|
Blood Count (CBC) Test (without differential)
|
$49.50 |
$49.50 |
$49.50 |
$61.80
|
|
Blood count spun microhematocrit
|
$62.50 |
$62.50 |
$62.50 |
$22.36
|
|
Blood Culture Test
|
$73.50 |
$73.50 |
$73.50 |
$145.80
|
|
Blood draw capillary 36416
|
$27.50 |
$27.50 |
$27.50 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$117.50 |
$117.50 |
$117.50 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$51.50 |
$51.50 |
$51.50 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$21.50 |
$21.50 |
$21.50 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$19.50 |
$19.50 |
$19.50 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.00 |
$24.00 |
$24.00 |
$34.00
|
|
Blood smear interpretation
|
$135.50 |
$135.50 |
$135.50 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$24.50 |
$24.50 |
$24.50 |
$38.61
|
|
Blood split unit
|
$392.00 |
$392.00 |
$392.00 |
$250.00
|
|
Blood typing abo
|
$25.00 |
$25.00 |
$25.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$62.00 |
$62.00 |
$62.00 |
$190.80
|
|
Blood typing patient serum
|
$60.50 |
$60.50 |
$60.50 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$33.00 |
$33.00 |
$33.00 |
$199.50
|
|
Blood typing rh (d)
|
$32.50 |
$32.50 |
$32.50 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$38.50 |
$38.50 |
$38.50 |
$82.80
|
|
Bone biopsy open superficial
|
$3,342.00 |
$3,342.00 |
$3,342.00 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$338.00 |
$338.00 |
$338.00 |
$397.28
|
|
Bone imaging multiple areas
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$718.00 |
$718.00 |
$718.00 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,570.80
|
|
Bone marrow imaging ltd
|
$677.00 |
$677.00 |
$677.00 |
$811.00
|
|
Bone marrow interpretation
|
$178.00 |
$178.00 |
$178.00 |
$542.03
|
|
Bone tendon board add on
|
$114.00 |
$114.00 |
$114.00 |
$7,448.27
|
|
Boot walker genesis full shell 3-strap s
|
$615.00 |
$615.00 |
$615.00 |
$453.47
|
|
Borrelia antibody
|
$75.50 |
$75.50 |
$75.50 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$59.00 |
$59.00 |
$59.00 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$146.00 |
$146.00 |
$146.00 |
$68.88
|
|
Bowel imaging
|
$873.00 |
$873.00 |
$873.00 |
$1,065.00
|
|
Brace afopos solid ankle cust
|
$954.50 |
$954.50 |
$954.50 |
$1,087.89
|
|
Brace afo spiral prefab
|
$1,652.50 |
$1,652.50 |
$1,652.50 |
$1,652.50
|
|
Brace ankle joint dflxn assist
|
$144.50 |
$144.50 |
$144.50 |
$141.89
|
|
Brace back epic lso 637
|
$578.00 |
$578.00 |
$578.00 |
$1,023.66
|
|
Brace back pinnacle tlso 464
|
$2,115.50 |
$2,115.50 |
$2,115.50 |
$2,283.03
|
|
Brace back t-lso custom
|
$659.00 |
$659.00 |
$659.00 |
$3,517.55
|
|
Brace kafo dbl upright cust
|
$2,801.50 |
$2,801.50 |
$2,801.50 |
$3,609.22
|
|
Brace wrist classic lft sm
|
$11.50 |
$11.50 |
$11.50 |
$81.62
|
|
Brach/thor cath 1st
|
$1,538.50 |
$1,538.50 |
$1,538.50 |
$1,751.55
|
|
Brach/thor cath 2nd
|
$1,766.50 |
$1,766.50 |
$1,766.50 |
$1,940.40
|
|
Brach/thor cath 3rd
|
$2,108.50 |
$2,108.50 |
$2,108.50 |
$2,079.00
|
|
Brach/thor cath addl
|
$334.50 |
$334.50 |
$334.50 |
$868.00
|
|
Brachy source iodine-125 nonstranded
|
$83.00 |
$83.00 |
$83.00 |
$66.76
|
|
Brachy source palladium-103 nonstranded
|
$177.00 |
$177.00 |
$177.00 |
$116.48
|
|
Brachy src nonstrand hdr ir-192
|
$587.00 |
$587.00 |
$587.00 |
$475.73
|
|
Brachytx isodose complex
|
$1,292.50 |
$1,292.50 |
$1,292.50 |
$1,631.00
|
|
Brachytx isodose intermed
|
$907.50 |
$907.50 |
$907.50 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$619.00 |
$619.00 |
$619.00 |
$929.40
|
|
Braf gene
|
$857.00 |
$857.00 |
$857.00 |
$427.50
|
|
Brain image 4+ views
|
$978.50 |
$978.50 |
$978.50 |
$952.80
|
|
Brain image w/flow 4 + views
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,455.50 |
$2,455.50 |
$2,455.50 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,005.00 |
$2,005.00 |
$2,005.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$2,005.00 |
$2,005.00 |
$2,005.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$1,977.27
|
|
Bra surgical elizabeth pink sm
|
$101.00 |
$101.00 |
$101.00 |
$130.99
|
|
Brca1&2 gene full seq alys
|
$533.50 |
$533.50 |
$533.50 |
$1,296.00
|
|
Brcassure comprehensive panel-sendout
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,669.00 |
$2,669.00 |
$2,669.00 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$943.00 |
$943.00 |
$943.00 |
$847.00
|
|
Breast reconstruction 19357
|
$9,526.00 |
$9,526.00 |
$9,526.00 |
$11,720.80
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$512.50 |
$512.50 |
$512.50 |
$870.87
|
|
Bronchoscopy clear airways 31645
|
$2,984.50 |
$2,984.50 |
$2,984.50 |
$2,653.80
|
|
Bronchoscopy/lung bx each 31628
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$4,080.94
|
|
Bronchoscopy w/fb removal 31635
|
$2,305.50 |
$2,305.50 |
$2,305.50 |
$2,445.96
|
|
Bronch thermoplsty 2/> lobes
|
$2,624.00 |
$2,624.00 |
$2,624.00 |
$6,408.60
|
|
Br punct aspir ea add, l
|
$142.50 |
$142.50 |
$142.50 |
$358.00
|
|
Bundled special stain group 1 microorganisms
|
$90.00 |
$90.00 |
$90.00 |
$160.80
|
|
Bundled special stain group 2
|
$175.00 |
$175.00 |
$175.00 |
$173.46
|
|
Buprenorphine and metabolite - sendout
|
$42.50 |
$42.50 |
$42.50 |
$82.82
|
|
Bx arm/elbow soft tissue supf 24065
|
$2,460.50 |
$2,460.50 |
$2,460.50 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$3,286.00 |
$3,286.00 |
$3,286.00 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,635.00 |
$2,635.00 |
$2,635.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$2,569.50 |
$2,569.50 |
$2,569.50 |
$3,601.35
|
|
Bx breast add lesion mr imag
|
$1,317.50 |
$1,317.50 |
$1,317.50 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$763.00 |
$763.00 |
$763.00 |
$1,800.68
|
|
Bx breast add lesion Ultrasound imag
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$1,692.64
|
|
Bx breast perq without image 19100
|
$2,166.50 |
$2,166.50 |
$2,166.50 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$4,555.50 |
$4,555.50 |
$4,555.50 |
$4,531.42
|
|
Bx/curett of cervix w/scope 57454
|
$331.00 |
$331.00 |
$331.00 |
$515.50
|
|
Bx/exc lymph node/open/superfic 38500
|
$4,500.50 |
$4,500.50 |
$4,500.50 |
$4,184.94
|
|
Bx leg/ankle soft tissue deep 27614
|
$2,273.50 |
$2,273.50 |
$2,273.50 |
$3,386.84
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,213.60
|
|
Bx of breast open 19101
|
$4,500.50 |
$4,500.50 |
$4,500.50 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,588.50
|
|
Bx pleura pq ndl
|
$1,507.00 |
$1,507.00 |
$1,507.00 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$4,050.75
|
|
Bx shoulder tissues supf 23065
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$301.00 |
$301.00 |
$301.00 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$148.50 |
$148.50 |
$148.50 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$148.50 |
$148.50 |
$148.50 |
$203.70
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,917.33
|
|
Bx soft tissue back/flank supf 21920
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,139.68
|
