|
Biopsy of prostate
|
$15,599.17 |
$15,599.17 |
$15,599.17 |
$2,419.00
|
|
Bladder Catheter Insertion (simple)
|
$312.00 |
$312.00 |
$312.00 |
$232.30
|
|
Bleomycin 15 unit solution for injection
|
$488.00 |
$488.00 |
$488.00 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$17,670.55 |
$17,670.55 |
$17,670.55 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$15,124.43 |
$15,124.43 |
$15,124.43 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$7,446.33 |
$7,446.33 |
$7,446.33 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$3,133.15 |
$3,133.15 |
$3,133.15 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$5,567.73 |
$5,567.73 |
$5,567.73 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$15,553.13 |
$15,553.13 |
$15,553.13 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$2,793.14 |
$2,793.14 |
$2,793.14 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$2.80 |
$2.80 |
$2.80 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$198.00 |
$198.00 |
$198.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$713.00 |
$713.00 |
$713.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$643.00 |
$643.00 |
$643.00 |
$62.28
|
|
Blood Culture Test
|
$183.00 |
$183.00 |
$183.00 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$55.00 |
$55.00 |
$55.00 |
$21.66
|
|
Blood gases ph venous
|
$142.00 |
$142.00 |
$142.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$66.00 |
$66.00 |
$66.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$36.00 |
$36.00 |
$36.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$50.00 |
$50.00 |
$50.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$87.00 |
$87.00 |
$87.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$59.00 |
$59.00 |
$59.00 |
$38.35
|
|
Blood Transfusion
|
$4,136.40 |
$4,136.40 |
$4,136.40 |
$989.60
|
|
Blood typing abo
|
$956.00 |
$956.00 |
$956.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$360.00 |
$360.00 |
$360.00 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$139.00 |
$139.00 |
$139.00 |
$211.90
|
|
Blood typing rh (d)
|
$956.00 |
$956.00 |
$956.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$228.00 |
$228.00 |
$228.00 |
$88.00
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$3,052.25 |
$3,052.25 |
$3,052.25 |
$11,579.00
|
|
Bone Age X-ray (hand and wrist)
|
$263.00 |
$263.00 |
$263.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$698.00 |
$698.00 |
$698.00 |
$407.94
|
|
Bone filler cerament 10cc
|
$15,654.99 |
$15,654.99 |
$15,654.99 |
$14,423.77
|
|
Bone marrow biopsyneedle/trocar 38221
|
$4,079.00 |
$4,079.00 |
$4,079.00 |
$1,728.00
|
|
Bone marrow interpretation
|
$274.00 |
$274.00 |
$274.00 |
$542.03
|
|
Bone tendon board add on
|
$7,462.23 |
$7,462.23 |
$7,462.23 |
$6,606.72
|
|
Bone void filler nanoss 10cc
|
$4,988.85 |
$4,988.85 |
$4,988.85 |
$3,816.00
|
|
Boot cast sandal rocker med
|
$3.37 |
$3.37 |
$3.37 |
$12.89
|
|
Boot heel care softcare one sz
|
$203.21 |
$203.21 |
$203.21 |
$24.00
|
|
Boot j walker l
|
$534.21 |
$534.21 |
$534.21 |
$234.00
|
|
Boot mlti podous univ xlg
|
$253.86 |
$253.86 |
$253.86 |
$253.86
|
|
Boot softgait shrt m
|
$63.83 |
$63.83 |
$63.83 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$126.11 |
$126.11 |
$126.11 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$124.66 |
$124.66 |
$124.66 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$773.00 |
$773.00 |
$773.00 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,915.40
|
|
Brace adj motion lerman type
|
$486.83 |
$486.83 |
$486.83 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,151.48 |
$1,151.48 |
$1,151.48 |
$841.97
|
|
Brace afo lg left 6607
|
$199.67 |
$199.67 |
$199.67 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,762.74 |
$1,762.74 |
$1,762.74 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,679.11 |
$2,679.11 |
$2,679.11 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$85.87 |
$85.87 |
$85.87 |
$194.42
|
|
Brace ank air stirrup univ
|
$73.80 |
$73.80 |
$73.80 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$252.21 |
$252.21 |
$252.21 |
$129.78
|
|
Brace ankle stablizing lg
|
$51.50 |
$51.50 |
$51.50 |
$122.82
|
|
Brace back epic lo 627
|
$215.85 |
$215.85 |
$215.85 |
$497.68
|
|
Brace back epic lso 637
|
$286.92 |
$286.92 |
$286.92 |
$1,611.50
|
|
Brace back epic tslo 456
|
$600.89 |
$600.89 |
$600.89 |
$1,582.56
|
|
Brace back pinnacle lo 627 lumbar
|
$1,337.90 |
$1,337.90 |
$1,337.90 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$623.93 |
$623.93 |
$623.93 |
$2,632.87
|
|
Brace back t-lso custom
|
$4,480.62 |
$4,480.62 |
$4,480.62 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$731.02 |
$731.02 |
$731.02 |
$1,579.91
|
|
Brace cust back lso
|
$2,802.16 |
$2,802.16 |
$2,802.16 |
$966.00
|
|
Brace fx hum ovr shldr lg
|
$159.40 |
$159.40 |
$159.40 |
$560.00
|
|
Brace fx hum ovr shldr sm
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$620.54
|
|
Brace halo bremer l2830
|
$300.91 |
$300.91 |
$300.91 |
$195.59
|
|
Brace kafo dbl upright cust
|
$3,720.57 |
$3,720.57 |
$3,720.57 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$419.39 |
$419.39 |
$419.39 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$2,312.35 |
$2,312.35 |
$2,312.35 |
$767.20
|
|
Brace knee hing pat open med
|
$73.15 |
$73.15 |
$73.15 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,387.44 |
$1,387.44 |
$1,387.44 |
$411.01
|
|
Brace knee postop tscope xl
|
$443.98 |
$443.98 |
$443.98 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$271.52 |
$271.52 |
$271.52 |
$215.70
|
|
Brace m arm board
|
$69.80 |
$69.80 |
$69.80 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$198.00 |
$198.00 |
$198.00 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$374.69 |
$374.69 |
$374.69 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$732.40 |
$732.40 |
$732.40 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$665.91 |
$665.91 |
$665.91 |
$257.45
|
|
Brace tlso flex cust
|
$3,050.10 |
$3,050.10 |
$3,050.10 |
$573.43
|
|
Brace wrist classic lft sm
|
$121.32 |
$121.32 |
$121.32 |
$89.04
|
|
Brachy source i-125 injection
|
$182.00 |
$182.00 |
$182.00 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$115.00 |
$115.00 |
$115.00 |
$70.85
|
|
Brachy source palladium
|
$288.70 |
$288.70 |
$288.70 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$275.00 |
$275.00 |
$275.00 |
$126.83
|
|
Brachy source yttrium-90
|
$60,990.00 |
$60,990.00 |
$60,990.00 |
$30,879.20
|
|
Braf gene
|
$526.00 |
$526.00 |
$526.00 |
$450.90
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,458.00 |
$5,458.00 |
$5,458.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,847.00 |
$3,847.00 |
$3,847.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$5,549.00 |
$5,549.00 |
$5,549.00 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$248.13 |
$248.13 |
$248.13 |
$127.73
|
|
Breastbone (Sternum) X-ray
|
$294.00 |
$294.00 |
$294.00 |
$274.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$39,510.50 |
$39,510.50 |
$39,510.50 |
$22,383.57
|
|
Brush provox 4-10mm
|
$41.90 |
$41.90 |
$41.90 |
$170.91
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$15.15 |
$15.15 |
$15.15 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$342.00 |
$342.00 |
$342.00 |
$159.00
|
|
Bundled special stain group 2
|
$270.00 |
$270.00 |
$270.00 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$741.00 |
$741.00 |
$741.00 |
$32.47
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$1.50 |
$1.50 |
$1.50 |
$11.72
|
|
Bur rotalink 2.15mm
|
$7,460.65 |
$7,460.65 |
$7,460.65 |
$7,887.38
|
