|
Blood count spun microhematocrit
|
$20.00 |
$20.40 |
$87.45 |
|
|
Blood Culture Test
|
$38.58 |
$195.00 |
$739.90 |
|
|
Blood draw capillary 36416
|
$7.20 |
$25.80 |
$2,311.40 |
|
|
Blood Draw (Venipuncture)
|
$10.00 |
$25.80 |
$6,898.85 |
|
|
Blood gases o2 saturation direct measurement
|
$60.06 |
$275.80 |
$725.40 |
|
|
Blood gases ph venous
|
$14.52 |
$64.28 |
$201.00 |
|
|
Blood, l/r, irradiated
|
$515.00 |
$515.00 |
$974.40 |
|
|
Blood mucoprotein
|
$10.40 |
$10.40 |
$10.40 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$20.00 |
$87.20 |
$139.20 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$11.22 |
$45.36 |
$233.60 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$9.24 |
$47.52 |
$233.60 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.00 |
$51.20 |
$200.88 |
|
|
Blood smear interpretation
|
$31.25 |
$70.70 |
$253.44 |
|
|
Blood smear microscopic w manual differential wbc count
|
$17.49 |
$42.60 |
$180.72 |
|
|
Blood split unit
|
$62.50 |
$325.00 |
$591.12 |
|
|
Blood thymol turbidity
|
$10.40 |
$10.40 |
$10.40 |
|
|
Blood Transfusion
|
$197.34 |
$1,005.00 |
$20,762.17 |
|
|
Blood typing abo
|
$31.20 |
$100.20 |
$520.20 |
|
|
Blood typing ag donor ea ag
|
$28.75 |
$258.30 |
$631.40 |
|
|
Blood typing patient serum
|
$22.25 |
$77.76 |
$499.10 |
|
|
Blood typing rbc ag non abo/rh ea
|
$15.00 |
$258.30 |
$625.80 |
|
|
Blood typing rh (d)
|
$13.86 |
$72.00 |
$190.40 |
|
|
Blood typing rh phenotype complete reference
|
$22.44 |
$105.00 |
$240.80 |
|
|
Blood volume
|
$226.40 |
$863.40 |
$1,820.40 |
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$8,133.38 |
$18,120.05 |
$32,765.06 |
|
|
Bone Age X-ray (hand and wrist)
|
$87.50 |
$353.40 |
$781.20 |
|
|
Bone biopsy open superficial
|
$426.00 |
$3,754.80 |
$7,606.25 |
|
|
Bone Density Scan (DEXA)
|
$175.00 |
$461.40 |
$778.32 |
|
|
Bone filler cerament 10cc
|
$9,310.72 |
$24,065.83 |
$47,344.53 |
|
|
Bone imaging multiple areas
|
$508.53 |
$1,305.36 |
$1,970.40 |
|
|
Bone/joint imaging ltd area
|
$433.75 |
$1,000.00 |
$2,297.60 |
|
|
Bone marrow;aspiration only 38220
|
$325.00 |
$1,400.30 |
$80,411.07 |
|
|
Bone marrow aspir bone grfg
|
$339.20 |
$339.20 |
$339.20 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$530.00 |
$1,442.40 |
$21,790.22 |
|
|
Bone marrow harvest allogen
|
$505.60 |
$3,340.00 |
$42,016.81 |
|
|
Bone marrow harvest autolog
|
$496.80 |
$22,440.74 |
$67,380.84 |
|
|
Bone marrow imaging body
|
$396.00 |
$1,175.00 |
$1,640.40 |
|
|
Bone marrow imaging ltd
|
$384.00 |
$563.20 |
$1,065.00 |
|
|
Bone marrow imaging mult
|
$703.80 |
$703.80 |
$790.92 |
|
|
Bone marrow interpretation
|
$250.00 |
$618.80 |
$1,029.60 |
|
|
Bone/skin graft great toe
|
$14,824.00 |
$14,824.00 |
$14,824.00 |
|
|
Bone/skin graft metatarsal
|
$7,016.80 |
$7,016.80 |
$7,016.80 |
|
|
Bone survey-lead poisoning
|
$87.50 |
$492.00 |
$1,789.60 |
|
|
Bone tendon board add on
|
$340.02 |
$379.64 |
$694.57 |
|
|
Bone void filler nanoss 10cc
|
$219.26 |
$5,980.37 |
$12,742.53 |
|
|
Boot cast sandal rocker med
|
$22.32 |
$22.32 |
$37.60 |
|
|
Boot heel care softcare one sz
|
$24.00 |
$79.20 |
$144.00 |
|
|
Boot j walker l
|
$84.00 |
$585.60 |
$780.80 |
|
|
Boot mlti podous univ xlg
|
$80.40 |
$263.52 |
$1,812.30 |
|
|
Boot softgait shrt m
|
$33.60 |
$89.33 |
$380.80 |
|
|
Boot walker genesis full shell 3-strap s
|
$46.80 |
$624.00 |
$1,524.00 |
|
|
Boot walker genesis mid-calf full shell s
|
$91.70 |
$624.00 |
$1,419.60 |
|
|
Borrelia antibody
|
$32.20 |
$99.36 |
$205.10 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$25.08 |
$163.20 |
$652.80 |
|
|
Borrelia miyamotoi amp prb
|
$34.20 |
$67.15 |
$200.88 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$9.76 |
$2,129.58 |
$10,037.30 |
|
|
(both sides) donor search management
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
|
|
(both sides) smear without diff wbc count
|
$33.12 |
$53.90 |
$61.20 |
|
|
Bowel imaging
|
$361.35 |
$1,292.90 |
$3,799.20 |
|
|
Bpg axillary-pop/-tibial
|
$1,914.60 |
$1,914.60 |
$6,392.00 |
|
|
Bpg pop-tibl/-prnl artery
|
$1,625.40 |
$1,625.40 |
$5,481.60 |
|
|
Bpg splenorenal
|
$7,761.60 |
$7,761.60 |
$7,761.60 |
|
|
Bpg subclavian-axillary
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
|
|
Bpg subclavian-vertebral
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
|
|
Brace afo lg left 6607
|
$43.92 |
$1,838.40 |
$2,451.20 |
|
|
Brace afopos solid ankle cust
|
$940.80 |
$940.80 |
$940.80 |
|
|
Brace afo spiral prefab
|
$184.81 |
$1,133.30 |
$1,318.32 |
|
|
Brace ank aftr bioskn med lg
|
$16.80 |
$1,143.00 |
$1,524.00 |
|
|
Brace ank air stirrup univ
|
$23.10 |
$296.10 |
$410.40 |
|
|
Brace ankle joint dflxn assist
|
$123.20 |
$123.20 |
$123.20 |
|
|
Brace ankle stablizing lg
|
$16.80 |
$169.20 |
$225.60 |
|
|
Brace back epic lo 627
|
$821.52 |
$821.52 |
$821.52 |
|
|
Brace back epic lso 637
|
$1,916.88 |
$6,180.30 |
$6,180.30 |
|
|
Brace back epic tslo 456
|
$1,916.88 |
$5,126.80 |
$5,126.80 |
|
|
Brace back pinnacle lo 627 lumbar
|
$288.72 |
$2,745.60 |
$3,660.80 |
|
|
Brace back pinnacle tlso 464
|
$2,332.80 |
$2,413.60 |
$9,219.70 |
|
|
Brace back t-lso custom
|
$2,540.30 |
$4,129.20 |
$6,570.20 |
|
|
Brace back vista 464 tlso
|
$738.50 |
$738.50 |
$738.50 |
|
|
Brace cust back lso
|
$990.50 |
$990.50 |
$1,993.60 |
|
|
Brace fx hum ovr shldr lg
|
$533.40 |
$711.20 |
$1,381.20 |
|
|
Brace fx hum ovr shldr sm
|
$100.00 |
$735.70 |
$735.70 |
|
|
Brace halo bremer l2830
|
$172.90 |
$1,101.10 |
$1,101.10 |
|
|
Brace knee extender plus 22-30in
|
$118.48 |
$1,108.10 |
$4,564.00 |
|
|
Brace knee hing pat open med
|
$19.80 |
$60.61 |
$957.53 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$147.52 |
$147.52 |
$1,916.88 |
|
|
Brace knee postop tscope xl
|
$176.02 |
$255.82 |
$522.59 |
|
|
Brace knee support neoprene padded open patella med
|
$33.00 |
$33.00 |
$225.60 |
|
|
Brace m arm board
|
$24.60 |
$305.20 |
$545.60 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$32.50 |
$105.00 |
$256.32 |
|
|
Brace ortho exos 28-50in sm
|
$2,303.70 |
$5,852.70 |
$5,852.70 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,561.68 |
$5,228.30 |
$5,228.30 |
|
|
Brace oths wrist hnd fngr without
|
$16.20 |
$307.80 |
$545.60 |
|
|
Brace tlso flex cust
|
$1,384.80 |
$1,384.80 |
$1,846.40 |
|
|
Brace wrist classic lft sm
|
$19.80 |
$114.48 |
$410.40 |
|
|
Brachioplasty 15836
|
$1,435.80 |
$1,435.80 |
$3,694.40 |
|
|
Brach/thor cath 1st
|
$200.00 |
$1,930.00 |
$91,482.57 |
|
|
Brach/thor cath 2nd
|
$200.00 |
$2,215.20 |
$91,482.57 |
|
|
Brach/thor cath 3rd
|
$200.00 |
$2,339.70 |
$31,344.68 |
|
|
Brach/thor cath addl
|
$262.20 |
$950.00 |
$94,324.30 |
|
|
Brachy linear, non-str,p-103
|
$82.80 |
$82.80 |
$82.80 |
|
