|
Blood smear microscopic w manual differential wbc count
|
$15.60 |
$15.60 |
$15.60 |
$37.10
|
|
Blood typing abo
|
$109.20 |
$109.20 |
$109.20 |
$83.03
|
|
Blood typing ag donor ea ag
|
$429.00 |
$429.00 |
$429.00 |
$166.80
|
|
Blood typing patient serum
|
$324.35 |
$324.35 |
$324.35 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$429.00 |
$429.00 |
$429.00 |
$181.74
|
|
Blood typing rh (d)
|
$40.30 |
$40.30 |
$40.30 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$111.80 |
$111.80 |
$111.80 |
$77.25
|
|
Bone biopsy open superficial
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$426.40 |
$426.40 |
$426.40 |
$395.00
|
|
Bone imaging multiple areas
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$1,158.29
|
|
Bone/joint imaging ltd area
|
$1,293.50 |
$1,293.50 |
$1,293.50 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$1,822.36
|
|
Bone survey-lead poisoning
|
$356.85 |
$356.85 |
$356.85 |
$352.19
|
|
Boot j walker l
|
$340.76 |
$340.76 |
$340.76 |
$280.35
|
|
Boot mlti podous univ xlg
|
$358.06 |
$358.06 |
$358.06 |
$318.36
|
|
Boot walker genesis full shell 3-strap s
|
$554.39 |
$554.39 |
$554.39 |
$325.00
|
|
Boot walker genesis mid-calf full shell s
|
$87.18 |
$87.18 |
$87.18 |
$135.85
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$78.65 |
$78.65 |
$78.65 |
$98.57
|
|
Borrelia miyamotoi amp prb
|
$928.20 |
$928.20 |
$928.20 |
$91.25
|
|
(both sides) smear without diff wbc count
|
$5.20 |
$5.20 |
$5.20 |
$33.57
|
|
Brace afo lg left 6607
|
$539.08 |
$539.08 |
$539.08 |
$428.00
|
|
Brace ank air stirrup univ
|
$27.29 |
$27.29 |
$27.29 |
$59.15
|
|
Brace fx hum ovr shldr sm
|
$792.65 |
$792.65 |
$792.65 |
$453.47
|
|
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 |
$179.93
|
|
Brace wrist classic lft sm
|
$14.66 |
$14.66 |
$14.66 |
$79.23
|
|
Braf gene
|
$2,578.55 |
$2,578.55 |
$2,578.55 |
$421.20
|
|
Brain image < 4 views
|
$1,014.65 |
$1,014.65 |
$1,014.65 |
$475.51
|
|
Brain image 4+ views
|
$1,127.75 |
$1,127.75 |
$1,127.75 |
$746.61
|
|
Brain image w/flow < 4 views
|
$1,014.65 |
$1,014.65 |
$1,014.65 |
$868.68
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,744.60 |
$1,744.60 |
$1,744.60 |
$2,650.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,441.05 |
$1,441.05 |
$1,441.05 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$2,301.65 |
$2,301.65 |
$2,301.65 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,918.15 |
$1,918.15 |
$1,918.15 |
$2,251.70
|
|
Brain MRI (without contrast)
|
$1,503.45 |
$1,503.45 |
$1,503.45 |
$1,927.04
|
|
Brca1&2 gene full seq alys
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$770.25
|
|
Brca1 dna gene analy known fam var
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$483.84
|
|
Brca2 dna gene analy known fam var
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$487.83
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$2,952.00
|
|
Breast punct aspir cyst, bil
|
$1,141.40 |
$1,141.40 |
$1,141.40 |
$832.60
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$372.45 |
$372.45 |
$372.45 |
$728.00
|
|
Bronch ebus ivntj perph les 31654
|
$2,724.15 |
$2,724.15 |
$2,724.15 |
$2,053.20
|
|
Bronch ebus samplng 1/2 node
|
$5,053.75 |
$5,053.75 |
$5,053.75 |
$4,429.20
|
|
Bronch ebus samplng 3/> node
|
$5,615.35 |
$5,615.35 |
$5,615.35 |
$5,114.25
|
|
Bronchial challenge
|
$608.40 |
$608.40 |
$608.40 |
$845.00
|
|
Bronchial valve init insert
|
$3,013.40 |
$3,013.40 |
$3,013.40 |
$7,565.43
|
|
Bronchial valve remov addl
|
$2,167.75 |
$2,167.75 |
$2,167.75 |
$2,040.67
|
|
Bronchial valve remov init
|
$2,936.05 |
$2,936.05 |
$2,936.05 |
$4,341.75
|
|
Bronchoscopy bronch stents
|
$2,824.90 |
$2,824.90 |
$2,824.90 |
$6,104.00
|
|
Bronchoscopy clear airways 31645
|
$2,727.40 |
$2,727.40 |
$2,727.40 |
$2,626.00
|
|
Bronchoscopy dilate/fx repr
|
$4,458.35 |
$4,458.35 |
$4,458.35 |
$4,380.35
|
|
Bronchoscopy dilate w/stent
|
$3,596.45 |
$3,596.45 |
$3,596.45 |
$6,768.75
|
|
Bronchoscopy/lung bx addl 31632
|
$1,753.05 |
$1,753.05 |
$1,753.05 |
$1,252.00
|
|
Bronchoscopy/lung bx each 31628
|
$4,281.55 |
$4,281.55 |
$4,281.55 |
$3,799.90
|
|
Bronchoscopy/needle bx addl 31633
|
$2,455.05 |
$2,455.05 |
$2,455.05 |
$1,860.63
|
|
Bronchoscopy/needle bx each 31629
|
$5,354.70 |
$5,354.70 |
$5,354.70 |
$3,484.80
|
|
Bronchoscopy revise stent
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$6,311.00
|
|
Bronchoscopy treat blockage
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,636.40
|
|
Bronchoscopy w/markers
|
$3,430.05 |
$3,430.05 |
$3,430.05 |
$7,662.21
|
|
Bronchoscopy w/tumor excise
|
$4,570.80 |
$4,570.80 |
$4,570.80 |
$4,080.94
|
|
Br punct aspir ea add, l
|
$128.05 |
$128.05 |
$128.05 |
$387.96
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$22.65 |
$22.65 |
$22.65 |
$29.40
|
|
Bundled special stain group 1 microorganisms
|
$219.70 |
$219.70 |
$219.70 |
$164.89
|
|
Bundled special stain group 2
|
$118.30 |
$118.30 |
$118.30 |
$169.60
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$23.76 |
$23.76 |
$23.76 |
$31.07
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$9.56 |
$9.56 |
$9.56 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$12.90 |
$12.90 |
$12.90 |
$17.13
|
|
Buprenorphine and metabolite - sendout
|
$65.65 |
$65.65 |
$65.65 |
$99.72
|
|
Butorphanol tartrate 1 mg
|
$31.82 |
$31.82 |
$31.82 |
$39.89
|
|
Bx arm/elbow soft tissue supf 24065
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$3,735.03
|
|
Bx breast add lesion mr imag
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,550.54
|
|
Bx breast add lesion strtctc
|
$1,239.55 |
$1,239.55 |
$1,239.55 |
$1,657.50
|
|
Bx breast add lesion Ultrasound imag
|
$995.80 |
$995.80 |
$995.80 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$595.40 |
$595.40 |
$595.40 |
$1,547.10
|
|
Bx liver with other
|
$421.85 |
$421.85 |
$421.85 |
$548.87
|
|
Bx pancreas pq ndl
|
$2,148.90 |
$2,148.90 |
$2,148.90 |
$1,761.70
|
|
Bx perianal mass
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,363.20
|
|
Bx pleura pq ndl
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,732.00
|
|
Bx shoulder tissues supf 23065
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$1,903.40
|
|
Bx skin incisnl ea sep/add l les
|
$87.10 |
$87.10 |
$87.10 |
$230.10
|
|
Bx skin punch ea sep/ addl les
|
$87.10 |
$87.10 |
$87.10 |
$208.66
|
|
Bx skin tangential ea sep/ addl les
|
$87.10 |
$87.10 |
$87.10 |
$206.00
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,794.93
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,186.25 |
$1,186.25 |
$1,186.25 |
$2,271.01
|
|
Bx soft tissue back/flank deep 21925
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$1,917.33
|
|
Bx soft tissue back/flank supf 21920
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$2,037.79
|
|
Bx thyroid/percutan core needle 60100
|
$1,141.40 |
$1,141.40 |
$1,141.40 |
$1,037.37
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$1,117.94
|
|
Bypass temp external fem-fem
|
$233.35 |
$233.35 |
$233.35 |
$2,428.80
|
|
C1 esterase inhibitor func - sendout
|
$55.25 |
$55.25 |
$55.25 |
$106.60
|