|
Biopsy of tear sac
|
$264.00 |
$264.00 |
$264.00 |
$2,760.73
|
|
Biopsy of upper nose/throat
|
$231.90 |
$231.90 |
$231.90 |
$3,592.74
|
|
Biopsy of urethra
|
$144.90 |
$144.90 |
$144.90 |
$3,178.01
|
|
Biopsy/removal lymph nodes
|
$452.40 |
$452.40 |
$452.40 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$483.60 |
$483.60 |
$483.60 |
$4,531.42
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$128.40 |
$128.40 |
$128.40 |
$2,086.50
|
|
Biopsy roof of mouth
|
$155.70 |
$155.70 |
$155.70 |
$1,752.89
|
|
Biopsy skin incisional single lesion
|
$260.40 |
$260.40 |
$260.40 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$283.80 |
$283.80 |
$283.80 |
$2,462.35
|
|
Biopsy thigh soft tissues
|
$436.50 |
$436.50 |
$436.50 |
$3,550.00
|
|
Biopsy tongue anterior two-thirds
|
$200.40 |
$200.40 |
$200.40 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$154.20 |
$154.20 |
$154.20 |
$3,522.35
|
|
Biopsy vestibule of mouth 40808
|
$182.40 |
$182.40 |
$182.40 |
$629.50
|
|
Biopsy vrt bdy open lmbr/crv
|
$442.20 |
$442.20 |
$442.20 |
$5,210.40
|
|
Biospy of bladder
|
$1,390.50 |
$1,390.50 |
$1,390.50 |
$813.15
|
|
Bladder irrigate/lavage/instill 51700
|
$324.90 |
$324.90 |
$324.90 |
$408.00
|
|
Bleomycin 15 unit solution for injection
|
$152.40 |
$152.40 |
$152.40 |
$215.36
|
|
Blepharoplasty lower 15820
|
$547.20 |
$547.20 |
$547.20 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$422.10 |
$422.10 |
$422.10 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$873.90 |
$873.90 |
$873.90 |
$3,041.60
|
|
Blepharp lwr eyelid fat pad
|
$582.00 |
$582.00 |
$582.00 |
$3,227.49
|
|
Blink reflex test
|
$22.80 |
$22.80 |
$22.80 |
$186.21
|
|
Bln 30frx10mmx12cm renal nephromax
|
$888.30 |
$888.30 |
$888.30 |
$5,169.58
|
|
Block brachial plexus w/cath plmt w/img
|
$77.70 |
$77.70 |
$77.70 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$72.60 |
$72.60 |
$72.60 |
$1,661.40
|
|
Block paracervical nrv
|
$84.00 |
$84.00 |
$84.00 |
$970.61
|
|
Block plantar digital nerve
|
$52.50 |
$52.50 |
$52.50 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$60.60 |
$60.60 |
$60.60 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$116.10 |
$116.10 |
$116.10 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$39.90 |
$39.90 |
$39.90 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$60.00 |
$60.00 |
$60.00 |
$73.44
|
|
Blood Count (CBC) Test
|
$69.60 |
$69.60 |
$69.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$55.50 |
$55.50 |
$55.50 |
$61.80
|
|
Blood Culture Test
|
$151.20 |
$151.20 |
$151.20 |
$145.80
|
|
Blood draw capillary 36416
|
$25.80 |
$25.80 |
$25.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$310.20 |
$310.20 |
$310.20 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$61.80 |
$61.80 |
$61.80 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.50 |
$40.50 |
$40.50 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$38.70 |
$38.70 |
$38.70 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$23.40 |
$23.40 |
$23.40 |
$34.00
|
|
Blood smear interpretation
|
$27.60 |
$27.60 |
$27.60 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$53.70 |
$53.70 |
$53.70 |
$38.61
|
|
Blood split unit
|
$46.20 |
$46.20 |
$46.20 |
$250.00
|
|
Blood typing abo
|
$70.50 |
$70.50 |
$70.50 |
$83.03
|
|
Blood typing ag donor ea ag
|
$45.60 |
$45.60 |
$45.60 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$20.70 |
$20.70 |
$20.70 |
$199.50
|
|
Blood typing rh (d)
|
$62.10 |
$62.10 |
$62.10 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$8.11 |
$8.11 |
$8.11 |
$82.80
|
|
Bone biopsy open superficial
|
$143.70 |
$143.70 |
$143.70 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$286.80 |
$286.80 |
$286.80 |
$397.28
|
|
Bone imaging multiple areas
|
$45.90 |
$45.90 |
$45.90 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$34.50 |
$34.50 |
$34.50 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,428.90 |
$1,428.90 |
$1,428.90 |
$1,508.78
|
|
Bone marrow aspir bone grfg
|
$68.70 |
$68.70 |
$68.70 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,388.10 |
$1,388.10 |
$1,388.10 |
$1,570.80
|
|
Bone marrow harvest allogen
|
$202.80 |
$202.80 |
$202.80 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$189.30 |
$189.30 |
$189.30 |
$5,544.24
|
|
Bone marrow imaging ltd
|
$29.40 |
$29.40 |
$29.40 |
$811.00
|
|
Bone marrow imaging mult
|
$34.80 |
$34.80 |
$34.80 |
$923.00
|
|
Bone marrow interpretation
|
$635.40 |
$635.40 |
$635.40 |
$542.03
|
|
Bone/skin graft iliac crest
|
$2,903.70 |
$2,903.70 |
$2,903.70 |
$6,388.14
|
|
Bone survey-lead poisoning
|
$250.50 |
$250.50 |
$250.50 |
$390.00
|
|
Boot cast sandal rocker med
|
$13.50 |
$13.50 |
$13.50 |
$12.89
|
|
Boot j walker l
|
$258.90 |
$258.90 |
$258.90 |
$231.75
|
|
Boot mlti podous univ xlg
|
$145.50 |
$145.50 |
$145.50 |
$235.98
|
|
Boot walker genesis full shell 3-strap s
|
$273.00 |
$273.00 |
$273.00 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$37.20 |
$37.20 |
$37.20 |
$94.80
|
|
Bowel imaging
|
$37.20 |
$37.20 |
$37.20 |
$1,065.00
|
|
Bpg axillary-pop/-tibial
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,847.50
|
|
Bpg carotid-vertebral
|
$946.50 |
$946.50 |
$946.50 |
$10,728.90
|
|
Bpg ilio-celiac
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$1,871.70 |
$1,871.70 |
$1,871.70 |
$2,192.00
|
|
Bpg iliorenal
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$1,078.80 |
$1,078.80 |
$1,078.80 |
$1,977.60
|
|
Bpg subclavian-axillary
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$1,221.00
|
|
Bpg subclavian-vertebral
|
$903.00 |
$903.00 |
$903.00 |
$903.00
|
|
Brace afo lg left 6607
|
$214.20 |
$214.20 |
$214.20 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$135.60 |
$135.60 |
$135.60 |
$194.42
|
|
Brace ank air stirrup univ
|
$100.80 |
$100.80 |
$100.80 |
$109.64
|
|
Brace ankle stablizing lg
|
$77.40 |
$77.40 |
$77.40 |
$116.35
|
|
Brace back pinnacle lo 627 lumbar
|
$362.70 |
$362.70 |
$362.70 |
$857.43
|
|
Brace knee extender plus 22-30in
|
$613.50 |
$613.50 |
$613.50 |
$676.06
|
|
Brace knee hing pat open med
|
$133.80 |
$133.80 |
$133.80 |
$216.00
|
|
Brace knee postop tscope xl
|
$419.40 |
$419.40 |
$419.40 |
$901.93
|
|
Brace oths wrist hnd fngr without
|
$200.70 |
$200.70 |
$200.70 |
$245.00
|
|
Brace wrist classic lft sm
|
$66.00 |
$66.00 |
$66.00 |
$81.62
|
|
Brachioplasty 15836
|
$836.10 |
$836.10 |
$836.10 |
$3,694.40
|
|
Brach/thor cath 1st
|
$210.60 |
$210.60 |
$210.60 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$264.00 |
$264.00 |
$264.00 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$326.10 |
$326.10 |
$326.10 |
$2,079.00
|
|
Brach/thor cath addl
|
$51.00 |
$51.00 |
$51.00 |
$868.00
|
|
Brachytx isodose complex
|
$183.90 |
$183.90 |
$183.90 |
$1,631.00
|
|
Braf gene
|
$54.30 |
$54.30 |
$54.30 |
$427.50
|
|
Brain flow imaging only
|
$16.20 |
$16.20 |
$16.20 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,344.30 |
$1,344.30 |
$1,344.30 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,275.60 |
$1,275.60 |
$1,275.60 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,951.10 |
$2,951.10 |
$2,951.10 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,327.80 |
$1,327.80 |
$1,327.80 |
$1,977.27
|
