|
Biopsy muscle percutaneous needle
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,629.75
|
|
Biopsy needle liver percutaneous
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$660.96
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,073.80 |
$3,073.80 |
$3,073.80 |
$2,462.35
|
|
Biotinidase - quest
|
$206.40 |
$206.40 |
$206.40 |
$71.02
|
|
Biovance 1 square cm
|
$10,824.88 |
$10,824.88 |
$10,824.88 |
$7,928.07
|
|
Bk flex inner socket ext fra
|
$2,036.63 |
$2,036.63 |
$2,036.63 |
$1,752.74
|
|
Bk fork strap
|
$237.24 |
$237.24 |
$237.24 |
$107.25
|
|
Bk molded distal cushion
|
$464.72 |
$464.72 |
$464.72 |
$194.06
|
|
Bk waist belt webbing
|
$279.41 |
$279.41 |
$279.41 |
$136.13
|
|
Bladder irrigate/lavage/instill 51700
|
$198.00 |
$198.00 |
$198.00 |
$408.00
|
|
Bld prd mix
|
$269.40 |
$269.40 |
$269.40 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$290.46 |
$290.46 |
$290.46 |
$215.36
|
|
Blepharoplasty upper eyelid 15823
|
$11,463.30 |
$11,463.30 |
$11,463.30 |
$3,041.60
|
|
Blm gene
|
$316.20 |
$316.20 |
$316.20 |
$133.84
|
|
Bln 1.2 mono emrg 15x1.2
|
$100,625.58 |
$100,625.58 |
$100,625.58 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$14,331.52 |
$14,331.52 |
$14,331.52 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$3,201.73 |
$3,201.73 |
$3,201.73 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$17,228.32 |
$17,228.32 |
$17,228.32 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$23,235.55 |
$23,235.55 |
$23,235.55 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$25,003.93 |
$25,003.93 |
$25,003.93 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$2,961.00 |
$2,961.00 |
$2,961.00 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$2,961.00 |
$2,961.00 |
$2,961.00 |
$1,661.40
|
|
Block plantar digital nerve
|
$1,637.40 |
$1,637.40 |
$1,637.40 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$2,571.60 |
$2,571.60 |
$2,571.60 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$30.60 |
$30.60 |
$30.60 |
$52.80
|
|
Blood Clotting (PTT) Test
|
$48.00 |
$48.00 |
$48.00 |
$73.15
|
|
Blood Count (CBC) Test
|
$84.60 |
$84.60 |
$84.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$33.60 |
$33.60 |
$33.60 |
$61.80
|
|
Blood Culture Test
|
$76.80 |
$76.80 |
$76.80 |
$145.60
|
|
Blood draw capillary 36416
|
$9.60 |
$9.60 |
$9.60 |
$20.25
|
|
Blood gases o2 saturation direct measurement
|
$215.40 |
$215.40 |
$215.40 |
$220.35
|
|
Blood gases ph venous
|
$197.40 |
$197.40 |
$197.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$68.40 |
$68.40 |
$68.40 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.20 |
$16.20 |
$16.20 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$28.20 |
$28.20 |
$28.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$25.80 |
$25.80 |
$25.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$28.80 |
$28.80 |
$28.80 |
$38.61
|
|
Blood typing abo
|
$102.00 |
$102.00 |
$102.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$676.20 |
$676.20 |
$676.20 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$539.40 |
$539.40 |
$539.40 |
$199.50
|
|
Blood typing rh (d)
|
$58.80 |
$58.80 |
$58.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$82.80 |
$82.80 |
$82.80 |
$82.80
|
|
Body jacket mold to patient
|
$4,738.40 |
$4,738.40 |
$4,738.40 |
$2,922.94
|
|
Bone Density Scan (DEXA)
|
$498.60 |
$498.60 |
$498.60 |
$397.28
|
|
Bone filler cerament 10cc
|
$22,677.35 |
$22,677.35 |
$22,677.35 |
$15,083.48
|
|
Bone/joint imaging ltd area
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$1,570.80
|
|
Bone marrow imaging ltd
|
$1,347.60 |
$1,347.60 |
$1,347.60 |
$811.00
|
|
Bone marrow interpretation
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$542.03
|
|
Bone tendon board add on
|
$9,605.17 |
$9,605.17 |
$9,605.17 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$13,721.67 |
$13,721.67 |
$13,721.67 |
$3,816.00
|
|
Boot j walker l
|
$1,552.04 |
$1,552.04 |
$1,552.04 |
$231.75
|
|
Boot mlti podous univ xlg
|
$1,737.32 |
$1,737.32 |
$1,737.32 |
$235.98
|
|
Boot softgait shrt m
|
$1,096.26 |
$1,096.26 |
$1,096.26 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$1,034.21 |
$1,034.21 |
$1,034.21 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$4,098.20 |
$4,098.20 |
$4,098.20 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$207.00 |
$207.00 |
$207.00 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$90.00 |
$90.00 |
$90.00 |
$2,825.96
|
|
Bowel imaging
|
$921.60 |
$921.60 |
$921.60 |
$1,065.00
|
|
Brace adj motion lerman type
|
$750.28 |
$750.28 |
$750.28 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,207.40 |
$1,207.40 |
$1,207.40 |
$834.17
|
|
Brace afo lg left 6607
|
$1,068.68 |
$1,068.68 |
$1,068.68 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,416.65 |
$1,416.65 |
$1,416.65 |
$1,087.89
|
|
Brace afo spiral prefab
|
$3,146.84 |
$3,146.84 |
$3,146.84 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$513.66 |
$513.66 |
$513.66 |
$194.42
|
|
Brace ank air stirrup univ
|
$429.80 |
$429.80 |
$429.80 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$618.14 |
$618.14 |
$618.14 |
$142.89
|
|
Brace ankle stablizing lg
|
$367.78 |
$367.78 |
$367.78 |
$115.58
|
|
Brace back epic lo 627
|
$3,845.12 |
$3,845.12 |
$3,845.12 |
$497.68
|
|
Brace back epic lso 637
|
$3,561.78 |
$3,561.78 |
$3,561.78 |
$1,075.36
|
|
Brace back epic tslo 456
|
$2,734.42 |
$2,734.42 |
$2,734.42 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$1,162.21 |
$1,162.21 |
$1,162.21 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$5,571.00 |
$5,571.00 |
$5,571.00 |
$2,283.03
|
|
Brace back t-lso custom
|
$6,055.95 |
$6,055.95 |
$6,055.95 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$3,038.10 |
$3,038.10 |
$3,038.10 |
$1,579.91
|
|
Brace cust back lso
|
$861.97 |
$861.97 |
$861.97 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$1,686.24 |
$1,686.24 |
$1,686.24 |
$597.11
|
|
Brace halo bremer l2830
|
$403.41 |
$403.41 |
$403.41 |
$195.59
|
|
Brace kafo dbl upright cust
|
$4,606.40 |
$4,606.40 |
$4,606.40 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$2,303.05 |
$2,303.05 |
$2,303.05 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$2,582.72 |
$2,582.72 |
$2,582.72 |
$676.06
|
|
Brace knee hing pat open med
|
$327.61 |
$327.61 |
$327.61 |
$213.82
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$1,893.74 |
$1,893.74 |
$1,893.74 |
$386.00
|
|
Brace knee postop tscope xl
|
$2,328.60 |
$2,328.60 |
$2,328.60 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$1,660.32 |
$1,660.32 |
$1,660.32 |
$215.70
|
|
Brace m arm board
|
$11,032.22 |
$11,032.22 |
$11,032.22 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$923.62 |
$923.62 |
$923.62 |
$1,042.69
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$3,726.20 |
$3,726.20 |
$3,726.20 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,078.61 |
$1,078.61 |
$1,078.61 |
$245.00
|
|
Brace tlso flex cust
|
$4,854.42 |
$4,854.42 |
$4,854.42 |
$573.43
|
|
Brace wrist classic lft sm
|
$327.89 |
$327.89 |
$327.89 |
$81.62
|
|
Brach/thor cath 1st
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$1,747.90
|
|
Brach/thor cath 2nd
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,930.20
|
|
Brachy source i-125 injection
|
$409.86 |
$409.86 |
$409.86 |
$106.60
|
