|
Blepharoplasty upper eyelid 15823
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
$3,424.00
|
|
Blepharp lwr eyelid fat pad
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,227.49
|
|
Blinatumomab 35 mcg intravenous solution
|
$325.97 |
$325.97 |
$325.97 |
$10,187.42
|
|
Blink reflex test
|
$183.00 |
$183.00 |
$183.00 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$12,346.40 |
$12,346.40 |
$12,346.40 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,041.50 |
$3,041.50 |
$3,041.50 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$3,495.80 |
$3,495.80 |
$3,495.80 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$30,376.50 |
$30,376.50 |
$30,376.50 |
$13,796.54
|
|
Block paracervical nrv
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$1,021.50
|
|
Block plantar digital nerve
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$6,616.00 |
$6,616.00 |
$6,616.00 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$6,616.00 |
$6,616.00 |
$6,616.00 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$79.00 |
$79.00 |
$79.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$116.00 |
$116.00 |
$116.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$123.00 |
$123.00 |
$123.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$129.00 |
$129.00 |
$129.00 |
$62.28
|
|
Blood count spun microhematocrit
|
$55.00 |
$55.00 |
$55.00 |
$25.00
|
|
Blood Culture Test
|
$205.00 |
$205.00 |
$205.00 |
$146.16
|
|
Blood draw capillary 36416
|
$56.00 |
$56.00 |
$56.00 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$39.00 |
$39.00 |
$39.00 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$718.00 |
$718.00 |
$718.00 |
$226.50
|
|
Blood gases ph venous
|
$202.00 |
$202.00 |
$202.00 |
$64.60
|
|
Blood, l/r, irradiated
|
$378.00 |
$378.00 |
$378.00 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$122.00 |
$122.00 |
$122.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$52.00 |
$52.00 |
$52.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$82.00 |
$82.00 |
$82.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$52.00 |
$52.00 |
$52.00 |
$34.98
|
|
Blood smear interpretation
|
$282.00 |
$282.00 |
$282.00 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$70.00 |
$70.00 |
$70.00 |
$38.35
|
|
Blood split unit
|
$871.00 |
$871.00 |
$871.00 |
$282.88
|
|
Blood Transfusion
|
$1,684.00 |
$1,684.00 |
$1,684.00 |
$989.60
|
|
Blood typing abo
|
$283.00 |
$283.00 |
$283.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$760.00 |
$760.00 |
$760.00 |
$207.60
|
|
Blood typing patient serum
|
$155.00 |
$155.00 |
$155.00 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$760.00 |
$760.00 |
$760.00 |
$211.90
|
|
Blood typing rh (d)
|
$155.00 |
$155.00 |
$155.00 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$155.00 |
$155.00 |
$155.00 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$388.00 |
$388.00 |
$388.00 |
$252.75
|
|
Bone biopsy open superficial
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$804.00 |
$804.00 |
$804.00 |
$407.94
|
|
Bone filler cerament 10cc
|
$11,453.20 |
$11,453.20 |
$11,453.20 |
$14,423.77
|
|
Bone imaging (3d)
|
$4,772.00 |
$4,772.00 |
$4,772.00 |
$1,261.00
|
|
Bone/joint imaging ltd area
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$5,759.00 |
$5,759.00 |
$5,759.00 |
$1,728.00
|
|
Bone marrow harvest allogen
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
$4,755.40
|
|
Bone marrow harvest autolog
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$5,544.24
|
|
Bone marrow imaging ltd
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$811.00
|
|
Bone marrow interpretation
|
$735.00 |
$735.00 |
$735.00 |
$542.03
|
|
Bone/skin graft metatarsal
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$8,241.00
|
|
Bone survey-lead poisoning
|
$388.00 |
$388.00 |
$388.00 |
$387.00
|
|
Boot mlti podous univ xlg
|
$298.10 |
$298.10 |
$298.10 |
$253.86
|
|
Boot softgait shrt m
|
$295.90 |
$295.90 |
$295.90 |
$139.20
|
|
Boot walker genesis mid-calf full shell s
|
$491.04 |
$491.04 |
$491.04 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$438.00 |
$438.00 |
$438.00 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$37.08 |
$37.08 |
$37.08 |
$2,915.40
|
|
(both sides) donor search management
|
$3,162.25 |
$3,162.25 |
$3,162.25 |
$2,438.80
|
|
(both sides) smear without diff wbc count
|
$70.00 |
$70.00 |
$70.00 |
$30.68
|
|
Bowel imaging
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,074.00
|
|
Bpg pop-tibl/-prnl artery
|
$36,240.00 |
$36,240.00 |
$36,240.00 |
$5,400.20
|
|
Brace afo lg left 6607
|
$398.42 |
$398.42 |
$398.42 |
$461.76
|
|
Brace back epic lo 627
|
$531.30 |
$531.30 |
$531.30 |
$497.68
|
|
Brace back epic lso 637
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$1,611.50
|
|
Brace back epic tslo 456
|
$1,268.99 |
$1,268.99 |
$1,268.99 |
$1,582.56
|
|
Brace back pinnacle tlso 464
|
$2,650.90 |
$2,650.90 |
$2,650.90 |
$2,632.87
|
|
Brace fx hum ovr shldr sm
|
$499.40 |
$499.40 |
$499.40 |
$620.54
|
|
Brace knee extender plus 22-30in
|
$1,361.43 |
$1,361.43 |
$1,361.43 |
$767.20
|
|
Brace knee hing pat open med
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$941.60 |
$941.60 |
$941.60 |
$411.01
|
|
Brace m arm board
|
$405.45 |
$405.45 |
$405.45 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$130.00 |
$130.00 |
$130.00 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$2,419.31 |
$2,419.31 |
$2,419.31 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,765.50 |
$1,765.50 |
$1,765.50 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$403.92 |
$403.92 |
$403.92 |
$257.45
|
|
Brace wrist classic lft sm
|
$96.80 |
$96.80 |
$96.80 |
$89.04
|
|
Brachioplasty 15836
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$3,694.40
|
|
Brach/thor cath 1st
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$3,819.00 |
$3,819.00 |
$3,819.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$4,549.00 |
$4,549.00 |
$4,549.00 |
$2,050.00
|
|
Brach/thor cath addl
|
$739.00 |
$739.00 |
$739.00 |
$868.00
|
|
Brachy source i-125 injection
|
$130.90 |
$130.90 |
$130.90 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$101.20 |
$101.20 |
$101.20 |
$70.85
|
|
Brachy source palladium
|
$211.20 |
$211.20 |
$211.20 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$188.10 |
$188.10 |
$188.10 |
$126.83
|
|
Brachy source yttrium-90
|
$30,879.20 |
$30,879.20 |
$30,879.20 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$68,560.80 |
$68,560.80 |
$68,560.80 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$815.10 |
$815.10 |
$815.10 |
$478.50
|
|
Brachy src stranded c-131
|
$349.80 |
$349.80 |
$349.80 |
$221.00
|
|
Brachytx isodose complex
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$1,705.20
|
|
Brachytx isodose intermed
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$722.00 |
$722.00 |
$722.00 |
$1,032.38
|
|
Brachytx, non-str, ha, i-125
|
$385.00 |
$385.00 |
$385.00 |
$191.77
|
|
Brachytx, ns, non-hdrir-192
|
$815.10 |
$815.10 |
$815.10 |
$159.50
|
|
Braf gene
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$450.90
|
|
Brain image w/flow < 4 views
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$919.45
|
|
Brain image w/flow 4 + views
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,854.80
|
