|
Crotalidae poly immune fab
|
$4,596.26 |
$4,596.26 |
$4,596.26 |
$5,205.75
|
|
Cryoprecipitate each unit
|
$232.75 |
$232.75 |
$232.75 |
$176.99
|
|
Cryptosporidium antigen
|
$56.35 |
$56.35 |
$56.35 |
$56.00
|
|
Crystal identification light microscopy
|
$159.25 |
$159.25 |
$159.25 |
$65.25
|
|
Csf shunt reprogram 62252
|
$241.50 |
$241.50 |
$241.50 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$131.60 |
$131.60 |
$131.60 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,432.90 |
$1,432.90 |
$1,432.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,239.70 |
$1,239.70 |
$1,239.70 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,088.40 |
$3,088.40 |
$3,088.40 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,758.75 |
$1,758.75 |
$1,758.75 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,193.10 |
$2,193.10 |
$2,193.10 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$2,254.70 |
$2,254.70 |
$2,254.70 |
$1,588.60
|
|
CT angio pelvis
|
$1,122.10 |
$1,122.10 |
$1,122.10 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,239.70 |
$1,239.70 |
$1,239.70 |
$1,652.25
|
|
CT cerebral perf w cont & prcssng
|
$525.00 |
$525.00 |
$525.00 |
$803.40
|
|
CT colonography dx
|
$829.85 |
$829.85 |
$829.85 |
$770.90
|
|
CT colonography dx w/dye
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,009.98
|
|
CT colonography screening
|
$829.85 |
$829.85 |
$829.85 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$611.45 |
$611.45 |
$611.45 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,078.65 |
$2,078.65 |
$2,078.65 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,078.65 |
$2,078.65 |
$2,078.65 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$556.85 |
$556.85 |
$556.85 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,330.70 |
$1,330.70 |
$1,330.70 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,504.65 |
$1,504.65 |
$1,504.65 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$3,253.25 |
$3,253.25 |
$3,253.25 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$3,209.15 |
$3,209.15 |
$3,209.15 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,298.40 |
$3,298.40 |
$3,298.40 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,474.50 |
$2,474.50 |
$2,474.50 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,261.70 |
$2,261.70 |
$2,261.70 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$156.80 |
$156.80 |
$156.80 |
$456.00
|
|
CT scan for therapy guide
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,507.75 |
$2,507.75 |
$2,507.75 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,310.70 |
$2,310.70 |
$2,310.70 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,460.20 |
$1,460.20 |
$1,460.20 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,245.30 |
$1,245.30 |
$1,245.30 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,496.60 |
$1,496.60 |
$1,496.60 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,330.70 |
$1,330.70 |
$1,330.70 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,504.65 |
$1,504.65 |
$1,504.65 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$211.40 |
$211.40 |
$211.40 |
$63.75
|
|
Culture afb any source
|
$480.20 |
$480.20 |
$480.20 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$150.15 |
$150.15 |
$150.15 |
$77.31
|
|
Culture anaerobic except blood
|
$460.60 |
$460.60 |
$460.60 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$94.50 |
$94.50 |
$94.50 |
$52.80
|
|
Culture body fluid
|
$368.90 |
$368.90 |
$368.90 |
$130.50
|
|
Culture fungi definitive id mold
|
$330.05 |
$330.05 |
$330.05 |
$70.00
|
|
Culture fungi definitive id yeast
|
$260.75 |
$260.75 |
$260.75 |
$80.60
|
|
Culture fungi other (except blood)
|
$355.95 |
$355.95 |
$355.95 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$355.95 |
$355.95 |
$355.95 |
$77.40
|
|
Culture screening strep group a
|
$368.90 |
$368.90 |
$368.90 |
$81.60
|
|
Culture typing immunologic
|
$126.70 |
$126.70 |
$126.70 |
$41.60
|
|
Culture urine each isolate
|
$200.20 |
$200.20 |
$200.20 |
$46.20
|
|
Curette/treat cornea
|
$479.15 |
$479.15 |
$479.15 |
$1,317.39
|
|
Curette/treat cornea
|
$1,673.35 |
$1,673.35 |
$1,673.35 |
$2,818.14
|
|
Cutter lead
|
$13,715.63 |
$13,715.63 |
$13,715.63 |
$4,834.73
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$33.05 |
$33.05 |
$33.05 |
$30.00
|
|
Cyclic citrullinated peptide antibody
|
$31.50 |
$31.50 |
$31.50 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$293.65 |
$293.65 |
$293.65 |
$1,284.14
|
|
Cyclophosphamide 25 mg capsule
|
$527.00 |
$527.00 |
$527.00 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$218.69 |
$218.69 |
$218.69 |
$140.78
|
|
Cyclosporine 2 hour
|
$36.55 |
$36.55 |
$36.55 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$1.12 |
$1.12 |
$1.12 |
$7.07
|
|
Cyclosporine oral 100 mg
|
$4.47 |
$4.47 |
$4.47 |
$43.88
|
|
Cylinder pump set 20cm titan zero angl
|
$22,282.07 |
$22,282.07 |
$22,282.07 |
$24,728.89
|
|
Cystogram >= 3 views supervision & interpretation
|
$362.95 |
$362.95 |
$362.95 |
$539.55
|
|
Cystoscopy and treatment
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,529.50 |
$1,529.50 |
$1,529.50 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$706.30 |
$706.30 |
$706.30 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$2,024.75 |
$2,024.75 |
$2,024.75 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,485.35 |
$2,485.35 |
$2,485.35 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,529.50 |
$1,529.50 |
$1,529.50 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$111.95 |
$111.95 |
$111.95 |
$106.31
|
|
Cytomegalovirus (cmv) antibody igg
|
$17.85 |
$17.85 |
$17.85 |
$101.25
|
|
Dacarbazine 100 mg intravenous solution
|
$97.32 |
$97.32 |
$97.32 |
$73.20
|
|
Dactinomycin 0.5 mg intravenous solution
|
$8,142.42 |
$8,142.42 |
$8,142.42 |
$3,264.26
|
|
Dalteparin sodium
|
$80.46 |
$80.46 |
$80.46 |
$75.17
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,618.65 |
$1,618.65 |
$1,618.65 |
$262.47
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,334.78 |
$8,334.78 |
$8,334.78 |
$5,089.83
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$19,118.93 |
$19,118.93 |
$19,118.93 |
$21,560.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$570.40 |
$570.40 |
$570.40 |
$308.50
|
|
D&c after delivery 59160
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$3,774.81
|
|
Dch glucoscan
|
$27.30 |
$27.30 |
$27.30 |
$24.85
|
|
Dch validity tests
|
$75.60 |
$75.60 |
$75.60 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$502.95 |
$502.95 |
$502.95 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$98.00 |
$98.00 |
$98.00 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$890.75 |
$890.75 |
$890.75 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$122.85 |
$122.85 |
$122.85 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$122.85 |
$122.85 |
$122.85 |
$1,283.44
|