|
Bk waist belt webbing
|
$140.00 |
$144.50 |
$148.50 |
|
|
Bladder irrigate/lavage/instill 51700
|
$30.50 |
$354.50 |
$6,221.13 |
|
|
Bld prd mix
|
$66.50 |
$106.00 |
$381.50 |
|
|
Bleomycin 15 unit solution for injection
|
$60.40 |
$74.21 |
$104.74 |
|
|
Blepharoplasty lower 15820
|
$489.50 |
$541.00 |
$6,870.00 |
|
|
Blepharoplasty upper 15822
|
$387.50 |
$400.00 |
$5,853.33 |
|
|
Blepharoplasty upper eyelid 15823
|
$525.00 |
$2,411.00 |
$12,610.00 |
|
|
Blepharp lwr eyelid fat pad
|
$4,382.50 |
$4,382.50 |
$5,157.83 |
|
|
Blinatumomab 35 mcg intravenous solution
|
$58,340.21 |
$58,340.21 |
$58,340.21 |
|
|
Blind interatrial shunt ide
|
$25,377.00 |
$25,377.00 |
$25,377.00 |
|
|
Blink reflex test
|
$145.00 |
$145.00 |
$187.00 |
|
|
Blm gene
|
$25.50 |
$25.50 |
$140.50 |
|
|
Bln 1.2 mono emrg 15x1.2
|
$311.25 |
$1,731.00 |
$8,290.80 |
|
|
Bln 30frx10mmx12cm renal nephromax
|
$145.00 |
$459.00 |
$3,919.50 |
|
|
Bln dil 900ml preperitnl
|
$54.00 |
$254.88 |
$1,778.88 |
|
|
Bln inpact admiral 4x150x130cm
|
$2,208.50 |
$2,242.00 |
$3,798.25 |
|
|
Bln press regulation 71-80cm
|
$1,695.63 |
$7,549.50 |
$16,282.86 |
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$933.50 |
$2,297.00 |
$2,690.48 |
|
|
Block brachial plexus w/cath plmt w/img
|
$81.50 |
$84.00 |
$1,545.50 |
|
|
Block femoral nerve cont infusion cath w/img
|
$76.00 |
$78.50 |
$1,761.50 |
|
|
Block paracervical nrv
|
$1,183.50 |
$1,563.50 |
$1,948.00 |
|
|
Block plantar digital nerve
|
$34.50 |
$395.50 |
$2,361.50 |
|
|
Block tap inj(s) w/wo img bi
|
$1,312.50 |
$1,576.50 |
$14,310.00 |
|
|
Block tap inj(s) w/wo img uni
|
$54.50 |
$1,329.00 |
$3,766.00 |
|
|
Blood clot lysis time
|
$24.50 |
$24.50 |
$24.50 |
|
|
Blood Clotting (PT/INR) Test
|
$19.20 |
$36.00 |
$133.20 |
|
|
Blood Clotting (PTT) Test
|
$37.00 |
$55.50 |
$301.20 |
|
|
Blood Count (CBC) Test
|
$34.00 |
$49.50 |
$144.00 |
|
|
Blood Count (CBC) Test (without differential)
|
$16.00 |
$46.00 |
$80.00 |
|
|
Blood count spun microhematocrit
|
$10.00 |
$47.50 |
$62.50 |
|
|
Blood Culture Test
|
$24.00 |
$136.00 |
$338.00 |
|
|
Blood draw capillary 36416
|
$4.80 |
$10.00 |
$32.00 |
|
|
Blood gases o2 saturation direct measurement
|
$81.50 |
$117.50 |
$528.00 |
|
|
Blood gases ph venous
|
$38.50 |
$48.00 |
$166.20 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$34.50 |
$51.00 |
$285.60 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$2.12 |
$21.50 |
$125.00 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.00 |
$23.00 |
$79.50 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$6.00 |
$20.50 |
$144.00 |
|
|
Blood smear interpretation
|
$21.50 |
$34.40 |
$238.25 |
|
|
Blood smear microscopic w manual differential wbc count
|
$9.60 |
$25.50 |
$100.20 |
|
|
Blood split unit
|
$100.00 |
$159.50 |
$392.00 |
|
|
Blood typing abo
|
$25.00 |
$61.50 |
$358.00 |
|
|
Blood typing ag donor ea ag
|
$13.60 |
$176.70 |
$4,670.00 |
|
|
Blood typing patient serum
|
$60.50 |
$65.00 |
$286.50 |
|
|
Blood typing rbc ag non abo/rh ea
|
$33.00 |
$118.50 |
$728.00 |
|
|
Blood typing rh (d)
|
$25.00 |
$53.00 |
$108.50 |
|
|
Blood typing rh phenotype complete reference
|
$38.50 |
$79.00 |
$94.50 |
|
|
Blood volume
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
|
|
Blue light cysto imag agent
|
$0.01 |
$0.01 |
$0.01 |
|
|
Bone biopsy open superficial
|
$145.00 |
$351.00 |
$5,799.50 |
|
|
Bone Density Scan (DEXA)
|
$170.40 |
$338.00 |
$694.00 |
|
|
Bone imaging multiple areas
|
$1,054.50 |
$1,054.50 |
$1,750.00 |
|
|
Bone/joint imaging ltd area
|
$383.50 |
$718.00 |
$1,231.00 |
|
|
Bone marrow;aspiration only 38220
|
$63.00 |
$930.50 |
$3,797.00 |
|
|
Bone marrow aspir bone grfg
|
$4,484.85 |
$4,484.85 |
$4,484.85 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$66.00 |
$1,898.50 |
$4,231.00 |
|
|
Bone marrow harvest autolog
|
$184.00 |
$195.00 |
$294.40 |
|
|
Bone marrow imaging ltd
|
$677.00 |
$677.00 |
$735.00 |
|
|
Bone marrow interpretation
|
$41.00 |
$44.50 |
$178.00 |
|
|
Bone/skin graft iliac crest
|
$6,298.00 |
$6,298.00 |
$6,298.00 |
|
|
Bone survey-lead poisoning
|
$254.50 |
$289.50 |
$334.50 |
|
|
Bone tendon board add on
|
$114.00 |
$118.00 |
$2,908.92 |
|
|
Boot j walker l
|
$80.93 |
$80.93 |
$93.81 |
|
|
Boot walker genesis full shell 3-strap s
|
$80.93 |
$615.00 |
$700.50 |
|
|
Boot walker genesis mid-calf full shell s
|
$82.00 |
$173.50 |
$251.00 |
|
|
Borrelia antibody
|
$75.50 |
$75.50 |
$151.19 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$59.00 |
$240.50 |
|
|
Borrelia miyamotoi amp prb
|
$146.00 |
$146.00 |
$233.60 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$43.02 |
$306.96 |
$2,061.00 |
|
|
(both sides) donor search management
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
|
|
Bowel imaging
|
$510.00 |
$873.00 |
$2,033.50 |
|
|
Bpg axillary-pop/-tibial
|
$1,415.00 |
$1,455.00 |
$2,328.00 |
|
|
Bpg ilio-celiac
|
$1,944.50 |
$2,002.50 |
$3,204.00 |
|
|
Bpg ilio-mesenteric
|
$2,121.50 |
$2,192.00 |
$3,507.20 |
|
|
Bpg iliorenal
|
$1,902.50 |
$1,960.00 |
$3,136.00 |
|
|
Bpg pop-tibl/-prnl artery
|
$1,198.50 |
$1,236.00 |
$1,977.60 |
|
|
Bpg subclavian-axillary
|
$1,186.50 |
$1,221.00 |
$1,953.60 |
|
|
Brace afo lg left 6607
|
$181.50 |
$181.50 |
$181.50 |
|
|
Brace afopos solid ankle cust
|
$933.50 |
$954.50 |
$1,054.50 |
|
|
Brace afo spiral prefab
|
$1,617.00 |
$1,652.50 |
$1,826.50 |
|
|
Brace ank aftr bioskn med lg
|
$28.00 |
$28.00 |
$28.00 |
|
|
Brace ank air stirrup univ
|
$96.00 |
$96.00 |
$96.00 |
|
|
Brace ankle joint dflxn assist
|
$144.50 |
$149.50 |
$154.00 |
|
|
Brace ankle stablizing lg
|
$34.00 |
$34.00 |
$34.00 |
|
|
Brace back epic lso 637
|
$565.50 |
$578.00 |
$639.00 |
|
|
Brace back pinnacle tlso 464
|
$370.44 |
$2,107.00 |
$2,338.00 |
|
|
Brace back t-lso custom
|
$645.00 |
$659.00 |
$728.50 |
|
|
Brace cust back lso
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
|
|
Brace kafo dbl upright cust
|
$2,741.50 |
$2,801.50 |
$3,097.00 |
|
|
Brace knee extender plus 22-30in
|
$213.50 |
$220.00 |
$294.88 |
|
|
Brace m arm board
|
$12.00 |
$12.00 |
$51.00 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,184.22 |
$1,184.22 |
$1,184.22 |
|
|
Brace oths wrist hnd fngr without
|
$41.00 |
$148.00 |
$216.50 |
|
|
Brace wrist classic lft sm
|
$11.50 |
$37.00 |
$154.00 |
|
|
Brachioplasty 15836
|
$3,328.75 |
$3,328.75 |
$19,838.75 |
|
|
Brach/thor cath 1st
|
$221.00 |
$546.00 |
$3,392.33 |
|
|
Brach/thor cath 2nd
|
$289.00 |
$468.00 |
$11,004.50 |
|
|
Brach/thor cath 3rd
|
$361.00 |
$581.60 |
$5,156.50 |
|
|
Brach/thor cath addl
|
$55.50 |
$88.80 |
$1,407.00 |
|
|
Brachy source iodine-125 nonstranded
|
$83.00 |
$83.00 |
$129.00 |
|
