|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$608.00 |
$608.00 |
$608.00 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$336.00 |
$336.00 |
$336.00 |
$250.88
|
|
Brace tlso flex cust
|
$32.40 |
$32.40 |
$32.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$285.60 |
$285.60 |
$285.60 |
$89.04
|
|
Brach/thor cath 1st
|
$1,368.80 |
$1,368.80 |
$1,368.80 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$1,536.80 |
$1,536.80 |
$1,536.80 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,983.11
|
|
Brach/thor cath addl
|
$280.80 |
$280.80 |
$280.80 |
$868.00
|
|
Brachy source yttrium-90
|
$28,460.00 |
$28,460.00 |
$28,460.00 |
$30,870.00
|
|
Brachy src nonstrand hdr ir-192
|
$717.60 |
$717.60 |
$717.60 |
$475.73
|
|
Brachytx isodose complex
|
$242.00 |
$242.00 |
$242.00 |
$1,699.92
|
|
Brachytx isodose plan simple
|
$855.60 |
$855.60 |
$855.60 |
$1,039.80
|
|
Braf gene
|
$241.60 |
$241.60 |
$241.60 |
$436.47
|
|
Brain flow imaging only
|
$740.00 |
$740.00 |
$740.00 |
$677.66
|
|
Brain image 4+ views
|
$482.00 |
$482.00 |
$482.00 |
$847.80
|
|
Brain image w/flow < 4 views
|
$1,904.40 |
$1,904.40 |
$1,904.40 |
$907.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,871.60 |
$1,871.60 |
$1,871.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,793.20 |
$1,793.20 |
$1,793.20 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$1,924.40 |
$1,924.40 |
$1,924.40 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$1,703.20 |
$1,703.20 |
$1,703.20 |
$1,932.50
|
|
Brca1&2 gene full seq alys
|
$1,595.60 |
$1,595.60 |
$1,595.60 |
$794.43
|
|
Brcassure comprehensive panel-sendout
|
$3,460.00 |
$3,460.00 |
$3,460.00 |
$2,365.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,564.80 |
$2,564.80 |
$2,564.80 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$378.80 |
$378.80 |
$378.80 |
$863.10
|
|
Breath hydrogen test 91065
|
$220.40 |
$220.40 |
$220.40 |
$462.00
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$1,309.20 |
$1,309.20 |
$1,309.20 |
$1,858.50
|
|
Bronch ebus samplng 1/2 node
|
$4,621.20 |
$4,621.20 |
$4,621.20 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$4,746.40 |
$4,746.40 |
$4,746.40 |
$4,746.40
|
|
Bronchial allergy tests
|
$649.60 |
$649.60 |
$649.60 |
$734.40
|
|
Bronchial challenge
|
$415.20 |
$415.20 |
$415.20 |
$805.90
|
|
Bronchial valve init insert
|
$13,938.00 |
$13,938.00 |
$13,938.00 |
$6,718.40
|
|
Bronchial valve remov addl
|
$3,398.40 |
$3,398.40 |
$3,398.40 |
$2,542.15
|
|
Bronchial valve remov init
|
$8,256.40 |
$8,256.40 |
$8,256.40 |
$4,362.99
|
|
Bronchoscopy bronch stents
|
$4,146.00 |
$4,146.00 |
$4,146.00 |
$5,079.20
|
|
Bronchoscopy clear airways 31645
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,672.16
|
|
Bronchoscopy dilate/fx repr
|
$4,802.80 |
$4,802.80 |
$4,802.80 |
$5,133.02
|
|
Bronchoscopy dilate w/stent
|
$3,218.40 |
$3,218.40 |
$3,218.40 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$965.60 |
$965.60 |
$965.60 |
$1,336.08
|
|
Bronchoscopy/lung bx each 31628
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$4,038.80 |
$4,038.80 |
$4,038.80 |
$4,038.80
|
|
Bronchoscopy treat blockage
|
$2,839.60 |
$2,839.60 |
$2,839.60 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,132.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,379.60
|
|
Bronchoscopy w/markers
|
$3,394.00 |
$3,394.00 |
$3,394.00 |
$6,718.40
|
|
Bronchoscopy w/tumor excise
|
$2,904.40 |
$2,904.40 |
$2,904.40 |
$4,362.99
|
|
Bronch thermoplsty 1 lobe
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$6,300.00
|
|
Bronch thermoplsty 2/> lobes
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
$6,311.00
|
|
Br punct aspir ea add, l
|
$234.40 |
$234.40 |
$234.40 |
$356.50
|
|
Budesonide non-comp unit
|
$14.56 |
$14.56 |
$14.56 |
$19.68
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$31.70 |
$31.70 |
$31.70 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$158.00 |
$158.00 |
$158.00 |
$154.70
|
|
Bundled special stain group 2
|
$116.40 |
$116.40 |
$116.40 |
$170.65
|
|
Bundle his recording
|
$13,480.40 |
$13,480.40 |
$13,480.40 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$10.12 |
$10.12 |
$10.12 |
$33.08
|
|
Buprenorphine and metabolite - sendout
|
$28.00 |
$28.00 |
$28.00 |
$83.48
|
|
Buprenorphine oral 1mg
|
$28.46 |
$28.46 |
$28.46 |
$10.74
|
|
Burr hole skull for biopsy 61140
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$2,978.40
|
|
Bur rotalink 2.15mm
|
$7,096.40 |
$7,096.40 |
$7,096.40 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$1,267.60 |
$1,267.60 |
$1,267.60 |
$2,347.69
|
|
Bx breast 1st lesion mr imag
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,998.80 |
$1,998.80 |
$1,998.80 |
$3,570.00
|
|
Bx breast add lesion mr imag
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$1,604.40
|
|
Bx breast perq without image 19100
|
$941.20 |
$941.20 |
$941.20 |
$1,250.00
|
|
Bx/curett of cervix w/scope 57454
|
$408.00 |
$408.00 |
$408.00 |
$502.15
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$4,997.20 |
$4,997.20 |
$4,997.20 |
$4,627.00
|
|
Bx/exc lymph node/open/superfic 38500
|
$3,810.00 |
$3,810.00 |
$3,810.00 |
$4,135.34
|
|
Bx of breast open 19101
|
$8,575.20 |
$8,575.20 |
$8,575.20 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$6,279.60 |
$6,279.60 |
$6,279.60 |
$3,986.00
|
|
Bx pancreas pq ndl
|
$2,690.00 |
$2,690.00 |
$2,690.00 |
$1,585.20
|
|
Bx pleura pq ndl
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$284.40 |
$284.40 |
$284.40 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$236.80 |
$236.80 |
$236.80 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$196.80 |
$196.80 |
$196.80 |
$206.00
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,968.40 |
$1,968.40 |
$1,968.40 |
$2,168.40
|
|
Bx soft tissue back/flank supf 21920
|
$3,831.60 |
$3,831.60 |
$3,831.60 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$2,278.80 |
$2,278.80 |
$2,278.80 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$946.40 |
$946.40 |
$946.40 |
$957.60
|
|
Bx vag mucos smpl (sep proc)
|
$1,437.20 |
$1,437.20 |
$1,437.20 |
$1,103.36
|
|
Bx vulva or perineum/1 lesion 56605
|
$780.40 |
$780.40 |
$780.40 |
$1,097.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$685.20 |
$685.20 |
$685.20 |
$403.07
|
|
Bypass temp external fem-fem
|
$1,512.40 |
$1,512.40 |
$1,512.40 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$31.20 |
$31.20 |
$31.20 |
$96.72
|
|
Cable cath 22-pin diag
|
$7,350.40 |
$7,350.40 |
$7,350.40 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$33.20 |
$33.20 |
$33.20 |
$13,247.32
|
|
Cacna1a gen detc abnor allel
|
$309.60 |
$309.60 |
$309.60 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,019.60 |
$1,019.60 |
$1,019.60 |
$846.27
|
|
Cadd pump refill
|
$469.20 |
$469.20 |
$469.20 |
$380.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$3.77 |
$3.77 |
$3.77 |
$46.64
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$555.24 |
$555.24 |
$555.24 |
$2,177.05
|
|
Calcium 24 hour urine
|
$15.20 |
$15.20 |
$15.20 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.18 |
$0.18 |
$0.18 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$42.28 |
$42.28 |
$42.28 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.60 |
$0.60 |
$0.60 |
$91.60
|
|
Calcium ionized
|
$34.00 |
$34.00 |
$34.00 |
$89.88
|
