|
Cstb gene full gene sequence
|
$627.20 |
$627.20 |
$627.20 |
$302.31
|
|
Cstb gene known famil vrnt
|
$425.60 |
$425.60 |
$425.60 |
$304.59
|
|
CT 3d report other modality w/workstation
|
$477.15 |
$477.15 |
$1,635.20 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$2,406.75 |
$2,406.75 |
$3,561.60 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,029.35 |
$2,029.35 |
$5,336.80 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,370.90 |
$2,370.90 |
$4,356.80 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$1,875.15 |
$1,875.15 |
$5,062.40 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,809.45 |
$1,809.45 |
$6,529.60 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,913.70 |
$1,913.70 |
$4,872.00 |
$1,912.50
|
|
CT Angiogram of the Head
|
$2,006.70 |
$2,006.70 |
$4,989.60 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,467.60 |
$1,467.60 |
$4,222.40 |
$1,424.40
|
|
CT angio pelvis
|
$1,878.00 |
$1,878.00 |
$5,712.00 |
$1,802.35
|
|
Cta upper extremity w &/or without contrast left
|
$2,811.15 |
$2,811.15 |
$4,872.00 |
$1,681.50
|
|
CT bone density axial
|
$812.00 |
$812.00 |
$812.00 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$327.60 |
$327.60 |
$2,288.16 |
$1,040.00
|
|
CT colonography dx
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$797.40
|
|
CT colonography dx w/dye
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$1,052.16
|
|
CT colonography screening
|
$3,589.60 |
$3,589.60 |
$3,589.60 |
$1,071.70
|
|
CT guidance for needle placement
|
$1,114.20 |
$1,114.20 |
$1,635.20 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$521.85 |
$521.85 |
$1,349.60 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$711.20 |
$711.20 |
$711.20 |
$1,643.20
|
|
CT guid parench tis ablat
|
$2,721.60 |
$2,721.60 |
$2,721.60 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$260.10 |
$260.10 |
$313.60 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,648.80 |
$2,648.80 |
$2,648.80 |
$1,371.50
|
|
CT hrt w/3d image
|
$360.00 |
$360.00 |
$4,317.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$511.65 |
$511.65 |
$879.20 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,876.95 |
$1,876.95 |
$3,248.00 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,513.20 |
$1,513.20 |
$2,867.20 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$2,844.80 |
$2,844.80 |
$2,844.80 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$4,186.78
|
|
Ctlso axilla sling
|
$81.20 |
$81.20 |
$81.20 |
$155.04
|
|
Ctlso milwauke initial model
|
$2,858.80 |
$2,858.80 |
$2,858.80 |
$4,262.27
|
|
CT lwr extremity w/o&w/dye
|
$1,350.00 |
$1,350.00 |
$3,656.80 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$1,316.70 |
$1,316.70 |
$3,264.80 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,054.35 |
$1,054.35 |
$2,424.80 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,219.35 |
$1,219.35 |
$4,788.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,219.35 |
$1,219.35 |
$4,121.60 |
$1,694.70
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,254.45 |
$1,254.45 |
$3,774.40 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,070.40 |
$1,070.40 |
$3,483.20 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$750.40 |
$750.40 |
$750.40 |
$444.50
|
|
CT scan for localization
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,029.05 |
$2,029.05 |
$6,602.40 |
$3,355.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,668.90 |
$1,668.90 |
$4,754.40 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,103.40 |
$1,103.40 |
$4,351.20 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,474.65 |
$1,474.65 |
$3,948.00 |
$1,652.95
|
|
CT thoracic spine without contrast
|
$1,265.55 |
$1,265.55 |
$3,231.20 |
$1,428.00
|
|
CT thorax low dose for lung screening without contrast
|
$165.90 |
$165.90 |
$397.60 |
$332.00
|
|
CT t-spine w /wo contrast
|
$1,303.95 |
$1,303.95 |
$4,306.40 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$1,278.90 |
$1,278.90 |
$2,872.80 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,094.25 |
$1,094.25 |
$2,514.40 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,372.20 |
$1,372.20 |
$3,589.60 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$1,472.80
|
|
Cultr oocyte/embryo <4 days
|
$2,094.40 |
$2,094.40 |
$2,094.40 |
$1,291.35
|
|
Cultr oocyte/embryo <4 days
|
$2,178.40 |
$2,178.40 |
$2,178.40 |
$441.00
|
|
Cult skin graft fnhfg 15155
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$86.85 |
$86.85 |
$100.80 |
$71.40
|
|
Culture afb any source
|
$20.25 |
$20.25 |
$94.64 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$46.05 |
$46.05 |
$118.16 |
$84.76
|
|
Culture anaerobic except blood
|
$73.05 |
$73.05 |
$147.28 |
$120.00
|
|
Culture bacteria anaerobic
|
$154.00 |
$154.00 |
$154.00 |
$84.24
|
|
Culture bacterial urine
|
$29.12 |
$29.12 |
$29.12 |
$29.12
|
|
Culture bact stool aero addl path ea
|
$23.40 |
$23.40 |
$63.84 |
$52.50
|
|
Culture body fluid
|
$79.20 |
$79.20 |
$254.80 |
$126.00
|
|
Culture fungi definitive id mold
|
$82.20 |
$82.20 |
$161.84 |
$79.42
|
|
Culture fungi definitive id yeast
|
$86.70 |
$86.70 |
$129.36 |
$79.10
|
|
Culture fungi other (except blood)
|
$37.65 |
$37.65 |
$174.16 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$45.60 |
$45.60 |
$70.00 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$6.75 |
$6.75 |
$134.40 |
$97.60
|
|
Culture mycoplasma any source
|
$6.58 |
$6.58 |
$42.00 |
$81.62
|
|
Culture of specimen by kit
|
$89.04 |
$89.04 |
$89.04 |
$49.00
|
|
Culture quantitative aerobic other source
|
$28.65 |
$28.65 |
$173.60 |
$90.35
|
|
Culture screening strep group a
|
$44.10 |
$44.10 |
$104.72 |
$83.16
|
|
Culture type pulse field gel
|
$53.76 |
$53.76 |
$53.76 |
$38.58
|
|
Culture typing added method
|
$3.08 |
$3.08 |
$49.28 |
$38.58
|
|
Culture typing glc/hplc
|
$152.32 |
$152.32 |
$152.32 |
$53.75
|
|
Culture typing immunologic
|
$12.30 |
$12.30 |
$56.56 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$163.50 |
$163.50 |
$565.60 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$57.75 |
$57.75 |
$308.00 |
$138.40
|
|
Culture urine each isolate
|
$81.00 |
$81.00 |
$96.88 |
$54.60
|
|
Culture virus isolation
|
$239.12 |
$239.12 |
$239.12 |
$162.00
|
|
Curette/treat cornea
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$1,345.80
|
|
Curette/treat cornea
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$2,818.14
|
|
Cus elbo skt in for con/atyp
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,453.20
|
|
Cus elbo skt in not con/atyp
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,453.20
|
|
Custom glove for term device
|
$630.00 |
$630.00 |
$630.00 |
$630.00
|
|
Custom shape cover ak
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$1,125.60
|
|
Custom shape cover bk
|
$686.00 |
$686.00 |
$686.00 |
$686.00
|
|
Custom shape cvr hip disart
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$1,587.60
|
|
Custom shape cvr knee disart
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$1,117.20
|
|
Cutter lead
|
$376.05 |
$376.05 |
$48,300.00 |
$6,685.72
|
|
Cv line/pic reposition
|
$3,623.20 |
$3,623.20 |
$3,623.20 |
$1,608.00
|
|
Cv stress test i&r only 93018
|
$9.00 |
$9.00 |
$9.00 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$13.80 |
$13.80 |
$13.80 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$38.08 |
$38.08 |
$38.08 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$10.57 |
$10.57 |
$70.15 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$3.00 |
$3.00 |
$54.32 |
$72.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,305.02 |
$1,305.02 |
$1,305.02 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$9.54 |
$9.54 |
$881.79 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$146.29 |
$146.29 |
$146.29 |
$140.78
|
