|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$38.08 |
$38.08 |
$38.08 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$37.91 |
$37.91 |
$37.91 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$37.91 |
$37.91 |
$37.91 |
$34.00
|
|
Blood smear interpretation
|
$15.64 |
$15.64 |
$15.64 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$34.00 |
$34.00 |
$34.00 |
$38.61
|
|
Blood split unit
|
$309.74 |
$309.74 |
$309.74 |
$250.00
|
|
Blood typing abo
|
$69.36 |
$69.36 |
$69.36 |
$83.03
|
|
Blood typing ag donor ea ag
|
$68.00 |
$68.00 |
$68.00 |
$190.80
|
|
Blood typing patient serum
|
$10.20 |
$10.20 |
$10.20 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$46.24 |
$46.24 |
$46.24 |
$199.50
|
|
Blood typing rh (d)
|
$50.15 |
$50.15 |
$50.15 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$10.54 |
$10.54 |
$10.54 |
$82.80
|
|
Bone biopsy open superficial
|
$1,405.73 |
$1,405.73 |
$1,405.73 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$163.20 |
$163.20 |
$163.20 |
$397.28
|
|
Bone filler cerament 10cc
|
$7,585.74 |
$7,585.74 |
$7,585.74 |
$15,161.03
|
|
Bone imaging multiple areas
|
$298.18 |
$298.18 |
$298.18 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$250.24 |
$250.24 |
$250.24 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$230.35 |
$230.35 |
$230.35 |
$1,508.78
|
|
Bone marrow aspir bone grfg
|
$38.93 |
$38.93 |
$38.93 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$881.11 |
$881.11 |
$881.11 |
$1,570.80
|
|
Bone marrow harvest allogen
|
$114.92 |
$114.92 |
$114.92 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$107.27 |
$107.27 |
$107.27 |
$5,544.24
|
|
Bone marrow imaging body
|
$433.16 |
$433.16 |
$433.16 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$156.40 |
$156.40 |
$156.40 |
$811.00
|
|
Bone marrow imaging mult
|
$185.64 |
$185.64 |
$185.64 |
$923.00
|
|
Bone marrow interpretation
|
$22.10 |
$22.10 |
$22.10 |
$542.03
|
|
Bone/skin graft iliac crest
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$6,388.14
|
|
Bone survey-lead poisoning
|
$183.77 |
$183.77 |
$183.77 |
$390.00
|
|
Boot cast sandal rocker med
|
$8.42 |
$8.42 |
$8.42 |
$12.89
|
|
Boot j walker l
|
$146.71 |
$146.71 |
$146.71 |
$231.75
|
|
Boot mlti podous univ xlg
|
$82.45 |
$82.45 |
$82.45 |
$235.98
|
|
Boot walker genesis full shell 3-strap s
|
$154.70 |
$154.70 |
$154.70 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$72.76 |
$72.76 |
$72.76 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$550.80 |
$550.80 |
$550.80 |
$2,825.96
|
|
Bowel imaging
|
$153.68 |
$153.68 |
$153.68 |
$1,065.00
|
|
Bpg axillary-pop/-tibial
|
$707.54 |
$707.54 |
$707.54 |
$1,847.50
|
|
Bpg carotid-vertebral
|
$536.35 |
$536.35 |
$536.35 |
$10,728.90
|
|
Bpg ilio-celiac
|
$968.32 |
$968.32 |
$968.32 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$1,060.63 |
$1,060.63 |
$1,060.63 |
$2,192.00
|
|
Bpg iliorenal
|
$947.92 |
$947.92 |
$947.92 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$611.32 |
$611.32 |
$611.32 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$592.62 |
$592.62 |
$592.62 |
$1,221.00
|
|
Bpg subclavian-vertebral
|
$511.70 |
$511.70 |
$511.70 |
$903.00
|
|
Brace afo lg left 6607
|
$58.99 |
$58.99 |
$58.99 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$76.84 |
$76.84 |
$76.84 |
$194.42
|
|
Brace ank air stirrup univ
|
$57.12 |
$57.12 |
$57.12 |
$109.64
|
|
Brace ankle stablizing lg
|
$43.86 |
$43.86 |
$43.86 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$205.53 |
$205.53 |
$205.53 |
$857.43
|
|
Brace knee extender plus 22-30in
|
$347.65 |
$347.65 |
$347.65 |
$676.06
|
|
Brace knee hing pat open med
|
$75.82 |
$75.82 |
$75.82 |
$216.00
|
|
Brace oths wrist hnd fngr without
|
$113.73 |
$113.73 |
$113.73 |
$245.00
|
|
Brace wrist classic lft sm
|
$37.40 |
$37.40 |
$37.40 |
$81.62
|
|
Brachioplasty 15836
|
$473.79 |
$473.79 |
$473.79 |
$3,694.40
|
|
Brach/thor cath 1st
|
$1,007.42 |
$1,007.42 |
$1,007.42 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$805.97 |
$805.97 |
$805.97 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$629.68 |
$629.68 |
$629.68 |
$2,079.00
|
|
Brach/thor cath addl
|
$349.52 |
$349.52 |
$349.52 |
$868.00
|
|
Brachy source palladium-103 nonstranded
|
$64.94 |
$64.94 |
$64.94 |
$116.48
|
|
Brachytx isodose complex
|
$104.21 |
$104.21 |
$104.21 |
$1,631.00
|
|
Braf gene
|
$29.82 |
$29.82 |
$29.82 |
$427.50
|
|
Brain flow imaging only
|
$9.18 |
$9.18 |
$9.18 |
$636.97
|
|
Brain image w/flow < 4 views
|
$256.36 |
$256.36 |
$256.36 |
$884.65
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,194.42 |
$1,194.42 |
$1,194.42 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$991.27 |
$991.27 |
$991.27 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$669.97 |
$669.97 |
$669.97 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,389.58 |
$1,389.58 |
$1,389.58 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$887.23 |
$887.23 |
$887.23 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$648.55 |
$648.55 |
$648.55 |
$1,977.27
|
|
Brca1 dna gene analy known fam var
|
$63.79 |
$63.79 |
$63.79 |
$471.52
|
|
Brca2 dna gene analy known fam var
|
$63.79 |
$63.79 |
$63.79 |
$450.30
|
|
Brcassure comprehensive panel-sendout
|
$275.76 |
$275.76 |
$275.76 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$839.12 |
$839.12 |
$839.12 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$442.00 |
$442.00 |
$442.00 |
$847.00
|
|
Breast reconstruction 19357
|
$690.88 |
$690.88 |
$690.88 |
$11,720.80
|
|
Breast reconstruction tram flap 19367
|
$1,033.94 |
$1,033.94 |
$1,033.94 |
$4,014.12
|
|
Breast reduction
|
$963.39 |
$963.39 |
$963.39 |
$7,126.06
|
|
Breath hydrogen test 91065
|
$44.20 |
$44.20 |
$44.20 |
$462.00
|
|
Breath tst attain/anal c-14
|
$118.66 |
$118.66 |
$118.66 |
$96.72
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$13,439.52 |
$13,439.52 |
$13,439.52 |
$22,383.57
|
|
Brief alcohol misuse counsel
|
$13.77 |
$13.77 |
$13.77 |
$108.93
|
|
Brief chkin, 5-10, non-e/m
|
$6.12 |
$6.12 |
$6.12 |
$14.97
|
|
Brief chkin by md/qhp, 11-20
|
$28.90 |
$28.90 |
$28.90 |
$31.93
|
|
Brief comunicaj tech-bsd svc
|
$6.97 |
$6.97 |
$6.97 |
$29.25
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$81.43 |
$81.43 |
$81.43 |
$870.87
|
|
Bronchial allergy tests
|
$170.68 |
$170.68 |
$170.68 |
$731.72
|
|
Bronchial challenge
|
$222.53 |
$222.53 |
$222.53 |
$777.60
|
|
Bronchoscopy clear airways 31645
|
$83.81 |
$83.81 |
$83.81 |
$2,653.80
|
|
Bronchoscopy/lung bx addl 31632
|
$27.54 |
$27.54 |
$27.54 |
$1,455.35
|
|
Bronchoscopy/lung bx each 31628
|
$99.96 |
$99.96 |
$99.96 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$106.08 |
$106.08 |
$106.08 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$88.57 |
$88.57 |
$88.57 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$99.62 |
$99.62 |
$99.62 |
$2,445.96
|
|
Br punct aspir ea add, l
|
$59.84 |
$59.84 |
$59.84 |
$358.00
|
|
Brst rcnstj free flap
|
$2,363.51 |
$2,363.51 |
$2,363.51 |
$3,485.94
|
|
Budesonide non-comp unit
|
$10.88 |
$10.88 |
$10.88 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$15.30 |
$15.30 |
$15.30 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$16.83 |
$16.83 |
$16.83 |
$160.80
|
|
Bundled special stain group 2
|
$14.96 |
$14.96 |
$14.96 |
$173.46
|
|
Bundle his recording
|
$45.56 |
$45.56 |
$45.56 |
$5,026.45
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$23.59 |
$23.59 |
$23.59 |
$32.88
|
