|
CT heart w/evaluation of calcium without contrast
|
$20.43 |
$224.00 |
$1,665.30 |
|
|
CT hrt c+ strux cgen hrt ds
|
$483.08 |
$1,769.43 |
$2,719.00 |
|
|
CT hrt w/3d image
|
$586.68 |
$2,075.58 |
$2,719.00 |
|
|
CT limited or localized follow-up study
|
$271.14 |
$831.87 |
$1,275.00 |
|
|
CT lwr extremity w/o&w/dye
|
$896.00 |
$1,419.21 |
$3,915.03 |
|
|
Ctrl nosebld postir subsq 30906
|
$343.00 |
$1,117.74 |
$3,009.65 |
|
|
CT scan for localization
|
$959.40 |
$959.40 |
$2,362.50 |
|
|
CT scan for therapy guide
|
$330.64 |
$840.06 |
$1,225.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$807.20 |
$3,133.65 |
$15,161.93 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$714.55 |
$2,737.80 |
$12,739.95 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$607.40 |
$2,224.17 |
$12,249.94 |
|
|
CT t-spine w /wo contrast
|
$1,507.83 |
$2,033.46 |
$2,719.00 |
|
|
CT uppr extremity w/o&w/dye
|
$1,028.01 |
$1,382.16 |
$2,376.00 |
|
|
Culture aerobic additional method definitive id each
|
$32.07 |
$96.72 |
$225.49 |
|
|
Culture afb any source
|
$50.00 |
$145.86 |
$892.51 |
|
|
Culture anaerobic additional method definitive id each
|
$32.07 |
$104.52 |
$320.02 |
|
|
Culture anaerobic except blood
|
$24.57 |
$159.90 |
$1,027.68 |
|
|
Culture bacteria anaerobic
|
$132.99 |
$132.99 |
$132.99 |
|
|
Culture bact stool aero addl path ea
|
$33.45 |
$93.21 |
$505.95 |
|
|
Culture body fluid
|
$21.91 |
$159.90 |
$2,034.53 |
|
|
Culture fungi definitive id mold
|
$31.68 |
$100.62 |
$553.11 |
|
|
Culture fungi definitive id yeast
|
$47.00 |
$100.62 |
$553.11 |
|
|
Culture fungi other (except blood)
|
$21.91 |
$271.44 |
$937.54 |
|
|
Culture fungi skin/hair/nail
|
$19.24 |
$143.00 |
$161.46 |
|
|
Culture mycobacteria definitive id each isolate
|
$76.37 |
$88.14 |
$88.14 |
|
|
Culture mycoplasma any source
|
$71.00 |
$219.57 |
$302.00 |
|
|
Culture quantitative aerobic other source
|
$14.80 |
$159.90 |
$530.06 |
|
|
Culture screening strep group a
|
$21.61 |
$156.75 |
$684.52 |
|
|
Culture typing added method
|
$10.92 |
$10.92 |
$96.76 |
|
|
Culture typing glc/hplc
|
$58.00 |
$58.00 |
$58.00 |
|
|
Culture typing immunologic
|
$24.00 |
$44.46 |
$277.64 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$306.15 |
$306.15 |
$1,817.22 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$87.03 |
$159.12 |
$1,100.89 |
|
|
Culture urine each isolate
|
$18.36 |
$72.15 |
$167.00 |
|
|
Culture virus isolation
|
$165.75 |
$165.75 |
$165.75 |
|
|
Curette/treat cornea
|
$1,175.85 |
$1,175.85 |
$3,920.00 |
|
|
Curette/treat cornea
|
$2,818.14 |
$2,818.14 |
$5,364.00 |
|
|
Cutter lead
|
$534.28 |
$8,722.04 |
$12,372.27 |
|
|
Cv line/pic reposition
|
$1,898.55 |
$2,498.73 |
$4,943.00 |
|
|
Cv stress test i&r only 93018
|
$23.00 |
$23.00 |
$23.00 |
|
|
Cv stress test/supervision only 93016
|
$34.00 |
$34.00 |
$34.00 |
|
|
Cyanocobalamin unsat binding capacity
|
$65.52 |
$65.52 |
$767.48 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.96 |
$31.93 |
$159.70 |
|
|
Cyclic citrullinated peptide antibody
|
$60.00 |
$128.70 |
$269.94 |
|
|
Cyclophosphamide 100 mg inj
|
$287.88 |
$287.88 |
$287.88 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$102.24 |
$102.24 |
$4,889.00 |
|
|
Cyclophosphamide 25 mg capsule
|
$33.73 |
$33.73 |
$268.13 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$86.17 |
$296.12 |
$298.94 |
|
|
Cyclosporine 2 hour
|
$43.81 |
$130.65 |
$1,001.67 |
|
|
Cyclosporine modified 25 mg capsule
|
$17.94 |
$17.94 |
$25.22 |
|
|
Cyclosporine oral 100 mg
|
$71.51 |
$71.51 |
$3,509.10 |
|
|
Cylinder pump set 20cm titan zero angl
|
$19,154.14 |
$33,196.18 |
$33,196.18 |
|
|
Cyp2c19 gene com variants
|
$290.16 |
$290.16 |
$1,946.15 |
|
|
Cyp2c9 gene com variants
|
$287.82 |
$287.82 |
$9,369.08 |
|
|
Cyp2d6 gene com variants
|
$264.63 |
$644.67 |
$644.67 |
|
|
Cyp3a4 gene common variants
|
$245.31 |
$245.31 |
$245.31 |
|
|
Cyp3a5 gene common variants
|
$245.31 |
$245.31 |
$245.31 |
|
|
Cystatin c
|
$46.18 |
$122.46 |
$992.58 |
|
|
Cystic fibrosis cftr
|
$2,295.00 |
$2,619.00 |
$2,619.00 |
|
|
Cystine urine quantitative
|
$58.61 |
$459.42 |
$1,030.00 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$256.62 |
$265.22 |
$1,937.00 |
|
|
Cystometrogram w/up 51727
|
$271.73 |
$271.73 |
$271.73 |
|
|
Cystorrhaphy wound simple 51860
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Cystoscopy and radiotracer
|
$6,600.75 |
$6,600.75 |
$6,600.75 |
|
|
Cystoscopy and treatment
|
$3,970.98 |
$3,970.98 |
$5,849.00 |
|
|
Cystoscopy and treatment
|
$3,970.98 |
$3,970.98 |
$5,849.00 |
|
|
Cystoscopy and treatment
|
$1,381.73 |
$6,766.11 |
$6,766.11 |
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,766.11 |
$6,766.11 |
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
|
|
Cystoscopy and treatment
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
|
|
Cystoscopy and treatment
|
$3,970.98 |
$3,970.98 |
$3,970.98 |
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
|
|
Cystoscopy and treatment
|
$4,142.19 |
$4,142.19 |
$9,134.00 |
|
|
Cystoscopy and treatment
|
$4,772.04 |
$4,772.04 |
$4,772.04 |
|
|
Cystoscopy and treatment
|
$3,970.98 |
$3,970.98 |
$3,970.98 |
|
|
Cystoscopy (Bladder Scope)
|
$520.37 |
$1,619.67 |
$11,065.00 |
|
|
Cystoscopy chemodenervation
|
$1,482.67 |
$3,970.98 |
$9,445.00 |
|
|
Cystoscopy removal of clots
|
$3,970.98 |
$3,970.98 |
$9,520.00 |
|
|
Cystoscopy & revise urethra
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
|
|
Cystoscopy & ureter catheter
|
$1,421.40 |
$3,970.98 |
$10,488.00 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Cystouretero & or pyeloscope
|
$4,376.19 |
$4,376.19 |
$6,698.00 |
|
|
Cysto/uretero stricture tx
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
|
|
Cystouretero w/biopsy
|
$7,863.00 |
$7,863.00 |
$7,863.00 |
|
|
Cysto/uretero w/lithotripsy
|
$3,176.08 |
$13,882.00 |
$13,882.00 |
|
|
Cystouretero w/lithotripsy
|
$1,437.38 |
$7,873.71 |
$11,065.00 |
|
|
Cystouretero w/stone remove
|
$4,724.46 |
$4,724.46 |
$8,295.00 |
|
|
Cysto/uretero w/up stricture
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,419.62 |
$2,325.96 |
$10,661.78 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,970.98 |
$3,970.98 |
$5,849.00 |
|
|
Cystourethro w/addl implant 52442
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
|
|
Cystourethro w/implant
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
|
|
Cysto with bx(s) with blue light
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
|
|
Cysto w/ureter stricture tx
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
|
|
Cytarabine 20 mg/ml injection solution
|
$27.81 |
$27.81 |
$185.40 |
|
|
Cytogenetics 25-99
|
$196.00 |
$216.84 |
$216.84 |
|
|
Cytogenomic neo microra alys
|
$1,911.78 |
$1,911.78 |
$5,687.00 |
|
|
Cytogenom microarray copy nmbr var
|
$1,564.68 |
$1,564.68 |
$1,564.68 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$25.76 |
$120.12 |
$318.55 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$25.76 |
$153.66 |
$918.48 |
|
