|
Bone biopsy open superficial
|
$5,178.42 |
$5,178.42 |
$5,810.00 |
|
|
Bone Density Scan (DEXA)
|
$121.36 |
$407.94 |
$931.71 |
|
|
Bone filler cerament 10cc
|
$11,453.20 |
$11,453.20 |
$11,453.20 |
|
|
Bone imaging (3d)
|
$4,772.00 |
$4,772.00 |
$4,772.00 |
|
|
Bone imaging multiple areas
|
$376.52 |
$909.48 |
$32,996.23 |
|
|
Bone/joint imaging ltd area
|
$732.03 |
$732.03 |
$2,730.72 |
|
|
Bone marrow;aspiration only 38220
|
$693.83 |
$2,147.73 |
$6,142.00 |
|
|
Bone marrow aspir bone grfg
|
$2,147.73 |
$2,147.73 |
$2,147.73 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,825.44 |
$2,577.12 |
$6,025.00 |
|
|
Bone marrow harvest allogen
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
|
|
Bone marrow harvest autolog
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Bone marrow imaging body
|
$641.94 |
$641.94 |
$641.94 |
|
|
Bone marrow imaging ltd
|
$591.63 |
$591.63 |
$2,661.80 |
|
|
Bone marrow imaging mult
|
$610.74 |
$610.74 |
$610.74 |
|
|
Bone marrow interpretation
|
$375.96 |
$375.96 |
$9,136.14 |
|
|
Bone mineral single photon
|
$312.39 |
$312.39 |
$312.39 |
|
|
Bone/skin graft metatarsal
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Bone survey-lead poisoning
|
$217.23 |
$217.23 |
$1,306.81 |
|
|
Boot cast sandal rocker med
|
$123.12 |
$123.12 |
$123.12 |
|
|
Boot mlti podous univ xlg
|
$257.42 |
$298.10 |
$298.10 |
|
|
Boot softgait shrt m
|
$295.90 |
$295.90 |
$295.90 |
|
|
Boot walker genesis full shell 3-strap s
|
$509.81 |
$509.81 |
$509.81 |
|
|
Boot walker genesis mid-calf full shell s
|
$131.59 |
$131.59 |
$491.04 |
|
|
Borrelia antibody
|
$62.00 |
$62.00 |
$62.00 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$38.19 |
$85.00 |
$863.05 |
|
|
Borrelia miyamotoi amp prb
|
$161.00 |
$161.00 |
$161.00 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$37.08 |
$37.08 |
$3,847.20 |
|
|
(both sides) donor search management
|
$3,162.25 |
$4,321.98 |
$4,321.98 |
|
|
(both sides) smear without diff wbc count
|
$38.22 |
$38.22 |
$183.84 |
|
|
Bowel imaging
|
$422.99 |
$745.29 |
$1,580.00 |
|
|
Bpg pop-tibl/-prnl artery
|
$36,240.00 |
$36,240.00 |
$36,240.00 |
|
|
Brace afo lg left 6607
|
$318.48 |
$318.48 |
$398.42 |
|
|
Brace back epic lo 627
|
$531.30 |
$531.30 |
$531.30 |
|
|
Brace back epic lso 637
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
|
|
Brace back epic tslo 456
|
$1,268.99 |
$1,268.99 |
$1,268.99 |
|
|
Brace back pinnacle lo 627 lumbar
|
$459.44 |
$459.44 |
$459.44 |
|
|
Brace back pinnacle tlso 464
|
$2,150.44 |
$2,150.44 |
$2,650.90 |
|
|
Brace back t-lso custom
|
$1,764.07 |
$1,764.07 |
$1,764.07 |
|
|
Brace cust back lso
|
$1,407.93 |
$1,407.93 |
$1,407.93 |
|
|
Brace fx hum ovr shldr sm
|
$420.76 |
$420.76 |
$499.40 |
|
|
Brace knee extender plus 22-30in
|
$1,014.05 |
$1,014.05 |
$1,361.43 |
|
|
Brace knee hing pat open med
|
$214.50 |
$214.50 |
$214.50 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$941.60 |
$941.60 |
$941.60 |
|
|
Brace m arm board
|
$405.45 |
$405.45 |
$405.45 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$26.64 |
$60.06 |
$512.22 |
|
|
Brace ortho exos 28-50in sm
|
$1,867.28 |
$1,867.28 |
$2,419.31 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,338.34 |
$1,338.34 |
$1,765.50 |
|
|
Brace oths wrist hnd fngr without
|
$348.84 |
$348.84 |
$403.92 |
|
|
Brace wrist classic lft sm
|
$81.62 |
$81.62 |
$96.80 |
|
|
Brachioplasty 15836
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Brach/thor cath 1st
|
$1,175.72 |
$1,294.02 |
$3,337.41 |
|
|
Brach/thor cath 2nd
|
$1,556.96 |
$2,750.67 |
$3,819.00 |
|
|
Brach/thor cath 3rd
|
$1,428.50 |
$3,295.50 |
$4,549.00 |
|
|
Brach/thor cath addl
|
$739.00 |
$1,351.35 |
$1,428.50 |
|
|
Brachy source i-125 injection
|
$19.54 |
$36.57 |
$130.90 |
|
|
Brachy source iodine-125 nonstranded
|
$13.32 |
$43.23 |
$101.20 |
|
|
Brachy source palladium
|
$40.85 |
$182.53 |
$211.20 |
|
|
Brachy source palladium-103 nonstranded
|
$34.64 |
$62.77 |
$188.10 |
|
|
Brachy source yttrium-90
|
$13,053.60 |
$33,271.98 |
$33,271.98 |
|
|
Brachy src nonstrand c-131
|
$80.25 |
$80.25 |
$68,560.80 |
|
|
Brachy src nonstrand hdr ir-192
|
$293.05 |
$293.05 |
$815.10 |
|
|
Brachy src stranded c-131
|
$349.80 |
$349.80 |
$349.80 |
|
|
Brachytx isodose complex
|
$616.28 |
$1,884.87 |
$4,916.24 |
|
|
Brachytx isodose intermed
|
$421.51 |
$829.14 |
$4,916.24 |
|
|
Brachytx isodose plan simple
|
$229.11 |
$1,324.83 |
$4,916.24 |
|
|
Brachytx, non-str, ha, i-125
|
$385.00 |
$385.00 |
$385.00 |
|
|
Brachytx, ns, non-hdrir-192
|
$815.10 |
$815.10 |
$815.10 |
|
|
Braf gene
|
$303.11 |
$879.06 |
$9,400.68 |
|
|
Brain flow imaging only
|
$187.20 |
$187.20 |
$187.20 |
|
|
Brain image < 4 views
|
$262.08 |
$262.08 |
$262.08 |
|
|
Brain image 4+ views
|
$1,061.19 |
$1,061.19 |
$1,061.19 |
|
|
Brain image w/flow < 4 views
|
$504.39 |
$714.87 |
$2,364.00 |
|
|
Brain image w/flow 4 + views
|
$1,186.77 |
$1,186.77 |
$2,967.00 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,736.93 |
$1,914.51 |
$14,753.51 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,456.03 |
$1,671.93 |
$2,844.00 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,277.24 |
$1,948.00 |
$11,676.27 |
|
|
Brain MRI (with and without contrast)
|
$2,122.00 |
$2,393.04 |
$12,550.09 |
|
|
Brain MRI (with contrast)
|
$1,736.04 |
$1,983.93 |
$9,101.83 |
|
|
Brain MRI (without contrast)
|
$1,636.88 |
$1,948.00 |
$11,676.27 |
|
|
Brca1&2 gene full seq alys
|
$770.25 |
$770.25 |
$770.25 |
|
|
Brca1&2 gen ful dup/del alys
|
$960.96 |
$960.96 |
$960.96 |
|
|
Brca1 dna gene analy known fam var
|
$616.98 |
$616.98 |
$616.98 |
|
|
Brca1 gene full dup/del alys
|
$495.69 |
$495.69 |
$495.69 |
|
|
Brca1 gene full seq alys
|
$465.66 |
$465.66 |
$465.66 |
|
|
Brca2 dna gene analy full seq analy
|
$304.59 |
$304.59 |
$304.59 |
|
|
Brca2 dna gene analy known fam var
|
$616.98 |
$616.98 |
$616.98 |
|
|
Brca2 gene full dup/del alys
|
$465.66 |
$465.66 |
$465.66 |
|
|
Brcassure ashkenazi panel-sendout
|
$723.84 |
$723.84 |
$2,024.00 |
|
|
Brcassure comprehensive panel-sendout
|
$2,160.80 |
$3,706.56 |
$15,476.59 |
|
|
Breast augmentation 19325
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,084.25 |
$3,692.52 |
$15,943.74 |
|
|
Breastbone (Sternum) X-ray
|
$212.24 |
$309.27 |
$1,162.81 |
|
|
Breast punct aspir cyst, bil
|
$1,694.55 |
$1,694.55 |
$8,444.68 |
|
|
Breast reconstruction
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
|
|
Breast reconstruction 19357
|
$11,148.00 |
$21,008.52 |
$21,008.52 |
|
|
Breast reconstr w/lat flap 19361
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Breast reduction
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Breath hydrogen test 91065
|
$459.81 |
$459.81 |
$669.00 |
|
|
Breath recording infant
|
$1,385.78 |
$1,454.31 |
$1,454.31 |
|
|
Breath tst attain/anal c-14
|
$134.09 |
$257.01 |
$257.01 |
|
