|
Bladder irrigate/lavage/instill 51700
|
$880.26 |
$880.26 |
$880.26 |
$440.70
|
|
Bld prd mix
|
$290.19 |
$290.19 |
$290.19 |
$139.21
|
|
Bld push tfuj 2 yr/<
|
$825.69 |
$825.69 |
$825.69 |
$794.82
|
|
Bln 1.2 mono emrg 15x1.2
|
$14,621.70 |
$14,621.70 |
$14,621.70 |
$8,172.05
|
|
Bln 30frx10mmx12cm renal nephromax
|
$18,294.72 |
$18,294.72 |
$18,294.72 |
$5,793.60
|
|
Bln dil 900ml preperitnl
|
$1,585.75 |
$1,585.75 |
$1,585.75 |
$920.08
|
|
Bln inpact admiral 4x150x130cm
|
$7,564.32 |
$7,564.32 |
$7,564.32 |
$4,914.00
|
|
Bln press regulation 71-80cm
|
$24,106.68 |
$24,106.68 |
$24,106.68 |
$13,234.32
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$9,409.09 |
$9,409.09 |
$9,409.09 |
$4,206.48
|
|
Block brachial plexus w/cath plmt w/img
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,576.68
|
|
Block plantar digital nerve
|
$550.80 |
$550.80 |
$550.80 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$828.24 |
$828.24 |
$828.24 |
$1,413.50
|
|
Block tap inj(s) w/wo img uni
|
$828.24 |
$828.24 |
$828.24 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$118.32 |
$118.32 |
$118.32 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$130.56 |
$130.56 |
$130.56 |
$73.15
|
|
Blood Count (CBC) Test
|
$200.43 |
$200.43 |
$200.43 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$128.01 |
$128.01 |
$128.01 |
$62.15
|
|
Blood Culture Test
|
$417.18 |
$417.18 |
$417.18 |
$145.60
|
|
Blood draw capillary 36416
|
$19.38 |
$19.38 |
$19.38 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$684.93 |
$684.93 |
$684.93 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$124.44 |
$124.44 |
$124.44 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$97.92 |
$97.92 |
$97.92 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$111.69 |
$111.69 |
$111.69 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$89.25 |
$89.25 |
$89.25 |
$33.85
|
|
Blood smear interpretation
|
$17.34 |
$17.34 |
$17.34 |
$79.20
|
|
Blood split unit
|
$115.77 |
$115.77 |
$115.77 |
$226.31
|
|
Blood typing abo
|
$248.37 |
$248.37 |
$248.37 |
$83.03
|
|
Blood typing ag donor ea ag
|
$641.58 |
$641.58 |
$641.58 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$639.54 |
$639.54 |
$639.54 |
$181.74
|
|
Blood typing rh (d)
|
$120.36 |
$120.36 |
$120.36 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$73.95 |
$73.95 |
$73.95 |
$77.25
|
|
Bone biopsy open superficial
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$503.88 |
$503.88 |
$503.88 |
$395.00
|
|
Bone filler cerament 10cc
|
$23,063.75 |
$23,063.75 |
$23,063.75 |
$12,912.37
|
|
Bone/joint imaging ltd area
|
$1,815.09 |
$1,815.09 |
$1,815.09 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$3,014.10 |
$3,014.10 |
$3,014.10 |
$1,794.93
|
|
Bone marrow interpretation
|
$1,276.02 |
$1,276.02 |
$1,276.02 |
$436.00
|
|
Bone survey-lead poisoning
|
$1,387.71 |
$1,387.71 |
$1,387.71 |
$370.18
|
|
Boot j walker l
|
$108.38 |
$108.38 |
$108.38 |
$179.93
|
|
Boot mlti podous univ xlg
|
$246.13 |
$246.13 |
$246.13 |
$256.95
|
|
Boot walker genesis full shell 3-strap s
|
$853.73 |
$853.73 |
$853.73 |
$507.57
|
|
Boot walker genesis mid-calf full shell s
|
$329.07 |
$329.07 |
$329.07 |
$194.34
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$64.90 |
$64.90 |
$64.90 |
$96.72
|
|
Bowel imaging
|
$2,253.18 |
$2,253.18 |
$2,253.18 |
$1,200.00
|
|
Brace afo lg left 6607
|
$775.75 |
$775.75 |
$775.75 |
$480.16
|
|
Brace afopos solid ankle cust
|
$1,630.59 |
$1,630.59 |
$1,630.59 |
$1,189.90
|
|
Brace ank air stirrup univ
|
$136.58 |
$136.58 |
$136.58 |
$76.50
|
|
Brace ankle stablizing lg
|
$88.64 |
$88.64 |
$88.64 |
$88.64
|
|
Brace back epic lso 637
|
$3,055.23 |
$3,055.23 |
$3,055.23 |
$1,787.52
|
|
Brace back pinnacle lo 627 lumbar
|
$1,262.29 |
$1,262.29 |
$1,262.29 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$4,464.56 |
$4,464.56 |
$4,464.56 |
$2,901.32
|
|
Brace back t-lso custom
|
$5,407.85 |
$5,407.85 |
$5,407.85 |
$3,570.57
|
|
Brace cust back lso
|
$758.63 |
$758.63 |
$758.63 |
$758.94
|
|
Brace fx hum ovr shldr sm
|
$1,155.22 |
$1,155.22 |
$1,155.22 |
$643.45
|
|
Brace knee extender plus 22-30in
|
$485.78 |
$485.78 |
$485.78 |
$414.17
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$381.48 |
$381.48 |
$381.48 |
$268.92
|
|
Brace knee support neoprene padded open patella med
|
$425.52 |
$425.52 |
$425.52 |
$261.05
|
|
Brace ortho exos 28-50in sm
|
$801.98 |
$801.98 |
$801.98 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,011.11 |
$3,011.11 |
$3,011.11 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$453.57 |
$453.57 |
$453.57 |
$237.83
|
|
Brace wrist classic lft sm
|
$55.95 |
$55.95 |
$55.95 |
$75.66
|
|
Brachy source palladium
|
$273.11 |
$273.11 |
$273.11 |
$110.25
|
|
Brachy source yttrium-90
|
$59,436.32 |
$59,436.32 |
$59,436.32 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$390.15 |
$390.15 |
$390.15 |
$241.20
|
|
Brachy src stranded c-131
|
$416.16 |
$416.16 |
$416.16 |
$210.96
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,644.28 |
$6,644.28 |
$6,644.28 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$4,780.23 |
$4,780.23 |
$4,780.23 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,692.51 |
$4,692.51 |
$4,692.51 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,455.87 |
$4,455.87 |
$4,455.87 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$260.10 |
$260.10 |
$260.10 |
$131.85
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,603.15 |
$3,603.15 |
$3,603.15 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$952.17 |
$952.17 |
$952.17 |
$865.26
|
|
Bronchoscopy clear airways 31645
|
$4,554.30 |
$4,554.30 |
$4,554.30 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$4,554.30 |
$4,554.30 |
$4,554.30 |
$2,672.16
|
|
Budesonide non-comp unit
|
$26.87 |
$26.87 |
$26.87 |
$27.35
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$231.03 |
$231.03 |
$231.03 |
$165.10
|
|
Bundled special stain group 2
|
$165.24 |
$165.24 |
$165.24 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$84.15 |
$84.15 |
$84.15 |
$39.23
|
|
Buprenorphine and metabolite - sendout
|
$5.56 |
$5.56 |
$5.56 |
$85.79
|
|
Buprenorphine oral 1mg
|
$10.74 |
$10.74 |
$10.74 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$5,050.02 |
$5,050.02 |
$5,050.02 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$3,623.55 |
$3,623.55 |
$3,623.55 |
$4,225.86
|
|
Bur rotalink 2.15mm
|
$12,157.07 |
$12,157.07 |
$12,157.07 |
$7,201.94
|
|
Butorphanol tartrate 1 mg
|
$85.68 |
$85.68 |
$85.68 |
$43.70
|
|
Bx breast 1st lesion strtctc
|
$6,724.35 |
$6,724.35 |
$6,724.35 |
$3,742.20
|
|
Bx breast add lesion strtctc
|
$2,369.46 |
$2,369.46 |
$2,369.46 |
$1,711.50
|
|
Bx breast add lesion Ultrasound imag
|
$2,368.95 |
$2,368.95 |
$2,368.95 |
$1,708.85
|
|
Bx perianal mass
|
$4,422.21 |
$4,422.21 |
$4,422.21 |
$1,415.32
|
|
Bx skin incisnl ea sep/add l les
|
$227.97 |
$227.97 |
$227.97 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$257.04 |
$257.04 |
$257.04 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$298.86 |
$298.86 |
$298.86 |
$206.55
|
|
Bx thyroid/percutan core needle 60100
|
$2,031.84 |
$2,031.84 |
$2,031.84 |
$1,038.80
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,390.77 |
$1,390.77 |
$1,390.77 |
$1,155.36
|
|
Bypass temp external fem-fem
|
$1,322.94 |
$1,322.94 |
$1,322.94 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$34.55 |
$34.55 |
$34.55 |
$103.35
|
|
Cable cath 22-pin diag
|
$10,924.20 |
$10,924.20 |
$10,924.20 |
$4,518.81
|
|
Cable centrimag pressure
|
$16,576.88 |
$16,576.88 |
$16,576.88 |
$10,306.02
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,459.58 |
$1,459.58 |
$1,459.58 |
$2,802.31
|
