|
Biopsy cervixsingle/multiple 57500
|
$1,498.25 |
$1,498.25 |
$1,498.25 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$3,211.00
|
|
Biopsy lower leg soft tissue
|
$3,914.30 |
$3,914.30 |
$3,914.30 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$1,877.40
|
|
Biopsy needle liver percutaneous
|
$1,599.65 |
$1,599.65 |
$1,599.65 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$2,255.50 |
$2,255.50 |
$2,255.50 |
$1,879.09
|
|
Biopsy of prostate
|
$341.25 |
$341.25 |
$341.25 |
$2,424.12
|
|
Biopsy of salivary gland 42400
|
$871.00 |
$871.00 |
$871.00 |
$1,152.50
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$6,024.20 |
$6,024.20 |
$6,024.20 |
$2,211.08
|
|
Biopsy skin incisional single lesion
|
$568.10 |
$568.10 |
$568.10 |
$724.37
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$2,310.84
|
|
Biospy of bladder
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$1,024.45
|
|
Biotinidase - quest
|
$48.10 |
$48.10 |
$48.10 |
$73.50
|
|
Bivalirudin
|
$167.60 |
$167.60 |
$167.60 |
$923.93
|
|
Bladder irrigate/lavage/instill 51700
|
$411.45 |
$411.45 |
$411.45 |
$440.70
|
|
Bld prd mix
|
$156.65 |
$156.65 |
$156.65 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$220.45 |
$220.45 |
$220.45 |
$255.96
|
|
Blm gene
|
$984.75 |
$984.75 |
$984.75 |
$108.96
|
|
Bln 1.2 mono emrg 15x1.2
|
$476.52 |
$476.52 |
$476.52 |
$8,172.05
|
|
Bln 30frx10mmx12cm renal nephromax
|
$382.12 |
$382.12 |
$382.12 |
$5,793.60
|
|
Bln dil 900ml preperitnl
|
$1,450.17 |
$1,450.17 |
$1,450.17 |
$920.08
|
|
Bln inpact admiral 4x150x130cm
|
$3,522.34 |
$3,522.34 |
$3,522.34 |
$4,914.00
|
|
Block plantar digital nerve
|
$547.30 |
$547.30 |
$547.30 |
$501.85
|
|
Blood Clotting (PT/INR) Test
|
$27.95 |
$27.95 |
$27.95 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$46.15 |
$46.15 |
$46.15 |
$73.15
|
|
Blood Count (CBC) Test
|
$24.70 |
$24.70 |
$24.70 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$20.15 |
$20.15 |
$20.15 |
$62.15
|
|
Blood Culture Test
|
$100.75 |
$100.75 |
$100.75 |
$145.60
|
|
Blood draw capillary 36416
|
$11.05 |
$11.05 |
$11.05 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$83.20 |
$83.20 |
$83.20 |
$226.50
|
|
Blood gases ph venous
|
$59.15 |
$59.15 |
$59.15 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$55.25 |
$55.25 |
$55.25 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$35.75 |
$35.75 |
$35.75 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$50.05 |
$50.05 |
$50.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$43.55 |
$43.55 |
$43.55 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$115.05 |
$115.05 |
$115.05 |
$37.05
|
|
Blood typing abo
|
$11.05 |
$11.05 |
$11.05 |
$83.03
|
|
Blood typing ag donor ea ag
|
$263.25 |
$263.25 |
$263.25 |
$166.80
|
|
Blood typing patient serum
|
$182.00 |
$182.00 |
$182.00 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$222.95 |
$222.95 |
$222.95 |
$181.74
|
|
Blood typing rh (d)
|
$5.20 |
$5.20 |
$5.20 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$403.65 |
$403.65 |
$403.65 |
$77.25
|
|
Bone biopsy open superficial
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$306.15 |
$306.15 |
$306.15 |
$395.00
|
|
Bone imaging multiple areas
|
$1,306.50 |
$1,306.50 |
$1,306.50 |
$1,210.00
|
|
Bone/joint imaging ltd area
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$2,874.30 |
$2,874.30 |
$2,874.30 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$1,881.00
|
|
Bone marrow imaging body
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$973.73
|
|
Bone marrow imaging ltd
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$728.85
|
|
Bone marrow imaging mult
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$790.92
|
|
Bone survey-lead poisoning
|
$226.85 |
$226.85 |
$226.85 |
$370.18
|
|
Boot j walker l
|
$340.76 |
$340.76 |
$340.76 |
$179.93
|
|
Boot mlti podous univ xlg
|
$358.06 |
$358.06 |
$358.06 |
$256.95
|
|
Boot walker genesis full shell 3-strap s
|
$554.39 |
$554.39 |
$554.39 |
$507.57
|
|
Boot walker genesis mid-calf full shell s
|
$87.18 |
$87.18 |
$87.18 |
$194.34
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$96.85 |
$96.85 |
$96.85 |
$96.72
|
|
Borrelia miyamotoi amp prb
|
$843.70 |
$843.70 |
$843.70 |
$91.25
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$163.64 |
$163.64 |
$163.64 |
$2,105.38
|
|
(both sides) smear without diff wbc count
|
$113.75 |
$113.75 |
$113.75 |
$33.57
|
|
Bowel imaging
|
$1,819.35 |
$1,819.35 |
$1,819.35 |
$1,200.00
|
|
Brace afo lg left 6607
|
$539.08 |
$539.08 |
$539.08 |
$480.16
|
|
Brace ank air stirrup univ
|
$27.29 |
$27.29 |
$27.29 |
$76.50
|
|
Brace fx hum ovr shldr sm
|
$792.65 |
$792.65 |
$792.65 |
$643.45
|
|
Brace kafo dbl upright cust
|
$3,966.59 |
$3,966.59 |
$3,966.59 |
$3,966.59
|
|
Brace knee postop tscope xl
|
$1,792.95 |
$1,792.95 |
$1,792.95 |
$1,343.91
|
|
Brace m arm board
|
$29.95 |
$29.95 |
$29.95 |
$153.81
|
|
Brace oths wrist hnd fngr without
|
$486.51 |
$486.51 |
$486.51 |
$237.83
|
|
Brace wrist classic lft sm
|
$14.82 |
$14.82 |
$14.82 |
$75.66
|
|
Brach/thor cath 1st
|
$1,013.35 |
$1,013.35 |
$1,013.35 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$947.70 |
$947.70 |
$947.70 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$911.30 |
$911.30 |
$911.30 |
$2,151.93
|
|
Brach/thor cath addl
|
$831.35 |
$831.35 |
$831.35 |
$854.40
|
|
Brachy source i-125 injection
|
$50.58 |
$50.58 |
$50.58 |
$50.58
|
|
Brachy source iodine-125 nonstranded
|
$34.61 |
$34.61 |
$34.61 |
$39.10
|
|
Brachy source yttrium-90
|
$37,835.67 |
$37,835.67 |
$37,835.67 |
$33,054.19
|
|
Brachy src nonstrand hdr ir-192
|
$372.70 |
$372.70 |
$372.70 |
$379.31
|
|
Brachytx isodose complex
|
$6,466.85 |
$6,466.85 |
$6,466.85 |
$1,631.00
|
|
Brachytx isodose intermed
|
$6,466.85 |
$6,466.85 |
$6,466.85 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$3,708.25 |
$3,708.25 |
$3,708.25 |
$817.20
|
|
Braf gene
|
$2,883.40 |
$2,883.40 |
$2,883.40 |
$421.00
|
|
Brain flow imaging only
|
$607.75 |
$607.75 |
$607.75 |
$636.97
|
|
Brain image < 4 views
|
$739.70 |
$739.70 |
$739.70 |
$475.51
|
|
Brain image 4+ views
|
$954.20 |
$954.20 |
$954.20 |
$767.00
|
|
Brain image w/flow < 4 views
|
$739.70 |
$739.70 |
$739.70 |
$884.65
|
|
Brain image w/flow 4 + views
|
$954.20 |
$954.20 |
$954.20 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,400.10 |
$1,400.10 |
$1,400.10 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,225.90 |
$1,225.90 |
$1,225.90 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,053.65 |
$1,053.65 |
$1,053.65 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,578.20 |
$1,578.20 |
$1,578.20 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,285.70 |
$1,285.70 |
$1,285.70 |
$1,949.38
|
|
Brca1&2 gene full seq alys
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$770.25
|
|
Brca1 dna gene analy known fam var
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$483.84
|
|
Brca2 dna gene analy known fam var
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$487.83
|
|
Brcassure comprehensive panel-sendout
|
$4,504.50 |
$4,504.50 |
$4,504.50 |
$2,299.75
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,609.10 |
$2,609.10 |
$2,609.10 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$622.70 |
$622.70 |
$622.70 |
$865.26
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$34,230.69 |
$34,230.69 |
$34,230.69 |
$24,248.87
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$445.90 |
$445.90 |
$445.90 |
$728.00
|