|
Biopsy of nail unit 11755
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of ovary(s) 58900
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of penis
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of penis 54100
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of prostate
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of prostate
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Biopsy of rectum wall anal approach 45100
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of sacroiliac joint
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of salivary gland 42400
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of salivary glnd;incisional 42405
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of tear gland
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of tear sac
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of testis
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of testis
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Biopsy of toe joint lining
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of upper nose/throat
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of urethra
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy of wrist joint
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy oocyte polar body
|
$187.28 |
$189.67 |
$201.80 |
|
|
Biopsy oocyte polar body <=5
|
$187.28 |
$189.67 |
$201.80 |
|
|
Biopsy/removal lymph nodes
|
$3,786.00 |
$4,509.59 |
$6,839.00 |
|
|
Biopsy/removal lymph nodes 38520
|
$3,786.00 |
$4,509.59 |
$6,839.00 |
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy roof of mouth
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy skin incisional single lesion
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy thigh soft tissues
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy tongue anterior two-thirds
|
$556.55 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy vaginal mucosa xtnsv
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy vestibule of mouth 40808
|
$556.55 |
$3,986.00 |
$6,839.00 |
|
|
Biopsy vrt bdy open lmbr/crv
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Biopsy vrt bdy open thoracic
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Biospy of bladder
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Biotinidase - quest
|
$16.87 |
$18.56 |
$18.56 |
|
|
Biovance 1 square cm
|
$55.98 |
$65.68 |
$92.57 |
|
|
Bis xtracell fluid analysis
|
$74.08 |
$170.99 |
$184.26 |
|
|
Bladder Catheter Insertion (simple)
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Bladder irrigate/lavage/instill 51700
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Bld exchange truj oth thn nb
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Bld prd mix
|
$41.85 |
$187.28 |
$201.80 |
|
|
Bld push tfuj 2 yr/<
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Blepharoplasty lower 15820
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Blepharoplasty upper 15822
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Blepharoplasty upper eyelid 15823
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Blepharp lwr eyelid fat pad
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Blinatumomab 35 mcg intravenous solution
|
$152.18 |
$163.21 |
$163.21 |
|
|
Blind cor sinus reducer impl
|
$12,393.88 |
$12,552.42 |
$13,355.34 |
|
|
Blinded conv. tx mdd clin tr
|
$579.88 |
$587.30 |
$624.87 |
|
|
Blind interatrial shunt ide
|
$19,125.95 |
$19,370.60 |
$20,609.64 |
|
|
Blind myocar trpl bon marrow
|
$19,125.95 |
$19,370.60 |
$20,609.64 |
|
|
Blind/nonblind trans atrial
|
$10,656.13 |
$10,792.44 |
$11,482.77 |
|
|
Blink reflex test
|
$64.92 |
$65.75 |
$78.06 |
|
|
Blm gene
|
$39.31 |
$43.24 |
$43.24 |
|
|
Bln 1.2 mono emrg 15x1.2
|
$86.60 |
$101.61 |
$143.20 |
|
|
Bln 30frx10mmx12cm renal nephromax
|
$270.25 |
$317.09 |
$446.86 |
|
|
Block brachial plexus w/cath plmt w/img
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Block femoral nerve cont infusion cath w/img
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Block paracervical nrv
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Block plantar digital nerve
|
$322.61 |
$3,986.00 |
$6,839.00 |
|
|
Blood clot lysis time
|
$20.37 |
$22.41 |
$22.41 |
|
|
Blood clot retraction
|
$16.30 |
$17.93 |
$17.93 |
|
|
Blood Clotting (PT/INR) Test
|
$4.29 |
$4.72 |
$38.80 |
|
|
Blood Clotting (PTT) Test
|
$6.01 |
$6.61 |
$27.00 |
|
|
Blood component/product noc
|
$53.47 |
$54.16 |
$57.62 |
|
|
Blood Count (CBC) Test
|
$7.77 |
$8.55 |
$59.60 |
|
|
Blood Count (CBC) Test (without differential)
|
$6.47 |
$7.12 |
$42.40 |
|
|
Blood count spun microhematocrit
|
$7.00 |
$7.70 |
$12.50 |
|
|
Blood Culture Test
|
$10.32 |
$11.35 |
$124.50 |
|
|
Blood draw capillary 36416
|
$3.64 |
$10.71 |
$22.00 |
|
|
Blood Draw (Venipuncture)
|
$9.09 |
$9.71 |
$29.00 |
|
|
Blood gases o2 saturation direct measurement
|
$78.77 |
$86.65 |
$86.65 |
|
|
Blood gases ph venous
|
$11.00 |
$12.10 |
$12.10 |
|
|
Blood, l/r, irradiated
|
$91.99 |
$93.16 |
$99.12 |
|
|
Blood mucoprotein
|
$4.95 |
$5.45 |
$5.45 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$15.92 |
$17.51 |
$20.00 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.23 |
$4.65 |
$4.65 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.38 |
$4.82 |
$4.82 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.32 |
$5.85 |
$24.00 |
|
|
Blood smear microscopic w manual differential wbc count
|
$3.80 |
$4.18 |
$31.50 |
|
|
Blood split unit
|
$43.34 |
$154.97 |
$166.99 |
|
|
Blood thymol turbidity
|
$4.95 |
$5.45 |
$5.45 |
|
|
Blood Transfusion
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Blood typing abo
|
$3.29 |
$3.29 |
$151.80 |
|
|
Blood typing ag donor ea ag
|
$6.99 |
$6.99 |
$423.63 |
|
|
Blood typing patient serum
|
$17.97 |
$17.97 |
$69.95 |
|
|
Blood typing rbc ag non abo/rh ea
|
$4.21 |
$4.21 |
$423.63 |
|
|
Blood typing rh (d)
|
$3.29 |
$3.29 |
$46.22 |
|
|
Blood typing rh phenotype complete reference
|
$8.53 |
$8.53 |
$46.22 |
|
|
Blood volume
|
$588.26 |
$595.79 |
$633.90 |
|
|
Bone Age X-ray (hand and wrist)
|
$54.24 |
$86.35 |
$170.00 |
|
|
Bone biopsy open superficial
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Bone Density Scan (DEXA)
|
$116.22 |
$162.92 |
$268.50 |
|
|
Bone imaging multiple areas
|
$180.08 |
$445.16 |
$525.07 |
|
|
Bone/joint imaging ltd area
|
$124.87 |
$439.15 |
$473.22 |
|
|
Bone marrow;aspiration only 38220
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Bone marrow harvest allogen
|
$1,791.54 |
$3,986.00 |
$6,839.00 |
|
|
Bone marrow harvest autolog
|
$3,786.00 |
$5,185.83 |
$6,839.00 |
|
|
Bone marrow imaging body
|
$245.22 |
$445.16 |
$513.96 |
|