|
Blood Count (CBC) Test (without differential)
|
$398.40 |
$398.40 |
$398.40 |
$62.28
|
|
Blood count spun microhematocrit
|
$20.40 |
$20.40 |
$20.40 |
$25.00
|
|
Blood Culture Test
|
$112.20 |
$112.20 |
$112.20 |
$146.16
|
|
Blood draw capillary 36416
|
$13.80 |
$13.80 |
$13.80 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$27.60 |
$27.60 |
$27.60 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$138.00 |
$138.00 |
$138.00 |
$226.50
|
|
Blood gases ph venous
|
$41.40 |
$41.40 |
$41.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$30.60 |
$30.60 |
$30.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$30.60 |
$30.60 |
$30.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$30.60 |
$30.60 |
$30.60 |
$34.98
|
|
Blood smear interpretation
|
$52.20 |
$52.20 |
$52.20 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$37.80 |
$37.80 |
$37.80 |
$38.35
|
|
Blood Transfusion
|
$545.40 |
$545.40 |
$545.40 |
$989.60
|
|
Blood typing abo
|
$31.20 |
$31.20 |
$31.20 |
$86.45
|
|
Blood typing ag donor ea ag
|
$104.40 |
$104.40 |
$104.40 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$15.00 |
$15.00 |
$15.00 |
$211.90
|
|
Blood typing rh (d)
|
$21.00 |
$21.00 |
$21.00 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$130.20 |
$130.20 |
$130.20 |
$252.75
|
|
Bone biopsy open superficial
|
$426.00 |
$426.00 |
$426.00 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$246.00 |
$246.00 |
$246.00 |
$407.94
|
|
Bone marrow;aspiration only 38220
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,981.80 |
$1,981.80 |
$1,981.80 |
$1,728.00
|
|
Bone survey-lead poisoning
|
$244.20 |
$244.20 |
$244.20 |
$387.00
|
|
Boot heel care softcare one sz
|
$79.20 |
$79.20 |
$79.20 |
$24.00
|
|
Boot j walker l
|
$84.00 |
$84.00 |
$84.00 |
$234.00
|
|
Boot mlti podous univ xlg
|
$80.40 |
$80.40 |
$80.40 |
$253.86
|
|
Boot softgait shrt m
|
$33.60 |
$33.60 |
$33.60 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$46.80 |
$46.80 |
$46.80 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$139.80 |
$139.80 |
$139.80 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,880.64 |
$2,880.64 |
$2,880.64 |
$2,915.40
|
|
Brace ank aftr bioskn med lg
|
$16.80 |
$16.80 |
$16.80 |
$194.42
|
|
Brace ank air stirrup univ
|
$46.80 |
$46.80 |
$46.80 |
$108.67
|
|
Brace ankle stablizing lg
|
$16.80 |
$16.80 |
$16.80 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$288.00 |
$288.00 |
$288.00 |
$767.20
|
|
Brace knee hing pat open med
|
$19.80 |
$19.80 |
$19.80 |
$214.50
|
|
Brace knee support neoprene padded open patella med
|
$33.00 |
$33.00 |
$33.00 |
$215.70
|
|
Brace m arm board
|
$24.60 |
$24.60 |
$24.60 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$52.80 |
$52.80 |
$52.80 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$16.20 |
$16.20 |
$16.20 |
$257.45
|
|
Brace wrist classic lft sm
|
$19.80 |
$19.80 |
$19.80 |
$89.04
|
|
Brachioplasty 15836
|
$1,435.80 |
$1,435.80 |
$1,435.80 |
$3,694.40
|
|
Brach/thor cath 1st
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,453.40 |
$2,453.40 |
$2,453.40 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$564.60 |
$564.60 |
$564.60 |
$2,050.00
|
|
Brach/thor cath addl
|
$374.40 |
$374.40 |
$374.40 |
$868.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,329.20 |
$2,329.20 |
$2,329.20 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,891.80 |
$1,891.80 |
$1,891.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,997.60 |
$2,997.60 |
$2,997.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,600.20 |
$1,600.20 |
$1,600.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$1,948.00
|
|
Bra surgical elizabeth pink sm
|
$110.40 |
$110.40 |
$110.40 |
$127.73
|
|
Brcassure ashkenazi panel-sendout
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$666.57
|
|
Brcassure comprehensive panel-sendout
|
$5,110.20 |
$5,110.20 |
$5,110.20 |
$2,409.00
|
|
Breast augmentation 19325
|
$1,246.20 |
$1,246.20 |
$1,246.20 |
$8,607.20
|
|
Breastbone (Sternum) X-ray
|
$176.40 |
$176.40 |
$176.40 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$825.60 |
$825.60 |
$825.60 |
$871.80
|
|
Breast reconstruction 19357
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$11,720.80
|
|
Breast reconstruction tram flap 19367
|
$3,478.80 |
$3,478.80 |
$3,478.80 |
$4,014.12
|
|
Breast reconstr w/lat flap 19361
|
$3,096.00 |
$3,096.00 |
$3,096.00 |
$7,782.40
|
|
Breast reduction
|
$2,145.60 |
$2,145.60 |
$2,145.60 |
$7,218.34
|
|
Breath hydrogen test 91065
|
$175.20 |
$175.20 |
$175.20 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$21,650.04 |
$21,650.04 |
$21,650.04 |
$22,383.57
|
|
Brief comunicaj tech-bsd svc
|
$21.60 |
$21.60 |
$21.60 |
$30.40
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$553.80 |
$553.80 |
$553.80 |
$981.06
|
|
Bronch ebus ivntj perph les 31654
|
$280.20 |
$280.20 |
$280.20 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$481.80 |
$481.80 |
$481.80 |
$4,362.99
|
|
Bronch ebus samplng 3/> node
|
$533.40 |
$533.40 |
$533.40 |
$4,746.40
|
|
Bronchial challenge
|
$364.80 |
$364.80 |
$364.80 |
$820.05
|
|
Bronchoscopy clear airways 31645
|
$611.40 |
$611.40 |
$611.40 |
$2,766.40
|
|
Bronchoscopy/lung bx addl 31632
|
$141.00 |
$141.00 |
$141.00 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$754.80 |
$754.80 |
$754.80 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$123.60 |
$123.60 |
$123.60 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$655.80 |
$655.80 |
$655.80 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$680.40 |
$680.40 |
$680.40 |
$2,447.43
|
|
Bronch w/balloon occlusion
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$6,718.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$878.40 |
$878.40 |
$878.40 |
$571.00
|
|
Br punct aspir ea add, l
|
$423.60 |
$423.60 |
$423.60 |
$357.51
|
|
Bso omentectomy w/tah 58956
|
$2,578.20 |
$2,578.20 |
$2,578.20 |
$3,372.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$18.34 |
$18.34 |
$18.34 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$28.80 |
$28.80 |
$28.80 |
$159.00
|
|
Bundled special stain group 2
|
$53.40 |
$53.40 |
$53.40 |
$173.40
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$14.65 |
$14.65 |
$14.65 |
$14.42
|
|
Buprenorphine and metabolite - sendout
|
$306.00 |
$306.00 |
$306.00 |
$80.64
|
|
Buprenorphine hydrochloride
|
$36.55 |
$36.55 |
$36.55 |
$42.08
|
|
Burr hole for vent puncture 61120
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$2,496.00
|
|
Burr hole implant ventricular cath/other device
|
$851.40 |
$851.40 |
$851.40 |
$2,964.65
|
|
Burr hole skull for biopsy 61140
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$2,978.40
|
|
Burr hole skull & remove clot 61154
|
$2,338.80 |
$2,338.80 |
$2,338.80 |
$4,374.23
|
|
Bur rotalink 2.15mm
|
$8,539.20 |
$8,539.20 |
$8,539.20 |
$7,887.38
|
|
Butorphanol tartrate 1 mg
|
$25.38 |
$25.38 |
$25.38 |
$41.79
|
|
Bx arm/elbow soft tissue supf 24065
|
$489.00 |
$489.00 |
$489.00 |
$1,917.33
|
|
Bx breast perq without image 19100
|
$279.60 |
$279.60 |
$279.60 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$594.00 |
$594.00 |
$594.00 |
$515.50
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$993.60 |
$993.60 |
$993.60 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$622.80 |
$622.80 |
$622.80 |
$4,184.94
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$3,370.52
|
|
Bx liver with other
|
$238.20 |
$238.20 |
$238.20 |
$601.53
|
