|
Below knee sus/seal sleeve
|
$142.80 |
$142.80 |
$142.80 |
$217.68
|
|
Below knee total contact
|
$434.00 |
$434.00 |
$434.00 |
$650.75
|
|
Below knee wood socket
|
$1,682.80 |
$1,682.80 |
$1,682.80 |
$1,682.80
|
|
Bendamustine 100 mg intravenous powder for solution
|
$5,217.53 |
$5,217.53 |
$5,217.53 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,347.43 |
$4,347.43 |
$4,347.43 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$476.00 |
$476.00 |
$476.00 |
$258.40
|
|
Benign lesion paring 4+
|
$543.20 |
$543.20 |
$543.20 |
$287.00
|
|
#_benzodiazconfur
|
$183.12 |
$183.12 |
$183.12 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$58.73 |
$58.73 |
$58.73 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$89.04 |
$89.04 |
$89.04 |
$78.50
|
|
Beta-2 microglobulin
|
$72.24 |
$72.24 |
$72.24 |
$85.94
|
|
Beta-amyloid 1-40
|
$19.04 |
$19.04 |
$19.04 |
$184.80
|
|
Beta-amyloid 1-42
|
$19.04 |
$19.04 |
$19.04 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$10.08 |
$10.08 |
$10.08 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$5,594.85 |
$5,594.85 |
$5,594.85 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,244.28 |
$1,244.28 |
$1,244.28 |
$3,309.21
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$1,096.93 |
$1,096.93 |
$1,096.93 |
$2,508.56
|
|
Bevacizumab injection
|
$3.36 |
$3.36 |
$3.36 |
$202.85
|
|
Bfb train 1st 15min cntct 90912
|
$492.80 |
$492.80 |
$492.80 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$403.20 |
$403.20 |
$403.20 |
$92.82
|
|
B-hexosaminidase ea assay
|
$205.52 |
$205.52 |
$205.52 |
$124.00
|
|
Bhv id assmt by phys/qhp
|
$235.20 |
$235.20 |
$235.20 |
$121.50
|
|
Bhv id suprt assmt by 1 tech
|
$235.20 |
$235.20 |
$235.20 |
$132.72
|
|
Bilateral laminotomy addl lumbar 63044
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,428.00
|
|
Bilateral n blobk inj pudendal 64430
|
$6,316.80 |
$6,316.80 |
$6,316.80 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$782.04
|
|
Bilateral n block inj trigeminal 64400
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$556.40
|
|
Bile acids cholylglycine
|
$270.48 |
$270.48 |
$270.48 |
$125.58
|
|
Biliary endo perq dx w/speci
|
$8,965.60 |
$8,965.60 |
$8,965.60 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$10,236.80 |
$10,236.80 |
$10,236.80 |
$4,498.20
|
|
Biliary endoscopy thru skin
|
$10,231.20 |
$10,231.20 |
$10,231.20 |
$7,586.80
|
|
Biliary endoscopy thru skin
|
$4,776.80 |
$4,776.80 |
$4,776.80 |
$3,120.25
|
|
Biliary endoscopy thru skin
|
$9,083.20 |
$9,083.20 |
$9,083.20 |
$5,671.20
|
|
Bilicheck
|
$56.00 |
$56.00 |
$56.00 |
$28.80
|
|
Bilirubin direct
|
$85.68 |
$85.68 |
$85.68 |
$49.86
|
|
Bilirubin total
|
$63.28 |
$63.28 |
$63.28 |
$52.57
|
|
Binder abdominal lg 12 x 62-74
|
$61.60 |
$61.60 |
$61.60 |
$49.68
|
|
Bio-connekt per square cm
|
$44.80 |
$44.80 |
$44.80 |
$44.80
|
|
Biodfence dryflex, 1cm
|
$4,528.16 |
$4,528.16 |
$4,528.16 |
$4,528.16
|
|
Biofeedback, pt
|
$102.48 |
$102.48 |
$102.48 |
$118.25
|
|
Biopsy abdominal mass
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$1,718.60
|
|
Biopsy arm/elbow soft tissue
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,386.84
|
|
Biopsy, bone open deep
|
$9,822.40 |
$9,822.40 |
$9,822.40 |
$3,684.24
|
|
Biopsy bone trocar/needle superficial
|
$4,698.40 |
$4,698.40 |
$4,698.40 |
$1,760.00
|
|
Biopsy cervixsingle/multiple 57500
|
$4,575.20 |
$4,575.20 |
$4,575.20 |
$1,266.48
|
|
Biopsy conjunctiva
|
$6,496.00 |
$6,496.00 |
$6,496.00 |
$2,678.00
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$6,580.00 |
$6,580.00 |
$6,580.00 |
$4,350.00
|
|
Biopsy external ear 69100
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$416.52
|
|
Biopsy eyelid & lid margin
|
$828.80 |
$828.80 |
$828.80 |
$813.65
|
|
Biopsy eye muscle
|
$8,114.40 |
$8,114.40 |
$8,114.40 |
$4,462.45
|
|
Biopsy finger joint lining
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Biopsy finger joint lining
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$2,263.68
|
|
Biopsy forearm soft tissues
|
$6,305.60 |
$6,305.60 |
$6,305.60 |
$3,386.84
|
|
Biopsy hand joint lining
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$2,273.60
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,928.80 |
$2,928.80 |
$2,928.80 |
$2,716.95
|
|
Biopsy knee joint lining
|
$5,628.00 |
$5,628.00 |
$5,628.00 |
$3,839.54
|
|
Biopsy lower leg soft tissue
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,905.43
|
|
Biopsy lower leg soft tissue 27610
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,629.75
|
|
Biopsy needle liver percutaneous
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$2,536.80 |
$2,536.80 |
$2,536.80 |
$1,878.14
|
|
Biopsy of cornea
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,920.65
|
|
Biopsy of epididymis
|
$2,749.60 |
$2,749.60 |
$2,749.60 |
$1,793.38
|
|
Biopsy of foot joint lining
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Biopsy of foot joint lining
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$3,839.54
|
|
Biopsy of heart lining
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$3,640.00
|
|
Biopsy of hip joint
|
$7,011.20 |
$7,011.20 |
$7,011.20 |
$3,296.80
|
|
Biopsy of inestine 44100
|
$5,068.00 |
$5,068.00 |
$5,068.00 |
$1,682.92
|
|
Biopsy of lip 40490
|
$884.80 |
$884.80 |
$884.80 |
$331.00
|
|
Biopsy of nail unit 11755
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$888.07
|
|
Biopsy of nerve
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
$3,842.91
|
|
Biopsy of ovary(s) 58900
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,762.53
|
|
Biopsy of penis
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,771.24
|
|
Biopsy of penis 54100
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,917.33
|
|
Biopsy of prostate
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,051.50
|
|
Biopsy of rectum wall anal approach 45100
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,245.23
|
|
Biopsy of sacroiliac joint
|
$6,260.80 |
$6,260.80 |
$6,260.80 |
$3,296.80
|
|
Biopsy of salivary gland 42400
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$1,145.90
|
|
Biopsy of salivary glnd;incisional 42405
|
$9,917.60 |
$9,917.60 |
$9,917.60 |
$3,249.48
|
|
Biopsy of tear gland
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,871.95
|
|
Biopsy of tear sac
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,760.73
|
|
Biopsy of testis
|
$7,655.20 |
$7,655.20 |
$7,655.20 |
$3,386.84
|
|
Biopsy of testis
|
$11,261.60 |
$11,261.60 |
$11,261.60 |
$4,081.37
|
|
Biopsy of toe joint lining
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Biopsy of upper nose/throat
|
$8,965.60 |
$8,965.60 |
$8,965.60 |
$3,592.74
|
|
Biopsy of urethra
|
$9,856.00 |
$9,856.00 |
$9,856.00 |
$3,178.01
|
|
Biopsy of wrist joint
|
$5,745.60 |
$5,745.60 |
$5,745.60 |
$3,839.54
|
|
Biopsy oocyte polar body
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,120.00
|
|
Biopsy oocyte polar body <=5
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,120.00
|
|
Biopsy/removal lymph nodes
|
$7,845.60 |
$7,845.60 |
$7,845.60 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$9,738.40 |
$9,738.40 |
$9,738.40 |
$4,531.42
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$2,086.50
|
|
Biopsy roof of mouth
|
$2,139.20 |
$2,139.20 |
$2,139.20 |
$1,752.89
|
|
Biopsy skin incisional single lesion
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$660.96
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$6,613.60 |
$6,613.60 |
$6,613.60 |
$2,462.35
|
|
Biopsy thigh soft tissues
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,550.00
|
|
Biopsy tongue anterior two-thirds
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$8,758.40 |
$8,758.40 |
$8,758.40 |
$3,522.35
|
|
Biopsy vestibule of mouth 40808
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$629.50
|
|
Biopsy vrt bdy open lmbr/crv
|
$12,740.00 |
$12,740.00 |
$12,740.00 |
$5,210.40
|
