|
Brace back epic tslo 456
|
$2,113.65 |
$2,113.65 |
$2,113.65 |
$1,631.36
|
|
Brace back pinnacle tlso 464
|
$4,011.00 |
$4,011.00 |
$4,412.10 |
$2,283.03
|
|
Brace back t-lso custom
|
$2,251.86 |
$2,251.86 |
$3,687.44 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,230.50 |
$2,230.50 |
$2,380.95 |
$1,579.91
|
|
Brace cust back lso
|
$2,521.50 |
$2,521.50 |
$2,773.65 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$831.00 |
$831.00 |
$914.10 |
$597.11
|
|
Brace knee extender plus 22-30in
|
$1,680.00 |
$1,680.00 |
$1,848.00 |
$676.06
|
|
Brace knee hing pat open med
|
$611.33 |
$611.33 |
$672.46 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$189.22 |
$189.22 |
$210.42 |
$386.00
|
|
Brace knee support neoprene padded open patella med
|
$443.03 |
$443.03 |
$443.03 |
$215.70
|
|
Brace m arm board
|
$42.42 |
$42.42 |
$42.42 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$3,013.50 |
$3,013.50 |
$3,314.85 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,496.00 |
$2,496.00 |
$2,745.60 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$119.93 |
$119.93 |
$131.93 |
$245.00
|
|
Brace wrist classic lft sm
|
$24.57 |
$24.57 |
$58.75 |
$81.62
|
|
Brach/thor cath 1st
|
$158.70 |
$158.70 |
$174.57 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$179.40 |
$179.40 |
$197.34 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$202.20 |
$202.20 |
$222.42 |
$2,079.00
|
|
Brach/thor cath addl
|
$202.20 |
$202.20 |
$222.42 |
$868.00
|
|
Brachy source yttrium-90
|
$11,832.06 |
$11,832.06 |
$13,015.27 |
$29,856.80
|
|
Brachy src nonstrand hdr ir-192
|
$238.50 |
$238.50 |
$262.35 |
$475.73
|
|
Brachytx isodose complex
|
$400.20 |
$400.20 |
$440.22 |
$1,631.00
|
|
Brachytx isodose intermed
|
$192.60 |
$192.60 |
$211.86 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$370.80 |
$370.80 |
$407.88 |
$929.40
|
|
Braf gene
|
$313.50 |
$313.50 |
$313.50 |
$427.50
|
|
Brain flow imaging only
|
$249.60 |
$249.60 |
$274.56 |
$636.97
|
|
Brain image 4+ views
|
$249.60 |
$249.60 |
$274.56 |
$952.80
|
|
Brain image w/flow 4 + views
|
$249.60 |
$249.60 |
$274.56 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$524.10 |
$524.10 |
$576.51 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$349.20 |
$349.20 |
$384.12 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$320.70 |
$320.70 |
$352.77 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$757.80 |
$757.80 |
$833.58 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$606.90 |
$606.90 |
$667.59 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$531.60 |
$531.60 |
$584.76 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$856.80 |
$856.80 |
$942.48 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$651.00 |
$651.00 |
$716.10 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$12,473.28 |
$12,473.28 |
$13,720.61 |
$22,383.57
|
|
Bronchial allergy tests
|
$238.80 |
$238.80 |
$262.68 |
$731.72
|
|
Bronchial challenge
|
$171.60 |
$171.60 |
$188.76 |
$777.60
|
|
Br punct aspir ea add, l
|
$200.10 |
$200.10 |
$220.11 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$14.03 |
$14.03 |
$15.43 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$88.44 |
$88.44 |
$168.84 |
$160.80
|
|
Bundled special stain group 2
|
$72.27 |
$72.27 |
$137.97 |
$173.46
|
|
Bundle his recording
|
$1,879.20 |
$1,879.20 |
$2,067.12 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$29.52 |
$29.52 |
$32.47 |
$32.88
|
|
Bur rotalink 2.15mm
|
$6,292.50 |
$6,292.50 |
$6,921.75 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$162.35 |
$162.35 |
$178.59 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$464.10 |
$464.10 |
$510.51 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$1,386.90 |
$1,386.90 |
$1,525.59 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,222.20 |
$1,222.20 |
$1,344.42 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$1,386.90 |
$1,386.90 |
$1,525.59 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,222.20 |
$1,222.20 |
$1,344.42 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$856.80 |
$856.80 |
$942.48 |
$1,692.64
|
|
Bx breast pq tomo guide
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$464.10 |
$464.10 |
$510.51 |
$1,588.50
|
|
Bx pleura pq ndl
|
$928.20 |
$928.20 |
$1,021.02 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$38.94 |
$38.94 |
$38.94 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$35.40 |
$35.40 |
$38.94 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$38.94 |
$38.94 |
$38.94 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$325.50 |
$325.50 |
$358.05 |
$964.62
|
|
Bypass temp external fem-fem
|
$288.30 |
$288.30 |
$634.59 |
$1,806.00
|
|
C-1 esterase, berinert
|
$4,367.30 |
$4,367.30 |
$4,804.02 |
$7,466.16
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$14,900.57 |
$14,900.57 |
$16,390.63 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$3,225.00 |
$3,225.00 |
$3,547.50 |
$4,946.50
|
|
Cad breast MRI w/r&i
|
$311.40 |
$311.40 |
$342.54 |
$122.40
|
|
Cadd pump refill
|
$97.80 |
$97.80 |
$107.58 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$817.92 |
$817.92 |
$899.71 |
$2,111.64
|
|
Calcium 24 hour urine
|
$20.13 |
$20.13 |
$38.43 |
$53.00
|
|
Calcium ionized
|
$45.54 |
$45.54 |
$86.94 |
$90.00
|
|
Calcium total
|
$17.16 |
$17.16 |
$32.76 |
$50.00
|
|
Calprotectin fecal
|
$72.60 |
$72.60 |
$138.60 |
$169.95
|
|
Candida skin test
|
$28.50 |
$28.50 |
$31.35 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$27,216.75 |
$27,216.75 |
$37,425.00 |
$34,218.66
|
|
Capecitabine, oral, 50 mg
|
$78.73 |
$78.73 |
$86.61 |
$59.42
|
|
Cap nerve 2x15mm
|
$5,070.00 |
$5,070.00 |
$5,134.80 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,113.75 |
$1,113.75 |
$1,135.28 |
$2,597.62
|
|
Carbamazepine free
|
$8.91 |
$8.91 |
$8.91 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$48.51 |
$48.51 |
$92.61 |
$120.25
|
|
Carbon dioxide
|
$10.71 |
$10.71 |
$16.17 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$136.66 |
$136.66 |
$150.32 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$104.54 |
$104.54 |
$115.00 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$50.49 |
$50.49 |
$79.38 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$71.94 |
$71.94 |
$120.33 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$609.60 |
$609.60 |
$670.56 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$79.50 |
$79.50 |
$87.45 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$79.50 |
$79.50 |
$87.45 |
$196.50
|
|
Cardiolipin antibody iga
|
$21.45 |
$21.45 |
$40.95 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$303.90 |
$303.90 |
$334.29 |
$1,396.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$78.30 |
$78.30 |
$86.13 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$39.60 |
$39.60 |
$43.56 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$3,616.42 |
$3,616.42 |
$3,978.06 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,696.47 |
$2,696.47 |
$2,966.12 |
$1,731.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$184.50 |
$184.50 |
$202.95 |
$1,018.68
|
|
Caspofungin acetate
|
$358.74 |
$358.74 |
$394.62 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$612.56 |
$612.56 |
$701.66 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,850.00 |
$5,850.00 |
$6,435.00 |
$6,545.59
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$6,463.80
|
|
Cath acuity innr ic130 6f 63cm
|
$9,877.50 |
$9,877.50 |
$13,117.50 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$5,100.00 |
$5,100.00 |
$5,129.85 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$14,475.00 |
$14,475.00 |
$15,922.50 |
$18,560.00
|
