|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$620.40 |
$620.40 |
$620.40 |
$2,617.16
|
|
Biliary endoscopy thru skin
|
$0.60 |
$0.60 |
$0.60 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$0.60 |
$0.60 |
$0.60 |
$10,156.40
|
|
Biliary endoscopy thru skin
|
$0.60 |
$0.60 |
$0.60 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$0.60 |
$0.60 |
$0.60 |
$5,741.00
|
|
Bilirubin direct
|
$9.60 |
$9.60 |
$9.60 |
$51.35
|
|
Bilirubin total
|
$9.60 |
$9.60 |
$9.60 |
$54.60
|
|
Biopsy abdominal mass
|
$0.60 |
$0.60 |
$0.60 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$0.60 |
$0.60 |
$0.60 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$996.00 |
$996.00 |
$996.00 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$0.60 |
$0.60 |
$0.60 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$0.60 |
$0.60 |
$0.60 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$0.60 |
$0.60 |
$0.60 |
$1,890.72
|
|
Biopsy of heart lining
|
$0.60 |
$0.60 |
$0.60 |
$3,724.63
|
|
Biopsy of prostate
|
$0.60 |
$0.60 |
$0.60 |
$2,419.00
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$0.60 |
$0.60 |
$0.60 |
$2,115.00
|
|
Bivalirudin
|
$94.80 |
$94.80 |
$94.80 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$117.00 |
$117.00 |
$117.00 |
$232.30
|
|
Bleomycin 15 unit solution for injection
|
$48.00 |
$48.00 |
$48.00 |
$220.56
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,203.20 |
$2,203.20 |
$2,203.20 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$10,432.80 |
$10,432.80 |
$10,432.80 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$5,272.40
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$101.40 |
$101.40 |
$101.40 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$12.60 |
$12.60 |
$12.60 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$12.60 |
$12.60 |
$12.60 |
$74.00
|
|
Blood Count (CBC) Test
|
$16.20 |
$16.20 |
$16.20 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$12.60 |
$12.60 |
$12.60 |
$62.28
|
|
Blood Culture Test
|
$64.80 |
$64.80 |
$64.80 |
$146.16
|
|
Blood draw capillary 36416
|
$9.60 |
$9.60 |
$9.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$12.60 |
$12.60 |
$12.60 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$49.80 |
$49.80 |
$49.80 |
$226.50
|
|
Blood gases ph venous
|
$24.00 |
$24.00 |
$24.00 |
$64.60
|
|
Blood, l/r, irradiated
|
$438.60 |
$438.60 |
$438.60 |
$452.34
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$7.80 |
$7.80 |
$7.80 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$6.00 |
$6.00 |
$6.00 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$16.20 |
$16.20 |
$16.20 |
$38.35
|
|
Blood Transfusion
|
$1,347.60 |
$1,347.60 |
$1,347.60 |
$989.60
|
|
Blood typing abo
|
$6.00 |
$6.00 |
$6.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$24.00 |
$24.00 |
$24.00 |
$207.60
|
|
Blood typing patient serum
|
$19.20 |
$19.20 |
$19.20 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$24.00 |
$24.00 |
$24.00 |
$211.90
|
|
Blood typing rh (d)
|
$6.00 |
$6.00 |
$6.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$48.60 |
$48.60 |
$48.60 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$71.40 |
$71.40 |
$71.40 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$160.80 |
$160.80 |
$160.80 |
$407.94
|
|
Bone/joint imaging ltd area
|
$161.40 |
$161.40 |
$161.40 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$0.60 |
$0.60 |
$0.60 |
$1,728.00
|
|
Boot heel care softcare one sz
|
$100.20 |
$100.20 |
$100.20 |
$24.00
|
|
Boot walker genesis full shell 3-strap s
|
$103.20 |
$103.20 |
$103.20 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$40.20 |
$40.20 |
$40.20 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,923.60 |
$1,923.60 |
$1,923.60 |
$2,915.40
|
|
(both sides) smear without diff wbc count
|
$7.80 |
$7.80 |
$7.80 |
$30.68
|
|
Bowel imaging
|
$318.60 |
$318.60 |
$318.60 |
$1,074.00
|
|
Brace afo lg left 6607
|
$40.80 |
$40.80 |
$40.80 |
$461.76
|
|
Brace ankle stablizing lg
|
$60.60 |
$60.60 |
$60.60 |
$122.82
|
|
Brace back pinnacle lo 627 lumbar
|
$673.20 |
$673.20 |
$673.20 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$2,632.87
|
|
Brace knee extender plus 22-30in
|
$504.60 |
$504.60 |
$504.60 |
$767.20
|
|
Brace knee support neoprene padded open patella med
|
$243.60 |
$243.60 |
$243.60 |
$215.70
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$102.60 |
$102.60 |
$102.60 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$423.60 |
$423.60 |
$423.60 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$571.80 |
$571.80 |
$571.80 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$31.20 |
$31.20 |
$31.20 |
$257.45
|
|
Brace tlso flex cust
|
$289.20 |
$289.20 |
$289.20 |
$573.43
|
|
Brach/thor cath 1st
|
$0.60 |
$0.60 |
$0.60 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$0.60 |
$0.60 |
$0.60 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$0.60 |
$0.60 |
$0.60 |
$2,050.00
|
|
Brach/thor cath addl
|
$0.60 |
$0.60 |
$0.60 |
$868.00
|
|
Brachytx isodose complex
|
$337.20 |
$337.20 |
$337.20 |
$1,705.20
|
|
Brachytx isodose intermed
|
$247.20 |
$247.20 |
$247.20 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$192.60 |
$192.60 |
$192.60 |
$1,032.38
|
|
Braf gene
|
$194.40 |
$194.40 |
$194.40 |
$450.90
|
|
Brain flow imaging only
|
$172.20 |
$172.20 |
$172.20 |
$677.66
|
|
Brain image w/flow 4 + views
|
$318.60 |
$318.60 |
$318.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$843.00 |
$843.00 |
$843.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$547.80 |
$547.80 |
$547.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$436.20 |
$436.20 |
$436.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$382.80 |
$382.80 |
$382.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$259.20 |
$259.20 |
$259.20 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$357.60 |
$357.60 |
$357.60 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$89.40 |
$89.40 |
$89.40 |
$274.65
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$13,562.40 |
$13,562.40 |
$13,562.40 |
$22,383.57
|
|
Bronchial challenge
|
$276.00 |
$276.00 |
$276.00 |
$820.05
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$2.40 |
$2.40 |
$2.40 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$24.00 |
$24.00 |
$24.00 |
$159.00
|
|
Bundled special stain group 2
|
$16.20 |
$16.20 |
$16.20 |
$173.40
|
|
Bundle his recording
|
$0.60 |
$0.60 |
$0.60 |
$4,781.70
|
|
Buprenorphine and metabolite - sendout
|
$64.80 |
$64.80 |
$64.80 |
$80.64
|
|
Bur rotalink 2.15mm
|
$6,330.00 |
$6,330.00 |
$6,330.00 |
$7,887.38
|
|
Bx bone trocar/ndl deep
|
$0.60 |
$0.60 |
$0.60 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$754.20 |
$754.20 |
$754.20 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$607.80 |
$607.80 |
$607.80 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$76.20 |
$76.20 |
$76.20 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$303.60 |
$303.60 |
$303.60 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$214.20 |
$214.20 |
$214.20 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$178.80 |
$178.80 |
$178.80 |
$1,312.15
|
