|
Below knee cuff suspension
|
$166.10 |
$166.10 |
$166.10 |
$111.56
|
|
Below knee cushion socket
|
$1,300.21 |
$1,300.21 |
$1,300.21 |
$616.00
|
|
Below knee flex cover system
|
$1,230.77 |
$1,230.77 |
$1,230.77 |
$882.00
|
|
Below knee leather socket
|
$1,358.67 |
$1,358.67 |
$1,358.67 |
$730.80
|
|
Below knee suction socket
|
$1,665.61 |
$1,665.61 |
$1,665.61 |
$1,192.80
|
|
Below knee sus/seal sleeve
|
$277.48 |
$277.48 |
$277.48 |
$224.83
|
|
Below knee total contact
|
$806.51 |
$806.51 |
$806.51 |
$676.34
|
|
Below knee wood socket
|
$2,347.63 |
$2,347.63 |
$2,347.63 |
$1,682.80
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,668.57 |
$3,668.57 |
$3,668.57 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$3,991.39 |
$3,991.39 |
$3,991.39 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,634.50 |
$2,634.50 |
$2,634.50 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$5,858.09 |
$5,858.09 |
$5,858.09 |
$9,029.40
|
|
Benign lesion paring 2-4
|
$112.84 |
$112.84 |
$112.84 |
$264.60
|
|
Benign lesion paring 4+
|
$205.86 |
$205.86 |
$205.86 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$137.49 |
$137.49 |
$137.49 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$43.40 |
$43.40 |
$43.40 |
$82.55
|
|
Beta-2 microglobulin
|
$40.99 |
$40.99 |
$40.99 |
$85.20
|
|
Beta-amyloid 1-40
|
$595.06 |
$595.06 |
$595.06 |
$312.00
|
|
Beta-amyloid 1-42
|
$595.06 |
$595.06 |
$595.06 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$41.84 |
$41.84 |
$41.84 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$6,188.77 |
$6,188.77 |
$6,188.77 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,157.60 |
$5,157.60 |
$5,157.60 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$3,373.57 |
$3,373.57 |
$3,373.57 |
$2,617.16
|
|
Bfb train 1st 15min cntct 90912
|
$130.14 |
$130.14 |
$130.14 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$130.14 |
$130.14 |
$130.14 |
$101.00
|
|
B-hexosaminidase ea assay
|
$260.12 |
$260.12 |
$260.12 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$587.60
|
|
Biliary endoscopy thru skin
|
$669.87 |
$669.87 |
$669.87 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$1,299.70 |
$1,299.70 |
$1,299.70 |
$5,741.00
|
|
Bilicheck
|
$77.06 |
$77.06 |
$77.06 |
$27.60
|
|
Bilirubin direct
|
$23.52 |
$23.52 |
$23.52 |
$51.35
|
|
Bilirubin total
|
$60.37 |
$60.37 |
$60.37 |
$54.60
|
|
Binder abdominal lg 12 x 62-74
|
$228.14 |
$228.14 |
$228.14 |
$50.14
|
|
Biofeedback, pt
|
$146.61 |
$146.61 |
$146.61 |
$127.05
|
|
Biopsy abdominal mass
|
$1,149.23 |
$1,149.23 |
$1,149.23 |
$1,722.60
|
|
Biopsy arm/elbow soft tissue
|
$439.26 |
$439.26 |
$439.26 |
$3,495.54
|
|
Biopsy bone trocar/needle superficial
|
$1,208.37 |
$1,208.37 |
$1,208.37 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$745.70 |
$745.70 |
$745.70 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,194.76 |
$1,194.76 |
$1,194.76 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$917.17 |
$917.17 |
$917.17 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$605.42 |
$605.42 |
$605.42 |
$1,890.72
|
|
Biopsy of salivary gland 42400
|
$274.06 |
$274.06 |
$274.06 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$847.56 |
$847.56 |
$847.56 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$224.78 |
$224.78 |
$224.78 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$526.68 |
$526.68 |
$526.68 |
$2,462.35
|
|
Biospy of bladder
|
$977.14 |
$977.14 |
$977.14 |
$945.00
|
|
Biotinidase - quest
|
$28.90 |
$28.90 |
$28.90 |
$64.40
|
|
Bk/ak locking mechanism
|
$1,041.54 |
$1,041.54 |
$1,041.54 |
$784.11
|
|
Bk back check
|
$124.71 |
$124.71 |
$124.71 |
$70.00
|
|
Bk flex inner socket ext fra
|
$2,051.73 |
$2,051.73 |
$2,051.73 |
$1,752.74
|
|
Bk fork strap
|
$103.66 |
$103.66 |
$103.66 |
$105.70
|
|
Bk joint covers pair
|
$85.51 |
$85.51 |
$85.51 |
$61.60
|
|
Bk knee joints polycentric p
|
$1,162.11 |
$1,162.11 |
$1,162.11 |
$739.20
|
|
Bk knee joints single axis p
|
$758.74 |
$758.74 |
$758.74 |
$543.20
|
|
Bk molded distal cushion
|
$247.41 |
$247.41 |
$247.41 |
$194.06
|
|
Bk molded supracondylar susp
|
$568.18 |
$568.18 |
$568.18 |
$408.80
|
|
Bk mold socket sach ft endo
|
$5,320.06 |
$5,320.06 |
$5,320.06 |
$3,427.20
|
|
Bk removable medial brim sus
|
$751.86 |
$751.86 |
$751.86 |
$355.60
|
|
Bk thigh lacer glut/ischia m
|
$1,309.50 |
$1,309.50 |
$1,309.50 |
$938.00
|
|
Bk thigh lacer non-molded
|
$637.34 |
$637.34 |
$637.34 |
$361.20
|
|
Bk waist belt padded and lin
|
$270.31 |
$270.31 |
$270.31 |
$172.32
|
|
Bk waist belt webbing
|
$132.44 |
$132.44 |
$132.44 |
$134.18
|
|
Bld prd mix
|
$69.89 |
$69.89 |
$69.89 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$297.79 |
$297.79 |
$297.79 |
$220.56
|
|
Blink reflex test
|
$31.70 |
$31.70 |
$31.70 |
$186.21
|
|
Blm gene
|
$173.49 |
$173.49 |
$173.49 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$11,124.96 |
$11,124.96 |
$11,124.96 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$7,000.78 |
$7,000.78 |
$7,000.78 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$869.51 |
$869.51 |
$869.51 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$10,293.36 |
$10,293.36 |
$10,293.36 |
$4,951.39
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$33,546.24 |
$33,546.24 |
$33,546.24 |
$5,272.40
|
|
Block brachial plexus w/cath plmt w/img
|
$371.62 |
$371.62 |
$371.62 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$393.51 |
$393.51 |
$393.51 |
$1,661.40
|
|
Block tap inj(s) w/wo img bi
|
$1,340.53 |
$1,340.53 |
$1,340.53 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$1,589.11 |
$1,589.11 |
$1,589.11 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$80.86 |
$80.86 |
$80.86 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$85.68 |
$85.68 |
$85.68 |
$74.00
|
|
Blood Count (CBC) Test
|
$126.67 |
$126.67 |
$126.67 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$134.23 |
$134.23 |
$134.23 |
$62.28
|
|
Blood Culture Test
|
$61.66 |
$61.66 |
$61.66 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$47.26 |
$47.26 |
$47.26 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$232.40 |
$232.40 |
$232.40 |
$226.50
|
|
Blood gases ph venous
|
$80.86 |
$80.86 |
$80.86 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$43.01 |
$43.01 |
$43.01 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$43.01 |
$43.01 |
$43.01 |
$34.98
|
|
Blood split unit
|
$1,940.74 |
$1,940.74 |
$1,940.74 |
$282.88
|
|
Blood Transfusion
|
$704.76 |
$704.76 |
$704.76 |
$989.60
|
|
Blood typing abo
|
$45.86 |
$45.86 |
$45.86 |
$86.45
|
|
Blood typing ag donor ea ag
|
$1,254.23 |
$1,254.23 |
$1,254.23 |
$207.60
|
|
Blood typing patient serum
|
$276.98 |
$276.98 |
$276.98 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$203.28 |
$203.28 |
$203.28 |
$211.90
|
|
Blood typing rh (d)
|
$43.62 |
$43.62 |
$43.62 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$278.71 |
$278.71 |
$278.71 |
$88.00
|
|
Body jacket mold to patient
|
$3,622.64 |
$3,622.64 |
$3,622.64 |
$2,922.94
|
|
Bone Age X-ray (hand and wrist)
|
$139.33 |
$139.33 |
$139.33 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$144.76 |
$144.76 |
$144.76 |
$407.94
|
|
Bone imaging multiple areas
|
$958.61 |
$958.61 |
$958.61 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,035.16 |
$1,035.16 |
$1,035.16 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$378.62 |
$378.62 |
$378.62 |
$1,618.00
|
