|
Biopsy/removal lymph nodes
|
$286.52 |
$286.52 |
$286.52 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$306.28 |
$306.28 |
$306.28 |
$4,531.42
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,028.47 |
$1,028.47 |
$1,028.47 |
$2,086.50
|
|
Biopsy roof of mouth
|
$74.67 |
$74.67 |
$74.67 |
$1,752.89
|
|
Biopsy skin incisional single lesion
|
$275.12 |
$275.12 |
$275.12 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,423.86 |
$1,423.86 |
$1,423.86 |
$2,462.35
|
|
Biopsy thigh soft tissues
|
$276.45 |
$276.45 |
$276.45 |
$3,550.00
|
|
Biopsy tongue anterior two-thirds
|
$72.20 |
$72.20 |
$72.20 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$97.66 |
$97.66 |
$97.66 |
$3,522.35
|
|
Biopsy vestibule of mouth 40808
|
$60.99 |
$60.99 |
$60.99 |
$629.50
|
|
Biopsy vrt bdy open lmbr/crv
|
$280.06 |
$280.06 |
$280.06 |
$5,210.40
|
|
Biospy of bladder
|
$42.94 |
$42.94 |
$42.94 |
$813.15
|
|
Bladder irrigate/lavage/instill 51700
|
$243.39 |
$243.39 |
$243.39 |
$408.00
|
|
Blepharoplasty lower 15820
|
$346.56 |
$346.56 |
$346.56 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$267.33 |
$267.33 |
$267.33 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$553.47 |
$553.47 |
$553.47 |
$3,041.60
|
|
Blepharp lwr eyelid fat pad
|
$368.60 |
$368.60 |
$368.60 |
$3,227.49
|
|
Blink reflex test
|
$14.44 |
$14.44 |
$14.44 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$2,404.07 |
$2,404.07 |
$2,404.07 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$5,169.58
|
|
Bln inpact admiral 4x150x130cm
|
$2,111.28 |
$2,111.28 |
$2,111.28 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$14,969.91 |
$14,969.91 |
$14,969.91 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$1,974.10 |
$1,974.10 |
$1,974.10 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$49.21 |
$49.21 |
$49.21 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$45.98 |
$45.98 |
$45.98 |
$1,661.40
|
|
Block paracervical nrv
|
$28.12 |
$28.12 |
$28.12 |
$970.61
|
|
Block plantar digital nerve
|
$21.47 |
$21.47 |
$21.47 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$38.38 |
$38.38 |
$38.38 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$33.25 |
$33.25 |
$33.25 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$68.02 |
$68.02 |
$68.02 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$86.26 |
$86.26 |
$86.26 |
$73.44
|
|
Blood Count (CBC) Test
|
$69.16 |
$69.16 |
$69.16 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$45.79 |
$45.79 |
$45.79 |
$61.80
|
|
Blood count spun microhematocrit
|
$7.98 |
$7.98 |
$7.98 |
$22.36
|
|
Blood Culture Test
|
$137.56 |
$137.56 |
$137.56 |
$145.80
|
|
Blood draw capillary 36416
|
$33.06 |
$33.06 |
$33.06 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$119.32 |
$119.32 |
$119.32 |
$220.35
|
|
Blood gases ph venous
|
$21.09 |
$21.09 |
$21.09 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$61.75 |
$61.75 |
$61.75 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$17.86 |
$17.86 |
$17.86 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$18.81 |
$18.81 |
$18.81 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$23.56 |
$23.56 |
$23.56 |
$34.00
|
|
Blood smear interpretation
|
$17.48 |
$17.48 |
$17.48 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$35.72 |
$35.72 |
$35.72 |
$38.61
|
|
Blood split unit
|
$57.95 |
$57.95 |
$57.95 |
$250.00
|
|
Blood typing abo
|
$45.98 |
$45.98 |
$45.98 |
$83.03
|
|
Blood typing ag donor ea ag
|
$26.41 |
$26.41 |
$26.41 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$53.06 |
$53.06 |
$53.06 |
$199.50
|
|
Blood typing rh (d)
|
$43.51 |
$43.51 |
$43.51 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$28.60 |
$28.60 |
$28.60 |
$82.80
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$6,470.64 |
$6,470.64 |
$6,470.64 |
$11,579.00
|
|
Bone biopsy open superficial
|
$91.01 |
$91.01 |
$91.01 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$178.41 |
$178.41 |
$178.41 |
$397.28
|
|
Bone imaging multiple areas
|
$543.97 |
$543.97 |
$543.97 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$543.97 |
$543.97 |
$543.97 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,151.59 |
$1,151.59 |
$1,151.59 |
$1,508.78
|
|
Bone marrow aspir bone grfg
|
$43.51 |
$43.51 |
$43.51 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,151.59 |
$1,151.59 |
$1,151.59 |
$1,570.80
|
|
Bone marrow harvest allogen
|
$128.44 |
$128.44 |
$128.44 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$119.89 |
$119.89 |
$119.89 |
$5,544.24
|
|
Bone marrow imaging ltd
|
$541.88 |
$541.88 |
$541.88 |
$811.00
|
|
Bone marrow imaging mult
|
$22.04 |
$22.04 |
$22.04 |
$923.00
|
|
Bone marrow interpretation
|
$24.89 |
$24.89 |
$24.89 |
$542.03
|
|
Bone/skin graft iliac crest
|
$1,839.01 |
$1,839.01 |
$1,839.01 |
$6,388.14
|
|
Bone survey-lead poisoning
|
$212.99 |
$212.99 |
$212.99 |
$390.00
|
|
Boot j walker l
|
$66.50 |
$66.50 |
$66.50 |
$231.75
|
|
Boot walker genesis full shell 3-strap s
|
$70.30 |
$70.30 |
$70.30 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$10.47 |
$10.47 |
$10.47 |
$94.80
|
|
Bowel imaging
|
$515.66 |
$515.66 |
$515.66 |
$1,065.00
|
|
Bpg axillary-pop/-tibial
|
$790.78 |
$790.78 |
$790.78 |
$1,847.50
|
|
Bpg carotid-vertebral
|
$599.45 |
$599.45 |
$599.45 |
$10,728.90
|
|
Bpg ilio-celiac
|
$1,082.24 |
$1,082.24 |
$1,082.24 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$1,185.41 |
$1,185.41 |
$1,185.41 |
$2,192.00
|
|
Bpg iliorenal
|
$1,059.44 |
$1,059.44 |
$1,059.44 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$683.24 |
$683.24 |
$683.24 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$662.34 |
$662.34 |
$662.34 |
$1,221.00
|
|
Bpg subclavian-vertebral
|
$571.90 |
$571.90 |
$571.90 |
$903.00
|
|
Brace afo lg left 6607
|
$68.59 |
$68.59 |
$68.59 |
$461.76
|
|
Brace afopos solid ankle cust
|
$160.55 |
$160.55 |
$160.55 |
$1,087.89
|
|
Brace ank aftr bioskn med lg
|
$38.19 |
$38.19 |
$38.19 |
$194.42
|
|
Brace ank air stirrup univ
|
$41.04 |
$41.04 |
$41.04 |
$109.64
|
|
Brace ankle stablizing lg
|
$19.95 |
$19.95 |
$19.95 |
$116.35
|
|
Brace knee extender plus 22-30in
|
$157.89 |
$157.89 |
$157.89 |
$676.06
|
|
Brace knee hing pat open med
|
$40.85 |
$40.85 |
$40.85 |
$216.00
|
|
Brace oths wrist hnd fngr without
|
$257.45 |
$257.45 |
$257.45 |
$245.00
|
|
Brace wrist classic lft sm
|
$84.74 |
$84.74 |
$84.74 |
$81.62
|
|
Brachioplasty 15836
|
$529.53 |
$529.53 |
$529.53 |
$3,694.40
|
|
Brach/thor cath 1st
|
$569.24 |
$569.24 |
$569.24 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$679.25 |
$679.25 |
$679.25 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$889.01 |
$889.01 |
$889.01 |
$2,079.00
|
|
Brach/thor cath addl
|
$73.72 |
$73.72 |
$73.72 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$30.97 |
$30.97 |
$30.97 |
$66.76
|
|
Brachytx isodose complex
|
$116.47 |
$116.47 |
$116.47 |
$1,631.00
|
|
Brachytx, non-str, gold-198
|
$3,077.24 |
$3,077.24 |
$3,077.24 |
$124.55
|
|
Braf gene
|
$15.20 |
$15.20 |
$15.20 |
$427.50
|
|
Brain flow imaging only
|
$256.88 |
$256.88 |
$256.88 |
$636.97
|
|
Brain image 4+ views
|
$339.53 |
$339.53 |
$339.53 |
$952.80
|
|
Brain image w/flow 4 + views
|
$339.53 |
$339.53 |
$339.53 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,620.89 |
$1,620.89 |
$1,620.89 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,136.60
|
