|
Brace back epic lo 627
|
$358.16 |
$358.16 |
$358.16 |
$601.92
|
|
Brace back pinnacle lo 627 lumbar
|
$682.41 |
$682.41 |
$682.41 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$2,467.39 |
$2,467.39 |
$2,467.39 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,365.06 |
$3,365.06 |
$3,365.06 |
$3,474.86
|
|
Brace back vista 464 tlso
|
$350.07 |
$350.07 |
$350.07 |
$1,541.40
|
|
Brace cust back lso
|
$2,119.06 |
$2,119.06 |
$2,119.06 |
$1,458.21
|
|
Brace fx hum ovr shldr lg
|
$1,506.45 |
$1,506.45 |
$1,506.45 |
$2,528.66
|
|
Brace fx hum ovr shldr sm
|
$765.36 |
$765.36 |
$765.36 |
$468.44
|
|
Brace halo bremer l2830
|
$183.02 |
$183.02 |
$183.02 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$1,421.58 |
$1,421.58 |
$1,421.58 |
$504.60
|
|
Brace knee hing pat open med
|
$294.16 |
$294.16 |
$294.16 |
$291.75
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,063.52 |
$1,063.52 |
$1,063.52 |
$396.00
|
|
Brace knee postop tscope xl
|
$1,730.39 |
$1,730.39 |
$1,730.39 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$211.64 |
$211.64 |
$211.64 |
$235.25
|
|
Brace m arm board
|
$28.62 |
$28.62 |
$28.62 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$1,041.76 |
$1,041.76 |
$1,041.76 |
$1,592.99
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,053.17 |
$2,053.17 |
$2,053.17 |
$1,615.90
|
|
Brace oths wrist hnd fngr without
|
$469.20 |
$469.20 |
$469.20 |
$194.40
|
|
Brace wrist classic lft sm
|
$14.64 |
$14.64 |
$14.64 |
$78.75
|
|
Brach/thor cath 1st
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$1,220.05 |
$1,220.05 |
$1,220.05 |
$2,022.60
|
|
Brach/thor cath 3rd
|
$1,149.85 |
$1,149.85 |
$1,149.85 |
$2,244.00
|
|
Brach/thor cath addl
|
$1,049.10 |
$1,049.10 |
$1,049.10 |
$881.40
|
|
Brachy source i-125 injection
|
$48.58 |
$48.58 |
$48.58 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$32.61 |
$32.61 |
$32.61 |
$38.90
|
|
Brachy source yttrium-90
|
$36,520.57 |
$36,520.57 |
$36,520.57 |
$32,024.61
|
|
Brachy src nonstrand hdr ir-192
|
$359.39 |
$359.39 |
$359.39 |
$378.98
|
|
Brachytx isodose complex
|
$8,170.50 |
$8,170.50 |
$8,170.50 |
$1,631.00
|
|
Brachytx isodose intermed
|
$8,170.50 |
$8,170.50 |
$8,170.50 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$4,686.50 |
$4,686.50 |
$4,686.50 |
$817.20
|
|
Braf gene
|
$2,254.85 |
$2,254.85 |
$2,254.85 |
$421.20
|
|
Brain flow imaging only
|
$728.00 |
$728.00 |
$728.00 |
$636.97
|
|
Brain image < 4 views
|
$884.65 |
$884.65 |
$884.65 |
$475.51
|
|
Brain image 4+ views
|
$1,140.10 |
$1,140.10 |
$1,140.10 |
$746.61
|
|
Brain image w/flow < 4 views
|
$884.65 |
$884.65 |
$884.65 |
$868.68
|
|
Brain image w/flow 4 + views
|
$1,394.90 |
$1,394.90 |
$1,394.90 |
$1,321.45
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,794.35 |
$2,794.35 |
$2,794.35 |
$2,676.04
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,539.55 |
$2,539.55 |
$2,539.55 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$1,821.61
|
|
Brain MRI (with and without contrast)
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$2,692.95 |
$2,692.95 |
$2,692.95 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$1,946.40
|
|
Bra surgical elizabeth pink sm
|
$65.89 |
$65.89 |
$65.89 |
$109.21
|
|
Brca1&2 gene full seq alys
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$770.25
|
|
Brca1 dna gene analy known fam var
|
$924.30 |
$924.30 |
$924.30 |
$483.84
|
|
Brca2 dna gene analy known fam var
|
$924.30 |
$924.30 |
$924.30 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$2,299.50
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,594.15 |
$2,594.15 |
$2,594.15 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$518.70 |
$518.70 |
$518.70 |
$832.60
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$34,230.69 |
$34,230.69 |
$34,230.69 |
$24,679.59
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$436.80 |
$436.80 |
$436.80 |
$728.00
|
|
Bronch ebus ivntj perph les 31654
|
$3,196.70 |
$3,196.70 |
$3,196.70 |
$2,053.20
|
|
Bronch ebus samplng 1/2 node
|
$5,927.35 |
$5,927.35 |
$5,927.35 |
$4,429.20
|
|
Bronch ebus samplng 3/> node
|
$5,927.35 |
$5,927.35 |
$5,927.35 |
$5,114.25
|
|
Bronchial allergy tests
|
$1,509.30 |
$1,509.30 |
$1,509.30 |
$734.40
|
|
Bronchial challenge
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$845.00
|
|
Bronchial valve init insert
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$7,565.43
|
|
Bronchial valve remov addl
|
$2,542.15 |
$2,542.15 |
$2,542.15 |
$2,040.67
|
|
Bronchial valve remov init
|
$3,444.35 |
$3,444.35 |
$3,444.35 |
$4,341.75
|
|
Bronchoscopy bronch stents
|
$3,988.40 |
$3,988.40 |
$3,988.40 |
$6,104.00
|
|
Bronchoscopy clear airways 31645
|
$3,444.35 |
$3,444.35 |
$3,444.35 |
$2,626.00
|
|
Bronchoscopy dilate/fx repr
|
$4,165.20 |
$4,165.20 |
$4,165.20 |
$4,380.35
|
|
Bronchoscopy dilate w/stent
|
$4,217.85 |
$4,217.85 |
$4,217.85 |
$6,768.75
|
|
Bronchoscopy/lung bx addl 31632
|
$1,738.10 |
$1,738.10 |
$1,738.10 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$3,405.35 |
$3,405.35 |
$3,405.35 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$2,878.20 |
$2,878.20 |
$2,878.20 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$3,405.35 |
$3,405.35 |
$3,405.35 |
$3,484.80
|
|
Bronchoscopy revise stent
|
$3,988.40 |
$3,988.40 |
$3,988.40 |
$6,311.00
|
|
Bronchoscopy treat blockage
|
$2,649.40 |
$2,649.40 |
$2,649.40 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$3,405.35 |
$3,405.35 |
$3,405.35 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$3,913.65 |
$3,913.65 |
$3,913.65 |
$2,666.55
|
|
Bronchoscopy w/markers
|
$4,023.50 |
$4,023.50 |
$4,023.50 |
$7,662.21
|
|
Bronchoscopy w/tumor excise
|
$3,405.35 |
$3,405.35 |
$3,405.35 |
$4,080.94
|
|
Br punct aspir ea add, l
|
$164.45 |
$164.45 |
$164.45 |
$394.55
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$24.31 |
$24.31 |
$24.31 |
$35.14
|
|
Bundled special stain group 1 microorganisms
|
$239.20 |
$239.20 |
$239.20 |
$165.10
|
|
Bundled special stain group 2
|
$169.00 |
$169.00 |
$169.00 |
$169.60
|
|
Bundle his recording
|
$4,986.15 |
$4,986.15 |
$4,986.15 |
$5,290.20
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$31.07 |
$31.07 |
$31.07 |
$33.85
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$9.78 |
$9.78 |
$9.78 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$14.27 |
$14.27 |
$14.27 |
$17.13
|
|
Buprenorphine and metabolite - sendout
|
$70.20 |
$70.20 |
$70.20 |
$98.45
|
|
Buprenorphine oral 1mg
|
$13.06 |
$13.06 |
$13.06 |
$11.81
|
|
Bur rotalink 2.15mm
|
$4,586.05 |
$4,586.05 |
$4,586.05 |
$5,791.31
|
|
Butorphanol tartrate 1 mg
|
$31.08 |
$31.08 |
$31.08 |
$41.45
|
|
Bx arm/elbow soft tissue supf 24065
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$2,409.55 |
$2,409.55 |
$2,409.55 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$2,594.15 |
$2,594.15 |
$2,594.15 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$541.45 |
$541.45 |
$541.45 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$541.45 |
$541.45 |
$541.45 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$541.45 |
$541.45 |
$541.45 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,590.00
|
|
Bx liver with other
|
$586.30 |
$586.30 |
$586.30 |
$548.87
|
|
Bx pancreas pq ndl
|
$1,550.90 |
$1,550.90 |
$1,550.90 |
$1,767.94
|
|
Bx perianal mass
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$1,369.03
|
|
Bx pleura pq ndl
|
$1,636.70 |
$1,636.70 |
$1,636.70 |
$1,732.00
|
|
Bx shoulder tissues supf 23065
|
$3,859.70 |
$3,859.70 |
$3,859.70 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$100.75 |
$100.75 |
$100.75 |
$232.05
|
|
Bx skin punch ea sep/ addl les
|
$100.75 |
$100.75 |
$100.75 |
$222.60
|
