|
Brace back t-lso custom
|
$1,584.70 |
$1,664.00 |
$4,753.43 |
|
|
Brace back vista 464 tlso
|
$1,308.45 |
$1,308.45 |
$1,308.45 |
|
|
Brace cust back lso
|
$2,486.25 |
$2,486.25 |
$2,486.25 |
|
|
Brace fx hum ovr shldr sm
|
$387.40 |
$387.40 |
$387.40 |
|
|
Brace halo bremer l2830
|
$254.62 |
$254.62 |
$348.40 |
|
|
Brace kafo dbl upright cust
|
$2,097.55 |
$2,097.55 |
$2,097.55 |
|
|
Brace knee extender plus 22-30in
|
$181.35 |
$632.45 |
$917.15 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
|
|
Brace knee postop tscope xl
|
$858.65 |
$858.65 |
$901.55 |
|
|
Brace knee support neoprene padded open patella med
|
$169.94 |
$169.94 |
$169.94 |
|
|
Brace m arm board
|
$3.25 |
$3.25 |
$3.25 |
|
|
Brace ortho exos 28-50in sm
|
$1,365.65 |
$1,433.90 |
$2,413.45 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$385.45 |
$1,975.62 |
$1,975.62 |
|
|
Brace oths wrist hnd fngr without
|
$14.95 |
$49.40 |
$120.25 |
|
|
Brace tlso flex cust
|
$331.50 |
$331.50 |
$346.45 |
|
|
Brace wrist classic lft sm
|
$16.25 |
$44.85 |
$122.20 |
|
|
Brach/thor cath 1st
|
$762.94 |
$762.94 |
$7,159.85 |
|
|
Brach/thor cath 2nd
|
$749.07 |
$749.07 |
$1,633.45 |
|
|
Brach/thor cath 3rd
|
$700.32 |
$700.32 |
$18,379.64 |
|
|
Brach/thor cath addl
|
$369.54 |
$369.54 |
$369.54 |
|
|
Brachy source i-125 injection
|
$81.25 |
$81.25 |
$81.25 |
|
|
Brachy source yttrium-90
|
$29,242.20 |
$30,277.75 |
$30,277.75 |
|
|
Brachy src nonstrand hdr ir-192
|
$195.00 |
$195.00 |
$646.75 |
|
|
Brachytx isodose complex
|
$5,315.70 |
$5,315.70 |
$5,315.70 |
|
|
Brachytx isodose intermed
|
$26,578.69 |
$26,578.69 |
$26,578.69 |
|
|
Brachytx isodose plan simple
|
$24,874.78 |
$24,874.78 |
$24,874.78 |
|
|
Braf gene
|
$375.70 |
$407.56 |
$657.00 |
|
|
Brain biopsy w/ct/mr guide
|
$946.37 |
$946.37 |
$946.37 |
|
|
Brain flow imaging only
|
$500.89 |
$785.20 |
$1,860.95 |
|
|
Brain image w/flow < 4 views
|
$946.40 |
$1,456.00 |
$1,777.10 |
|
|
Brain image w/flow 4 + views
|
$657.95 |
$657.95 |
$657.95 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$838.98 |
$838.98 |
$4,104.00 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$686.07 |
$686.07 |
$3,564.00 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$599.59 |
$1,781.00 |
$3,302.00 |
|
|
Brain MRI (with and without contrast)
|
$1,278.91 |
$2,568.15 |
$5,327.00 |
|
|
Brain MRI (with contrast)
|
$985.40 |
$1,888.90 |
$3,844.00 |
|
|
Brain MRI (without contrast)
|
$870.98 |
$1,915.55 |
$3,442.00 |
|
|
Brca1&2 gene full seq alys
|
$1,491.93 |
$1,491.93 |
$1,491.93 |
|
|
Brcassure comprehensive panel-sendout
|
$929.26 |
$929.26 |
$929.26 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,598.62 |
$3,598.62 |
$5,161.00 |
|
|
Breast punct aspir cyst, bil
|
$206.05 |
$305.62 |
$464.75 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$206.39 |
$206.39 |
$48,146.34 |
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$981.06 |
$981.06 |
$1,079.20 |
|
|
Bronch ebus ivntj perph les 31654
|
$14,169.70 |
$14,169.70 |
$14,169.70 |
|
|
Bronch ebus samplng 1/2 node
|
$9,752.39 |
$9,752.39 |
$9,752.39 |
|
|
Bronch ebus samplng 3/> node
|
$12,352.95 |
$12,352.95 |
$12,352.95 |
|
|
Bronchial challenge
|
$156.51 |
$156.51 |
$2,011.75 |
|
|
Bronchoscopy clear airways 31645
|
$910.40 |
$910.40 |
$4,686.83 |
|
|
Bronchoscopy dilate/fx repr
|
$6,752.05 |
$6,752.05 |
$6,752.05 |
|
|
Bronchoscopy/lung bx addl 31632
|
$1,079.11 |
$1,079.11 |
$18,389.43 |
|
|
Bronchoscopy/lung bx each 31628
|
$672.10 |
$3,799.90 |
$13,657.84 |
|
|
Bronchoscopy/needle bx addl 31633
|
$17,034.82 |
$17,034.82 |
$17,034.82 |
|
|
Bronchoscopy/needle bx each 31629
|
$1,102.40 |
$1,102.40 |
$14,169.70 |
|
|
Bronchoscopy treat blockage
|
$10,690.50 |
$10,690.50 |
$10,690.50 |
|
|
Bronchoscopy w/biopsy(s) 31625
|
$710.45 |
$1,742.05 |
$10,549.40 |
|
|
Bronchoscopy w/fb removal 31635
|
$1,536.52 |
$1,690.16 |
$3,438.51 |
|
|
Bronchoscopy w/tumor excise
|
$3,799.90 |
$3,799.90 |
$3,799.90 |
|
|
Bronch thermoplsty 1 lobe
|
$12,964.78 |
$12,964.78 |
$12,964.78 |
|
|
Bronch thermoplsty 2/> lobes
|
$7,166.90 |
$7,166.90 |
$7,166.90 |
|
|
Br punct aspir ea add, l
|
$166.40 |
$167.15 |
$329.55 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Bundled special stain group 1 microorganisms
|
$62.07 |
$62.07 |
$5,353.25 |
|
|
Bundled special stain group 2
|
$120.90 |
$208.11 |
$7,291.55 |
|
|
Bundle his recording
|
$1,451.97 |
$1,451.97 |
$4,016.35 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$10.94 |
$12.91 |
$43.74 |
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$3.25 |
$3.25 |
$3.80 |
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$3.25 |
$6.79 |
$17.13 |
|
|
Buprenorphine and metabolite - sendout
|
$191.75 |
$191.75 |
$191.75 |
|
|
Buprenorphine hydrochloride
|
$14.13 |
$14.13 |
$38.65 |
|
|
Buprenorphine oral 1mg
|
$3.25 |
$18.07 |
$42.35 |
|
|
Bur rotalink 2.15mm
|
$4,538.95 |
$4,538.95 |
$4,803.50 |
|
|
Butorphanol tartrate 1 mg
|
$19.22 |
$19.22 |
$103.26 |
|
|
Bx bone trocar/ndl deep
|
$1,064.12 |
$1,064.12 |
$1,487.20 |
|
|
Bx breast 1st lesion mr imag
|
$2,431.65 |
$3,256.00 |
$3,256.00 |
|
|
Bx breast 1st lesion strtctc
|
$2,286.70 |
$3,598.62 |
$4,585.10 |
|
|
Bx breast add lesion mr imag
|
$98.24 |
$98.24 |
$1,316.25 |
|
|
Bx breast add lesion strtctc
|
$386.19 |
$386.19 |
$1,888.90 |
|
|
Bx breast add lesion Ultrasound imag
|
$93.33 |
$93.33 |
$1,969.50 |
|
|
Bx breast pq tomo guide
|
$989.30 |
$989.30 |
$989.30 |
|
|
Bx/curett of cervix w/scope 57454
|
$7,879.12 |
$7,879.12 |
$7,879.12 |
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$8,082.80 |
$8,082.80 |
$10,948.33 |
|
|
Bx/exc lymph node/open/superfic 38500
|
$11,349.62 |
$11,349.62 |
$14,099.36 |
|
|
Bx leg/ankle soft tissue deep 27614
|
$3,297.44 |
$3,297.44 |
$3,297.44 |
|
|
Bx liver with other
|
$601.53 |
$601.53 |
$10,296.66 |
|
|
Bx pancreas pq ndl
|
$719.65 |
$719.65 |
$2,935.40 |
|
|
Bx perianal mass
|
$8,017.35 |
$8,017.35 |
$8,017.35 |
|
|
Bx pleura pq ndl
|
$1,843.40 |
$1,907.07 |
$5,532.81 |
|
|
Bx prostate trnsrctl u/s guid
|
$7,128.83 |
$7,128.83 |
$7,128.83 |
|
|
Bx prst8 ndl sat sampling
|
$11,962.09 |
$11,962.09 |
$11,962.09 |
|
|
Bx skin punch ea sep/ addl les
|
$208.65 |
$208.65 |
$773.50 |
|
|
Bx skin tangential ea sep/ addl les
|
$116.35 |
$116.35 |
$174.85 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,133.60 |
$1,133.60 |
$1,303.90 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,616.55 |
$1,616.55 |
$1,687.40 |
|
|
Bx soft tissue back/flank deep 21925
|
$1,196.40 |
$1,196.40 |
$1,196.40 |
|
|
Bx soft tissue back/flank supf 21920
|
$1,028.30 |
$1,907.07 |
$1,907.07 |
|
|
Bx spinal cord pq ndl
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
|
|
Bx thyroid/percutan core needle 60100
|
$552.50 |
$803.18 |
$803.18 |
|
|
Bx vag mucos smpl (sep proc)
|
$349.37 |
$349.37 |
$5,718.35 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$6,894.72 |
$6,894.72 |
$7,102.39 |
|