|
Blink reflex test
|
$70.29 |
$70.29 |
$360.21 |
|
|
Blm gene
|
$39.31 |
$39.31 |
$39.31 |
|
|
Bln 1.2 mono emrg 15x1.2
|
$2,461.80 |
$13,650.00 |
$16,800.00 |
|
|
Bln 30frx10mmx12cm renal nephromax
|
$449.38 |
$476.09 |
$4,831.20 |
|
|
Bln dil 900ml preperitnl
|
$570.60 |
$570.60 |
$570.60 |
|
|
Bln inpact admiral 4x150x130cm
|
$3,400.10 |
$3,510.00 |
$4,409.40 |
|
|
Bln press regulation 71-80cm
|
$20,024.40 |
$20,024.40 |
$20,024.40 |
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$103.66 |
$3,688.03 |
$3,688.03 |
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$31.20 |
$31.20 |
$31.20 |
|
|
Block brachial plexus w/cath plmt w/img
|
$1,053.53 |
$1,053.53 |
$2,527.54 |
|
|
Block femoral nerve cont infusion cath w/img
|
$1,053.53 |
$1,053.53 |
$2,527.54 |
|
|
Block paracervical nrv
|
$819.50 |
$819.50 |
$1,570.98 |
|
|
Block plantar digital nerve
|
$349.32 |
$349.32 |
$2,941.00 |
|
|
Block tap inj(s) w/wo img bi
|
$166.97 |
$166.97 |
$205.50 |
|
|
Block tap inj(s) w/wo img uni
|
$133.59 |
$133.59 |
$164.42 |
|
|
Blood clot lysis time
|
$20.37 |
$20.37 |
$20.37 |
|
|
Blood clot retraction
|
$16.30 |
$16.30 |
$16.30 |
|
|
Blood Clotting (PT/INR) Test
|
$4.29 |
$4.29 |
$78.00 |
|
|
Blood Clotting (PTT) Test
|
$6.01 |
$6.01 |
$126.00 |
|
|
Blood component/product noc
|
$57.90 |
$57.90 |
$57.90 |
|
|
Blood Count (CBC) Test
|
$7.77 |
$7.77 |
$113.00 |
|
|
Blood Count (CBC) Test (without differential)
|
$6.47 |
$6.47 |
$87.00 |
|
|
Blood count spun microhematocrit
|
$7.00 |
$7.00 |
$37.00 |
|
|
Blood Culture Test
|
$10.32 |
$10.32 |
$295.00 |
|
|
Blood draw capillary 36416
|
$20.25 |
$56.00 |
$74.46 |
|
|
Blood Draw (Venipuncture)
|
$7.20 |
$9.34 |
$117.00 |
|
|
Blood gases o2 saturation direct measurement
|
$73.64 |
$78.77 |
$700.00 |
|
|
Blood gases ph venous
|
$11.00 |
$11.00 |
$39.70 |
|
|
Blood, l/r, irradiated
|
$99.60 |
$99.60 |
$99.60 |
|
|
Blood mucoprotein
|
$4.95 |
$4.95 |
$4.95 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$15.92 |
$15.92 |
$77.00 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.23 |
$4.23 |
$232.00 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.38 |
$4.38 |
$129.00 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.32 |
$5.32 |
$79.00 |
|
|
Blood smear interpretation
|
$27.81 |
$72.19 |
$88.85 |
|
|
Blood smear microscopic w manual differential wbc count
|
$3.80 |
$3.80 |
$85.00 |
|
|
Blood split unit
|
$167.80 |
$167.80 |
$648.33 |
|
|
Blood thymol turbidity
|
$4.95 |
$4.95 |
$4.95 |
|
|
Blood Transfusion
|
$361.82 |
$517.34 |
$5,770.00 |
|
|
Blood typing abo
|
$7.20 |
$152.54 |
$336.64 |
|
|
Blood typing ag donor ea ag
|
$61.00 |
$425.68 |
$733.43 |
|
|
Blood typing patient serum
|
$68.00 |
$70.29 |
$114.45 |
|
|
Blood typing rbc ag non abo/rh ea
|
$9.00 |
$425.68 |
$733.43 |
|
|
Blood typing rh (d)
|
$7.20 |
$46.45 |
$249.07 |
|
|
Blood typing rh phenotype complete reference
|
$46.45 |
$46.45 |
$46.45 |
|
|
Blood volume
|
$636.97 |
$636.97 |
$2,542.00 |
|
|
Bone Age X-ray (hand and wrist)
|
$125.84 |
$125.84 |
$812.00 |
|
|
Bone biopsy open superficial
|
$3,386.84 |
$3,386.84 |
$8,316.18 |
|
|
Bone Density Scan (DEXA)
|
$125.84 |
$125.84 |
$1,960.00 |
|
|
Bone imaging multiple areas
|
$475.51 |
$475.51 |
$2,716.00 |
|
|
Bone/joint imaging ltd area
|
$475.51 |
$475.51 |
$1,406.00 |
|
|
Bone marrow;aspiration only 38220
|
$463.88 |
$1,917.33 |
$4,919.31 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$229.20 |
$1,917.33 |
$6,587.99 |
|
|
Bone marrow harvest allogen
|
$1,939.86 |
$1,939.86 |
$1,939.86 |
|
|
Bone marrow harvest autolog
|
$5,544.24 |
$5,544.24 |
$5,544.24 |
|
|
Bone marrow imaging body
|
$475.51 |
$475.51 |
$2,091.00 |
|
|
Bone marrow imaging ltd
|
$475.51 |
$475.51 |
$2,351.00 |
|
|
Bone marrow imaging mult
|
$475.51 |
$475.51 |
$2,951.00 |
|
|
Bone marrow interpretation
|
$224.13 |
$966.69 |
$1,832.06 |
|
|
Bone/skin graft great toe
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Bone/skin graft iliac crest
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Bone/skin graft metatarsal
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Bone/skin graft microvasc
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Bone survey-lead poisoning
|
$125.84 |
$125.84 |
$2,497.00 |
|
|
Boot j walker l
|
$296.89 |
$296.89 |
$1,374.60 |
|
|
Boot mlti podous univ xlg
|
$314.19 |
$314.20 |
$386.70 |
|
|
Boot walker genesis full shell 3-strap s
|
$80.86 |
$80.86 |
$784.20 |
|
|
Borrelia antibody
|
$13.38 |
$13.38 |
$199.20 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$17.03 |
$17.03 |
$379.00 |
|
|
Borrelia miyamotoi amp prb
|
$35.09 |
$35.09 |
$101.73 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$62.16 |
$62.16 |
$157.60 |
|
|
(both sides) donor search management
|
$90,301.00 |
$90,301.00 |
$90,301.00 |
|
|
(both sides) smear without diff wbc count
|
$3.43 |
$3.43 |
$15.30 |
|
|
Bowel imaging
|
$475.51 |
$475.51 |
$2,381.00 |
|
|
Bpg ilio-mesenteric
|
$11,725.60 |
$11,725.60 |
$14,431.51 |
|
|
Brace afo dbl upright cust
|
$953.62 |
$953.62 |
$1,173.69 |
|
|
Brace afo lg left 6607
|
$424.36 |
$424.36 |
$522.29 |
|
|
Brace afopos solid ankle cust
|
$1,325.79 |
$1,325.79 |
$1,631.74 |
|
|
Brace ank aftr bioskn med lg
|
$247.73 |
$247.73 |
$304.90 |
|
|
Brace ank air stirrup univ
|
$152.96 |
$160.37 |
$284.40 |
|
|
Brace ankle stablizing lg
|
$187.40 |
$187.40 |
$285.00 |
|
|
Brace back epic lso 637
|
$2,011.64 |
$2,011.64 |
$2,475.86 |
|
|
Brace back pinnacle tlso 464
|
$3,164.42 |
$3,164.42 |
$3,894.67 |
|
|
Brace back t-lso custom
|
$3,630.46 |
$3,630.46 |
$4,468.26 |
|
|
Brace fx hum ovr shldr sm
|
$620.54 |
$620.54 |
$763.74 |
|
|
Brace kafo dbl upright cust
|
$4,437.69 |
$4,437.69 |
$5,461.77 |
|
|
Brace knee extender plus 22-30in
|
$253.20 |
$1,454.18 |
$1,789.75 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,454.17 |
$1,454.18 |
$1,789.75 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$52.08 |
$53.17 |
$317.00 |
|
|
Brace ortho exos 28-50in sm
|
$2,287.01 |
$2,287.01 |
$2,814.78 |
|
|
Brace oths wrist hnd fngr without
|
$109.80 |
$426.13 |
$524.47 |
|
|
Brace wrist classic lft sm
|
$133.75 |
$140.23 |
$210.60 |
|
|
Brachioplasty 15836
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Brach/thor cath 1st
|
$714.33 |
$734.05 |
$865.79 |
|
|
Brach/thor cath 2nd
|
$966.57 |
$966.57 |
$1,189.62 |
|
|
Brach/thor cath 3rd
|
$966.57 |
$966.57 |
$1,189.62 |
|
|
Brach/thor cath addl
|
$1,564.13 |
$1,564.13 |
$1,564.13 |
|
|
Brachy linear, non-str,p-103
|
$62.61 |
$62.61 |
$62.61 |
|
|
Brachy source i-125 injection
|
$43.83 |
$43.83 |
$500.98 |
|
|
Brachy source iodine-125 nonstranded
|
$21.79 |
$41.55 |
$93.07 |
|
