|
Boot mlti podous univ xlg
|
$1,697.35 |
$1,697.35 |
$1,697.35 |
$235.98
|
|
Boot softgait shrt m
|
$947.36 |
$947.36 |
$947.36 |
$120.58
|
|
Boot walker genesis full shell 3-strap s
|
$893.74 |
$893.74 |
$893.74 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$4,003.94 |
$4,003.94 |
$4,003.94 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$140.40 |
$140.40 |
$140.40 |
$92.88
|
|
Brace adj motion lerman type
|
$441.15 |
$441.15 |
$441.15 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,043.41 |
$1,043.41 |
$1,043.41 |
$834.17
|
|
Brace afo lg left 6607
|
$923.53 |
$923.53 |
$923.53 |
$427.25
|
|
Brace afopos solid ankle cust
|
$1,384.07 |
$1,384.07 |
$1,384.07 |
$1,087.89
|
|
Brace afo spiral prefab
|
$3,074.45 |
$3,074.45 |
$3,074.45 |
$1,424.28
|
|
Brace ank aftr bioskn med lg
|
$302.02 |
$302.02 |
$302.02 |
$170.80
|
|
Brace ank air stirrup univ
|
$234.31 |
$234.31 |
$234.31 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$161.08 |
$161.08 |
$161.08 |
$129.78
|
|
Brace ankle stablizing lg
|
$200.50 |
$200.50 |
$200.50 |
$110.51
|
|
Brace back epic lo 627
|
$3,756.67 |
$3,756.67 |
$3,756.67 |
$497.68
|
|
Brace back epic lso 637
|
$3,479.85 |
$3,479.85 |
$3,479.85 |
$635.40
|
|
Brace back epic tslo 456
|
$2,671.52 |
$2,671.52 |
$2,671.52 |
$1,515.56
|
|
Brace back pinnacle lo 627 lumbar
|
$1,004.35 |
$1,004.35 |
$1,004.35 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$5,442.85 |
$5,442.85 |
$5,442.85 |
$2,223.92
|
|
Brace back t-lso custom
|
$5,916.65 |
$5,916.65 |
$5,916.65 |
$3,470.41
|
|
Brace back vista 464 tlso
|
$2,968.22 |
$2,968.22 |
$2,968.22 |
$731.02
|
|
Brace cust back lso
|
$550.03 |
$550.03 |
$550.03 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$1,647.46 |
$1,647.46 |
$1,647.46 |
$472.36
|
|
Brace halo bremer l2830
|
$219.92 |
$219.92 |
$219.92 |
$193.72
|
|
Brace kafo dbl upright cust
|
$4,500.44 |
$4,500.44 |
$4,500.44 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,250.07 |
$2,250.07 |
$2,250.07 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$2,523.31 |
$2,523.31 |
$2,523.31 |
$497.95
|
|
Brace knee hing pat open med
|
$178.60 |
$178.60 |
$178.60 |
$205.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,850.18 |
$1,850.18 |
$1,850.18 |
$348.50
|
|
Brace knee postop tscope xl
|
$2,275.03 |
$2,275.03 |
$2,275.03 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,622.13 |
$1,622.13 |
$1,622.13 |
$215.70
|
|
Brace m arm board
|
$10,778.45 |
$10,778.45 |
$10,778.45 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$644.32 |
$644.32 |
$644.32 |
$850.77
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,640.48 |
$3,640.48 |
$3,640.48 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$834.16 |
$834.16 |
$834.16 |
$231.80
|
|
Brace tlso flex cust
|
$4,742.76 |
$4,742.76 |
$4,742.76 |
$573.43
|
|
Brace wrist classic lft sm
|
$178.75 |
$178.75 |
$178.75 |
$78.86
|
|
Brachy source i-125 injection
|
$223.43 |
$223.43 |
$223.43 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$80.44 |
$80.44 |
$80.44 |
$64.48
|
|
Brachy source palladium
|
$342.60 |
$342.60 |
$342.60 |
$145.44
|
|
Brachy source palladium-103 nonstranded
|
$125.12 |
$125.12 |
$125.12 |
$110.22
|
|
Brachy source yttrium-90
|
$60,565.51 |
$60,565.51 |
$60,565.51 |
$31,103.54
|
|
Brachy src nonstrand c-131
|
$417.08 |
$417.08 |
$417.08 |
$197.78
|
|
Brachy src stranded c-131
|
$22,839.93 |
$22,839.93 |
$22,839.93 |
$210.96
|
|
Braf gene
|
$489.00 |
$489.00 |
$489.00 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,097.00 |
$2,097.00 |
$2,097.00 |
$2,101.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,678.80 |
$1,678.80 |
$1,678.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,662.00 |
$4,662.00 |
$4,662.00 |
$2,919.75
|
|
Brain MRI (with contrast)
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,677.80 |
$2,677.80 |
$2,677.80 |
$1,946.40
|
|
Bra surgical elizabeth pink sm
|
$126.02 |
$126.02 |
$126.02 |
$120.56
|
|
Brca1&2 gene full seq alys
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$6,552.60 |
$6,552.60 |
$6,552.60 |
$2,448.50
|
|
Bronchial challenge
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$765.50
|
|
Budesonide non-comp unit
|
$34.08 |
$34.08 |
$34.08 |
$19.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$120.00 |
$120.00 |
$120.00 |
$161.46
|
|
Bundled special stain group 2
|
$162.00 |
$162.00 |
$162.00 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$87.54 |
$87.54 |
$87.54 |
$35.43
|
|
Bupren/nal 3.1 to 6mg bupren
|
$34.50 |
$34.50 |
$34.50 |
$21.65
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$15.00 |
$15.00 |
$15.00 |
$11.72
|
|
Bur rotalink 2.15mm
|
$19,215.32 |
$19,215.32 |
$19,215.32 |
$7,754.17
|
|
Bx breast 1st lesion mr imag
|
$4,627.80 |
$4,627.80 |
$4,627.80 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$2,444.40 |
$2,444.40 |
$2,444.40 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$2,991.60 |
$2,991.60 |
$2,991.60 |
$1,649.29
|
|
Bx skin incisnl ea sep/add l les
|
$233.40 |
$233.40 |
$233.40 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$233.40 |
$233.40 |
$233.40 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$233.40 |
$233.40 |
$233.40 |
$206.55
|
|
Bypass temp external fem-fem
|
$643.20 |
$643.20 |
$643.20 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$87.00 |
$87.00 |
$87.00 |
$86.00
|
|
Cable cath 22-pin diag
|
$40,930.13 |
$40,930.13 |
$40,930.13 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,045.67 |
$1,045.67 |
$1,045.67 |
$9,015.12
|
|
Cacna1a gen detc abnor allel
|
$130.80 |
$130.80 |
$130.80 |
$189.06
|
|
Cacna1a gene full gene seq
|
$769.80 |
$769.80 |
$769.80 |
$846.27
|
|
Cad breast MRI w/r&i
|
$345.60 |
$345.60 |
$345.60 |
$122.40
|
|
Cadd pump refill
|
$327.60 |
$327.60 |
$327.60 |
$371.28
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$697.50 |
$697.50 |
$697.50 |
$2,226.80
|
|
Calcium 24 hour urine
|
$102.60 |
$102.60 |
$102.60 |
$52.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$3.18 |
$3.18 |
$3.18 |
$1.55
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$21.42 |
$21.42 |
$21.42 |
$48.99
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$20.40 |
$20.40 |
$20.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$80.58 |
$80.58 |
$80.58 |
$92.91
|
|
Calcium ionized
|
$95.40 |
$95.40 |
$95.40 |
$86.45
|
|
Calcium total
|
$70.80 |
$70.80 |
$70.80 |
$50.00
|
|
Calculi urinary-sendout
|
$114.00 |
$114.00 |
$114.00 |
$68.05
|
|
Calprotectin fecal
|
$252.60 |
$252.60 |
$252.60 |
$162.90
|
|
Campylobacter antibody
|
$69.00 |
$69.00 |
$69.00 |
$75.00
|
|
Candida dna
|
$44.40 |
$44.40 |
$44.40 |
$63.00
|
|
Cannula ercp contour 5-4-3 tip
|
$148,956.00 |
$148,956.00 |
$148,956.00 |
$36,313.87
|
|
Canthotomy 67715
|
$3,797.40 |
$3,797.40 |
$3,797.40 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$137,545.97 |
$137,545.97 |
$137,545.97 |
$25,972.19
|
|
Cap trach decann 15mm
|
$2,481.61 |
$2,481.61 |
$2,481.61 |
$3,265.56
|
|
Carbamazepine free
|
$50.40 |
$50.40 |
$50.40 |
$53.55
|
|
Carbamazepine free -sendout
|
$49.20 |
$49.20 |
$49.20 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$94.20 |
$94.20 |
$94.20 |
$115.29
|
|
Carbohydrate deficient transf - sendout
|
$114.60 |
$114.60 |
$114.60 |
$121.80
|
|
Carbohydrate urine - sendout
|
$19.80 |
$19.80 |
$19.80 |
$41.45
|
|
Carbon dioxide
|
$51.00 |
$51.00 |
$51.00 |
$42.66
|
|
Carbon graphite lamination
|
$319.21 |
$319.21 |
$319.21 |
$181.35
|
