|
Bone Density Scan (DEXA)
|
$197.82 |
$197.82 |
$197.82 |
$395.00
|
|
Bone filler cerament 10cc
|
$14,338.98 |
$14,338.98 |
$14,338.98 |
$12,912.37
|
|
Bone marrow;aspiration only 38220
|
$3,068.94 |
$3,068.94 |
$3,068.94 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$3,068.94 |
$3,068.94 |
$3,068.94 |
$1,881.00
|
|
Bone survey-lead poisoning
|
$197.82 |
$197.82 |
$197.82 |
$370.18
|
|
Boot j walker l
|
$116.03 |
$116.03 |
$116.03 |
$179.93
|
|
Boot mlti podous univ xlg
|
$263.50 |
$263.50 |
$263.50 |
$256.95
|
|
Boot walker genesis full shell 3-strap s
|
$961.20 |
$961.20 |
$961.20 |
$507.57
|
|
Boot walker genesis mid-calf full shell s
|
$337.31 |
$337.31 |
$337.31 |
$194.34
|
|
Brace afo lg left 6607
|
$795.18 |
$795.18 |
$795.18 |
$480.16
|
|
Brace afopos solid ankle cust
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,189.90
|
|
Brace ank air stirrup univ
|
$146.22 |
$146.22 |
$146.22 |
$76.50
|
|
Brace ankle stablizing lg
|
$94.89 |
$94.89 |
$94.89 |
$88.64
|
|
Brace back pinnacle lo 627 lumbar
|
$1,260.43 |
$1,260.43 |
$1,260.43 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$3,512.25 |
$3,512.25 |
$3,512.25 |
$2,901.32
|
|
Brace back t-lso custom
|
$5,021.27 |
$5,021.27 |
$5,021.27 |
$3,570.57
|
|
Brace cust back lso
|
$777.63 |
$777.63 |
$777.63 |
$758.94
|
|
Brace fx hum ovr shldr sm
|
$1,095.89 |
$1,095.89 |
$1,095.89 |
$643.45
|
|
Brace knee extender plus 22-30in
|
$497.95 |
$497.95 |
$497.95 |
$414.17
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$314.34 |
$314.34 |
$314.34 |
$268.92
|
|
Brace knee support neoprene padded open patella med
|
$436.18 |
$436.18 |
$436.18 |
$261.05
|
|
Brace ortho exos 28-50in sm
|
$822.07 |
$822.07 |
$822.07 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,554.41 |
$2,554.41 |
$2,554.41 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$464.93 |
$464.93 |
$464.93 |
$237.83
|
|
Brace wrist classic lft sm
|
$59.90 |
$59.90 |
$59.90 |
$75.66
|
|
Brachy source palladium
|
$279.95 |
$279.95 |
$279.95 |
$110.25
|
|
Brachy source yttrium-90
|
$35,900.28 |
$35,900.28 |
$35,900.28 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$399.92 |
$399.92 |
$399.92 |
$241.20
|
|
Brachy src stranded c-131
|
$426.59 |
$426.59 |
$426.59 |
$210.96
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,056.32 |
$2,056.32 |
$2,056.32 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,259.16 |
$1,259.16 |
$1,259.16 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,056.32 |
$2,056.32 |
$2,056.32 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,259.16 |
$1,259.16 |
$1,259.16 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$266.62 |
$266.62 |
$266.62 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,491.86 |
$2,491.86 |
$2,491.86 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$863.10 |
$863.10 |
$863.10 |
$865.26
|
|
Bronchoscopy clear airways 31645
|
$1,616.16 |
$1,616.16 |
$1,616.16 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$1,616.16 |
$1,616.16 |
$1,616.16 |
$2,672.16
|
|
Budesonide non-comp unit
|
$38.63 |
$38.63 |
$38.63 |
$27.35
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$56.70 |
$56.70 |
$56.70 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$254.94 |
$254.94 |
$254.94 |
$165.10
|
|
Bundled special stain group 2
|
$173.46 |
$173.46 |
$173.46 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$56.70 |
$56.70 |
$56.70 |
$39.23
|
|
Burr hole implant ventricular cath/other device
|
$1,108.38 |
$1,108.38 |
$1,108.38 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$120.96 |
$120.96 |
$120.96 |
$4,225.86
|
|
Bur rotalink 2.15mm
|
$7,754.17 |
$7,754.17 |
$7,754.17 |
$7,201.94
|
|
Butorphanol tartrate 1 mg
|
$87.14 |
$87.14 |
$87.14 |
$43.70
|
|
Bx breast add lesion Ultrasound imag
|
$1,246.14 |
$1,246.14 |
$1,246.14 |
$1,708.85
|
|
Bx/curett of cervix w/scope 57454
|
$101.64 |
$101.64 |
$101.64 |
$576.00
|
|
Bx perianal mass
|
$1,105.02 |
$1,105.02 |
$1,105.02 |
$1,415.32
|
|
Bx skin incisnl ea sep/add l les
|
$386.40 |
$386.40 |
$386.40 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$248.22 |
$248.22 |
$248.22 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$120.12 |
$120.12 |
$120.12 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$81.06 |
$81.06 |
$81.06 |
$1,038.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$893.34 |
$893.34 |
$893.34 |
$1,155.36
|
|
Bypass temp external fem-fem
|
$27.30 |
$27.30 |
$27.30 |
$1,938.60
|
|
Cable cath 22-pin diag
|
$6,967.80 |
$6,967.80 |
$6,967.80 |
$4,518.81
|
|
Cable centrimag pressure
|
$10,306.02 |
$10,306.02 |
$10,306.02 |
$10,306.02
|
|
Cad breast MRI w/r&i
|
$362.88 |
$362.88 |
$362.88 |
$100.23
|
|
Caffeine citrate 20 mg/ml inj for po
|
$56.70 |
$56.70 |
$56.70 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,325.35 |
$3,325.35 |
$3,325.35 |
$2,802.31
|
|
Calcium 24 hour urine
|
$32.34 |
$32.34 |
$32.34 |
$51.75
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$60.04
|
|
Calcium ionized
|
$73.50 |
$73.50 |
$73.50 |
$88.40
|
|
Calcium total
|
$27.72 |
$27.72 |
$27.72 |
$48.75
|
|
Candida skin test
|
$236.15 |
$236.15 |
$236.15 |
$47.45
|
|
Cannula ercp contour 5-4-3 tip
|
$294,632.10 |
$294,632.10 |
$294,632.10 |
$51,677.49
|
|
Canthotomy 67715
|
$2,445.24 |
$2,445.24 |
$2,445.24 |
$3,228.00
|
|
Cap nerve 2x15mm
|
$50,506.81 |
$50,506.81 |
$50,506.81 |
$24,217.08
|
|
Cap trach decann 15mm
|
$5,688.14 |
$5,688.14 |
$5,688.14 |
$3,973.20
|
|
Carbamazepine total therapeutic drug level
|
$25.62 |
$25.62 |
$25.62 |
$117.74
|
|
Carbon dioxide
|
$26.46 |
$26.46 |
$26.46 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,182.91 |
$1,182.91 |
$1,182.91 |
$482.27
|
|
Carboxyhemoglobin quantitative
|
$55.86 |
$55.86 |
$55.86 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$102.06 |
$102.06 |
$102.06 |
$146.25
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$513.24 |
$513.24 |
$513.24 |
$1,519.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$402.36 |
$402.36 |
$402.36 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$2,390.64 |
$2,390.64 |
$2,390.64 |
$3,639.36
|
|
Car seat/bed test 60 minutes
|
$49.98 |
$49.98 |
$49.98 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$11.76 |
$11.76 |
$11.76 |
$70.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,548.12 |
$1,548.12 |
$1,548.12 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$7,565.04 |
$7,565.04 |
$7,565.04 |
$6,190.10
|
|
Cath ablt clsfast 7fx100cmx
|
$5,024.36 |
$5,024.36 |
$5,024.36 |
$3,906.88
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,968.64 |
$6,968.64 |
$6,968.64 |
$6,606.72
|
|
Cath access del ds spyscop 2.0
|
$6,338.23 |
$6,338.23 |
$6,338.23 |
$5,805.19
|
|
Cath acuity innr ic130 6f 63cm
|
$10,988.46 |
$10,988.46 |
$10,988.46 |
$9,363.28
|
|
Cath acunav ge 10frx90cm
|
$7,451.56 |
$7,451.56 |
$7,451.56 |
$6,022.02
|
|
Cath adherent clot 10mm 6f 10
|
$27,648.60 |
$27,648.60 |
$27,648.60 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$10,795.68 |
$10,795.68 |
$10,795.68 |
$5,875.79
|
|
Cath bi-dir df smarttouch
|
$11,827.05 |
$11,827.05 |
$11,827.05 |
$8,469.98
|
|
Cath blazer dx/20 2-10-2 space
|
$5,003.75 |
$5,003.75 |
$5,003.75 |
$4,348.60
|
|
Cath cv dl inj 7fx16cm
|
$9,960.40 |
$9,960.40 |
$9,960.40 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$5,035.80 |
$5,035.80 |
$5,035.80 |
$2,463.75
|
|
Cath epdrl brevi-stf 12in .043
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$2,103.20
|
|
Catheter insert artery
|
$105.00 |
$105.00 |
$105.00 |
$391.20
|
|
Catheterization collection of specimen single patient all places of service
|
$36.12 |
$36.12 |
$36.12 |
$44.40
|
|
Cath groshong MRI 8fr plstc port
|
$2,946.82 |
$2,946.82 |
$2,946.82 |
$2,323.56
|
|
Cath hawkone s directional
|
$9,471.17 |
$9,471.17 |
$9,471.17 |
$7,160.28
|
