|
Brace back vista 464 tlso
|
$4,301.20 |
$4,301.20 |
$4,301.20 |
$1,579.91
|
|
Brace cust back lso
|
$797.05 |
$797.05 |
$797.05 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$2,387.30 |
$2,387.30 |
$2,387.30 |
$597.11
|
|
Brace halo bremer l2830
|
$318.68 |
$318.68 |
$318.68 |
$195.59
|
|
Brace kafo dbl upright cust
|
$6,521.52 |
$6,521.52 |
$6,521.52 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$3,260.54 |
$3,260.54 |
$3,260.54 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$3,656.50 |
$3,656.50 |
$3,656.50 |
$676.06
|
|
Brace knee hing pat open med
|
$258.80 |
$258.80 |
$258.80 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$2,681.07 |
$2,681.07 |
$2,681.07 |
$386.00
|
|
Brace knee postop tscope xl
|
$3,296.72 |
$3,296.72 |
$3,296.72 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$2,350.61 |
$2,350.61 |
$2,350.61 |
$215.70
|
|
Brace m arm board
|
$15,618.91 |
$15,618.91 |
$15,618.91 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$933.68 |
$933.68 |
$933.68 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$5,275.37 |
$5,275.37 |
$5,275.37 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,208.76 |
$1,208.76 |
$1,208.76 |
$245.00
|
|
Brace tlso flex cust
|
$6,872.66 |
$6,872.66 |
$6,872.66 |
$573.43
|
|
Brace wrist classic lft sm
|
$259.02 |
$259.02 |
$259.02 |
$81.62
|
|
Brach/thor cath 1st
|
$2,005.80 |
$2,005.80 |
$2,005.80 |
$1,751.55
|
|
Brachy source i-125 injection
|
$323.78 |
$323.78 |
$323.78 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$116.56 |
$116.56 |
$116.56 |
$66.76
|
|
Brachy source palladium
|
$496.46 |
$496.46 |
$496.46 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$181.31 |
$181.31 |
$181.31 |
$116.48
|
|
Brachy source yttrium-90
|
$87,764.61 |
$87,764.61 |
$87,764.61 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$604.38 |
$604.38 |
$604.38 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$780.00 |
$780.00 |
$780.00 |
$475.73
|
|
Brachy src stranded c-131
|
$33,097.01 |
$33,097.01 |
$33,097.01 |
$210.96
|
|
Brachytx isodose complex
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$1,631.00
|
|
Brachytx isodose plan simple
|
$456.60 |
$456.60 |
$456.60 |
$929.40
|
|
Braf gene
|
$275.40 |
$275.40 |
$275.40 |
$427.50
|
|
Brain image 4+ views
|
$307.80 |
$307.80 |
$307.80 |
$952.80
|
|
Brain image w/flow < 4 views
|
$780.00 |
$780.00 |
$780.00 |
$884.65
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,847.40 |
$4,847.40 |
$4,847.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,268.80 |
$3,268.80 |
$3,268.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,011.00 |
$4,011.00 |
$4,011.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,760.40 |
$1,760.40 |
$1,760.40 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$182.61 |
$182.61 |
$182.61 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$10,065.00 |
$10,065.00 |
$10,065.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,410.80 |
$5,410.80 |
$5,410.80 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$1,364.40 |
$1,364.40 |
$1,364.40 |
$847.00
|
|
Breast reconstruction 19357
|
$141,700.99 |
$141,700.99 |
$141,700.99 |
$11,720.80
|
|
Breast reduction
|
$38,374.07 |
$38,374.07 |
$38,374.07 |
$7,126.06
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$49,815.89 |
$49,815.89 |
$49,815.89 |
$22,383.57
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$785.40 |
$785.40 |
$785.40 |
$870.87
|
|
Bronch ebus samplng 1/2 node
|
$18,844.37 |
$18,844.37 |
$18,844.37 |
$4,316.00
|
|
Bronchoscopy clear airways 31645
|
$17,921.57 |
$17,921.57 |
$17,921.57 |
$2,653.80
|
|
Bronchoscopy/lung bx addl 31632
|
$10,002.22 |
$10,002.22 |
$10,002.22 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$13,301.25 |
$13,301.25 |
$13,301.25 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$17,910.59 |
$17,910.59 |
$17,910.59 |
$2,168.40
|
|
Br punct aspir ea add, l
|
$1,364.40 |
$1,364.40 |
$1,364.40 |
$358.00
|
|
Budesonide non-comp unit
|
$106.36 |
$106.36 |
$106.36 |
$20.57
|
|
Bundled special stain group 1 microorganisms
|
$264.60 |
$264.60 |
$264.60 |
$160.80
|
|
Bundled special stain group 2
|
$249.60 |
$249.60 |
$249.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$54.13 |
$54.13 |
$54.13 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$12.82 |
$12.82 |
$12.82 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$19.61 |
$19.61 |
$19.61 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$145.20 |
$145.20 |
$145.20 |
$82.82
|
|
Bur rotalink 2.15mm
|
$27,844.65 |
$27,844.65 |
$27,844.65 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$36.41 |
$36.41 |
$36.41 |
$39.09
|
|
Bx bone trocar/ndl deep
|
$2,629.20 |
$2,629.20 |
$2,629.20 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$4,209.60 |
$4,209.60 |
$4,209.60 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$5,219.40 |
$5,219.40 |
$5,219.40 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$3,151.80 |
$3,151.80 |
$3,151.80 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$6,524.40 |
$6,524.40 |
$6,524.40 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$4,591.80 |
$4,591.80 |
$4,591.80 |
$1,692.64
|
|
Bx/exc lymph node/open/superfic 38500
|
$15,508.21 |
$15,508.21 |
$15,508.21 |
$4,184.94
|
|
Bx liver with other
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$543.40
|
|
Bx pancreas pq ndl
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$1,588.50
|
|
Bx perianal mass
|
$14,477.00 |
$14,477.00 |
$14,477.00 |
$1,540.50
|
|
Bx pleura pq ndl
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$97.20 |
$97.20 |
$97.20 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$97.20 |
$97.20 |
$97.20 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$97.20 |
$97.20 |
$97.20 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$955.80 |
$955.80 |
$955.80 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$88.20 |
$88.20 |
$88.20 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$82.80 |
$82.80 |
$82.80 |
$1,127.00
|
|
Bypass temp external fem-fem
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$123.00 |
$123.00 |
$123.00 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$38,184.17 |
$38,184.17 |
$38,184.17 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$59,311.27 |
$59,311.27 |
$59,311.27 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,515.27 |
$1,515.27 |
$1,515.27 |
$7,858.62
|
|
Caffeine citrate 20 mg/ml inj for po
|
$128.41 |
$128.41 |
$128.41 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$750.00 |
$750.00 |
$750.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$58.20 |
$58.20 |
$58.20 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$64.91 |
$64.91 |
$64.91 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$126.80 |
$126.80 |
$126.80 |
$91.60
|
|
Calcium ionized
|
$111.00 |
$111.00 |
$111.00 |
$90.00
|
|
Calcium total
|
$63.60 |
$63.60 |
$63.60 |
$50.00
|
|
Calculi urinary-sendout
|
$96.00 |
$96.00 |
$96.00 |
$68.05
|
|
Calprotectin fecal
|
$181.20 |
$181.20 |
$181.20 |
$169.95
|
|
Candida dna
|
$112.80 |
$112.80 |
$112.80 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$306.00 |
$306.00 |
$306.00 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$215,850.00 |
$215,850.00 |
$215,850.00 |
$34,218.66
|
|
Canthotomy 67715
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$9.00 |
$9.00 |
$9.00 |
$59.42
|
