|
Biopsy/soft tissue/neck or thorax 21550
|
$1,313.52 |
$1,313.52 |
$1,313.52 |
$2,462.35
|
|
Biopsy tongue anterior two-thirds
|
$644.67 |
$644.67 |
$644.67 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$644.67 |
$644.67 |
$644.67 |
$644.67
|
|
Biopsy vrt bdy open lmbr/crv
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
$5,419.00
|
|
Biospy of bladder
|
$5,326.23 |
$5,326.23 |
$5,326.23 |
$945.00
|
|
Biotinidase - quest
|
$132.60 |
$132.60 |
$132.60 |
$64.40
|
|
Bis xtracell fluid analysis
|
$212.55 |
$212.55 |
$212.55 |
$235.00
|
|
Bk molded distal cushion
|
$159.64 |
$159.64 |
$159.64 |
$194.06
|
|
Bladder Catheter Insertion (simple)
|
$368.55 |
$368.55 |
$368.55 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$942.63 |
$942.63 |
$942.63 |
$412.80
|
|
Bld prd mix
|
$271.05 |
$271.05 |
$271.05 |
$140.25
|
|
Bld push tfuj 2 yr/<
|
$1,782.30 |
$1,782.30 |
$1,782.30 |
$999.06
|
|
Blepharoplasty lower 15820
|
$2,265.51 |
$2,265.51 |
$2,265.51 |
$2,837.09
|
|
Blepharoplasty upper 15822
|
$2,265.51 |
$2,265.51 |
$2,265.51 |
$2,837.09
|
|
Blepharoplasty upper eyelid 15823
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$3,424.00
|
|
Blind cor sinus reducer impl
|
$13,666.38 |
$13,666.38 |
$13,666.38 |
$13,419.98
|
|
Blink reflex test
|
$127.14 |
$127.14 |
$127.14 |
$186.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$10,618.42 |
$10,618.42 |
$10,618.42 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$5,330.60 |
$5,330.60 |
$5,330.60 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$5,330.60 |
$5,330.60 |
$5,330.60 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$4,814.74 |
$4,814.74 |
$4,814.74 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$35,401.31 |
$35,401.31 |
$35,401.31 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$33,318.08 |
$33,318.08 |
$33,318.08 |
$5,272.40
|
|
Block brachial plexus w/cath plmt w/img
|
$2,420.73 |
$2,420.73 |
$2,420.73 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$4,046.64 |
$4,046.64 |
$4,046.64 |
$1,661.40
|
|
Block paracervical nrv
|
$2,313.09 |
$2,313.09 |
$2,313.09 |
$1,021.50
|
|
Block plantar digital nerve
|
$1,016.73 |
$1,016.73 |
$1,016.73 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$3,543.54 |
$3,543.54 |
$3,543.54 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$3,354.39 |
$3,354.39 |
$3,354.39 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$68.25 |
$68.25 |
$68.25 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$79.56 |
$79.56 |
$79.56 |
$74.00
|
|
Blood Count (CBC) Test
|
$105.69 |
$105.69 |
$105.69 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$83.85 |
$83.85 |
$83.85 |
$62.28
|
|
Blood count spun microhematocrit
|
$50.31 |
$50.31 |
$50.31 |
$25.00
|
|
Blood Culture Test
|
$171.99 |
$171.99 |
$171.99 |
$146.16
|
|
Blood draw capillary 36416
|
$26.91 |
$26.91 |
$26.91 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$12.48 |
$12.48 |
$12.48 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$277.29 |
$277.29 |
$277.29 |
$226.50
|
|
Blood gases ph venous
|
$131.82 |
$131.82 |
$131.82 |
$64.60
|
|
Blood, l/r, irradiated
|
$476.58 |
$476.58 |
$476.58 |
$452.34
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$124.80 |
$124.80 |
$124.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$48.36 |
$48.36 |
$48.36 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$37.05 |
$37.05 |
$37.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$52.65 |
$52.65 |
$52.65 |
$34.98
|
|
Blood smear interpretation
|
$86.58 |
$86.58 |
$86.58 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$38.61 |
$38.61 |
$38.61 |
$38.35
|
|
Blood split unit
|
$344.37 |
$344.37 |
$344.37 |
$282.88
|
|
Blood Transfusion
|
$1,782.30 |
$1,782.30 |
$1,782.30 |
$989.60
|
|
Blood typing abo
|
$98.67 |
$98.67 |
$98.67 |
$86.45
|
|
Blood typing ag donor ea ag
|
$306.15 |
$306.15 |
$306.15 |
$207.60
|
|
Blood typing paternity test
|
$86.58 |
$86.58 |
$86.58 |
$118.16
|
|
Blood typing patient serum
|
$172.77 |
$172.77 |
$172.77 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$181.74 |
$181.74 |
$181.74 |
$211.90
|
|
Blood typing rh (d)
|
$78.39 |
$78.39 |
$78.39 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$418.47 |
$418.47 |
$418.47 |
$88.00
|
|
Bls-emergency
|
$892.32 |
$892.32 |
$892.32 |
$892.32
|
|
Bone Age X-ray (hand and wrist)
|
$218.40 |
$218.40 |
$218.40 |
$252.75
|
|
Bone biopsy open superficial
|
$5,178.42 |
$5,178.42 |
$5,178.42 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$407.94 |
$407.94 |
$407.94 |
$407.94
|
|
Bone imaging multiple areas
|
$909.48 |
$909.48 |
$909.48 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$732.03 |
$732.03 |
$732.03 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$2,147.73 |
$2,147.73 |
$2,147.73 |
$1,618.00
|
|
Bone marrow aspir bone grfg
|
$2,147.73 |
$2,147.73 |
$2,147.73 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,577.12 |
$2,577.12 |
$2,577.12 |
$1,728.00
|
|
Bone marrow imaging body
|
$641.94 |
$641.94 |
$641.94 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$591.63 |
$591.63 |
$591.63 |
$811.00
|
|
Bone marrow imaging mult
|
$610.74 |
$610.74 |
$610.74 |
$923.00
|
|
Bone marrow interpretation
|
$375.96 |
$375.96 |
$375.96 |
$542.03
|
|
Bone mineral single photon
|
$312.39 |
$312.39 |
$312.39 |
$442.40
|
|
Bone survey-lead poisoning
|
$217.23 |
$217.23 |
$217.23 |
$387.00
|
|
Boot cast sandal rocker med
|
$123.12 |
$123.12 |
$123.12 |
$12.89
|
|
Boot walker genesis full shell 3-strap s
|
$509.81 |
$509.81 |
$509.81 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$131.59 |
$131.59 |
$131.59 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$48.75 |
$48.75 |
$48.75 |
$93.60
|
|
(both sides) donor search management
|
$4,321.98 |
$4,321.98 |
$4,321.98 |
$2,438.80
|
|
(both sides) smear without diff wbc count
|
$38.22 |
$38.22 |
$38.22 |
$30.68
|
|
Bowel imaging
|
$745.29 |
$745.29 |
$745.29 |
$1,074.00
|
|
Brace afo lg left 6607
|
$318.48 |
$318.48 |
$318.48 |
$461.76
|
|
Brace back pinnacle lo 627 lumbar
|
$459.44 |
$459.44 |
$459.44 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$2,150.44 |
$2,150.44 |
$2,150.44 |
$2,632.87
|
|
Brace back t-lso custom
|
$1,764.07 |
$1,764.07 |
$1,764.07 |
$3,536.74
|
|
Brace cust back lso
|
$1,407.93 |
$1,407.93 |
$1,407.93 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$420.76 |
$420.76 |
$420.76 |
$620.54
|
|
Brace knee extender plus 22-30in
|
$1,014.05 |
$1,014.05 |
$1,014.05 |
$767.20
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$60.06 |
$60.06 |
$60.06 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$1,867.28 |
$1,867.28 |
$1,867.28 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,338.34 |
$1,338.34 |
$1,338.34 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$348.84 |
$348.84 |
$348.84 |
$257.45
|
|
Brace wrist classic lft sm
|
$81.62 |
$81.62 |
$81.62 |
$89.04
|
|
Brach/thor cath 1st
|
$1,294.02 |
$1,294.02 |
$1,294.02 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,750.67 |
$2,750.67 |
$2,750.67 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$3,295.50 |
$3,295.50 |
$3,295.50 |
$2,050.00
|
|
Brach/thor cath addl
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$868.00
|
|
Brachy source i-125 injection
|
$36.57 |
$36.57 |
$36.57 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$43.23 |
$43.23 |
$43.23 |
$70.85
|
|
Brachy source palladium
|
$182.53 |
$182.53 |
$182.53 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$62.77 |
$62.77 |
$62.77 |
$126.83
|
|
Brachy source yttrium-90
|
$33,271.98 |
$33,271.98 |
$33,271.98 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$80.25 |
$80.25 |
$80.25 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$293.05 |
$293.05 |
$293.05 |
$478.50
|