|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.58 |
$27.72 |
$50.15 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$9.81 |
$35.28 |
$56.95 |
|
|
Blood smear interpretation
|
$25.76 |
$41.58 |
$83.30 |
|
|
Blood smear microscopic w manual differential wbc count
|
$31.74 |
$60.90 |
$69.50 |
|
|
Blood split unit
|
$368.76 |
$368.76 |
$622.20 |
|
|
Blood Transfusion
|
$882.96 |
$1,040.76 |
$1,757.41 |
|
|
Blood typing abo
|
$35.42 |
$58.80 |
$169.13 |
|
|
Blood typing ag donor ea ag
|
$83.00 |
$225.25 |
$468.85 |
|
|
Blood typing patient serum
|
$36.80 |
$85.26 |
$170.00 |
|
|
Blood typing rbc ag non abo/rh ea
|
$16.56 |
$206.18 |
$468.85 |
|
|
Blood typing rh (d)
|
$30.50 |
$49.98 |
$80.75 |
|
|
Blood typing rh phenotype complete reference
|
$44.50 |
$112.98 |
$215.05 |
|
|
Blood volume
|
$481.74 |
$481.74 |
$655.35 |
|
|
Bls-emergency
|
$735.14 |
$735.14 |
$735.14 |
|
|
Bone Age X-ray (hand and wrist)
|
$90.30 |
$111.50 |
$195.05 |
|
|
Bone biopsy open superficial
|
$1,635.48 |
$1,635.48 |
$2,489.17 |
|
|
Bone Density Scan (DEXA)
|
$280.14 |
$325.97 |
$1,132.12 |
|
|
Bone imaging multiple areas
|
$291.18 |
$645.96 |
$2,136.90 |
|
|
Bone/joint imaging ltd area
|
$291.18 |
$613.50 |
$1,094.80 |
|
|
Bone marrow;aspiration only 38220
|
$367.69 |
$774.48 |
$1,836.71 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$387.24 |
$774.48 |
$1,291.00 |
|
|
Bone marrow imaging body
|
$191.10 |
$191.10 |
$1,627.00 |
|
|
Bone marrow imaging ltd
|
$268.80 |
$268.80 |
$502.35 |
|
|
Bone marrow imaging mult
|
$320.04 |
$320.04 |
$1,003.00 |
|
|
Bone marrow interpretation
|
$242.76 |
$530.09 |
$550.62 |
|
|
Bone survey-lead poisoning
|
$177.66 |
$179.00 |
$535.50 |
|
|
Bone void filler nanoss 10cc
|
$273.00 |
$299.00 |
$552.50 |
|
|
Boot j walker l
|
$70.65 |
$118.11 |
$130.54 |
|
|
Boot mlti podous univ xlg
|
$178.57 |
$195.58 |
$361.39 |
|
|
Boot walker genesis full shell 3-strap s
|
$34.79 |
$64.29 |
$349.52 |
|
|
Boot walker genesis mid-calf full shell s
|
$164.02 |
$164.02 |
$164.02 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$50.69 |
$120.96 |
$138.50 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$737.38 |
$3,366.30 |
$6,812.75 |
|
|
(both sides) smear without diff wbc count
|
$28.98 |
$28.98 |
$48.45 |
|
|
Bowel imaging
|
$290.72 |
$659.50 |
$1,189.15 |
|
|
Brace afo lg left 6607
|
$690.92 |
$756.72 |
$1,398.28 |
|
|
Brace ank air stirrup univ
|
$78.05 |
$85.48 |
$157.95 |
|
|
Brace ankle stablizing lg
|
$80.01 |
$80.01 |
$80.01 |
|
|
Brace back pinnacle tlso 464
|
$755.54 |
$755.54 |
$755.54 |
|
|
Brace back t-lso custom
|
$892.46 |
$892.46 |
$1,784.90 |
|
|
Brace fx hum ovr shldr sm
|
$427.16 |
$427.16 |
$427.16 |
|
|
Brace halo bremer l2830
|
$118.59 |
$118.59 |
$118.59 |
|
|
Brace knee extender plus 22-30in
|
$342.11 |
$374.69 |
$767.39 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$767.39 |
$767.39 |
$767.39 |
|
|
Brace knee support neoprene padded open patella med
|
$87.71 |
$87.71 |
$88.75 |
|
|
Brace m arm board
|
$305.68 |
$305.68 |
$305.68 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$46.00 |
$57.54 |
$243.95 |
|
|
Brace ortho exos 28-50in sm
|
$613.75 |
$613.75 |
$613.75 |
|
|
Brace oths wrist hnd fngr without
|
$305.68 |
$305.68 |
$305.68 |
|
|
Brace wrist classic lft sm
|
$18.88 |
$68.88 |
$78.26 |
|
|
Brach/thor cath 1st
|
$937.86 |
$937.86 |
$1,283.44 |
|
|
Brach/thor cath 2nd
|
$514.92 |
$514.92 |
$1,276.04 |
|
|
Brach/thor cath 3rd
|
$409.40 |
$768.60 |
$1,246.84 |
|
|
Brach/thor cath addl
|
$527.62 |
$1,053.36 |
$1,053.36 |
|
|
Brachy source i-125 injection
|
$39.06 |
$39.06 |
$107.38 |
|
|
Brachy source iodine-125 nonstranded
|
$27.72 |
$27.72 |
$105.02 |
|
|
Brachy source palladium
|
$119.77 |
$119.77 |
$119.77 |
|
|
Brachy source palladium-103 nonstranded
|
$117.41 |
$117.41 |
$117.41 |
|
|
Brachy source yttrium-90
|
$14,767.84 |
$24,595.20 |
$24,595.20 |
|
|
Brachy src nonstrand c-131
|
$55.40 |
$55.40 |
$55.40 |
|
|
Brachy src nonstrand hdr ir-192
|
$257.60 |
$346.50 |
$464.80 |
|
|
Brachy src stranded c-131
|
$34,545.00 |
$37,835.00 |
$69,912.50 |
|
|
Brachytx isodose complex
|
$1,705.20 |
$1,705.20 |
$2,251.44 |
|
|
Brachytx isodose intermed
|
$1,461.60 |
$1,461.60 |
$1,939.80 |
|
|
Brachytx isodose plan simple
|
$1,271.50 |
$1,380.96 |
$1,500.37 |
|
|
Brachytx, non-str, ha, i-125
|
$107.06 |
$107.06 |
$107.06 |
|
|
Braf gene
|
$130.98 |
$273.42 |
$661.51 |
|
|
Brain biopsy w/ct/mr guide
|
$769.02 |
$769.02 |
$769.02 |
|
|
Brain flow imaging only
|
$356.58 |
$356.58 |
$473.40 |
|
|
Brain image < 4 views
|
$428.82 |
$428.82 |
$491.30 |
|
|
Brain image 4+ views
|
$559.44 |
$659.40 |
$1,162.66 |
|
|
Brain image w/flow < 4 views
|
$620.76 |
$620.76 |
$1,003.85 |
|
|
Brain image w/flow 4 + views
|
$630.00 |
$640.08 |
$845.75 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,948.73 |
$2,120.58 |
$4,650.35 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,496.04 |
$1,623.84 |
$4,009.45 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$607.20 |
$1,452.36 |
$4,009.45 |
|
|
Brain MRI (with and without contrast)
|
$1,322.96 |
$1,939.00 |
$4,505.85 |
|
|
Brain MRI (with contrast)
|
$1,623.34 |
$1,695.96 |
$5,092.35 |
|
|
Brain MRI (without contrast)
|
$1,308.27 |
$1,495.46 |
$4,866.25 |
|
|
Brcassure comprehensive panel-sendout
|
$4,035.07 |
$4,035.07 |
$4,035.07 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,307.21 |
$1,443.54 |
$2,703.31 |
|
|
Breastbone (Sternum) X-ray
|
$57.27 |
$110.46 |
$228.65 |
|
|
Breast punct aspir cyst, bil
|
$242.76 |
$412.44 |
$466.04 |
|
|
Breath hydrogen test 91065
|
$525.00 |
$525.00 |
$525.00 |
|
|
Breath recording infant
|
$365.50 |
$365.50 |
$365.50 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$5,401.32 |
$24,658.20 |
$49,903.50 |
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$385.56 |
$385.56 |
$1,262.00 |
|
|
Bronch ebus ivntj perph les 31654
|
$265.88 |
$965.16 |
$1,237.69 |
|
|
Bronch ebus samplng 1/2 node
|
$2,298.24 |
$2,298.24 |
$2,667.30 |
|
|
Bronch ebus samplng 3/> node
|
$2,298.24 |
$2,298.24 |
$2,945.69 |
|
|
Bronchial allergy tests
|
$257.00 |
$295.26 |
$556.82 |
|
|
Bronchial challenge
|
$385.54 |
$831.60 |
$1,240.13 |
|
|
Bronchial valve addl insert
|
$2,364.60 |
$2,364.60 |
$2,989.45 |
|
|
Bronchial valve init insert
|
$2,364.60 |
$2,364.60 |
$2,989.45 |
|
|
Bronchial valve remov addl
|
$1,107.12 |
$1,107.12 |
$1,453.50 |
|
|
Bronchial valve remov init
|
$2,214.24 |
$2,214.24 |
$2,989.45 |
|
|
Bronchoscopy bronch stents
|
$3,202.92 |
$3,243.66 |
$3,243.66 |
|
|
Bronchoscopy clear airways 31645
|
$437.00 |
$837.90 |
$1,323.00 |
|
|
Bronchoscopy dilate/fx repr
|
$2,203.32 |
$3,128.58 |
$3,128.58 |
|
|
Bronchoscopy dilate w/stent
|
$2,948.00 |
$3,260.04 |
$3,260.04 |
|