|
CT 3d report other modality w/workstation
|
$1,427.24 |
$1,427.24 |
$1,644.94 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,002.92 |
$1,002.92 |
$2,077.26 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$445.74 |
$445.74 |
$1,886.45 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$804.68 |
$804.68 |
$2,117.88 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,412.30 |
$1,412.30 |
$2,925.74 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$952.87 |
$952.87 |
$2,075.26 |
$1,955.80
|
|
CT Angiogram of the Head
|
$804.68 |
$804.68 |
$2,075.26 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$219.78 |
$219.78 |
$299.51 |
$1,588.60
|
|
CT angio pelvis
|
$721.79 |
$721.79 |
$1,605.73 |
$1,775.28
|
|
CT colonography dx
|
$142.53 |
$142.53 |
$167.35 |
$770.90
|
|
CT colonography dx w/dye
|
$234.10 |
$234.10 |
$274.88 |
$1,009.98
|
|
CT guidance for needle placement
|
$1,539.46 |
$1,539.46 |
$1,613.66 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$675.65 |
$675.65 |
$857.81 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,036.97 |
$1,036.97 |
$1,217.58 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$40.28 |
$40.28 |
$186.82 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$219.78 |
$219.78 |
$299.51 |
$1,217.45
|
|
CT hrt w/3d image
|
$219.78 |
$219.78 |
$299.51 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$100.90 |
$100.90 |
$499.31 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$2,019.32 |
$2,019.32 |
$2,230.27 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,675.99 |
$1,675.99 |
$1,851.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,403.27 |
$2,403.27 |
$2,653.72 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$697.94 |
$697.94 |
$1,248.09 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$633.03 |
$633.03 |
$1,131.87 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$541.15 |
$541.15 |
$967.37 |
$1,351.20
|
|
CT scan for therapy guide
|
$259.74 |
$259.74 |
$332.75 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$917.29 |
$917.29 |
$4,139.53 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$783.96 |
$783.96 |
$3,538.13 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$525.51 |
$525.51 |
$2,370.63 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,370.63 |
$2,370.63 |
$4,089.86 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,209.13 |
$1,209.13 |
$2,076.21 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$159.18 |
$159.18 |
$214.27 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,678.99 |
$2,678.99 |
$4,609.11 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$41.45 |
$41.45 |
$74.60 |
$63.75
|
|
Culture afb any source
|
$107.92 |
$107.92 |
$141.53 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$31.68 |
$31.68 |
$407.93 |
$77.31
|
|
Culture anaerobic except blood
|
$121.22 |
$121.22 |
$172.04 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$18.65 |
$18.65 |
$22.68 |
$52.80
|
|
Culture body fluid
|
$166.18 |
$166.18 |
$171.83 |
$130.50
|
|
Culture fungi definitive id mold
|
$45.75 |
$45.75 |
$46.96 |
$70.00
|
|
Culture fungi definitive id yeast
|
$54.95 |
$54.95 |
$60.61 |
$80.60
|
|
Culture fungi other (except blood)
|
$132.16 |
$132.16 |
$195.14 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$80.94 |
$80.94 |
$85.92 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$13.11 |
$13.11 |
$15.39 |
$84.75
|
|
Culture mycoplasma any source
|
$11.99 |
$11.99 |
$14.08 |
$90.37
|
|
Culture screening strep group a
|
$85.92 |
$85.92 |
$100.49 |
$81.60
|
|
Culture typing immunologic
|
$50.62 |
$50.62 |
$78.60 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$256.11 |
$256.11 |
$256.11 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$56.71 |
$56.71 |
$66.58 |
$124.40
|
|
Culture urine each isolate
|
$8.00 |
$8.00 |
$9.39 |
$46.20
|
|
Cutter lead
|
$5,875.79 |
$5,875.79 |
$6,899.20 |
$5,538.98
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$16.43 |
$16.43 |
$18.32 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$8.33 |
$8.33 |
$9.78 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$554.12 |
$554.12 |
$1,048.28 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$17.32 |
$17.32 |
$17.60 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$90.91 |
$90.91 |
$171.65 |
$179.10
|
|
Cyclosporine 2 hour
|
$18.99 |
$18.99 |
$21.51 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$6.00 |
$6.00 |
$11.34 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$1,119.55 |
$1,119.55 |
$2,118.44 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$27,034.61 |
$27,034.61 |
$31,743.34 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$43.29 |
$43.29 |
$50.83 |
$567.75
|
|
Cystatin c
|
$3.33 |
$3.33 |
$3.91 |
$82.26
|
|
Cystine urine quantitative
|
$19.95 |
$19.95 |
$23.42 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$307.70 |
$307.70 |
$421.50 |
$539.55
|
|
Cytarabine 20 mg/ml injection solution
|
$28.31 |
$28.31 |
$28.31 |
$89.95
|
|
Cytogenomic neo microra alys
|
$449.82 |
$449.82 |
$528.17 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$26.64 |
$26.64 |
$31.28 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$3.33 |
$3.33 |
$3.91 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$3,847.49 |
$3,847.49 |
$3,847.49 |
$3,113.07
|
|
Cytopath c/v index add-on
|
$20.65 |
$20.65 |
$23.86 |
$29.60
|
|
Cytopath fl nongyn filter
|
$29.31 |
$29.31 |
$35.59 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$51.62 |
$51.62 |
$121.55 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$89.25 |
$89.25 |
$106.36 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$67.94 |
$67.94 |
$81.33 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$30.31 |
$30.31 |
$46.14 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$35.59 |
$35.59 |
$71.27 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$53.28 |
$53.28 |
$63.74 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$59.44 |
$59.44 |
$89.91 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$43.41 |
$43.41 |
$57.61 |
$205.00
|
|
Cytopath smear other source
|
$30.31 |
$30.31 |
$41.06 |
$85.80
|
|
Cytopath smear other source
|
$117.55 |
$117.55 |
$139.98 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$75.60 |
$75.60 |
$90.33 |
$95.89
|
|
Cytopath tbs c/v manual
|
$36.63 |
$36.63 |
$43.80 |
$57.94
|
|
Cytotoxic antibody screening
|
$108.23 |
$108.23 |
$127.08 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$28.31 |
$28.31 |
$50.05 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$30.97 |
$30.97 |
$30.97 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$1,824.84 |
$1,824.84 |
$3,452.53 |
$3,469.30
|
|
Dalteparin sodium
|
$66.47 |
$66.47 |
$66.47 |
$124.09
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$974.70 |
$974.70 |
$1,843.96 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,183.49 |
$1,183.49 |
$1,183.49 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$294.04 |
$294.04 |
$294.04 |
$260.95
|
|
Dch validity tests
|
$32.31 |
$32.31 |
$43.41 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$3.24 |
$3.24 |
$3.80 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$209.97 |
$209.97 |
$252.75 |
$262.60
|
|
Decalcification
|
$17.21 |
$17.21 |
$25.31 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$1,824.84 |
$1,824.84 |
$1,824.84 |
$975.45
|
|
Deferoxamine 500 mg solution for injection
|
$64.61 |
$64.61 |
$128.64 |
$110.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$87.59 |
$87.59 |
$140.86 |
$196.26
|
|
Depo-estradiol cypionate inj
|
$115.89 |
$115.89 |
$219.36 |
$132.72
|
|
Dermagraft
|
$2,672.33 |
$2,672.33 |
$3,137.78 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$277.61 |
$277.61 |
$865.14 |
$102.32
|