|
Biopsy/soft tissue/neck or thorax 21550
|
$2,907.60 |
$2,907.60 |
$2,907.60 |
$2,462.35
|
|
Biopsy thigh soft tissues
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$3,386.84
|
|
Biotinidase - quest
|
$99.60 |
$99.60 |
$99.60 |
$70.56
|
|
Biovance 1 square cm
|
$10,187.58 |
$10,187.58 |
$10,187.58 |
$7,928.07
|
|
Bk flex inner socket ext fra
|
$1,916.73 |
$1,916.73 |
$1,916.73 |
$1,752.74
|
|
Bk fork strap
|
$115.60 |
$115.60 |
$115.60 |
$115.50
|
|
Bk molded distal cushion
|
$244.04 |
$244.04 |
$244.04 |
$223.16
|
|
Bk waist belt webbing
|
$146.73 |
$146.73 |
$146.73 |
$140.00
|
|
Bladder irrigate/lavage/instill 51700
|
$192.60 |
$192.60 |
$192.60 |
$398.40
|
|
Bld prd mix
|
$272.40 |
$272.40 |
$272.40 |
$131.25
|
|
Blm gene
|
$316.20 |
$316.20 |
$316.20 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$94,701.42 |
$94,701.42 |
$94,701.42 |
$8,172.05
|
|
Bln 30frx10mmx12cm renal nephromax
|
$13,487.78 |
$13,487.78 |
$13,487.78 |
$4,840.11
|
|
Bln dil 900ml preperitnl
|
$3,013.23 |
$3,013.23 |
$3,013.23 |
$1,396.01
|
|
Bln inpact admiral 4x150x130cm
|
$16,214.03 |
$16,214.03 |
$16,214.03 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$21,867.59 |
$21,867.59 |
$21,867.59 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$23,531.87 |
$23,531.87 |
$23,531.87 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$1,463.50
|
|
Block femoral nerve cont infusion cath w/img
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$1,647.60
|
|
Block plantar digital nerve
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$34.80 |
$34.80 |
$34.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$31.80 |
$31.80 |
$31.80 |
$72.15
|
|
Blood Count (CBC) Test
|
$33.00 |
$33.00 |
$33.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$29.40 |
$29.40 |
$29.40 |
$61.60
|
|
Blood Culture Test
|
$61.80 |
$61.80 |
$61.80 |
$145.80
|
|
Blood draw capillary 36416
|
$31.80 |
$31.80 |
$31.80 |
$20.35
|
|
Blood gases o2 saturation direct measurement
|
$140.40 |
$140.40 |
$140.40 |
$215.40
|
|
Blood gases ph venous
|
$222.00 |
$222.00 |
$222.00 |
$64.28
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$35.40 |
$35.40 |
$35.40 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$17.40 |
$17.40 |
$17.40 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.20 |
$19.20 |
$19.20 |
$31.92
|
|
Blood occult peroxidase activity qualitative gastric
|
$25.20 |
$25.20 |
$25.20 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$23.40 |
$23.40 |
$23.40 |
$38.35
|
|
Blood typing abo
|
$66.60 |
$66.60 |
$66.60 |
$82.80
|
|
Blood typing ag donor ea ag
|
$563.40 |
$563.40 |
$563.40 |
$182.88
|
|
Blood typing rbc ag non abo/rh ea
|
$563.40 |
$563.40 |
$563.40 |
$196.37
|
|
Blood typing rh (d)
|
$28.80 |
$28.80 |
$28.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$93.00 |
$93.00 |
$93.00 |
$81.90
|
|
Body jacket mold to patient
|
$4,459.43 |
$4,459.43 |
$4,459.43 |
$4,077.91
|
|
Bone Density Scan (DEXA)
|
$186.60 |
$186.60 |
$186.60 |
$395.00
|
|
Bone filler cerament 10cc
|
$21,342.26 |
$21,342.26 |
$21,342.26 |
$14,950.38
|
|
Bone imaging multiple areas
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$960.00 |
$960.00 |
$960.00 |
$983.45
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,440.20 |
$2,440.20 |
$2,440.20 |
$1,639.20
|
|
Bone tendon board add on
|
$9,039.68 |
$9,039.68 |
$9,039.68 |
$7,857.60
|
|
Bone void filler nanoss 10cc
|
$12,913.83 |
$12,913.83 |
$12,913.83 |
$3,816.00
|
|
Boot j walker l
|
$1,460.67 |
$1,460.67 |
$1,460.67 |
$195.00
|
|
Boot mlti podous univ xlg
|
$1,635.04 |
$1,635.04 |
$1,635.04 |
$250.85
|
|
Boot softgait shrt m
|
$912.58 |
$912.58 |
$912.58 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$860.92 |
$860.92 |
$860.92 |
$473.20
|
|
Boot walker genesis mid-calf full shell s
|
$3,856.93 |
$3,856.93 |
$3,856.93 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$199.20 |
$199.20 |
$199.20 |
$90.00
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$4,780.20 |
$4,780.20 |
$4,780.20 |
$2,825.96
|
|
Bowel imaging
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$1,065.00
|
|
Brace adj motion lerman type
|
$424.95 |
$424.95 |
$424.95 |
$316.44
|
|
Brace afo dbl upright cust
|
$1,005.10 |
$1,005.10 |
$1,005.10 |
$834.17
|
|
Brace afo lg left 6607
|
$889.62 |
$889.62 |
$889.62 |
$480.16
|
|
Brace afopos solid ankle cust
|
$1,333.25 |
$1,333.25 |
$1,333.25 |
$1,087.89
|
|
Brace afo spiral prefab
|
$2,961.57 |
$2,961.57 |
$2,961.57 |
$1,707.44
|
|
Brace ank aftr bioskn med lg
|
$290.93 |
$290.93 |
$290.93 |
$190.72
|
|
Brace ank air stirrup univ
|
$225.71 |
$225.71 |
$225.71 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$350.11 |
$350.11 |
$350.11 |
$143.96
|
|
Brace ankle stablizing lg
|
$193.13 |
$193.13 |
$193.13 |
$113.10
|
|
Brace back epic lo 627
|
$3,618.74 |
$3,618.74 |
$3,618.74 |
$497.68
|
|
Brace back epic lso 637
|
$3,352.09 |
$3,352.09 |
$3,352.09 |
$1,075.36
|
|
Brace back epic tslo 456
|
$2,573.44 |
$2,573.44 |
$2,573.44 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$967.48 |
$967.48 |
$967.48 |
$842.61
|
|
Brace back pinnacle tlso 464
|
$5,243.02 |
$5,243.02 |
$5,243.02 |
$2,283.03
|
|
Brace back t-lso custom
|
$5,699.42 |
$5,699.42 |
$5,699.42 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$2,859.23 |
$2,859.23 |
$2,859.23 |
$1,580.09
|
|
Brace cust back lso
|
$529.84 |
$529.84 |
$529.84 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$1,586.96 |
$1,586.96 |
$1,586.96 |
$631.10
|
|
Brace halo bremer l2830
|
$211.84 |
$211.84 |
$211.84 |
$195.59
|
|
Brace kafo dbl upright cust
|
$4,335.20 |
$4,335.20 |
$4,335.20 |
$3,720.57
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,167.46 |
$2,167.46 |
$2,167.46 |
$885.57
|
|
Brace knee extender plus 22-30in
|
$2,430.67 |
$2,430.67 |
$2,430.67 |
$562.28
|
|
Brace knee hing pat open med
|
$172.04 |
$172.04 |
$172.04 |
$231.92
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,782.25 |
$1,782.25 |
$1,782.25 |
$411.01
|
|
Brace knee postop tscope xl
|
$2,191.51 |
$2,191.51 |
$2,191.51 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,562.57 |
$1,562.57 |
$1,562.57 |
$215.70
|
|
Brace m arm board
|
$10,382.72 |
$10,382.72 |
$10,382.72 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$620.67 |
$620.67 |
$620.67 |
$933.68
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,506.82 |
$3,506.82 |
$3,506.82 |
$1,654.77
|
|
Brace oths wrist hnd fngr without
|
$803.53 |
$803.53 |
$803.53 |
$231.80
|
|
Brace tlso flex cust
|
$4,568.63 |
$4,568.63 |
$4,568.63 |
$573.43
|
|
Brace wrist classic lft sm
|
$172.18 |
$172.18 |
$172.18 |
$78.86
|
|
Brachy source i-125 injection
|
$215.23 |
$215.23 |
$215.23 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$77.48 |
$77.48 |
$77.48 |
$66.76
|
|
Brachy source palladium
|
$330.02 |
$330.02 |
$330.02 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$120.53 |
$120.53 |
$120.53 |
$116.48
|
|
Brachy source yttrium-90
|
$58,341.82 |
$58,341.82 |
$58,341.82 |
$31,103.54
|
|
Brachy src nonstrand c-131
|
$401.77 |
$401.77 |
$401.77 |
$210.62
|
|
Brachy src stranded c-131
|
$22,001.35 |
$22,001.35 |
$22,001.35 |
$210.96
|
|
Braf gene
|
$495.00 |
$495.00 |
$495.00 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$2,121.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,543.80 |
$1,543.80 |
$1,543.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,424.00 |
$2,424.00 |
$2,424.00 |
$2,854.80
|
