|
Brace back epic tslo 456
|
$1,631.36 |
$1,631.36 |
$1,631.36 |
$1,582.56
|
|
Brace back pinnacle tlso 464
|
$2,632.87 |
$3,586.88 |
$3,586.88 |
$2,632.87
|
|
Brace back t-lso custom
|
$3,159.48 |
$3,859.13 |
$3,859.13 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,579.91
|
|
Brace cust back lso
|
$2,265.81 |
$2,265.81 |
$2,265.81 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$874.04 |
$874.04 |
$874.04 |
$620.54
|
|
Brace halo bremer l2830
|
$175.82 |
$175.82 |
$225.00 |
$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 |
$1,256.06 |
$767.20
|
|
Brace knee hing pat open med
|
$292.34 |
$331.00 |
$331.00 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,015.62 |
$1,015.62 |
$1,015.62 |
$411.01
|
|
Brace knee postop tscope xl
|
$901.93 |
$901.93 |
$901.93 |
$901.93
|
|
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 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$128.10 |
$128.10 |
$136.24 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$2,541.00 |
$2,857.40 |
$2,857.40 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$337.40 |
$337.40 |
$337.40 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$147.60 |
$147.60 |
$147.60 |
$257.45
|
|
Brace tlso flex cust
|
$573.43 |
$573.43 |
$573.43 |
$573.43
|
|
Brace wrist classic lft sm
|
$148.92 |
$153.83 |
$153.83 |
$89.04
|
|
Brach/thor cath 1st
|
$2,043.30 |
$2,043.30 |
$2,885.69 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,439.00 |
$2,439.00 |
$2,667.65 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$2,438.85 |
$2,438.85 |
$3,367.97 |
$2,050.00
|
|
Brach/thor cath addl
|
$1,482.14 |
$1,482.14 |
$3,699.15 |
$868.00
|
|
Brachy source yttrium-90
|
$21,285.00 |
$21,285.00 |
$21,285.00 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$790.89 |
$790.89 |
$790.89 |
$478.50
|
|
Brachytx isodose complex
|
$705.45 |
$705.45 |
$705.45 |
$1,705.20
|
|
Brachytx isodose intermed
|
$640.03 |
$640.03 |
$640.03 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$633.91 |
$633.91 |
$633.91 |
$1,032.38
|
|
Brachytx, non-str, ha, i-125
|
$615.00 |
$615.00 |
$615.00 |
$191.77
|
|
Braf gene
|
$487.22 |
$487.22 |
$690.00 |
$450.90
|
|
Brain flow imaging only
|
$472.92 |
$472.92 |
$472.92 |
$677.66
|
|
Brain image w/flow < 4 views
|
$479.10 |
$479.10 |
$1,063.48 |
$919.45
|
|
Brain image w/flow 4 + views
|
$1,132.80 |
$1,132.80 |
$1,553.68 |
$1,330.00
|
|
Brain imaging (3d)
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$1,403.74
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,830.05 |
$2,830.05 |
$3,061.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,753.94 |
$2,612.85 |
$2,612.85 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,394.15 |
$2,394.15 |
$2,674.86 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$2,830.05 |
$3,149.11 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,224.96 |
$2,504.25 |
$2,504.25 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,189.86 |
$2,504.25 |
$2,504.25 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$127.73
|
|
Brca1&2 gene full seq alys
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$794.43
|
|
Brcassure comprehensive panel-sendout
|
$473.10 |
$473.10 |
$3,462.23 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,092.06 |
$3,092.06 |
$3,497.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$218.24 |
$274.65 |
$274.65 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,053.00 |
$1,053.00 |
$1,188.00 |
$871.80
|
|
Breath hydrogen test 91065
|
$548.19 |
$548.19 |
$548.19 |
$462.00
|
|
Breathing response hypoxia
|
$169.23 |
$169.23 |
$169.23 |
$185.15
|
|
Breath test analysis c-14
|
$197.34 |
$197.34 |
$197.34 |
$245.65
|
|
Breath tst attain/anal c-14
|
$32.60 |
$32.60 |
$32.60 |
$108.50
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$21,165.60 |
$22,377.96 |
$22,377.96 |
$22,383.57
|
|
Brexucabtagene car pos t
|
$1,430,103.22 |
$1,430,103.22 |
$1,430,103.22 |
$1,430,103.22
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,178.90 |
$2,178.90 |
$2,178.90 |
$981.06
|
|
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 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,746.40
|
|
Bronchial allergy tests
|
$752.04 |
$752.04 |
$752.04 |
$746.46
|
|
Bronchial challenge
|
$979.35 |
$979.35 |
$979.35 |
$820.05
|
|
Bronchial valve addl insert
|
$4,825.95 |
$4,825.95 |
$4,825.95 |
$3,417.67
|
|
Bronchial valve init insert
|
$5,165.70 |
$5,165.70 |
$5,165.70 |
$6,839.00
|
|
Bronchial valve remov addl
|
$2,611.20 |
$2,611.20 |
$2,611.20 |
$2,611.20
|
|
Bronchial valve remov init
|
$5,165.70 |
$5,165.70 |
$5,165.70 |
$4,627.00
|
|
Bronchoscopy clear airways 31645
|
$1,034.70 |
$1,034.70 |
$2,178.90 |
$2,766.40
|
|
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 addl 31632
|
$2,178.90 |
$2,178.90 |
$2,178.90 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$2,178.90 |
$2,178.90 |
$2,178.90 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,038.80
|
|
Bronchoscopy treat blockage
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,034.70 |
$1,034.70 |
$1,997.10 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$1,946.70 |
$1,946.70 |
$1,946.70 |
$2,447.43
|
|
Bronchoscopy w/markers
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,839.00
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$1,206.27 |
$1,206.27 |
$1,206.27 |
$571.00
|
|
Br punct aspir ea add, l
|
$380.10 |
$380.10 |
$490.31 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$166.15 |
$466.35 |
$466.35 |
$159.00
|
|
Bundled special stain group 2
|
$306.90 |
$470.25 |
$470.25 |
$173.40
|
|
Bundle his recording
|
$5,400.00 |
$5,400.00 |
$5,557.78 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$13.48 |
$13.48 |
$27.43 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$6.01 |
$6.01 |
$6.01 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$2.39 |
$2.39 |
$2.39 |
$14.42
|
|
Buprenorphine and metabolite - sendout
|
$148.20 |
$148.20 |
$284.10 |
$80.64
|
|
Buprenorphine hydrochloride
|
$37.27 |
$37.27 |
$54.61 |
$42.08
|
|
Buprenorphine oral 1mg
|
$2.18 |
$2.18 |
$2.18 |
$10.70
|
|
Burr hole implant ventricular cath/other device
|
$5,671.96 |
$5,671.96 |
$11,800.95 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$10,186.81 |
$12,003.00 |
$12,003.00 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$22.58 |
$22.58 |
$46.00 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$1,935.75 |
$1,935.75 |
$2,264.77 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$3,231.90 |
$3,497.40 |
$3,497.40 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,497.40 |
$3,497.40 |
$3,742.20 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,550.54 |
$3,497.40 |
$3,497.40 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,339.34 |
$1,339.34 |
$3,609.00 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,041.20 |
$2,041.20 |
$3,497.40 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$1,044.68 |
$1,069.20 |
$1,069.20 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$4,428.15 |
$4,428.15 |
$8,632.80 |
$4,509.59
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$3,979.88 |
$3,979.88 |
$3,979.88 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$4,135.34 |
$4,135.34 |
$4,135.34 |
$4,184.94
|
|
Bx liver with other
|
$2,354.72 |
$2,354.72 |
$2,354.72 |
$601.53
|
|
Bx of breast open 19101
|
$4,390.01 |
$4,390.01 |
$4,390.01 |
$4,531.42
|
