|
Belatacept 250 mg intravenous solution
|
$1,090.77 |
$1,090.77 |
$1,090.77 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,426.99 |
$2,426.99 |
$2,426.99 |
$4,243.90
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,342.20 |
$3,342.20 |
$3,342.20 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,782.13 |
$2,782.13 |
$2,782.13 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$250.47 |
$250.47 |
$250.47 |
$257.50
|
|
Benign lesion paring 4+
|
$250.47 |
$250.47 |
$250.47 |
$287.00
|
|
Benztropine 1 mg/ml injection solution
|
$119.79 |
$119.79 |
$119.79 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$14.19 |
$14.19 |
$14.19 |
$78.50
|
|
Beta-2 microglobulin
|
$36.30 |
$36.30 |
$36.30 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$21.66 |
$21.66 |
$21.66 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,585.08 |
$3,585.08 |
$3,585.08 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,138.75 |
$3,138.75 |
$3,138.75 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,759.42 |
$2,759.42 |
$2,759.42 |
$2,508.56
|
|
Bfb train 1st 15min cntct 90912
|
$52.47 |
$52.47 |
$52.47 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$52.47 |
$52.47 |
$52.47 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,460.90
|
|
Bilicheck
|
$12.21 |
$12.21 |
$12.21 |
$28.80
|
|
Bilirubin direct
|
$5.94 |
$5.94 |
$5.94 |
$50.00
|
|
Bilirubin total
|
$16.83 |
$16.83 |
$16.83 |
$52.57
|
|
Biopsy abdominal mass
|
$510.51 |
$510.51 |
$510.51 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$510.51 |
$510.51 |
$510.51 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,058.31 |
$1,058.31 |
$1,058.31 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$349.80 |
$349.80 |
$349.80 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$510.51 |
$510.51 |
$510.51 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$510.51 |
$510.51 |
$510.51 |
$1,878.14
|
|
Biopsy of heart lining
|
$974.82 |
$974.82 |
$974.82 |
$3,640.00
|
|
Biopsy of nail unit 11755
|
$358.05 |
$358.05 |
$358.05 |
$888.07
|
|
Biopsy of salivary gland 42400
|
$358.05 |
$358.05 |
$358.05 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$373.89 |
$373.89 |
$373.89 |
$657.66
|
|
Biospy of bladder
|
$134.64 |
$134.64 |
$134.64 |
$813.15
|
|
Biotinidase - quest
|
$5.61 |
$5.61 |
$5.61 |
$71.02
|
|
Bivalirudin
|
$1,065.85 |
$1,065.85 |
$1,065.85 |
$1,033.55
|
|
Bld prd mix
|
$59.73 |
$59.73 |
$59.73 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$146.21 |
$146.21 |
$146.21 |
$215.36
|
|
Blinatumomab 35 mcg intravenous solution
|
$5,786.45 |
$5,786.45 |
$5,786.45 |
$10,187.42
|
|
Blink reflex test
|
$102.63 |
$102.63 |
$102.63 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,091.77 |
$4,091.77 |
$4,091.77 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$763.32 |
$763.32 |
$763.32 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$12,451.73 |
$12,451.73 |
$12,451.73 |
$13,796.54
|
|
Blood Clotting (PT/INR) Test
|
$13.20 |
$13.20 |
$13.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$19.80 |
$19.80 |
$19.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$29.70 |
$29.70 |
$29.70 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$21.45 |
$21.45 |
$21.45 |
$61.80
|
|
Blood count spun microhematocrit
|
$7.92 |
$7.92 |
$7.92 |
$22.36
|
|
Blood Culture Test
|
$34.32 |
$34.32 |
$34.32 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$78.87 |
$78.87 |
$78.87 |
$220.35
|
|
Blood gases ph venous
|
$20.79 |
$20.79 |
$20.79 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$10.56 |
$10.56 |
$10.56 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$10.56 |
$10.56 |
$10.56 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.56 |
$10.56 |
$10.56 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$11.55 |
$11.55 |
$11.55 |
$38.61
|
|
Blood split unit
|
$80.19 |
$80.19 |
$80.19 |
$250.00
|
|
Blood typing abo
|
$230.67 |
$230.67 |
$230.67 |
$83.03
|
|
Blood typing patient serum
|
$24.75 |
$24.75 |
$24.75 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$595.65 |
$595.65 |
$595.65 |
$199.50
|
|
Blood typing rh (d)
|
$22.44 |
$22.44 |
$22.44 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$39.60 |
$39.60 |
$39.60 |
$82.80
|
|
Bone biopsy open superficial
|
$786.72 |
$786.72 |
$786.72 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$111.54 |
$111.54 |
$111.54 |
$397.28
|
|
Bone imaging multiple areas
|
$340.56 |
$340.56 |
$340.56 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$249.48 |
$249.48 |
$249.48 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$510.51 |
$510.51 |
$510.51 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$775.50 |
$775.50 |
$775.50 |
$1,570.80
|
|
Bone marrow imaging body
|
$273.57 |
$273.57 |
$273.57 |
$1,076.40
|
|
Bone survey-lead poisoning
|
$114.51 |
$114.51 |
$114.51 |
$390.00
|
|
Boot j walker l
|
$713.30 |
$713.30 |
$713.30 |
$231.75
|
|
Boot mlti podous univ xlg
|
$912.04 |
$912.04 |
$912.04 |
$235.98
|
|
Boot softgait shrt m
|
$626.18 |
$626.18 |
$626.18 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$637.72 |
$637.72 |
$637.72 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$964.31 |
$964.31 |
$964.31 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$19.80 |
$19.80 |
$19.80 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$281.16 |
$281.16 |
$281.16 |
$2,825.96
|
|
Bowel imaging
|
$211.86 |
$211.86 |
$211.86 |
$1,065.00
|
|
Brace afo spiral prefab
|
$2,427.15 |
$2,427.15 |
$2,427.15 |
$1,652.50
|
|
Brace ankle stablizing lg
|
$36.09 |
$36.09 |
$36.09 |
$116.35
|
|
Brace back epic lso 637
|
$3,304.95 |
$3,304.95 |
$3,304.95 |
$1,023.66
|
|
Brace back epic tslo 456
|
$2,113.65 |
$2,113.65 |
$2,113.65 |
$1,631.36
|
|
Brace back pinnacle tlso 464
|
$4,412.10 |
$4,412.10 |
$4,412.10 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,687.44 |
$3,687.44 |
$3,687.44 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$1,579.91
|
|
Brace cust back lso
|
$2,773.65 |
$2,773.65 |
$2,773.65 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$914.10 |
$914.10 |
$914.10 |
$597.11
|
|
Brace knee extender plus 22-30in
|
$1,793.55 |
$1,793.55 |
$1,793.55 |
$676.06
|
|
Brace knee hing pat open med
|
$672.46 |
$672.46 |
$672.46 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$304.45 |
$304.45 |
$304.45 |
$386.00
|
|
Brace knee support neoprene padded open patella med
|
$487.33 |
$487.33 |
$487.33 |
$215.70
|
|
Brace m arm board
|
$36.74 |
$36.74 |
$36.74 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$2,862.90 |
$2,862.90 |
$2,862.90 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$36.74 |
$36.74 |
$36.74 |
$245.00
|
|
Brace wrist classic lft sm
|
$15.18 |
$15.18 |
$15.18 |
$81.62
|
|
Brach/thor cath 1st
|
$174.57 |
$174.57 |
$174.57 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$197.34 |
$197.34 |
$197.34 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$222.42 |
$222.42 |
$222.42 |
$2,079.00
|
|
Brach/thor cath addl
|
$222.42 |
$222.42 |
$222.42 |
$868.00
|
|
Brachy src nonstrand hdr ir-192
|
$262.35 |
$262.35 |
$262.35 |
$475.73
|
|
Brachytx isodose complex
|
$440.22 |
$440.22 |
$440.22 |
$1,631.00
|
