|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.00 |
$19.00 |
$19.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$12.50 |
$12.50 |
$12.50 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$0.50 |
$0.50 |
$0.50 |
$38.35
|
|
Blood split unit
|
$247.00 |
$247.00 |
$247.00 |
$247.80
|
|
Blood typing abo
|
$59.00 |
$59.00 |
$59.00 |
$83.85
|
|
Blood typing ag donor ea ag
|
$165.00 |
$165.00 |
$165.00 |
$181.80
|
|
Blood typing patient serum
|
$25.50 |
$25.50 |
$25.50 |
$69.95
|
|
Blood typing rbc ag non abo/rh ea
|
$165.00 |
$165.00 |
$165.00 |
$195.36
|
|
Blood typing rh (d)
|
$35.50 |
$35.50 |
$35.50 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$180.00 |
$180.00 |
$180.00 |
$82.80
|
|
Bone biopsy open superficial
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$3,994.09
|
|
Bone Density Scan (DEXA)
|
$549.50 |
$549.50 |
$549.50 |
$399.70
|
|
Bone imaging multiple areas
|
$740.00 |
$740.00 |
$740.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$537.50 |
$537.50 |
$537.50 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$843.00 |
$843.00 |
$843.00 |
$1,664.84
|
|
Bone marrow biopsyneedle/trocar 38221
|
$947.00 |
$947.00 |
$947.00 |
$1,793.38
|
|
Bone marrow imaging body
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$868.00 |
$868.00 |
$868.00 |
$819.00
|
|
Bone marrow imaging mult
|
$999.50 |
$999.50 |
$999.50 |
$923.00
|
|
Bone survey-lead poisoning
|
$762.00 |
$762.00 |
$762.00 |
$395.00
|
|
Boot heel care softcare one sz
|
$10.87 |
$10.87 |
$10.87 |
$24.00
|
|
Boot j walker l
|
$128.86 |
$128.86 |
$128.86 |
$210.25
|
|
Boot mlti podous univ xlg
|
$235.98 |
$235.98 |
$235.98 |
$246.13
|
|
Boot softgait shrt m
|
$120.58 |
$120.58 |
$120.58 |
$120.58
|
|
Boot walker genesis full shell 3-strap s
|
$411.93 |
$411.93 |
$411.93 |
$473.20
|
|
Boot walker genesis mid-calf full shell s
|
$173.88 |
$173.88 |
$173.88 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$65.50 |
$65.50 |
$65.50 |
$94.80
|
|
Bowel imaging
|
$508.00 |
$508.00 |
$508.00 |
$1,082.69
|
|
Brace adj motion lerman type
|
$145.94 |
$145.94 |
$145.94 |
$281.75
|
|
Brace afo lg left 6607
|
$182.16 |
$182.16 |
$182.16 |
$461.76
|
|
Brace afopos solid ankle cust
|
$449.19 |
$449.19 |
$449.19 |
$1,087.89
|
|
Brace afo spiral prefab
|
$496.28 |
$496.28 |
$496.28 |
$1,546.87
|
|
Brace ank aftr bioskn med lg
|
$128.34 |
$128.34 |
$128.34 |
$190.72
|
|
Brace ank air stirrup univ
|
$50.72 |
$50.72 |
$50.72 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$55.38 |
$55.38 |
$55.38 |
$129.78
|
|
Brace ankle stablizing lg
|
$125.76 |
$125.76 |
$125.76 |
$116.80
|
|
Brace back epic tslo 456
|
$618.42 |
$618.42 |
$618.42 |
$1,558.20
|
|
Brace back pinnacle lo 627 lumbar
|
$327.06 |
$327.06 |
$327.06 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$780.91 |
$780.91 |
$780.91 |
$2,283.03
|
|
Brace back t-lso custom
|
$1,427.78 |
$1,427.78 |
$1,427.78 |
$3,517.55
|
|
Brace cust back lso
|
$813.00 |
$813.00 |
$813.00 |
$813.00
|
|
Brace fx hum ovr shldr sm
|
$158.36 |
$158.36 |
$158.36 |
$578.69
|
|
Brace halo bremer l2830
|
$74.00 |
$74.00 |
$74.00 |
$193.72
|
|
Brace knee extender plus 22-30in
|
$943.40 |
$943.40 |
$943.40 |
$562.28
|
|
Brace knee hing pat open med
|
$125.76 |
$125.76 |
$125.76 |
$210.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$828.52 |
$828.52 |
$828.52 |
$411.01
|
|
Brace knee postop tscope xl
|
$541.82 |
$541.82 |
$541.82 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$383.98 |
$383.98 |
$383.98 |
$215.70
|
|
Brace m arm board
|
$117.00 |
$117.00 |
$117.00 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$850.77 |
$850.77 |
$850.77 |
$903.95
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$522.68 |
$522.68 |
$522.68 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$151.63 |
$151.63 |
$151.63 |
$231.80
|
|
Brace wrist classic lft sm
|
$62.62 |
$62.62 |
$62.62 |
$81.62
|
|
Brach/thor cath 1st
|
$581.00 |
$581.00 |
$581.00 |
$1,957.90
|
|
Brach/thor cath 2nd
|
$590.50 |
$590.50 |
$590.50 |
$2,079.35
|
|
Brach/thor cath 3rd
|
$467.50 |
$467.50 |
$467.50 |
$2,151.93
|
|
Brach/thor cath addl
|
$114.50 |
$114.50 |
$114.50 |
$898.14
|
|
Brachy source i-125 injection
|
$93.67 |
$93.67 |
$93.67 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$66.76 |
$66.76 |
$66.76 |
$65.45
|
|
Brachy source palladium
|
$107.12 |
$107.12 |
$107.12 |
$153.13
|
|
Brachy source palladium-103 nonstranded
|
$107.12 |
$107.12 |
$107.12 |
$110.22
|
|
Brachy source yttrium-90
|
$39,035.54 |
$39,035.54 |
$39,035.54 |
$31,120.00
|
|
Brachy src nonstrand c-131
|
$210.62 |
$210.62 |
$210.62 |
$201.45
|
|
Brachy src nonstrand hdr ir-192
|
$473.52 |
$473.52 |
$473.52 |
$473.52
|
|
Brachy src stranded c-131
|
$210.62 |
$210.62 |
$210.62 |
$210.62
|
|
Brachytx isodose complex
|
$2,544.50 |
$2,544.50 |
$2,544.50 |
$1,641.90
|
|
Brachytx isodose intermed
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$1,000.20
|
|
Braf gene
|
$294.00 |
$294.00 |
$294.00 |
$427.50
|
|
Brain flow imaging only
|
$467.00 |
$467.00 |
$467.00 |
$636.97
|
|
Brain image 4+ views
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$954.20
|
|
Brain image w/flow < 4 views
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$880.20
|
|
Brain image w/flow 4 + views
|
$4,544.50 |
$4,544.50 |
$4,544.50 |
$1,353.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,814.50 |
$3,814.50 |
$3,814.50 |
$2,794.35
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,319.00 |
$3,319.00 |
$3,319.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,798.50 |
$1,798.50 |
$1,798.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,003.50 |
$2,003.50 |
$2,003.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$1,976.82
|
|
Brca1&2 gene full seq alys
|
$332.50 |
$332.50 |
$332.50 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$2,129.00 |
$2,129.00 |
$2,129.00 |
$2,299.75
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,723.00 |
$2,723.00 |
$2,723.00 |
$3,086.46
|
|
Breast punct aspir cyst, bil
|
$552.00 |
$552.00 |
$552.00 |
$868.50
|
|
Bronch ebus ivntj perph les 31654
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$4,740.00
|
|
Bronchial allergy tests
|
$614.00 |
$614.00 |
$614.00 |
$746.46
|
|
Bronchial challenge
|
$324.50 |
$324.50 |
$324.50 |
$765.50
|
|
Bronchoscopy/needle bx each 31629
|
$3,938.50 |
$3,938.50 |
$3,938.50 |
$4,029.39
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$2,251.70
|
|
Bronchoscopy w/fb removal 31635
|
$1,939.50 |
$1,939.50 |
$1,939.50 |
$2,624.16
|
|
Bronchoscopy w/markers
|
$7,296.50 |
$7,296.50 |
$7,296.50 |
$7,296.50
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$248.00 |
$248.00 |
$248.00 |
$571.00
|
|
Br punct aspir ea add, l
|
$15.50 |
$15.50 |
$15.50 |
$371.80
|
|
Bundled special stain group 1 microorganisms
|
$135.00 |
$135.00 |
$135.00 |
$161.46
|
|
Bundled special stain group 2
|
$136.50 |
$136.50 |
$136.50 |
$170.65
|
|
Bundle his recording
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$5,151.25
|
|
Burr hole implant ventricular cath/other device
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$2,964.65
|
|
Bur rotalink 2.15mm
|
$3,989.50 |
$3,989.50 |
$3,989.50 |
$7,871.02
|
|
Bx arm/elbow soft tissue supf 24065
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,935.63
|
