|
Blood typing abo
|
$65.10 |
$65.10 |
$65.10 |
$83.03
|
|
Blood typing ag donor ea ag
|
$337.80 |
$337.80 |
$337.80 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$337.80 |
$337.80 |
$337.80 |
$199.50
|
|
Blood typing rh (d)
|
$65.10 |
$65.10 |
$65.10 |
$57.14
|
|
Body jacket mold to patient
|
$2,571.01 |
$2,571.01 |
$2,571.01 |
$2,922.94
|
|
Bone Density Scan (DEXA)
|
$346.50 |
$346.50 |
$346.50 |
$397.28
|
|
Bone filler cerament 10cc
|
$12,304.52 |
$12,304.52 |
$12,304.52 |
$15,161.03
|
|
Bone imaging multiple areas
|
$453.90 |
$453.90 |
$453.90 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$358.50 |
$358.50 |
$358.50 |
$1,013.50
|
|
Bone marrow imaging ltd
|
$726.60 |
$726.60 |
$726.60 |
$811.00
|
|
Bone tendon board add on
|
$5,211.67 |
$5,211.67 |
$5,211.67 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$7,445.25 |
$7,445.25 |
$7,445.25 |
$3,816.00
|
|
Boot j walker l
|
$842.12 |
$842.12 |
$842.12 |
$231.75
|
|
Boot mlti podous univ xlg
|
$942.65 |
$942.65 |
$942.65 |
$235.98
|
|
Boot softgait shrt m
|
$526.13 |
$526.13 |
$526.13 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$496.35 |
$496.35 |
$496.35 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$2,223.65 |
$2,223.65 |
$2,223.65 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$63.90 |
$63.90 |
$63.90 |
$94.80
|
|
Brace adj motion lerman type
|
$245.00 |
$245.00 |
$245.00 |
$281.75
|
|
Brace afo dbl upright cust
|
$579.47 |
$579.47 |
$579.47 |
$834.17
|
|
Brace afo lg left 6607
|
$512.89 |
$512.89 |
$512.89 |
$461.76
|
|
Brace afopos solid ankle cust
|
$768.66 |
$768.66 |
$768.66 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,707.44 |
$1,707.44 |
$1,707.44 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$167.73 |
$167.73 |
$167.73 |
$194.42
|
|
Brace ank air stirrup univ
|
$130.12 |
$130.12 |
$130.12 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$89.46 |
$89.46 |
$89.46 |
$141.89
|
|
Brace ankle stablizing lg
|
$111.35 |
$111.35 |
$111.35 |
$116.35
|
|
Brace back epic lo 627
|
$2,086.33 |
$2,086.33 |
$2,086.33 |
$497.68
|
|
Brace back epic lso 637
|
$1,932.59 |
$1,932.59 |
$1,932.59 |
$1,023.66
|
|
Brace back epic tslo 456
|
$1,483.67 |
$1,483.67 |
$1,483.67 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$557.78 |
$557.78 |
$557.78 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$3,022.77 |
$3,022.77 |
$3,022.77 |
$2,283.03
|
|
Brace back t-lso custom
|
$3,285.90 |
$3,285.90 |
$3,285.90 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$1,648.45 |
$1,648.45 |
$1,648.45 |
$1,579.91
|
|
Brace cust back lso
|
$305.47 |
$305.47 |
$305.47 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$914.94 |
$914.94 |
$914.94 |
$597.11
|
|
Brace halo bremer l2830
|
$122.14 |
$122.14 |
$122.14 |
$195.59
|
|
Brace kafo dbl upright cust
|
$2,499.39 |
$2,499.39 |
$2,499.39 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$1,249.61 |
$1,249.61 |
$1,249.61 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$1,401.36 |
$1,401.36 |
$1,401.36 |
$676.06
|
|
Brace knee hing pat open med
|
$99.19 |
$99.19 |
$99.19 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,027.53 |
$1,027.53 |
$1,027.53 |
$386.00
|
|
Brace knee postop tscope xl
|
$1,263.47 |
$1,263.47 |
$1,263.47 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$900.88 |
$900.88 |
$900.88 |
$215.70
|
|
Brace m arm board
|
$5,985.98 |
$5,985.98 |
$5,985.98 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$357.83 |
$357.83 |
$357.83 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,021.80 |
$2,021.80 |
$2,021.80 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$463.26 |
$463.26 |
$463.26 |
$245.00
|
|
Brace tlso flex cust
|
$2,633.96 |
$2,633.96 |
$2,633.96 |
$573.43
|
|
Brace wrist classic lft sm
|
$99.27 |
$99.27 |
$99.27 |
$81.62
|
|
Brachy source i-125 injection
|
$124.09 |
$124.09 |
$124.09 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$44.67 |
$44.67 |
$44.67 |
$66.76
|
|
Brachy source palladium
|
$190.27 |
$190.27 |
$190.27 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$69.49 |
$69.49 |
$69.49 |
$116.48
|
|
Brachy source yttrium-90
|
$33,635.98 |
$33,635.98 |
$33,635.98 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$231.63 |
$231.63 |
$231.63 |
$210.62
|
|
Brachy src stranded c-131
|
$12,684.51 |
$12,684.51 |
$12,684.51 |
$210.96
|
|
Braf gene
|
$137.70 |
$137.70 |
$137.70 |
$427.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$943.50 |
$943.50 |
$943.50 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$913.50 |
$913.50 |
$913.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,359.90 |
$1,359.90 |
$1,359.90 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$943.50 |
$943.50 |
$943.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$913.50 |
$913.50 |
$913.50 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$69.98 |
$69.98 |
$69.98 |
$130.99
|
|
Budesonide non-comp unit
|
$53.32 |
$53.32 |
$53.32 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$62.10 |
$62.10 |
$62.10 |
$160.80
|
|
Bundled special stain group 2
|
$124.80 |
$124.80 |
$124.80 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$54.85 |
$54.85 |
$54.85 |
$32.88
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$51.46 |
$51.46 |
$51.46 |
$14.27
|
|
Buprenorphine oral 1mg
|
$20.06 |
$20.06 |
$20.06 |
$10.50
|
|
Bur rotalink 2.15mm
|
$10,671.52 |
$10,671.52 |
$10,671.52 |
$7,817.85
|
|
Bx skin incisnl ea sep/add l les
|
$99.60 |
$99.60 |
$99.60 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$99.60 |
$99.60 |
$99.60 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$99.60 |
$99.60 |
$99.60 |
$203.70
|
|
Bypass temp external fem-fem
|
$1,340.40 |
$1,340.40 |
$1,340.40 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$143.10 |
$143.10 |
$143.10 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$36,726.76 |
$36,726.76 |
$36,726.76 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$22,731.18 |
$22,731.18 |
$22,731.18 |
$4,946.50
|
|
Cable centrimag pressure
|
$580.73 |
$580.73 |
$580.73 |
$7,858.62
|
|
Caffeine citrate 20 mg/ml inj for po
|
$34.85 |
$34.85 |
$34.85 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$2,111.64
|
|
Calcium 24 hour urine
|
$101.70 |
$101.70 |
$101.70 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$41.65 |
$41.65 |
$41.65 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$47.52 |
$47.52 |
$47.52 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$130.35 |
$130.35 |
$130.35 |
$91.60
|
|
Calcium ionized
|
$52.80 |
$52.80 |
$52.80 |
$90.00
|
|
Calcium total
|
$63.30 |
$63.30 |
$63.30 |
$50.00
|
|
Calculi urinary-sendout
|
$162.30 |
$162.30 |
$162.30 |
$68.05
|
|
Calprotectin fecal
|
$90.60 |
$90.60 |
$90.60 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$82,725.00 |
$82,725.00 |
$82,725.00 |
$34,218.66
|
|
Canthotomy 67715
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$76,388.26 |
$76,388.26 |
$76,388.26 |
$18,466.88
|
|
Cap trach decann 15mm
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$2,597.62
|
|
Carbamazepine free
|
$150.90 |
$150.90 |
$150.90 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$170.40 |
$170.40 |
$170.40 |
$120.25
|
|
Carbon dioxide
|
$70.50 |
$70.50 |
$70.50 |
$44.00
|
|
Carbon graphite lamination
|
$177.28 |
$177.28 |
$177.28 |
$228.52
|
|
Carboplatin 10 mg/ml desensitization
|
$249.71 |
$249.71 |
$249.71 |
$186.10
|
