|
Brace afo lg left 6607
|
$416.00 |
$416.00 |
$416.00 |
$476.64
|
|
Brace afopos solid ankle cust
|
$974.50 |
$974.50 |
$974.50 |
$1,087.89
|
|
Brace ank aftr bioskn med lg
|
$241.00 |
$241.00 |
$241.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$55.00 |
$55.00 |
$55.00 |
$108.67
|
|
Brace ankle stablizing lg
|
$151.00 |
$151.00 |
$151.00 |
$125.76
|
|
Brace back epic lso 637
|
$361.00 |
$361.00 |
$361.00 |
$1,080.97
|
|
Brace back pinnacle lo 627 lumbar
|
$776.50 |
$776.50 |
$776.50 |
$867.82
|
|
Brace back pinnacle tlso 464
|
$2,531.50 |
$2,531.50 |
$2,531.50 |
$2,531.50
|
|
Brace back t-lso custom
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$3,536.74
|
|
Brace cust back lso
|
$1,939.50 |
$1,939.50 |
$1,939.50 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$532.00 |
$532.00 |
$532.00 |
$643.28
|
|
Brace halo bremer l2830
|
$228.00 |
$228.00 |
$228.00 |
$195.59
|
|
Brace kafo dbl upright cust
|
$2,938.00 |
$2,938.00 |
$2,938.00 |
$3,609.22
|
|
Brace knee extender plus 22-30in
|
$1,359.50 |
$1,359.50 |
$1,359.50 |
$767.20
|
|
Brace knee hing pat open med
|
$297.50 |
$297.50 |
$297.50 |
$231.92
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$248.00 |
$248.00 |
$248.00 |
$411.01
|
|
Brace knee postop tscope xl
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$239.50 |
$239.50 |
$239.50 |
$215.70
|
|
Brace m arm board
|
$525.50 |
$525.50 |
$525.50 |
$162.50
|
|
Brace ortho exos 28-50in sm
|
$2,707.00 |
$2,707.00 |
$2,707.00 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$507.50 |
$507.50 |
$507.50 |
$250.88
|
|
Brace wrist classic lft sm
|
$207.00 |
$207.00 |
$207.00 |
$89.04
|
|
Brach/thor cath 1st
|
$711.50 |
$711.50 |
$711.50 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$507.00 |
$507.00 |
$507.00 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$627.00 |
$627.00 |
$627.00 |
$1,983.11
|
|
Brach/thor cath addl
|
$362.00 |
$362.00 |
$362.00 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$85.00 |
$85.00 |
$85.00 |
$70.85
|
|
Brachy source palladium-103 nonstranded
|
$139.00 |
$139.00 |
$139.00 |
$121.68
|
|
Brachy source yttrium-90
|
$27,024.50 |
$27,024.50 |
$27,024.50 |
$30,870.00
|
|
Brachy src nonstrand c-131
|
$43.00 |
$43.00 |
$43.00 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$442.00 |
$442.00 |
$442.00 |
$475.73
|
|
Brachy src stranded c-131
|
$13,516.50 |
$13,516.50 |
$13,516.50 |
$210.96
|
|
Brachytx isodose complex
|
$937.50 |
$937.50 |
$937.50 |
$1,699.92
|
|
Brachytx isodose intermed
|
$638.00 |
$638.00 |
$638.00 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$488.50 |
$488.50 |
$488.50 |
$1,039.80
|
|
Brachytx, non-str, gold-198
|
$8,701.50 |
$8,701.50 |
$8,701.50 |
$124.55
|
|
Brachytx, non-str, ha, i-125
|
$421.50 |
$421.50 |
$421.50 |
$180.24
|
|
Braf gene
|
$1,314.50 |
$1,314.50 |
$1,314.50 |
$436.47
|
|
Brain flow imaging only
|
$549.50 |
$549.50 |
$549.50 |
$677.66
|
|
Brain image < 4 views
|
$366.00 |
$366.00 |
$366.00 |
$575.29
|
|
Brain image w/flow 4 + views
|
$447.00 |
$447.00 |
$447.00 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,091.50 |
$1,091.50 |
$1,091.50 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$708.00 |
$708.00 |
$708.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$595.50 |
$595.50 |
$595.50 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$809.50 |
$809.50 |
$809.50 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$675.50 |
$675.50 |
$675.50 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$139.00 |
$139.00 |
$139.00 |
$127.73
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,248.50 |
$1,248.50 |
$1,248.50 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$371.00 |
$371.00 |
$371.00 |
$863.10
|
|
Breath hydrogen test 91065
|
$423.00 |
$423.00 |
$423.00 |
$462.00
|
|
Breath recording infant
|
$245.00 |
$245.00 |
$245.00 |
$1,164.00
|
|
Breath test analysis c-14
|
$85.00 |
$85.00 |
$85.00 |
$245.65
|
|
Breath tst attain/anal c-14
|
$85.00 |
$85.00 |
$85.00 |
$108.50
|
|
Bronchial allergy tests
|
$418.50 |
$418.50 |
$418.50 |
$734.40
|
|
Bronchial challenge
|
$323.00 |
$323.00 |
$323.00 |
$805.90
|
|
Bronchoscopy w/fb removal 31635
|
$1,279.50 |
$1,279.50 |
$1,279.50 |
$2,379.60
|
|
Bronch thermoplsty 1 lobe
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$2,855.00 |
$2,855.00 |
$2,855.00 |
$6,311.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$660.95
|
|
Br punct aspir ea add, l
|
$229.00 |
$229.00 |
$229.00 |
$356.50
|
|
Bundled special stain group 1 microorganisms
|
$83.50 |
$83.50 |
$83.50 |
$154.70
|
|
Bundled special stain group 2
|
$141.00 |
$141.00 |
$141.00 |
$170.65
|
|
Bundle his recording
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$4,781.70
|
|
Burr hol aspir hmtm/cst icer
|
$4,360.50 |
$4,360.50 |
$4,360.50 |
$2,916.80
|
|
Burr hole skull & remove clot 61154
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$4,374.23
|
|
Bur rotalink 2.15mm
|
$7,544.00 |
$7,544.00 |
$7,544.00 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$2,347.69
|
|
Bx breast 1st lesion mr imag
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$3,570.00
|
|
Bx breast add lesion mr imag
|
$676.50 |
$676.50 |
$676.50 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$580.00 |
$580.00 |
$580.00 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$625.00 |
$625.00 |
$625.00 |
$1,604.40
|
|
Bx breast perq without image 19100
|
$843.50 |
$843.50 |
$843.50 |
$1,250.00
|
|
Bx breast pq tomo guide
|
$1,248.50 |
$1,248.50 |
$1,248.50 |
$4,428.15
|
|
Bx/curett of cervix w/scope 57454
|
$390.00 |
$390.00 |
$390.00 |
$502.15
|
|
Bx/exc lymph node/open/superfic 38500
|
$2,650.50 |
$2,650.50 |
$2,650.50 |
$4,135.34
|
|
Bx liver with other
|
$642.50 |
$642.50 |
$642.50 |
$601.53
|
|
Bx muscle
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$2,653.97
|
|
Bx of cervix w/scope leep 57460
|
$1,670.00 |
$1,670.00 |
$1,670.00 |
$3,986.00
|
|
Bx pancreas pq ndl
|
$829.50 |
$829.50 |
$829.50 |
$1,585.20
|
|
Bx perianal mass
|
$758.50 |
$758.50 |
$758.50 |
$1,540.50
|
|
Bx pleura pq ndl
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$268.00 |
$268.00 |
$268.00 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$151.00 |
$151.00 |
$151.00 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$151.00 |
$151.00 |
$151.00 |
$206.00
|
|
Bx thigh/knee soft tiss supf 27323
|
$2,081.50 |
$2,081.50 |
$2,081.50 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$567.50 |
$567.50 |
$567.50 |
$957.60
|
|
Bx vag mucos smpl (sep proc)
|
$371.00 |
$371.00 |
$371.00 |
$1,103.36
|
|
Bx vulva or perineum/1 lesion 56605
|
$481.00 |
$481.00 |
$481.00 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$103.50 |
$103.50 |
$103.50 |
$403.07
|
|
Bypass temp external fem-fem
|
$4,574.00 |
$4,574.00 |
$4,574.00 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$80.50 |
$80.50 |
$80.50 |
$96.72
|
|
Cable cath 22-pin diag
|
$5,303.00 |
$5,303.00 |
$5,303.00 |
$4,946.50
|
|
Cable centrimag pressure
|
$9,447.50 |
$9,447.50 |
$9,447.50 |
$9,015.12
|
|
Cad breast MRI w/r&i
|
$61.00 |
$61.00 |
$61.00 |
$100.80
|
|
Cadd pump refill
|
$64.50 |
$64.50 |
$64.50 |
$380.00
|
|
Calcium 24 hour urine
|
$30.50 |
$30.50 |
$30.50 |
$52.00
|
|
Calcium ionized
|
$26.00 |
$26.00 |
$26.00 |
$89.88
|
