|
Blood occult peroxidase activity qualitative gastric
|
$8.40 |
$8.40 |
$8.40 |
$34.65
|
|
Blood smear interpretation
|
$55.60 |
$55.60 |
$55.60 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$27.60 |
$27.60 |
$27.60 |
$38.35
|
|
Blood typing abo
|
$167.20 |
$167.20 |
$167.20 |
$84.75
|
|
Blood typing ag donor ea ag
|
$343.60 |
$343.60 |
$343.60 |
$204.84
|
|
Blood typing patient serum
|
$83.60 |
$83.60 |
$83.60 |
$70.07
|
|
Blood typing rbc ag non abo/rh ea
|
$326.80 |
$326.80 |
$326.80 |
$206.33
|
|
Blood typing rh (d)
|
$83.60 |
$83.60 |
$83.60 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$39.20 |
$39.20 |
$39.20 |
$86.33
|
|
Body jacket mold to patient
|
$989.60 |
$989.60 |
$989.60 |
$2,922.94
|
|
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm
|
$10,322.80 |
$10,322.80 |
$10,322.80 |
$12,639.00
|
|
Bone Density Scan (DEXA)
|
$196.00 |
$196.00 |
$196.00 |
$398.56
|
|
Bone filler cerament 10cc
|
$8,033.20 |
$8,033.20 |
$8,033.20 |
$14,950.38
|
|
Bone imaging multiple areas
|
$750.80 |
$750.80 |
$750.80 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$621.60 |
$621.60 |
$621.60 |
$1,035.16
|
|
Bone marrow;aspiration only 38220
|
$782.80 |
$782.80 |
$782.80 |
$1,587.30
|
|
Bone marrow biopsyneedle/trocar 38221
|
$782.80 |
$782.80 |
$782.80 |
$1,667.40
|
|
Bone marrow imaging ltd
|
$478.80 |
$478.80 |
$478.80 |
$811.00
|
|
Bone marrow imaging mult
|
$478.80 |
$478.80 |
$478.80 |
$923.00
|
|
Bone marrow interpretation
|
$391.60 |
$391.60 |
$391.60 |
$542.03
|
|
Bone survey-lead poisoning
|
$209.60 |
$209.60 |
$209.60 |
$371.40
|
|
Bone tendon board add on
|
$5,616.00 |
$5,616.00 |
$5,616.00 |
$7,448.27
|
|
Boot heel care softcare one sz
|
$168.40 |
$168.40 |
$168.40 |
$24.00
|
|
Boot j walker l
|
$155.20 |
$155.20 |
$155.20 |
$234.00
|
|
Boot mlti podous univ xlg
|
$100.80 |
$100.80 |
$100.80 |
$246.13
|
|
Boot softgait shrt m
|
$96.80 |
$96.80 |
$96.80 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$216.40 |
$216.40 |
$216.40 |
$439.09
|
|
Boot walker genesis mid-calf full shell s
|
$606.40 |
$606.40 |
$606.40 |
$173.88
|
|
Borrelia antibody
|
$22.00 |
$22.00 |
$22.00 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$40.80 |
$40.80 |
$40.80 |
$91.20
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$51.34 |
$51.34 |
$51.34 |
$2,880.64
|
|
(both sides) smear without diff wbc count
|
$3.20 |
$3.20 |
$3.20 |
$30.68
|
|
Bowel imaging
|
$521.20 |
$521.20 |
$521.20 |
$1,065.53
|
|
Brace adj motion lerman type
|
$101.60 |
$101.60 |
$101.60 |
$281.75
|
|
Brace afo lg left 6607
|
$453.60 |
$453.60 |
$453.60 |
$476.64
|
|
Brace afo spiral prefab
|
$934.00 |
$934.00 |
$934.00 |
$1,707.44
|
|
Brace ank aftr bioskn med lg
|
$70.40 |
$70.40 |
$70.40 |
$194.42
|
|
Brace ank air stirrup univ
|
$57.60 |
$57.60 |
$57.60 |
$108.67
|
|
Brace ankle stablizing lg
|
$40.00 |
$40.00 |
$40.00 |
$125.76
|
|
Brace back pinnacle lo 627 lumbar
|
$704.80 |
$704.80 |
$704.80 |
$867.82
|
|
Brace back pinnacle tlso 464
|
$1,454.80 |
$1,454.80 |
$1,454.80 |
$2,531.50
|
|
Brace cust back lso
|
$627.60 |
$627.60 |
$627.60 |
$966.00
|
|
Brace fx hum ovr shldr lg
|
$560.00 |
$560.00 |
$560.00 |
$560.00
|
|
Brace fx hum ovr shldr sm
|
$472.00 |
$472.00 |
$472.00 |
$643.28
|
|
Brace halo bremer l2830
|
$166.80 |
$166.80 |
$166.80 |
$195.59
|
|
Brace knee extender plus 22-30in
|
$193.60 |
$193.60 |
$193.60 |
$767.20
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$786.80 |
$786.80 |
$786.80 |
$411.01
|
|
Brace knee postop tscope xl
|
$174.80 |
$174.80 |
$174.80 |
$901.93
|
|
Brace knee support neoprene padded open patella med
|
$59.60 |
$59.60 |
$59.60 |
$215.70
|
|
Brace ortho exos 28-50in sm
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,332.80
|
|
Brace oths wrist hnd fngr without
|
$222.80 |
$222.80 |
$222.80 |
$250.88
|
|
Brace tlso flex cust
|
$32.40 |
$32.40 |
$32.40 |
$573.43
|
|
Brace wrist classic lft sm
|
$187.60 |
$187.60 |
$187.60 |
$89.04
|
|
Brach/thor cath 1st
|
$1,690.80 |
$1,690.80 |
$1,690.80 |
$1,690.80
|
|
Brach/thor cath 2nd
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$1,818.98
|
|
Brach/thor cath 3rd
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,983.11
|
|
Brach/thor cath addl
|
$490.80 |
$490.80 |
$490.80 |
$868.00
|
|
Brachy source yttrium-90
|
$19,170.00 |
$19,170.00 |
$19,170.00 |
$30,870.00
|
|
Brachy src nonstrand hdr ir-192
|
$1,085.20 |
$1,085.20 |
$1,085.20 |
$475.73
|
|
Brachytx isodose intermed
|
$592.40 |
$592.40 |
$592.40 |
$1,244.00
|
|
Brachytx isodose plan simple
|
$822.80 |
$822.80 |
$822.80 |
$1,039.80
|
|
Braf gene
|
$196.40 |
$196.40 |
$196.40 |
$436.47
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,358.80 |
$2,358.80 |
$2,358.80 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,306.40 |
$1,306.40 |
$1,306.40 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$1,523.60 |
$1,523.60 |
$1,523.60 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$1,932.50
|
|
Brcassure comprehensive panel-sendout
|
$2,768.00 |
$2,768.00 |
$2,768.00 |
$2,365.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,787.60 |
$1,787.60 |
$1,787.60 |
$2,975.48
|
|
Breast punct aspir cyst, bil
|
$790.40 |
$790.40 |
$790.40 |
$863.10
|
|
Bronch ebus samplng 1/2 node
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$4,341.97
|
|
Bronch ebus samplng 3/> node
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$4,746.40
|
|
Bronchial allergy tests
|
$859.60 |
$859.60 |
$859.60 |
$734.40
|
|
Bronchial challenge
|
$528.40 |
$528.40 |
$528.40 |
$805.90
|
|
Bronchial valve remov init
|
$8,256.40 |
$8,256.40 |
$8,256.40 |
$4,362.99
|
|
Bronchoscopy clear airways 31645
|
$2,917.60 |
$2,917.60 |
$2,917.60 |
$2,672.16
|
|
Bronchoscopy/lung bx addl 31632
|
$919.60 |
$919.60 |
$919.60 |
$1,336.08
|
|
Bronchoscopy/lung bx each 31628
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$3,799.90
|
|
Bronchoscopy/needle bx each 31629
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$4,038.80
|
|
Bronchoscopy w/biopsy(s) 31625
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$2,132.40
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$214.00 |
$214.00 |
$214.00 |
$660.95
|
|
Br punct aspir ea add, l
|
$94.80 |
$94.80 |
$94.80 |
$356.50
|
|
Budesonide non-comp unit
|
$14.56 |
$14.56 |
$14.56 |
$19.68
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$31.70 |
$31.70 |
$31.70 |
$24.08
|
|
Bundled special stain group 1 microorganisms
|
$63.20 |
$63.20 |
$63.20 |
$154.70
|
|
Bundled special stain group 2
|
$68.40 |
$68.40 |
$68.40 |
$170.65
|
|
Bundle his recording
|
$951.60 |
$951.60 |
$951.60 |
$4,781.70
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$6.02 |
$6.02 |
$6.02 |
$33.08
|
|
Buprenorphine oral 1mg
|
$18.24 |
$18.24 |
$18.24 |
$10.74
|
|
Bur rotalink 2.15mm
|
$3,990.80 |
$3,990.80 |
$3,990.80 |
$7,871.02
|
|
Butorphanol tartrate 1 mg
|
$22.66 |
$22.66 |
$22.66 |
$41.79
|
|
Bx bone trocar/ndl deep
|
$973.20 |
$973.20 |
$973.20 |
$2,347.69
|
|
Bx breast 1st lesion strtctc
|
$1,787.60 |
$1,787.60 |
$1,787.60 |
$3,570.00
|
|
Bx breast add lesion strtctc
|
$107.20 |
$107.20 |
$107.20 |
$1,698.00
|
|
Bx breast add lesion Ultrasound imag
|
$89.20 |
$89.20 |
$89.20 |
$1,604.40
|
|
Bx/exc lymph node/open/superfic 38500
|
$447.60 |
$447.60 |
$447.60 |
$4,135.34
|
|
Bx pleura pq ndl
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$2,100.40 |
$2,100.40 |
$2,100.40 |
$4,051.50
|
|
Bx skin incisnl ea sep/add l les
|
$357.20 |
$357.20 |
$357.20 |
$253.98
|
