|
Blood Transfusion
|
$606.63 |
$606.63 |
$606.63 |
$989.60
|
|
Blood typing abo
|
$182.95 |
$182.95 |
$182.95 |
$86.45
|
|
Blood typing ag donor ea ag
|
$492.88 |
$492.88 |
$492.88 |
$207.60
|
|
Blood typing patient serum
|
$81.12 |
$81.12 |
$81.12 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$492.88 |
$492.88 |
$492.88 |
$211.90
|
|
Blood typing rh (d)
|
$51.36 |
$51.36 |
$51.36 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$51.36 |
$51.36 |
$51.36 |
$88.00
|
|
Blood volume
|
$746.61 |
$746.61 |
$746.61 |
$1,039.20
|
|
Body jacket mold to patient
|
$2,922.94 |
$2,922.94 |
$2,922.94 |
$2,922.94
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$171.12 |
$171.12 |
$171.12 |
$11,579.00
|
|
Bone Age X-ray (hand and wrist)
|
$143.75 |
$143.75 |
$143.75 |
$252.75
|
|
Bone biopsy open superficial
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$143.75 |
$143.75 |
$143.75 |
$407.94
|
|
Bone imaging multiple areas
|
$549.70 |
$549.70 |
$549.70 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$549.70 |
$549.70 |
$549.70 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,618.00
|
|
Bone marrow aspir bone grfg
|
$94.97 |
$94.97 |
$94.97 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,728.00
|
|
Bone marrow harvest allogen
|
$2,141.53 |
$2,141.53 |
$2,141.53 |
$4,755.40
|
|
Bone marrow harvest autolog
|
$5,988.98 |
$5,988.98 |
$5,988.98 |
$5,544.24
|
|
Bone marrow imaging body
|
$549.70 |
$549.70 |
$549.70 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$549.70 |
$549.70 |
$549.70 |
$811.00
|
|
Bone marrow imaging mult
|
$549.70 |
$549.70 |
$549.70 |
$923.00
|
|
Bone marrow interpretation
|
$1,107.84 |
$1,107.84 |
$1,107.84 |
$542.03
|
|
Bone/skin graft great toe
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$9,977.57
|
|
Bone/skin graft iliac crest
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,388.14
|
|
Bone/skin graft metatarsal
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,241.00
|
|
Bone/skin graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$9,977.57
|
|
Bone survey-lead poisoning
|
$143.75 |
$143.75 |
$143.75 |
$387.00
|
|
Boot j walker l
|
$268.91 |
$268.91 |
$268.91 |
$234.00
|
|
Boot mlti podous univ xlg
|
$284.60 |
$284.60 |
$284.60 |
$253.86
|
|
Boot softgait shrt m
|
$268.91 |
$268.91 |
$268.91 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$439.09 |
$439.09 |
$439.09 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$439.09 |
$439.09 |
$439.09 |
$175.89
|
|
Borrelia antibody
|
$18.46 |
$18.46 |
$18.46 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$23.50 |
$23.50 |
$23.50 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$48.42 |
$48.42 |
$48.42 |
$82.55
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$3.70 |
$3.70 |
$3.70 |
$2,915.40
|
|
(both sides) donor search management
|
$210.00 |
$210.00 |
$210.00 |
$2,438.80
|
|
(both sides) smear without diff wbc count
|
$4.73 |
$4.73 |
$4.73 |
$30.68
|
|
Bowel imaging
|
$549.70 |
$549.70 |
$549.70 |
$1,074.00
|
|
Bpg axillary-pop/-tibial
|
$1,847.50 |
$1,847.50 |
$1,847.50 |
$1,847.50
|
|
Bpg carotid-vertebral
|
$1,391.62 |
$1,391.62 |
$1,391.62 |
$10,728.90
|
|
Bpg ilio-celiac
|
$2,541.12 |
$2,541.12 |
$2,541.12 |
$2,002.50
|
|
Bpg ilio-mesenteric
|
$2,784.67 |
$2,784.67 |
$2,784.67 |
$2,233.00
|
|
Bpg iliorenal
|
$2,486.95 |
$2,486.95 |
$2,486.95 |
$1,960.00
|
|
Bpg pop-tibl/-prnl artery
|
$1,574.14 |
$1,574.14 |
$1,574.14 |
$5,400.20
|
|
Bpg splenorenal
|
$2,244.03 |
$2,244.03 |
$2,244.03 |
$7,761.60
|
|
Bpg subclavian-axillary
|
$1,550.06 |
$1,550.06 |
$1,550.06 |
$1,221.00
|
|
Bpg subclavian-vertebral
|
$1,333.01 |
$1,333.01 |
$1,333.01 |
$903.00
|
|
Brace adj motion lerman type
|
$261.25 |
$261.25 |
$261.25 |
$281.75
|
|
Brace afo dbl upright cust
|
$792.53 |
$792.53 |
$792.53 |
$841.97
|
|
Brace afo lg left 6607
|
$427.25 |
$427.25 |
$427.25 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,051.28 |
$1,051.28 |
$1,051.28 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,424.28 |
$1,424.28 |
$1,424.28 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$190.72 |
$190.72 |
$190.72 |
$194.42
|
|
Brace ank air stirrup univ
|
$164.08 |
$164.08 |
$164.08 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$106.59 |
$106.59 |
$106.59 |
$129.78
|
|
Brace ankle stablizing lg
|
$126.59 |
$126.59 |
$126.59 |
$122.82
|
|
Brace back epic lo 627
|
$374.09 |
$374.09 |
$374.09 |
$497.68
|
|
Brace back epic lso 637
|
$1,080.97 |
$1,080.97 |
$1,080.97 |
$1,611.50
|
|
Brace back epic tslo 456
|
$904.92 |
$904.92 |
$904.92 |
$1,582.56
|
|
Brace back pinnacle lo 627 lumbar
|
$697.08 |
$697.08 |
$697.08 |
$863.91
|
|
Brace back pinnacle tlso 464
|
$2,520.97 |
$2,520.97 |
$2,520.97 |
$2,632.87
|
|
Brace back t-lso custom
|
$3,470.41 |
$3,470.41 |
$3,470.41 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$934.25 |
$934.25 |
$934.25 |
$1,579.91
|
|
Brace cust back lso
|
$1,741.01 |
$1,741.01 |
$1,741.01 |
$966.00
|
|
Brace fx hum ovr shldr lg
|
$1,553.60 |
$1,553.60 |
$1,553.60 |
$560.00
|
|
Brace fx hum ovr shldr sm
|
$597.11 |
$597.11 |
$597.11 |
$620.54
|
|
Brace halo bremer l2830
|
$148.98 |
$148.98 |
$148.98 |
$195.59
|
|
Brace kafo dbl upright cust
|
$3,144.23 |
$3,144.23 |
$3,144.23 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$885.57 |
$885.57 |
$885.57 |
$698.32
|
|
Brace knee extender plus 22-30in
|
$1,168.18 |
$1,168.18 |
$1,168.18 |
$767.20
|
|
Brace knee hing pat open med
|
$241.02 |
$241.02 |
$241.02 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$703.29 |
$703.29 |
$703.29 |
$411.01
|
|
Brace knee postop tscope xl
|
$1,420.68 |
$1,420.68 |
$1,420.68 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$174.60 |
$174.60 |
$174.60 |
$215.70
|
|
Brace m arm board
|
$385.94 |
$385.94 |
$385.94 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$62.53 |
$62.53 |
$62.53 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$2,197.14 |
$2,197.14 |
$2,197.14 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,686.79 |
$1,686.79 |
$1,686.79 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$385.94 |
$385.94 |
$385.94 |
$257.45
|
|
Brace tlso flex cust
|
$169.97 |
$169.97 |
$169.97 |
$573.43
|
|
Brace wrist classic lft sm
|
$113.16 |
$113.16 |
$113.16 |
$89.04
|
|
Brachioplasty 15836
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,694.40
|
|
Brach/thor cath 1st
|
$277.59 |
$277.59 |
$277.59 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$370.10 |
$370.10 |
$370.10 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$462.40 |
$462.40 |
$462.40 |
$2,050.00
|
|
Brach/thor cath addl
|
$70.39 |
$70.39 |
$70.39 |
$868.00
|
|
Brachy linear, non-str,p-103
|
$120.32 |
$120.32 |
$120.32 |
$62.61
|
|
Brachy source i-125 injection
|
$47.46 |
$47.46 |
$47.46 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$49.31 |
$49.31 |
$49.31 |
$70.85
|
|
Brachy source palladium
|
$118.79 |
$118.79 |
$118.79 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$86.79 |
$86.79 |
$86.79 |
$126.83
|
|
Brachy source yttrium-90
|
$23,917.76 |
$23,917.76 |
$23,917.76 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$134.32 |
$134.32 |
$134.32 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$481.14 |
$481.14 |
$481.14 |
$478.50
|
|
Brachy src stranded c-131
|
$160.31 |
$160.31 |
$160.31 |
$221.00
|
|
Brachytx isodose complex
|
$514.85 |
$514.85 |
$514.85 |
$1,705.20
|
|
Brachytx isodose intermed
|
$514.85 |
$514.85 |
$514.85 |
$1,244.00
|
