|
Brace back epic lso 637
|
$7,323.86 |
$7,323.86 |
$7,323.86 |
$1,023.66
|
|
Brace back epic tslo 456
|
$5,622.62 |
$5,622.62 |
$5,622.62 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$2,113.81 |
$2,113.81 |
$2,113.81 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$11,455.29 |
$11,455.29 |
$11,455.29 |
$2,283.03
|
|
Brace back t-lso custom
|
$12,452.47 |
$12,452.47 |
$12,452.47 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$6,247.05 |
$6,247.05 |
$6,247.05 |
$1,579.91
|
|
Brace cust back lso
|
$1,157.63 |
$1,157.63 |
$1,157.63 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$3,467.31 |
$3,467.31 |
$3,467.31 |
$597.11
|
|
Brace halo bremer l2830
|
$462.85 |
$462.85 |
$462.85 |
$195.59
|
|
Brace kafo dbl upright cust
|
$9,471.84 |
$9,471.84 |
$9,471.84 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$4,735.61 |
$4,735.61 |
$4,735.61 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$5,310.69 |
$5,310.69 |
$5,310.69 |
$676.06
|
|
Brace knee hing pat open med
|
$375.89 |
$375.89 |
$375.89 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$3,893.98 |
$3,893.98 |
$3,893.98 |
$386.00
|
|
Brace knee postop tscope xl
|
$4,788.15 |
$4,788.15 |
$4,788.15 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$3,414.02 |
$3,414.02 |
$3,414.02 |
$215.70
|
|
Brace m arm board
|
$22,684.86 |
$22,684.86 |
$22,684.86 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$1,356.08 |
$1,356.08 |
$1,356.08 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$7,661.94 |
$7,661.94 |
$7,661.94 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$245.00
|
|
Brace tlso flex cust
|
$9,981.84 |
$9,981.84 |
$9,981.84 |
$573.43
|
|
Brace wrist classic lft sm
|
$376.20 |
$376.20 |
$376.20 |
$81.62
|
|
Brachioplasty 15836
|
$45,901.74 |
$45,901.74 |
$45,901.74 |
$3,694.40
|
|
Brach/thor cath 1st
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$2,079.00
|
|
Brach/thor cath addl
|
$1,072.20 |
$1,072.20 |
$1,072.20 |
$868.00
|
|
Brachy source i-125 injection
|
$470.25 |
$470.25 |
$470.25 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$169.29 |
$169.29 |
$169.29 |
$66.76
|
|
Brachy source palladium
|
$721.05 |
$721.05 |
$721.05 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$263.34 |
$263.34 |
$263.34 |
$116.48
|
|
Brachy source yttrium-90
|
$127,469.10 |
$127,469.10 |
$127,469.10 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$877.80 |
$877.80 |
$877.80 |
$210.62
|
|
Brachy src stranded c-131
|
$48,070.02 |
$48,070.02 |
$48,070.02 |
$210.96
|
|
Braf gene
|
$422.40 |
$422.40 |
$422.40 |
$427.50
|
|
Brain image w/flow 4 + views
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,975.80 |
$4,975.80 |
$4,975.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,261.80 |
$1,261.80 |
$1,261.80 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$265.22 |
$265.22 |
$265.22 |
$130.99
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,767.20 |
$5,767.20 |
$5,767.20 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$811.80 |
$811.80 |
$811.80 |
$847.00
|
|
Breast reconstruction 19357
|
$68,936.99 |
$68,936.99 |
$77,934.88 |
$11,720.80
|
|
Breast reduction
|
$36,771.27 |
$36,771.27 |
$39,067.97 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$63,125.48 |
$63,125.48 |
$72,252.06 |
$22,383.57
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,283.60 |
$2,283.60 |
$2,283.60 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$18,582.84 |
$18,582.84 |
$18,582.84 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$15,966.71 |
$15,966.71 |
$15,966.71 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$19,884.06 |
$19,884.06 |
$19,884.06 |
$4,643.40
|
|
Bronchoscopy clear airways 31645
|
$9,274.80 |
$9,274.80 |
$9,274.80 |
$2,653.80
|
|
Bronchoscopy dilate/fx repr
|
$13,134.72 |
$13,134.72 |
$13,134.72 |
$5,137.60
|
|
Bronchoscopy/lung bx addl 31632
|
$14,510.59 |
$14,510.59 |
$14,510.59 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$24,182.91 |
$24,182.91 |
$24,182.91 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$23,182.74 |
$23,182.74 |
$23,182.74 |
$1,872.75
|
|
Bronchoscopy/needle bx each 31629
|
$19,216.58 |
$19,216.58 |
$19,216.58 |
$4,080.94
|
|
Bronchoscopy treat blockage
|
$10,794.47 |
$10,794.47 |
$10,794.47 |
$4,551.50
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,416.00 |
$1,416.00 |
$15,921.71 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$6,292.80 |
$6,292.80 |
$6,292.80 |
$2,445.96
|
|
Bronchoscopy w/tumor excise
|
$13,778.64 |
$13,778.64 |
$13,778.64 |
$4,362.99
|
|
Budesonide non-comp unit
|
$52.66 |
$52.66 |
$65.69 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$45.00 |
$45.00 |
$45.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Bundled special stain group 2
|
$173.40 |
$173.40 |
$173.40 |
$173.46
|
|
Bundle his recording
|
$17,077.20 |
$17,077.20 |
$17,077.20 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$73.30 |
$73.30 |
$82.03 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$27.00 |
$27.00 |
$27.00 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$27.00 |
$27.00 |
$27.00 |
$14.27
|
|
Buprenorphine oral 1mg
|
$27.00 |
$27.00 |
$27.00 |
$10.50
|
|
Bur rotalink 2.15mm
|
$40,441.50 |
$40,441.50 |
$40,441.50 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$47.12 |
$47.12 |
$52.73 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$2,596.80 |
$2,596.80 |
$2,596.80 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$5,223.60 |
$5,223.60 |
$5,223.60 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$4,269.60 |
$4,269.60 |
$4,269.60 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$2,215.80 |
$2,215.80 |
$2,215.80 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$1,692.64
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$12,649.89 |
$12,649.89 |
$16,671.94 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$13,642.58 |
$13,642.58 |
$14,305.24 |
$4,184.94
|
|
Bx perianal mass
|
$10,265.00 |
$10,265.00 |
$10,625.60 |
$1,540.50
|
|
Bx pleura pq ndl
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$216.00 |
$216.00 |
$216.00 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$216.00 |
$216.00 |
$216.00 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$216.00 |
$216.00 |
$216.00 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$3,888.60 |
$3,888.60 |
$3,888.60 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$2,134.80 |
$2,134.80 |
$2,134.80 |
$964.62
|
|
Bx vulva or perineum/1 lesion 56605
|
$11,100.79 |
$11,100.79 |
$11,100.79 |
$1,127.00
|
|
Bypass temp external fem-fem
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$137.40 |
$137.40 |
$137.40 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$48,386.05 |
$48,386.05 |
$55,381.62 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$86,143.53 |
$86,143.53 |
$86,143.53 |
$4,946.50
|
|
Cable centrimag pressure
|
$2,200.77 |
$2,200.77 |
$2,200.77 |
$7,858.62
|
|
Cacna1a gen detc abnor allel
|
$411.00 |
$411.00 |
$411.00 |
$189.06
|
|
Caffeine citrate 20 mg/ml inj for po
|
$45.00 |
$45.00 |
$49.10 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$87,108.39 |
$87,108.39 |
$87,108.39 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,050.00 |
$1,050.00 |
$1,200.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$59.40 |
$59.40 |
$59.40 |
$53.00
|
