|
Boot j walker l
|
$176.40 |
$176.40 |
$176.40 |
$231.75
|
|
Boot mlti podous univ xlg
|
$182.00 |
$182.00 |
$182.00 |
$235.98
|
|
Boot walker genesis full shell 3-strap s
|
$341.60 |
$341.60 |
$341.60 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$74.68 |
$74.68 |
$74.68 |
$173.88
|
|
Borrelia antibody
|
$77.84 |
$77.84 |
$77.84 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$30.80 |
$30.80 |
$30.80 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$68.88 |
$68.88 |
$68.88 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,825.96 |
$2,825.96 |
$2,825.96 |
$2,825.96
|
|
(both sides) donor search management
|
$576.80 |
$576.80 |
$576.80 |
$2,438.80
|
|
(both sides) smear without diff wbc count
|
$17.36 |
$17.36 |
$17.36 |
$30.68
|
|
Botulism ig IV
|
$77,014.00 |
$77,014.00 |
$77,014.00 |
$71,513.00
|
|
Bowel imaging
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$1,065.00
|
|
Brace adj motion lerman type
|
$159.60 |
$159.60 |
$159.60 |
$281.75
|
|
Brace afo dbl upright cust
|
$627.20 |
$627.20 |
$627.20 |
$834.17
|
|
Brace afo lg left 6607
|
$333.20 |
$333.20 |
$333.20 |
$461.76
|
|
Brace afopos solid ankle cust
|
$781.20 |
$781.20 |
$781.20 |
$1,087.89
|
|
Brace afo spiral prefab
|
$926.80 |
$926.80 |
$926.80 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$170.80 |
$170.80 |
$170.80 |
$194.42
|
|
Brace ank air stirrup univ
|
$126.00 |
$126.00 |
$126.00 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$95.20 |
$95.20 |
$95.20 |
$141.89
|
|
Brace ankle stablizing lg
|
$96.88 |
$96.88 |
$96.88 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$453.60 |
$453.60 |
$453.60 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$2,093.01 |
$2,093.01 |
$2,093.01 |
$2,283.03
|
|
Brace back t-lso custom
|
$2,374.40 |
$2,374.40 |
$2,374.40 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$287.50 |
$287.50 |
$287.50 |
$1,579.91
|
|
Brace cust back lso
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$428.40 |
$428.40 |
$428.40 |
$597.11
|
|
Brace halo bremer l2830
|
$134.40 |
$134.40 |
$134.40 |
$195.59
|
|
Brace kafo dbl upright cust
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$698.32 |
$698.32 |
$698.32 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$767.20 |
$767.20 |
$767.20 |
$676.06
|
|
Brace knee hing pat open med
|
$168.00 |
$168.00 |
$168.00 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$166.01 |
$166.01 |
$166.01 |
$386.00
|
|
Brace knee postop tscope xl
|
$865.20 |
$865.20 |
$865.20 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$137.20 |
$137.20 |
$137.20 |
$215.70
|
|
Brace ortho exos 28-50in sm
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,833.93 |
$1,833.93 |
$1,833.93 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$250.88 |
$250.88 |
$250.88 |
$245.00
|
|
Brace tlso flex cust
|
$246.40 |
$246.40 |
$246.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$89.04 |
$89.04 |
$89.04 |
$81.62
|
|
Brachioplasty 15836
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$3,694.40
|
|
Brach/thor cath 1st
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$2,923.20 |
$2,923.20 |
$2,923.20 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$6,160.00 |
$6,160.00 |
$6,160.00 |
$2,079.00
|
|
Brach/thor cath addl
|
$868.00 |
$868.00 |
$868.00 |
$868.00
|
|
Brachy linear, non-str,p-103
|
$124.32 |
$124.32 |
$124.32 |
$62.61
|
|
Brachy source i-125 injection
|
$212.80 |
$212.80 |
$212.80 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$94.64 |
$94.64 |
$94.64 |
$66.76
|
|
Brachy source palladium
|
$193.20 |
$193.20 |
$193.20 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$151.76 |
$151.76 |
$151.76 |
$116.48
|
|
Brachy source yttrium-90
|
$16,214.24 |
$16,214.24 |
$16,214.24 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$188.72 |
$188.72 |
$188.72 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$861.84 |
$861.84 |
$861.84 |
$475.73
|
|
Brachy src stranded c-131
|
$287.28 |
$287.28 |
$287.28 |
$210.96
|
|
Brachytx isodose complex
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,631.00
|
|
Brachytx isodose intermed
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$929.40
|
|
Brachytx, non-str, gold-198
|
$123.76 |
$123.76 |
$123.76 |
$124.55
|
|
Brachytx, non-str, ha, i-125
|
$91.28 |
$91.28 |
$91.28 |
$110.24
|
|
Brachytx, non-str, ha, p-103
|
$122.08 |
$122.08 |
$122.08 |
$122.08
|
|
Brachytx, ns, non-hdrir-192
|
$142.80 |
$142.80 |
$142.80 |
$142.80
|
|
Braf gene
|
$795.20 |
$795.20 |
$795.20 |
$427.50
|
|
Brain biopsy w/ct/mr guide
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
$2,828.00
|
|
Brain flow imaging only
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
$636.97
|
|
Brain image < 4 views
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$549.70
|
|
Brain image 4+ views
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$952.80
|
|
Brain image w/flow < 4 views
|
$3,550.40 |
$3,550.40 |
$3,550.40 |
$884.65
|
|
Brain image w/flow 4 + views
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$6,238.40 |
$6,238.40 |
$6,238.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,768.80 |
$3,768.80 |
$3,768.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,499.20 |
$5,499.20 |
$5,499.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,056.80 |
$5,056.80 |
$5,056.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$78.40 |
$78.40 |
$78.40 |
$130.99
|
|
Brca1&2 gene full seq alys
|
$3,908.80 |
$3,908.80 |
$3,908.80 |
$1,296.00
|
|
Brca1&2 gen ful dup/del alys
|
$3,908.80 |
$3,908.80 |
$3,908.80 |
$960.96
|
|
Brca1 dna gene analy known fam var
|
$856.80 |
$856.80 |
$856.80 |
$471.52
|
|
Brca1 gene full dup/del alys
|
$5,952.80 |
$5,952.80 |
$5,952.80 |
$331.49
|
|
Brca1 gene full seq alys
|
$5,952.80 |
$5,952.80 |
$5,952.80 |
$311.17
|
|
Brca2 dna gene analy full seq analy
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$255.47
|
|
Brca2 dna gene analy known fam var
|
$856.80 |
$856.80 |
$856.80 |
$450.30
|
|
Brca2 gene full dup/del alys
|
$5,952.80 |
$5,952.80 |
$5,952.80 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$607.20
|
|
Brcassure comprehensive panel-sendout
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$2,287.20
|
|
Breast augmentation 19325
|
$8,607.20 |
$8,607.20 |
$8,607.20 |
$6,311.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,093.60 |
$4,093.60 |
$4,093.60 |
$3,043.44
|
|
Breast prosthesis bra & form
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
Breast prosthesis w adhesive
|
$463.12 |
$463.12 |
$463.12 |
$463.12
|
|
Breast prosthes without adhesive
|
$431.20 |
$431.20 |
$431.20 |
$431.20
|
|
Breast punct aspir cyst, bil
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$847.00
|
|
Breast reconstruction 19357
|
$11,972.80 |
$11,972.80 |
$11,972.80 |
$11,720.80
|
|
Breast reduction
|
$11,653.60 |
$11,653.60 |
$11,653.60 |
$7,126.06
|
|
Breath hydrogen test 91065
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$462.00
|
|
Breathing response hypoxia
|
$599.20 |
$599.20 |
$599.20 |
$185.15
|
|
Breath recording infant
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$1,158.00
|
|
Breath test analysis c-14
|
$237.44 |
$237.44 |
$237.44 |
$237.44
|
|
Breath tst attain/anal c-14
|
$86.24 |
$86.24 |
$86.24 |
$96.72
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$20,468.73 |
$20,468.73 |
$20,468.73 |
$22,383.57
|
|
Brief alcohol misuse counsel
|
$256.48 |
$256.48 |
$256.48 |
$108.93
|
