|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,211.08
|
|
Biopsy roof of mouth
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,639.57
|
|
Biopsy skin incisional single lesion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$657.30
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,263.43
|
|
Biopsy thigh soft tissues
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,285.96
|
|
Biopsy tongue anterior two-thirds
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,386.41
|
|
Biopsy vestibule of mouth 40808
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$644.67
|
|
Biopsy vrt bdy open lmbr/crv
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,579.65
|
|
Biopsy vrt bdy open thoracic
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,821.05
|
|
Biospy of bladder
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,470.24
|
|
Biotinidase - quest
|
$18.56 |
$18.56 |
$18.56 |
$74.10
|
|
Bis xtracell fluid analysis
|
$74.08 |
$74.08 |
$74.08 |
$235.00
|
|
Bladder irrigate/lavage/instill 51700
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$422.51
|
|
Bld exchange truj oth thn nb
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$766.80
|
|
Bld push tfuj 2 yr/<
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$809.20
|
|
Blepharoplasty lower 15820
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,837.09
|
|
Blepharp lwr eyelid fat pad
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,033.60
|
|
Blm gene
|
$43.24 |
$43.24 |
$43.24 |
$119.59
|
|
Bln 1.2 mono emrg 15x1.2
|
$110.03 |
$110.03 |
$110.03 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$343.37 |
$343.37 |
$343.37 |
$2,795.43
|
|
Block brachial plexus w/cath plmt w/img
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,576.68
|
|
Block paracervical nrv
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$948.00
|
|
Block plantar digital nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$501.85
|
|
Blood Clotting (PT/INR) Test
|
$4.72 |
$4.72 |
$4.72 |
$52.58
|
|
Blood Clotting (PTT) Test
|
$6.61 |
$6.61 |
$6.61 |
$76.32
|
|
Blood Count (CBC) Test
|
$8.55 |
$8.55 |
$8.55 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$7.12 |
$7.12 |
$7.12 |
$63.45
|
|
Blood count spun microhematocrit
|
$7.70 |
$7.70 |
$7.70 |
$20.78
|
|
Blood Culture Test
|
$11.35 |
$11.35 |
$11.35 |
$144.65
|
|
Blood draw capillary 36416
|
$4.48 |
$4.48 |
$4.48 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$86.65 |
$86.65 |
$86.65 |
$220.35
|
|
Blood gases ph venous
|
$12.10 |
$12.10 |
$12.10 |
$64.28
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$17.51 |
$17.51 |
$17.51 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.65 |
$4.65 |
$4.65 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.82 |
$4.82 |
$4.82 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.85 |
$5.85 |
$5.85 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$4.18 |
$4.18 |
$4.18 |
$37.80
|
|
Blood typing abo
|
$3.29 |
$3.29 |
$3.29 |
$83.03
|
|
Blood typing ag donor ea ag
|
$6.99 |
$6.99 |
$6.99 |
$162.40
|
|
Blood typing patient serum
|
$17.97 |
$17.97 |
$17.97 |
$70.74
|
|
Blood typing rbc ag non abo/rh ea
|
$4.21 |
$4.21 |
$4.21 |
$181.74
|
|
Blood typing rh (d)
|
$3.29 |
$3.29 |
$3.29 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$8.53 |
$8.53 |
$8.53 |
$78.80
|
|
Bone biopsy open superficial
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$178.97 |
$178.97 |
$178.97 |
$395.00
|
|
Bone marrow;aspiration only 38220
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,703.35
|
|
Bone marrow biopsyneedle/trocar 38221
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,793.38
|
|
Bone marrow harvest allogen
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,215.40
|
|
Bone marrow imaging body
|
$311.57 |
$311.57 |
$311.57 |
$981.78
|
|
Bone marrow imaging mult
|
$199.95 |
$199.95 |
$199.95 |
$783.90
|
|
Bone marrow interpretation
|
$221.92 |
$221.92 |
$221.92 |
$436.00
|
|
Bone/skin graft great toe
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,273.12
|
|
Bone/skin graft metatarsal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,016.80
|
|
Bone survey-lead poisoning
|
$99.97 |
$99.97 |
$99.97 |
$356.85
|
|
Bone tendon board add on
|
$120.80 |
$120.80 |
$120.80 |
$5,689.43
|
|
Boot j walker l
|
$13.37 |
$13.37 |
$13.37 |
$291.75
|
|
Boot mlti podous univ xlg
|
$13.73 |
$13.73 |
$13.73 |
$318.36
|
|
Boot walker genesis full shell 3-strap s
|
$76.06 |
$76.06 |
$76.06 |
$325.00
|
|
Boot walker genesis mid-calf full shell s
|
$15.98 |
$15.98 |
$15.98 |
$135.85
|
|
Borrelia antibody
|
$14.72 |
$14.72 |
$14.72 |
$60.60
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$18.73 |
$18.73 |
$18.73 |
$100.10
|
|
Borrelia miyamotoi amp prb
|
$38.60 |
$38.60 |
$38.60 |
$95.45
|
|
(both sides) smear without diff wbc count
|
$3.77 |
$3.77 |
$3.77 |
$33.57
|
|
Bowel imaging
|
$248.63 |
$248.63 |
$248.63 |
$1,218.80
|
|
Brace afo lg left 6607
|
$87.42 |
$87.42 |
$87.42 |
$401.11
|
|
Brace afopos solid ankle cust
|
$315.50 |
$315.50 |
$315.50 |
$890.52
|
|
Brace ank air stirrup univ
|
$6.50 |
$6.50 |
$6.50 |
$56.65
|
|
Brace ankle stablizing lg
|
$9.86 |
$9.86 |
$9.86 |
$113.10
|
|
Brace fx hum ovr shldr sm
|
$41.30 |
$41.30 |
$41.30 |
$453.47
|
|
Brace knee extender plus 22-30in
|
$40.56 |
$40.56 |
$40.56 |
$505.05
|
|
Brace oths wrist hnd fngr without
|
$111.79 |
$111.79 |
$111.79 |
$179.93
|
|
Brace wrist classic lft sm
|
$11.53 |
$11.53 |
$11.53 |
$79.23
|
|
Brachioplasty 15836
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,370.52
|
|
Brach/thor cath 3rd
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,244.00
|
|
Brachy source iodine-125 nonstranded
|
$22.62 |
$22.62 |
$22.62 |
$34.61
|
|
Brachy source palladium
|
$53.81 |
$53.81 |
$53.81 |
$61.50
|
|
Brachy source palladium-103 nonstranded
|
$52.96 |
$52.96 |
$52.96 |
$71.75
|
|
Brachy source yttrium-90
|
$8,684.49 |
$8,684.49 |
$8,684.49 |
$33,054.19
|
|
Brachy src nonstrand hdr ir-192
|
$218.27 |
$218.27 |
$218.27 |
$372.70
|
|
Brachy src stranded c-131
|
$3,175.47 |
$3,175.47 |
$3,175.47 |
$3,027.95
|
|
Braf gene
|
$192.94 |
$192.94 |
$192.94 |
$432.00
|
|
Brain image w/flow 4 + views
|
$355.00 |
$355.00 |
$355.00 |
$1,353.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$764.59 |
$764.59 |
$764.59 |
$2,710.45
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$652.48 |
$652.48 |
$652.48 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$606.43 |
$606.43 |
$606.43 |
$1,825.25
|
|
Brain MRI (with and without contrast)
|
$825.72 |
$825.72 |
$825.72 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$592.49 |
$592.49 |
$592.49 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$537.42 |
$537.42 |
$537.42 |
$1,973.40
|
|
Brca1&2 gene full seq alys
|
$514.80 |
$514.80 |
$514.80 |
$846.61
|
|
Brca1&2 gen ful dup/del alys
|
$642.65 |
$642.65 |
$642.65 |
$806.24
|
|
Brca1 dna gene analy known fam var
|
$412.78 |
$412.78 |
$412.78 |
$517.85
|
|
Brca1 gene full dup/del alys
|
$331.49 |
$331.49 |
$331.49 |
$331.49
|
|
Brca1 gene full seq alys
|
$311.17 |
$311.17 |
$311.17 |
$311.17
|
|
Brca2 dna gene analy full seq analy
|
$203.63 |
$203.63 |
$203.63 |
$222.14
|
|
Brca2 dna gene analy known fam var
|
$412.78 |
$412.78 |
$412.78 |
$517.85
|
