|
Brace ortho exos 28-50in sm
|
$3,028.00 |
$3,028.00 |
$3,028.00 |
$1,332.80
|
|
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
|
$1,166.80 |
$1,166.80 |
$1,166.80 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$476.40 |
$476.40 |
$476.40 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$1,983.11
|
|
Brach/thor cath addl
|
$490.80 |
$490.80 |
$490.80 |
$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
|
|
Braf gene
|
$627.20 |
$627.20 |
$627.20 |
$436.47
|
|
Brain flow imaging only
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$677.66
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,425.20 |
$2,425.20 |
$2,425.20 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,302.80 |
$1,302.80 |
$1,302.80 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$2,425.20 |
$2,425.20 |
$2,425.20 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$1,302.80 |
$1,302.80 |
$1,302.80 |
$1,932.50
|
|
Brcassure comprehensive panel-sendout
|
$3,180.80 |
$3,180.80 |
$3,180.80 |
$2,365.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,872.40 |
$4,872.40 |
$4,872.40 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$863.10
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$686.00 |
$686.00 |
$686.00 |
$870.87
|
|
Bronch ebus ivntj perph les 31654
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,858.50
|
|
Bronch ebus samplng 1/2 node
|
$3,727.60 |
$3,727.60 |
$3,727.60 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$3,727.60 |
$3,727.60 |
$3,727.60 |
$4,746.40
|
|
Bronchial allergy tests
|
$645.60 |
$645.60 |
$645.60 |
$734.40
|
|
Bronchial challenge
|
$534.80 |
$534.80 |
$534.80 |
$805.90
|
|
Bronchial valve init insert
|
$10,340.40 |
$10,340.40 |
$10,340.40 |
$6,718.40
|
|
Bronchial valve remov init
|
$5,384.80 |
$5,384.80 |
$5,384.80 |
$4,362.99
|
|
Bronchoscopy clear airways 31645
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,672.16
|
|
Bronchoscopy/lung bx addl 31632
|
$1,242.40 |
$1,242.40 |
$1,242.40 |
$1,336.08
|
|
Bronchoscopy/lung bx each 31628
|
$3,727.60 |
$3,727.60 |
$3,727.60 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$1,242.40 |
$1,242.40 |
$1,242.40 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$3,727.60 |
$3,727.60 |
$3,727.60 |
$4,038.80
|
|
Bronchoscopy treat blockage
|
$4,342.00 |
$4,342.00 |
$4,342.00 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,132.40
|
|
Bronchoscopy w/fb removal 31635
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,379.60
|
|
Bronchoscopy w/markers
|
$3,160.40 |
$3,160.40 |
$3,160.40 |
$6,718.40
|
|
Bronchoscopy w/tumor excise
|
$4,165.20 |
$4,165.20 |
$4,165.20 |
$4,362.99
|
|
Bronch w/balloon occlusion
|
$9,239.60 |
$9,239.60 |
$9,239.60 |
$6,718.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$240.40 |
$240.40 |
$240.40 |
$660.95
|
|
Br punct aspir ea add, l
|
$45.20 |
$45.20 |
$45.20 |
$356.50
|
|
Budesonide non-comp unit
|
$21.24 |
$21.24 |
$21.24 |
$19.68
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$50.20 |
$50.20 |
$50.20 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$90.00 |
$90.00 |
$90.00 |
$154.70
|
|
Bundled special stain group 2
|
$66.40 |
$66.40 |
$66.40 |
$170.65
|
|
Bundle his recording
|
$10,897.20 |
$10,897.20 |
$10,897.20 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$16.02 |
$16.02 |
$16.02 |
$33.08
|
|
Buprenorphine and metabolite - sendout
|
$35.20 |
$35.20 |
$35.20 |
$83.48
|
|
Buprenorphine oral 1mg
|
$37.78 |
$37.78 |
$37.78 |
$10.74
|
|
Bur rotalink 2.15mm
|
$7,096.40 |
$7,096.40 |
$7,096.40 |
$7,871.02
|
|
Bx bone trocar/ndl deep
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$2,347.69
|
|
Bx breast 1st lesion strtctc
|
$4,872.40 |
$4,872.40 |
$4,872.40 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$3,064.00 |
$3,064.00 |
$3,064.00 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$3,064.00 |
$3,064.00 |
$3,064.00 |
$1,604.40
|
|
Bx breast perq without image 19100
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$1,250.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$3,886.40 |
$3,886.40 |
$3,886.40 |
$4,627.00
|
|
Bx/exc lymph node/open/superfic 38500
|
$2,590.40 |
$2,590.40 |
$2,590.40 |
$4,135.34
|
|
Bx leg/ankle soft tissue deep 27614
|
$4,527.20 |
$4,527.20 |
$4,527.20 |
$3,370.52
|
|
Bx pancreas pq ndl
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$1,585.20
|
|
Bx perianal mass
|
$1,296.40 |
$1,296.40 |
$1,296.40 |
$1,540.50
|
|
Bx pleura pq ndl
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$1,608.00
|
|
Bx skin incisnl ea sep/add l les
|
$320.00 |
$320.00 |
$320.00 |
$253.98
|
|
Bx skin punch ea sep/ addl les
|
$384.00 |
$384.00 |
$384.00 |
$230.30
|
|
Bx skin tangential ea sep/ addl les
|
$266.80 |
$266.80 |
$266.80 |
$206.00
|
|
Bx soft tissue back/flank deep 21925
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$2,729.01
|
|
Bx soft tissue back/flank supf 21920
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$2,526.80 |
$2,526.80 |
$2,526.80 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$957.60
|
|
Bypass temp external fem-fem
|
$2,184.80 |
$2,184.80 |
$2,184.80 |
$1,830.64
|
|
C1 esterase inhibitor func - sendout
|
$52.80 |
$52.80 |
$52.80 |
$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
|
$24.80 |
$24.80 |
$24.80 |
$13,247.32
|
|
Cacna1a gene full gene seq
|
$727.60 |
$727.60 |
$727.60 |
$846.27
|
|
Cadd pump refill
|
$404.40 |
$404.40 |
$404.40 |
$380.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$803.10 |
$803.10 |
$803.10 |
$2,177.05
|
|
Calcium 24 hour urine
|
$26.40 |
$26.40 |
$26.40 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.24 |
$0.24 |
$0.24 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.64 |
$0.64 |
$0.64 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.86 |
$0.86 |
$0.86 |
$91.60
|
|
Calcium ionized
|
$60.40 |
$60.40 |
$60.40 |
$89.88
|
|
Calcium total
|
$22.80 |
$22.80 |
$22.80 |
$50.00
|
|
Calprotectin fecal
|
$86.80 |
$86.80 |
$86.80 |
$170.00
|
|
Candida dna
|
$88.40 |
$88.40 |
$88.40 |
$61.10
|
|
Cannabinoid synthetic 7/more
|
$20.40 |
$20.40 |
$20.40 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$69,880.00 |
$69,880.00 |
$69,880.00 |
$42,021.72
|
|
Canthotomy 67715
|
$3,131.60 |
$3,131.60 |
$3,131.60 |
$3,014.70
|
|
Cap nerve 2x15mm
|
$23,495.60 |
$23,495.60 |
$23,495.60 |
$19,465.73
|
|
Cap trach decann 15mm
|
$5,736.00 |
$5,736.00 |
$5,736.00 |
$3,045.54
|
|
Carbamazepine free -sendout
|
$48.40 |
$48.40 |
$48.40 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$64.80 |
$64.80 |
$64.80 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$80.00 |
$80.00 |
$80.00 |
$116.40
|
|
Carbon dioxide
|
$21.60 |
$21.60 |
$21.60 |
$42.66
|
|
Carbon graphite lamination
|
$80.00 |
$80.00 |
$80.00 |
$228.52
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$67.28 |
$67.28 |
$67.28 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$34.00 |
$34.00 |
$34.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$84.00 |
$84.00 |
$84.00 |
$144.00
|
|
Cardiac MRI w/stress img
|
$1,302.80 |
$1,302.80 |
$1,302.80 |
$1,474.98
|
|
Cardiac perf planar sgl/ef/wm
|
$2,342.80 |
$2,342.80 |
$2,342.80 |
$2,091.02
|
