|
Block tap inj(s) w/wo img bi
|
$1,477.80 |
$1,477.80 |
$1,477.80 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$739.80 |
$739.80 |
$739.80 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$57.60 |
$57.60 |
$57.60 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$73.80 |
$73.80 |
$73.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$100.80 |
$100.80 |
$100.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$84.60 |
$84.60 |
$84.60 |
$61.80
|
|
Blood count spun microhematocrit
|
$14.40 |
$14.40 |
$14.40 |
$22.36
|
|
Blood Culture Test
|
$73.80 |
$73.80 |
$73.80 |
$145.80
|
|
Blood draw capillary 36416
|
$57.00 |
$57.00 |
$57.00 |
$20.00
|
|
Blood gases ph venous
|
$20.40 |
$20.40 |
$20.40 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$55.20 |
$55.20 |
$55.20 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$79.20 |
$79.20 |
$79.20 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$95.40 |
$95.40 |
$95.40 |
$38.61
|
|
Blood typing abo
|
$90.60 |
$90.60 |
$90.60 |
$83.03
|
|
Blood typing ag donor ea ag
|
$76.80 |
$76.80 |
$76.80 |
$190.80
|
|
Blood typing patient serum
|
$53.40 |
$53.40 |
$53.40 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$675.60 |
$675.60 |
$675.60 |
$199.50
|
|
Blood typing rh (d)
|
$84.00 |
$84.00 |
$84.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$103.20 |
$103.20 |
$103.20 |
$82.80
|
|
Body jacket mold to patient
|
$7,197.89 |
$7,197.89 |
$7,197.89 |
$2,922.94
|
|
Bone biopsy open superficial
|
$17,216.81 |
$17,216.81 |
$17,216.81 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$649.20 |
$649.20 |
$649.20 |
$397.28
|
|
Bone filler cerament 10cc
|
$34,448.18 |
$34,448.18 |
$34,448.18 |
$15,161.03
|
|
Bone/joint imaging ltd area
|
$489.60 |
$489.60 |
$489.60 |
$1,013.50
|
|
Bone marrow aspir bone grfg
|
$104,951.17 |
$104,951.17 |
$104,951.17 |
$1,758.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$844.80 |
$844.80 |
$844.80 |
$1,570.80
|
|
Bone marrow imaging body
|
$369.60 |
$369.60 |
$369.60 |
$1,076.40
|
|
Bone marrow imaging ltd
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$811.00
|
|
Bone tendon board add on
|
$14,590.80 |
$14,590.80 |
$14,590.80 |
$7,448.27
|
|
Bone void filler nanoss 10cc
|
$20,844.00 |
$20,844.00 |
$20,844.00 |
$3,816.00
|
|
Boot j walker l
|
$2,357.64 |
$2,357.64 |
$2,357.64 |
$231.75
|
|
Boot mlti podous univ xlg
|
$2,639.08 |
$2,639.08 |
$2,639.08 |
$235.98
|
|
Boot softgait shrt m
|
$1,472.98 |
$1,472.98 |
$1,472.98 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$453.47
|
|
Boot walker genesis mid-calf full shell s
|
$6,225.41 |
$6,225.41 |
$6,225.41 |
$173.88
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$127.80 |
$127.80 |
$127.80 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$6,636.42 |
$6,636.42 |
$6,636.42 |
$2,825.96
|
|
Bowel imaging
|
$624.00 |
$624.00 |
$624.00 |
$1,065.00
|
|
Brace adj motion lerman type
|
$685.91 |
$685.91 |
$685.91 |
$281.75
|
|
Brace afo dbl upright cust
|
$1,622.31 |
$1,622.31 |
$1,622.31 |
$834.17
|
|
Brace afo lg left 6607
|
$1,435.92 |
$1,435.92 |
$1,435.92 |
$461.76
|
|
Brace afopos solid ankle cust
|
$2,151.98 |
$2,151.98 |
$2,151.98 |
$1,087.89
|
|
Brace afo spiral prefab
|
$4,780.22 |
$4,780.22 |
$4,780.22 |
$1,652.50
|
|
Brace ank aftr bioskn med lg
|
$469.59 |
$469.59 |
$469.59 |
$194.42
|
|
Brace ank air stirrup univ
|
$364.31 |
$364.31 |
$364.31 |
$109.64
|
|
Brace ankle joint dflxn assist
|
$250.45 |
$250.45 |
$250.45 |
$141.89
|
|
Brace ankle stablizing lg
|
$311.74 |
$311.74 |
$311.74 |
$116.35
|
|
Brace back epic lo 627
|
$5,840.95 |
$5,840.95 |
$5,840.95 |
$497.68
|
|
Brace back epic lso 637
|
$5,410.55 |
$5,410.55 |
$5,410.55 |
$1,023.66
|
|
Brace back epic tslo 456
|
$4,153.75 |
$4,153.75 |
$4,153.75 |
$1,631.36
|
|
Brace back pinnacle lo 627 lumbar
|
$1,561.58 |
$1,561.58 |
$1,561.58 |
$857.43
|
|
Brace back pinnacle tlso 464
|
$8,462.66 |
$8,462.66 |
$8,462.66 |
$2,283.03
|
|
Brace back t-lso custom
|
$9,199.34 |
$9,199.34 |
$9,199.34 |
$3,517.55
|
|
Brace back vista 464 tlso
|
$4,615.04 |
$4,615.04 |
$4,615.04 |
$1,579.91
|
|
Brace cust back lso
|
$855.20 |
$855.20 |
$855.20 |
$959.89
|
|
Brace fx hum ovr shldr sm
|
$2,561.50 |
$2,561.50 |
$2,561.50 |
$597.11
|
|
Brace halo bremer l2830
|
$341.93 |
$341.93 |
$341.93 |
$195.59
|
|
Brace kafo dbl upright cust
|
$6,997.38 |
$6,997.38 |
$6,997.38 |
$3,609.22
|
|
Brace knee 32in univ t-scope short lt/rt
|
$3,498.46 |
$3,498.46 |
$3,498.46 |
$806.78
|
|
Brace knee extender plus 22-30in
|
$3,923.30 |
$3,923.30 |
$3,923.30 |
$676.06
|
|
Brace knee hing pat open med
|
$277.69 |
$277.69 |
$277.69 |
$216.00
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$2,876.71 |
$2,876.71 |
$2,876.71 |
$386.00
|
|
Brace knee postop tscope xl
|
$3,537.28 |
$3,537.28 |
$3,537.28 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$2,522.12 |
$2,522.12 |
$2,522.12 |
$215.70
|
|
Brace m arm board
|
$16,758.58 |
$16,758.58 |
$16,758.58 |
$121.10
|
|
Brace ortho exos 28-50in sm
|
$1,001.81 |
$1,001.81 |
$1,001.81 |
$1,124.44
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$5,660.30 |
$5,660.30 |
$5,660.30 |
$1,702.94
|
|
Brace oths wrist hnd fngr without
|
$1,296.96 |
$1,296.96 |
$1,296.96 |
$245.00
|
|
Brace tlso flex cust
|
$7,374.14 |
$7,374.14 |
$7,374.14 |
$573.43
|
|
Brace wrist classic lft sm
|
$277.92 |
$277.92 |
$277.92 |
$81.62
|
|
Brach/thor cath 1st
|
$2,005.80 |
$2,005.80 |
$2,005.80 |
$1,751.55
|
|
Brachy source i-125 injection
|
$347.40 |
$347.40 |
$347.40 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$125.06 |
$125.06 |
$125.06 |
$66.76
|
|
Brachy source palladium
|
$532.68 |
$532.68 |
$532.68 |
$167.50
|
|
Brachy source palladium-103 nonstranded
|
$194.54 |
$194.54 |
$194.54 |
$116.48
|
|
Brachy source yttrium-90
|
$94,168.56 |
$94,168.56 |
$94,168.56 |
$29,856.80
|
|
Brachy src nonstrand c-131
|
$648.48 |
$648.48 |
$648.48 |
$210.62
|
|
Brachy src stranded c-131
|
$35,512.01 |
$35,512.01 |
$35,512.01 |
$210.96
|
|
Braf gene
|
$275.40 |
$275.40 |
$275.40 |
$427.50
|
|
Brain image 4+ views
|
$307.80 |
$307.80 |
$307.80 |
$952.80
|
|
Brain image w/flow 4 + views
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,847.40 |
$4,847.40 |
$4,847.40 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,268.80 |
$3,268.80 |
$3,268.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,011.00 |
$4,011.00 |
$4,011.00 |
$2,854.80
|
|
Brain MRI (without contrast)
|
$1,760.40 |
$1,760.40 |
$1,760.40 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$195.94 |
$195.94 |
$195.94 |
$130.99
|
|
Brcassure comprehensive panel-sendout
|
$10,065.00 |
$10,065.00 |
$10,065.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,410.80 |
$5,410.80 |
$5,410.80 |
$3,043.44
|
|
Breast reconstruction 19357
|
$46,318.36 |
$46,318.36 |
$46,318.36 |
$11,720.80
|
|
Breast reduction
|
$34,949.63 |
$34,949.63 |
$34,949.63 |
$7,126.06
|
|
Bronch ebus samplng 1/2 node
|
$12,151.92 |
$12,151.92 |
$12,151.92 |
$4,316.00
|
|
Bronchoscopy clear airways 31645
|
$6,562.80 |
$6,562.80 |
$6,562.80 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$11,591.65 |
$11,591.65 |
$11,591.65 |
$3,877.44
|
|
Bronchoscopy w/biopsy(s) 31625
|
$10,488.02 |
$10,488.02 |
$10,488.02 |
$2,168.40
|
|
Budesonide non-comp unit
|
$61.41 |
$61.41 |
$61.41 |
$20.57
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$21.00 |
$21.00 |
$21.00 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$264.60 |
$264.60 |
$264.60 |
$160.80
|
|
Bundled special stain group 2
|
$249.60 |
$249.60 |
$249.60 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$60.44 |
$60.44 |
$60.44 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$145.20 |
$145.20 |
$145.20 |
$82.82
|
