|
Biopsy/removal lymph nodes
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,242.15
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,198.35
|
|
Biopsy roof of mouth
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,640.99
|
|
Biopsy skin incisional single lesion
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$665.29
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,204.00
|
|
Biopsy thigh soft tissues
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,370.52
|
|
Biopsy tongue anterior two-thirds
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,561.30
|
|
Biopsy vestibule of mouth 40808
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$644.67
|
|
Biopsy vrt bdy open lmbr/crv
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,579.65
|
|
Biopsy vrt bdy open thoracic
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Biospy of bladder
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,399.37
|
|
Biotinidase - quest
|
$18.56 |
$18.56 |
$18.56 |
$74.10
|
|
Bladder irrigate/lavage/instill 51700
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$422.51
|
|
Bld exchange truj oth thn nb
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$740.24
|
|
Bld prd mix
|
$53.00 |
$53.00 |
$53.00 |
$134.16
|
|
Bld push tfuj 2 yr/<
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$794.82
|
|
Blepharoplasty lower 15820
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,837.09
|
|
Blepharp lwr eyelid fat pad
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,033.60
|
|
Blm gene
|
$43.24 |
$43.24 |
$43.24 |
$109.53
|
|
Bln 1.2 mono emrg 15x1.2
|
$113.98 |
$113.98 |
$113.98 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$355.70 |
$355.70 |
$355.70 |
$2,795.43
|
|
Block brachial plexus w/cath plmt w/img
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,576.68
|
|
Block paracervical nrv
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$819.50
|
|
Block plantar digital nerve
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$496.05
|
|
Blood Clotting (PT/INR) Test
|
$4.72 |
$4.72 |
$4.72 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$6.61 |
$6.61 |
$6.61 |
$75.40
|
|
Blood Count (CBC) Test
|
$8.55 |
$8.55 |
$8.55 |
$72.80
|
|
Blood Count (CBC) Test (without differential)
|
$7.12 |
$7.12 |
$7.12 |
$62.40
|
|
Blood count spun microhematocrit
|
$7.70 |
$7.70 |
$7.70 |
$20.52
|
|
Blood Culture Test
|
$11.35 |
$11.35 |
$11.35 |
$144.65
|
|
Blood draw capillary 36416
|
$12.24 |
$12.24 |
$12.24 |
$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 |
$63.98
|
|
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 |
$163.90
|
|
Blood typing patient serum
|
$17.97 |
$17.97 |
$17.97 |
$70.29
|
|
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 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$8.53 |
$8.53 |
$8.53 |
$78.80
|
|
Bone biopsy open superficial
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,865.77
|
|
Bone Density Scan (DEXA)
|
$206.32 |
$206.32 |
$206.32 |
$395.00
|
|
Bone imaging multiple areas
|
$525.07 |
$525.07 |
$525.07 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$442.12 |
$442.12 |
$442.12 |
$1,151.44
|
|
Bone marrow;aspiration only 38220
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,754.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,794.93
|
|
Bone marrow harvest allogen
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,654.20
|
|
Bone marrow harvest autolog
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,215.40
|
|
Bone marrow interpretation
|
$251.72 |
$251.72 |
$251.72 |
$439.78
|
|
Bone/skin graft great toe
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$8,273.12
|
|
Bone/skin graft metatarsal
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$7,016.80
|
|
Bone survey-lead poisoning
|
$181.12 |
$181.12 |
$181.12 |
$355.20
|
|
Bone tendon board add on
|
$125.14 |
$125.14 |
$125.14 |
$5,689.43
|
|
Boot j walker l
|
$13.85 |
$13.85 |
$13.85 |
$291.75
|
|
Boot mlti podous univ xlg
|
$14.22 |
$14.22 |
$14.22 |
$318.36
|
|
Boot walker genesis full shell 3-strap s
|
$78.79 |
$78.79 |
$78.79 |
$325.00
|
|
Boot walker genesis mid-calf full shell s
|
$16.55 |
$16.55 |
$16.55 |
$135.85
|
|
Borrelia antibody
|
$14.72 |
$14.72 |
$14.72 |
$54.60
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$18.73 |
$18.73 |
$18.73 |
$99.00
|
|
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
|
$615.40 |
$615.40 |
$615.40 |
$1,218.10
|
|
Brace afo lg left 6607
|
$90.56 |
$90.56 |
$90.56 |
$401.11
|
|
Brace afopos solid ankle cust
|
$326.83 |
$326.83 |
$326.83 |
$890.52
|
|
Brace ank air stirrup univ
|
$6.73 |
$6.73 |
$6.73 |
$56.65
|
|
Brace ankle stablizing lg
|
$10.22 |
$10.22 |
$10.22 |
$113.10
|
|
Brace fx hum ovr shldr sm
|
$42.78 |
$42.78 |
$42.78 |
$453.47
|
|
Brace knee extender plus 22-30in
|
$42.01 |
$42.01 |
$42.01 |
$505.05
|
|
Brace oths wrist hnd fngr without
|
$115.80 |
$115.80 |
$115.80 |
$179.93
|
|
Brace wrist classic lft sm
|
$11.94 |
$11.94 |
$11.94 |
$79.23
|
|
Brachioplasty 15836
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,386.84
|
|
Brach/thor cath 1st
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,032.24
|
|
Brach/thor cath 3rd
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,244.00
|
|
Brach/thor cath addl
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$23.43 |
$23.43 |
$23.43 |
$34.61
|
|
Brachy source palladium
|
$55.75 |
$55.75 |
$55.75 |
$64.68
|
|
Brachy source palladium-103 nonstranded
|
$54.87 |
$54.87 |
$54.87 |
$79.45
|
|
Brachy source yttrium-90
|
$8,996.35 |
$8,996.35 |
$8,996.35 |
$32,712.26
|
|
Brachy src nonstrand hdr ir-192
|
$226.11 |
$226.11 |
$226.11 |
$372.70
|
|
Brachy src stranded c-131
|
$3,289.50 |
$3,289.50 |
$3,289.50 |
$2,882.64
|
|
Braf gene
|
$192.94 |
$192.94 |
$192.94 |
$427.05
|
|
Brain image w/flow 4 + views
|
$675.54 |
$675.54 |
$675.54 |
$1,321.45
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,017.83 |
$1,017.83 |
$1,017.83 |
$2,676.04
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$937.72 |
$937.72 |
$937.72 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$798.19 |
$798.19 |
$798.19 |
$1,821.61
|
|
Brain MRI (with and without contrast)
|
$1,197.53 |
$1,197.53 |
$1,197.53 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$859.28 |
$859.28 |
$859.28 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$779.41 |
$779.41 |
$779.41 |
$1,946.40
|
|
Brca1&2 gene full seq alys
|
$514.80 |
$514.80 |
$514.80 |
$770.25
|
|
Brca1&2 gen ful dup/del alys
|
$642.65 |
$642.65 |
$642.65 |
$806.24
|