|
Boot walker genesis full shell 3-strap s
|
$73.60 |
$93.60 |
$191.20 |
|
|
Boot walker genesis mid-calf full shell s
|
$112.00 |
$119.20 |
$360.00 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$94.40 |
$152.00 |
$169.60 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,235.28 |
$2,639.20 |
$4,688.40 |
|
|
(both sides) smear without diff wbc count
|
$18.40 |
$18.40 |
$31.20 |
|
|
Bowel imaging
|
$1,444.80 |
$1,508.00 |
$1,892.00 |
|
|
Brace afo dbl upright cust
|
$880.00 |
$880.00 |
$880.00 |
|
|
Brace ank aftr bioskn med lg
|
$96.00 |
$100.00 |
$131.20 |
|
|
Brace ank air stirrup univ
|
$40.00 |
$62.40 |
$239.20 |
|
|
Brace ankle joint dflxn assist
|
$108.80 |
$108.80 |
$108.80 |
|
|
Brace ankle stablizing lg
|
$43.16 |
$59.20 |
$104.00 |
|
|
Brace back epic lo 627
|
$296.00 |
$296.00 |
$296.00 |
|
|
Brace back pinnacle lo 627 lumbar
|
$193.60 |
$193.60 |
$193.60 |
|
|
Brace back pinnacle tlso 464
|
$376.00 |
$564.80 |
$4,224.00 |
|
|
Brace fx hum ovr shldr sm
|
$300.80 |
$300.80 |
$300.80 |
|
|
Brace knee 32in univ t-scope short lt/rt
|
$577.60 |
$577.60 |
$577.60 |
|
|
Brace knee extender plus 22-30in
|
$251.20 |
$254.13 |
$339.20 |
|
|
Brace knee hing pat open med
|
$108.80 |
$108.80 |
$178.40 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$292.80 |
$292.80 |
$292.80 |
|
|
Brace knee postop tscope xl
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
|
|
Brace knee support neoprene padded open patella med
|
$85.60 |
$174.40 |
$180.80 |
|
|
Brace m arm board
|
$72.80 |
$113.60 |
$178.40 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$131.20 |
$140.80 |
$353.60 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$760.00 |
$760.00 |
$1,012.80 |
|
|
Brace oths wrist hnd fngr without
|
$36.80 |
$42.40 |
$197.60 |
|
|
Brace tlso flex cust
|
$898.40 |
$898.40 |
$898.40 |
|
|
Brace wrist classic lft sm
|
$48.80 |
$72.80 |
$2,298.40 |
|
|
Brach/thor cath 1st
|
$1,696.80 |
$1,696.80 |
$2,448.00 |
|
|
Brach/thor cath 2nd
|
$2,273.60 |
$2,273.60 |
$3,140.00 |
|
|
Brach/thor cath 3rd
|
$2,527.20 |
$2,527.20 |
$3,784.80 |
|
|
Brach/thor cath addl
|
$854.40 |
$854.40 |
$1,224.80 |
|
|
Brachy source iodine-125 nonstranded
|
$128.80 |
$128.80 |
$128.80 |
|
|
Brachy source palladium-103 nonstranded
|
$820.80 |
$820.80 |
$820.80 |
|
|
Brachy source yttrium-90
|
$37,407.20 |
$37,407.20 |
$37,407.20 |
|
|
Brachy src nonstrand hdr ir-192
|
$747.20 |
$747.20 |
$747.20 |
|
|
Brachytx isodose complex
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
|
|
Brachytx isodose intermed
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
|
|
Brachytx isodose plan simple
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
|
|
Brain image 4+ views
|
$883.20 |
$883.20 |
$952.80 |
|
|
Brain image w/flow 4 + views
|
$1,376.80 |
$1,508.80 |
$1,801.60 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,671.20 |
$3,762.40 |
$4,208.80 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,950.40 |
$3,000.00 |
$3,430.40 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,590.40 |
$2,653.60 |
$2,849.60 |
|
|
Brain MRI (with and without contrast)
|
$3,768.00 |
$4,156.00 |
$4,780.80 |
|
|
Brain MRI (with contrast)
|
$3,142.40 |
$3,202.40 |
$3,430.40 |
|
|
Brain MRI (without contrast)
|
$2,649.60 |
$2,930.40 |
$3,141.60 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,276.00 |
$3,276.00 |
$3,278.40 |
|
|
Breastbone (Sternum) X-ray
|
$296.00 |
$368.80 |
$475.20 |
|
|
Breast punct aspir cyst, bil
|
$832.00 |
$834.40 |
$1,182.40 |
|
|
Breath recording infant
|
$1,108.00 |
$1,108.00 |
$2,152.80 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$17,252.00 |
$17,252.00 |
$17,252.00 |
|
|
Bronchial allergy tests
|
$856.80 |
$856.80 |
$856.80 |
|
|
Bronchial challenge
|
$916.00 |
$1,025.60 |
$1,261.60 |
|
|
Bronchoscopy w/fb removal 31635
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
|
|
Budesonide non-comp unit
|
$6.52 |
$12.69 |
$19.61 |
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$60.29 |
$60.32 |
$316.44 |
|
|
Bundled special stain group 1 microorganisms
|
$191.20 |
$220.00 |
$349.60 |
|
|
Bundled special stain group 2
|
$172.80 |
$178.40 |
$206.40 |
|
|
Bundle his recording
|
$6,063.20 |
$6,063.20 |
$6,063.20 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$61.17 |
$62.55 |
$318.64 |
|
|
Buprenorphine and metabolite - sendout
|
$76.80 |
$168.80 |
$168.80 |
|
|
Bur rotalink 2.15mm
|
$7,590.40 |
$7,590.40 |
$10,626.40 |
|
|
Butorphanol tartrate 1 mg
|
$63.73 |
$63.73 |
$63.73 |
|
|
Bx bone trocar/ndl deep
|
$1,883.20 |
$1,883.20 |
$3,291.20 |
|
|
Bx breast 1st lesion mr imag
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
|
|
Bx breast add lesion mr imag
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
|
|
Bx breast add lesion strtctc
|
$2,772.80 |
$2,772.80 |
$2,772.80 |
|
|
Bx breast add lesion Ultrasound imag
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
|
|
Bx breast pq tomo guide
|
$2,168.80 |
$2,168.80 |
$2,168.80 |
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,080.80 |
$5,080.80 |
$5,080.80 |
|
|
Bx of breast open 19101
|
$4,338.40 |
$4,338.40 |
$4,338.40 |
|
|
Bx pancreas pq ndl
|
$2,386.40 |
$2,386.40 |
$2,959.20 |
|
|
Bx perianal mass
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
|
|
Bx pleura pq ndl
|
$1,926.40 |
$1,926.40 |
$2,214.40 |
|
|
Bx skin incisnl ea sep/add l les
|
$644.00 |
$644.00 |
$644.00 |
|
|
Bx skin punch ea sep/ addl les
|
$283.20 |
$283.20 |
$283.20 |
|
|
Bx skin tangential ea sep/ addl les
|
$258.40 |
$258.40 |
$258.40 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,088.80 |
$1,088.80 |
$1,771.20 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,361.60 |
$1,361.60 |
$2,435.20 |
|
|
Bx thyroid/percutan core needle 60100
|
$1,270.40 |
$1,424.00 |
$1,436.80 |
|
|
Bx vag mucos smpl (sep proc)
|
$1,161.60 |
$1,161.60 |
$1,760.00 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,708.80 |
$1,708.80 |
$2,211.20 |
|
|
Bypass temp external fem-fem
|
$2,056.80 |
$2,056.80 |
$20,604.80 |
|
|
C-1 esterase, berinert
|
$8,360.40 |
$8,360.40 |
$8,360.40 |
|
|
C1 esterase inhibitor func - sendout
|
$215.20 |
$215.20 |
$215.20 |
|
|
Cabergoline, oral 0.25mg
|
$4.04 |
$4.04 |
$17.26 |
|
|
Cable cath 22-pin diag
|
$8,870.40 |
$8,870.40 |
$8,870.40 |
|
|
Cadd pump refill
|
$139.20 |
$417.60 |
$516.00 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$63.34 |
$63.35 |
$332.48 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$34,963.36 |
$34,963.36 |
$34,963.36 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,600.20 |
$1,600.20 |
$1,600.20 |
|
|
Calcium 24 hour urine
|
$34.40 |
$40.80 |
$89.60 |
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.64 |
$1.64 |
$1.64 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$66.36 |
$67.18 |
$318.57 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.16 |
$66.17 |
$331.44 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$324.56 |
$324.56 |
$324.56 |
|
|
Calcium ionized
|
$80.80 |
$109.60 |
$145.60 |
|
|
Calcium total
|
$26.40 |
$40.00 |
$87.20 |
|
|
Calprotectin fecal
|
$129.60 |
$237.60 |
$292.80 |
|
|
Canakinumab injection
|
$48,404.36 |
$48,404.36 |
$48,404.36 |
|
