|
Biopsy of salivary gland 42400
|
$300.45 |
$300.45 |
$300.45 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$458.55 |
$458.55 |
$458.55 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$114.15 |
$114.15 |
$114.15 |
$665.29
|
|
Biopsy vaginal mucosa xtnsv
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$2,561.30
|
|
Biotinidase - quest
|
$28.50 |
$28.50 |
$28.50 |
$68.66
|
|
Bladder irrigate/lavage/instill 51700
|
$136.80 |
$136.80 |
$136.80 |
$408.00
|
|
Bld prd mix
|
$91.65 |
$91.65 |
$91.65 |
$139.21
|
|
Blink reflex test
|
$66.15 |
$66.15 |
$66.15 |
$208.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$3,181.31 |
$3,181.31 |
$3,181.31 |
$8,272.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,763.32 |
$3,763.32 |
$3,763.32 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,146.12 |
$1,146.12 |
$1,146.12 |
$1,563.94
|
|
Bln inpact admiral 4x150x130cm
|
$4,486.49 |
$4,486.49 |
$4,486.49 |
$4,816.50
|
|
Blood Clotting (PT/INR) Test
|
$6.90 |
$6.90 |
$6.90 |
$52.58
|
|
Blood Clotting (PTT) Test
|
$10.50 |
$10.50 |
$10.50 |
$72.00
|
|
Blood Count (CBC) Test
|
$13.50 |
$13.50 |
$13.50 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$11.40 |
$11.40 |
$11.40 |
$61.11
|
|
Blood count spun microhematocrit
|
$2.10 |
$2.10 |
$2.10 |
$21.84
|
|
Blood Culture Test
|
$18.00 |
$18.00 |
$18.00 |
$144.65
|
|
Blood draw capillary 36416
|
$2.55 |
$2.55 |
$2.55 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$49.65 |
$49.65 |
$49.65 |
$220.35
|
|
Blood gases ph venous
|
$9.60 |
$9.60 |
$9.60 |
$61.92
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$27.75 |
$27.75 |
$27.75 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$5.70 |
$5.70 |
$5.70 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.55 |
$8.55 |
$8.55 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.70 |
$5.70 |
$5.70 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$6.00 |
$6.00 |
$6.00 |
$38.16
|
|
Blood split unit
|
$108.15 |
$108.15 |
$108.15 |
$245.19
|
|
Blood typing abo
|
$18.45 |
$18.45 |
$18.45 |
$83.03
|
|
Blood typing ag donor ea ag
|
$87.75 |
$87.75 |
$87.75 |
$179.30
|
|
Blood typing patient serum
|
$16.65 |
$16.65 |
$16.65 |
$67.10
|
|
Blood typing rbc ag non abo/rh ea
|
$87.75 |
$87.75 |
$87.75 |
$190.80
|
|
Blood typing rh (d)
|
$22.80 |
$22.80 |
$22.80 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$13.50 |
$13.50 |
$13.50 |
$81.90
|
|
Bone Density Scan (DEXA)
|
$78.75 |
$78.75 |
$78.75 |
$398.56
|
|
Bone imaging multiple areas
|
$452.25 |
$452.25 |
$452.25 |
$1,172.26
|
|
Bone/joint imaging ltd area
|
$452.25 |
$452.25 |
$452.25 |
$1,009.40
|
|
Bone marrow;aspiration only 38220
|
$414.60 |
$414.60 |
$414.60 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$554.70 |
$554.70 |
$554.70 |
$1,770.73
|
|
Bone marrow imaging ltd
|
$452.25 |
$452.25 |
$452.25 |
$818.40
|
|
Bone marrow imaging mult
|
$474.90 |
$474.90 |
$474.90 |
$923.00
|
|
Bone marrow interpretation
|
$207.75 |
$207.75 |
$207.75 |
$542.03
|
|
Bone survey-lead poisoning
|
$69.30 |
$69.30 |
$69.30 |
$389.09
|
|
Boot j walker l
|
$86.25 |
$86.25 |
$86.25 |
$195.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$28.65 |
$28.65 |
$28.65 |
$92.88
|
|
Borrelia miyamotoi amp prb
|
$61.50 |
$61.50 |
$61.50 |
$68.88
|
|
Bowel imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,065.53
|
|
Brace ank aftr bioskn med lg
|
$8.10 |
$8.10 |
$8.10 |
$170.80
|
|
Brace knee extender plus 22-30in
|
$133.07 |
$133.07 |
$133.07 |
$552.15
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$719.40 |
$719.40 |
$719.40 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$52.80 |
$52.80 |
$52.80 |
$231.80
|
|
Brace wrist classic lft sm
|
$12.30 |
$12.30 |
$12.30 |
$80.69
|
|
Brach/thor cath 1st
|
$310.50 |
$310.50 |
$310.50 |
$1,888.32
|
|
Brach/thor cath 2nd
|
$401.40 |
$401.40 |
$401.40 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$2,151.93
|
|
Brach/thor cath addl
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$881.40
|
|
Brachy source iodine-125 nonstranded
|
$141.90 |
$141.90 |
$141.90 |
$66.64
|
|
Brachy source yttrium-90
|
$20,551.20 |
$20,551.20 |
$20,551.20 |
$31,103.54
|
|
Brachy src nonstrand hdr ir-192
|
$122.40 |
$122.40 |
$122.40 |
$473.52
|
|
Brachytx isodose intermed
|
$192.90 |
$192.90 |
$192.90 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$147.90 |
$147.90 |
$147.90 |
$851.50
|
|
Braf gene
|
$230.10 |
$230.10 |
$230.10 |
$427.50
|
|
Brain flow imaging only
|
$452.25 |
$452.25 |
$452.25 |
$636.97
|
|
Brain image w/flow < 4 views
|
$452.25 |
$452.25 |
$452.25 |
$893.40
|
|
Brain image w/flow 4 + views
|
$452.25 |
$452.25 |
$452.25 |
$1,355.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,121.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,946.40
|
|
Brca1 dna gene analy known fam var
|
$73.35 |
$73.35 |
$73.35 |
$412.78
|
|
Brca2 dna gene analy known fam var
|
$73.35 |
$73.35 |
$73.35 |
$450.30
|
|
Brcassure ashkenazi panel-sendout
|
$138.90 |
$138.90 |
$138.90 |
$528.00
|
|
Brcassure comprehensive panel-sendout
|
$2,153.70 |
$2,153.70 |
$2,153.70 |
$2,160.80
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$432.60 |
$432.60 |
$432.60 |
$3,052.50
|
|
Breast punct aspir cyst, bil
|
$282.00 |
$282.00 |
$282.00 |
$847.00
|
|
Breath hydrogen test 91065
|
$69.45 |
$69.45 |
$69.45 |
$459.81
|
|
Brief alcohol misuse counsel
|
$51.90 |
$51.90 |
$51.90 |
$102.38
|
|
Bronch ebus samplng 1/2 node
|
$1,457.25 |
$1,457.25 |
$1,457.25 |
$4,316.00
|
|
Bronchial allergy tests
|
$106.35 |
$106.35 |
$106.35 |
$746.46
|
|
Bronchial challenge
|
$229.20 |
$229.20 |
$229.20 |
$765.50
|
|
Bronchoscopy w/biopsy(s) 31625
|
$709.80 |
$709.80 |
$709.80 |
$2,168.40
|
|
Bronchoscopy w/fb removal 31635
|
$759.75 |
$759.75 |
$759.75 |
$2,597.70
|
|
Br punct aspir ea add, l
|
$178.35 |
$178.35 |
$178.35 |
$358.00
|
|
Budesonide non-comp unit
|
$20.57 |
$20.57 |
$20.57 |
$19.61
|
|
Bundled special stain group 1 microorganisms
|
$76.95 |
$76.95 |
$76.95 |
$161.46
|
|
Bundled special stain group 2
|
$70.65 |
$70.65 |
$70.65 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$11.08 |
$11.08 |
$11.08 |
$33.85
|
|
Buprenorphine and metabolite - sendout
|
$27.00 |
$27.00 |
$27.00 |
$80.25
|
|
Burr hole implant ventricular cath/other device
|
$267.30 |
$267.30 |
$267.30 |
$2,964.65
|
|
Butorphanol tartrate 1 mg
|
$15.15 |
$15.15 |
$15.15 |
$38.18
|
|
Bx bone trocar/ndl deep
|
$488.25 |
$488.25 |
$488.25 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$588.75 |
$588.75 |
$588.75 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$432.60 |
$432.60 |
$432.60 |
$3,735.03
|
|
Bx breast add lesion strtctc
|
$91.20 |
$91.20 |
$91.20 |
$1,790.95
|
|
Bx breast add lesion Ultrasound imag
|
$70.20 |
$70.20 |
$70.20 |
$1,762.05
|
|
Bx breast perq without image 19100
|
$682.50 |
$682.50 |
$682.50 |
$1,312.15
|
|
Bx pancreas pq ndl
|
$387.75 |
$387.75 |
$387.75 |
$1,635.24
|
|
Bx skin incisnl ea sep/add l les
|
$82.35 |
$82.35 |
$82.35 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$20.85 |
$20.85 |
$20.85 |
$230.02
|
