|
Bln 30frx10mmx12cm renal nephromax
|
$8,220.00 |
$8,220.00 |
$8,220.00 |
$5,206.00
|
|
Bln dil 900ml preperitnl
|
$2,292.63 |
$2,292.63 |
$2,292.63 |
$1,287.20
|
|
Bln inpact admiral 4x150x130cm
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$13,509.00 |
$13,509.00 |
$13,509.00 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$16,577.68 |
$16,577.68 |
$16,577.68 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,562.80
|
|
Block femoral nerve cont infusion cath w/img
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,642.30
|
|
Block paracervical nrv
|
$1,045.65 |
$1,045.65 |
$1,045.65 |
$948.00
|
|
Block plantar digital nerve
|
$493.65 |
$493.65 |
$493.65 |
$540.80
|
|
Block tap inj(s) w/wo img bi
|
$1,340.40 |
$1,340.40 |
$1,340.40 |
$1,157.00
|
|
Block tap inj(s) w/wo img uni
|
$670.35 |
$670.35 |
$670.35 |
$905.00
|
|
Blood Clotting (PT/INR) Test
|
$119.10 |
$119.10 |
$119.10 |
$50.70
|
|
Blood Clotting (PTT) Test
|
$130.65 |
$130.65 |
$130.65 |
$69.85
|
|
Blood Count (CBC) Test
|
$134.70 |
$134.70 |
$134.70 |
$71.57
|
|
Blood Count (CBC) Test (without differential)
|
$120.30 |
$120.30 |
$120.30 |
$60.00
|
|
Blood count spun microhematocrit
|
$74.70 |
$74.70 |
$74.70 |
$21.84
|
|
Blood Culture Test
|
$239.10 |
$239.10 |
$239.10 |
$137.50
|
|
Blood draw capillary 36416
|
$14.10 |
$14.10 |
$14.10 |
$20.35
|
|
Blood gases ph venous
|
$69.60 |
$69.60 |
$69.60 |
$61.75
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$103.50 |
$103.50 |
$103.50 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$60.60 |
$60.60 |
$60.60 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$39.60 |
$39.60 |
$39.60 |
$37.80
|
|
Blood split unit
|
$121.80 |
$121.80 |
$121.80 |
$250.00
|
|
Blood typing abo
|
$132.60 |
$132.60 |
$132.60 |
$83.03
|
|
Blood typing ag donor ea ag
|
$268.20 |
$268.20 |
$268.20 |
$176.80
|
|
Blood typing rbc ag non abo/rh ea
|
$442.20 |
$442.20 |
$442.20 |
$190.00
|
|
Blood typing rh (d)
|
$115.20 |
$115.20 |
$115.20 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$474.30 |
$474.30 |
$474.30 |
$80.09
|
|
Bone Density Scan (DEXA)
|
$415.80 |
$415.80 |
$415.80 |
$398.56
|
|
Bone filler cerament 10cc
|
$20,079.90 |
$20,079.90 |
$20,079.90 |
$14,338.98
|
|
Bone imaging multiple areas
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$820.20 |
$820.20 |
$820.20 |
$1,101.36
|
|
Bone marrow;aspiration only 38220
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$1,766.22
|
|
Bone marrow imaging body
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$820.20 |
$820.20 |
$820.20 |
$811.00
|
|
Bone tendon board add on
|
$7,857.60 |
$7,857.60 |
$7,857.60 |
$5,689.43
|
|
Bone void filler nanoss 10cc
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$3,816.00
|
|
Boot cast sandal rocker med
|
$12.89 |
$12.89 |
$12.89 |
$37.60
|
|
Boot j walker l
|
$249.08 |
$249.08 |
$249.08 |
$195.00
|
|
Boot mlti podous univ xlg
|
$290.80 |
$290.80 |
$290.80 |
$235.98
|
|
Boot softgait shrt m
|
$57.84 |
$57.84 |
$57.84 |
$136.99
|
|
Boot walker genesis full shell 3-strap s
|
$543.44 |
$543.44 |
$543.44 |
$414.31
|
|
Boot walker genesis mid-calf full shell s
|
$571.17 |
$571.17 |
$571.17 |
$166.81
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$144.65 |
$144.65 |
$144.65 |
$92.40
|
|
Bowel imaging
|
$820.20 |
$820.20 |
$820.20 |
$1,097.40
|
|
Brace adj motion lerman type
|
$281.75 |
$281.75 |
$281.75 |
$281.75
|
|
Brace afo dbl upright cust
|
$834.17 |
$834.17 |
$834.17 |
$834.17
|
|
Brace afo lg left 6607
|
$590.28 |
$590.28 |
$590.28 |
$427.25
|
|
Brace afopos solid ankle cust
|
$1,087.89 |
$1,087.89 |
$1,087.89 |
$1,056.59
|
|
Brace afo spiral prefab
|
$2,443.82 |
$2,443.82 |
$2,443.82 |
$1,424.28
|
|
Brace ank aftr bioskn med lg
|
$302.88 |
$302.88 |
$302.88 |
$170.80
|
|
Brace ank air stirrup univ
|
$242.51 |
$242.51 |
$242.51 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$127.56 |
$127.56 |
$127.56 |
$134.44
|
|
Brace ankle stablizing lg
|
$219.56 |
$219.56 |
$219.56 |
$110.00
|
|
Brace back epic lo 627
|
$206.47 |
$206.47 |
$206.47 |
$497.68
|
|
Brace back epic lso 637
|
$635.40 |
$635.40 |
$635.40 |
$654.20
|
|
Brace back epic tslo 456
|
$1,631.36 |
$1,631.36 |
$1,631.36 |
$1,515.56
|
|
Brace back pinnacle tlso 464
|
$3,586.88 |
$3,586.88 |
$3,586.88 |
$2,198.85
|
|
Brace back t-lso custom
|
$3,859.13 |
$3,859.13 |
$3,859.13 |
$3,470.41
|
|
Brace back vista 464 tlso
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$671.08
|
|
Brace fx hum ovr shldr sm
|
$874.04 |
$874.04 |
$874.04 |
$472.36
|
|
Brace halo bremer l2830
|
$175.82 |
$175.82 |
$175.82 |
$193.72
|
|
Brace kafo dbl upright cust
|
$3,609.22 |
$3,609.22 |
$3,609.22 |
$3,609.22
|
|
Brace knee extender plus 22-30in
|
$977.19 |
$977.19 |
$977.19 |
$497.95
|
|
Brace knee hing pat open med
|
$331.00 |
$331.00 |
$331.00 |
$195.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,015.62 |
$1,015.62 |
$1,015.62 |
$348.50
|
|
Brace knee support neoprene padded open patella med
|
$200.15 |
$200.15 |
$200.15 |
$215.70
|
|
Brace m arm board
|
$78.65 |
$78.65 |
$78.65 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$2,857.40 |
$2,857.40 |
$2,857.40 |
$850.77
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$337.40 |
$337.40 |
$337.40 |
$1,558.20
|
|
Brace oths wrist hnd fngr without
|
$147.60 |
$147.60 |
$147.60 |
$231.80
|
|
Brace tlso flex cust
|
$573.43 |
$573.43 |
$573.43 |
$573.43
|
|
Brace wrist classic lft sm
|
$153.83 |
$153.83 |
$153.83 |
$78.86
|
|
Brach/thor cath 1st
|
$2,043.30 |
$2,043.30 |
$2,043.30 |
$1,916.16
|
|
Brach/thor cath 2nd
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$1,999.43
|
|
Brach/thor cath 3rd
|
$2,438.85 |
$2,438.85 |
$2,438.85 |
$2,151.93
|
|
Brach/thor cath addl
|
$3,699.15 |
$3,699.15 |
$3,699.15 |
$868.00
|
|
Brachytx, non-str, ha, i-125
|
$615.00 |
$615.00 |
$615.00 |
$110.24
|
|
Braf gene
|
$690.00 |
$690.00 |
$690.00 |
$421.20
|
|
Brain image w/flow 4 + views
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,097.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,919.80
|
|
Brain MRI (with contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$1,943.70
|
|
Bra surgical elizabeth pink sm
|
$159.78 |
$159.78 |
$159.78 |
$120.56
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$847.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$22,377.96 |
$22,377.96 |
$22,377.96 |
$22,377.96
|
|
Bronchoscopy clear airways 31645
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,766.40
|
|
Bronchoscopy dilate/fx repr
|
$5,183.70 |
$5,183.70 |
$5,183.70 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$6,768.75
|
|
Bronchoscopy/lung bx each 31628
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,080.94
|
|
Bronchoscopy/needle bx each 31629
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,117.50
|
|
Bronchoscopy treat blockage
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$4,881.00
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,997.10 |
$1,997.10 |
$1,997.10 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,946.70 |
$1,946.70 |
$1,946.70 |
$2,626.00
|
|
Bronchoscopy w/markers
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,662.21
|
