|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$6.60 |
$6.60 |
$6.60 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$119.40 |
$119.40 |
$119.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$104.40 |
$104.40 |
$104.40 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$91.80 |
$91.80 |
$91.80 |
$2,617.16
|
|
Bilateral n block inj occipital 64405
|
$496.20 |
$496.20 |
$496.20 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$452.40 |
$452.40 |
$452.40 |
$587.60
|
|
Bile duct endoscopy add-on 47550
|
$7,502.40 |
$7,502.40 |
$7,502.40 |
$996.45
|
|
Biliary endo perq dx w/speci
|
$9,768.60 |
$9,768.60 |
$9,768.60 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$11,428.80 |
$11,428.80 |
$11,428.80 |
$10,156.40
|
|
Biliary endoscopy thru skin
|
$4,714.20 |
$4,714.20 |
$4,714.20 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$18,827.40 |
$18,827.40 |
$18,827.40 |
$5,741.00
|
|
Bilicheck
|
$25.20 |
$25.20 |
$25.20 |
$27.60
|
|
Bilirubin direct
|
$25.20 |
$25.20 |
$25.20 |
$51.35
|
|
Bilirubin total
|
$25.20 |
$25.20 |
$25.20 |
$54.60
|
|
Biopsy abdominal mass
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,694.59
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$4,592.40 |
$4,592.40 |
$4,592.40 |
$4,350.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$4,644.60 |
$4,644.60 |
$4,644.60 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,890.72
|
|
Biopsy of prostate
|
$3,295.80 |
$3,295.80 |
$3,295.80 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$2,198.40 |
$2,198.40 |
$2,198.40 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$2,115.00
|
|
Biopsy vaginal mucosa xtnsv
|
$5,680.20 |
$5,680.20 |
$5,680.20 |
$3,711.50
|
|
Biospy of bladder
|
$2,136.60 |
$2,136.60 |
$2,136.60 |
$945.00
|
|
Bis xtracell fluid analysis
|
$271.20 |
$271.20 |
$271.20 |
$235.00
|
|
Bivalirudin
|
$585.00 |
$585.00 |
$585.00 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$640.20 |
$640.20 |
$640.20 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$819.00 |
$819.00 |
$819.00 |
$412.80
|
|
Bld prd mix
|
$201.60 |
$201.60 |
$201.60 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$220.56
|
|
Blind interatrial shunt ide
|
$39,788.40 |
$39,788.40 |
$39,788.40 |
$20,709.39
|
|
Bln 1.2 mono emrg 15x1.2
|
$6,126.60 |
$6,126.60 |
$6,126.60 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$661.80 |
$661.80 |
$661.80 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$7,575.60 |
$7,575.60 |
$7,575.60 |
$4,951.39
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$5,022.00 |
$5,022.00 |
$5,022.00 |
$5,272.40
|
|
Block paracervical nrv
|
$948.00 |
$948.00 |
$948.00 |
$1,021.50
|
|
Blood Clotting (PT/INR) Test
|
$22.20 |
$22.20 |
$22.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$34.80 |
$34.80 |
$34.80 |
$74.00
|
|
Blood Count (CBC) Test
|
$44.40 |
$44.40 |
$44.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$37.80 |
$37.80 |
$37.80 |
$62.28
|
|
Blood Culture Test
|
$57.00 |
$57.00 |
$57.00 |
$146.16
|
|
Blood draw capillary 36416
|
$7.80 |
$7.80 |
$7.80 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$7.80 |
$7.80 |
$7.80 |
$21.66
|
|
Blood gases ph venous
|
$60.00 |
$60.00 |
$60.00 |
$64.60
|
|
Blood, l/r, irradiated
|
$441.00 |
$441.00 |
$441.00 |
$452.34
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$22.20 |
$22.20 |
$22.20 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$18.00 |
$18.00 |
$18.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$27.00 |
$27.00 |
$27.00 |
$34.98
|
|
Blood smear interpretation
|
$85.80 |
$85.80 |
$85.80 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$20.40 |
$20.40 |
$20.40 |
$38.35
|
|
Blood split unit
|
$192.60 |
$192.60 |
$192.60 |
$282.88
|
|
Blood Transfusion
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$989.60
|
|
Blood typing abo
|
$155.40 |
$155.40 |
$155.40 |
$86.45
|
|
Blood typing ag donor ea ag
|
$403.20 |
$403.20 |
$403.20 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$639.00 |
$639.00 |
$639.00 |
$211.90
|
|
Blood typing rh (d)
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$262.80 |
$262.80 |
$262.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$262.80 |
$262.80 |
$262.80 |
$407.94
|
|
Bone imaging multiple areas
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,728.00
|
|
Bone marrow imaging body
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$811.00
|
|
Bone marrow imaging mult
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$923.00
|
|
Bone marrow interpretation
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$262.80 |
$262.80 |
$262.80 |
$387.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$94.80 |
$94.80 |
$94.80 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$70.80 |
$70.80 |
$70.80 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$961.80 |
$961.80 |
$961.80 |
$2,915.40
|
|
Bowel imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$60.60 |
$60.60 |
$60.60 |
$105.30
|
|
Brace wrist classic lft sm
|
$75.00 |
$75.00 |
$75.00 |
$89.04
|
|
Brach/thor cath 1st
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,050.00
|
|
Brach/thor cath addl
|
$4,249.20 |
$4,249.20 |
$4,249.20 |
$868.00
|
|
Brachy source yttrium-90
|
$39,612.00 |
$39,612.00 |
$39,612.00 |
$30,879.20
|
|
Brachytx isodose complex
|
$942.60 |
$942.60 |
$942.60 |
$1,705.20
|
|
Brachytx isodose intermed
|
$991.80 |
$991.80 |
$991.80 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$817.20 |
$817.20 |
$817.20 |
$1,032.38
|
|
Braf gene
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$450.90
|
|
Brain flow imaging only
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$677.66
|
|
Brain image < 4 views
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$575.29
|
|
Brain image 4+ views
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$847.80
|
|
Brain image w/flow < 4 views
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$919.45
|
|
Brain image w/flow 4 + views
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,948.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$188.40 |
$188.40 |
$188.40 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$924.60 |
$924.60 |
$924.60 |
$871.80
|
|
Breath recording infant
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$1,164.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$6,781.20 |
$6,781.20 |
$6,781.20 |
$22,383.57
|
