|
Crystal identification light microscopy
|
$53.46 |
$53.46 |
$53.46 |
$62.50
|
|
Csf leakage imaging
|
$26.64 |
$26.64 |
$26.64 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$444.24 |
$444.24 |
$444.24 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$784.44 |
$784.44 |
$784.44 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,058.76 |
$1,058.76 |
$1,058.76 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,050.28 |
$3,050.28 |
$3,050.28 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,463.40 |
$1,463.40 |
$1,463.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,641.68 |
$2,641.68 |
$2,641.68 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,591.92 |
$1,591.92 |
$1,591.92 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,147.68 |
$1,147.68 |
$1,147.68 |
$1,500.38
|
|
CT angio pelvis
|
$1,188.54 |
$1,188.54 |
$1,188.54 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,200.32 |
$2,200.32 |
$2,200.32 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$352.98 |
$352.98 |
$352.98 |
$803.40
|
|
CT guidance for needle placement
|
$1,305.18 |
$1,305.18 |
$1,305.18 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,278.54 |
$1,278.54 |
$1,278.54 |
$1,178.52
|
|
CT guid parench tis ablat
|
$968.76 |
$968.76 |
$968.76 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$1,046.70 |
$1,046.70 |
$1,046.70 |
$171.60
|
|
CT hrt w/3d image
|
$60.84 |
$60.84 |
$60.84 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$352.98 |
$352.98 |
$352.98 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,441.34 |
$2,441.34 |
$2,441.34 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,952.28 |
$1,952.28 |
$1,952.28 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,050.28 |
$3,050.28 |
$3,050.28 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,293.12 |
$1,293.12 |
$1,293.12 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,778.58 |
$1,778.58 |
$1,778.58 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,728.18 |
$1,728.18 |
$1,728.18 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,346.94 |
$1,346.94 |
$1,346.94 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,100.70 |
$1,100.70 |
$1,100.70 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,781.36 |
$2,781.36 |
$2,781.36 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,555.64 |
$2,555.64 |
$2,555.64 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,113.56 |
$2,113.56 |
$2,113.56 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,934.10 |
$1,934.10 |
$1,934.10 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,547.46 |
$1,547.46 |
$1,547.46 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$94.32 |
$94.32 |
$94.32 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,127.24 |
$2,127.24 |
$2,127.24 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,199.24 |
$2,199.24 |
$2,199.24 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,812.06 |
$1,812.06 |
$1,812.06 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,748.78 |
$2,748.78 |
$2,748.78 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$61.74 |
$61.74 |
$61.74 |
$68.64
|
|
Culture afb any source
|
$98.46 |
$98.46 |
$98.46 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$85.32 |
$85.32 |
$85.32 |
$79.00
|
|
Culture anaerobic except blood
|
$124.20 |
$124.20 |
$124.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$38.16 |
$38.16 |
$38.16 |
$51.45
|
|
Culture body fluid
|
$111.24 |
$111.24 |
$111.24 |
$126.75
|
|
Culture fungi definitive id mold
|
$50.22 |
$50.22 |
$50.22 |
$77.28
|
|
Culture fungi definitive id yeast
|
$55.62 |
$55.62 |
$55.62 |
$79.10
|
|
Culture fungi other (except blood)
|
$103.86 |
$103.86 |
$103.86 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$103.86 |
$103.86 |
$103.86 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$44.28 |
$44.28 |
$44.28 |
$89.70
|
|
Culture mycoplasma any source
|
$7.90 |
$7.90 |
$7.90 |
$85.26
|
|
Culture screening strep group a
|
$90.00 |
$90.00 |
$90.00 |
$81.00
|
|
Culture typing added method
|
$3.70 |
$3.70 |
$3.70 |
$38.58
|
|
Culture typing immunologic
|
$66.60 |
$66.60 |
$66.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$4.15 |
$4.15 |
$4.15 |
$133.90
|
|
Culture urine each isolate
|
$67.86 |
$67.86 |
$67.86 |
$57.00
|
|
Cutter lead
|
$451.26 |
$451.26 |
$451.26 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$13.14 |
$13.14 |
$13.14 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$19.98 |
$19.98 |
$19.98 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$2.29 |
$2.29 |
$2.29 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$12.42 |
$12.42 |
$12.42 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$3.60 |
$3.60 |
$3.60 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$246.83 |
$246.83 |
$246.83 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$12.02 |
$12.02 |
$12.02 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$50.40 |
$50.40 |
$50.40 |
$140.78
|
|
Cyclosporine 2 hour
|
$67.86 |
$67.86 |
$67.86 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$7.36 |
$7.36 |
$7.36 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$10.86 |
$10.86 |
$10.86 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$11,425.32 |
$11,425.32 |
$11,425.32 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$23.40 |
$23.40 |
$23.40 |
$504.00
|
|
Cyp2c9 gene com variants
|
$18.00 |
$18.00 |
$18.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$32.40 |
$32.40 |
$32.40 |
$554.00
|
|
Cyp3a4 gene common variants
|
$12.60 |
$12.60 |
$12.60 |
$245.31
|
|
Cyp3a5 gene common variants
|
$12.60 |
$12.60 |
$12.60 |
$245.31
|
|
Cystatin c
|
$43.38 |
$43.38 |
$43.38 |
$77.50
|
|
Cystic fibrosis cftr
|
$223.84 |
$223.84 |
$223.84 |
$1,100.00
|
|
Cystine urine quantitative
|
$3.30 |
$3.30 |
$3.30 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$389.34 |
$389.34 |
$389.34 |
$542.10
|
|
Cystoscopy (Bladder Scope)
|
$489.24 |
$489.24 |
$489.24 |
$1,493.80
|
|
Cytarabine 20 mg/ml injection solution
|
$51.30 |
$51.30 |
$51.30 |
$89.94
|
|
Cytogenomic neo microra alys
|
$276.30 |
$276.30 |
$276.30 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$183.60 |
$183.60 |
$183.60 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$14.76 |
$14.76 |
$14.76 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$2.58 |
$2.58 |
$2.58 |
$97.50
|
|
Cyto/molecular report
|
$26.28 |
$26.28 |
$26.28 |
$133.20
|
|
Cytopath c/v manual
|
$36.72 |
$36.72 |
$36.72 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$122.58 |
$122.58 |
$122.58 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$7.92 |
$7.92 |
$7.92 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$75.96 |
$75.96 |
$75.96 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$127.26 |
$127.26 |
$127.26 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$98.46 |
$98.46 |
$98.46 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$24.48 |
$24.48 |
$24.48 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$83.34 |
$83.34 |
$83.34 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$145.08 |
$145.08 |
$145.08 |
$209.23
|
|
Cytopath smear other source
|
$98.46 |
$98.46 |
$98.46 |
$88.13
|
|
Cytopath smear other source
|
$90.90 |
$90.90 |
$90.90 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$42.30 |
$42.30 |
$42.30 |
$96.20
|
|
Cytopath tbs c/v manual
|
$5.40 |
$5.40 |
$5.40 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$80.46 |
$80.46 |
$80.46 |
$690.00
|