|
CT guid cryo ablat intramuscular
|
$166.40 |
$166.40 |
$166.40 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$192.00 |
$192.00 |
$192.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$720.80 |
$720.80 |
$720.80 |
$1,395.79
|
|
CT hrt w/3d image
|
$526.40 |
$526.40 |
$526.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$912.39 |
$912.39 |
$912.39 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$545.60 |
$545.60 |
$545.60 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$860.80 |
$860.80 |
$860.80 |
$422.80
|
|
CT scan for localization
|
$512.80 |
$512.80 |
$512.80 |
$1,216.80
|
|
CT scan for therapy guide
|
$282.40 |
$282.40 |
$282.40 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,221.54 |
$5,221.54 |
$5,221.54 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,221.54 |
$5,221.54 |
$5,221.54 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,326.93 |
$3,326.93 |
$3,326.93 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$554.40 |
$554.40 |
$554.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$553.60 |
$553.60 |
$553.60 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$1,291.35
|
|
Cultr oocyte/embryo <4 days
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$441.00
|
|
Cult skin graft fnhfg 15155
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$1,709.60 |
$1,709.60 |
$1,709.60 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$38.58 |
$38.58 |
$38.58 |
$72.00
|
|
Culture afb any source
|
$38.58 |
$38.58 |
$38.58 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$38.58 |
$38.58 |
$38.58 |
$84.76
|
|
Culture anaerobic except blood
|
$38.58 |
$38.58 |
$38.58 |
$121.22
|
|
Culture bacteria anaerobic
|
$38.58 |
$38.58 |
$38.58 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$38.58 |
$38.58 |
$38.58 |
$52.50
|
|
Culture body fluid
|
$38.58 |
$38.58 |
$38.58 |
$126.75
|
|
Culture fungi definitive id mold
|
$38.58 |
$38.58 |
$38.58 |
$80.00
|
|
Culture fungi definitive id yeast
|
$38.58 |
$38.58 |
$38.58 |
$80.00
|
|
Culture fungi other (except blood)
|
$38.58 |
$38.58 |
$38.58 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$38.58 |
$38.58 |
$38.58 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$38.58 |
$38.58 |
$38.58 |
$100.00
|
|
Culture mycoplasma any source
|
$38.58 |
$38.58 |
$38.58 |
$83.21
|
|
Culture of specimen by kit
|
$54.40 |
$54.40 |
$54.40 |
$49.00
|
|
Culture quantitative aerobic other source
|
$38.58 |
$38.58 |
$38.58 |
$87.02
|
|
Culture screening strep group a
|
$38.58 |
$38.58 |
$38.58 |
$84.60
|
|
Culture type pulse field gel
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Culture typing added method
|
$38.58 |
$38.58 |
$38.58 |
$42.60
|
|
Culture typing glc/hplc
|
$38.58 |
$38.58 |
$38.58 |
$53.75
|
|
Culture typing immunologic
|
$38.58 |
$38.58 |
$38.58 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$209.34 |
$209.34 |
$209.34 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$88.80 |
$88.80 |
$88.80 |
$140.80
|
|
Culture urine each isolate
|
$38.58 |
$38.58 |
$38.58 |
$55.50
|
|
Culture virus isolation
|
$39.20 |
$39.20 |
$39.20 |
$162.00
|
|
Curette/treat cornea
|
$406.40 |
$406.40 |
$406.40 |
$1,365.60
|
|
Curette/treat cornea
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$2,818.14
|
|
Cv line/pic reposition
|
$328.80 |
$328.80 |
$328.80 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$35.20 |
$35.20 |
$35.20 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$51.20 |
$51.20 |
$51.20 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$64.28 |
$64.28 |
$64.28 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$81.08 |
$81.08 |
$81.08 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$48.57 |
$48.57 |
$48.57 |
$72.36
|
|
Cyclosporine 2 hour
|
$66.43 |
$66.43 |
$66.43 |
$130.40
|
|
Cyp2c19 gene com variants
|
$583.20 |
$583.20 |
$583.20 |
$524.00
|
|
Cyp2c9 gene com variants
|
$350.40 |
$350.40 |
$350.40 |
$275.10
|
|
Cyp2d6 gene com variants
|
$902.40 |
$902.40 |
$902.40 |
$570.70
|
|
Cyp3a4 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
$241.24
|
|
Cyp3a5 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
$245.31
|
|
Cystatin c
|
$64.28 |
$64.28 |
$64.28 |
$77.60
|
|
Cystic fibrosis cftr
|
$998.40 |
$998.40 |
$998.40 |
$1,104.40
|
|
Cystine urine quantitative
|
$64.28 |
$64.28 |
$64.28 |
$100.70
|
|
Cysto cgen post urtl valves
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$487.04 |
$487.04 |
$487.04 |
$586.95
|
|
Cysto insj dev ischmc rmdlg
|
$5,203.20 |
$5,203.20 |
$5,203.20 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$851.20 |
$851.20 |
$851.20 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$6,297.20
|
|
Cysto rx balo cath urtl strx
|
$6,853.60 |
$6,853.60 |
$6,853.60 |
$6,853.60
|
|
Cystoscopy and biopsy
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$604.00 |
$604.00 |
$604.00 |
$4,846.99
|
|
Cystoscopy and treatment
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,868.00 |
$1,868.00 |
$1,868.00 |
$4,638.40
|
|
Cystoscopy and treatment
|
$620.00 |
$620.00 |
$620.00 |
$5,304.00
|
|
Cystoscopy and treatment
|
$728.00 |
$728.00 |
$728.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$991.20 |
$991.20 |
$991.20 |
$6,593.60
|
|
Cystoscopy and treatment
|
$531.20 |
$531.20 |
$531.20 |
$3,320.50
|
|
Cystoscopy and treatment
|
$934.40 |
$934.40 |
$934.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$668.00 |
$668.00 |
$668.00 |
$4,045.60
|
|
Cystoscopy and treatment
|
$816.00 |
$816.00 |
$816.00 |
$4,055.01
|
|
Cystoscopy and treatment
|
$806.40 |
$806.40 |
$806.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$802.40 |
$802.40 |
$802.40 |
$958.81
|
|
Cystoscopy and treatment
|
$616.00 |
$616.00 |
$616.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$706.40 |
$706.40 |
$706.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$732.00 |
$732.00 |
$732.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$704.00 |
$704.00 |
$704.00 |
$6,015.75
|
|
Cystoscopy and treatment
|
$1,854.48 |
$1,854.48 |
$1,854.48 |
$2,867.70
|
|
Cystoscopy and treatment
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$3,203.50
|
|
Cystoscopy and treatment
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$2,864.00 |
$2,864.00 |
$2,864.00 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$943.16 |
$943.16 |
$943.16 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$886.40 |
$886.40 |
$886.40 |
$2,874.36
|
|
Cystoscopy & duct catheter
|
$976.80 |
$976.80 |
$976.80 |
$976.80
|
|
Cystoscopy implant stent
|
$850.40 |
$850.40 |
$850.40 |
$4,081.37
|
|
Cystoscopy inject material
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$989.60 |
$989.60 |
$989.60 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,032.64
|
|
Cystoscopy stone removal
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$4,314.00 |
$4,314.00 |
$4,314.00 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$727.20 |
$727.20 |
$727.20 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$4,081.37
|