|
Boot j walker l
|
$352.38 |
$352.38 |
$352.38 |
$291.75
|
|
Boot mlti podous univ xlg
|
$113.52 |
$113.52 |
$113.52 |
$318.36
|
|
Borrelia antibody
|
$190.30 |
$190.30 |
$190.30 |
$35.83
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$93.50 |
$93.50 |
$159.50 |
$98.57
|
|
Bowel imaging
|
$1,505.35 |
$1,505.35 |
$2,038.85 |
$1,186.25
|
|
Brace afo lg left 6607
|
$1,067.04 |
$1,067.04 |
$1,067.04 |
$401.11
|
|
Brace afo spiral prefab
|
$2,372.10 |
$2,372.10 |
$2,372.10 |
$1,604.40
|
|
Brace ank air stirrup univ
|
$54.99 |
$54.99 |
$54.99 |
$56.65
|
|
Brace back pinnacle tlso 464
|
$4,213.25 |
$4,213.25 |
$4,213.25 |
$2,223.92
|
|
Brace back t-lso custom
|
$5,052.63 |
$5,052.63 |
$5,052.63 |
$3,365.06
|
|
Brace halo bremer l2830
|
$328.74 |
$328.74 |
$328.74 |
$291.75
|
|
Brace knee extender plus 22-30in
|
$1,652.54 |
$1,652.54 |
$1,652.54 |
$505.05
|
|
Brace ortho exos 28-50in sm
|
$3,386.74 |
$3,386.74 |
$3,386.74 |
$1,592.99
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$2,813.28 |
$2,813.28 |
$2,813.28 |
$1,546.87
|
|
Brace wrist classic lft sm
|
$210.48 |
$210.48 |
$210.48 |
$79.23
|
|
Brach/thor cath 1st
|
$963.82 |
$963.82 |
$2,597.65 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$1,687.40 |
$1,687.40 |
$1,759.45 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$1,124.70 |
$1,124.70 |
$2,094.95 |
$2,244.00
|
|
Brach/thor cath addl
|
$136.56 |
$136.56 |
$368.50 |
$881.40
|
|
Brachy source yttrium-90
|
$20,322.44 |
$20,322.44 |
$75,037.02 |
$32,024.61
|
|
Braf gene
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$421.20
|
|
Brain flow imaging only
|
$398.20 |
$398.20 |
$829.95 |
$636.97
|
|
Brain image w/flow < 4 views
|
$385.00 |
$385.00 |
$385.00 |
$828.39
|
|
Brain image w/flow 4 + views
|
$829.95 |
$829.95 |
$1,182.50 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,031.15 |
$2,031.15 |
$2,530.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,881.00 |
$1,881.00 |
$1,889.25 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,301.30 |
$1,301.30 |
$1,375.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,255.00 |
$2,255.00 |
$2,459.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$1,265.00 |
$1,265.00 |
$1,787.50 |
$1,927.04
|
|
Brca1 dna gene analy known fam var
|
$894.30 |
$894.30 |
$894.30 |
$483.84
|
|
Brca2 dna gene analy known fam var
|
$894.30 |
$894.30 |
$894.30 |
$487.83
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$2,970.00
|
|
Breast punct aspir cyst, bil
|
$655.60 |
$655.60 |
$1,026.02 |
$832.60
|
|
Breath hydrogen test 91065
|
$1,089.55 |
$1,089.55 |
$1,176.89 |
$462.00
|
|
Breath test analysis c-14
|
$166.65 |
$166.65 |
$418.00 |
$197.34
|
|
Breath tst attain/anal c-14
|
$155.65 |
$155.65 |
$313.50 |
$60.43
|
|
Bronch ebus samplng 1/2 node
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$4,429.20
|
|
Bronch ebus samplng 3/> node
|
$2,862.20 |
$2,862.20 |
$2,862.20 |
$5,114.25
|
|
Bronchial challenge
|
$690.69 |
$690.69 |
$887.70 |
$835.20
|
|
Bronchoscopy clear airways 31645
|
$1,364.00 |
$1,364.00 |
$1,485.00 |
$2,626.00
|
|
Bronchoscopy/lung bx each 31628
|
$1,758.90 |
$1,758.90 |
$2,287.45 |
$3,799.90
|
|
Bronchoscopy/needle bx each 31629
|
$2,262.15 |
$2,262.15 |
$2,262.15 |
$3,484.80
|
|
Bronchoscopy treat blockage
|
$3,234.55 |
$3,234.55 |
$3,234.55 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,562.55 |
$1,562.55 |
$1,562.55 |
$2,256.75
|
|
Bronch thermoplsty 1 lobe
|
$4,791.05 |
$4,791.05 |
$4,791.05 |
$7,346.25
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$185.35 |
$185.35 |
$185.35 |
$302.31
|
|
Br punct aspir ea add, l
|
$261.80 |
$261.80 |
$261.80 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$95.15 |
$95.15 |
$129.25 |
$164.89
|
|
Bundled special stain group 2
|
$104.50 |
$104.50 |
$209.55 |
$169.60
|
|
Bundle his recording
|
$2,805.00 |
$2,805.00 |
$4,584.92 |
$5,157.39
|
|
Buprenorphine and metabolite - sendout
|
$87.45 |
$87.45 |
$105.05 |
$99.72
|
|
Burr hole implant ventricular cath/other device
|
$5,375.37 |
$5,375.37 |
$8,557.45 |
$2,996.47
|
|
Burr hole skull for biopsy 61140
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$2,978.40
|
|
Burr hole skull & remove clot 61154
|
$2,167.55 |
$2,167.55 |
$2,549.69 |
$4,438.20
|
|
Bur rotalink 2.15mm
|
$4,146.44 |
$4,146.44 |
$6,754.44 |
$5,211.46
|
|
Bx arm/elbow soft tissue supf 24065
|
$3,216.07 |
$3,216.07 |
$3,216.07 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$4,182.04 |
$4,182.04 |
$4,843.30 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$4,450.05 |
$4,450.05 |
$4,450.05 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$3,809.85 |
$3,809.85 |
$3,809.85 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$2,567.40 |
$2,567.40 |
$2,567.40 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$2,339.15 |
$2,339.15 |
$2,339.15 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$1,547.10
|
|
Bx breast pq tomo guide
|
$2,913.35 |
$2,913.35 |
$2,913.35 |
$5,383.86
|
|
Bx/exc lymph node/open/superfic 38500
|
$392.44 |
$392.44 |
$392.44 |
$4,135.34
|
|
Bx leg/ankle soft tissue deep 27614
|
$4,089.08 |
$4,089.08 |
$4,089.08 |
$3,225.86
|
|
Bx liver with other
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$548.87
|
|
Bx muscle
|
$2,151.60 |
$2,151.60 |
$2,781.35 |
$1,917.33
|
|
Bx pancreas pq ndl
|
$1,483.90 |
$1,483.90 |
$1,892.60 |
$1,761.70
|
|
Bx pleura pq ndl
|
$862.40 |
$862.40 |
$1,892.60 |
$1,732.00
|
|
Bx skin incisnl ea sep/add l les
|
$50.60 |
$50.60 |
$573.43 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$44.55 |
$44.55 |
$473.33 |
$208.65
|
|
Bx skin tangential ea sep/ addl les
|
$28.60 |
$28.60 |
$511.94 |
$203.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,537.25 |
$1,537.25 |
$3,341.80 |
$1,794.93
|
|
Bx soft tissue back/flank deep 21925
|
$4,087.66 |
$4,087.66 |
$4,087.66 |
$1,917.33
|
|
Bx soft tissue back/flank supf 21920
|
$2,722.72 |
$2,722.72 |
$2,722.72 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,549.35 |
$1,549.35 |
$1,718.86 |
$1,020.60
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,016.02 |
$1,016.02 |
$1,258.95 |
$1,117.94
|
|
Bypass temp external fem-fem
|
$1,225.64 |
$1,225.64 |
$9,487.50 |
$2,428.80
|
|
C1 esterase inhibitor func - sendout
|
$216.70 |
$216.70 |
$305.80 |
$106.60
|
|
Cable cath 22-pin diag
|
$693.12 |
$693.12 |
$774.85 |
$1,530.12
|
|
Cadd pump refill
|
$534.82 |
$534.82 |
$534.82 |
$340.33
|
|
Calcium 24 hour urine
|
$33.00 |
$33.00 |
$36.85 |
$52.00
|
|
Calcium ionized
|
$79.75 |
$79.75 |
$88.00 |
$86.35
|
|
Calcium total
|
$27.50 |
$27.50 |
$44.00 |
$48.75
|
|
Calculi urinary-sendout
|
$34.10 |
$34.10 |
$127.60 |
$68.05
|
|
Caloric vstblr test w/rec
|
$481.80 |
$481.80 |
$481.80 |
$230.25
|
|
Calprotectin fecal
|
$144.65 |
$144.65 |
$204.05 |
$170.00
|
|
Campylobacter antibody
|
$194.70 |
$194.70 |
$194.70 |
$66.61
|
|
Candida skin test
|
$62.70 |
$62.70 |
$62.70 |
$39.77
|
|
Cannula ercp contour 5-4-3 tip
|
$3,886.88 |
$3,886.88 |
$13,686.25 |
$19,500.00
|
|
Canthotomy 67715
|
$1,275.38 |
$1,275.38 |
$1,607.10 |
$3,014.70
|
|
Cap nerve 2x15mm
|
$196.59 |
$196.59 |
$2,117.07 |
$9,142.85
|
|
Cap trach decann 15mm
|
$863.30 |
$863.30 |
$1,775.00 |
$1,842.60
|
|
Carbamazepine free
|
$51.15 |
$51.15 |
$51.15 |
$66.43
|
|
Carbamazepine free -sendout
|
$30.25 |
$30.25 |
$30.25 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$72.60 |
$72.60 |
$73.70 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$323.40 |
$323.40 |
$323.40 |
$113.36
|
|
Carbon dioxide
|
$40.15 |
$40.15 |
$51.15 |
$44.82
|
