|
Application multi layer compression below knee (both sides)
|
$612.30 |
$612.30 |
$612.30 |
$375.06
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,783.02 |
$2,783.02 |
$2,783.02 |
$981.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,185.25 |
$1,185.25 |
$1,185.25 |
$955.43
|
|
Arm CT Scan (without contrast, both arms)
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$514.15 |
$514.15 |
$514.15 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,478.30 |
$2,478.30 |
$2,478.30 |
$1,303.25
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$268.15 |
$268.15 |
$268.15 |
$609.00
|
|
Ascenda two piece catheter
|
$15,324.40 |
$15,324.40 |
$15,324.40 |
$22,792.00
|
|
Assay of breath ethanol
|
$33.80 |
$33.80 |
$33.80 |
$52.62
|
|
Assay of salicylate
|
$36.40 |
$36.40 |
$36.40 |
$96.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$43.55 |
$43.55 |
$43.55 |
$46.80
|
|
Ast/sgot
|
$59.15 |
$59.15 |
$59.15 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$35,811.20 |
$35,811.20 |
$35,811.20 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$52.65 |
$52.65 |
$52.65 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$4,652.05 |
$4,652.05 |
$4,652.05 |
$6,963.84
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,470.55 |
$6,470.55 |
$6,470.55 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$480.00 |
$480.00 |
$480.00 |
$326.27
|
|
Azithromycin 500 mg intravenous solution
|
$9.20 |
$9.20 |
$9.20 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$110.40 |
$110.40 |
$110.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,156.90 |
$3,156.90 |
$3,156.90 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$164.85 |
$164.85 |
$164.85 |
$158.07
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$63.46 |
$63.46 |
$63.46 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$129.35 |
$129.35 |
$129.35 |
$102.20
|
|
Barrier film 1.0ml wipe
|
$0.23 |
$0.23 |
$0.23 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$19.11 |
$19.11 |
$19.11 |
$19.50
|
|
Barrier skin flat ctf 2.75in
|
$0.44 |
$0.44 |
$0.44 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.26 |
$0.26 |
$0.26 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$1.10 |
$1.10 |
$1.10 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$47.64 |
$47.64 |
$47.64 |
$8.45
|
|
Bausch health Ultrasound surg
|
$744.25 |
$744.25 |
$744.25 |
$768.50
|
|
B cells total count
|
$131.30 |
$131.30 |
$131.30 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$864.15 |
$864.15 |
$864.15 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$4,849.40 |
$4,849.40 |
$4,849.40 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$11,005.85 |
$11,005.85 |
$11,005.85 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$0.49 |
$0.49 |
$0.49 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$14,338.95 |
$14,338.95 |
$14,338.95 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$11,945.90 |
$11,945.90 |
$11,945.90 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$8,355.30 |
$8,355.30 |
$8,355.30 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$19,642.40 |
$19,642.40 |
$19,642.40 |
$9,029.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$108.55 |
$108.55 |
$108.55 |
$82.55
|
|
Beta-2 microglobulin
|
$96.20 |
$96.20 |
$96.20 |
$85.20
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$2,390.85 |
$2,390.85 |
$2,390.85 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,925.35 |
$1,925.35 |
$1,925.35 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$6,770.50 |
$6,770.50 |
$6,770.50 |
$2,617.16
|
|
Bilirubin direct
|
$42.90 |
$42.90 |
$42.90 |
$51.35
|
|
Bilirubin total
|
$507.00 |
$507.00 |
$507.00 |
$54.60
|
|
Biopsy skin incisional single lesion
|
$516.00 |
$516.00 |
$516.00 |
$661.80
|
|
Bladder Catheter Insertion (simple)
|
$202.80 |
$202.80 |
$202.80 |
$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
|
$9,830.88 |
$9,830.88 |
$9,830.88 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,840.11 |
$4,840.11 |
$4,840.11 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,036.55 |
$2,036.55 |
$2,036.55 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$3,619.02 |
$3,619.02 |
$3,619.02 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$10,109.53 |
$10,109.53 |
$10,109.53 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,815.54 |
$1,815.54 |
$1,815.54 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$1.82 |
$1.82 |
$1.82 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$291.00 |
$291.00 |
$291.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$1,418.00 |
$1,418.00 |
$1,418.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$804.00 |
$804.00 |
$804.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$618.00 |
$618.00 |
$618.00 |
$62.28
|
|
Blood Culture Test
|
$118.95 |
$118.95 |
$118.95 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$55.00 |
$55.00 |
$55.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$220.35 |
$220.35 |
$220.35 |
$226.50
|
|
Blood gases ph venous
|
$68.25 |
$68.25 |
$68.25 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$42.90 |
$42.90 |
$42.90 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$56.55 |
$56.55 |
$56.55 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$38.35 |
$38.35 |
$38.35 |
$38.35
|
|
Blood Transfusion
|
$778.05 |
$778.05 |
$778.05 |
$989.60
|
|
Blood typing abo
|
$83.85 |
$83.85 |
$83.85 |
$86.45
|
|
Blood typing ag donor ea ag
|
$234.00 |
$234.00 |
$234.00 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$90.35 |
$90.35 |
$90.35 |
$211.90
|
|
Blood typing rh (d)
|
$44.85 |
$44.85 |
$44.85 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$148.20 |
$148.20 |
$148.20 |
$88.00
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$1,983.96 |
$1,983.96 |
$1,983.96 |
$11,579.00
|
|
Bone Density Scan (DEXA)
|
$453.70 |
$453.70 |
$453.70 |
$407.94
|
|
Bone filler cerament 10cc
|
$10,175.74 |
$10,175.74 |
$10,175.74 |
$14,423.77
|
|
Bone tendon board add on
|
$4,850.45 |
$4,850.45 |
$4,850.45 |
$6,606.72
|
|
Bone void filler nanoss 10cc
|
$3,242.75 |
$3,242.75 |
$3,242.75 |
$3,816.00
|
|
Boot cast sandal rocker med
|
$2.19 |
$2.19 |
$2.19 |
$12.89
|
|
Boot heel care softcare one sz
|
$132.09 |
$132.09 |
$132.09 |
$24.00
|
|
Boot j walker l
|
$347.24 |
$347.24 |
$347.24 |
$234.00
|
|
Boot mlti podous univ xlg
|
$165.01 |
$165.01 |
$165.01 |
$253.86
|
|
Boot softgait shrt m
|
$41.49 |
$41.49 |
$41.49 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$81.97 |
$81.97 |
$81.97 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$81.03 |
$81.03 |
$81.03 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$136.50 |
$136.50 |
$136.50 |
$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
|
$316.44 |
$316.44 |
$316.44 |
$281.75
|
|
Brace afo dbl upright cust
|
$748.46 |
$748.46 |
$748.46 |
$841.97
|
|
Brace afo lg left 6607
|
$129.79 |
$129.79 |
$129.79 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,145.78 |
$1,145.78 |
$1,145.78 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,741.42 |
$1,741.42 |
$1,741.42 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$55.82 |
$55.82 |
$55.82 |
$194.42
|
|
Brace ank air stirrup univ
|
$47.97 |
$47.97 |
$47.97 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$163.94 |
$163.94 |
$163.94 |
$129.78
|
|
Brace ankle stablizing lg
|
$33.47 |
$33.47 |
$33.47 |
$122.82
|
|
Brace back epic lo 627
|
$140.30 |
$140.30 |
$140.30 |
$497.68
|
|
Brace back epic lso 637
|
$186.50 |
$186.50 |
$186.50 |
$1,611.50
|
|
Brace back epic tslo 456
|
$390.58 |
$390.58 |
$390.58 |
$1,582.56
|