|
Block tap inj(s) w/wo img bi
|
$428.40 |
$428.40 |
$428.40 |
$1,413.50
|
|
Block tap inj(s) w/wo img uni
|
$352.80 |
$352.80 |
$352.80 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$90.30 |
$90.30 |
$90.30 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$90.30 |
$90.30 |
$90.30 |
$73.15
|
|
Blood Count (CBC) Test
|
$99.05 |
$99.05 |
$99.05 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$75.25 |
$75.25 |
$75.25 |
$62.15
|
|
Blood Culture Test
|
$212.10 |
$212.10 |
$212.10 |
$145.60
|
|
Blood draw capillary 36416
|
$26.95 |
$26.95 |
$26.95 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$561.75 |
$561.75 |
$561.75 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$45.85 |
$45.85 |
$45.85 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$45.85 |
$45.85 |
$45.85 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$45.85 |
$45.85 |
$45.85 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$39.20 |
$39.20 |
$39.20 |
$33.85
|
|
Blood smear interpretation
|
$23.80 |
$23.80 |
$23.80 |
$79.20
|
|
Blood split unit
|
$185.50 |
$185.50 |
$185.50 |
$226.31
|
|
Blood typing abo
|
$90.65 |
$90.65 |
$90.65 |
$83.03
|
|
Blood typing ag donor ea ag
|
$233.80 |
$233.80 |
$233.80 |
$166.80
|
|
Blood typing patient serum
|
$96.25 |
$96.25 |
$96.25 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$233.80 |
$233.80 |
$233.80 |
$181.74
|
|
Blood typing rh (d)
|
$63.00 |
$63.00 |
$63.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$20.83 |
$20.83 |
$20.83 |
$77.25
|
|
Bone biopsy open superficial
|
$2,626.75 |
$2,626.75 |
$2,626.75 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$282.10 |
$282.10 |
$282.10 |
$395.00
|
|
Bone filler cerament 10cc
|
$10,933.86 |
$10,933.86 |
$10,933.86 |
$12,912.37
|
|
Bone/joint imaging ltd area
|
$1,292.90 |
$1,292.90 |
$1,292.90 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$1,247.05 |
$1,247.05 |
$1,247.05 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,247.05 |
$1,247.05 |
$1,247.05 |
$1,881.00
|
|
Bone marrow imaging ltd
|
$1,010.80 |
$1,010.80 |
$1,010.80 |
$728.85
|
|
Bone marrow interpretation
|
$455.00 |
$455.00 |
$455.00 |
$436.00
|
|
Bone survey-lead poisoning
|
$577.15 |
$577.15 |
$577.15 |
$370.18
|
|
Boot j walker l
|
$37.56 |
$37.56 |
$37.56 |
$179.93
|
|
Boot mlti podous univ xlg
|
$85.30 |
$85.30 |
$85.30 |
$256.95
|
|
Boot walker genesis full shell 3-strap s
|
$414.31 |
$414.31 |
$414.31 |
$507.57
|
|
Boot walker genesis mid-calf full shell s
|
$132.84 |
$132.84 |
$132.84 |
$194.34
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$5,785.86 |
$5,785.86 |
$5,785.86 |
$2,105.38
|
|
Bowel imaging
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$1,200.00
|
|
Brace afo lg left 6607
|
$313.16 |
$313.16 |
$313.16 |
$480.16
|
|
Brace afopos solid ankle cust
|
$856.76 |
$856.76 |
$856.76 |
$1,189.90
|
|
Brace ank air stirrup univ
|
$47.33 |
$47.33 |
$47.33 |
$76.50
|
|
Brace ankle stablizing lg
|
$30.72 |
$30.72 |
$30.72 |
$88.64
|
|
Brace back pinnacle lo 627 lumbar
|
$663.24 |
$663.24 |
$663.24 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$2,251.44 |
$2,251.44 |
$2,251.44 |
$2,901.32
|
|
Brace back t-lso custom
|
$2,676.40 |
$2,676.40 |
$2,676.40 |
$3,570.57
|
|
Brace cust back lso
|
$306.25 |
$306.25 |
$306.25 |
$758.94
|
|
Brace fx hum ovr shldr sm
|
$472.36 |
$472.36 |
$472.36 |
$643.45
|
|
Brace knee extender plus 22-30in
|
$196.81 |
$196.81 |
$196.81 |
$414.17
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$123.80 |
$123.80 |
$123.80 |
$268.92
|
|
Brace knee support neoprene padded open patella med
|
$171.78 |
$171.78 |
$171.78 |
$261.05
|
|
Brace ortho exos 28-50in sm
|
$323.75 |
$323.75 |
$323.75 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,555.57 |
$1,555.57 |
$1,555.57 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$183.10 |
$183.10 |
$183.10 |
$237.83
|
|
Brace wrist classic lft sm
|
$36.75 |
$36.75 |
$36.75 |
$75.66
|
|
Brach/thor cath 1st
|
$634.55 |
$634.55 |
$634.55 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$680.05 |
$680.05 |
$680.05 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$634.55 |
$634.55 |
$634.55 |
$2,151.93
|
|
Brach/thor cath addl
|
$634.55 |
$634.55 |
$634.55 |
$854.40
|
|
Brachy source i-125 injection
|
$58.10 |
$58.10 |
$58.10 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$65.45 |
$65.45 |
$65.45 |
$39.10
|
|
Brachy source palladium
|
$110.25 |
$110.25 |
$110.25 |
$110.25
|
|
Brachy source yttrium-90
|
$28,025.99 |
$28,025.99 |
$28,025.99 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$157.50 |
$157.50 |
$157.50 |
$241.20
|
|
Brachy src nonstrand hdr ir-192
|
$305.55 |
$305.55 |
$305.55 |
$379.31
|
|
Brachy src stranded c-131
|
$168.00 |
$168.00 |
$168.00 |
$210.96
|
|
Brachytx isodose complex
|
$3,232.60 |
$3,232.60 |
$3,232.60 |
$1,631.00
|
|
Brachytx isodose intermed
|
$2,460.50 |
$2,460.50 |
$2,460.50 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$1,637.65 |
$1,637.65 |
$1,637.65 |
$817.20
|
|
Braf gene
|
$63.00 |
$63.00 |
$63.00 |
$421.00
|
|
Brain image w/flow < 4 views
|
$786.80 |
$786.80 |
$786.80 |
$884.65
|
|
Brain image w/flow 4 + views
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,722.90 |
$4,722.90 |
$4,722.90 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,209.10 |
$4,209.10 |
$4,209.10 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$3,911.60 |
$3,911.60 |
$3,911.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,839.50 |
$3,839.50 |
$3,839.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,412.15 |
$3,412.15 |
$3,412.15 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$105.00 |
$105.00 |
$105.00 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$793.10 |
$793.10 |
$793.10 |
$865.26
|
|
Breath recording infant
|
$2,979.90 |
$2,979.90 |
$2,979.90 |
$1,130.96
|
|
Breath test analysis c-14
|
$515.90 |
$515.90 |
$515.90 |
$197.34
|
|
Breath tst attain/anal c-14
|
$270.20 |
$270.20 |
$270.20 |
$79.80
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$15,544.15 |
$15,544.15 |
$15,544.15 |
$24,248.87
|
|
Bronch ebus ivntj perph les 31654
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$1,923.75
|
|
Bronch ebus samplng 1/2 node
|
$2,422.35 |
$2,422.35 |
$2,422.35 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$5,110.00
|
|
Bronchoscopy clear airways 31645
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,672.16
|
|
Bronchoscopy/lung bx each 31628
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$3,799.90
|
|
Bronchoscopy/needle bx each 31629
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$3,572.33
|
|
Bronchoscopy w/biopsy(s) 31625
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,672.16
|
|
Br punct aspir ea add, l
|
$210.00 |
$210.00 |
$210.00 |
$380.50
|
|
Budesonide non-comp unit
|
$4.19 |
$4.19 |
$4.19 |
$27.35
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$33.00 |
$33.00 |
$33.00 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$38.15 |
$38.15 |
$38.15 |
$165.10
|
|
Bundled special stain group 2
|
$26.25 |
$26.25 |
$26.25 |
$169.00
|
|
Bundle his recording
|
$2,845.15 |
$2,845.15 |
$2,845.15 |
$5,410.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$33.89 |
$33.89 |
$33.89 |
$39.23
|
|
Buprenorphine oral 1mg
|
$1.84 |
$1.84 |
$1.84 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$4,776.45 |
$4,776.45 |
$4,776.45 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$769.30 |
$769.30 |
$769.30 |
$4,225.86
|
