|
Blood occult peroxidase activity qualitative gastric
|
$31.80 |
$31.80 |
$31.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$31.80 |
$31.80 |
$31.80 |
$38.61
|
|
Blood typing abo
|
$202.80 |
$202.80 |
$202.80 |
$83.03
|
|
Blood typing ag donor ea ag
|
$563.40 |
$563.40 |
$563.40 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$563.40 |
$563.40 |
$563.40 |
$199.50
|
|
Blood typing rh (d)
|
$57.00 |
$57.00 |
$57.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$83.40 |
$83.40 |
$83.40 |
$82.80
|
|
Body jacket mold to patient
|
$4,109.33 |
$4,109.33 |
$4,109.33 |
$2,922.94
|
|
Bone Density Scan (DEXA)
|
$541.20 |
$541.20 |
$541.20 |
$397.28
|
|
Bone filler cerament 10cc
|
$19,666.70 |
$19,666.70 |
$19,666.70 |
$15,083.48
|
|
Bone imaging multiple areas
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$814.20 |
$814.20 |
$814.20 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,570.80
|
|
Bone marrow imaging ltd
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$811.00
|
|
Bone marrow interpretation
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$542.03
|
|
Bone tendon board add on
|
$8,329.99 |
$8,329.99 |
$8,329.99 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$11,899.98 |
$11,899.98 |
$11,899.98 |
$3,816.00
|
|
Boot j walker l
|
$1,345.99 |
$1,345.99 |
$1,345.99 |
$231.75
|
|
Boot mlti podous univ xlg
|
$1,506.67 |
$1,506.67 |
$1,506.67 |
$235.98
|
|
Boot softgait shrt m
|
$948.20 |
$948.20 |
$948.20 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$894.53 |
$894.53 |
$894.53 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$3,554.13 |
$3,554.13 |
$3,554.13 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$238.80 |
$238.80 |
$238.80 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$90.00 |
$90.00 |
$90.00 |
$2,825.96
|
|
Bowel imaging
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$1,065.00
|
|
Brace adj motion lerman type
|
$642.37 |
$642.37 |
$642.37 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,044.33 |
$1,044.33 |
$1,044.33 |
$834.17
|
|
Brace afo lg left 6607
|
$924.35 |
$924.35 |
$924.35 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,228.58 |
$1,228.58 |
$1,228.58 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,729.06 |
$2,729.06 |
$2,729.06 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$439.79 |
$439.79 |
$439.79 |
$194.42
|
|
Brace ank air stirrup univ
|
$368.78 |
$368.78 |
$368.78 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$529.24 |
$529.24 |
$529.24 |
$142.89
|
|
Brace ankle stablizing lg
|
$315.56 |
$315.56 |
$315.56 |
$115.58
|
|
Brace back epic lo 627
|
$3,334.64 |
$3,334.64 |
$3,334.64 |
$497.68
|
|
Brace back epic lso 637
|
$3,088.92 |
$3,088.92 |
$3,088.92 |
$1,075.36
|
|
Brace back epic tslo 456
|
$2,371.40 |
$2,371.40 |
$2,371.40 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$1,005.24 |
$1,005.24 |
$1,005.24 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$4,831.39 |
$4,831.39 |
$4,831.39 |
$2,283.03
|
|
Brace back t-lso custom
|
$5,251.96 |
$5,251.96 |
$5,251.96 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,634.76 |
$2,634.76 |
$2,634.76 |
$1,579.91
|
|
Brace cust back lso
|
$738.64 |
$738.64 |
$738.64 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$1,462.37 |
$1,462.37 |
$1,462.37 |
$597.11
|
|
Brace halo bremer l2830
|
$346.13 |
$346.13 |
$346.13 |
$195.59
|
|
Brace kafo dbl upright cust
|
$3,994.85 |
$3,994.85 |
$3,994.85 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$1,997.29 |
$1,997.29 |
$1,997.29 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$2,239.84 |
$2,239.84 |
$2,239.84 |
$676.06
|
|
Brace knee hing pat open med
|
$281.10 |
$281.10 |
$281.10 |
$213.82
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,642.33 |
$1,642.33 |
$1,642.33 |
$386.00
|
|
Brace knee postop tscope xl
|
$2,019.46 |
$2,019.46 |
$2,019.46 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,439.90 |
$1,439.90 |
$1,439.90 |
$215.70
|
|
Brace m arm board
|
$9,567.58 |
$9,567.58 |
$9,567.58 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$795.22 |
$795.22 |
$795.22 |
$1,042.69
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,231.50 |
$3,231.50 |
$3,231.50 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$927.48 |
$927.48 |
$927.48 |
$245.00
|
|
Brace tlso flex cust
|
$4,209.95 |
$4,209.95 |
$4,209.95 |
$573.43
|
|
Brace wrist classic lft sm
|
$281.33 |
$281.33 |
$281.33 |
$81.62
|
|
Brachy source i-125 injection
|
$351.67 |
$351.67 |
$351.67 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$135.34 |
$135.34 |
$135.34 |
$66.76
|
|
Brachy source palladium
|
$498.87 |
$498.87 |
$498.87 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$210.53 |
$210.53 |
$210.53 |
$116.48
|
|
Brachy source yttrium-90
|
$53,761.46 |
$53,761.46 |
$53,761.46 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$607.32 |
$607.32 |
$607.32 |
$210.62
|
|
Brachy src stranded c-131
|
$20,274.05 |
$20,274.05 |
$20,274.05 |
$210.96
|
|
Braf gene
|
$475.80 |
$475.80 |
$475.80 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$5,046.60 |
$5,046.60 |
$5,046.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,774.80 |
$4,774.80 |
$4,774.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$7,307.40 |
$7,307.40 |
$7,307.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$5,833.80 |
$5,833.80 |
$5,833.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,925.20 |
$3,925.20 |
$3,925.20 |
$1,976.82
|
|
Bra surgical elizabeth pink sm
|
$212.04 |
$212.04 |
$212.04 |
$130.99
|
|
Brca2 dna gene analy full seq analy
|
$466.20 |
$466.20 |
$466.20 |
$255.47
|
|
Brca2 gene full dup/del alys
|
$712.80 |
$712.80 |
$712.80 |
$311.17
|
|
Brcassure comprehensive panel-sendout
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,471.60 |
$3,471.60 |
$3,471.60 |
$3,040.00
|
|
Breast punct aspir cyst, bil
|
$580.20 |
$580.20 |
$580.20 |
$847.00
|
|
Breath hydrogen test 91065
|
$159.00 |
$159.00 |
$159.00 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$39,320.34 |
$39,320.34 |
$39,320.34 |
$22,383.57
|
|
Bronchial challenge
|
$632.40 |
$632.40 |
$632.40 |
$777.60
|
|
Budesonide non-comp unit
|
$35.64 |
$35.64 |
$35.64 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$156.00 |
$156.00 |
$156.00 |
$160.00
|
|
Bundled special stain group 2
|
$161.40 |
$161.40 |
$161.40 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$64.26 |
$64.26 |
$64.26 |
$33.08
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$9.00 |
$9.00 |
$9.00 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$16.08 |
$16.08 |
$16.08 |
$14.27
|
|
Buprenorphine oral 1mg
|
$16.14 |
$16.14 |
$16.14 |
$10.50
|
|
Bur rotalink 2.15mm
|
$17,056.64 |
$17,056.64 |
$17,056.64 |
$7,817.85
|
|
Bx breast 1st lesion mr imag
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$3,700.20
|
|
Bx breast add lesion mr imag
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$1,631.50
|
|
Bx breast add lesion strtctc
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$1,692.64
|
|
Bx skin incisnl ea sep/add l les
|
$241.80 |
$241.80 |
$241.80 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$241.80 |
$241.80 |
$241.80 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$241.80 |
$241.80 |
$241.80 |
$203.70
|
|
Bx thyroid/percutan core needle 60100
|
$636.60 |
$636.60 |
$636.60 |
$964.62
|
|
Bypass temp external fem-fem
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,781.60
|
