|
CT 3d report other modality w/workstation
|
$906.78 |
$906.78 |
$906.78 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,026.34 |
$3,026.34 |
$3,026.34 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,180.87 |
$3,180.87 |
$3,180.87 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,026.34 |
$3,026.34 |
$3,026.34 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,790.72 |
$2,790.72 |
$2,790.72 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,959.97 |
$6,959.97 |
$6,959.97 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,480.24 |
$3,480.24 |
$3,480.24 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,790.72 |
$2,790.72 |
$2,790.72 |
$2,021.40
|
|
CT angio pelvis
|
$3,026.34 |
$3,026.34 |
$3,026.34 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,026.34 |
$3,026.34 |
$3,026.34 |
$1,652.25
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$760.92 |
$760.92 |
$760.92 |
$1,085.05
|
|
CT limited or localized follow-up study
|
$1,973.70 |
$1,973.70 |
$1,973.70 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,113.95 |
$2,113.95 |
$2,113.95 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,867.11 |
$1,867.11 |
$1,867.11 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,026.34 |
$3,026.34 |
$3,026.34 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,831.52 |
$2,831.52 |
$2,831.52 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,831.92 |
$1,831.92 |
$1,831.92 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,029.91 |
$3,029.91 |
$3,029.91 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,123.64 |
$2,123.64 |
$2,123.64 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,105.79 |
$2,105.79 |
$2,105.79 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,906.89 |
$1,906.89 |
$1,906.89 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$277.95 |
$277.95 |
$277.95 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,636.12 |
$6,636.12 |
$6,636.12 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,733.42 |
$5,733.42 |
$5,733.42 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,164.77 |
$5,164.77 |
$5,164.77 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,184.84 |
$2,184.84 |
$2,184.84 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,146.59 |
$2,146.59 |
$2,146.59 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$108.63 |
$108.63 |
$108.63 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,841.72 |
$2,841.72 |
$2,841.72 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$2,113.95 |
$2,113.95 |
$2,113.95 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,867.11 |
$1,867.11 |
$1,867.11 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$2,212.38 |
$2,212.38 |
$2,212.38 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$112.71 |
$112.71 |
$112.71 |
$63.75
|
|
Culture afb any source
|
$365.67 |
$365.67 |
$365.67 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$151.98 |
$151.98 |
$151.98 |
$77.31
|
|
Culture anaerobic except blood
|
$224.40 |
$224.40 |
$224.40 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$40.29 |
$40.29 |
$40.29 |
$52.80
|
|
Culture body fluid
|
$209.10 |
$209.10 |
$209.10 |
$130.50
|
|
Culture fungi definitive id mold
|
$97.92 |
$97.92 |
$97.92 |
$70.00
|
|
Culture fungi definitive id yeast
|
$144.33 |
$144.33 |
$144.33 |
$80.60
|
|
Culture fungi other (except blood)
|
$224.40 |
$224.40 |
$224.40 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$60.69 |
$60.69 |
$60.69 |
$77.40
|
|
Culture mycoplasma any source
|
$108.27 |
$108.27 |
$108.27 |
$90.37
|
|
Culture screening strep group a
|
$136.68 |
$136.68 |
$136.68 |
$81.60
|
|
Culture typing immunologic
|
$80.07 |
$80.07 |
$80.07 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$244.29 |
$244.29 |
$244.29 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$173.40 |
$173.40 |
$173.40 |
$124.40
|
|
Curette/treat cornea
|
$1,112.82 |
$1,112.82 |
$1,112.82 |
$1,317.39
|
|
Curette/treat cornea
|
$2,695.86 |
$2,695.86 |
$2,695.86 |
$2,818.14
|
|
Cutter lead
|
$11,379.38 |
$11,379.38 |
$11,379.38 |
$5,538.98
|
|
Cyanocobalamin unsat binding capacity
|
$12.34 |
$12.34 |
$12.34 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$146.37 |
$146.37 |
$146.37 |
$80.05
|
|
Cyclosporine 2 hour
|
$145.35 |
$145.35 |
$145.35 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$10.49 |
$10.49 |
$10.49 |
$9.79
|
|
Cylinder pump set 20cm titan zero angl
|
$17,916.17 |
$17,916.17 |
$17,916.17 |
$22,594.80
|
|
Cystatin c
|
$57.83 |
$57.83 |
$57.83 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,146.48 |
$1,146.48 |
$1,146.48 |
$539.55
|
|
Cystoscopy and treatment
|
$4,904.16 |
$4,904.16 |
$4,904.16 |
$4,081.37
|
|
Cystoscopy and treatment
|
$2,838.66 |
$2,838.66 |
$2,838.66 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$957.27 |
$957.27 |
$957.27 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$4,904.16 |
$4,904.16 |
$4,904.16 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$2,838.66 |
$2,838.66 |
$2,838.66 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,365.38 |
$2,365.38 |
$2,365.38 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$4,904.16 |
$4,904.16 |
$4,904.16 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$4,904.16 |
$4,904.16 |
$4,904.16 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,838.66 |
$2,838.66 |
$2,838.66 |
$2,874.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$191.76 |
$191.76 |
$191.76 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.97 |
$45.97 |
$45.97 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$575.28 |
$575.28 |
$575.28 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$193.29 |
$193.29 |
$193.29 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$39.78 |
$39.78 |
$39.78 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$109.14 |
$109.14 |
$109.14 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$26.52 |
$26.52 |
$26.52 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$373.32 |
$373.32 |
$373.32 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$199.92 |
$199.92 |
$199.92 |
$205.00
|
|
Cytopath smear other source
|
$147.90 |
$147.90 |
$147.90 |
$85.80
|
|
Cytopath smear other source
|
$324.87 |
$324.87 |
$324.87 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$115.26 |
$115.26 |
$115.26 |
$95.89
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$168.53 |
$168.53 |
$168.53 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,626.41 |
$8,626.41 |
$8,626.41 |
$5,546.48
|
|
D&c after delivery 59160
|
$3,605.19 |
$3,605.19 |
$3,605.19 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,774.81
|
|
Dch validity tests
|
$28.05 |
$28.05 |
$28.05 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$43.35 |
$43.35 |
$43.35 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$852.72 |
$852.72 |
$852.72 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$811.92 |
$811.92 |
$811.92 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,661.07 |
$1,661.07 |
$1,661.07 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,128.23 |
$2,128.23 |
$2,128.23 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,194.13 |
$3,194.13 |
$3,194.13 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,583.04 |
$1,583.04 |
$1,583.04 |
$810.50
|
|
Debride nail1-5 11720
|
$77.01 |
$77.01 |
$77.01 |
$173.25
|
|
Debride nail6 or more 11721
|
$77.01 |
$77.01 |
$77.01 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$868.02 |
$868.02 |
$868.02 |
$1,265.16
|
|
Debride skin bone at fx site
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,249.61 |
$2,249.61 |
$2,249.61 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$868.02 |
$868.02 |
$868.02 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$655.35 |
$655.35 |
$655.35 |
$113.05
|
|
Decalcification
|
$132.09 |
$132.09 |
$132.09 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$577.32 |
$577.32 |
$577.32 |
$545.90
|