|
Bone Density Scan (DEXA)
|
$470.12 |
$470.12 |
$470.12 |
$407.94
|
|
Bone imaging multiple areas
|
$962.78 |
$962.78 |
$962.78 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$667.57 |
$667.57 |
$667.57 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,170.76 |
$1,170.76 |
$1,170.76 |
$1,618.00
|
|
Bone marrow aspir bone grfg
|
$339.20 |
$339.20 |
$339.20 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,341.52 |
$2,341.52 |
$2,341.52 |
$1,728.00
|
|
Bone marrow harvest allogen
|
$505.60 |
$505.60 |
$505.60 |
$4,755.40
|
|
Bone marrow harvest autolog
|
$496.80 |
$496.80 |
$496.80 |
$5,544.24
|
|
Bone marrow imaging body
|
$544.00 |
$544.00 |
$544.00 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$384.00 |
$384.00 |
$384.00 |
$811.00
|
|
Bone marrow imaging mult
|
$848.95 |
$848.95 |
$848.95 |
$923.00
|
|
Bone marrow interpretation
|
$786.52 |
$786.52 |
$786.52 |
$542.03
|
|
Bone/skin graft great toe
|
$14,824.00 |
$14,824.00 |
$14,824.00 |
$9,977.57
|
|
Bone/skin graft metatarsal
|
$7,016.80 |
$7,016.80 |
$7,016.80 |
$8,241.00
|
|
Bone survey-lead poisoning
|
$128.80 |
$128.80 |
$128.80 |
$387.00
|
|
Boot cast sandal rocker med
|
$37.60 |
$37.60 |
$37.60 |
$12.89
|
|
Boot heel care softcare one sz
|
$24.00 |
$24.00 |
$24.00 |
$24.00
|
|
Boot j walker l
|
$380.80 |
$380.80 |
$380.80 |
$234.00
|
|
Boot softgait shrt m
|
$380.80 |
$380.80 |
$380.80 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$624.00 |
$624.00 |
$624.00 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$857.76 |
$857.76 |
$857.76 |
$175.89
|
|
Borrelia antibody
|
$33.60 |
$33.60 |
$33.60 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$48.57 |
$48.57 |
$48.57 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$67.15 |
$67.15 |
$67.15 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$60.00 |
$60.00 |
$60.00 |
$2,915.40
|
|
(both sides) smear without diff wbc count
|
$33.57 |
$33.57 |
$33.57 |
$30.68
|
|
Bowel imaging
|
$796.84 |
$796.84 |
$796.84 |
$1,074.00
|
|
Bpg axillary-pop/-tibial
|
$6,392.00 |
$6,392.00 |
$6,392.00 |
$1,847.50
|
|
Bpg pop-tibl/-prnl artery
|
$5,481.60 |
$5,481.60 |
$5,481.60 |
$5,400.20
|
|
Bpg splenorenal
|
$7,761.60 |
$7,761.60 |
$7,761.60 |
$7,761.60
|
|
Brace afo lg left 6607
|
$623.20 |
$623.20 |
$623.20 |
$461.76
|
|
Brace afo spiral prefab
|
$2,573.28 |
$2,573.28 |
$2,573.28 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$271.20 |
$271.20 |
$271.20 |
$194.42
|
|
Brace ank air stirrup univ
|
$201.60 |
$201.60 |
$201.60 |
$108.67
|
|
Brace ankle stablizing lg
|
$190.40 |
$190.40 |
$190.40 |
$122.82
|
|
Brace back epic lso 637
|
$2,573.28 |
$2,573.28 |
$2,573.28 |
$1,611.50
|
|
Brace back pinnacle tlso 464
|
$4,288.80 |
$4,288.80 |
$4,288.80 |
$2,632.87
|
|
Brace back vista 464 tlso
|
$2,573.30 |
$2,573.30 |
$2,573.30 |
$1,579.91
|
|
Brace knee extender plus 22-30in
|
$2,001.44 |
$2,001.44 |
$2,001.44 |
$767.20
|
|
Brace knee hing pat open med
|
$299.20 |
$299.20 |
$299.20 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$411.01
|
|
Brace knee support neoprene padded open patella med
|
$225.60 |
$225.60 |
$225.60 |
$215.70
|
|
Brace m arm board
|
$545.60 |
$545.60 |
$545.60 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$112.29 |
$112.29 |
$112.29 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$545.60 |
$545.60 |
$545.60 |
$257.45
|
|
Brace wrist classic lft sm
|
$134.40 |
$134.40 |
$134.40 |
$89.04
|
|
Brachioplasty 15836
|
$3,694.40 |
$3,694.40 |
$3,694.40 |
$3,694.40
|
|
Brach/thor cath 1st
|
$2,642.61 |
$2,642.61 |
$2,642.61 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,780.00 |
$2,780.00 |
$2,780.00 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$4,598.40 |
$4,598.40 |
$4,598.40 |
$2,050.00
|
|
Brach/thor cath addl
|
$558.40 |
$558.40 |
$558.40 |
$868.00
|
|
Brachy source i-125 injection
|
$104.44 |
$104.44 |
$104.44 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$64.83 |
$64.83 |
$64.83 |
$70.85
|
|
Brachy source palladium
|
$190.88 |
$190.88 |
$190.88 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$169.26 |
$169.26 |
$169.26 |
$126.83
|
|
Brachy src nonstrand c-131
|
$171.33 |
$171.33 |
$171.33 |
$210.62
|
|
Brachy src stranded c-131
|
$291.78 |
$291.78 |
$291.78 |
$221.00
|
|
Brachytx isodose complex
|
$1,157.65 |
$1,157.65 |
$1,157.65 |
$1,705.20
|
|
Brachytx isodose intermed
|
$586.40 |
$586.40 |
$586.40 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$444.80 |
$444.80 |
$444.80 |
$1,032.38
|
|
Braf gene
|
$351.20 |
$351.20 |
$351.20 |
$450.90
|
|
Brain biopsy w/ct/mr guide
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
$2,828.00
|
|
Brain flow imaging only
|
$401.60 |
$401.60 |
$401.60 |
$677.66
|
|
Brain image < 4 views
|
$408.80 |
$408.80 |
$408.80 |
$575.29
|
|
Brain image 4+ views
|
$433.60 |
$433.60 |
$433.60 |
$847.80
|
|
Brain image w/flow < 4 views
|
$736.08 |
$736.08 |
$736.08 |
$919.45
|
|
Brain image w/flow 4 + views
|
$1,234.83 |
$1,234.83 |
$1,234.83 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,189.17 |
$3,189.17 |
$3,189.17 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,465.52 |
$2,465.52 |
$2,465.52 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,207.48 |
$2,207.48 |
$2,207.48 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,516.36 |
$4,516.36 |
$4,516.36 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,280.52 |
$3,280.52 |
$3,280.52 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,064.97 |
$3,064.97 |
$3,064.97 |
$1,948.00
|
|
Brca1 dna gene analy known fam var
|
$751.20 |
$751.20 |
$751.20 |
$517.85
|
|
Brca2 dna gene analy full seq analy
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$255.47
|
|
Brca2 dna gene analy known fam var
|
$751.20 |
$751.20 |
$751.20 |
$487.83
|
|
Brca2 gene full dup/del alys
|
$271.57 |
$271.57 |
$271.57 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$880.00 |
$880.00 |
$880.00 |
$666.57
|
|
Brcassure comprehensive panel-sendout
|
$3,980.80 |
$3,980.80 |
$3,980.80 |
$2,409.00
|
|
Breast augmentation 19325
|
$3,200.00 |
$3,200.00 |
$3,200.00 |
$8,607.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,456.63 |
$5,456.63 |
$5,456.63 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$301.73 |
$301.73 |
$301.73 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$1,076.36 |
$1,076.36 |
$1,076.36 |
$871.80
|
|
Breast reconstruction 19357
|
$7,422.40 |
$7,422.40 |
$7,422.40 |
$11,720.80
|
|
Breast reconstruction tram flap 19367
|
$8,814.40 |
$8,814.40 |
$8,814.40 |
$4,014.12
|
|
Breast reconstr w/lat flap 19361
|
$7,782.40 |
$7,782.40 |
$7,782.40 |
$7,782.40
|
|
Breast reduction
|
$5,428.80 |
$5,428.80 |
$5,428.80 |
$7,218.34
|
|
Breath hydrogen test 91065
|
$173.60 |
$173.60 |
$173.60 |
$462.00
|
|
Breathing response hypoxia
|
$163.20 |
$163.20 |
$163.20 |
$185.15
|
|
Breath recording infant
|
$988.97 |
$988.97 |
$988.97 |
$1,164.00
|
|
Breath test analysis c-14
|
$365.62 |
$365.62 |
$365.62 |
$245.65
|
|
Breath tst attain/anal c-14
|
$822.90 |
$822.90 |
$822.90 |
$108.50
|
|
Brief alcohol misuse counsel
|
$60.80 |
$60.80 |
$60.80 |
$109.46
|
|
Brief chkin, 5-10, non-e/m
|
$27.20 |
$27.20 |
$27.20 |
$14.97
|
|
Brief chkin by md/qhp, 11-20
|
$48.80 |
$48.80 |
$48.80 |
$31.93
|
|
Brief comunicaj tech-bsd svc
|
$30.40 |
$30.40 |
$30.40 |
$30.40
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$517.60 |
$517.60 |
$517.60 |
$981.06
|
|
Bronch ebus ivntj perph les 31654
|
$304.00 |
$304.00 |
$304.00 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$2,686.40 |
$2,686.40 |
$2,686.40 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$4,746.40
|
