$126.02 |
$126.02 |
$123.85
|
|
Brca1&2 gene full seq alys
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$6,465.00 |
$6,465.00 |
$6,465.00 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,884.40 |
$3,884.40 |
$3,884.40 |
$3,076.15
|
|
Breast punct aspir cyst, bil
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$863.10
|
|
Breast reconstruction 19357
|
$34,204.05 |
$34,204.05 |
$34,204.05 |
$11,720.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$35,213.40 |
$35,213.40 |
$35,213.40 |
$22,377.96
|
|
Bronch ebus samplng 1/2 node
|
$13,904.41 |
$13,904.41 |
$13,904.41 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$18,172.93 |
$18,172.93 |
$18,172.93 |
$4,868.80
|
|
Bronchoscopy clear airways 31645
|
$9,267.56 |
$9,267.56 |
$9,267.56 |
$2,766.40
|
|
Bronchoscopy/lung bx each 31628
|
$17,786.34 |
$17,786.34 |
$17,786.34 |
$4,002.98
|
|
Bronchoscopy/needle bx each 31629
|
$20,800.05 |
$20,800.05 |
$20,800.05 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$20,897.23 |
$20,897.23 |
$20,897.23 |
$2,251.70
|
|
Br punct aspir ea add, l
|
$791.40 |
$791.40 |
$791.40 |
$371.80
|
|
Budesonide non-comp unit
|
$70.92 |
$70.92 |
$70.92 |
$19.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$130.20 |
$130.20 |
$130.20 |
$161.46
|
|
Bundled special stain group 2
|
$176.40 |
$176.40 |
$176.40 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$77.16 |
$77.16 |
$77.16 |
$34.75
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.60 |
$3.60 |
$3.60 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$5.22 |
$5.22 |
$5.22 |
$14.27
|
|
Buprenorphine hydrochloride
|
$55.62 |
$55.62 |
$55.62 |
$42.08
|
|
Buprenorphine oral 1mg
|
$1,029.72 |
$1,029.72 |
$1,029.72 |
$10.74
|
|
Bur rotalink 2.15mm
|
$19,215.32 |
$19,215.32 |
$19,215.32 |
$7,754.17
|
|
Butorphanol tartrate 1 mg
|
$14.16 |
$14.16 |
$14.16 |
$39.73
|
|
Bx bone trocar/ndl deep
|
$4,075.20 |
$4,075.20 |
$4,075.20 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$5,102.40 |
$5,102.40 |
$5,102.40 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$3,786.60 |
$3,786.60 |
$3,786.60 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$3,298.20 |
$3,298.20 |
$3,298.20 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$3,298.20 |
$3,298.20 |
$3,298.20 |
$1,816.50
|
|
Bx breast add lesion Ultrasound imag
|
$3,298.20 |
$3,298.20 |
$3,298.20 |
$1,827.50
|
|
Bx breast pq tomo guide
|
$6,006.00 |
$6,006.00 |
$6,006.00 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$8,749.38 |
$8,749.38 |
$8,749.38 |
$594.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$9,528.66 |
$9,528.66 |
$9,528.66 |
$4,608.88
|
|
Bx of cervix w/scope leep 57460
|
$9,391.68 |
$9,391.68 |
$9,391.68 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$1,711.20 |
$1,711.20 |
$1,711.20 |
$1,687.20
|
|
Bx pleura pq ndl
|
$2,709.00 |
$2,709.00 |
$2,709.00 |
$1,637.90
|
|
Bx prst8 ndl sat sampling
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$4,489.00
|
|
Bx skin incisnl ea sep/add l les
|
$320.40 |
$320.40 |
$320.40 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$320.40 |
$320.40 |
$320.40 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$320.40 |
$320.40 |
$320.40 |
$206.55
|
|
Bx soft tissue back/flank supf 21920
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$529.80 |
$529.80 |
$529.80 |
$995.00
|
|
Bypass temp external fem-fem
|
$4,905.60 |
$4,905.60 |
$4,905.60 |
$1,970.15
|
|
C1 esterase inhibitor func - sendout
|
$84.60 |
$84.60 |
$84.60 |
$86.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$26,991.30 |
$26,991.30 |
$26,991.30 |
$28,742.48
|
|
Cable cath 22-pin diag
|
$40,930.13 |
$40,930.13 |
$40,930.13 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,045.67 |
$1,045.67 |
$1,045.67 |
$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
|
$463.20 |
$463.20 |
$463.20 |
$371.28
|
|
Caffeine citrate 20 mg/ml inj for po
|
$127.02 |
$127.02 |
$127.02 |
$47.24
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$697.50 |
$697.50 |
$697.50 |
$2,210.98
|
|
Calcium 24 hour urine
|
$105.60 |
$105.60 |
$105.60 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$2.70 |
$2.70 |
$2.70 |
$1.55
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$21.42 |
$21.42 |
$21.42 |
$48.99
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$20.46 |
$20.46 |
$20.46 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$80.58 |
$80.58 |
$80.58 |
$92.91
|
