|
Blood Count (CBC) Test
|
$7.77 |
$7.77 |
$7.77 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$6.47 |
$6.47 |
$6.47 |
$62.28
|
|
Blood count spun microhematocrit
|
$7.00 |
$7.00 |
$7.00 |
$25.00
|
|
Blood Culture Test
|
$10.32 |
$10.32 |
$10.32 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$9.09 |
$9.09 |
$9.09 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$78.77 |
$78.77 |
$78.77 |
$226.50
|
|
Blood gases ph venous
|
$11.00 |
$11.00 |
$11.00 |
$64.60
|
|
Blood, l/r, irradiated
|
$91.99 |
$91.99 |
$91.99 |
$452.34
|
|
Blood mucoprotein
|
$4.95 |
$4.95 |
$4.95 |
$6.83
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$15.92 |
$15.92 |
$15.92 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.23 |
$4.23 |
$4.23 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.38 |
$4.38 |
$4.38 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.32 |
$5.32 |
$5.32 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$3.80 |
$3.80 |
$3.80 |
$38.35
|
|
Blood split unit
|
$154.97 |
$154.97 |
$154.97 |
$282.88
|
|
Blood thymol turbidity
|
$4.95 |
$4.95 |
$4.95 |
$5.45
|
|
Blood Transfusion
|
$477.79 |
$477.79 |
$477.79 |
$989.60
|
|
Blood typing abo
|
$140.87 |
$140.87 |
$140.87 |
$86.45
|
|
Blood typing ag donor ea ag
|
$393.13 |
$393.13 |
$393.13 |
$207.60
|
|
Blood typing patient serum
|
$64.92 |
$64.92 |
$64.92 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$393.13 |
$393.13 |
$393.13 |
$211.90
|
|
Blood typing rh (d)
|
$42.90 |
$42.90 |
$42.90 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$42.90 |
$42.90 |
$42.90 |
$88.00
|
|
Blood volume
|
$588.26 |
$588.26 |
$588.26 |
$1,039.20
|
|
Bone Age X-ray (hand and wrist)
|
$116.22 |
$116.22 |
$116.22 |
$252.75
|
|
Bone biopsy open superficial
|
$3,127.88 |
$3,127.88 |
$3,127.88 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$116.22 |
$116.22 |
$116.22 |
$407.94
|
|
Bone imaging multiple areas
|
$439.15 |
$439.15 |
$439.15 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$439.15 |
$439.15 |
$439.15 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,728.00
|
|
Bone marrow harvest allogen
|
$1,791.54 |
$1,791.54 |
$1,791.54 |
$4,755.40
|
|
Bone marrow harvest autolog
|
$5,120.33 |
$5,120.33 |
$5,120.33 |
$5,544.24
|
|
Bone marrow imaging body
|
$439.15 |
$439.15 |
$439.15 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$439.15 |
$439.15 |
$439.15 |
$811.00
|
|
Bone marrow imaging mult
|
$439.15 |
$439.15 |
$439.15 |
$923.00
|
|
Bone marrow interpretation
|
$892.77 |
$892.77 |
$892.77 |
$542.03
|
|
Bone/skin graft great toe
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$9,977.57
|
|
Bone/skin graft metatarsal
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$8,241.00
|
|
Bone survey-lead poisoning
|
$116.22 |
$116.22 |
$116.22 |
$387.00
|
|
Borrelia antibody
|
$13.38 |
$13.38 |
$13.38 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$17.03 |
$17.03 |
$17.03 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$35.09 |
$35.09 |
$35.09 |
$82.55
|
|
(both sides) smear without diff wbc count
|
$3.43 |
$3.43 |
$3.43 |
$30.68
|
|
Bowel imaging
|
$439.15 |
$439.15 |
$439.15 |
$1,074.00
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$60.21 |
$60.21 |
$60.21 |
$105.30
|
|
Brachioplasty 15836
|
$3,127.88 |
$3,127.88 |
$3,127.88 |
$3,694.40
|
|
Brachy linear, non-str,p-103
|
$57.82 |
$57.82 |
$57.82 |
$62.61
|
|
Brachy source i-125 injection
|
$40.48 |
$40.48 |
$40.48 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$38.37 |
$38.37 |
$38.37 |
$70.85
|
|
Brachy source palladium
|
$76.16 |
$76.16 |
$76.16 |
$173.70
|
|
Brachy source palladium-103 nonstranded
|
$87.18 |
$87.18 |
$87.18 |
$126.83
|
|
Brachy source yttrium-90
|
$19,109.12 |
$19,109.12 |
$19,109.12 |
$30,879.20
|
|
Brachy src nonstrand c-131
|
$105.53 |
$105.53 |
$105.53 |
$210.62
|
|
Brachy src nonstrand hdr ir-192
|
$374.19 |
$374.19 |
$374.19 |
$478.50
|
|
Brachy src stranded c-131
|
$117.88 |
$117.88 |
$117.88 |
$221.00
|
|
Brachytx isodose complex
|
$400.07 |
$400.07 |
$400.07 |
$1,705.20
|
|
Brachytx isodose intermed
|
$400.07 |
$400.07 |
$400.07 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$400.07 |
$400.07 |
$400.07 |
$1,032.38
|
|
Brachytx, non-str, gold-198
|
$948.98 |
$948.98 |
$948.98 |
$124.55
|
|
Brachytx, non-str, ha, i-125
|
$177.96 |
$177.96 |
$177.96 |
$191.77
|
|
Brachytx, non-str, ha, p-103
|
$75.82 |
$75.82 |
$75.82 |
$122.08
|
|
Brachytx, ns, non-hdrir-192
|
$616.93 |
$616.93 |
$616.93 |
$159.50
|
|
Braf gene
|
$175.40 |
$175.40 |
$175.40 |
$450.90
|
|
Brain flow imaging only
|
$588.26 |
$588.26 |
$588.26 |
$677.66
|
|
Brain image < 4 views
|
$439.15 |
$439.15 |
$439.15 |
$575.29
|
|
Brain image 4+ views
|
$588.26 |
$588.26 |
$588.26 |
$847.80
|
|
Brain image w/flow < 4 views
|
$439.15 |
$439.15 |
$439.15 |
$919.45
|
|
Brain image w/flow 4 + views
|
$588.26 |
$588.26 |
$588.26 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$264.17 |
$264.17 |
$264.17 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$264.17 |
$264.17 |
$264.17 |
$1,948.00
|
|
Brca1&2 gene full seq alys
|
$468.00 |
$468.00 |
$468.00 |
$794.43
|
|
Brca1&2 gen ful dup/del alys
|
$584.23 |
$584.23 |
$584.23 |
$960.96
|
|
Brca1 dna gene analy known fam var
|
$375.25 |
$375.25 |
$375.25 |
$517.85
|
|
Brca1 gene full dup/del alys
|
$301.35 |
$301.35 |
$301.35 |
$331.49
|
|
Brca1 gene full seq alys
|
$282.88 |
$282.88 |
$282.88 |
$311.17
|
|
Brca2 dna gene analy full seq analy
|
$185.12 |
$185.12 |
$185.12 |
$255.47
|
|
Brca2 dna gene analy known fam var
|
$375.25 |
$375.25 |
$375.25 |
$487.83
|
|
Brca2 gene full dup/del alys
|
$282.88 |
$282.88 |
$282.88 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$440.00 |
$440.00 |
$440.00 |
$666.57
|
|
Brcassure comprehensive panel-sendout
|
$1,824.88 |
$1,824.88 |
$1,824.88 |
$2,409.00
|
|
Breast augmentation 19325
|
$10,457.82 |
$10,457.82 |
$10,457.82 |
$8,607.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$2,952.00
|
|
Breastbone (Sternum) X-ray
|
$96.23 |
$96.23 |
$96.23 |
$274.65
|
|
Breast punct aspir cyst, bil
|
$768.94 |
$768.94 |
$768.94 |
$871.80
|
|
Breast reconstruction 19357
|
$19,014.31 |
$19,014.31 |
$19,014.31 |
$11,720.80
|
|
Breast reduction
|
$7,127.17 |
$7,127.17 |
$7,127.17 |
$7,218.34
|
|
Breath hydrogen test 91065
|
$170.99 |
$170.99 |
$170.99 |
$462.00
|
|
Breathing response hypoxia
|
$170.99 |
$170.99 |
$170.99 |
$185.15
|
|
Breath recording infant
|
$579.88 |
$579.88 |
$579.88 |
$1,164.00
|
|
Breath test analysis c-14
|
$94.41 |
$94.41 |
$94.41 |
$245.65
|
|
Breath tst attain/anal c-14
|
$11.06 |
$11.06 |
$11.06 |
$108.50
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$258.52 |
$258.52 |
$258.52 |
$22,383.57
|
|
Brexucabtagene car pos t
|
$489,720.00 |
$489,720.00 |
$489,720.00 |
$1,430,103.22
|
|
Brief alcohol misuse counsel
|
$101.09 |
$101.09 |
$101.09 |
$109.46
|
|
Brief chkin, 5-10, non-e/m
|
$16.36 |
$16.36 |
$16.36 |
$14.97
|
