|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.00 |
$46.08 |
$73.00 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$12.50 |
$48.53 |
$73.00 |
|
|
Blood smear interpretation
|
$73.50 |
$73.50 |
$76.00 |
|
|
Blood smear microscopic w manual differential wbc count
|
$0.50 |
$61.88 |
$85.79 |
|
|
Blood split unit
|
$247.00 |
$247.00 |
$247.00 |
|
|
Blood Transfusion
|
$595.50 |
$737.90 |
$2,047.40 |
|
|
Blood typing abo
|
$49.58 |
$49.58 |
$235.00 |
|
|
Blood typing ag donor ea ag
|
$56.78 |
$56.78 |
$165.00 |
|
|
Blood typing patient serum
|
$25.50 |
$25.50 |
$168.21 |
|
|
Blood typing rbc ag non abo/rh ea
|
$98.43 |
$98.43 |
$165.00 |
|
|
Blood typing rh (d)
|
$35.50 |
$52.73 |
$87.00 |
|
|
Blood typing rh phenotype complete reference
|
$86.33 |
$86.33 |
$180.00 |
|
|
Blood volume
|
$1,051.55 |
$1,051.55 |
$1,051.55 |
|
|
Bone Age X-ray (hand and wrist)
|
$163.50 |
$227.08 |
$284.00 |
|
|
Bone biopsy open superficial
|
$2,647.00 |
$3,541.08 |
$3,870.00 |
|
|
Bone Density Scan (DEXA)
|
$413.48 |
$413.48 |
$936.00 |
|
|
Bone filler cerament 10cc
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
|
|
Bone imaging multiple areas
|
$740.00 |
$740.00 |
$2,200.00 |
|
|
Bone/joint imaging ltd area
|
$537.50 |
$1,105.90 |
$2,174.00 |
|
|
Bone marrow;aspiration only 38220
|
$843.00 |
$1,248.48 |
$1,248.48 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$947.00 |
$1,112.65 |
$1,641.05 |
|
|
Bone marrow harvest allogen
|
$5,215.40 |
$5,215.40 |
$5,215.40 |
|
|
Bone marrow harvest autolog
|
$5,215.40 |
$5,215.40 |
$5,215.40 |
|
|
Bone marrow imaging body
|
$1,003.80 |
$1,003.80 |
$1,247.00 |
|
|
Bone marrow imaging ltd
|
$693.13 |
$693.13 |
$1,328.15 |
|
|
Bone marrow imaging mult
|
$999.50 |
$999.50 |
$999.50 |
|
|
Bone marrow interpretation
|
$60.00 |
$60.00 |
$60.00 |
|
|
Bone survey-lead poisoning
|
$409.03 |
$409.03 |
$762.00 |
|
|
Boot heel care softcare one sz
|
$10.87 |
$10.87 |
$10.87 |
|
|
Boot j walker l
|
$128.86 |
$128.86 |
$128.86 |
|
|
Boot mlti podous univ xlg
|
$235.98 |
$235.98 |
$235.98 |
|
|
Boot softgait shrt m
|
$41.64 |
$41.64 |
$120.58 |
|
|
Boot walker genesis full shell 3-strap s
|
$41.64 |
$41.64 |
$411.93 |
|
|
Boot walker genesis mid-calf full shell s
|
$17.00 |
$17.00 |
$173.88 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$65.50 |
$147.20 |
$193.31 |
|
|
Borrelia miyamotoi amp prb
|
$95.45 |
$95.45 |
$95.45 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$429.04 |
$3,231.00 |
$3,231.00 |
|
|
(both sides) donor search management
|
$1,288.43 |
$1,288.43 |
$1,288.43 |
|
|
(both sides) smear without diff wbc count
|
$48.83 |
$48.83 |
$48.83 |
|
|
Bowel imaging
|
$508.00 |
$803.08 |
$803.08 |
|
|
Brace adj motion lerman type
|
$145.94 |
$145.94 |
$145.94 |
|
|
Brace afo lg left 6607
|
$182.16 |
$182.16 |
$182.16 |
|
|
Brace afopos solid ankle cust
|
$449.19 |
$449.19 |
$449.19 |
|
|
Brace afo spiral prefab
|
$496.28 |
$496.28 |
$496.28 |
|
|
Brace ank aftr bioskn med lg
|
$63.00 |
$63.00 |
$128.34 |
|
|
Brace ank air stirrup univ
|
$9.84 |
$9.84 |
$50.72 |
|
|
Brace ankle joint dflxn assist
|
$55.38 |
$55.38 |
$55.38 |
|
|
Brace ankle stablizing lg
|
$39.00 |
$39.00 |
$125.76 |
|
|
Brace back epic tslo 456
|
$618.42 |
$618.42 |
$618.42 |
|
|
Brace back pinnacle lo 627 lumbar
|
$327.06 |
$327.06 |
$327.06 |
|
|
Brace back pinnacle tlso 464
|
$145.50 |
$145.50 |
$780.91 |
|
|
Brace back t-lso custom
|
$1,427.78 |
$1,427.78 |
$1,427.78 |
|
|
Brace cust back lso
|
$813.00 |
$813.00 |
$813.00 |
|
|
Brace fx hum ovr shldr sm
|
$158.36 |
$158.36 |
$158.36 |
|
|
Brace halo bremer l2830
|
$74.00 |
$74.00 |
$74.00 |
|
|
Brace knee extender plus 22-30in
|
$44.55 |
$44.55 |
$943.40 |
|
|
Brace knee hing pat open med
|
$125.76 |
$125.76 |
$125.76 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$828.52 |
$828.52 |
$828.52 |
|
|
Brace knee postop tscope xl
|
$541.82 |
$541.82 |
$541.82 |
|
|
Brace knee support neoprene padded open patella med
|
$14.50 |
$14.50 |
$383.98 |
|
|
Brace m arm board
|
$7.43 |
$7.43 |
$117.00 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$75.78 |
$75.78 |
$173.00 |
|
|
Brace ortho exos 28-50in sm
|
$850.77 |
$850.77 |
$850.77 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$522.68 |
$522.68 |
$522.68 |
|
|
Brace oths wrist hnd fngr without
|
$151.63 |
$151.63 |
$151.63 |
|
|
Brace wrist classic lft sm
|
$62.62 |
$62.62 |
$62.62 |
|
|
Brach/thor cath 1st
|
$581.00 |
$1,617.63 |
$1,617.63 |
|
|
Brach/thor cath 2nd
|
$590.50 |
$1,818.98 |
$1,818.98 |
|
|
Brach/thor cath 3rd
|
$467.50 |
$2,151.93 |
$2,151.93 |
|
|
Brach/thor cath addl
|
$114.50 |
$585.75 |
$585.75 |
|
|
Brachy source i-125 injection
|
$93.67 |
$93.67 |
$93.67 |
|
|
Brachy source iodine-125 nonstranded
|
$66.76 |
$66.76 |
$66.76 |
|
|
Brachy source palladium
|
$27.50 |
$27.50 |
$107.12 |
|
|
Brachy source palladium-103 nonstranded
|
$107.12 |
$107.12 |
$107.12 |
|
|
Brachy source yttrium-90
|
$39,035.54 |
$39,035.54 |
$39,035.54 |
|
|
Brachy src nonstrand c-131
|
$210.62 |
$210.62 |
$210.62 |
|
|
Brachy src nonstrand hdr ir-192
|
$473.52 |
$473.52 |
$473.52 |
|
|
Brachy src stranded c-131
|
$39.00 |
$39.00 |
$210.62 |
|
|
Brachytx isodose complex
|
$1,860.08 |
$1,860.08 |
$5,400.00 |
|
|
Brachytx isodose intermed
|
$1,680.28 |
$1,680.28 |
$4,172.00 |
|
|
Brachytx isodose plan simple
|
$1,269.20 |
$1,269.20 |
$3,965.00 |
|
|
Braf gene
|
$294.00 |
$600.00 |
$1,887.00 |
|
|
Brain flow imaging only
|
$467.00 |
$467.00 |
$467.00 |
|
|
Brain image 4+ views
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
|
|
Brain image w/flow < 4 views
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
|
|
Brain image w/flow 4 + views
|
$4,544.50 |
$4,544.50 |
$4,544.50 |
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,570.48 |
$2,570.48 |
$6,557.00 |
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,136.60 |
$2,136.60 |
$3,319.00 |
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,737.00 |
$1,737.00 |
$3,891.00 |
|
|
Brain MRI (with and without contrast)
|
$2,003.50 |
$2,659.03 |
$7,080.00 |
|
|
Brain MRI (with contrast)
|
$1,592.50 |
$2,267.23 |
$5,604.00 |
|
|
Brain MRI (without contrast)
|
$1,477.00 |
$1,765.28 |
$3,896.00 |
|
|
Brca1&2 gene full seq alys
|
$332.50 |
$332.50 |
$332.50 |
|
|
Brcassure comprehensive panel-sendout
|
$1,943.65 |
$1,943.65 |
$14,463.00 |
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,944.10 |
$1,944.10 |
$3,349.92 |
|
|
Breastbone (Sternum) X-ray
|
$225.58 |
$225.58 |
$500.00 |
|
|
Breast punct aspir cyst, bil
|
$351.95 |
$351.95 |
$827.51 |
|
|
Breath hydrogen test 91065
|
$255.30 |
$255.30 |
$255.30 |
|
|
Breath recording infant
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$24,425.00 |
$24,425.00 |
$24,425.00 |
|