|
Blinatumomab 35 mcg intravenous solution
|
$8,888.87 |
$8,888.87 |
$8,888.87 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$9,776.00 |
$9,776.00 |
$9,776.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$7,124.00 |
$7,124.00 |
$7,124.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,595.12 |
$1,595.12 |
$1,595.12 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$6,864.00 |
$6,864.00 |
$6,864.00 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$16,099.20 |
$16,099.20 |
$16,099.20 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$10,321.92 |
$10,321.92 |
$10,321.92 |
$5,272.40
|
|
Block plantar digital nerve
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$655.20 |
$655.20 |
$655.20 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$612.80 |
$612.80 |
$612.80 |
$876.00
|
|
Blood Transfusion
|
$962.40 |
$962.40 |
$962.40 |
$989.60
|
|
Blood volume
|
$1,438.40 |
$1,438.40 |
$1,438.40 |
$1,039.20
|
|
Bone Age X-ray (hand and wrist)
|
$314.40 |
$314.40 |
$314.40 |
$252.75
|
|
Bone biopsy open superficial
|
$3,296.00 |
$3,296.00 |
$3,296.00 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$242.40 |
$242.40 |
$242.40 |
$407.94
|
|
Bone filler cerament 10cc
|
$15,760.00 |
$15,760.00 |
$15,760.00 |
$14,423.77
|
|
Bone imaging multiple areas
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$956.80 |
$956.80 |
$956.80 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,354.40 |
$2,354.40 |
$2,354.40 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$717.60 |
$717.60 |
$717.60 |
$811.00
|
|
Bone survey-lead poisoning
|
$360.80 |
$360.80 |
$360.80 |
$387.00
|
|
Bone tendon board add on
|
$258.35 |
$258.35 |
$258.35 |
$6,606.72
|
|
Boot j walker l
|
$307.16 |
$307.16 |
$307.16 |
$234.00
|
|
Boot mlti podous univ xlg
|
$1,618.18 |
$1,618.18 |
$1,618.18 |
$253.86
|
|
Boot softgait shrt m
|
$362.80 |
$362.80 |
$362.80 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$376.85 |
$376.85 |
$376.85 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$540.00 |
$540.00 |
$540.00 |
$175.89
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$3,654.84 |
$3,654.84 |
$3,654.84 |
$2,915.40
|
|
Bowel imaging
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$1,074.00
|
|
Brace afo dbl upright cust
|
$953.03 |
$953.03 |
$953.03 |
$841.97
|
|
Brace afo lg left 6607
|
$36.10 |
$36.10 |
$36.10 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,618.08 |
$1,618.08 |
$1,618.08 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,392.86 |
$1,392.86 |
$1,392.86 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$871.20 |
$871.20 |
$871.20 |
$194.42
|
|
Brace ank air stirrup univ
|
$341.76 |
$341.76 |
$341.76 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$252.43 |
$252.43 |
$252.43 |
$129.78
|
|
Brace ankle stablizing lg
|
$190.32 |
$190.32 |
$190.32 |
$122.82
|
|
Brace back epic lo 627
|
$444.57 |
$444.57 |
$444.57 |
$497.68
|
|
Brace back pinnacle lo 627 lumbar
|
$400.11 |
$400.11 |
$400.11 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$944.84 |
$944.84 |
$944.84 |
$2,632.87
|
|
Brace back t-lso custom
|
$5,431.42 |
$5,431.42 |
$5,431.42 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$671.08 |
$671.08 |
$671.08 |
$1,579.91
|
|
Brace fx hum ovr shldr sm
|
$631.10 |
$631.10 |
$631.10 |
$620.54
|
|
Brace knee 32in univ t-scope short lt/rt
|
$839.78 |
$839.78 |
$839.78 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$590.01 |
$590.01 |
$590.01 |
$767.20
|
|
Brace knee hing pat open med
|
$345.14 |
$345.14 |
$345.14 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$538.56 |
$538.56 |
$538.56 |
$411.01
|
|
Brace knee postop tscope xl
|
$2,421.84 |
$2,421.84 |
$2,421.84 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$313.85 |
$313.85 |
$313.85 |
$215.70
|
|
Brace m arm board
|
$306.20 |
$306.20 |
$306.20 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$134.40 |
$134.40 |
$134.40 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$903.95 |
$903.95 |
$903.95 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,043.57 |
$1,043.57 |
$1,043.57 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$315.69 |
$315.69 |
$315.69 |
$257.45
|
|
Brace tlso flex cust
|
$1,257.82 |
$1,257.82 |
$1,257.82 |
$573.43
|
|
Brace wrist classic lft sm
|
$167.04 |
$167.04 |
$167.04 |
$89.04
|
|
Brach/thor cath 1st
|
$3,992.80 |
$3,992.80 |
$3,992.80 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$3,732.80 |
$3,732.80 |
$3,732.80 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$3,978.40 |
$3,978.40 |
$3,978.40 |
$2,050.00
|
|
Brach/thor cath addl
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$868.00
|
|
Brachy source yttrium-90
|
$37,407.20 |
$37,407.20 |
$37,407.20 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$904.00 |
$904.00 |
$904.00 |
$478.50
|
|
Brachytx isodose complex
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
$1,705.20
|
|
Brachytx isodose intermed
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$1,032.38
|
|
Brain flow imaging only
|
$732.80 |
$732.80 |
$732.80 |
$677.66
|
|
Brain image 4+ views
|
$600.00 |
$600.00 |
$600.00 |
$847.80
|
|
Brain image w/flow 4 + views
|
$1,157.60 |
$1,157.60 |
$1,157.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,922.40 |
$2,922.40 |
$2,922.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,248.00 |
$3,248.00 |
$3,248.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,364.00 |
$3,364.00 |
$3,364.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$330.40 |
$330.40 |
$330.40 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,333.60 |
$1,333.60 |
$1,333.60 |
$871.80
|
|
Breath hydrogen test 91065
|
$792.80 |
$792.80 |
$792.80 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$20,270.58 |
$20,270.58 |
$20,270.58 |
$22,383.57
|
|
Brexucabtagene car pos t
|
$1,418,535.20 |
$1,418,535.20 |
$1,418,535.20 |
$1,430,103.22
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$981.06
|
|
Bronch ebus ivntj perph les 31654
|
$695.20 |
$695.20 |
$695.20 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$4,868.80 |
$4,868.80 |
$4,868.80 |
$4,746.40
|
|
Bronchial allergy tests
|
$628.00 |
$628.00 |
$628.00 |
$746.46
|
|
Bronchial challenge
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$820.05
|
|
Bronchoscopy bronch stents
|
$6,104.00 |
$6,104.00 |
$6,104.00 |
$5,183.70
|
|
Bronchoscopy clear airways 31645
|
$2,871.20 |
$2,871.20 |
$2,871.20 |
$2,766.40
|
|
Bronchoscopy dilate/fx repr
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$7,715.20 |
$7,715.20 |
$7,715.20 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$1,885.60 |
$1,885.60 |
$1,885.60 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$3,571.20 |
$3,571.20 |
$3,571.20 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$4,012.00 |
$4,012.00 |
$4,012.00 |
$4,038.80
|
|
Bronchoscopy revise stent
|
$5,600.80 |
$5,600.80 |
$5,600.80 |
$6,718.40
|
|
Bronchoscopy stent add-on
|
$2,339.20 |
$2,339.20 |
$2,339.20 |
$1,142.00
|
|
Bronchoscopy treat blockage
|
$4,970.40 |
$4,970.40 |
$4,970.40 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$3,442.40 |
$3,442.40 |
$3,442.40 |
$2,168.40
|
