|
Belatacept 250 mg intravenous solution
|
$38.26 |
$38.26 |
$38.26 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$551.65 |
$551.65 |
$551.65 |
$4,046.27
|
|
Bendamustine 100 mg intravenous powder for solution
|
$20,473.85 |
$20,473.85 |
$20,473.85 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$22,031.76 |
$22,031.76 |
$22,031.76 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$339.81 |
$339.81 |
$339.81 |
$9,029.40
|
|
Benign lesion paring 2-4
|
$741.10 |
$741.10 |
$741.10 |
$263.20
|
|
Benign lesion paring 4+
|
$794.46 |
$794.46 |
$794.46 |
$296.40
|
|
Benztropine 1 mg/ml injection solution
|
$570.86 |
$570.86 |
$570.86 |
$106.46
|
|
Beta 2 glycoprotein 1 antibody iga
|
$319.28 |
$319.28 |
$319.28 |
$82.20
|
|
Beta-2 microglobulin
|
$202.73 |
$202.73 |
$202.73 |
$84.75
|
|
Beta-amyloid 1-40
|
$2,051.08 |
$2,051.08 |
$2,051.08 |
$312.00
|
|
Beta-amyloid 1-42
|
$2,051.08 |
$2,051.08 |
$2,051.08 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$359.15 |
$359.15 |
$359.15 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$822.30 |
$822.30 |
$822.30 |
$5,767.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$684.96 |
$684.96 |
$684.96 |
$3,790.55
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$476.51 |
$476.51 |
$476.51 |
$2,674.22
|
|
B-hexosaminidase ea assay
|
$206.25 |
$206.25 |
$206.25 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$2,850.77 |
$2,850.77 |
$2,850.77 |
$808.17
|
|
Biliary endoscopy thru skin
|
$6,459.77 |
$6,459.77 |
$6,459.77 |
$3,120.25
|
|
Biliary endoscopy thru skin
|
$23,203.85 |
$23,203.85 |
$23,203.85 |
$5,463.60
|
|
Bilicheck
|
$62.89 |
$62.89 |
$62.89 |
$27.00
|
|
Bilirubin direct
|
$61.73 |
$61.73 |
$61.73 |
$50.40
|
|
Bilirubin total
|
$104.93 |
$104.93 |
$104.93 |
$53.84
|
|
Binder abdominal lg 12 x 62-74
|
$337.64 |
$337.64 |
$337.64 |
$50.14
|
|
Biofeedback, pt
|
$133.38 |
$133.38 |
$133.38 |
$127.05
|
|
Biopsy abdominal mass
|
$6,058.70 |
$6,058.70 |
$6,058.70 |
$1,716.00
|
|
Biopsy of heart lining
|
$11,007.22 |
$11,007.22 |
$11,007.22 |
$3,640.00
|
|
Biospy of bladder
|
$32,512.26 |
$32,512.26 |
$32,512.26 |
$835.00
|
|
Biotinidase - quest
|
$83.86 |
$83.86 |
$83.86 |
$64.35
|
|
Bis xtracell fluid analysis
|
$617.99 |
$617.99 |
$617.99 |
$235.00
|
|
Bivalirudin
|
$9,178.14 |
$9,178.14 |
$9,178.14 |
$1,038.91
|
|
Bk waist belt webbing
|
$763.60 |
$763.60 |
$763.60 |
$134.18
|
|
Bladder calculi irrig sol
|
$368.49 |
$368.49 |
$368.49 |
$41.00
|
|
Bld exchange truj oth thn nb
|
$2,701.41 |
$2,701.41 |
$2,701.41 |
$862.75
|
|
Bld prd mix
|
$224.87 |
$224.87 |
$224.87 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$1,943.34 |
$1,943.34 |
$1,943.34 |
$225.00
|
|
Blink reflex test
|
$374.28 |
$374.28 |
$374.28 |
$190.00
|
|
Blm gene
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$41,348.25 |
$41,348.25 |
$41,348.25 |
$8,648.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$87,975.00 |
$87,975.00 |
$87,975.00 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$41,348.25 |
$41,348.25 |
$41,348.25 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$62,550.23 |
$62,550.23 |
$62,550.23 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$161,337.35 |
$161,337.35 |
$161,337.35 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$59.38 |
$59.38 |
$59.38 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$172.53 |
$172.53 |
$172.53 |
$73.80
|
|
Blood Count (CBC) Test
|
$13.38 |
$13.38 |
$13.38 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$78.11 |
$78.11 |
$78.11 |
$61.80
|
|
Blood Culture Test
|
$128.24 |
$128.24 |
$128.24 |
$145.60
|
|
Blood draw capillary 36416
|
$28.00 |
$28.00 |
$28.00 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$278.51 |
$278.51 |
$278.51 |
$226.20
|
|
Blood gases ph venous
|
$96.74 |
$96.74 |
$96.74 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$200.41 |
$200.41 |
$200.41 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.76 |
$40.76 |
$40.76 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$40.76 |
$40.76 |
$40.76 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$40.76 |
$40.76 |
$40.76 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$29.16 |
$29.16 |
$29.16 |
$38.35
|
|
Blood split unit
|
$595.04 |
$595.04 |
$595.04 |
$282.88
|
|
Blood typing abo
|
$88.55 |
$88.55 |
$88.55 |
$84.75
|
|
Blood typing ag donor ea ag
|
$355.46 |
$355.46 |
$355.46 |
$204.84
|
|
Blood typing patient serum
|
$45.44 |
$45.44 |
$45.44 |
$70.07
|
|
Blood typing rbc ag non abo/rh ea
|
$355.46 |
$355.46 |
$355.46 |
$206.33
|
|
Blood typing rh (d)
|
$309.34 |
$309.34 |
$309.34 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$153.79 |
$153.79 |
$153.79 |
$86.33
|
|
Blood volume
|
$1,969.23 |
$1,969.23 |
$1,969.23 |
$1,039.20
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$73,845.77 |
$73,845.77 |
$73,845.77 |
$12,639.00
|
|
Bone Density Scan (DEXA)
|
$525.00 |
$525.00 |
$525.00 |
$398.56
|
|
Bone filler cerament 10cc
|
$10,513.01 |
$10,513.01 |
$10,513.01 |
$14,950.38
|
|
Bone imaging multiple areas
|
$1,892.76 |
$1,892.76 |
$1,892.76 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$4,440.35 |
$4,440.35 |
$4,440.35 |
$1,035.16
|
|
Bone marrow;aspiration only 38220
|
$4,451.26 |
$4,451.26 |
$4,451.26 |
$1,587.30
|
|
Bone marrow biopsyneedle/trocar 38221
|
$11,368.97 |
$11,368.97 |
$11,368.97 |
$1,667.40
|
|
Bone marrow imaging mult
|
$1,457.13 |
$1,457.13 |
$1,457.13 |
$923.00
|
|
Bone survey-lead poisoning
|
$489.43 |
$489.43 |
$489.43 |
$371.40
|
|
Boot cast sandal rocker med
|
$52.70 |
$52.70 |
$52.70 |
$12.89
|
|
Boot j walker l
|
$1,222.54 |
$1,222.54 |
$1,222.54 |
$234.00
|
|
Boot mlti podous univ xlg
|
$1,835.56 |
$1,835.56 |
$1,835.56 |
$246.13
|
|
Boot softgait shrt m
|
$847.15 |
$847.15 |
$847.15 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$2,148.66 |
$2,148.66 |
$2,148.66 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$2,231.14 |
$2,231.14 |
$2,231.14 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$269.15 |
$269.15 |
$269.15 |
$91.20
|
|
Borrelia miyamotoi amp prb
|
$254.25 |
$254.25 |
$254.25 |
$81.20
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$17,470.89 |
$17,470.89 |
$17,470.89 |
$2,880.64
|
|
Bowel imaging
|
$3,986.88 |
$3,986.88 |
$3,986.88 |
$1,065.53
|
|
Brace afo lg left 6607
|
$1,484.51 |
$1,484.51 |
$1,484.51 |
$476.64
|
|
Brace ank aftr bioskn med lg
|
$220.94 |
$220.94 |
$220.94 |
$194.42
|
|
Brace ank air stirrup univ
|
$484.65 |
$484.65 |
$484.65 |
$108.67
|
|
Brace ankle stablizing lg
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
$125.76
|
|
Brace back epic lso 637
|
$13,185.84 |
$13,185.84 |
$13,185.84 |
$1,080.97
|
|
Brace back pinnacle lo 627 lumbar
|
$3,630.93 |
$3,630.93 |
$3,630.93 |
$867.82
|
|
Brace back pinnacle tlso 464
|
$11,788.31 |
$11,788.31 |
$11,788.31 |
$2,531.50
|
|
Brace back t-lso custom
|
$15,492.18 |
$15,492.18 |
$15,492.18 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$6,988.46 |
$6,988.46 |
$6,988.46 |
$1,579.91
|
|
Brace cust back lso
|
$4,812.05 |
$4,812.05 |
$4,812.05 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$643.28 |
$643.28 |
$643.28 |
$643.28
|
|
Brace knee extender plus 22-30in
|
$6,659.04 |
$6,659.04 |
$6,659.04 |
$767.20
|
|
Brace knee hing pat open med
|
$415.09 |
$415.09 |
$415.09 |
$231.92
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,054.43 |
$1,054.43 |
$1,054.43 |
$411.01
|
|
Brace knee support neoprene padded open patella med
|
$727.22 |
$727.22 |
$727.22 |
$215.70
|
|
Brace m arm board
|
$440.78 |
$440.78 |
$440.78 |
$162.50
|
|
Brace ortho exos 28-50in sm
|
$4,462.76 |
$4,462.76 |
$4,462.76 |
$1,332.80
|
