|
Augment injectable kit 3.0cc
|
$6,320.16 |
$6,320.16 |
$6,320.16 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,879.20 |
$4,879.20 |
$4,879.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$11,984.80 |
$11,984.80 |
$11,984.80 |
$10,415.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,572.71 |
$2,572.71 |
$2,572.71 |
$3,721.71
|
|
Avul nail plate addl
|
$88.80 |
$88.80 |
$88.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$324.80 |
$324.80 |
$324.80 |
$326.27
|
|
Azacitidine injection
|
$868.20 |
$868.20 |
$868.20 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$2.87 |
$2.87 |
$2.87 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$29.52 |
$29.52 |
$29.52 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$41.76 |
$41.76 |
$41.76 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$99.40 |
$99.40 |
$99.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,545.15 |
$1,545.15 |
$1,545.15 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$131.20 |
$131.20 |
$131.20 |
$158.07
|
|
Baclofen eval charges
|
$116.80 |
$116.80 |
$116.80 |
$87.50
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$120.80 |
$120.80 |
$120.80 |
$102.20
|
|
Balloon dilate urtrl strix
|
$2,748.80 |
$2,748.80 |
$2,748.80 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$833.60 |
$833.60 |
$833.60 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$583.20 |
$583.20 |
$583.20 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$415.20 |
$415.20 |
$415.20 |
$484.80
|
|
Basic vestibular evaluation
|
$300.00 |
$300.00 |
$300.00 |
$346.09
|
|
Basiliximab
|
$5,064.87 |
$5,064.87 |
$5,064.87 |
$8,127.89
|
|
Bausch health Ultrasound surg
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
$768.50
|
|
Bcg vaccine intravesical
|
$305.11 |
$305.11 |
$305.11 |
$371.84
|
|
Belatacept 250 mg intravenous solution
|
$1,484.72 |
$1,484.72 |
$1,484.72 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,615.20 |
$2,615.20 |
$2,615.20 |
$4,047.32
|
|
Below knee sus/seal sleeve
|
$281.36 |
$281.36 |
$281.36 |
$224.83
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,908.37 |
$2,908.37 |
$2,908.37 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,648.86 |
$2,648.86 |
$2,648.86 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$3,735.72 |
$3,735.72 |
$3,735.72 |
$9,029.40
|
|
Benign lesion paring 2-4
|
$259.20 |
$259.20 |
$259.20 |
$264.60
|
|
Benztropine 1 mg/ml injection solution
|
$62.63 |
$62.63 |
$62.63 |
$108.90
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$30.17 |
$30.17 |
$30.17 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,523.17 |
$3,523.17 |
$3,523.17 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,069.03 |
$3,069.03 |
$3,069.03 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,477.81 |
$2,477.81 |
$2,477.81 |
$2,617.16
|
|
Bfb train 1st 15min cntct 90912
|
$124.80 |
$124.80 |
$124.80 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$112.00 |
$112.00 |
$112.00 |
$101.00
|
|
Bilateral n blobk inj pudendal 64430
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$744.80 |
$744.80 |
$744.80 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$679.20 |
$679.20 |
$679.20 |
$587.60
|
|
Biliary endoscopy thru skin
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$8,180.00 |
$8,180.00 |
$8,180.00 |
$5,741.00
|
|
Binder abdominal lg 12 x 62-74
|
$770.00 |
$770.00 |
$770.00 |
$50.14
|
|
Biopsy abdominal mass
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,268.54
|
|
Biopsy external ear 69100
|
$510.40 |
$510.40 |
$510.40 |
$416.52
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,320.80 |
$3,320.80 |
$3,320.80 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$2,082.40 |
$2,082.40 |
$2,082.40 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$1,890.72
|
|
Biopsy of heart lining
|
$5,187.20 |
$5,187.20 |
$5,187.20 |
$3,724.63
|
|
Biopsy of penis
|
$4,360.00 |
$4,360.00 |
$4,360.00 |
$3,771.24
|
|
Biopsy of penis 54100
|
$2,156.80 |
$2,156.80 |
$2,156.80 |
$1,917.33
|
|
Biopsy of rectum wall anal approach 45100
|
$4,299.20 |
$4,299.20 |
$4,299.20 |
$3,467.55
|
|
Biopsy of sacroiliac joint
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$3,296.80
|
|
Biopsy of salivary gland 42400
|
$1,806.40 |
$1,806.40 |
$1,806.40 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$2,115.00
|
|
Biopsy roof of mouth
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,913.00
|
|
Biopsy skin incisional single lesion
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$2,462.35
|
|
Biopsy vrt bdy open lmbr/crv
|
$8,810.40 |
$8,810.40 |
$8,810.40 |
$5,419.00
|
|
Biopsy vrt bdy open thoracic
|
$6,730.40 |
$6,730.40 |
$6,730.40 |
$4,914.00
|
|
Biospy of bladder
|
$2,031.20 |
$2,031.20 |
$2,031.20 |
$945.00
|
|
Bivalirudin
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$283.20 |
$283.20 |
$283.20 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$526.40 |
$526.40 |
$526.40 |
$412.80
|
|
Bleomycin 15 unit solution for injection
|
$229.01 |
$229.01 |
$229.01 |
$220.56
|
|
Blinatumomab 35 mcg intravenous solution
|
$5,627.15 |
$5,627.15 |
$5,627.15 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$8,272.00 |
$8,272.00 |
$8,272.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$6,028.00 |
$6,028.00 |
$6,028.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,218.50 |
$1,218.50 |
$1,218.50 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$5,808.00 |
$5,808.00 |
$5,808.00 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$14,757.60 |
$14,757.60 |
$14,757.60 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$5,272.40
|
|
Block tap inj(s) w/wo img bi
|
$748.80 |
$748.80 |
$748.80 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$673.60 |
$673.60 |
$673.60 |
$876.00
|
|
Blood split unit
|
$388.80 |
$388.80 |
$388.80 |
$282.88
|
|
Blood Transfusion
|
$975.20 |
$975.20 |
$975.20 |
$989.60
|
|
Bone Age X-ray (hand and wrist)
|
$184.00 |
$184.00 |
$184.00 |
$252.75
|
|
Bone biopsy open superficial
|
$5,282.40 |
$5,282.40 |
$5,282.40 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$230.40 |
$230.40 |
$230.40 |
$407.94
|
|
Bone filler cerament 10cc
|
$15,600.00 |
$15,600.00 |
$15,600.00 |
$14,423.77
|
|
Bone imaging multiple areas
|
$966.40 |
$966.40 |
$966.40 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$779.20 |
$779.20 |
$779.20 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,588.00 |
$2,588.00 |
$2,588.00 |
$1,728.00
|
|
Bone marrow imaging ltd
|
$818.40 |
$818.40 |
$818.40 |
$811.00
|
|
Bone survey-lead poisoning
|
$255.20 |
$255.20 |
$255.20 |
$387.00
|
|
Bone tendon board add on
|
$218.60 |
$218.60 |
$218.60 |
$6,606.72
|
|
Boot j walker l
|
$241.75 |
$241.75 |
$241.75 |
$234.00
|
|
Boot mlti podous univ xlg
|
$360.00 |
$360.00 |
$360.00 |
$253.86
|
|
Boot softgait shrt m
|
$307.91 |
$307.91 |
$307.91 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$227.23 |
$227.23 |
$227.23 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$450.00 |
$450.00 |
$450.00 |
$175.89
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,083.00 |
$2,083.00 |
$2,083.00 |
$2,915.40
|
|
Bowel imaging
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
$1,074.00
|
|
Brace afo spiral prefab
|
$1,121.29 |
$1,121.29 |
$1,121.29 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$722.40 |
$722.40 |
$722.40 |
$194.42
|
