|
Biopsy of penis 54100
|
$4,876.00 |
$4,876.00 |
$4,876.00 |
$2,005.00
|
|
Biopsy of prostate
|
$10,241.00 |
$10,241.00 |
$10,241.00 |
$2,424.12
|
|
Biopsy of rectum wall anal approach 45100
|
$12,079.00 |
$12,079.00 |
$12,079.00 |
$3,329.95
|
|
Biopsy of salivary gland 42400
|
$2,859.00 |
$2,859.00 |
$2,859.00 |
$1,147.16
|
|
Biopsy/removal lymph nodes
|
$13,626.00 |
$13,626.00 |
$13,626.00 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,039.00 |
$5,039.00 |
$5,039.00 |
$2,195.00
|
|
Biopsy roof of mouth
|
$2,833.00 |
$2,833.00 |
$2,833.00 |
$1,711.20
|
|
Biopsy skin incisional single lesion
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$668.98
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,778.00 |
$4,778.00 |
$4,778.00 |
$2,141.40
|
|
Biopsy tongue anterior two-thirds
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$644.67
|
|
Biospy of bladder
|
$6,200.00 |
$6,200.00 |
$6,200.00 |
$1,132.95
|
|
Biotinidase - quest
|
$60.95 |
$61.15 |
$140.00 |
$72.80
|
|
Bis xtracell fluid analysis
|
$684.00 |
$684.00 |
$684.00 |
$229.14
|
|
Bivalirudin
|
$245.40 |
$245.40 |
$3,185.00 |
$1,246.70
|
|
Bladder irrigate/lavage/instill 51700
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$418.20
|
|
Bld prd mix
|
$712.00 |
$712.00 |
$845.64 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$250.00 |
$250.00 |
$300.75 |
$245.75
|
|
Blink reflex test
|
$435.70 |
$435.70 |
$435.70 |
$225.60
|
|
Bln inpact admiral 4x150x130cm
|
$8,250.00 |
$8,250.00 |
$8,250.00 |
$4,259.82
|
|
Block paracervical nrv
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$819.50
|
|
Block plantar digital nerve
|
$985.00 |
$985.00 |
$985.00 |
$495.21
|
|
Block tap inj(s) w/wo img bi
|
$8,108.00 |
$8,108.00 |
$8,108.00 |
$1,143.35
|
|
Block tap inj(s) w/wo img uni
|
$7,938.00 |
$7,938.00 |
$7,938.00 |
$916.30
|
|
Blood Clotting (PT/INR) Test
|
$285.00 |
$285.00 |
$285.00 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$584.00 |
$584.00 |
$584.00 |
$72.15
|
|
Blood Count (CBC) Test
|
$534.00 |
$534.00 |
$534.00 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$376.00 |
$978.46 |
$999.85 |
$62.28
|
|
Blood Culture Test
|
$807.00 |
$2,176.03 |
$2,224.30 |
$144.65
|
|
Blood draw capillary 36416
|
$138.05 |
$138.05 |
$161.00 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$432.30 |
$432.30 |
$672.00 |
$220.35
|
|
Blood gases ph venous
|
$280.00 |
$284.59 |
$626.55 |
$63.70
|
|
Blood, l/r, irradiated
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$238.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$41.58 |
$41.70 |
$337.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$119.00 |
$387.86 |
$396.75 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$92.00 |
$1,153.50 |
$1,179.10 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$162.00 |
$731.64 |
$747.90 |
$33.57
|
|
Blood smear interpretation
|
$149.00 |
$149.00 |
$149.00 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$18.06 |
$84.00 |
$417.40 |
$37.44
|
|
Blood split unit
|
$10,707.00 |
$10,707.00 |
$10,707.00 |
$235.30
|
|
Blood typing abo
|
$261.00 |
$261.00 |
$261.00 |
$83.82
|
|
Blood typing ag donor ea ag
|
$124.67 |
$262.20 |
$324.00 |
$166.80
|
|
Blood typing patient serum
|
$170.00 |
$170.00 |
$234.25 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$181.74
|
|
Blood typing rh (d)
|
$132.00 |
$132.00 |
$132.00 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$170.00 |
$237.60 |
$238.35 |
$77.25
|
|
Bone biopsy open superficial
|
$7,130.00 |
$7,130.00 |
$7,130.00 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$1,749.00 |
$1,749.00 |
$5,088.10 |
$395.00
|
|
Bone imaging multiple areas
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$1,573.52 |
$3,367.00 |
$8,451.45 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$5,059.00 |
$5,059.00 |
$5,059.00 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$5,059.00 |
$5,059.00 |
$5,059.00 |
$1,822.36
|
|
Bone marrow harvest allogen
|
$13,706.00 |
$13,706.00 |
$13,706.00 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$13,706.00 |
$13,706.00 |
$13,706.00 |
$5,419.00
|
|
Bone marrow imaging ltd
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$723.00
|
|
Bone marrow interpretation
|
$964.00 |
$964.00 |
$964.00 |
$439.78
|
|
Bone survey-lead poisoning
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$346.28
|
|
Bone tendon board add on
|
$4,142.00 |
$4,142.00 |
$4,142.00 |
$5,689.43
|
|
Boot walker genesis full shell 3-strap s
|
$352.00 |
$352.00 |
$352.00 |
$325.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$244.00 |
$244.00 |
$244.00 |
$98.57
|
|
Borrelia miyamotoi amp prb
|
$633.00 |
$633.00 |
$633.00 |
$91.25
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,637.58 |
$2,637.58 |
$6,059.25 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$115.00 |
$115.00 |
$115.00 |
$33.57
|
|
Bowel imaging
|
$4,010.00 |
$4,010.00 |
$9,104.25 |
$1,186.25
|
|
Brace afo lg left 6607
|
$282.00 |
$282.00 |
$1,258.65 |
$401.11
|
|
Brace afopos solid ankle cust
|
$663.00 |
$663.00 |
$663.00 |
$890.52
|
|
Brace afo spiral prefab
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$1,604.40
|
|
Brace ank aftr bioskn med lg
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$88.74
|
|
Brace back t-lso custom
|
$16,450.00 |
$16,450.00 |
$16,450.00 |
$3,365.06
|
|
Brace fx hum ovr shldr sm
|
$360.00 |
$360.00 |
$360.00 |
$453.47
|
|
Brace halo bremer l2830
|
$117.00 |
$117.00 |
$117.00 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$643.00 |
$643.00 |
$643.00 |
$505.05
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$396.00 |
$396.00 |
$396.00 |
$510.88
|
|
Brace m arm board
|
$292.00 |
$292.00 |
$292.00 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$255.00 |
$255.00 |
$255.00 |
$1,592.99
|
|
Brace wrist classic lft sm
|
$101.00 |
$101.00 |
$101.00 |
$79.23
|
|
Brach/thor cath 1st
|
$3,634.00 |
$3,634.00 |
$3,634.00 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$4,340.00 |
$4,340.00 |
$4,340.00 |
$2,244.00
|
|
Brach/thor cath addl
|
$905.00 |
$905.00 |
$905.00 |
$881.40
|
|
Brachy source i-125 injection
|
$588.00 |
$588.00 |
$588.00 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$714.00 |
$714.00 |
$714.00 |
$38.90
|
|
Brachy source palladium
|
$380.00 |
$380.00 |
$380.00 |
$73.91
|
|
Brachy source palladium-103 nonstranded
|
$380.00 |
$380.00 |
$380.00 |
$88.29
|
|
Brachy source yttrium-90
|
$149,085.00 |
$149,085.00 |
$149,085.00 |
$32,024.61
|
|
Brachy src nonstrand hdr ir-192
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$378.98
|
|
Brachytx isodose complex
|
$5,310.26 |
$5,310.26 |
$9,331.00 |
$1,631.00
|
|
Brachytx isodose intermed
|
$3,785.50 |
$3,785.50 |
$6,750.00 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$2,115.21 |
$2,115.21 |
$4,288.00 |
$817.20
|
|
Braf gene
|
$268.35 |
$833.50 |
$1,990.00 |
$421.20
|
|
Brain flow imaging only
|
$8,601.03 |
$8,601.03 |
$9,203.10 |
$636.97
|
|
Brain image w/flow < 4 views
|
$3,282.00 |
$3,282.00 |
$7,404.35 |
$828.39
|
|
Brain image w/flow 4 + views
|
$4,261.00 |
$4,261.00 |
$4,261.00 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,737.00 |
$7,737.00 |
$19,058.98 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$5,960.00 |
$5,960.00 |
$5,960.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,801.00 |
$4,801.00 |
$15,272.84 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$11,174.00 |
$11,174.00 |
$19,235.10 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$9,553.00 |
$9,553.00 |
$17,845.92 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$8,097.00 |
$8,097.00 |
$15,272.84 |
$1,927.04
|
|
Bra surgical elizabeth pink sm
|
$944.00 |
$944.00 |
$944.00 |
$86.89
|
