|
Boot j walker l
|
$432.50 |
$432.50 |
$432.50 |
$234.00
|
|
Boot mlti podous univ xlg
|
$171.38 |
$171.38 |
$171.38 |
$253.86
|
|
Boot softgait shrt m
|
$49.24 |
$49.24 |
$49.24 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$97.29 |
$97.29 |
$97.29 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$96.17 |
$96.17 |
$96.17 |
$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
|
$394.15 |
$394.15 |
$394.15 |
$281.75
|
|
Brace afo dbl upright cust
|
$932.25 |
$932.25 |
$932.25 |
$841.97
|
|
Brace afo lg left 6607
|
$134.80 |
$134.80 |
$134.80 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,019.38 |
$1,019.38 |
$1,019.38 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,549.31 |
$1,549.31 |
$1,549.31 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$66.25 |
$66.25 |
$66.25 |
$194.42
|
|
Brace ank air stirrup univ
|
$38.38 |
$38.38 |
$38.38 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$170.26 |
$170.26 |
$170.26 |
$129.78
|
|
Brace ankle stablizing lg
|
$26.78 |
$26.78 |
$26.78 |
$122.82
|
|
Brace back epic lo 627
|
$145.72 |
$145.72 |
$145.72 |
$497.68
|
|
Brace back epic lso 637
|
$193.69 |
$193.69 |
$193.69 |
$1,611.50
|
|
Brace back epic tslo 456
|
$486.49 |
$486.49 |
$486.49 |
$1,582.56
|
|
Brace back pinnacle lo 627 lumbar
|
$1,083.17 |
$1,083.17 |
$1,083.17 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$505.14 |
$505.14 |
$505.14 |
$2,632.87
|
|
Brace back t-lso custom
|
$2,767.13 |
$2,767.13 |
$2,767.13 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$591.84 |
$591.84 |
$591.84 |
$1,579.91
|
|
Brace cust back lso
|
$1,620.47 |
$1,620.47 |
$1,620.47 |
$966.00
|
|
Brace fx hum ovr shldr lg
|
$122.98 |
$122.98 |
$122.98 |
$560.00
|
|
Brace fx hum ovr shldr sm
|
$850.10 |
$850.10 |
$850.10 |
$620.54
|
|
Brace halo bremer l2830
|
$203.14 |
$203.14 |
$203.14 |
$195.59
|
|
Brace kafo dbl upright cust
|
$2,297.74 |
$2,297.74 |
$2,297.74 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$339.55 |
$339.55 |
$339.55 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$1,337.21 |
$1,337.21 |
$1,337.21 |
$767.20
|
|
Brace knee hing pat open med
|
$38.04 |
$38.04 |
$38.04 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,123.28 |
$1,123.28 |
$1,123.28 |
$411.01
|
|
Brace knee postop tscope xl
|
$359.45 |
$359.45 |
$359.45 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$183.30 |
$183.30 |
$183.30 |
$215.70
|
|
Brace m arm board
|
$36.30 |
$36.30 |
$36.30 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$128.70 |
$128.70 |
$128.70 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$303.35 |
$303.35 |
$303.35 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$592.96 |
$592.96 |
$592.96 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$539.13 |
$539.13 |
$539.13 |
$257.45
|
|
Brace tlso flex cust
|
$1,883.67 |
$1,883.67 |
$1,883.67 |
$573.43
|
|
Brace wrist classic lft sm
|
$180.00 |
$180.00 |
$180.00 |
$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
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,500.55 |
$2,500.55 |
$2,500.55 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,606.85 |
$3,606.85 |
$3,606.85 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$2,297.10 |
$2,297.10 |
$2,297.10 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$167.51 |
$167.51 |
$167.51 |
$127.73
|
|
Brcassure comprehensive panel-sendout
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$2,409.00
|
|
Breastbone (Sternum) X-ray
|
$191.10 |
$191.10 |
$191.10 |
$274.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$39,510.50 |
$39,510.50 |
$39,510.50 |
$22,383.57
|
|
Brush provox 4-10mm
|
$21.79 |
$21.79 |
$21.79 |
$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
|
$222.30 |
$222.30 |
$222.30 |
$159.00
|
|
Bundled special stain group 2
|
$175.50 |
$175.50 |
$175.50 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$741.00 |
$741.00 |
$741.00 |
$32.47
|
|
Bur rotalink 2.15mm
|
$4,607.52 |
$4,607.52 |
$4,607.52 |
$7,887.38
|
|
Bx skin incisnl ea sep/add l les
|
$200.85 |
$200.85 |
$200.85 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$159.00 |
$159.00 |
$159.00 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$139.00 |
$139.00 |
$139.00 |
$206.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$44,159.55 |
$44,159.55 |
$44,159.55 |
$27,013.07
|
|
Cable cath 22-pin diag
|
$7,735.00 |
$7,735.00 |
$7,735.00 |
$4,946.50
|
|
Cable centrimag pressure
|
$143,520.00 |
$143,520.00 |
$143,520.00 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$21,398.90 |
$21,398.90 |
$21,398.90 |
$13,247.32
|
|
Caffeine citrate 20 mg/ml inj for po
|
$46.00 |
$46.00 |
$46.00 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$77,352.35 |
$77,352.35 |
$77,352.35 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,177.05 |
$2,177.05 |
$2,177.05 |
$2,210.98
|
|
Calcium 24 hour urine
|
$69.55 |
$69.55 |
$69.55 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$44.05 |
$44.05 |
$44.05 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$52.50 |
$52.50 |
$52.50 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$83.00 |
$83.00 |
$83.00 |
$91.60
|
|
Calcium ionized
|
$105.30 |
$105.30 |
$105.30 |
$90.00
|
|
Calcium total
|
$752.70 |
$752.70 |
$752.70 |
$50.00
|
|
Calprotectin fecal
|
$160.55 |
$160.55 |
$160.55 |
$170.00
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$93.70 |
$93.70 |
$93.70 |
$78.94
|
|
Cannula ercp contour 5-4-3 tip
|
$42,250.00 |
$42,250.00 |
$42,250.00 |
$44,000.00
|
|
Cap nerve 2x15mm
|
$28,107.49 |
$28,107.49 |
$28,107.49 |
$18,466.88
|
|
Cap trach decann 15mm
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$3,238.70
|
|
Carbamazepine total therapeutic drug level
|
$124.15 |
$124.15 |
$124.15 |
$122.85
|
|
Carbon dioxide
|
$35.75 |
$35.75 |
$35.75 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$459.90 |
$459.90 |
$459.90 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$118.30 |
$118.30 |
$118.30 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$165.75 |
$165.75 |
$165.75 |
$145.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$260.65 |
$260.65 |
$260.65 |
$249.60
|
|
Cardiolipin antibody iga
|
$151.45 |
$151.45 |
$151.45 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,225.90 |
$1,225.90 |
$1,225.90 |
$1,431.36
|
|
Carfilzomib 10 mg intravenous solution
|
$11,354.40 |
$11,354.40 |
$11,354.40 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,449.25 |
$3,449.25 |
$3,449.25 |
$1,854.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$719.55 |
$719.55 |
$719.55 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$4,849.78 |
$4,849.78 |
$4,849.78 |
$3,867.50
|
|
Cassette provox xtraflow hme
|
$10.69 |
$10.69 |
$10.69 |
$2.67
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,384.10 |
$1,384.10 |
$1,384.10 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$1,543.35 |
$1,543.35 |
$1,543.35 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,445.69 |
$4,445.69 |
$4,445.69 |
$6,540.75
|
|
Cath access del ds spyscop 2.0
|
$3,809.00 |
$3,809.00 |
$3,809.00 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$48,750.00 |
$48,750.00 |
$48,750.00 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$4,764.34 |
$4,764.34 |
$4,764.34 |
$6,475.07
|
