|
Blood gases ph venous
|
$57.90 |
$57.90 |
$57.90 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$67.20 |
$67.20 |
$67.20 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$15.00 |
$15.00 |
$15.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$14.10 |
$14.10 |
$14.10 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$90.30 |
$90.30 |
$90.30 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$124.20 |
$124.20 |
$124.20 |
$38.61
|
|
Blood typing abo
|
$114.90 |
$114.90 |
$114.90 |
$83.03
|
|
Blood typing ag donor ea ag
|
$321.60 |
$321.60 |
$321.60 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$337.80 |
$337.80 |
$337.80 |
$199.50
|
|
Blood typing rh (d)
|
$40.50 |
$40.50 |
$40.50 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$35.10 |
$35.10 |
$35.10 |
$82.80
|
|
Body jacket mold to patient
|
$4,137.39 |
$4,137.39 |
$4,137.39 |
$2,922.94
|
|
Bone filler cerament 10cc
|
$19,801.01 |
$19,801.01 |
$19,801.01 |
$15,161.03
|
|
Bone/joint imaging ltd area
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$1,013.50
|
|
Bone tendon board add on
|
$8,386.87 |
$8,386.87 |
$8,386.87 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$11,981.25 |
$11,981.25 |
$11,981.25 |
$3,816.00
|
|
Boot j walker l
|
$1,355.19 |
$1,355.19 |
$1,355.19 |
$231.75
|
|
Boot mlti podous univ xlg
|
$1,516.96 |
$1,516.96 |
$1,516.96 |
$235.98
|
|
Boot softgait shrt m
|
$846.67 |
$846.67 |
$846.67 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$798.75 |
$798.75 |
$798.75 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$3,578.40 |
$3,578.40 |
$3,578.40 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$402.30 |
$402.30 |
$402.30 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$7,213.50 |
$7,213.50 |
$7,213.50 |
$2,825.96
|
|
Brace adj motion lerman type
|
$394.26 |
$394.26 |
$394.26 |
$281.75
|
|
Brace afo dbl upright cust
|
$932.51 |
$932.51 |
$932.51 |
$834.17
|
|
Brace afo lg left 6607
|
$825.37 |
$825.37 |
$825.37 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,236.97 |
$1,236.97 |
$1,236.97 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,747.70 |
$2,747.70 |
$2,747.70 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$269.92 |
$269.92 |
$269.92 |
$194.42
|
|
Brace ank air stirrup univ
|
$209.41 |
$209.41 |
$209.41 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$143.96 |
$143.96 |
$143.96 |
$141.89
|
|
Brace ankle stablizing lg
|
$179.19 |
$179.19 |
$179.19 |
$116.35
|
|
Brace back epic lo 627
|
$3,357.41 |
$3,357.41 |
$3,357.41 |
$497.68
|
|
Brace back epic lso 637
|
$3,110.01 |
$3,110.01 |
$3,110.01 |
$1,023.66
|
|
Brace back epic tslo 456
|
$2,387.60 |
$2,387.60 |
$2,387.60 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$897.61 |
$897.61 |
$897.61 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$4,864.39 |
$4,864.39 |
$4,864.39 |
$2,283.03
|
|
Brace back t-lso custom
|
$5,287.83 |
$5,287.83 |
$5,287.83 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,652.76 |
$2,652.76 |
$2,652.76 |
$1,579.91
|
|
Brace cust back lso
|
$491.58 |
$491.58 |
$491.58 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$1,472.36 |
$1,472.36 |
$1,472.36 |
$597.11
|
|
Brace halo bremer l2830
|
$196.54 |
$196.54 |
$196.54 |
$195.59
|
|
Brace kafo dbl upright cust
|
$4,022.13 |
$4,022.13 |
$4,022.13 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,010.93 |
$2,010.93 |
$2,010.93 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$2,255.14 |
$2,255.14 |
$2,255.14 |
$676.06
|
|
Brace knee hing pat open med
|
$159.62 |
$159.62 |
$159.62 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,653.55 |
$1,653.55 |
$1,653.55 |
$386.00
|
|
Brace knee postop tscope xl
|
$2,033.24 |
$2,033.24 |
$2,033.24 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,449.73 |
$1,449.73 |
$1,449.73 |
$215.70
|
|
Brace m arm board
|
$9,632.92 |
$9,632.92 |
$9,632.92 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$575.85 |
$575.85 |
$575.85 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,253.57 |
$3,253.57 |
$3,253.57 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$745.50 |
$745.50 |
$745.50 |
$245.00
|
|
Brace tlso flex cust
|
$4,238.70 |
$4,238.70 |
$4,238.70 |
$573.43
|
|
Brace wrist classic lft sm
|
$159.75 |
$159.75 |
$159.75 |
$81.62
|
|
Brachy source i-125 injection
|
$199.69 |
$199.69 |
$199.69 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$71.89 |
$71.89 |
$71.89 |
$66.76
|
|
Brachy source palladium
|
$306.19 |
$306.19 |
$306.19 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$111.82 |
$111.82 |
$111.82 |
$116.48
|
|
Brachy source yttrium-90
|
$72,793.80 |
$72,793.80 |
$72,793.80 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$372.75 |
$372.75 |
$372.75 |
$210.62
|
|
Brachy src stranded c-131
|
$20,412.51 |
$20,412.51 |
$20,412.51 |
$210.96
|
|
Braf gene
|
$164.40 |
$164.40 |
$164.40 |
$427.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,781.70 |
$4,781.70 |
$4,781.70 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,621.50 |
$4,621.50 |
$4,621.50 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$5,499.90 |
$5,499.90 |
$5,499.90 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$112.62 |
$112.62 |
$112.62 |
$130.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$2,168.40
|
|
Budesonide non-comp unit
|
$105.31 |
$105.31 |
$105.31 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$81.30 |
$81.30 |
$81.30 |
$160.80
|
|
Bundled special stain group 2
|
$63.90 |
$63.90 |
$63.90 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$107.23 |
$107.23 |
$107.23 |
$32.88
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$26.45 |
$26.45 |
$26.45 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$47.38 |
$47.38 |
$47.38 |
$14.27
|
|
Buprenorphine oral 1mg
|
$21.59 |
$21.59 |
$21.59 |
$10.50
|
|
Bur rotalink 2.15mm
|
$17,173.12 |
$17,173.12 |
$17,173.12 |
$7,817.85
|
|
Butorphanol tartrate 1 mg
|
$77.07 |
$77.07 |
$77.07 |
$39.09
|
|
Bypass temp external fem-fem
|
$241.80 |
$241.80 |
$241.80 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$22.50 |
$22.50 |
$22.50 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$43,722.33 |
$43,722.33 |
$43,722.33 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$36,580.09 |
$36,580.09 |
$36,580.09 |
$4,946.50
|
|
Cable centrimag pressure
|
$934.54 |
$934.54 |
$934.54 |
$7,858.62
|
|
Caffeine citrate 20 mg/ml inj for po
|
$149.51 |
$149.51 |
$149.51 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$792.00 |
$792.00 |
$792.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$31.20 |
$31.20 |
$31.20 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$12.04 |
$12.04 |
$12.04 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$67.95 |
$67.95 |
$67.95 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$68.09 |
$68.09 |
$68.09 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$536.81 |
$536.81 |
$536.81 |
$91.60
|
|
Calcium ionized
|
$98.10 |
$98.10 |
$98.10 |
$90.00
|
|
Calcium total
|
$87.30 |
$87.30 |
$87.30 |
$50.00
|
|
Calculi urinary-sendout
|
$20.10 |
$20.10 |
$20.10 |
$68.05
|
|
Calprotectin fecal
|
$54.30 |
$54.30 |
$54.30 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$133,125.00 |
$133,125.00 |
$133,125.00 |
$34,218.66
|
|
Canthotomy 67715
|
$881.40 |
$881.40 |
$881.40 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$122,927.62 |
$122,927.62 |
$122,927.62 |
$18,466.88
|
|
Cap trach decann 15mm
|
$2,217.86 |
$2,217.86 |
$2,217.86 |
$2,597.62
|
|
Carbamazepine free
|
$48.30 |
$48.30 |
$48.30 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$384.60 |
$384.60 |
$384.60 |
$120.25
|
