|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.00 |
$37.09 |
$354.98 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$47.15 |
$63.50 |
$361.41 |
$34.98
|
|
Blood smear interpretation
|
$248.70 |
$248.70 |
$248.70 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$39.60 |
$82.50 |
$593.77 |
$38.35
|
|
Blood split unit
|
$114.57 |
$174.15 |
$737.50 |
$282.88
|
|
Blood Transfusion
|
$1,098.91 |
$1,275.00 |
$2,352.15 |
$989.60
|
|
Blood typing abo
|
$118.50 |
$118.50 |
$4,755.00 |
$86.45
|
|
Blood typing ag donor ea ag
|
$214.33 |
$331.00 |
$868.07 |
$207.60
|
|
Blood typing patient serum
|
$115.51 |
$115.51 |
$115.51 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$214.33 |
$331.00 |
$868.07 |
$211.90
|
|
Blood typing rh (d)
|
$67.50 |
$67.50 |
$153.56 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$64.50 |
$64.50 |
$474.30 |
$88.00
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$2,249.25 |
$2,249.25 |
$33,945.00 |
$11,579.00
|
|
Bone Age X-ray (hand and wrist)
|
$175.04 |
$269.00 |
$922.64 |
$252.75
|
|
Bone biopsy open superficial
|
$3,295.35 |
$3,295.35 |
$4,225.20 |
$3,900.26
|
|
Bone Density Scan (DEXA)
|
$381.19 |
$757.00 |
$1,160.47 |
$407.94
|
|
Bone filler cerament 10cc
|
$5,019.97 |
$5,019.97 |
$20,079.90 |
$14,423.77
|
|
Bone imaging (3d)
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$1,261.00
|
|
Bone imaging multiple areas
|
$446.03 |
$1,194.00 |
$3,934.65 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$255.50 |
$820.20 |
$3,640.82 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,376.56 |
$1,376.56 |
$1,800.00 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,351.58 |
$1,351.58 |
$2,661.60 |
$1,728.00
|
|
Bone marrow harvest allogen
|
$4,654.20 |
$4,654.20 |
$4,654.20 |
$4,755.40
|
|
Bone marrow imaging body
|
$452.36 |
$703.00 |
$4,193.99 |
$1,010.08
|
|
Bone marrow imaging ltd
|
$460.50 |
$702.26 |
$2,299.48 |
$811.00
|
|
Bone marrow imaging mult
|
$367.06 |
$367.06 |
$2,250.93 |
$923.00
|
|
Bone marrow interpretation
|
$451.50 |
$451.50 |
$840.64 |
$542.03
|
|
Bone survey-lead poisoning
|
$298.33 |
$1,203.50 |
$3,288.23 |
$387.00
|
|
Bone tendon board add on
|
$7,857.60 |
$7,857.60 |
$7,857.60 |
$6,606.72
|
|
Bone void filler nanoss 10cc
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$3,816.00
|
|
Boot cast sandal rocker med
|
$12.89 |
$12.89 |
$12.89 |
$12.89
|
|
Boot j walker l
|
$15.44 |
$15.44 |
$249.08 |
$234.00
|
|
Boot mlti podous univ xlg
|
$28.15 |
$195.92 |
$4,144.00 |
$253.86
|
|
Boot softgait shrt m
|
$57.84 |
$57.84 |
$139.20 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$543.44 |
$543.44 |
$552.60 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$571.17 |
$571.17 |
$571.17 |
$175.89
|
|
Borrelia antibody
|
$69.00 |
$69.00 |
$150.94 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$19.00 |
$19.00 |
$140.84 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$190.50 |
$289.62 |
$2,915.40 |
$2,915.40
|
|
(both sides) donor search management
|
$4,175.95 |
$4,175.95 |
$4,175.95 |
$2,438.80
|
|
(both sides) smear without diff wbc count
|
$45.71 |
$63.50 |
$63.50 |
$30.68
|
|
Botulism ig IV
|
$311,850.00 |
$311,850.00 |
$311,850.00 |
$71,513.00
|
|
Bowel imaging
|
$820.20 |
$888.50 |
$3,681.71 |
$1,074.00
|
|
Brace adj motion lerman type
|
$281.75 |
$281.75 |
$281.75 |
$281.75
|
|
Brace afo dbl upright cust
|
$834.17 |
$834.17 |
$834.17 |
$841.97
|
|
Brace afo lg left 6607
|
$16.42 |
$16.42 |
$590.28 |
$461.76
|
|
Brace afopos solid ankle cust
|
$1,087.89 |
$1,087.89 |
$1,087.89 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,313.06 |
$1,313.06 |
$2,443.82 |
$1,656.85
|
|
Brace ank aftr bioskn med lg
|
$244.37 |
$244.37 |
$302.88 |
$194.42
|
|
Brace ank air stirrup univ
|
$108.67 |
$108.67 |
$242.51 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$127.56 |
$127.56 |
$170.73 |
$129.78
|
|
Brace ankle stablizing lg
|
$158.12 |
$158.12 |
$219.56 |
$122.82
|
|
Brace back epic lo 627
|
$206.47 |
$206.47 |
$206.47 |
$497.68
|
|
Brace back epic lso 637
|
$196.66 |
$196.66 |
$635.40 |
$1,611.50
|
|
Brace back epic tslo 456
|
$1,631.36 |
$1,631.36 |
$1,631.36 |
$1,582.56
|
|
Brace back pinnacle tlso 464
|
$2,632.87 |
$2,632.87 |
$3,586.88 |
$2,632.87
|
|
Brace back t-lso custom
|
$3,159.48 |
$3,159.48 |
$3,859.13 |
$3,536.74
|
|
Brace back vista 464 tlso
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,579.91
|
|
Brace cust back lso
|
$2,265.81 |
$2,265.81 |
$2,265.81 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$39.46 |
$39.46 |
$874.04 |
$620.54
|
|
Brace halo bremer l2830
|
$175.82 |
$175.82 |
$225.00 |
$195.59
|
|
Brace kafo dbl upright cust
|
$3,609.22 |
$3,609.22 |
$3,609.22 |
$3,609.22
|
|
Brace knee extender plus 22-30in
|
$67.61 |
$67.61 |
$1,256.06 |
$767.20
|
|
Brace knee hing pat open med
|
$292.34 |
$292.34 |
$331.00 |
$214.50
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$83.35 |
$83.35 |
$1,015.62 |
$411.01
|
|
Brace knee postop tscope xl
|
$901.93 |
$901.93 |
$901.93 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$200.15 |
$200.15 |
$200.15 |
$215.70
|
|
Brace m arm board
|
$78.65 |
$78.65 |
$78.65 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$112.00 |
$112.00 |
$136.24 |
$105.30
|
|
Brace ortho exos 28-50in sm
|
$2,541.00 |
$2,541.00 |
$2,857.40 |
$1,332.80
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$337.40 |
$337.40 |
$337.40 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$147.60 |
$241.50 |
$241.50 |
$257.45
|
|
Brace tlso flex cust
|
$573.43 |
$573.43 |
$573.43 |
$573.43
|
|
Brace wrist classic lft sm
|
$80.50 |
$80.50 |
$153.83 |
$89.04
|
|
Brach/thor cath 1st
|
$2,043.30 |
$2,043.30 |
$2,885.69 |
$1,701.00
|
|
Brach/thor cath 2nd
|
$2,439.00 |
$2,439.00 |
$2,667.65 |
$1,859.35
|
|
Brach/thor cath 3rd
|
$2,438.85 |
$2,438.85 |
$3,367.97 |
$2,050.00
|
|
Brach/thor cath addl
|
$1,482.14 |
$1,482.14 |
$3,699.15 |
$868.00
|
|
Brachy source i-125 injection
|
$6,702.00 |
$6,702.00 |
$6,702.00 |
$106.60
|
|
Brachy source palladium-103 nonstranded
|
$598.00 |
$598.00 |
$598.00 |
$126.83
|
|
Brachy source yttrium-90
|
$21,285.00 |
$32,551.87 |
$198,750.00 |
$30,879.20
|
|
Brachy src nonstrand hdr ir-192
|
$478.50 |
$478.50 |
$790.89 |
$478.50
|
|
Brachy src stranded c-131
|
$131.50 |
$131.50 |
$131.50 |
$221.00
|
|
Brachytx isodose complex
|
$705.45 |
$705.45 |
$3,879.70 |
$1,705.20
|
|
Brachytx isodose intermed
|
$640.03 |
$640.03 |
$2,061.51 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$633.91 |
$633.91 |
$759.37 |
$1,032.38
|
|
Brachytx, non-str, ha, i-125
|
$615.00 |
$615.00 |
$615.00 |
$191.77
|
|
Braf gene
|
$487.22 |
$675.00 |
$3,301.24 |
$450.90
|
|
Brain flow imaging only
|
$472.92 |
$472.92 |
$3,220.54 |
$677.66
|
|
Brain image < 4 views
|
$2,005.65 |
$2,005.65 |
$2,005.65 |
$575.29
|
|
Brain image 4+ views
|
$651.00 |
$651.00 |
$2,139.80 |
$847.80
|
|
Brain image w/flow < 4 views
|
$603.00 |
$603.00 |
$1,649.24 |
$919.45
|
|
Brain image w/flow 4 + views
|
$780.00 |
$1,132.80 |
$2,792.59 |
$1,330.00
|
|
Brain imaging (3d)
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$1,403.74
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,644.00 |
$2,830.05 |
$6,188.13 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,753.94 |
$2,273.50 |
$5,115.05 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,977.50 |
$2,394.15 |
$4,084.13 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$2,830.05 |
$3,021.00 |
$8,746.95 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,224.96 |
$2,672.50 |
$7,438.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,189.86 |
$2,324.00 |
$6,582.88 |
$1,948.00
|
