|
Biopsy external ear 69100
|
$771.72 |
$771.72 |
$771.72 |
$416.52
|
|
Biopsy eyelid & lid margin
|
$892.78 |
$892.78 |
$892.78 |
$651.68
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$8,626.82 |
$8,626.82 |
$9,113.95 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$1,821.87
|
|
Biopsy needle liver percutaneous
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$1,961.11
|
|
Biopsy needle lymph node superficial
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$1,879.09
|
|
Biopsy of heart lining
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$3,868.50
|
|
Biopsy of lip 40490
|
$771.72 |
$771.72 |
$771.72 |
$317.20
|
|
Biopsy of nail unit 11755
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$888.07
|
|
Biopsy of penis 54100
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$2,005.00
|
|
Biopsy of prostate
|
$5,559.71 |
$5,559.71 |
$5,820.89 |
$2,424.12
|
|
Biopsy of rectum wall anal approach 45100
|
$27,259.95 |
$27,259.95 |
$27,259.95 |
$3,329.95
|
|
Biopsy of salivary gland 42400
|
$2,039.50 |
$2,039.50 |
$2,124.65 |
$1,147.16
|
|
Biopsy/removal lymph nodes
|
$39,361.95 |
$39,361.95 |
$39,361.95 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$2,198.35
|
|
Biopsy roof of mouth
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$1,711.20
|
|
Biopsy skin incisional single lesion
|
$1,978.81 |
$1,978.81 |
$2,025.45 |
$677.54
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,912.86 |
$4,912.86 |
$5,146.37 |
$2,182.40
|
|
Biopsy tongue anterior two-thirds
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$644.67
|
|
Biospy of bladder
|
$1,983.27 |
$1,983.27 |
$1,983.27 |
$1,132.95
|
|
Biotinidase - quest
|
$68.67 |
$260.39 |
$260.39 |
$74.10
|
|
Bivalirudin
|
$472.50 |
$472.50 |
$472.50 |
$1,246.70
|
|
Bladder irrigate/lavage/instill 51700
|
$1,473.67 |
$1,473.67 |
$1,473.67 |
$422.51
|
|
Bld prd mix
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$4,276.41 |
$4,276.41 |
$4,750.00 |
$246.42
|
|
Block paracervical nrv
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$819.50
|
|
Block plantar digital nerve
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$6,749.49 |
$6,749.49 |
$6,749.49 |
$1,147.09
|
|
Block tap inj(s) w/wo img uni
|
$4,946.41 |
$4,946.41 |
$4,946.41 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$302.76 |
$302.76 |
$1,263.55 |
$52.58
|
|
Blood Clotting (PTT) Test
|
$323.31 |
$323.31 |
$1,384.28 |
$76.32
|
|
Blood Count (CBC) Test
|
$442.59 |
$442.59 |
$442.59 |
$72.80
|
|
Blood Count (CBC) Test (without differential)
|
$372.32 |
$372.32 |
$1,691.92 |
$62.40
|
|
Blood count spun microhematocrit
|
$169.62 |
$169.62 |
$169.62 |
$20.40
|
|
Blood Culture Test
|
$568.37 |
$568.37 |
$2,176.34 |
$144.65
|
|
Blood draw capillary 36416
|
$42.97 |
$42.97 |
$42.97 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$493.21 |
$493.21 |
$1,089.61 |
$220.35
|
|
Blood gases ph venous
|
$169.79 |
$169.79 |
$3,679.95 |
$63.70
|
|
Blood, l/r, irradiated
|
$1,908.74 |
$1,908.74 |
$1,908.74 |
$238.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$70.14 |
$76.00 |
$245.72 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$110.69 |
$151.56 |
$264.69 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$117.09 |
$117.09 |
$773.36 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$151.56 |
$151.56 |
$773.36 |
$33.60
|
|
Blood smear interpretation
|
$141.00 |
$141.00 |
$141.00 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$58.65 |
$58.65 |
$698.62 |
$37.05
|
|
Blood split unit
|
$1,827.49 |
$1,827.49 |
$1,827.49 |
$235.30
|
|
Blood typing abo
|
$84.81 |
$364.82 |
$389.59 |
$83.03
|
|
Blood typing ag donor ea ag
|
$1,017.75 |
$1,058.89 |
$1,114.05 |
$169.50
|
|
Blood typing patient serum
|
$221.39 |
$221.39 |
$221.39 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$55.00 |
$1,017.75 |
$1,058.89 |
$181.74
|
|
Blood typing rh (d)
|
$129.00 |
$132.51 |
$336.37 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$13.33 |
$284.10 |
$284.10 |
$77.01
|
|
Bone biopsy open superficial
|
$27,561.20 |
$27,561.20 |
$27,561.20 |
$3,851.40
|
|
Bone Density Scan (DEXA)
|
$1,476.02 |
$1,476.02 |
$3,534.33 |
$395.00
|
|
Bone imaging multiple areas
|
$2,028.46 |
$3,078.49 |
$9,950.44 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$1,530.24 |
$1,530.24 |
$14,524.54 |
$1,151.44
|
|
Bone marrow;aspiration only 38220
|
$654.44 |
$654.44 |
$4,912.86 |
$1,793.38
|
|
Bone marrow biopsyneedle/trocar 38221
|
$621.48 |
$621.48 |
$4,912.86 |
$1,825.44
|
|
Bone marrow harvest allogen
|
$1,795.72 |
$1,795.72 |
$1,795.72 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$49,884.93 |
$49,884.93 |
$49,884.93 |
$5,419.00
|
|
Bone marrow imaging body
|
$3,020.66 |
$3,020.66 |
$5,040.26 |
$973.73
|
|
Bone marrow imaging ltd
|
$3,020.66 |
$3,020.66 |
$3,951.75 |
$723.00
|
|
Bone marrow imaging mult
|
$3,020.66 |
$3,020.66 |
$3,020.66 |
$762.31
|
|
Bone marrow interpretation
|
$2,669.63 |
$2,669.63 |
$2,870.65 |
$448.50
|
|
Bone survey-lead poisoning
|
$581.73 |
$581.73 |
$9,486.10 |
$355.20
|
|
Bone tendon board add on
|
$184.78 |
$184.78 |
$184.78 |
$5,689.43
|
|
Boot j walker l
|
$1,095.46 |
$1,095.46 |
$1,095.46 |
$264.60
|
|
Boot walker genesis full shell 3-strap s
|
$1,095.46 |
$1,095.46 |
$1,679.77 |
$348.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$289.32 |
$289.32 |
$289.32 |
$98.40
|
|
Borrelia miyamotoi amp prb
|
$128.96 |
$128.96 |
$128.96 |
$91.25
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$1,706.90 |
$1,780.27 |
$8,421.00 |
$1,780.27
|
|
(both sides) smear without diff wbc count
|
$52.94 |
$52.94 |
$52.94 |
$33.57
|
|
Bowel imaging
|
$1,916.52 |
$1,916.52 |
$3,906.79 |
$1,218.10
|
|
Brace afo lg left 6607
|
$1,350.72 |
$1,350.72 |
$1,350.72 |
$459.03
|
|
Brace afopos solid ankle cust
|
$2,241.09 |
$2,241.09 |
$2,241.09 |
$1,051.20
|
|
Brace afo spiral prefab
|
$3,651.19 |
$3,651.19 |
$3,651.19 |
$1,604.40
|
|
Brace ank aftr bioskn med lg
|
$784.70 |
$784.70 |
$784.70 |
$88.74
|
|
Brace back pinnacle lo 627 lumbar
|
$1,411.69 |
$1,411.69 |
$1,411.69 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$1,095.46 |
$1,095.46 |
$1,095.46 |
$2,283.03
|
|
Brace cust back lso
|
$3,115.68 |
$3,115.68 |
$3,115.68 |
$1,458.21
|
|
Brace fx hum ovr shldr lg
|
$3,224.28 |
$3,224.28 |
$3,224.28 |
$2,528.66
|
|
Brace fx hum ovr shldr sm
|
$1,727.36 |
$1,727.36 |
$1,727.36 |
$468.44
|
|
Brace halo bremer l2830
|
$669.08 |
$669.08 |
$669.08 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$2,288.05 |
$2,288.05 |
$2,288.05 |
$504.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,084.55 |
$1,084.55 |
$1,084.55 |
$396.00
|
|
Brace knee postop tscope xl
|
$3,103.28 |
$3,103.28 |
$3,103.28 |
$1,343.91
|
|
Brace m arm board
|
$78.88 |
$78.88 |
$1,397.26 |
$153.81
|
|
Brace ortho exos 28-50in sm
|
$6,853.75 |
$6,853.75 |
$6,853.75 |
$1,592.99
|
|
Brace oths wrist hnd fngr without
|
$1,095.46 |
$1,095.46 |
$1,095.46 |
$194.40
|
|
Brace wrist classic lft sm
|
$401.68 |
$401.68 |
$401.68 |
$78.75
|
|
Brach/thor cath 1st
|
$5,338.10 |
$5,338.10 |
$5,338.10 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$4,275.43 |
$4,275.43 |
$4,275.43 |
$2,022.60
|
|
Brach/thor cath 3rd
|
$4,859.03 |
$4,859.03 |
$4,859.03 |
$2,244.00
|
|
Brach/thor cath addl
|
$3,377.27 |
$3,377.27 |
$3,377.27 |
$881.40
|
|
Brachy source i-125 injection
|
$486.30 |
$486.30 |
$486.30 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$179.19 |
$179.19 |
$443.39 |
$38.90
|
|
Brachy source palladium
|
$1,140.83 |
$1,140.83 |
$1,140.83 |
$77.20
|
|
Brachy source palladium-103 nonstranded
|
$356.16 |
$356.16 |
$371.79 |
$88.29
|
|
Brachy source yttrium-90
|
$161,086.80 |
$161,086.80 |
$226,194.50 |
$32,024.61
|
