|
Bone/skin graft metatarsal
|
$7,016.80 |
$7,016.80 |
$7,016.80 |
$8,241.00
|
|
Bone survey-lead poisoning
|
$790.45 |
$790.45 |
$790.45 |
$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
|
$624.00 |
$624.00 |
$624.00 |
$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
|
$744.80 |
$744.80 |
$744.80 |
$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
|
$293.76 |
$293.76 |
$293.76 |
$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 pinnacle tlso 464
|
$5,358.00 |
$5,358.00 |
$5,358.00 |
$2,632.87
|
|
Brace knee hing pat open med
|
$299.20 |
$299.20 |
$299.20 |
$214.50
|
|
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)
|
$107.32 |
$107.32 |
$107.32 |
$105.30
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,929.20 |
$3,929.20 |
$3,929.20 |
$1,759.07
|
|
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
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$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
|
$1,387.28 |
$1,387.28 |
$1,387.28 |
$868.00
|
|
Brachytx isodose complex
|
$832.80 |
$832.80 |
$832.80 |
$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
|
$2,131.44 |
$2,131.44 |
$2,131.44 |
$919.45
|
|
Brain image w/flow 4 + views
|
$732.80 |
$732.80 |
$732.80 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,138.39 |
$4,138.39 |
$4,138.39 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,535.24 |
$3,535.24 |
$3,535.24 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,655.80 |
$2,655.80 |
$2,655.80 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,070.30 |
$4,070.30 |
$4,070.30 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,804.32 |
$3,804.32 |
$3,804.32 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,655.80 |
$2,655.80 |
$2,655.80 |
$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)
|
$2,952.00 |
$2,952.00 |
$2,952.00 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$275.35 |
$275.35 |
$275.35 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$928.72 |
$928.72 |
$928.72 |
$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
|
$610.40 |
$610.40 |
$610.40 |
$1,164.00
|
|
Breath test analysis c-14
|
$189.60 |
$189.60 |
$189.60 |
$245.65
|
|
Breath tst attain/anal c-14
|
$22.40 |
$22.40 |
$22.40 |
$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
|
|
Bronchial allergy tests
|
$96.80 |
$96.80 |
$96.80 |
$746.46
|
|
Bronchial brush biopsy
|
$673.60 |
$673.60 |
$673.60 |
$1,170.00
|
|
Bronchial challenge
|
$129.60 |
$129.60 |
$129.60 |
$820.05
|
|
Bronchial valve addl insert
|
$190.40 |
$190.40 |
$190.40 |
$3,417.67
|
|
Bronchial valve init insert
|
$534.40 |
$534.40 |
$534.40 |
$6,839.00
|
|
Bronchial valve remov addl
|
$174.40 |
$174.40 |
$174.40 |
$2,611.20
|
|
Bronchial valve remov init
|
$507.20 |
$507.20 |
$507.20 |
$4,627.00
|
|
Bronchoscopy bronch stents
|
$556.00 |
$556.00 |
$556.00 |
$5,183.70
|
|
Bronchoscopy clear airways 31645
|
$3,497.92 |
$3,497.92 |
$3,497.92 |
$2,766.40
|
|
Bronchoscopy dilate/fx repr
|
$501.60 |
$501.60 |
$501.60 |
$5,137.60
|
|
Bronchoscopy dilate w/stent
|
$573.60 |
$573.60 |
$573.60 |
$6,718.40
|
|
Bronchoscopy/lung bx addl 31632
|
$160.80 |
$160.80 |
$160.80 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$905.60 |
$905.60 |
$905.60 |
$3,877.44
|
|
Bronchoscopy/needle bx addl 31633
|
$200.80 |
$200.80 |
$200.80 |
$1,820.00
|
|
Bronchoscopy/needle bx each 31629
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
$4,038.80
|
|
Bronchoscopy revise stent
|
$630.40 |
$630.40 |
$630.40 |
$6,718.40
|
|
Bronchoscopy stent add-on
|
$197.60 |
$197.60 |
$197.60 |
$1,142.00
|
|
Bronchoscopy treat blockage
|
$649.60 |
$649.60 |
$649.60 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$850.40 |
$850.40 |
$850.40 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$3,314.51 |
$3,314.51 |
$3,314.51 |
$2,447.43
|
|
Bronchoscopy w/markers
|
$2,046.40 |
$2,046.40 |
$2,046.40 |
$6,839.00
|
|
Bronchoscopy w/tumor excise
|
$636.00 |
$636.00 |
$636.00 |
$4,362.99
|
