|
Bone/joint imaging ltd area
|
$794.40 |
$794.40 |
$794.40 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,616.80 |
$1,616.80 |
$1,616.80 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,010.08
|
|
Bone survey-lead poisoning
|
$567.20 |
$567.20 |
$567.20 |
$387.00
|
|
Bone tendon board add on
|
$496.80 |
$496.80 |
$496.80 |
$6,606.72
|
|
Boot j walker l
|
$170.40 |
$170.40 |
$170.40 |
$234.00
|
|
Boot mlti podous univ xlg
|
$288.00 |
$288.00 |
$288.00 |
$253.86
|
|
Boot softgait shrt m
|
$217.60 |
$217.60 |
$217.60 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$191.20 |
$191.20 |
$191.20 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$360.00 |
$360.00 |
$360.00 |
$175.89
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$4,688.40 |
$4,688.40 |
$4,688.40 |
$2,915.40
|
|
Bowel imaging
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$1,074.00
|
|
Brace afo dbl upright cust
|
$880.00 |
$880.00 |
$880.00 |
$841.97
|
|
Brace ank aftr bioskn med lg
|
$100.00 |
$100.00 |
$100.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$40.00 |
$40.00 |
$40.00 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$108.80 |
$108.80 |
$108.80 |
$129.78
|
|
Brace ankle stablizing lg
|
$93.60 |
$93.60 |
$93.60 |
$122.82
|
|
Brace back epic lo 627
|
$296.00 |
$296.00 |
$296.00 |
$497.68
|
|
Brace back pinnacle lo 627 lumbar
|
$193.60 |
$193.60 |
$193.60 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$564.80 |
$564.80 |
$564.80 |
$2,632.87
|
|
Brace fx hum ovr shldr sm
|
$300.80 |
$300.80 |
$300.80 |
$620.54
|
|
Brace knee 32in univ t-scope short lt/rt
|
$577.60 |
$577.60 |
$577.60 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$251.20 |
$251.20 |
$251.20 |
$767.20
|
|
Brace knee hing pat open med
|
$178.40 |
$178.40 |
$178.40 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$292.80 |
$292.80 |
$292.80 |
$411.01
|
|
Brace knee postop tscope xl
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$174.40 |
$174.40 |
$174.40 |
$215.70
|
|
Brace m arm board
|
$178.40 |
$178.40 |
$178.40 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$353.60 |
$353.60 |
$353.60 |
$105.30
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$760.00 |
$760.00 |
$760.00 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$197.60 |
$197.60 |
$197.60 |
$257.45
|
|
Brace tlso flex cust
|
$898.40 |
$898.40 |
$898.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$2,298.40 |
$2,298.40 |
$2,298.40 |
$89.04
|
|
Brach/thor cath 1st
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$3,784.80 |
$3,784.80 |
$3,784.80 |
$2,050.00
|
|
Brach/thor cath addl
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$128.80 |
$128.80 |
$128.80 |
$70.85
|
|
Brachy source palladium-103 nonstranded
|
$820.80 |
$820.80 |
$820.80 |
$126.83
|
|
Brachy source yttrium-90
|
$37,407.20 |
$37,407.20 |
$37,407.20 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$747.20 |
$747.20 |
$747.20 |
$478.50
|
|
Brachytx isodose complex
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
$1,705.20
|
|
Brachytx isodose intermed
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,032.38
|
|
Brain image 4+ views
|
$952.80 |
$952.80 |
$952.80 |
$847.80
|
|
Brain image w/flow 4 + views
|
$1,508.80 |
$1,508.80 |
$1,508.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,717.60 |
$3,717.60 |
$3,717.60 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,653.60 |
$2,653.60 |
$2,653.60 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,202.40 |
$3,202.40 |
$3,202.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,141.60 |
$3,141.60 |
$3,141.60 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$475.20 |
$475.20 |
$475.20 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$834.40 |
$834.40 |
$834.40 |
$871.80
|
|
Breath recording infant
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,164.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$17,252.00 |
$17,252.00 |
$17,252.00 |
$22,383.57
|
|
Bronchial challenge
|
$1,261.60 |
$1,261.60 |
$1,261.60 |
$820.05
|
|
Bronchoscopy w/fb removal 31635
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$2,447.43
|
|
Budesonide non-comp unit
|
$8.42 |
$8.42 |
$8.42 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$316.44 |
$316.44 |
$316.44 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$220.00 |
$220.00 |
$220.00 |
$159.00
|
|
Bundled special stain group 2
|
$176.00 |
$176.00 |
$176.00 |
$173.40
|
|
Bundle his recording
|
$6,063.20 |
$6,063.20 |
$6,063.20 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$318.64 |
$318.64 |
$318.64 |
$32.47
|
|
Bur rotalink 2.15mm
|
$10,626.40 |
$10,626.40 |
$10,626.40 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$3,291.20 |
$3,291.20 |
$3,291.20 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$3,256.00
|
|
Bx breast add lesion mr imag
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$2,772.80 |
$2,772.80 |
$2,772.80 |
$1,721.26
|
|
Bx breast pq tomo guide
|
$2,168.80 |
$2,168.80 |
$2,168.80 |
$4,509.59
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,080.80 |
$5,080.80 |
$5,080.80 |
$4,184.94
|
|
Bx pancreas pq ndl
|
$2,959.20 |
$2,959.20 |
$2,959.20 |
$1,610.05
|
|
Bx perianal mass
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$2,214.40 |
$2,214.40 |
$2,214.40 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$644.00 |
$644.00 |
$644.00 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$283.20 |
$283.20 |
$283.20 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$258.40 |
$258.40 |
$258.40 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,435.20 |
$2,435.20 |
$2,435.20 |
$2,168.40
|
|
Bx thyroid/percutan core needle 60100
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$1,110.40
|
|
Bypass temp external fem-fem
|
$20,604.80 |
$20,604.80 |
$20,604.80 |
$1,938.60
|
|
C-1 esterase, berinert
|
$8,360.40 |
$8,360.40 |
$8,360.40 |
$8,114.40
|
|
Cabergoline, oral 0.25mg
|
$17.26 |
$17.26 |
$17.26 |
$66.09
|
|
Cable cath 22-pin diag
|
$8,870.40 |
$8,870.40 |
$8,870.40 |
$4,946.50
|
|
Cadd pump refill
|
$139.20 |
$139.20 |
$139.20 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$332.48 |
$332.48 |
$332.48 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$34,963.36 |
$34,963.36 |
$34,963.36 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,600.20 |
$1,600.20 |
$1,600.20 |
$2,210.98
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.64 |
$1.64 |
$1.64 |
$3.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$318.57 |
$318.57 |
$318.57 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$331.44 |
$331.44 |
$331.44 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$324.56 |
$324.56 |
$324.56 |
$91.60
|
|
Canakinumab injection
|
$48,404.36 |
$48,404.36 |
$48,404.36 |
$35,959.82
|
|
Cannula ercp contour 5-4-3 tip
|
$46,000.00 |
$46,000.00 |
$46,000.00 |
$44,000.00
|
|
Canthotomy 67715
|
$2,862.40 |
$2,862.40 |
$2,862.40 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$34.64 |
$34.64 |
$34.64 |
$59.42
|
