|
Cryocautery of cervix 57511
|
$273.60 |
$273.60 |
$273.60 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$3.36 |
$3.36 |
$3.36 |
$52.50
|
|
Cryoprecipitate each unit
|
$136.08 |
$136.08 |
$136.08 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$80.28 |
$80.28 |
$80.28 |
$272.50
|
|
Crystal identification light microscopy
|
$103.32 |
$103.32 |
$103.32 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$577.80 |
$577.80 |
$577.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,604.88 |
$1,604.88 |
$1,604.88 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,236.84 |
$4,236.84 |
$4,236.84 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,966.04 |
$2,966.04 |
$2,966.04 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,824.56 |
$2,824.56 |
$2,824.56 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,966.04 |
$2,966.04 |
$2,966.04 |
$1,996.80
|
|
CT angio pelvis
|
$1,321.56 |
$1,321.56 |
$1,321.56 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$331.20 |
$331.20 |
$331.20 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$213.12 |
$213.12 |
$213.12 |
$803.40
|
|
CT guidance for needle placement
|
$1,418.76 |
$1,418.76 |
$1,418.76 |
$1,494.00
|
|
CT lower extremity w/contrast (both sides)
|
$2,885.04 |
$2,885.04 |
$2,885.04 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,924.56 |
$1,924.56 |
$1,924.56 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,030.04 |
$2,030.04 |
$2,030.04 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,621.80 |
$1,621.80 |
$1,621.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,582.92 |
$1,582.92 |
$1,582.92 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,599.84 |
$1,599.84 |
$1,599.84 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,551.60 |
$1,551.60 |
$1,551.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,573.56 |
$1,573.56 |
$1,573.56 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,284.48 |
$1,284.48 |
$1,284.48 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,006.80 |
$4,006.80 |
$4,006.80 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,807.96 |
$2,807.96 |
$2,807.96 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,516.40 |
$2,516.40 |
$2,516.40 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,179.80 |
$2,179.80 |
$2,179.80 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$298.80 |
$298.80 |
$298.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,831.68 |
$1,831.68 |
$1,831.68 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,856.16 |
$1,856.16 |
$1,856.16 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$93.66 |
$93.66 |
$93.66 |
$68.64
|
|
Culture afb any source
|
$23.40 |
$23.40 |
$23.40 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$108.72 |
$108.72 |
$108.72 |
$79.00
|
|
Culture anaerobic except blood
|
$119.16 |
$119.16 |
$119.16 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$115.56 |
$115.56 |
$115.56 |
$51.45
|
|
Culture body fluid
|
$142.20 |
$142.20 |
$142.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$64.80 |
$64.80 |
$64.80 |
$77.28
|
|
Culture fungi definitive id yeast
|
$105.12 |
$105.12 |
$105.12 |
$79.10
|
|
Culture fungi other (except blood)
|
$117.00 |
$117.00 |
$117.00 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$88.56 |
$88.56 |
$88.56 |
$74.88
|
|
Culture mycoplasma any source
|
$27.72 |
$27.72 |
$27.72 |
$85.26
|
|
Culture screening strep group a
|
$70.92 |
$70.92 |
$70.92 |
$81.00
|
|
Culture typing added method
|
$14.65 |
$14.65 |
$14.65 |
$38.58
|
|
Culture typing immunologic
|
$47.52 |
$47.52 |
$47.52 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.40 |
$392.40 |
$392.40 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$100.44 |
$100.44 |
$100.44 |
$133.90
|
|
Culture urine each isolate
|
$52.56 |
$52.56 |
$52.56 |
$57.00
|
|
Cv stress test i&r only 93018
|
$12.24 |
$12.24 |
$12.24 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$18.36 |
$18.36 |
$18.36 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$4.58 |
$4.58 |
$4.58 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$12.60 |
$12.60 |
$12.60 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$7.20 |
$7.20 |
$7.20 |
$70.72
|
|
Cyclosporine 2 hour
|
$5.77 |
$5.77 |
$5.77 |
$129.48
|
|
Cyp2c19 gene com variants
|
$46.80 |
$46.80 |
$46.80 |
$504.00
|
|
Cyp2c9 gene com variants
|
$36.00 |
$36.00 |
$36.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$64.80 |
$64.80 |
$64.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$25.20 |
$25.20 |
$25.20 |
$245.31
|
|
Cyp3a5 gene common variants
|
$25.20 |
$25.20 |
$25.20 |
$245.31
|
|
Cystatin c
|
$5.33 |
$5.33 |
$5.33 |
$77.50
|
|
Cystic fibrosis cftr
|
$447.69 |
$447.69 |
$447.69 |
$1,100.00
|
|
Cystine urine quantitative
|
$6.61 |
$6.61 |
$6.61 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$518.76 |
$518.76 |
$518.76 |
$542.10
|
|
Cytogenomic neo microra alys
|
$552.60 |
$552.60 |
$552.60 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$367.20 |
$367.20 |
$367.20 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$4.46 |
$4.46 |
$4.46 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$5.17 |
$5.17 |
$5.17 |
$97.50
|
|
Cyto/molecular report
|
$11.52 |
$11.52 |
$11.52 |
$133.20
|
|
Cytopath fl nongyn filter
|
$119.16 |
$119.16 |
$119.16 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$224.64 |
$224.64 |
$224.64 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$55.44 |
$55.44 |
$55.44 |
$87.50
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$83.16 |
$83.16 |
$83.16 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$195.12 |
$195.12 |
$195.12 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$101.16 |
$101.16 |
$101.16 |
$209.23
|
|
Cytopath smear oth prep screen & interp
|
$31.32 |
$31.32 |
$31.32 |
$96.20
|
|
Cytp urine 3-5 probes cmptr
|
$160.92 |
$160.92 |
$160.92 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$2,113.58 |
$2,113.58 |
$2,113.58 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$100.76 |
$100.76 |
$100.76 |
$168.53
|
|
Dark field exam without collj
|
$3.75 |
$3.75 |
$3.75 |
$28.80
|
|
Dch glucoscan
|
$27.00 |
$27.00 |
$27.00 |
$28.10
|
|
Dch pulmonary stress test
|
$342.36 |
$342.36 |
$342.36 |
$963.30
|
|
Dch validity tests
|
$15.84 |
$15.84 |
$15.84 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$23.40 |
$23.40 |
$23.40 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$217.08 |
$217.08 |
$217.08 |
$260.61
|
|
Debride nail1-5 11720
|
$53.64 |
$53.64 |
$53.64 |
$148.80
|
|
Debrid mastoidectomy cavity simple 69220
|
$178.92 |
$178.92 |
$178.92 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$455.40 |
$455.40 |
$455.40 |
$1,129.45
|
|
Decalcification
|
$27.72 |
$27.72 |
$27.72 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$462.60 |
$462.60 |
$462.60 |
$543.00
|
|
Degarelix 120 mg subcutaneous solution
|
$1,234.41 |
$1,234.41 |
$1,234.41 |
$1,807.08
|
|
Delivery of placenta 59414
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$237.96 |
$237.96 |
$237.96 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,751.73 |
$4,751.73 |
$4,751.73 |
$6,324.98
|
|
Depo-estradiol cypionate inj
|
$10.08 |
$10.08 |
$10.08 |
$71.51
|
|
Desoxycorticosterone
|
$11.43 |
$11.43 |
$11.43 |
$109.28
|