|
Biopsy/soft tissue/neck or thorax 21550
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,141.40
|
|
Biopsy tongue anterior two-thirds
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$1,224.63 |
$1,224.63 |
$1,224.63 |
$644.67
|
|
Biospy of bladder
|
$3,174.96 |
$3,174.96 |
$3,174.96 |
$1,132.95
|
|
Biotinidase - quest
|
$240.11 |
$267.50 |
$358.00 |
$72.80
|
|
Bis xtracell fluid analysis
|
$340.00 |
$340.00 |
$340.00 |
$229.14
|
|
Bladder irrigate/lavage/instill 51700
|
$588.82 |
$588.82 |
$588.82 |
$418.20
|
|
Bld prd mix
|
$80.53 |
$232.00 |
$1,136.83 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$393.21 |
$393.21 |
$4,839.00 |
$245.75
|
|
Blinatumomab 35 mcg intravenous solution
|
$549.90 |
$549.90 |
$549.90 |
$235.53
|
|
Blink reflex test
|
$364.25 |
$364.25 |
$364.25 |
$225.60
|
|
Blm gene
|
$63.33 |
$63.33 |
$63.33 |
$70.50
|
|
Block plantar digital nerve
|
$1,393.40 |
$1,393.40 |
$1,393.40 |
$495.21
|
|
Blood Clotting (PT/INR) Test
|
$53.71 |
$191.96 |
$662.00 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$65.63 |
$258.27 |
$662.00 |
$72.15
|
|
Blood Count (CBC) Test
|
$325.70 |
$325.70 |
$325.70 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$195.80 |
$339.30 |
$662.00 |
$62.28
|
|
Blood count spun microhematocrit
|
$151.35 |
$151.35 |
$311.00 |
$20.40
|
|
Blood Culture Test
|
$328.13 |
$328.13 |
$331.45 |
$144.65
|
|
Blood draw capillary 36416
|
$28.84 |
$109.50 |
$526.00 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$506.00 |
$716.90 |
$1,963.25 |
$220.35
|
|
Blood gases ph venous
|
$181.44 |
$181.44 |
$307.23 |
$63.70
|
|
Blood, l/r, irradiated
|
$1,860.23 |
$1,860.23 |
$1,860.23 |
$238.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$65.05 |
$253.52 |
$945.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$52.00 |
$112.98 |
$420.75 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$57.60 |
$89.47 |
$859.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$57.60 |
$80.53 |
$859.00 |
$33.57
|
|
Blood smear interpretation
|
$147.50 |
$147.50 |
$147.50 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$55.06 |
$453.38 |
$662.00 |
$37.44
|
|
Blood split unit
|
$263.02 |
$552.75 |
$1,845.84 |
$235.30
|
|
Blood typing abo
|
$273.99 |
$273.99 |
$328.62 |
$83.82
|
|
Blood typing ag donor ea ag
|
$207.45 |
$384.60 |
$590.00 |
$166.80
|
|
Blood typing patient serum
|
$93.97 |
$93.97 |
$229.69 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$134.24 |
$197.00 |
$384.60 |
$181.74
|
|
Blood typing rh (d)
|
$121.05 |
$301.39 |
$343.50 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$170.91 |
$663.00 |
$930.30 |
$77.25
|
|
Blood volume
|
$8,738.75 |
$8,738.75 |
$8,738.75 |
$704.60
|
|
Bone biopsy open superficial
|
$3,273.83 |
$3,273.83 |
$3,273.83 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$625.27 |
$1,085.90 |
$3,583.00 |
$395.00
|
|
Bone imaging multiple areas
|
$4,568.46 |
$8,198.75 |
$9,048.11 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$2,181.50 |
$3,446.38 |
$8,366.23 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$8,946.10 |
$8,946.10 |
$8,946.10 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$9,350.70 |
$9,350.70 |
$9,350.70 |
$1,822.36
|
|
Bone marrow imaging body
|
$2,157.50 |
$2,157.50 |
$13,893.25 |
$973.73
|
|
Bone marrow imaging ltd
|
$920.73 |
$920.73 |
$2,157.50 |
$723.00
|
|
Bone marrow interpretation
|
$779.00 |
$779.00 |
$4,835.60 |
$439.78
|
|
Bone survey-lead poisoning
|
$843.35 |
$843.35 |
$2,830.75 |
$346.28
|
|
Boot cast sandal rocker med
|
$18.57 |
$18.57 |
$18.57 |
$18.57
|
|
Boot j walker l
|
$414.20 |
$414.20 |
$414.20 |
$291.75
|
|
Boot mlti podous univ xlg
|
$516.06 |
$516.06 |
$4,659.00 |
$318.36
|
|
Boot softgait shrt m
|
$436.05 |
$436.05 |
$436.05 |
$113.72
|
|
Boot walker genesis full shell 3-strap s
|
$643.56 |
$643.56 |
$643.56 |
$325.00
|
|
Boot walker genesis mid-calf full shell s
|
$951.36 |
$951.36 |
$951.36 |
$135.85
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$66.00 |
$366.15 |
$1,496.00 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,041.06 |
$2,041.06 |
$2,041.06 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$310.75 |
$310.75 |
$629.00 |
$33.57
|
|
Bowel imaging
|
$2,676.23 |
$3,128.75 |
$11,159.26 |
$1,186.25
|
|
Brace adj motion lerman type
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$4,175.00
|
|
Brace afo lg left 6607
|
$610.00 |
$610.00 |
$760.58 |
$401.11
|
|
Brace afopos solid ankle cust
|
$882.43 |
$882.43 |
$12,836.00 |
$890.52
|
|
Brace afo spiral prefab
|
$1,445.56 |
$1,445.56 |
$1,445.56 |
$1,604.40
|
|
Brace ank aftr bioskn med lg
|
$464.43 |
$464.43 |
$2,165.00 |
$88.74
|
|
Brace ank air stirrup univ
|
$205.76 |
$205.76 |
$2,071.00 |
$56.65
|
|
Brace ankle stablizing lg
|
$127.08 |
$127.08 |
$1,369.00 |
$113.10
|
|
Brace back epic lo 627
|
$2,265.64 |
$2,265.64 |
$2,265.64 |
$601.92
|
|
Brace back epic lso 637
|
$3,996.48 |
$3,996.48 |
$3,996.48 |
$1,244.20
|
|
Brace back pinnacle lo 627 lumbar
|
$890.52 |
$890.52 |
$6,064.00 |
$751.17
|
|
Brace back pinnacle tlso 464
|
$2,283.03 |
$2,283.03 |
$2,283.03 |
$2,223.92
|
|
Brace back t-lso custom
|
$5,504.07 |
$5,504.07 |
$37,102.00 |
$3,365.06
|
|
Brace back vista 464 tlso
|
$1,579.91 |
$19,071.00 |
$23,307.00 |
$1,541.40
|
|
Brace cust back lso
|
$1,458.21 |
$15,144.00 |
$18,771.00 |
$1,489.57
|
|
Brace fx hum ovr shldr lg
|
$2,528.66 |
$2,528.66 |
$2,528.66 |
$2,528.66
|
|
Brace fx hum ovr shldr sm
|
$468.44 |
$5,188.00 |
$7,132.00 |
$453.47
|
|
Brace halo bremer l2830
|
$318.68 |
$2,148.00 |
$3,354.00 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$1,597.40 |
$1,597.40 |
$1,597.40 |
$505.05
|
|
Brace knee hing pat open med
|
$410.70 |
$410.70 |
$2,432.00 |
$294.16
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,935.76 |
$1,935.76 |
$1,935.76 |
$510.88
|
|
Brace knee postop tscope xl
|
$1,343.91 |
$1,343.91 |
$19,549.00 |
$1,343.91
|
|
Brace knee support neoprene padded open patella med
|
$292.43 |
$292.43 |
$292.43 |
$212.97
|
|
Brace m arm board
|
$783.30 |
$783.30 |
$783.30 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$1,592.99 |
$1,592.99 |
$1,592.99 |
$1,592.99
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,479.49 |
$20,377.00 |
$22,535.00 |
$1,546.87
|
|
Brace oths wrist hnd fngr without
|
$606.02 |
$4,662.00 |
$5,800.00 |
$179.93
|
|
Brace tlso flex cust
|
$802.74 |
$802.74 |
$802.74 |
$346.45
|
|
Brace wrist classic lft sm
|
$93.33 |
$93.33 |
$1,006.00 |
$79.23
|
|
Brach/thor cath 1st
|
$3,708.53 |
$3,708.53 |
$3,708.53 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$5,381.86 |
$5,381.86 |
$5,381.86 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$6,882.90 |
$6,882.90 |
$6,882.90 |
$2,244.00
|
|
Brach/thor cath addl
|
$3,688.13 |
$3,688.13 |
$3,688.13 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$1,522.10 |
$1,522.10 |
$1,522.10 |
$38.90
|
|
Brachy source yttrium-90
|
$87,910.89 |
$181,080.00 |
$260,882.00 |
$32,024.61
|
|
Brachy src nonstrand c-131
|
$388.82 |
$388.82 |
$388.82 |
$114.27
|
|
Brachy src nonstrand hdr ir-192
|
$2,290.51 |
$2,290.51 |
$2,379.00 |
$378.98
|
|
Brachytx isodose complex
|
$10,067.49 |
$10,067.49 |
$20,970.00 |
$1,631.00
|
|
Brachytx isodose intermed
|
$7,805.98 |
$7,805.98 |
$17,943.00 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$7,213.84 |
$7,213.84 |
$14,706.00 |
$817.20
|
|
Braf gene
|
$301.60 |
$301.60 |
$757.75 |
$421.20
|
|
Brain flow imaging only
|
$1,065.80 |
$1,065.80 |
$1,065.80 |
$636.97
|
|
Brain image w/flow < 4 views
|
$1,398.90 |
$1,398.90 |
$1,398.90 |
$828.39
|
|
Brain image w/flow 4 + views
|
$2,631.01 |
$4,919.75 |
$8,264.22 |
$1,308.00
|
