|
Boot mlti podous univ xlg
|
$1,495.15 |
$1,495.15 |
$1,495.15 |
$235.98
|
|
Boot softgait shrt m
|
$1,263.63 |
$1,263.63 |
$1,263.63 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$1,245.27 |
$1,245.27 |
$1,245.27 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$3,526.95 |
$3,526.95 |
$3,526.95 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$339.60 |
$339.60 |
$339.60 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$101.28 |
$101.28 |
$8,175.30 |
$2,825.96
|
|
Bowel imaging
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,065.00
|
|
Brace adj motion lerman type
|
$588.42 |
$588.42 |
$588.42 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,391.74 |
$1,391.74 |
$1,391.74 |
$834.17
|
|
Brace afo lg left 6607
|
$1,231.84 |
$1,231.84 |
$1,231.84 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,846.13 |
$1,846.13 |
$1,846.13 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,708.20 |
$2,708.20 |
$2,708.20 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$402.85 |
$402.85 |
$402.85 |
$194.42
|
|
Brace ank air stirrup univ
|
$312.53 |
$312.53 |
$312.53 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$484.79 |
$484.79 |
$484.79 |
$142.89
|
|
Brace ankle stablizing lg
|
$267.43 |
$267.43 |
$267.43 |
$115.58
|
|
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 |
$1,075.36
|
|
Brace back epic tslo 456
|
$2,353.27 |
$2,353.27 |
$2,353.27 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$1,339.64 |
$1,339.64 |
$1,339.64 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$4,794.45 |
$4,794.45 |
$4,794.45 |
$2,283.03
|
|
Brace back t-lso custom
|
$5,211.80 |
$5,211.80 |
$5,211.80 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,614.61 |
$2,614.61 |
$2,614.61 |
$1,579.91
|
|
Brace cust back lso
|
$733.66 |
$733.66 |
$733.66 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$1,451.20 |
$1,451.20 |
$1,451.20 |
$597.11
|
|
Brace halo bremer l2830
|
$293.34 |
$293.34 |
$293.34 |
$195.59
|
|
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 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$2,222.71 |
$2,222.71 |
$2,222.71 |
$676.06
|
|
Brace knee hing pat open med
|
$493.80 |
$493.80 |
$493.80 |
$213.82
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,629.77 |
$1,629.77 |
$1,629.77 |
$386.00
|
|
Brace knee postop tscope xl
|
$2,004.01 |
$2,004.01 |
$2,004.01 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,740.79 |
$1,740.79 |
$1,740.79 |
$215.70
|
|
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 |
$1,042.69
|
|
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
|
$37,131.80 |
$37,131.80 |
$37,131.80 |
$3,694.40
|
|
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 nonstrand hdr ir-192
|
$640.80 |
$640.80 |
$640.80 |
$475.73
|
|
Brachy src stranded c-131
|
$30,464.89 |
$30,464.89 |
$30,464.89 |
$210.96
|
|
Brachytx isodose complex
|
$2,638.20 |
$2,638.20 |
$2,638.20 |
$1,631.00
|
|
Brachytx isodose intermed
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$929.40
|
|
Braf gene
|
$493.80 |
$493.80 |
$493.80 |
$427.50
|
|
Brain image w/flow < 4 views
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$884.65
|
|
Brain image w/flow 4 + views
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,332.80
|
|
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 Biopsy (ultrasound-guided, percutaneous)
|
$2,591.40 |
$2,591.40 |
$2,591.40 |
$3,040.00
|
|
Breast punct aspir cyst, bil
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$847.00
|
|
Breast reconstruction 19357
|
$67,226.92 |
$67,226.92 |
$67,226.92 |
$11,720.80
|
|
Breast reduction
|
$29,536.88 |
$29,536.88 |
$61,508.00 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$64,646.58 |
$64,646.58 |
$64,646.58 |
$22,383.57
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,885.40 |
$2,885.40 |
$2,885.40 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$20,940.36 |
$20,940.36 |
$20,940.36 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$29,138.17 |
$29,138.17 |
$29,138.17 |
$4,326.00
|
|
Bronch ebus samplng 3/> node
|
$29,775.20 |
$29,775.20 |
$29,775.20 |
$4,643.40
|
|
Bronchoscopy clear airways 31645
|
$6,202.74 |
$6,202.74 |
$14,496.54 |
$2,653.80
|
|
Bronchoscopy dilate/fx repr
|
$5,900.40 |
$5,900.40 |
$5,900.40 |
$5,137.60
|
|
Bronchoscopy/lung bx each 31628
|
$6,392.52 |
$6,392.52 |
$30,444.50 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$31,244.37 |
$31,244.37 |
$31,244.37 |
$1,872.75
|
|
Bronchoscopy/needle bx each 31629
|
$32,072.65 |
$32,072.65 |
$32,072.65 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$10,948.20 |
$10,948.20 |
$36,896.98 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,885.40 |
$2,885.40 |
$5,132.10 |
$2,447.43
|
|
Bronchoscopy w/markers
|
$30,112.21 |
$30,112.21 |
$30,112.21 |
$6,839.00
|
|
Bronchoscopy w/tumor excise
|
$13,797.06 |
$13,797.06 |
$13,797.06 |
$4,362.99
|
|
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
|
$29.82 |
$29.82 |
$39.90 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$8.16 |
$8.16 |
$8.52 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$72.00 |
$72.00 |
$72.00 |
$160.00
|
|
Bundled special stain group 2
|
$193.20 |
$193.20 |
$193.20 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$27,423.96 |
$27,423.96 |
$28,675.79 |
$33.08
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.12 |
$3.12 |
$10.08 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$16.92 |
$16.92 |
$22.62 |
$14.27
|
|
Buprenorphine oral 1mg
|
$8.64 |
$8.64 |
$11.52 |
$10.50
|
|
Buprenorphine X-ray over 100 mg
|
$11,941.80 |
$11,941.80 |
$11,941.80 |
$3,702.22
|
|
Buprenorph X-ray 100 mg or less
|
$11,941.80 |
$11,941.80 |
$11,941.80 |
$3,864.00
|
|
Bur rotalink 2.15mm
|
$16,926.22 |
$16,926.22 |
$16,926.22 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$30.66 |
$30.66 |
$253.80 |
$39.20
|
|
Bx bone trocar/ndl deep
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$2,278.20
|
|
Bx breast 1st lesion mr imag
|
$5,161.20 |
$5,161.20 |
$5,161.20 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$5,306.40 |
$5,306.40 |
$5,306.40 |
$3,700.20
|
|
Bx breast add lesion mr imag
|
$4,789.80 |
$4,789.80 |
$4,789.80 |
$1,631.50
|
|
Bx breast add lesion strtctc
|
$5,306.40 |
$5,306.40 |
$5,306.40 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,591.40 |
$2,591.40 |
$2,591.40 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$3,447.60 |
$3,447.60 |
$3,447.60 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$6,090.00 |
$6,090.00 |
$6,090.00 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$9,679.74 |
$9,679.74 |
$9,679.74 |
$515.50
|
