|
Brace m arm board
|
$14,376.77 |
$14,376.77 |
$14,376.77 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$859.43 |
$859.43 |
$859.43 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,206.80 |
$3,206.80 |
$3,206.80 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,112.63 |
$1,112.63 |
$1,112.63 |
$245.00
|
|
Brace tlso flex cust
|
$4,177.76 |
$4,177.76 |
$4,177.76 |
$573.43
|
|
Brace wrist classic lft sm
|
$238.42 |
$238.42 |
$238.42 |
$81.62
|
|
Brachioplasty 15836
|
$25,450.32 |
$25,450.32 |
$25,450.32 |
$3,694.40
|
|
Brach/thor cath 1st
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$1,556.40 |
$1,556.40 |
$1,556.40 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$2,079.00
|
|
Brach/thor cath addl
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$868.00
|
|
Brachy source i-125 injection
|
$298.03 |
$298.03 |
$298.03 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$107.29 |
$107.29 |
$107.29 |
$66.76
|
|
Brachy source palladium
|
$456.97 |
$456.97 |
$456.97 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$166.90 |
$166.90 |
$166.90 |
$116.48
|
|
Brachy source yttrium-90
|
$80,784.91 |
$80,784.91 |
$80,784.91 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$556.31 |
$556.31 |
$556.31 |
$210.62
|
|
Brachy src stranded c-131
|
$30,464.89 |
$30,464.89 |
$30,464.89 |
$210.96
|
|
Braf gene
|
$493.80 |
$493.80 |
$493.80 |
$427.50
|
|
Brain image w/flow 4 + views
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,330.00
|
|
Bra surgical elizabeth pink sm
|
$168.08 |
$168.08 |
$168.08 |
$130.99
|
|
Brca1&2 gene full seq alys
|
$529.20 |
$529.20 |
$529.20 |
$1,296.00
|
|
Brca1 gene full dup/del alys
|
$959.40 |
$959.40 |
$959.40 |
$331.49
|
|
Brca2 gene full dup/del alys
|
$959.40 |
$959.40 |
$959.40 |
$311.17
|
|
Brcassure comprehensive panel-sendout
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$2,287.20
|
|
Breast augmentation 19325
|
$58,917.79 |
$58,917.79 |
$58,917.79 |
$6,311.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,591.40 |
$2,591.40 |
$2,591.40 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$847.00
|
|
Breast reduction
|
$20,471.48 |
$20,471.48 |
$20,471.48 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$63,505.80 |
$63,505.80 |
$63,505.80 |
$22,383.57
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,885.40 |
$2,885.40 |
$2,885.40 |
$870.87
|
|
Bronchoscopy clear airways 31645
|
$9,808.71 |
$9,808.71 |
$9,808.71 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$6,413.94 |
$6,413.94 |
$6,413.94 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$13,175.82 |
$13,175.82 |
$13,175.82 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,885.40 |
$2,885.40 |
$2,885.40 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$343.20 |
$343.20 |
$343.20 |
$358.00
|
|
Btk gene common variants
|
$357.00 |
$357.00 |
$357.00 |
$289.77
|
|
Budesonide non-comp unit
|
$29.52 |
$29.52 |
$29.52 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.74 |
$7.74 |
$7.74 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$72.00 |
$72.00 |
$72.00 |
$160.80
|
|
Bundled special stain group 2
|
$193.20 |
$193.20 |
$193.20 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$48,892.15 |
$48,892.15 |
$48,892.15 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.12 |
$3.12 |
$3.12 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$4.50 |
$4.50 |
$4.50 |
$14.27
|
|
Buprenorphine hydrochloride
|
$62.82 |
$62.82 |
$62.82 |
$41.79
|
|
Buprenorphine oral 1mg
|
$8.52 |
$8.52 |
$8.52 |
$10.50
|
|
Bur rotalink 2.15mm
|
$16,926.22 |
$16,926.22 |
$16,926.22 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$28.98 |
$28.98 |
$28.98 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$2,271.01
|
|
Bx breast 1st lesion strtctc
|
$5,306.40 |
$5,306.40 |
$5,306.40 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$5,306.40 |
$5,306.40 |
$5,306.40 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$2,591.40 |
$2,591.40 |
$2,591.40 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$6,090.00 |
$6,090.00 |
$6,090.00 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$16,496.58 |
$16,496.58 |
$16,496.58 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$12,964.86 |
$12,964.86 |
$12,964.86 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$9,885.00 |
$9,885.00 |
$9,885.00 |
$4,184.94
|
|
Bx of cervix w/scope leep 57460
|
$8,910.18 |
$8,910.18 |
$8,910.18 |
$3,876.00
|
|
Bx perianal mass
|
$10,789.20 |
$10,789.20 |
$10,789.20 |
$1,540.50
|
|
Bx pleura pq ndl
|
$2,232.60 |
$2,232.60 |
$2,232.60 |
$1,608.00
|
|
Bx shoulder tissues supf 23065
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$163.80 |
$163.80 |
$163.80 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$163.80 |
$163.80 |
$163.80 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$163.80 |
$163.80 |
$163.80 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$1,917.33
|
|
Bypass temp external fem-fem
|
$1,036.80 |
$1,036.80 |
$1,036.80 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$131.40 |
$131.40 |
$131.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$48,677.58 |
$48,677.58 |
$48,677.58 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$54,594.39 |
$54,594.39 |
$54,594.39 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,394.76 |
$1,394.76 |
$1,394.76 |
$7,858.62
|
|
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
|
$664.80 |
$664.80 |
$664.80 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$61.20 |
$61.20 |
$61.20 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,177.50 |
$1,177.50 |
$1,177.50 |
$2,111.64
|
|
Calcium 24 hour urine
|
$69.60 |
$69.60 |
$69.60 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$32.22 |
$32.22 |
$32.22 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$201.48 |
$201.48 |
$201.48 |
$91.60
|
|
Calcium ionized
|
$133.20 |
$133.20 |
$133.20 |
$90.00
|
|
Calcium total
|
$69.60 |
$69.60 |
$69.60 |
$50.00
|
|
Calculi urinary-sendout
|
$115.20 |
$115.20 |
$115.20 |
$68.05
|
|
Calprotectin fecal
|
$134.40 |
$134.40 |
$134.40 |
$169.95
|
|
Campylobacter antibody
|
$176.40 |
$176.40 |
$176.40 |
$77.83
|
|
Candida dna
|
$32.40 |
$32.40 |
$32.40 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$198,684.00 |
$198,684.00 |
$198,684.00 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$3.36 |
$3.36 |
$3.36 |
$59.42
|
|
Cap nerve 2x15mm
|
$183,464.81 |
$183,464.81 |
$183,464.81 |
$18,466.88
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,211.05
|
|
Cap trach decann 15mm
|
$3,310.07 |
$3,310.07 |
$3,310.07 |
$2,597.62
|
|
Carbamazepine free
|
$23.40 |
$23.40 |
$23.40 |
$59.15
|
|
Carbamazepine free -sendout
|
$49.80 |
$49.80 |
$49.80 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$222.60 |
$222.60 |
$222.60 |
$139.00
|
|
Carbohydrate urine - sendout
|
$20.40 |
$20.40 |
$20.40 |
$66.64
|
|
Carbon dioxide
|
$64.20 |
$64.20 |
$64.20 |
$44.00
|
|
Carbon graphite lamination
|
$425.78 |
$425.78 |
$425.78 |
$228.52
|
|
Carboplatin 10 mg/ml desensitization
|
$331.02 |
$331.02 |
$331.02 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$714.00 |
$714.00 |
$714.00 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$126.00 |
$126.00 |
$126.00 |
$85.00
|
