|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$337.40 |
$337.40 |
$337.40 |
$1,615.90
|
|
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 |
$81.60
|
|
Brachytx, non-str, ha, i-125
|
$615.00 |
$615.00 |
$615.00 |
$180.24
|
|
Braf gene
|
$690.00 |
$690.00 |
$690.00 |
$421.20
|
|
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 |
$2,780.05
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,881.00
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,830.05
|
|
Brain MRI (with contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,263.20
|
|
Brain MRI (without contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$1,932.50
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$127.73
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,012.38
|
|
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
|
|
Bronchoscopy clear airways 31645
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,653.80
|
|
Bronchoscopy dilate w/stent
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,768.75
|
|
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 |
$2,447.43
|
|
Bronchoscopy w/markers
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,137.00
|
|
Br punct aspir ea add, l
|
$380.10 |
$380.10 |
$380.10 |
$356.50
|
|
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 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$13.48 |
$13.48 |
$13.48 |
$33.89
|
|
Buprenorphine hydrochloride
|
$37.27 |
$37.27 |
$37.27 |
$42.08
|
|
Bur rotalink 2.15mm
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$7,797.79
|
|
Butorphanol tartrate 1 mg
|
$22.58 |
$22.58 |
$22.58 |
$38.35
|
|
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 |
$3,735.03
|
|
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 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,708.85
|
|
Bx breast pq tomo guide
|
$4,428.15 |
$4,428.15 |
$4,428.15 |
$4,531.42
|
|
Bx perianal mass
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$1,537.44
|
|
Bypass temp external fem-fem
|
$2,780.70 |
$2,780.70 |
$2,780.70 |
$1,705.50
|
|
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 |
$2,017.24
|
|
Calcium 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$99.54 |
$99.54 |
$99.54 |
$62.13
|
|
Calcium ionized
|
$160.50 |
$160.50 |
$160.50 |
$87.20
|
|
Calcium total
|
$158.10 |
$158.10 |
$158.10 |
$49.40
|
|
Calculus analysis qual
|
$145.20 |
$145.20 |
$145.20 |
$65.88
|
|
Calprotectin fecal
|
$221.40 |
$221.40 |
$221.40 |
$169.20
|
|
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 |
$35,143.01
|
|
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 |
$23,469.17
|
|
Cap trach decann 15mm
|
$10,560.00 |
$10,560.00 |
$10,560.00 |
$3,057.12
|
|
Carbamazepine free
|
$40.59 |
$40.59 |
$40.59 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$352.50 |
$352.50 |
$352.50 |
$115.29
|
|
Carbidopa levodopa ent 100ml
|
$243.99 |
$243.99 |
$243.99 |
$243.99
|
|
Carbon dioxide
|
$168.00 |
$168.00 |
$168.00 |
$42.60
|
|
Carboplatin 10 mg/ml desensitization
|
$167.78 |
$167.78 |
$167.78 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$135.45 |
$135.45 |
$135.45 |
$81.09
|
|
Carcinoembryonic ag (cea)
|
$150.00 |
$150.00 |
$150.00 |
$144.00
|
|
Cardiac MRI w/stress img
|
$1,137.15 |
$1,137.15 |
$1,137.15 |
$1,392.95
|
|
Cardiac perf planar mult/ef/wm
|
$3,231.15 |
$3,231.15 |
$3,231.15 |
$2,735.47
|
|
Cardiac perf planar sgl/ef/wm
|
$2,788.05 |
$2,788.05 |
$2,788.05 |
$2,046.61
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,905.10 |
$3,905.10 |
$3,905.10 |
$2,552.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$196.50 |
$196.50 |
$196.50 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$196.50 |
$196.50 |
$196.50 |
$196.50
|
|
Cardiac Stress Test
|
$153.75 |
$153.75 |
$153.75 |
$196.20
|
|
Cardiolipin antibody iga
|
$173.55 |
$173.55 |
$173.55 |
$107.25
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$913.95 |
$913.95 |
$913.95 |
$1,389.98
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$114.45 |
$114.45 |
$114.45 |
$103.20
|
|
Caregiver training strategies&tq ea addl 15 min
|
$57.00 |
$57.00 |
$57.00 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$6,193.76 |
$6,193.76 |
$6,193.76 |
$7,098.70
|
|
Carmustine 100 mg intravenous powder for solution
|
$7,782.96 |
$7,782.96 |
$7,782.96 |
$1,596.90
|
|
Carotene
|
$67.95 |
$67.95 |
$67.95 |
$44.10
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,029.60
|
|
Caspofungin acetate
|
$757.91 |
$757.91 |
$757.91 |
$757.91
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,047.99 |
$1,047.99 |
$1,047.99 |
$851.01
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$11,352.00 |
$11,352.00 |
$11,352.00 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$8,388.00 |
$8,388.00 |
$8,388.00 |
$6,285.56
|
|
Cath access del ds spyscop 2.0
|
$7,032.00 |
$7,032.00 |
$7,032.00 |
$5,507.21
|
|
Cath acuity innr ic130 6f 63cm
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$7,301.40
|
|
Cath acunav ge 10frx90cm
|
$8,400.00 |
$8,400.00 |
$8,400.00 |
$6,274.07
|
|
Cath adherent clot 10mm 6f 10
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$11,988.00 |
$11,988.00 |
$11,988.00 |
$6,285.56
|
|
Cath bi-dir df smarttouch
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$8,280.00
|
|
Cath blazer dx/20 2-10-2 space
|
$5,728.80 |
$5,728.80 |
$5,728.80 |
$4,012.78
|
|
Cath council tip 16fr 5cc
|
$114.59 |
$114.59 |
$114.59 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$7,363.20 |
$7,363.20 |
$7,363.20 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$2,337.00 |
$2,337.00 |
$2,337.00 |
$2,337.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$45.20 |
$45.20 |
$45.20 |
$18.40
|
|
Cath epdrl brevi-stf 12in .043
|
$1,911.42 |
$1,911.42 |
$1,911.42 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$148.80 |
$148.80 |
$148.80 |
$40.15
|
|
Cath groshong MRI 8fr plstc port
|
$7,762.40 |
$7,762.40 |
$7,762.40 |
$1,765.63
|
|
Cath hawkone s directional
|
$8,040.00 |
$8,040.00 |
$8,040.00 |
$6,905.81
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$2,275.50 |
$2,275.50 |
$2,275.50 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$7,668.00 |
$7,668.00 |
$7,668.00 |
$4,246.52
|
|
Cath infuse micro 150cm rapidtransit
|
$13.23 |
$13.23 |
$13.23 |
$13.23
|
