|
Blood count spun microhematocrit
|
$23.00 |
$23.00 |
$23.00 |
$21.84
|
|
Blood Culture Test
|
$52.00 |
$52.00 |
$52.00 |
$143.88
|
|
Blood draw capillary 36416
|
$17.50 |
$17.50 |
$17.50 |
$19.89
|
|
Blood gases o2 saturation direct measurement
|
$155.00 |
$155.00 |
$155.00 |
$220.80
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$22.00 |
$22.00 |
$22.00 |
$55.90
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$19.00 |
$19.00 |
$19.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$21.00 |
$21.00 |
$21.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$22.00 |
$22.00 |
$22.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$0.50 |
$0.50 |
$0.50 |
$38.35
|
|
Blood split unit
|
$261.50 |
$261.50 |
$261.50 |
$250.00
|
|
Blood typing abo
|
$65.00 |
$65.00 |
$65.00 |
$83.85
|
|
Blood typing ag donor ea ag
|
$182.00 |
$182.00 |
$182.00 |
$179.30
|
|
Blood typing patient serum
|
$43.00 |
$43.00 |
$43.00 |
$69.95
|
|
Blood typing rbc ag non abo/rh ea
|
$182.00 |
$182.00 |
$182.00 |
$190.80
|
|
Blood typing rh (d)
|
$76.00 |
$76.00 |
$76.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$43.50 |
$43.50 |
$43.50 |
$82.11
|
|
Bone biopsy open superficial
|
$2,341.50 |
$2,341.50 |
$2,341.50 |
$3,994.09
|
|
Bone Density Scan (DEXA)
|
$392.00 |
$392.00 |
$392.00 |
$405.30
|
|
Bone imaging multiple areas
|
$837.50 |
$837.50 |
$837.50 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$836.50 |
$836.50 |
$836.50 |
$1,037.40
|
|
Bone marrow;aspiration only 38220
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$1,684.80
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,794.93
|
|
Bone marrow imaging body
|
$909.50 |
$909.50 |
$909.50 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$837.50 |
$837.50 |
$837.50 |
$811.00
|
|
Bone marrow imaging mult
|
$837.50 |
$837.50 |
$837.50 |
$923.00
|
|
Bone survey-lead poisoning
|
$355.00 |
$355.00 |
$355.00 |
$392.00
|
|
Boot heel care softcare one sz
|
$11.90 |
$11.90 |
$11.90 |
$24.00
|
|
Boot j walker l
|
$123.68 |
$123.68 |
$123.68 |
$195.00
|
|
Boot mlti podous univ xlg
|
$125.76 |
$125.76 |
$125.76 |
$235.98
|
|
Boot softgait shrt m
|
$120.58 |
$120.58 |
$120.58 |
$120.58
|
|
Boot walker genesis full shell 3-strap s
|
$411.93 |
$411.93 |
$411.93 |
$448.06
|
|
Boot walker genesis mid-calf full shell s
|
$173.88 |
$173.88 |
$173.88 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$149.50 |
$149.50 |
$149.50 |
$94.80
|
|
Bowel imaging
|
$778.50 |
$778.50 |
$778.50 |
$1,082.69
|
|
Brace adj motion lerman type
|
$145.94 |
$145.94 |
$145.94 |
$281.75
|
|
Brace afo lg left 6607
|
$141.50 |
$141.50 |
$141.50 |
$459.03
|
|
Brace afopos solid ankle cust
|
$449.19 |
$449.19 |
$449.19 |
$1,087.89
|
|
Brace afo spiral prefab
|
$704.32 |
$704.32 |
$704.32 |
$1,445.56
|
|
Brace ank aftr bioskn med lg
|
$128.34 |
$128.34 |
$128.34 |
$170.80
|
|
Brace ank air stirrup univ
|
$50.72 |
$50.72 |
$50.72 |
$108.67
|
|
Brace ankle joint dflxn assist
|
$55.38 |
$55.38 |
$55.38 |
$127.56
|
|
Brace ankle stablizing lg
|
$125.76 |
$125.76 |
$125.76 |
$113.10
|
|
Brace back epic tslo 456
|
$618.42 |
$618.42 |
$618.42 |
$1,515.56
|
|
Brace back pinnacle lo 627 lumbar
|
$219.50 |
$219.50 |
$219.50 |
$817.93
|
|
Brace back pinnacle tlso 464
|
$820.24 |
$820.24 |
$820.24 |
$2,251.44
|
|
Brace back t-lso custom
|
$1,427.78 |
$1,427.78 |
$1,427.78 |
$3,517.55
|
|
Brace cust back lso
|
$566.66 |
$566.66 |
$566.66 |
$966.00
|
|
Brace fx hum ovr shldr sm
|
$193.03 |
$193.03 |
$193.03 |
$578.69
|
|
Brace halo bremer l2830
|
$74.00 |
$74.00 |
$74.00 |
$193.72
|
|
Brace knee extender plus 22-30in
|
$943.40 |
$943.40 |
$943.40 |
$504.60
|
|
Brace knee hing pat open med
|
$125.76 |
$125.76 |
$125.76 |
$210.60
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$828.52 |
$828.52 |
$828.52 |
$390.12
|
|
Brace knee postop tscope xl
|
$569.25 |
$569.25 |
$569.25 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$101.43 |
$101.43 |
$101.43 |
$211.64
|
|
Brace m arm board
|
$117.00 |
$117.00 |
$117.00 |
$117.00
|
|
Brace ortho exos 28-50in sm
|
$593.06 |
$593.06 |
$593.06 |
$997.10
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$530.50 |
$530.50 |
$530.50 |
$1,555.57
|
|
Brace oths wrist hnd fngr without
|
$170.78 |
$170.78 |
$170.78 |
$230.75
|
|
Brace wrist classic lft sm
|
$54.00 |
$54.00 |
$54.00 |
$79.77
|
|
Brach/thor cath 1st
|
$2,196.50 |
$2,196.50 |
$2,196.50 |
$1,995.00
|
|
Brach/thor cath 2nd
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$2,114.13
|
|
Brach/thor cath 3rd
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$2,151.93
|
|
Brach/thor cath addl
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$898.14
|
|
Brachy source i-125 injection
|
$45.02 |
$45.02 |
$45.02 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$31.57 |
$31.57 |
$31.57 |
$64.48
|
|
Brachy source palladium
|
$64.69 |
$64.69 |
$64.69 |
$138.44
|
|
Brachy source palladium-103 nonstranded
|
$50.72 |
$50.72 |
$50.72 |
$110.22
|
|
Brachy source yttrium-90
|
$8,757.66 |
$8,757.66 |
$8,757.66 |
$30,655.90
|
|
Brachy src nonstrand c-131
|
$63.14 |
$63.14 |
$63.14 |
$197.78
|
|
Brachy src nonstrand hdr ir-192
|
$351.38 |
$351.38 |
$351.38 |
$473.52
|
|
Brachy src stranded c-131
|
$96.26 |
$96.26 |
$96.26 |
$210.62
|
|
Brachytx isodose complex
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,641.90
|
|
Brachytx isodose intermed
|
$856.00 |
$856.00 |
$856.00 |
$1,234.68
|
|
Brachytx isodose plan simple
|
$708.50 |
$708.50 |
$708.50 |
$929.40
|
|
Brachytx, non-str, gold-198
|
$114.88 |
$114.88 |
$114.88 |
$134.11
|
|
Braf gene
|
$234.00 |
$234.00 |
$234.00 |
$427.50
|
|
Brain flow imaging only
|
$255.50 |
$255.50 |
$255.50 |
$636.97
|
|
Brain image 4+ views
|
$547.00 |
$547.00 |
$547.00 |
$999.05
|
|
Brain image w/flow < 4 views
|
$547.00 |
$547.00 |
$547.00 |
$868.68
|
|
Brain image w/flow 4 + views
|
$621.50 |
$621.50 |
$621.50 |
$1,351.48
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,753.50 |
$2,753.50 |
$2,753.50 |
$2,825.43
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,868.50 |
$1,868.50 |
$1,868.50 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,977.50 |
$2,977.50 |
$2,977.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,629.50 |
$1,629.50 |
$1,629.50 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$80.50 |
$80.50 |
$80.50 |
$126.02
|
|
Brca1&2 gene full seq alys
|
$332.50 |
$332.50 |
$332.50 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$2,409.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$3,088.97
|
|
Breast punct aspir cyst, bil
|
$368.00 |
$368.00 |
$368.00 |
$865.26
|
|
Breath tst attain/anal c-14
|
$348.50 |
$348.50 |
$348.50 |
$108.50
|
|
Bronch ebus ivntj perph les 31654
|
$185.50 |
$185.50 |
$185.50 |
$1,943.20
|
|
Bronch ebus samplng 1/2 node
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$4,316.00
|
|
Bronch ebus samplng 3/> node
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$4,738.02
|
|
Bronchial allergy tests
|
$749.00 |
$749.00 |
$749.00 |
$746.46
|
|
Bronchial challenge
|
$479.00 |
$479.00 |
$479.00 |
$765.50
|
|
Bronchoscopy/needle bx each 31629
|
$3,580.50 |
$3,580.50 |
$3,580.50 |
$4,029.39
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,251.70
|
|
Bronchoscopy w/fb removal 31635
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$2,612.80
|
