|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$76.80 |
$76.80 |
$76.80 |
|
|
Axicabtagene ciloleucel car+
|
$734,425.29 |
$734,425.29 |
$734,425.29 |
|
|
Axillary crutch extension
|
$319.13 |
$319.13 |
$319.13 |
|
|
Axillary lymphadenect/superficial 38740
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Azacitidine injection
|
$0.64 |
$0.64 |
$2.98 |
|
|
Azathioprine 50 mg tablet
|
$0.08 |
$1.10 |
$3.89 |
|
|
Azathioprine parenteral
|
$178.64 |
$349.87 |
$349.87 |
|
|
Azithromycin 500 mg intravenous solution
|
$2.82 |
$2.82 |
$21.56 |
|
|
Aztreonam 1 gram solution for injection
|
$3.08 |
$3.08 |
$3.08 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$110.78 |
$250.42 |
$250.42 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$82.13 |
$82.13 |
$82.13 |
|
|
Baclofen eval charges
|
$41.44 |
$83.00 |
$141.60 |
|
|
Bacterial meningitis antigen
|
$10.81 |
$15.93 |
$138.40 |
|
|
Bacterial vaginosis pcr
|
$96.88 |
$176.00 |
$1,297.00 |
|
|
Bactericidal level serum
|
$20.73 |
$22.56 |
$128.24 |
|
|
#bac vag cand-c. albicans naa
|
$16.17 |
$48.42 |
$172.00 |
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$11.52 |
$11.52 |
$11.52 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$41.44 |
$97.60 |
$164.00 |
|
|
Balloon dilate urtrl strix
|
$226.44 |
$1,460.00 |
$8,306.00 |
|
|
Banding pulmonary artery
|
$1,736.87 |
$1,736.87 |
$1,736.87 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$199.36 |
$658.00 |
$1,996.80 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$157.36 |
$514.00 |
$1,316.00 |
|
|
Barium Swallow (Esophagus X-ray)
|
$90.16 |
$320.00 |
$994.40 |
|
|
Barrier film 28ml spray no stng cavilon
|
$4.77 |
$4.77 |
$4.77 |
|
|
Barrier skin flat ctf 2.75in
|
$19.42 |
$19.42 |
$19.42 |
|
|
Barrier skin flextend 2.25in floating flang new image
|
$12.20 |
$12.20 |
$12.20 |
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$9.67 |
$9.67 |
$9.67 |
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$17.22 |
$17.22 |
$17.22 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Bartonella dna pcr-sendout
|
$41.44 |
$48.42 |
$86.14 |
|
|
Bartonella dna quant
|
$59.12 |
$59.12 |
$59.12 |
|
|
Basic vestibular evaluation
|
$177.52 |
$597.00 |
$815.00 |
|
|
Basiliximab
|
$2,173.85 |
$6,597.88 |
$6,597.88 |
|
|
Battery chrgr 12 volt utah/e
|
$1,195.05 |
$1,195.05 |
$1,195.05 |
|
|
Battery chrgr six volt otto
|
$491.10 |
$491.10 |
$491.10 |
|
|
Battery elec/combo vad, rep
|
$2,547.60 |
$2,547.60 |
$2,547.60 |
|
|
Battery pneum vad replacemnt
|
$2,209.66 |
$2,209.66 |
$2,209.66 |
|
|
Bausch health Ultrasound surg
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
|
|
B cells total count
|
$31.02 |
$238.00 |
$757.60 |
|
|
Bcg live 50 mg intravesical suspension
|
$4.53 |
$4.53 |
$4.53 |
|
|
Bcg vaccine intravesical
|
$226.28 |
$226.28 |
$226.28 |
|
|
Bckdhb gene
|
$44.65 |
$131.09 |
$131.09 |
|
|
Bedside drainage bag
|
$19.10 |
$19.10 |
$19.10 |
|
|
Behavior counsel obesity 15min medicare g0447
|
$139.68 |
$279.00 |
$279.00 |
|
|
Belatacept 250 mg intravenous solution
|
$4.95 |
$5.37 |
$5.37 |
|
|
Belimumab 120 mg intravenous solution
|
$78.88 |
$78.88 |
$78.88 |
|
|
Below elbow myoelectronic CT
|
$15,135.95 |
$15,135.95 |
$15,135.95 |
|
|
Below elbow prosth tiss shap
|
$4,623.92 |
$4,623.92 |
$4,623.92 |
|
|
Below knee acrylic socket
|
$536.90 |
$536.90 |
$536.90 |
|
|
Below knee cuff suspension
|
$130.27 |
$130.27 |
$130.27 |
|
|
Below knee cushion socket
|
$1,049.08 |
$1,049.08 |
$1,049.08 |
|
|
Below knee flex cover system
|
$993.05 |
$993.05 |
$993.05 |
|
|
Below knee leather socket
|
$1,096.26 |
$1,096.26 |
$1,096.26 |
|
|
Below knee suction socket
|
$1,343.90 |
$1,343.90 |
$1,343.90 |
|
|
Below knee sus/seal sleeve
|
$217.68 |
$217.68 |
$217.68 |
|
|
Below knee total contact
|
$650.75 |
$650.75 |
$650.75 |
|
|
Below knee wood socket
|
$1,894.19 |
$1,894.19 |
$1,894.19 |
|
|
Belt ostomy lg 34-65in
|
$12.31 |
$12.31 |
$12.31 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2.82 |
$2.82 |
$21.81 |
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$18.84 |
$18.84 |
$18.84 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$16.45 |
$17.71 |
$17.71 |
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$44.15 |
$44.15 |
$44.15 |
|
|
Benign lesion paring 2-4
|
$197.82 |
$275.88 |
$724.00 |
|
|
Benign lesion paring 4+
|
$275.88 |
$374.40 |
$724.00 |
|
|
#_benzodiazconfur
|
$5.60 |
$134.00 |
$296.00 |
|
|
Benztropine 1 mg/ml injection solution
|
$19.06 |
$19.06 |
$51.46 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$7.56 |
$138.00 |
$631.20 |
|
|
Beta-2 microglobulin
|
$5.21 |
$34.00 |
$584.00 |
|
|
Beta-amyloid 1-40
|
$177.91 |
$177.91 |
$177.91 |
|
|
Beta-amyloid 1-42
|
$177.91 |
$177.91 |
$448.00 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$9.53 |
$9.53 |
$50.56 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$50.30 |
$101.61 |
$781.24 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$32.90 |
$32.90 |
$32.90 |
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$35.60 |
$35.60 |
$35.60 |
|
|
Bevacizumab injection
|
$2.54 |
$2.54 |
$2.54 |
|
|
Bfb train 1st 15min cntct 90912
|
$52.94 |
$52.94 |
$284.00 |
|
|
Bfb train ea addl 15 min 90913
|
$29.82 |
$132.00 |
$178.00 |
|
|
B-hexosaminidase ea assay
|
$8.93 |
$23.28 |
$92.96 |
|
|
Bhv id assmt by phys/qhp
|
$139.68 |
$139.68 |
$139.68 |
|
|
Bhv id suprt assmt by 1 tech
|
$139.68 |
$139.68 |
$139.68 |
|
|
Bilateral n blobk inj pudendal 64430
|
$1,216.18 |
$1,294.29 |
$2,113.19 |
|
|
Bilateral n block inj occipital 64405
|
$422.07 |
$1,084.00 |
$1,302.00 |
|
|
Bilateral n block inj trigeminal 64400
|
$361.00 |
$422.07 |
$1,280.00 |
|
|
Bile acids cholylglycine
|
$36.68 |
$36.68 |
$36.68 |
|
|
Bile duct endoscopy add-on 47550
|
$221.38 |
$4,413.00 |
$5,028.00 |
|
|
Bile duct revision
|
$2,451.50 |
$2,451.50 |
$2,451.50 |
|
|
Biliary endo perq dx w/speci
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Biliary endoscopy thru skin
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Biliary endoscopy thru skin
|
$14,616.42 |
$17,118.00 |
$19,506.00 |
|
|
Biliary endoscopy thru skin
|
$2,979.20 |
$8,901.75 |
$8,901.75 |
|
|
Biliary endoscopy thru skin
|
$3,269.60 |
$14,616.42 |
$14,616.42 |
|
|
Bilicheck
|
$5.64 |
$19.00 |
$119.00 |
|
|
Bilirubin direct
|
$6.93 |
$22.00 |
$84.00 |
|
|
Bilirubin total
|
$6.93 |
$22.00 |
$158.40 |
|
|
Bilobectomy 32482
|
$2,268.75 |
$2,268.75 |
$2,268.75 |
|
|
Binder abdominal lg 12 x 62-74
|
$18.48 |
$50.14 |
$50.14 |
|
|
Bio-connekt per square cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Biodfence dryflex, 1cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Biofeedback, pt
|
$22.78 |
$22.78 |
$22.78 |
|
|
Biopsy abdominal mass
|
$1,138.48 |
$1,630.00 |
$2,331.00 |
|
