|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,023.61 |
$5,023.61 |
$5,023.61 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$4,416.48 |
$4,416.48 |
$4,416.48 |
$2,508.56
|
|
Bilateral n block inj occipital 64405
|
$549.60 |
$549.60 |
$549.60 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$549.60 |
$549.60 |
$549.60 |
$556.40
|
|
Bilirubin direct
|
$20.40 |
$20.40 |
$20.40 |
$50.00
|
|
Bilirubin total
|
$20.40 |
$20.40 |
$20.40 |
$52.57
|
|
Binder abdominal lg 12 x 62-74
|
$1,195.28 |
$1,195.28 |
$1,195.28 |
$49.68
|
|
Biopsy skin incisional single lesion
|
$418.80 |
$418.80 |
$418.80 |
$657.66
|
|
Biovance 1 square cm
|
$14,050.55 |
$14,050.55 |
$14,050.55 |
$7,928.07
|
|
Bk flex inner socket ext fra
|
$2,643.52 |
$2,643.52 |
$2,643.52 |
$1,752.74
|
|
Bk fork strap
|
$159.43 |
$159.43 |
$159.43 |
$107.25
|
|
Bk molded distal cushion
|
$336.58 |
$336.58 |
$336.58 |
$194.06
|
|
Bk waist belt webbing
|
$202.37 |
$202.37 |
$202.37 |
$136.13
|
|
Bladder irrigate/lavage/instill 51700
|
$184.80 |
$184.80 |
$184.80 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$130,610.70 |
$130,610.70 |
$130,610.70 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$18,602.13 |
$18,602.13 |
$18,602.13 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$4,155.80 |
$4,155.80 |
$4,155.80 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$22,362.14 |
$22,362.14 |
$22,362.14 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$30,159.44 |
$30,159.44 |
$30,159.44 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$32,454.78 |
$32,454.78 |
$32,454.78 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$1,533.60 |
$1,533.60 |
$1,533.60 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,533.60 |
$1,533.60 |
$1,533.60 |
$1,661.40
|
|
Block plantar digital nerve
|
$310.80 |
$310.80 |
$310.80 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$653.40 |
$653.40 |
$653.40 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$24.60 |
$24.60 |
$24.60 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$23.40 |
$23.40 |
$23.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$39.00 |
$39.00 |
$39.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$25.20 |
$25.20 |
$25.20 |
$61.80
|
|
Blood count spun microhematocrit
|
$23.40 |
$23.40 |
$23.40 |
$22.36
|
|
Blood Culture Test
|
$69.00 |
$69.00 |
$69.00 |
$145.80
|
|
Blood draw capillary 36416
|
$15.00 |
$15.00 |
$15.00 |
$20.00
|
|
Blood gases ph venous
|
$85.80 |
$85.80 |
$85.80 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$12.60 |
$12.60 |
$12.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$15.60 |
$15.60 |
$15.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$12.60 |
$12.60 |
$12.60 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$13.80 |
$13.80 |
$13.80 |
$38.61
|
|
Blood typing ag donor ea ag
|
$583.20 |
$583.20 |
$583.20 |
$190.80
|
|
Blood typing patient serum
|
$59.40 |
$59.40 |
$59.40 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$539.40 |
$539.40 |
$539.40 |
$199.50
|
|
Body jacket mold to patient
|
$6,150.38 |
$6,150.38 |
$6,150.38 |
$2,922.94
|
|
Bone Density Scan (DEXA)
|
$338.40 |
$338.40 |
$338.40 |
$397.28
|
|
Bone filler cerament 10cc
|
$29,434.90 |
$29,434.90 |
$29,434.90 |
$15,161.03
|
|
Bone/joint imaging ltd area
|
$675.00 |
$675.00 |
$675.00 |
$1,013.50
|
|
Bone survey-lead poisoning
|
$144.60 |
$144.60 |
$144.60 |
$390.00
|
|
Bone tendon board add on
|
$12,467.39 |
$12,467.39 |
$12,467.39 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$17,810.55 |
$17,810.55 |
$17,810.55 |
$3,816.00
|
|
Boot j walker l
|
$2,014.53 |
$2,014.53 |
$2,014.53 |
$231.75
|
|
Boot mlti podous univ xlg
|
$2,255.02 |
$2,255.02 |
$2,255.02 |
$235.98
|
|
Boot softgait shrt m
|
$1,258.61 |
$1,258.61 |
$1,258.61 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$1,187.37 |
$1,187.37 |
$1,187.37 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$5,319.42 |
$5,319.42 |
$5,319.42 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$66.60 |
$66.60 |
$66.60 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$90.00 |
$90.00 |
$90.00 |
$2,825.96
|
|
Brace adj motion lerman type
|
$586.09 |
$586.09 |
$586.09 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,386.22 |
$1,386.22 |
$1,386.22 |
$834.17
|
|
Brace afo lg left 6607
|
$1,226.95 |
$1,226.95 |
$1,226.95 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,838.80 |
$1,838.80 |
$1,838.80 |
$1,087.89
|
|
Brace afo spiral prefab
|
$4,084.55 |
$4,084.55 |
$4,084.55 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$401.25 |
$401.25 |
$401.25 |
$194.42
|
|
Brace ank air stirrup univ
|
$311.29 |
$311.29 |
$311.29 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$214.00 |
$214.00 |
$214.00 |
$141.89
|
|
Brace ankle stablizing lg
|
$266.36 |
$266.36 |
$266.36 |
$116.35
|
|
Brace back epic lo 627
|
$4,990.91 |
$4,990.91 |
$4,990.91 |
$497.68
|
|
Brace back epic lso 637
|
$4,623.14 |
$4,623.14 |
$4,623.14 |
$1,023.66
|
|
Brace back epic tslo 456
|
$3,549.25 |
$3,549.25 |
$3,549.25 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$1,334.33 |
$1,334.33 |
$1,334.33 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$7,231.09 |
$7,231.09 |
$7,231.09 |
$2,283.03
|
|
Brace back t-lso custom
|
$7,860.55 |
$7,860.55 |
$7,860.55 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$3,943.42 |
$3,943.42 |
$3,943.42 |
$1,579.91
|
|
Brace cust back lso
|
$730.75 |
$730.75 |
$730.75 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$2,188.72 |
$2,188.72 |
$2,188.72 |
$597.11
|
|
Brace halo bremer l2830
|
$292.17 |
$292.17 |
$292.17 |
$195.59
|
|
Brace kafo dbl upright cust
|
$5,979.04 |
$5,979.04 |
$5,979.04 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,989.32 |
$2,989.32 |
$2,989.32 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$3,352.34 |
$3,352.34 |
$3,352.34 |
$676.06
|
|
Brace knee hing pat open med
|
$237.28 |
$237.28 |
$237.28 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$2,458.06 |
$2,458.06 |
$2,458.06 |
$386.00
|
|
Brace knee postop tscope xl
|
$3,022.49 |
$3,022.49 |
$3,022.49 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$2,155.07 |
$2,155.07 |
$2,155.07 |
$215.70
|
|
Brace m arm board
|
$14,319.68 |
$14,319.68 |
$14,319.68 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$856.01 |
$856.01 |
$856.01 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$4,836.55 |
$4,836.55 |
$4,836.55 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,108.21 |
$1,108.21 |
$1,108.21 |
$245.00
|
|
Brace tlso flex cust
|
$6,300.98 |
$6,300.98 |
$6,300.98 |
$573.43
|
|
Brace wrist classic lft sm
|
$237.47 |
$237.47 |
$237.47 |
$81.62
|
|
Brachy source i-125 injection
|
$296.84 |
$296.84 |
$296.84 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$106.87 |
$106.87 |
$106.87 |
$66.76
|
|
Brachy source palladium
|
$455.16 |
$455.16 |
$455.16 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$166.23 |
$166.23 |
$166.23 |
$116.48
|
|
Brachy source yttrium-90
|
$80,464.11 |
$80,464.11 |
$80,464.11 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$554.11 |
$554.11 |
$554.11 |
$210.62
|
|
Brachy src stranded c-131
|
$30,343.91 |
$30,343.91 |
$30,343.91 |
$210.96
|
|
Braf gene
|
$313.20 |
$313.20 |
$313.20 |
$427.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,855.40 |
$2,855.40 |
$2,855.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,600.20 |
$1,600.20 |
$1,600.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$167.42 |
$167.42 |
$167.42 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$8,694.00 |
$8,694.00 |
$8,694.00 |
$2,287.20
|
