|
Body jacket mold to patient
|
$9,743.27 |
$9,743.27 |
$9,743.27 |
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$7,285.50 |
$7,285.50 |
$12,639.00 |
|
|
Bone Age X-ray (hand and wrist)
|
$145.50 |
$206.00 |
$1,080.00 |
|
|
Bone Density Scan (DEXA)
|
$182.50 |
$337.80 |
$1,555.00 |
|
|
Bone filler cerament 10cc
|
$12,097.00 |
$12,097.00 |
$46,629.99 |
|
|
Bone imaging multiple areas
|
$1,045.50 |
$1,045.50 |
$1,045.50 |
|
|
Bone/joint imaging ltd area
|
$565.00 |
$742.00 |
$3,522.00 |
|
|
Bone marrow;aspiration only 38220
|
$784.50 |
$1,049.50 |
$1,728.00 |
|
|
Bone marrow aspir bone grfg
|
$48,203.54 |
$48,203.54 |
$48,203.54 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$769.00 |
$1,046.00 |
$1,971.50 |
|
|
Bone marrow imaging body
|
$354.50 |
$465.50 |
$465.50 |
|
|
Bone marrow imaging ltd
|
$786.60 |
$786.60 |
$786.60 |
|
|
Bone survey-lead poisoning
|
$140.00 |
$185.50 |
$508.20 |
|
|
Bone tendon board add on
|
$175.50 |
$175.50 |
$19,750.50 |
|
|
Bone void filler nanoss 10cc
|
$28,215.00 |
$28,215.00 |
$28,215.00 |
|
|
Boot cast sandal rocker med
|
$7.50 |
$10.50 |
$120.00 |
|
|
Boot j walker l
|
$136.50 |
$165.10 |
$3,191.37 |
|
|
Boot mlti podous univ xlg
|
$126.00 |
$406.00 |
$3,572.33 |
|
|
Boot softgait shrt m
|
$229.00 |
$384.00 |
$1,993.86 |
|
|
Boot walker genesis full shell 3-strap s
|
$305.00 |
$542.50 |
$1,881.00 |
|
|
Boot walker genesis mid-calf full shell s
|
$109.85 |
$599.50 |
$8,426.88 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$81.50 |
$202.50 |
$608.00 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$7,982.94 |
$7,982.94 |
$9,137.10 |
|
|
(both sides) donor search management
|
$7,582.50 |
$7,582.50 |
$7,582.50 |
|
|
(both sides) smear without diff wbc count
|
$24.50 |
$33.50 |
$214.50 |
|
|
Bowel imaging
|
$571.00 |
$750.50 |
$3,470.50 |
|
|
Brace adj motion lerman type
|
$928.46 |
$928.46 |
$928.46 |
|
|
Brace afo dbl upright cust
|
$2,196.01 |
$2,196.01 |
$2,196.01 |
|
|
Brace afo lg left 6607
|
$292.00 |
$532.00 |
$1,943.70 |
|
|
Brace afopos solid ankle cust
|
$974.50 |
$974.50 |
$2,912.98 |
|
|
Brace afo spiral prefab
|
$6,470.64 |
$6,470.64 |
$6,470.64 |
|
|
Brace ank aftr bioskn med lg
|
$241.00 |
$241.00 |
$635.65 |
|
|
Brace ank air stirrup univ
|
$49.50 |
$56.00 |
$493.13 |
|
|
Brace ankle joint dflxn assist
|
$339.02 |
$339.02 |
$339.02 |
|
|
Brace ankle stablizing lg
|
$41.50 |
$151.00 |
$421.97 |
|
|
Brace back epic lo 627
|
$7,906.47 |
$7,906.47 |
$7,906.47 |
|
|
Brace back epic lso 637
|
$361.00 |
$361.00 |
$7,323.86 |
|
|
Brace back epic tslo 456
|
$5,622.62 |
$5,622.62 |
$5,622.62 |
|
|
Brace back pinnacle lo 627 lumbar
|
$278.85 |
$776.50 |
$28,358.00 |
|
|
Brace back pinnacle tlso 464
|
$493.00 |
$3,718.50 |
$47,923.00 |
|
|
Brace back t-lso custom
|
$1,818.00 |
$3,139.00 |
$47,923.00 |
|
|
Brace back vista 464 tlso
|
$6,247.05 |
$6,247.05 |
$6,247.05 |
|
|
Brace cust back lso
|
$1,157.63 |
$1,939.50 |
$1,939.50 |
|
|
Brace fx hum ovr shldr sm
|
$61.50 |
$532.00 |
$19,409.00 |
|
|
Brace halo bremer l2830
|
$152.50 |
$228.00 |
$462.85 |
|
|
Brace kafo dbl upright cust
|
$2,938.00 |
$2,938.00 |
$9,471.84 |
|
|
Brace knee 32in univ t-scope short lt/rt
|
$4,735.61 |
$4,735.61 |
$4,735.61 |
|
|
Brace knee extender plus 22-30in
|
$793.50 |
$1,919.00 |
$39,389.00 |
|
|
Brace knee hing pat open med
|
$297.50 |
$312.50 |
$375.89 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$248.00 |
$260.50 |
$3,893.98 |
|
|
Brace knee postop tscope xl
|
$1,770.00 |
$1,770.00 |
$4,788.15 |
|
|
Brace knee support neoprene padded open patella med
|
$36.00 |
$239.50 |
$3,414.02 |
|
|
Brace m arm board
|
$310.50 |
$551.50 |
$22,684.86 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$41.00 |
$122.40 |
$233.00 |
|
|
Brace ortho exos 28-50in sm
|
$1,356.08 |
$2,707.00 |
$47,923.00 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,125.50 |
$1,879.50 |
$47,923.00 |
|
|
Brace oths wrist hnd fngr without
|
$300.50 |
$533.00 |
$1,755.60 |
|
|
Brace tlso flex cust
|
$9,981.84 |
$9,981.84 |
$9,981.84 |
|
|
Brace wrist classic lft sm
|
$133.00 |
$207.00 |
$376.20 |
|
|
Brachioplasty 15836
|
$45,901.74 |
$45,901.74 |
$45,901.74 |
|
|
Brach/thor cath 1st
|
$240.50 |
$1,180.00 |
$1,960.80 |
|
|
Brach/thor cath 2nd
|
$265.00 |
$840.50 |
$2,153.40 |
|
|
Brach/thor cath 3rd
|
$284.50 |
$1,039.50 |
$2,452.80 |
|
|
Brach/thor cath addl
|
$97.00 |
$600.50 |
$1,966.50 |
|
|
Brachy source i-125 injection
|
$99.00 |
$99.00 |
$470.25 |
|
|
Brachy source iodine-125 nonstranded
|
$59.50 |
$85.00 |
$169.29 |
|
|
Brachy source palladium
|
$133.00 |
$133.00 |
$721.05 |
|
|
Brachy source palladium-103 nonstranded
|
$139.00 |
$146.50 |
$402.00 |
|
|
Brachy source yttrium-90
|
$24,748.00 |
$27,609.50 |
$127,469.10 |
|
|
Brachy src nonstrand c-131
|
$43.00 |
$43.00 |
$877.80 |
|
|
Brachy src nonstrand hdr ir-192
|
$421.00 |
$442.00 |
$500.00 |
|
|
Brachy src stranded c-131
|
$13,516.50 |
$14,192.00 |
$48,070.02 |
|
|
Brachytx isodose complex
|
$937.50 |
$1,210.00 |
$3,952.00 |
|
|
Brachytx isodose intermed
|
$638.00 |
$824.00 |
$3,447.00 |
|
|
Brachytx isodose plan simple
|
$488.50 |
$631.50 |
$3,131.00 |
|
|
Brachytx, non-str, gold-198
|
$8,701.50 |
$8,701.50 |
$8,701.50 |
|
|
Brachytx, non-str, ha, i-125
|
$421.50 |
$421.50 |
$421.50 |
|
|
Brachytx, non-str, ha, p-103
|
$927.00 |
$927.00 |
$927.00 |
|
|
Braf gene
|
$275.00 |
$486.00 |
$1,474.00 |
|
|
Brain flow imaging only
|
$549.50 |
$825.50 |
$3,837.00 |
|
|
Brain image < 4 views
|
$366.00 |
$480.50 |
$480.50 |
|
|
Brain image w/flow < 4 views
|
$4,646.00 |
$4,646.00 |
$4,646.00 |
|
|
Brain image w/flow 4 + views
|
$447.00 |
$587.00 |
$4,025.00 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,091.50 |
$1,702.50 |
$4,975.80 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$708.00 |
$1,702.50 |
$9,777.00 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$595.50 |
$1,407.00 |
$5,303.00 |
|
|
Brain MRI (with and without contrast)
|
$1,100.00 |
$2,678.50 |
$7,893.00 |
|
|
Brain MRI (with contrast)
|
$809.50 |
$2,375.50 |
$5,004.00 |
|
|
Brain MRI (without contrast)
|
$675.50 |
$2,045.00 |
$13,170.00 |
|
|
Bra surgical elizabeth pink sm
|
$94.00 |
$146.50 |
$265.22 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,248.50 |
$1,730.50 |
$8,189.00 |
|
|
Breastbone (Sternum) X-ray
|
$117.50 |
$342.00 |
$987.00 |
|
|
Breast punct aspir cyst, bil
|
$371.00 |
$811.80 |
$1,745.50 |
|
|
Breast reconstruction 19357
|
$68,936.99 |
$68,936.99 |
$77,934.88 |
|
|
Breast reduction
|
$36,771.27 |
$36,771.27 |
$39,067.97 |
|
|
Breath hydrogen test 91065
|
$423.00 |
$522.00 |
$1,657.50 |
|
|
Breath recording infant
|
$245.00 |
$303.00 |
$1,157.50 |
|
|
Breath test analysis c-14
|
$58.50 |
$90.00 |
$602.00 |
|
|
Breath tst attain/anal c-14
|
$24.00 |
$70.00 |
$112.00 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$63,125.48 |
$63,125.48 |
$72,252.06 |
|
