|
CT angio pelvis
|
$498.13 |
$511.78 |
$630.67 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$450.36 |
$489.15 |
$872.49 |
$1,691.30
|
|
CT bone density axial
|
$71.44 |
$71.44 |
$71.44 |
$385.15
|
|
CT colonography dx
|
$221.96 |
$221.96 |
$591.34 |
$811.41
|
|
CT colonography dx w/dye
|
$277.53 |
$277.53 |
$1,052.03 |
$1,069.25
|
|
CT colonography screening
|
$591.34 |
$591.34 |
$591.34 |
$1,084.20
|
|
CT guidance for needle placement
|
$312.42 |
$336.17 |
$1,269.77 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$388.44 |
$442.97 |
$854.92 |
$1,215.06
|
|
CT guid parench tis ablat
|
$266.25 |
$286.49 |
$1,110.48 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$442.55 |
$476.19 |
$840.40 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$408.52 |
$823.03 |
$1,151.35 |
$1,395.79
|
|
CT hrt w/3d image
|
$390.39 |
$420.07 |
$1,151.35 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$100.21 |
$107.82 |
$190.24 |
$636.55
|
|
Ctlso a-p-l control with inter
|
$3,173.28 |
$3,173.28 |
$3,173.28 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$406.37 |
$487.15 |
$1,383.61 |
$1,818.96
|
|
CT scan for localization
|
$345.42 |
$371.68 |
$1,233.86 |
$1,216.80
|
|
CT scan for therapy guide
|
$131.84 |
$141.86 |
$447.71 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$630.80 |
$756.20 |
$2,453.59 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$525.72 |
$630.23 |
$2,115.14 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$420.48 |
$504.07 |
$1,332.42 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$655.20 |
$785.45 |
$2,750.02 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$428.78 |
$514.02 |
$1,402.71 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$22.76 |
$27.91 |
$60.74 |
$72.00
|
|
Culture afb any source
|
$76.91 |
$83.13 |
$154.33 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$8.71 |
$26.08 |
$55.01 |
$84.76
|
|
Culture anaerobic except blood
|
$65.04 |
$81.99 |
$192.53 |
$121.22
|
|
Culture bacteria anaerobic
|
$6.41 |
$6.41 |
$7.86 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$13.92 |
$17.07 |
$51.57 |
$52.50
|
|
Culture body fluid
|
$60.33 |
$73.98 |
$141.73 |
$126.75
|
|
Culture fungi definitive id mold
|
$18.10 |
$30.50 |
$50.81 |
$80.00
|
|
Culture fungi definitive id yeast
|
$20.61 |
$30.06 |
$64.18 |
$80.00
|
|
Culture fungi other (except blood)
|
$17.24 |
$21.14 |
$136.38 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$13.04 |
$15.99 |
$162.74 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$14.14 |
$14.14 |
$17.34 |
$100.00
|
|
Culture mycoplasma any source
|
$13.92 |
$17.07 |
$36.29 |
$83.21
|
|
Culture quantitative aerobic other source
|
$13.48 |
$16.53 |
$125.68 |
$87.02
|
|
Culture screening strep group a
|
$28.95 |
$35.50 |
$125.30 |
$84.60
|
|
Culture typing added method
|
$6.87 |
$6.87 |
$16.05 |
$42.60
|
|
Culture typing glc/hplc
|
$8.40 |
$8.40 |
$10.30 |
$53.75
|
|
Culture typing immunologic
|
$11.45 |
$18.78 |
$24.45 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.15 |
$32.15 |
$63.03 |
$140.80
|
|
Culture urine each isolate
|
$5.53 |
$6.78 |
$29.04 |
$55.50
|
|
Cutter lead
|
$3,173.28 |
$6,541.16 |
$12,148.79 |
$6,581.45
|
|
Cv line/pic reposition
|
$707.41 |
$764.71 |
$937.43 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$10.43 |
$10.43 |
$10.56 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.94 |
$9.94 |
$12.37 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$5.50 |
$11.21 |
$24.07 |
$72.36
|
|
Cyclosporine 2 hour
|
$9.16 |
$9.28 |
$76.79 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$2.30 |
$2.30 |
$2.30 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$0.07 |
$0.07 |
$10.70 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$9,370.41 |
$14,801.74 |
$23,802.06 |
$24,728.89
|
|
Cymetra injectable
|
$452.29 |
$452.29 |
$452.29 |
$578.24
|
|
Cyp2c19 gene com variants
|
$262.55 |
$391.72 |
$980.98 |
$524.00
|
|
Cyp2c9 gene com variants
|
$98.17 |
$146.48 |
$294.53 |
$275.10
|
|
Cyp2d6 gene com variants
|
$253.01 |
$253.01 |
$377.49 |
$570.70
|
|
Cyp3a4 gene common variants
|
$98.17 |
$98.17 |
$146.48 |
$241.24
|
|
Cyp3a5 gene common variants
|
$98.17 |
$98.17 |
$146.48 |
$245.31
|
|
Cystatin c
|
$8.85 |
$8.96 |
$30.18 |
$77.60
|
|
Cystic fibrosis cftr
|
$449.74 |
$635.94 |
$980.98 |
$1,104.40
|
|
Cystine urine quantitative
|
$14.38 |
$14.56 |
$54.96 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$265.70 |
$286.48 |
$459.55 |
$586.95
|
|
Cystoscopy and treatment
|
$2,861.18 |
$2,861.18 |
$2,861.18 |
$4,638.40
|
|
Cystoscopy and treatment
|
$5,365.19 |
$5,365.19 |
$5,365.19 |
$5,304.00
|
|
Cystoscopy and treatment
|
$3,917.41 |
$3,917.41 |
$3,917.41 |
$6,593.60
|
|
Cystoscopy (Bladder Scope)
|
$3,104.90 |
$3,104.90 |
$3,104.90 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$3,303.16 |
$3,303.16 |
$3,303.16 |
$2,874.36
|
|
Cystoscopy removal of clots
|
$4,550.01 |
$4,550.01 |
$4,550.01 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$3,104.90 |
$3,104.90 |
$3,104.90 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,140.49 |
$1,140.49 |
$1,140.49 |
$4,129.45
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,861.18 |
$2,861.18 |
$2,861.18 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,861.18 |
$2,861.18 |
$2,861.18 |
$4,057.50
|
|
Cytarabine 20 mg/ml injection solution
|
$42.79 |
$42.79 |
$42.79 |
$90.00
|
|
Cytogenetics 25-99
|
$45.51 |
$50.63 |
$130.65 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,559.33 |
$1,559.33 |
$3,208.80 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$11.40 |
$14.70 |
$122.24 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$11.59 |
$14.95 |
$65.96 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$3,221.41 |
$3,221.41 |
$3,221.41 |
$3,072.34
|
|
Cyto/molecular report
|
$540.53 |
$540.53 |
$540.53 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$41.29 |
$75.35 |
$151.41 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$33.97 |
$37.79 |
$69.53 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$25.97 |
$28.90 |
$76.40 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$62.98 |
$69.93 |
$119.95 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$78.32 |
$78.32 |
$129.12 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$10.43 |
$11.61 |
$56.92 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$81.03 |
$90.16 |
$136.76 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$90.80 |
$101.02 |
$222.71 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$27.26 |
$48.40 |
$53.85 |
$96.20
|
|
Cytotoxic antibody screening
|
$17.10 |
$17.10 |
$22.05 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$433.96 |
$433.96 |
$723.89 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$24.07 |
$24.07 |
$24.07 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,424.86 |
$1,424.86 |
$1,424.86 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$2,732.07 |
$2,732.07 |
$3,480.35 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$817.10 |
$817.10 |
$1,040.58 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$13,888.00 |
$13,888.00 |
$13,888.00 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$0.22 |
$6.38 |
$7,096.04 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$1,419.52 |
$1,419.52 |
$1,419.52 |
$7.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$19,743.29 |
$19,743.29 |
$19,743.29 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$615.02 |
$615.02 |
$615.02 |
$259.58
|
|
Dch pulmonary stress test
|
$447.96 |
$447.96 |
$631.07 |
$963.30
|
|
Dch validity tests
|
$3.03 |
$3.33 |
$12.23 |
$25.00
|
