|
Boot j walker l
|
$249.08 |
$249.08 |
$249.08 |
$231.75
|
|
Boot mlti podous univ xlg
|
$290.80 |
$290.80 |
$290.80 |
$235.98
|
|
Boot softgait shrt m
|
$57.84 |
$57.84 |
$57.84 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$543.44 |
$543.44 |
$543.44 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$571.17 |
$571.17 |
$571.17 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$135.60 |
$135.60 |
$135.60 |
$94.80
|
|
Bowel imaging
|
$820.20 |
$820.20 |
$820.20 |
$1,065.00
|
|
Brace adj motion lerman type
|
$281.75 |
$281.75 |
$281.75 |
$281.75
|
|
Brace afo dbl upright cust
|
$834.17 |
$834.17 |
$834.17 |
$834.17
|
|
Brace afo lg left 6607
|
$590.28 |
$590.28 |
$590.28 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,087.89 |
$1,087.89 |
$1,087.89 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,443.82 |
$2,443.82 |
$2,443.82 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$302.88 |
$302.88 |
$302.88 |
$194.42
|
|
Brace ank air stirrup univ
|
$242.51 |
$242.51 |
$242.51 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$127.56 |
$127.56 |
$127.56 |
$141.89
|
|
Brace ankle stablizing lg
|
$219.56 |
$219.56 |
$219.56 |
$116.35
|
|
Brace back epic lo 627
|
$206.47 |
$206.47 |
$206.47 |
$497.68
|
|
Brace back epic lso 637
|
$635.40 |
$635.40 |
$635.40 |
$1,023.66
|
|
Brace back epic tslo 456
|
$1,631.36 |
$1,631.36 |
$1,631.36 |
$1,631.36
|
|
Brace back pinnacle tlso 464
|
$3,586.88 |
$3,586.88 |
$3,586.88 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,859.13 |
$3,859.13 |
$3,859.13 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,579.91
|
|
Brace fx hum ovr shldr sm
|
$874.04 |
$874.04 |
$874.04 |
$597.11
|
|
Brace halo bremer l2830
|
$175.82 |
$175.82 |
$175.82 |
$195.59
|
|
Brace kafo dbl upright cust
|
$3,609.22 |
$3,609.22 |
$3,609.22 |
$3,609.22
|
|
Brace knee extender plus 22-30in
|
$977.19 |
$977.19 |
$977.19 |
$676.06
|
|
Brace knee hing pat open med
|
$331.00 |
$331.00 |
$331.00 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,015.62 |
$1,015.62 |
$1,015.62 |
$386.00
|
|
Brace knee support neoprene padded open patella med
|
$200.15 |
$200.15 |
$200.15 |
$215.70
|
|
Brace m arm board
|
$78.65 |
$78.65 |
$78.65 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$2,857.40 |
$2,857.40 |
$2,857.40 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$337.40 |
$337.40 |
$337.40 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$147.60 |
$147.60 |
$147.60 |
$245.00
|
|
Brace tlso flex cust
|
$573.43 |
$573.43 |
$573.43 |
$573.43
|
|
Brace wrist classic lft sm
|
$153.83 |
$153.83 |
$153.83 |
$81.62
|
|
Brach/thor cath 1st
|
$2,043.30 |
$2,043.30 |
$2,043.30 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$2,438.85 |
$2,438.85 |
$2,438.85 |
$2,079.00
|
|
Brach/thor cath addl
|
$3,699.15 |
$3,699.15 |
$3,699.15 |
$868.00
|
|
Brachytx, non-str, ha, i-125
|
$615.00 |
$615.00 |
$615.00 |
$110.24
|
|
Brain flow imaging only
|
$1,956.60 |
$1,956.60 |
$1,956.60 |
$636.97
|
|
Brain image w/flow 4 + views
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$130.99
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$22,377.96 |
$22,377.96 |
$22,377.96 |
$22,383.57
|
|
Bronch ebus ivntj perph les 31654
|
$2,910.60 |
$2,910.60 |
$2,910.60 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,643.40
|
|
Bronchoscopy clear airways 31645
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,653.80
|
|
Bronchoscopy dilate/fx repr
|
$5,183.70 |
$5,183.70 |
$5,183.70 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,718.40
|
|
Bronchoscopy/lung bx each 31628
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,080.94
|
|
Bronchoscopy treat blockage
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,551.50
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,445.96
|
|
Bronchoscopy w/markers
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,718.40
|
|
Br punct aspir ea add, l
|
$380.10 |
$380.10 |
$380.10 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$466.35 |
$466.35 |
$466.35 |
$160.80
|
|
Bundled special stain group 2
|
$470.25 |
$470.25 |
$470.25 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$13.48 |
$13.48 |
$13.48 |
$32.88
|
|
Buprenorphine hydrochloride
|
$37.27 |
$37.27 |
$37.27 |
$41.79
|
|
Bur rotalink 2.15mm
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$22.58 |
$22.58 |
$22.58 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$1,935.75 |
$1,935.75 |
$1,935.75 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$3,609.00 |
$3,609.00 |
$3,609.00 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,312.15
|
|
Bx pancreas pq ndl
|
$1,117.80 |
$1,117.80 |
$1,117.80 |
$1,588.50
|
|
Bx perianal mass
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$1,540.50
|
|
Bx pleura pq ndl
|
$1,112.10 |
$1,112.10 |
$1,112.10 |
$1,608.00
|
|
Bx soft tissue back/flank deep 21925
|
$4,301.25 |
$4,301.25 |
$4,301.25 |
$2,814.35
|
|
Bx thyroid/percutan core needle 60100
|
$733.05 |
$733.05 |
$733.05 |
$964.62
|
|
Bypass temp external fem-fem
|
$4,024.05 |
$4,024.05 |
$4,024.05 |
$1,806.00
|
|
C-1 esterase, berinert
|
$15,198.21 |
$15,198.21 |
$15,198.21 |
$7,466.16
|
|
C-1 esterase, cinryze
|
$11,590.13 |
$11,590.13 |
$11,590.13 |
$7,483.77
|
|
Cable cath 22-pin diag
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$4,946.50
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$669.02 |
$669.02 |
$669.02 |
$2,111.64
|
|
Calcium 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$99.54 |
$99.54 |
$99.54 |
$64.49
|
|
Calcium ionized
|
$160.50 |
$160.50 |
$160.50 |
$90.00
|
|
Calcium total
|
$158.10 |
$158.10 |
$158.10 |
$50.00
|
|
Calprotectin fecal
|
$221.40 |
$221.40 |
$221.40 |
$169.95
|
|
Candida skin test
|
$63.90 |
$63.90 |
$63.90 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$68,400.00 |
$68,400.00 |
$68,400.00 |
$34,218.66
|
|
Canthotomy 67715
|
$3,993.45 |
$3,993.45 |
$3,993.45 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$15,606.00 |
$15,606.00 |
$15,606.00 |
$18,466.88
|
|
Cap trach decann 15mm
|
$10,560.00 |
$10,560.00 |
$10,560.00 |
$2,597.62
|
|
Carbamazepine free
|
$40.59 |
$40.59 |
$40.59 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$352.50 |
$352.50 |
$352.50 |
$120.25
|
