|
CT 3d report other modality w/workstation
|
$978.98 |
$978.98 |
$978.98 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,177.03 |
$2,177.03 |
$2,177.03 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,320.30 |
$1,320.30 |
$1,320.30 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$1,626.42 |
$1,626.42 |
$1,626.42 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,066.36 |
$3,066.36 |
$3,066.36 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,767.42 |
$2,767.42 |
$2,767.42 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$586.80 |
$586.80 |
$586.80 |
$1,588.60
|
|
CT angio pelvis
|
$1,540.03 |
$1,540.03 |
$1,540.03 |
$1,775.28
|
|
CT colonography dx
|
$156.81 |
$156.81 |
$156.81 |
$770.90
|
|
CT colonography dx w/dye
|
$256.89 |
$256.89 |
$256.89 |
$1,009.98
|
|
CT guidance for needle placement
|
$1,710.85 |
$1,710.85 |
$1,710.85 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,727.80 |
$1,727.80 |
$1,727.80 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,076.46 |
$1,076.46 |
$1,076.46 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$217.12 |
$217.12 |
$217.12 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$481.18 |
$481.18 |
$481.18 |
$1,217.45
|
|
CT hrt w/3d image
|
$328.61 |
$328.61 |
$328.61 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$814.35 |
$814.35 |
$814.35 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$1,889.83 |
$1,889.83 |
$1,889.83 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,568.72 |
$1,568.72 |
$1,568.72 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,192.35 |
$2,192.35 |
$2,192.35 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,196.27 |
$2,196.27 |
$2,196.27 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,992.19 |
$1,992.19 |
$1,992.19 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,702.70 |
$1,702.70 |
$1,702.70 |
$1,351.20
|
|
CT scan for therapy guide
|
$849.89 |
$849.89 |
$849.89 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,253.16 |
$3,253.16 |
$3,253.16 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,253.16 |
$3,253.16 |
$3,253.16 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,147.04 |
$2,147.04 |
$2,147.04 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,661.64 |
$3,661.64 |
$3,661.64 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,917.21 |
$1,917.21 |
$1,917.21 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$133.99 |
$133.99 |
$133.99 |
$400.20
|
|
CT t-spine w /wo contrast
|
$4,255.93 |
$4,255.93 |
$4,255.93 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$53.47 |
$53.47 |
$53.47 |
$63.75
|
|
Culture afb any source
|
$129.75 |
$129.75 |
$129.75 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$19.24 |
$19.24 |
$19.24 |
$77.31
|
|
Culture anaerobic except blood
|
$13.04 |
$13.04 |
$13.04 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$149.96 |
$149.96 |
$149.96 |
$52.80
|
|
Culture body fluid
|
$130.40 |
$130.40 |
$130.40 |
$130.50
|
|
Culture fungi definitive id mold
|
$12.72 |
$12.72 |
$12.72 |
$70.00
|
|
Culture fungi definitive id yeast
|
$26.08 |
$26.08 |
$26.08 |
$80.60
|
|
Culture fungi other (except blood)
|
$68.46 |
$68.46 |
$68.46 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$79.22 |
$79.22 |
$79.22 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$12.83 |
$12.83 |
$12.83 |
$84.75
|
|
Culture mycoplasma any source
|
$11.74 |
$11.74 |
$11.74 |
$90.37
|
|
Culture screening strep group a
|
$118.34 |
$118.34 |
$118.34 |
$81.60
|
|
Culture typing immunologic
|
$61.29 |
$61.29 |
$61.29 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$55.52 |
$55.52 |
$55.52 |
$124.40
|
|
Cutter lead
|
$5,752.27 |
$5,752.27 |
$5,752.27 |
$5,538.98
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$15.98 |
$15.98 |
$15.98 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$8.15 |
$8.15 |
$8.15 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,023.64 |
$1,023.64 |
$1,023.64 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$52.49 |
$52.49 |
$52.49 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$167.57 |
$167.57 |
$167.57 |
$179.10
|
|
Cyclosporine 2 hour
|
$18.91 |
$18.91 |
$18.91 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$10.76 |
$10.76 |
$10.76 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$43.04 |
$43.04 |
$43.04 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$26,466.31 |
$26,466.31 |
$26,466.31 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$42.38 |
$42.38 |
$42.38 |
$567.75
|
|
Cystatin c
|
$3.26 |
$3.26 |
$3.26 |
$82.26
|
|
Cystine urine quantitative
|
$19.53 |
$19.53 |
$19.53 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$460.32 |
$460.32 |
$460.32 |
$539.55
|
|
Cytarabine 20 mg/ml injection solution
|
$27.39 |
$27.39 |
$27.39 |
$89.95
|
|
Cytogenomic neo microra alys
|
$440.37 |
$440.37 |
$440.37 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$26.08 |
$26.08 |
$26.08 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$3.26 |
$3.26 |
$3.26 |
$96.80
|
|
Cytopath c/v index add-on
|
$20.22 |
$20.22 |
$20.22 |
$29.60
|
|
Cytopath fl nongyn filter
|
$116.06 |
$116.06 |
$116.06 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$92.91 |
$92.91 |
$92.91 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$88.35 |
$88.35 |
$88.35 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$67.49 |
$67.49 |
$67.49 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$109.54 |
$109.54 |
$109.54 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$89.33 |
$89.33 |
$89.33 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$53.14 |
$53.14 |
$53.14 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$172.78 |
$172.78 |
$172.78 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$191.04 |
$191.04 |
$191.04 |
$205.00
|
|
Cytopath smear other source
|
$65.20 |
$65.20 |
$65.20 |
$85.80
|
|
Cytopath smear other source
|
$110.84 |
$110.84 |
$110.84 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$91.28 |
$91.28 |
$91.28 |
$95.89
|
|
Cytopath tbs c/v manual
|
$35.86 |
$35.86 |
$35.86 |
$57.94
|
|
Cytotoxic antibody screening
|
$105.95 |
$105.95 |
$105.95 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$46.62 |
$46.62 |
$46.62 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$56.73 |
$56.73 |
$56.73 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$6,027.09 |
$6,027.09 |
$6,027.09 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,800.18 |
$1,800.18 |
$1,800.18 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$799.36 |
$799.36 |
$799.36 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$542.79 |
$542.79 |
$542.79 |
$260.95
|
|
Dch validity tests
|
$35.86 |
$35.86 |
$35.86 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$3.17 |
$3.17 |
$3.17 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$102.69 |
$102.69 |
$102.69 |
$262.60
|
|
Decalcification
|
$39.12 |
$39.12 |
$39.12 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$3,842.89 |
$3,842.89 |
$3,842.89 |
$975.45
|
|
Deferoxamine 500 mg solution for injection
|
$125.51 |
$125.51 |
$125.51 |
$110.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$176.04 |
$176.04 |
$176.04 |
$196.26
|
|
Dermagraft
|
$2,616.15 |
$2,616.15 |
$2,616.15 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$270.91 |
$270.91 |
$270.91 |
$102.32
|
|
Detect agent nos dna dir
|
$11.11 |
$11.11 |
$11.11 |
$67.15
|
|
Developmental screen/score/document 96110
|
$299.92 |
$299.92 |
$299.92 |
$139.10
|
|
Device ablt adv novasure
|
$4,423.82 |
$4,423.82 |
$4,423.82 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,423.82 |
$4,423.82 |
$4,423.82 |
$4,298.87
|
|
Device intraute mirena
|
$3,278.59 |
$3,278.59 |
$3,278.59 |
$2,618.91
|