|
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 |
$213.82
|
|
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 |
$1,042.69
|
|
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
|
|
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 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 |
$1,976.82
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$130.99
|
|
Brca1&2 gene full seq alys
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,296.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,040.00
|
|
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 |
$6,718.40
|
|
Bronchoscopy/lung bx each 31628
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$3,877.44
|
|
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 |
$6,839.00
|
|
Bundled special stain group 1 microorganisms
|
$466.35 |
$466.35 |
$466.35 |
$160.00
|
|
Bundled special stain group 2
|
$470.25 |
$470.25 |
$470.25 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$13.48 |
$13.48 |
$13.48 |
$33.08
|
|
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 |
$39.20
|
|
Bx bone trocar/ndl deep
|
$1,935.75 |
$1,935.75 |
$1,935.75 |
$2,278.20
|
|
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 |
$3,700.20
|
|
Bx breast add lesion mr imag
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$1,631.50
|
|
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 |
$1,692.64
|
|
Bx perianal mass
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$1,540.50
|
|
Bx skin incisnl ea sep/add l les
|
$254.70 |
$254.70 |
$254.70 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$254.70 |
$254.70 |
$254.70 |
$227.13
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,414.95 |
$1,414.95 |
$1,414.95 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$733.05 |
$733.05 |
$733.05 |
$964.62
|
|
Bypass temp external fem-fem
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,781.60
|
|
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 |
$7,278.02
|
|
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 |
$89.88
|
|
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
|
|
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
|
|
Carbidopa levodopa ent 100ml
|
$243.99 |
$243.99 |
$243.99 |
$243.99
|
|
Carbon dioxide
|
$168.00 |
$168.00 |
$168.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$167.78 |
$167.78 |
$167.78 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$135.45 |
$135.45 |
$135.45 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$150.00 |
$150.00 |
$150.00 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$3,231.15 |
$3,231.15 |
$3,231.15 |
$2,768.80
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,905.10 |
$3,905.10 |
$3,905.10 |
$2,626.88
|
|
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
|
|
Cardiolipin antibody iga
|
$173.55 |
$173.55 |
$173.55 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$913.95 |
$913.95 |
$913.95 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$1,260.90 |
$1,260.90 |
$1,260.90 |
$1,114.00
|
|
Carfilzomib 10 mg intravenous solution
|
$6,193.76 |
$6,193.76 |
$6,193.76 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$7,782.96 |
$7,782.96 |
$7,782.96 |
$1,731.00
|
|
Carotene
|
$67.95 |
$67.95 |
$67.95 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,007.40
|
|
Car seat/bed test 60 minutes
|
$61.50 |
$61.50 |
$61.50 |
$112.50
|
|
Car seat/bed test additional 30 minutes
|
$30.90 |
$30.90 |
$30.90 |
$65.00
|
|
Caspofungin acetate
|
$757.91 |
$757.91 |
$757.91 |
$615.86
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,047.99 |
$1,047.99 |
$1,047.99 |
$830.50
|
|
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 |
$6,386.85
|
|
Cath access del ds spyscop 2.0
|
$7,032.00 |
$7,032.00 |
$7,032.00 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$8,785.60
|
|
Cath acunav ge 10frx90cm
|
$8,400.00 |
$8,400.00 |
$8,400.00 |
$6,285.56
|
|
Cath adherent clot 10mm 6f 10
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$11,988.00 |
$11,988.00 |
$11,988.00 |
$6,475.07
|
|
Cath bi-dir df smarttouch
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$8,282.05
|
|
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 |
$3,889.06
|
|
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
|
