|
CT colonography dx w/dye
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,045.50
|
|
CT colonography screening
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,267.50
|
|
CT heart w/evaluation of calcium without contrast
|
$416.00 |
$416.00 |
$416.00 |
$171.69
|
|
CT hrt c+ strux cgen hrt ds
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$1,412.00
|
|
CT hrt w/3d image
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,645.15
|
|
CT neck soft tissue without contrast
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,726.50
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$572.00 |
$572.00 |
$572.00 |
$444.50
|
|
CT scan for localization
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$1,202.37
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,472.00 |
$4,472.00 |
$4,472.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$1,689.80
|
|
CT thoracic spine without contrast
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$312.00 |
$312.00 |
$312.00 |
$345.00
|
|
CT t-spine w /wo contrast
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,426.80
|
|
CT uppr extremity w/o&w/dye
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$48.88 |
$48.88 |
$48.88 |
$70.20
|
|
Culture afb any source
|
$109.20 |
$109.20 |
$109.20 |
$111.54
|
|
Culture anaerobic additional method definitive id each
|
$84.76 |
$84.76 |
$84.76 |
$82.00
|
|
Culture anaerobic except blood
|
$106.60 |
$106.60 |
$106.60 |
$120.54
|
|
Culture bacteria anaerobic
|
$84.24 |
$84.24 |
$84.24 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$45.76 |
$45.76 |
$45.76 |
$52.50
|
|
Culture body fluid
|
$150.80 |
$150.80 |
$150.80 |
$129.00
|
|
Culture fungi definitive id mold
|
$84.24 |
$84.24 |
$84.24 |
$78.12
|
|
Culture fungi definitive id yeast
|
$49.40 |
$49.40 |
$49.40 |
$80.00
|
|
Culture fungi other (except blood)
|
$163.80 |
$163.80 |
$163.80 |
$111.09
|
|
Culture fungi skin/hair/nail
|
$65.00 |
$65.00 |
$65.00 |
$75.40
|
|
Culture mycobacteria definitive id each isolate
|
$88.40 |
$88.40 |
$88.40 |
$96.00
|
|
Culture mycoplasma any source
|
$118.04 |
$118.04 |
$118.04 |
$85.26
|
|
Culture of specimen by kit
|
$100.36 |
$100.36 |
$100.36 |
$49.00
|
|
Culture quantitative aerobic other source
|
$107.64 |
$107.64 |
$107.64 |
$92.40
|
|
Culture screening strep group a
|
$79.04 |
$79.04 |
$79.04 |
$82.55
|
|
Culture typing glc/hplc
|
$66.04 |
$66.04 |
$66.04 |
$54.43
|
|
Culture typing immunologic
|
$29.12 |
$29.12 |
$29.12 |
$44.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$123.76 |
$123.76 |
$123.76 |
$135.00
|
|
Culture urine each isolate
|
$95.16 |
$95.16 |
$95.16 |
$58.50
|
|
Culture virus isolation
|
$165.36 |
$165.36 |
$165.36 |
$163.70
|
|
Curette/treat cornea
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,345.80
|
|
Cutter lead
|
$6,092.06 |
$6,092.06 |
$6,092.06 |
$6,092.06
|
|
Cv line/pic reposition
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$111.28 |
$111.28 |
$111.28 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.81 |
$9.81 |
$9.81 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$20.28 |
$20.28 |
$20.28 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,211.81 |
$1,211.81 |
$1,211.81 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$818.80 |
$818.80 |
$818.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$135.84 |
$135.84 |
$135.84 |
$140.78
|
|
Cyclosporine 2 hour
|
$129.48 |
$129.48 |
$129.48 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$10.75 |
$10.75 |
$10.75 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,356.56 |
$1,356.56 |
$1,356.56 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$15,728.31 |
$15,728.31 |
$15,728.31 |
$23,802.06
|
|
Cymetra injectable
|
$578.24 |
$578.24 |
$578.24 |
$578.24
|
|
Cystatin c
|
$109.20 |
$109.20 |
$109.20 |
$78.75
|
|
Cysto cgen post urtl valves
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$852.80 |
$852.80 |
$852.80 |
$569.40
|
|
Cysto impl 4 or more
|
$5,319.60 |
$5,319.60 |
$5,319.60 |
$6,860.21
|
|
Cystometrogram w/up 51727
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$908.59
|
|
Cystorrhaphy wound simple 51860
|
$6,297.20 |
$6,297.20 |
$6,297.20 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$4,763.20 |
$4,763.20 |
$4,763.20 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$4,846.99
|
|
Cystoscopy and treatment
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$4,160.10
|
|
Cystoscopy and treatment
|
$5,304.00 |
$5,304.00 |
$5,304.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$5,995.60 |
$5,995.60 |
$5,995.60 |
$5,995.60
|
|
Cystoscopy and treatment
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$6,475.26
|
|
Cystoscopy and treatment
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,922.40 |
$2,922.40 |
$2,922.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,045.60
|
|
Cystoscopy and treatment
|
$2,818.40 |
$2,818.40 |
$2,818.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$3,603.60 |
$3,603.60 |
$3,603.60 |
$958.81
|
|
Cystoscopy and treatment
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$2,874.36
|
|
Cystoscopy and treatment
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$6,015.75
|
|
Cystoscopy and treatment
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,873.00
|
|
Cystoscopy and treatment
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$4,061.71
|
|
Cystoscopy and treatment
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$1,617.20 |
$1,617.20 |
$1,617.20 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$2,704.80
|
|
Cystoscopy & duct catheter
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$976.80
|
|
Cystoscopy implant stent
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$4,081.37
|
|
Cystoscopy inject material
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$4,591.60 |
$4,591.60 |
$4,591.60 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
$4,051.50
|
|
Cystoscopy & revise urethra
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,770.00
|