|
Basiliximab
|
$4,338.32 |
$4,338.32 |
$4,338.32 |
$8,045.59
|
|
Bausch health Ultrasound surg
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$800.00
|
|
B cells total count
|
$50.55 |
$50.55 |
$50.55 |
$125.28
|
|
Bcg live 50 mg intravesical suspension
|
$67.86 |
$67.86 |
$67.86 |
$459.57
|
|
Bedside drainage bag
|
$37.37 |
$37.37 |
$37.37 |
$19.10
|
|
Belatacept 250 mg intravenous solution
|
$1,920.36 |
$1,920.36 |
$1,920.36 |
$2,008.25
|
|
Belimumab 120 mg intravenous solution
|
$4,046.27 |
$4,046.27 |
$4,046.27 |
$4,046.27
|
|
Below knee sus/seal sleeve
|
$261.80 |
$261.80 |
$261.80 |
$247.25
|
|
Belt ostomy lg 34-65in
|
$66.89 |
$66.89 |
$66.89 |
$7.40
|
|
Bendamustine 100 mg intravenous powder for solution
|
$5,884.17 |
$5,884.17 |
$5,884.17 |
$5,217.53
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,898.13 |
$4,898.13 |
$4,898.13 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$235.35 |
$235.35 |
$235.35 |
$264.85
|
|
Benign lesion paring 4+
|
$226.20 |
$226.20 |
$226.20 |
$291.85
|
|
Benztropine 1 mg/ml injection solution
|
$70.20 |
$70.20 |
$70.20 |
$102.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$53.85 |
$53.85 |
$53.85 |
$80.80
|
|
Beta-2 microglobulin
|
$124.35 |
$124.35 |
$124.35 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$18.86 |
$18.86 |
$18.86 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$6,311.77 |
$6,311.77 |
$6,311.77 |
$5,594.85
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,381.51 |
$1,381.51 |
$1,381.51 |
$2,250.58
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$1,214.54 |
$1,214.54 |
$1,214.54 |
$1,214.54
|
|
Bilateral n block inj occipital 64405
|
$427.05 |
$427.05 |
$427.05 |
$783.90
|
|
Bilateral n block inj trigeminal 64400
|
$264.30 |
$264.30 |
$264.30 |
$546.40
|
|
Bilicheck
|
$31.65 |
$31.65 |
$31.65 |
$25.35
|
|
Bilirubin direct
|
$74.70 |
$74.70 |
$74.70 |
$50.00
|
|
Bilirubin total
|
$201.00 |
$201.00 |
$201.00 |
$50.92
|
|
Binder abdominal lg 12 x 62-74
|
$111.20 |
$111.20 |
$111.20 |
$44.74
|
|
Biopsy needle lymph node superficial
|
$2,853.00 |
$2,853.00 |
$2,853.00 |
$1,875.17
|
|
Biospy of bladder
|
$275.25 |
$275.25 |
$275.25 |
$880.65
|
|
Biovance 1 square cm
|
$286.59 |
$286.59 |
$286.59 |
$8,207.55
|
|
Bivalirudin
|
$1,876.50 |
$1,876.50 |
$1,876.50 |
$1,540.19
|
|
Bk waist belt webbing
|
$168.76 |
$168.76 |
$168.76 |
$134.18
|
|
Bladder irrigate/lavage/instill 51700
|
$279.90 |
$279.90 |
$279.90 |
$408.00
|
|
Bleomycin 15 unit solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$225.00
|
|
Blinatumomab 35 mcg intravenous solution
|
$10,187.42 |
$10,187.42 |
$10,187.42 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$17,658.00 |
$17,658.00 |
$17,658.00 |
$8,272.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$8,220.00 |
$8,220.00 |
$8,220.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$2,292.63 |
$2,292.63 |
$2,292.63 |
$1,563.94
|
|
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 |
$1,535.00
|
|
Block femoral nerve cont infusion cath w/img
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,595.00
|
|
Block plantar digital nerve
|
$493.65 |
$493.65 |
$493.65 |
$515.00
|
|
Block tap inj(s) w/wo img bi
|
$1,340.40 |
$1,340.40 |
$1,340.40 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$670.35 |
$670.35 |
$670.35 |
$897.95
|
|
Blood Clotting (PT/INR) Test
|
$119.10 |
$119.10 |
$119.10 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$130.65 |
$130.65 |
$130.65 |
$71.85
|
|
Blood Count (CBC) Test
|
$134.70 |
$134.70 |
$134.70 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$120.30 |
$120.30 |
$120.30 |
$60.50
|
|
Blood Culture Test
|
$239.10 |
$239.10 |
$239.10 |
$143.88
|
|
Blood draw capillary 36416
|
$14.10 |
$14.10 |
$14.10 |
$20.00
|
|
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
|
$71.25 |
$71.25 |
$71.25 |
$245.19
|
|
Blood typing abo
|
$132.60 |
$132.60 |
$132.60 |
$83.03
|
|
Blood typing ag donor ea ag
|
$268.20 |
$268.20 |
$268.20 |
$179.30
|
|
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 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$474.30 |
$474.30 |
$474.30 |
$81.90
|
|
Bone biopsy open superficial
|
$3,295.35 |
$3,295.35 |
$3,295.35 |
$3,994.09
|
|
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 |
$14,423.77
|
|
Bone imaging multiple areas
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$1,168.20
|
|
Bone/joint imaging ltd area
|
$820.20 |
$820.20 |
$820.20 |
$997.50
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$1,770.73
|
|
Bone tendon board add on
|
$7,857.60 |
$7,857.60 |
$7,857.60 |
$6,606.72
|
|
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 |
$12.89
|
|
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 |
$120.58
|
|
Boot walker genesis full shell 3-strap s
|
$543.44 |
$543.44 |
$543.44 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$571.17 |
$571.17 |
$571.17 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$135.60 |
$135.60 |
$135.60 |
$92.88
|
|
Bowel imaging
|
$820.20 |
$820.20 |
$820.20 |
$1,065.00
|
|
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 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,087.89 |
$1,087.89 |
$1,087.89 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,443.82 |
$2,443.82 |
$2,443.82 |
$1,549.31
|
|
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 |
$129.78
|
|
Brace ankle stablizing lg
|
$219.56 |
$219.56 |
$219.56 |
$113.10
|
|
Brace back epic lo 627
|
$206.47 |
$206.47 |
$206.47 |
$497.68
|
|
Brace back epic lso 637
|
$635.40 |
$635.40 |
$635.40 |
$635.40
|
|
Brace back epic tslo 456
|
$1,631.36 |
$1,631.36 |
$1,631.36 |
$1,558.20
|
|
Brace back pinnacle tlso 464
|
$3,586.88 |
$3,586.88 |
$3,586.88 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,859.13 |
$3,859.13 |
$3,859.13 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,282.55
|
|
Brace fx hum ovr shldr sm
|
$874.04 |
$874.04 |
$874.04 |
$578.69
|
|
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 |
$552.15
|
|
Brace knee hing pat open med
|
$331.00 |
$331.00 |
$331.00 |
$210.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,015.62 |
$1,015.62 |
$1,015.62 |
$411.01
|
|
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 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$2,857.40 |
$2,857.40 |
$2,857.40 |
$923.62
|
