|
CT Angiogram of Abdomen and Pelvis
|
$522.69 |
$770.07 |
$3,597.91 |
|
|
CT Angiogram of the Abdomen
|
$367.32 |
$541.17 |
$2,763.21 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$247.80 |
$474.52 |
$2,904.93 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$394.72 |
$713.71 |
$3,493.34 |
|
|
CT Angiogram of the Head
|
$297.08 |
$453.30 |
$3,295.97 |
|
|
CT Angiogram of the Neck
|
$271.44 |
$444.60 |
$3,402.07 |
|
|
CT angio hrt w/3d image
|
$334.66 |
$480.06 |
$2,153.29 |
|
|
CT angio pelvis
|
$329.89 |
$539.52 |
$2,635.59 |
|
|
Cta upper extremity w &/or without contrast left
|
$292.48 |
$489.15 |
$6,137.83 |
|
|
CT bone density axial
|
$42.00 |
$64.98 |
$198.60 |
|
|
CT colonography dx
|
$193.40 |
$251.81 |
$591.34 |
|
|
CT colonography dx w/dye
|
$277.53 |
$314.86 |
$1,052.03 |
|
|
CT colonography screening
|
$466.96 |
$558.15 |
$591.34 |
|
|
CT guidance for needle placement
|
$155.44 |
$336.17 |
$2,251.23 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$198.11 |
$461.90 |
$1,254.73 |
|
|
CT guid cryo ablat intramuscular
|
$348.74 |
$3,313.83 |
$3,586.37 |
|
|
CT guid parench tis ablat
|
$152.54 |
$266.25 |
$1,678.41 |
|
|
CT heart w/evaluation of calcium without contrast
|
$176.89 |
$421.84 |
$840.40 |
|
|
CT hrt c+ strux cgen hrt ds
|
$353.57 |
$539.91 |
$1,442.45 |
|
|
CT hrt w/3d image
|
$254.91 |
$442.90 |
$1,356.38 |
|
|
CT limited or localized follow-up study
|
$72.35 |
$107.82 |
$717.70 |
|
|
Ctlso a-p-l control with inter
|
$3,173.28 |
$3,173.28 |
$3,173.28 |
|
|
CT lwr extremity w/o&w/dye
|
$320.69 |
$443.09 |
$6,154.89 |
|
|
CT scan for localization
|
$224.46 |
$329.26 |
$1,233.86 |
|
|
CT scan for therapy guide
|
$110.25 |
$131.84 |
$3,491.86 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$497.80 |
$733.40 |
$5,250.40 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$414.88 |
$611.23 |
$5,098.29 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$331.82 |
$488.87 |
$5,459.64 |
|
|
CT t-spine w /wo contrast
|
$425.45 |
$719.03 |
$2,750.02 |
|
|
CT uppr extremity w/o&w/dye
|
$278.51 |
$457.19 |
$4,280.60 |
|
|
Cult skin graft fnhfg 15155
|
$1,190.91 |
$1,190.91 |
$1,190.91 |
|
|
Cult skin grft t/arm/leg
|
$1,024.71 |
$1,024.71 |
$1,024.71 |
|
|
Culture aerobic additional method definitive id each
|
$16.79 |
$26.06 |
$122.11 |
|
|
Culture afb any source
|
$10.86 |
$76.91 |
$198.12 |
|
|
Culture anaerobic additional method definitive id each
|
$8.71 |
$27.61 |
$148.40 |
|
|
Culture anaerobic except blood
|
$13.72 |
$76.80 |
$255.99 |
|
|
Culture bacteria anaerobic
|
$4.73 |
$6.47 |
$16.24 |
|
|
Culture bact stool aero addl path ea
|
$10.27 |
$15.94 |
$77.17 |
|
|
Culture body fluid
|
$22.55 |
$60.88 |
$221.12 |
|
|
Culture fungi definitive id mold
|
$10.16 |
$30.50 |
$103.88 |
|
|
Culture fungi definitive id yeast
|
$11.28 |
$31.82 |
$217.41 |
|
|
Culture fungi other (except blood)
|
$12.71 |
$19.03 |
$168.58 |
|
|
Culture fungi skin/hair/nail
|
$9.62 |
$14.93 |
$247.09 |
|
|
Culture mycobacteria definitive id each isolate
|
$10.43 |
$14.27 |
$134.31 |
|
|
Culture mycoplasma any source
|
$10.27 |
$15.37 |
$191.44 |
|
|
Culture quantitative aerobic other source
|
$9.84 |
$13.60 |
$125.68 |
|
|
Culture screening strep group a
|
$11.72 |
$31.96 |
$165.47 |
|
|
Culture typing added method
|
$6.87 |
$8.31 |
$172.15 |
|
|
Culture typing glc/hplc
|
$6.19 |
$8.47 |
$21.28 |
|
|
Culture typing immunologic
|
$11.45 |
$18.96 |
$77.24 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$323.52 |
$323.52 |
$323.52 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.15 |
$63.03 |
$505.40 |
|
|
Culture urine each isolate
|
$4.08 |
$6.32 |
$29.04 |
|
|
Cutter lead
|
$2,351.78 |
$6,652.34 |
$12,481.29 |
|
|
Cv line/pic reposition
|
$332.85 |
$657.68 |
$1,978.92 |
|
|
Cv stress test i&r only 93018
|
$17.90 |
$17.90 |
$23.75 |
|
|
Cv stress test/supervision only 93016
|
$33.39 |
$33.39 |
$33.39 |
|
|
Cyanocobalamin unsat binding capacity
|
$5.54 |
$10.43 |
$162.50 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.94 |
$13.29 |
$16.33 |
|
|
Cyclic citrullinated peptide antibody
|
$5.50 |
$12.27 |
$38.44 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$0.36 |
$1,806.63 |
$2,001.18 |
|
|
Cyclophosphamide 25 mg capsule
|
$29.28 |
$29.28 |
$31.90 |
|
|
Cyclosporine 2 hour
|
$4.87 |
$9.63 |
$76.79 |
|
|
Cyclosporine modified 25 mg capsule
|
$2.30 |
$6.40 |
$6.97 |
|
|
Cyclosporine oral 100 mg
|
$0.07 |
$11.13 |
$27.88 |
|
|
Cylinder pump set 20cm titan zero angl
|
$9,370.41 |
$18,528.53 |
$33,180.52 |
|
|
Cymetra injectable
|
$452.29 |
$452.29 |
$452.29 |
|
|
Cyp2c19 gene com variants
|
$94.07 |
$304.67 |
$1,014.12 |
|
|
Cyp2c9 gene com variants
|
$35.18 |
$114.45 |
$608.48 |
|
|
Cyp2d6 gene com variants
|
$90.65 |
$294.95 |
$1,568.13 |
|
|
Cyp3a4 gene common variants
|
$35.18 |
$114.45 |
$608.48 |
|
|
Cyp3a5 gene common variants
|
$35.18 |
$114.45 |
$608.48 |
|
|
Cystatin c
|
$4.70 |
$9.30 |
$59.36 |
|
|
Cystic fibrosis cftr
|
$161.14 |
$524.29 |
$1,735.02 |
|
|
Cystine urine quantitative
|
$7.64 |
$15.11 |
$612.15 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$181.26 |
$285.04 |
$756.84 |
|
|
Cystorrhaphy wound comp 51865
|
$1,262.89 |
$1,262.89 |
$1,262.89 |
|
|
Cystorrhaphy wound simple 51860
|
$1,080.36 |
$1,080.36 |
$1,080.36 |
|
|
Cystoscopy and radiotracer
|
$365.07 |
$365.07 |
$365.07 |
|
|
Cystoscopy and treatment
|
$245.61 |
$245.61 |
$245.61 |
|
|
Cystoscopy and treatment
|
$1,213.17 |
$1,213.17 |
$2,861.18 |
|
|
Cystoscopy and treatment
|
$374.71 |
$374.71 |
$5,365.19 |
|
|
Cystoscopy and treatment
|
$438.53 |
$438.53 |
$438.53 |
|
|
Cystoscopy and treatment
|
$550.57 |
$550.57 |
$3,917.41 |
|
|
Cystoscopy and treatment
|
$402.17 |
$402.17 |
$402.17 |
|
|
Cystoscopy and treatment
|
$350.23 |
$350.23 |
$350.23 |
|
|
Cystoscopy and treatment
|
$494.18 |
$494.18 |
$494.18 |
|
|
Cystoscopy and treatment
|
$727.91 |
$727.91 |
$727.91 |
|
|
Cystoscopy and treatment
|
$345.03 |
$345.03 |
$345.03 |
|
|
Cystoscopy (Bladder Scope)
|
$371.75 |
$729.64 |
$3,104.90 |
|
|
Cystoscopy chemodenervation
|
$241.90 |
$241.90 |
$3,303.16 |
|
|
Cystoscopy removal of clots
|
$220.38 |
$220.38 |
$4,550.01 |
|
|
Cystoscopy & ureter catheter
|
$188.47 |
$188.47 |
$3,104.90 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$425.91 |
$1,043.24 |
$2,067.42 |
|
|
Cystotomy excise/incise/repair 51535
|
$1,128.59 |
$1,128.59 |
$1,128.59 |
|
|
Cystouretero & or pyeloscope
|
$460.04 |
$460.04 |
$460.04 |
|
|
Cysto/uretero stricture tx
|
$560.96 |
$560.96 |
$560.96 |
|
|
Cystouretero w/biopsy
|
$595.83 |
$595.83 |
$595.83 |
|
|
Cysto/uretero w/lithotripsy
|
$631.45 |
$631.45 |
$631.45 |
|
|
Cystouretero w/lithotripsy
|
$595.83 |
$595.83 |
$595.83 |
|