|
Block plantar digital nerve
|
$473.67 |
$524.04 |
$1,099.65 |
|
|
Block tap inj(s) w/wo img bi
|
$638.65 |
$962.94 |
$2,291.29 |
|
|
Block tap inj(s) w/wo img uni
|
$520.30 |
$610.00 |
$1,527.54 |
|
|
Blood clot lysis time
|
$68.64 |
$68.64 |
$68.64 |
|
|
Blood Clotting (PT/INR) Test
|
$13.68 |
$34.45 |
$132.78 |
|
|
Blood Clotting (PTT) Test
|
$19.80 |
$50.00 |
$140.70 |
|
|
Blood component/product noc
|
$132.50 |
$132.50 |
$132.50 |
|
|
Blood Count (CBC) Test
|
$19.61 |
$70.00 |
$224.51 |
|
|
Blood Count (CBC) Test (without differential)
|
$23.37 |
$50.00 |
$189.69 |
|
|
Blood count spun microhematocrit
|
$12.19 |
$25.00 |
$37.95 |
|
|
Blood Culture Test
|
$64.35 |
$80.00 |
$384.36 |
|
|
Blood draw capillary 36416
|
$10.00 |
$14.85 |
$35.20 |
|
|
Blood Draw (Venipuncture)
|
$12.50 |
$15.90 |
$62.48 |
|
|
Blood gases o2 saturation direct measurement
|
$67.83 |
$110.00 |
$306.90 |
|
|
Blood gases ph venous
|
$21.09 |
$52.50 |
$125.95 |
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$33.06 |
$47.50 |
$258.01 |
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$13.11 |
$18.02 |
$122.10 |
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$11.40 |
$17.50 |
$52.14 |
|
|
Blood occult peroxidase activity qualitative gastric
|
$9.12 |
$24.42 |
$59.95 |
|
|
Blood smear interpretation
|
$27.56 |
$39.60 |
$90.40 |
|
|
Blood smear microscopic w manual differential wbc count
|
$9.12 |
$31.02 |
$122.23 |
|
|
Blood split unit
|
$130.00 |
$250.00 |
$487.85 |
|
|
Blood Transfusion
|
$187.00 |
$725.00 |
$2,323.89 |
|
|
Blood typing abo
|
$6.84 |
$64.66 |
$200.00 |
|
|
Blood typing ag donor ea ag
|
$36.04 |
$190.80 |
$457.60 |
|
|
Blood typing patient serum
|
$37.50 |
$68.64 |
$99.75 |
|
|
Blood typing rbc ag non abo/rh ea
|
$33.39 |
$220.00 |
$457.60 |
|
|
Blood typing rh (d)
|
$6.84 |
$40.00 |
$159.50 |
|
|
Blood typing rh phenotype complete reference
|
$23.37 |
$71.55 |
$144.10 |
|
|
Bls-emergency
|
$587.10 |
$587.10 |
$740.00 |
|
|
Bone Age X-ray (hand and wrist)
|
$59.85 |
$292.50 |
$1,195.15 |
|
|
Bone biopsy open superficial
|
$2,916.00 |
$6,503.75 |
$6,503.75 |
|
|
Bone Density Scan (DEXA)
|
$117.99 |
$447.50 |
$948.54 |
|
|
Bone imaging multiple areas
|
$635.80 |
$1,110.00 |
$1,980.61 |
|
|
Bone/joint imaging ltd area
|
$453.15 |
$960.00 |
$1,936.00 |
|
|
Bone marrow;aspiration only 38220
|
$134.52 |
$986.10 |
$3,364.23 |
|
|
Bone marrow biopsyneedle/trocar 38221
|
$590.00 |
$1,311.00 |
$2,989.20 |
|
|
Bone marrow harvest autolog
|
$904.00 |
$904.00 |
$904.00 |
|
|
Bone marrow imaging body
|
$652.08 |
$1,295.00 |
$1,936.00 |
|
|
Bone marrow imaging ltd
|
$434.34 |
$865.00 |
$1,936.00 |
|
|
Bone marrow imaging mult
|
$1,035.00 |
$1,035.00 |
$1,308.57 |
|
|
Bone marrow interpretation
|
$84.70 |
$434.60 |
$1,100.10 |
|
|
Bone mineral single photon
|
$34.98 |
$34.98 |
$34.98 |
|
|
Bone survey-lead poisoning
|
$161.12 |
$391.38 |
$881.77 |
|
|
Bone tendon board add on
|
$5,689.43 |
$5,689.43 |
$5,689.43 |
|
|
Boot cast sandal rocker med
|
$60.00 |
$60.00 |
$60.00 |
|
|
Boot heel care softcare one sz
|
$20.14 |
$20.14 |
$20.14 |
|
|
Boot j walker l
|
$93.60 |
$195.00 |
$237.60 |
|
|
Boot mlti podous univ xlg
|
$131.97 |
$131.97 |
$149.24 |
|
|
Boot softgait shrt m
|
$404.92 |
$435.48 |
$624.00 |
|
|
Boot walker genesis full shell 3-strap s
|
$26.46 |
$167.50 |
$382.80 |
|
|
Boot walker genesis mid-calf full shell s
|
$44.07 |
$44.07 |
$255.60 |
|
|
Borrelia antibody
|
$28.62 |
$28.62 |
$114.33 |
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$36.48 |
$90.00 |
$527.99 |
|
|
Borrelia miyamotoi amp prb
|
$99.24 |
$99.66 |
$184.50 |
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$10.10 |
$10.40 |
$713.97 |
|
|
(both sides) smear without diff wbc count
|
$9.54 |
$11.00 |
$53.86 |
|
|
Bowel imaging
|
$540.65 |
$985.00 |
$2,380.91 |
|
|
Bpg iliorenal
|
$8,840.80 |
$8,840.80 |
$8,840.80 |
|
|
Bpg pop-tibl/-prnl artery
|
$11,613.60 |
$11,613.60 |
$11,613.60 |
|
|
Brace afo lg left 6607
|
$220.00 |
$643.42 |
$691.98 |
|
|
Brace afopos solid ankle cust
|
$1,583.11 |
$1,583.11 |
$1,583.11 |
|
|
Brace afo spiral prefab
|
$376.01 |
$376.01 |
$376.01 |
|
|
Brace ank aftr bioskn med lg
|
$60.00 |
$60.00 |
$88.51 |
|
|
Brace ank air stirrup univ
|
$44.00 |
$77.50 |
$265.62 |
|
|
Brace ankle joint dflxn assist
|
$191.86 |
$191.86 |
$191.86 |
|
|
Brace ankle stablizing lg
|
$45.00 |
$47.20 |
$205.20 |
|
|
Brace back epic lo 627
|
$559.68 |
$601.92 |
$601.92 |
|
|
Brace back epic lso 637
|
$1,739.07 |
$1,739.07 |
$1,739.07 |
|
|
Brace back epic tslo 456
|
$1,353.62 |
$1,455.78 |
$1,455.78 |
|
|
Brace back pinnacle tlso 464
|
$2,223.92 |
$4,353.24 |
$5,616.00 |
|
|
Brace back t-lso custom
|
$6,281.41 |
$6,281.41 |
$6,281.41 |
|
|
Brace cust back lso
|
$935.00 |
$935.00 |
$935.00 |
|
|
Brace fx hum ovr shldr sm
|
$70.40 |
$295.00 |
$295.00 |
|
|
Brace halo bremer l2830
|
$312.00 |
$312.00 |
$312.00 |
|
|
Brace knee extender plus 22-30in
|
$127.60 |
$225.00 |
$541.66 |
|
|
Brace knee hing pat open med
|
$15.42 |
$109.90 |
$685.60 |
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$202.94 |
$1,052.05 |
$1,131.45 |
|
|
Brace knee postop tscope xl
|
$184.47 |
$658.79 |
$658.79 |
|
|
Brace knee support neoprene padded open patella med
|
$81.09 |
$81.09 |
$81.09 |
|
|
Brace m arm board
|
$34.40 |
$162.50 |
$625.29 |
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$67.10 |
$92.50 |
$194.76 |
|
|
Brace ortho exos 28-50in sm
|
$1,863.75 |
$3,650.63 |
$4,368.00 |
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,452.81 |
$1,452.81 |
$1,452.81 |
|
|
Brace oths wrist hnd fngr without
|
$39.20 |
$162.50 |
$260.39 |
|
|
Brace wrist classic lft sm
|
$39.20 |
$47.50 |
$183.54 |
|
|
Brachioplasty 15836
|
$5,025.60 |
$5,025.60 |
$5,025.60 |
|
|
Brach/thor cath 1st
|
$714.78 |
$1,125.00 |
$6,093.30 |
|
|
Brach/thor cath 2nd
|
$1,125.00 |
$1,450.68 |
$6,703.20 |
|
|
Brach/thor cath 3rd
|
$1,125.00 |
$1,553.64 |
$10,966.80 |
|
|
Brach/thor cath addl
|
$318.45 |
$560.00 |
$5,483.97 |
|
|
Brachy source i-125 injection
|
$115.00 |
$115.00 |
$115.00 |
|
|
Brachy source iodine-125 nonstranded
|
$109.56 |
$115.00 |
$115.00 |
|
|
Brachy source palladium
|
$167.50 |
$167.50 |
$167.50 |
|
|
Brachy source palladium-103 nonstranded
|
$167.50 |
$167.50 |
$167.50 |
|
|
Brachy source yttrium-90
|
$23,282.16 |
$30,195.00 |
$30,195.00 |
|
|
Brachy src nonstrand c-131
|
$167.50 |
$167.50 |
$167.50 |
|
|
Brachy src nonstrand hdr ir-192
|
$835.00 |
$835.00 |
$931.92 |
|
|
Brachy src stranded c-131
|
$167.50 |
$167.50 |
$167.50 |
|
|
Brachytx isodose complex
|
$1,283.04 |
$2,440.65 |
$3,160.00 |
|
