|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$357.60 |
$357.60 |
$357.60 |
$93.50
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$88.32 |
$88.32 |
$88.32 |
$2,880.64
|
|
Bowel imaging
|
$714.60 |
$714.60 |
$714.60 |
$1,089.88
|
|
Brace adj motion lerman type
|
$388.60 |
$388.60 |
$388.60 |
$281.75
|
|
Brace afo dbl upright cust
|
$919.10 |
$919.10 |
$919.10 |
$834.17
|
|
Brace afo lg left 6607
|
$813.51 |
$813.51 |
$813.51 |
$453.47
|
|
Brace afopos solid ankle cust
|
$1,219.19 |
$1,219.19 |
$1,219.19 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,708.20 |
$2,708.20 |
$2,708.20 |
$1,424.28
|
|
Brace ank aftr bioskn med lg
|
$266.05 |
$266.05 |
$266.05 |
$170.80
|
|
Brace ank air stirrup univ
|
$206.39 |
$206.39 |
$206.39 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$320.15 |
$320.15 |
$320.15 |
$129.78
|
|
Brace ankle stablizing lg
|
$176.61 |
$176.61 |
$176.61 |
$110.51
|
|
Brace back epic lo 627
|
$3,309.14 |
$3,309.14 |
$3,309.14 |
$497.68
|
|
Brace back epic lso 637
|
$3,065.30 |
$3,065.30 |
$3,065.30 |
$635.40
|
|
Brace back epic tslo 456
|
$2,353.27 |
$2,353.27 |
$2,353.27 |
$1,515.56
|
|
Brace back pinnacle lo 627 lumbar
|
$884.71 |
$884.71 |
$884.71 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$4,794.45 |
$4,794.45 |
$4,794.45 |
$2,251.44
|
|
Brace back t-lso custom
|
$5,211.80 |
$5,211.80 |
$5,211.80 |
$3,470.41
|
|
Brace back vista 464 tlso
|
$2,614.61 |
$2,614.61 |
$2,614.61 |
$865.20
|
|
Brace cust back lso
|
$484.51 |
$484.51 |
$484.51 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$1,451.20 |
$1,451.20 |
$1,451.20 |
$472.36
|
|
Brace halo bremer l2830
|
$193.72 |
$193.72 |
$193.72 |
$193.72
|
|
Brace kafo dbl upright cust
|
$3,964.30 |
$3,964.30 |
$3,964.30 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$1,982.02 |
$1,982.02 |
$1,982.02 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$2,222.71 |
$2,222.71 |
$2,222.71 |
$497.95
|
|
Brace knee hing pat open med
|
$157.32 |
$157.32 |
$157.32 |
$210.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,629.77 |
$1,629.77 |
$1,629.77 |
$353.91
|
|
Brace knee postop tscope xl
|
$2,004.01 |
$2,004.01 |
$2,004.01 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,428.89 |
$1,428.89 |
$1,428.89 |
$215.70
|
|
Brace m arm board
|
$9,494.43 |
$9,494.43 |
$9,494.43 |
$153.66
|
|
Brace ortho exos 28-50in sm
|
$567.56 |
$567.56 |
$567.56 |
$850.77
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,206.80 |
$3,206.80 |
$3,206.80 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$734.78 |
$734.78 |
$734.78 |
$231.80
|
|
Brace tlso flex cust
|
$4,177.76 |
$4,177.76 |
$4,177.76 |
$573.43
|
|
Brace wrist classic lft sm
|
$157.45 |
$157.45 |
$157.45 |
$79.23
|
|
Brach/thor cath 1st
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$1,972.10
|
|
Brach/thor cath 2nd
|
$973.80 |
$973.80 |
$973.80 |
$2,079.35
|
|
Brach/thor cath 3rd
|
$973.80 |
$973.80 |
$973.80 |
$2,151.93
|
|
Brach/thor cath addl
|
$569.40 |
$569.40 |
$569.40 |
$881.40
|
|
Brachy source i-125 injection
|
$196.82 |
$196.82 |
$196.82 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$70.85 |
$70.85 |
$70.85 |
$64.48
|
|
Brachy source palladium
|
$301.79 |
$301.79 |
$301.79 |
$138.44
|
|
Brachy source palladium-103 nonstranded
|
$110.22 |
$110.22 |
$110.22 |
$110.22
|
|
Brachy source yttrium-90
|
$53,350.39 |
$53,350.39 |
$53,350.39 |
$30,655.90
|
|
Brachy src nonstrand c-131
|
$367.39 |
$367.39 |
$367.39 |
$197.78
|
|
Brachy src stranded c-131
|
$20,119.03 |
$20,119.03 |
$20,119.03 |
$210.62
|
|
Brachytx isodose complex
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$1,641.90
|
|
Brachytx isodose intermed
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$929.40
|
|
Braf gene
|
$290.40 |
$290.40 |
$290.40 |
$427.05
|
|
Brain flow imaging only
|
$781.20 |
$781.20 |
$781.20 |
$636.97
|
|
Brain image w/flow < 4 views
|
$703.20 |
$703.20 |
$703.20 |
$880.20
|
|
Brain image w/flow 4 + views
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$1,355.20
|
|
Bra surgical elizabeth pink sm
|
$111.01 |
$111.01 |
$111.01 |
$123.85
|
|
Brca1&2 gene full seq alys
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$3,312.60 |
$3,312.60 |
$3,312.60 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,618.40 |
$5,618.40 |
$5,618.40 |
$3,076.15
|
|
Breast punct aspir cyst, bil
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$863.10
|
|
Breast reconstruction 19357
|
$73,352.73 |
$73,352.73 |
$73,352.73 |
$11,720.80
|
|
Breast reduction
|
$25,877.22 |
$25,877.22 |
$25,877.22 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$49,968.06 |
$49,968.06 |
$49,968.06 |
$22,377.96
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$1,462.80 |
$1,462.80 |
$1,462.80 |
$981.06
|
|
Bronch ebus ivntj perph les 31654
|
$25,497.24 |
$25,497.24 |
$25,497.24 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$12,914.71 |
$12,914.71 |
$12,914.71 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$20,193.26 |
$20,193.26 |
$20,193.26 |
$4,868.80
|
|
Bronchoscopy clear airways 31645
|
$16,685.11 |
$16,685.11 |
$16,685.11 |
$2,766.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,462.80 |
$1,462.80 |
$1,462.80 |
$1,462.80
|
|
Bronchoscopy/lung bx each 31628
|
$10,136.52 |
$10,136.52 |
$10,136.52 |
$4,002.98
|
|
Bronchoscopy/needle bx each 31629
|
$25,497.24 |
$25,497.24 |
$25,497.24 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$15,696.85 |
$15,696.85 |
$15,696.85 |
$2,251.70
|
|
Bronchoscopy w/fb removal 31635
|
$1,533.60 |
$1,533.60 |
$1,533.60 |
$2,624.16
|
|
Bronchoscopy w/markers
|
$10,743.60 |
$10,743.60 |
$10,743.60 |
$7,628.00
|
|
Bronch thermoplsty 1 lobe
|
$8,429.40 |
$8,429.40 |
$8,429.40 |
$6,410.18
|
|
Bronch thermoplsty 2/> lobes
|
$8,429.40 |
$8,429.40 |
$8,429.40 |
$6,839.00
|
|
Br punct aspir ea add, l
|
$1,637.40 |
$1,637.40 |
$1,637.40 |
$371.80
|
|
Budesonide non-comp unit
|
$37.74 |
$37.74 |
$37.74 |
$19.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.50 |
$7.50 |
$7.50 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$269.40 |
$269.40 |
$269.40 |
$161.46
|
|
Bundled special stain group 2
|
$293.40 |
$293.40 |
$293.40 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$38.88 |
$38.88 |
$38.88 |
$34.75
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$20.34 |
$20.34 |
$20.34 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$36.42 |
$36.42 |
$36.42 |
$14.27
|
|
Buprenorphine hydrochloride
|
$64.56 |
$64.56 |
$64.56 |
$42.08
|
|
Buprenorphine oral 1mg
|
$1,086.06 |
$1,086.06 |
$1,086.06 |
$10.74
|
|
Bur rotalink 2.15mm
|
$16,926.22 |
$16,926.22 |
$16,926.22 |
$7,754.17
|
|
Butorphanol tartrate 1 mg
|
$16.50 |
$16.50 |
$16.50 |
$39.73
|
|
Bx bone trocar/ndl deep
|
$2,368.80 |
$2,368.80 |
$2,368.80 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$5,137.20 |
$5,137.20 |
$5,137.20 |
$3,742.20
|
|
Bx breast add lesion strtctc
|
$5,137.20 |
$5,137.20 |
$5,137.20 |
$1,816.50
|
|
Bx breast add lesion Ultrasound imag
|
$4,252.80 |
$4,252.80 |
$4,252.80 |
$1,827.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$12,144.18 |
$12,144.18 |
$12,144.18 |
$4,608.88
|
|
Bx/exc lymph node/open/superfic 38500
|
$57,841.62 |
$57,841.62 |
$57,841.62 |
$4,238.48
|
|
Bx liver with other
|
$817.20 |
$817.20 |
$817.20 |
$586.30
|
|
Bx pancreas pq ndl
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$1,687.20
|
|
Bx perianal mass
|
$14,756.43 |
$14,756.43 |
$14,756.43 |
$1,507.83
|
|
Bx pleura pq ndl
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,637.90
|
|
Bx skin incisnl ea sep/add l les
|
$500.40 |
$500.40 |
$500.40 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$500.40 |
$500.40 |
$500.40 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$500.40 |
$500.40 |
$500.40 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$995.00
|
