|
CT bone density axial
|
$230.88 |
$241.60 |
$547.54 |
|
|
CT cerebral perf w cont & prcssng
|
$349.70 |
$349.70 |
$349.70 |
|
|
CT colonography dx
|
$659.40 |
$972.80 |
$3,545.97 |
|
|
CT colonography dx w/dye
|
$1,016.80 |
$1,016.80 |
$1,882.80 |
|
|
CT colonography screening
|
$864.60 |
$1,289.60 |
$1,569.56 |
|
|
CT guidance for needle placement
|
$316.00 |
$1,270.10 |
$10,799.68 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$118.20 |
$1,103.04 |
$11,156.23 |
|
|
CT guid cryo ablat intramuscular
|
$150.00 |
$166.40 |
$4,104.82 |
|
|
CT guid parench tis ablat
|
$1,080.24 |
$1,458.40 |
$2,115.10 |
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$192.00 |
$313.00 |
|
|
CT hrt c+ strux cgen hrt ds
|
$720.80 |
$720.80 |
$2,474.58 |
|
|
CT hrt w/3d image
|
$526.40 |
$1,198.05 |
$2,984.15 |
|
|
CT limited or localized follow-up study
|
$343.20 |
$668.85 |
$1,323.00 |
|
|
Ctlso a-p-l control molded
|
$12,656.80 |
$12,656.80 |
$12,656.80 |
|
|
Ctlso a-p-l control with inter
|
$8,762.40 |
$8,762.40 |
$8,762.40 |
|
|
CT lwr extremity w/o&w/dye
|
$545.60 |
$1,913.94 |
$2,852.22 |
|
|
Ctrl nosebld postir subsq 30906
|
$188.16 |
$860.80 |
$860.80 |
|
|
CT scan for localization
|
$512.80 |
$512.80 |
$2,227.89 |
|
|
CT scan for therapy guide
|
$282.40 |
$365.00 |
$1,345.02 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,392.28 |
$4,115.15 |
$9,207.00 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,464.72 |
$3,664.05 |
$10,780.50 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,193.39 |
$3,090.10 |
$6,869.00 |
|
|
CT t-spine w /wo contrast
|
$554.40 |
$1,768.84 |
$3,123.93 |
|
|
CT uppr extremity w/o&w/dye
|
$553.60 |
$1,649.88 |
$4,316.00 |
|
|
Cultr oocyte/embryo <4 days
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
|
|
Cultr oocyte/embryo <4 days
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
|
|
Cult skin graft fnhfg 15155
|
$1,281.60 |
$1,972.80 |
$1,972.80 |
|
|
Cult skin grft t/arm/leg
|
$1,709.60 |
$1,709.60 |
$1,709.60 |
|
|
Culture aerobic additional method definitive id each
|
$31.20 |
$38.71 |
$6,350.40 |
|
|
Culture afb any source
|
$38.58 |
$76.05 |
$447.00 |
|
|
Culture anaerobic additional method definitive id each
|
$38.58 |
$53.30 |
$160.55 |
|
|
Culture anaerobic except blood
|
$38.58 |
$82.55 |
$38,260.44 |
|
|
Culture bacteria anaerobic
|
$38.58 |
$38.58 |
$340.20 |
|
|
Culture bact stool aero addl path ea
|
$36.60 |
$38.58 |
$86.24 |
|
|
Culture body fluid
|
$38.58 |
$94.90 |
$25,040.03 |
|
|
Culture fungi definitive id mold
|
$38.58 |
$57.00 |
$560.00 |
|
|
Culture fungi definitive id yeast
|
$38.58 |
$55.25 |
$188.00 |
|
|
Culture fungi other (except blood)
|
$38.58 |
$92.95 |
$19,263.20 |
|
|
Culture fungi skin/hair/nail
|
$38.58 |
$55.25 |
$112.00 |
|
|
Culture mycobacteria definitive id each isolate
|
$5.46 |
$74.10 |
$324.00 |
|
|
Culture mycoplasma any source
|
$38.58 |
$38.58 |
$190.40 |
|
|
Culture of specimen by kit
|
$54.40 |
$54.40 |
$54.40 |
|
|
Culture quantitative aerobic other source
|
$38.58 |
$44.59 |
$142.00 |
|
|
Culture screening strep group a
|
$38.58 |
$65.65 |
$38,260.44 |
|
|
Culture type pulse field gel
|
$38.58 |
$38.58 |
$38.58 |
|
|
Culture typing added method
|
$38.58 |
$38.58 |
$38.58 |
|
|
Culture typing glc/hplc
|
$38.58 |
$38.58 |
$38.58 |
|
|
Culture typing immunologic
|
$29.90 |
$38.58 |
$6,350.40 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$209.34 |
$325.00 |
$7,526.75 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$57.96 |
$97.50 |
$251.55 |
|
|
Culture urine each isolate
|
$38.58 |
$46.15 |
$1,716.00 |
|
|
Culture virus isolation
|
$39.20 |
$39.20 |
$246.60 |
|
|
Curette/treat cornea
|
$406.40 |
$720.28 |
$1,467.87 |
|
|
Curette/treat cornea
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
|
|
Cutter lead
|
$338.93 |
$3,329.03 |
$7,202.58 |
|
|
Cv line/pic reposition
|
$217.80 |
$1,457.95 |
$2,564.64 |
|
|
Cv stress test i&r only 93018
|
$29.76 |
$35.20 |
$76.70 |
|
|
Cv stress test/supervision only 93016
|
$29.76 |
$51.20 |
$80.60 |
|
|
Cyanocobalamin unsat binding capacity
|
$50.40 |
$64.28 |
$67.20 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.00 |
$25.32 |
$81.20 |
|
|
Cyclic citrullinated peptide antibody
|
$48.57 |
$92.95 |
$215.15 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$6.97 |
$2,636.21 |
$17,024.73 |
|
|
Cyclophosphamide 25 mg capsule
|
$3.03 |
$17.10 |
$1,342.60 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$102.88 |
$137.50 |
$344.85 |
|
|
Cyclosporine 2 hour
|
$66.43 |
$126.10 |
$258.00 |
|
|
Cyclosporine modified 25 mg capsule
|
$1.00 |
$3.35 |
$241.26 |
|
|
Cyclosporine oral 100 mg
|
$1.55 |
$12.10 |
$1,489.72 |
|
|
Cygnus matrix, per sq cm
|
$314.52 |
$366.71 |
$1,252.80 |
|
|
Cylinder pump set 20cm titan zero angl
|
$11,167.89 |
$15,794.15 |
$28,929.60 |
|
|
Cyp2c19 gene com variants
|
$256.00 |
$583.20 |
$880.75 |
|
|
Cyp2c9 gene com variants
|
$350.40 |
$350.40 |
$350.40 |
|
|
Cyp2d6 gene com variants
|
$902.40 |
$902.40 |
$902.40 |
|
|
Cyp3a4 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
|
|
Cyp3a5 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
|
|
Cystatin c
|
$37.80 |
$72.80 |
$163.80 |
|
|
Cystic fibrosis cftr
|
$998.40 |
$998.40 |
$1,788.60 |
|
|
Cystine urine quantitative
|
$64.28 |
$64.28 |
$362.40 |
|
|
Cysto cgen post urtl valves
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$59.15 |
$380.41 |
$1,071.00 |
|
|
Cysto insj dev ischmc rmdlg
|
$5,203.20 |
$5,203.20 |
$5,203.20 |
|
|
Cystometrogram w/up 51727
|
$571.80 |
$851.20 |
$1,175.85 |
|
|
Cystorrhaphy wound comp 51865
|
$1,673.40 |
$2,256.00 |
$2,256.00 |
|
|
Cystorrhaphy wound simple 51860
|
$1,384.80 |
$1,863.20 |
$1,863.20 |
|
|
Cysto rx balo cath urtl strx
|
$6,853.60 |
$6,853.60 |
$35,655.08 |
|
|
Cystoscopy and biopsy
|
$566.88 |
$2,324.80 |
$2,324.80 |
|
|
Cystoscopy and radiotracer
|
$604.00 |
$604.00 |
$604.00 |
|
|
Cystoscopy and treatment
|
$1,102.56 |
$1,786.40 |
$31,381.25 |
|
|
Cystoscopy and treatment
|
$772.44 |
$1,868.00 |
$43,794.45 |
|
|
Cystoscopy and treatment
|
$620.00 |
$620.00 |
$50,426.69 |
|
|
Cystoscopy and treatment
|
$728.00 |
$728.00 |
$49,254.64 |
|
|
Cystoscopy and treatment
|
$991.20 |
$991.20 |
$43,383.60 |
|
|
Cystoscopy and treatment
|
$531.20 |
$531.20 |
$56,986.78 |
|
|
Cystoscopy and treatment
|
$623.00 |
$934.40 |
$934.40 |
|
|
Cystoscopy and treatment
|
$668.00 |
$668.00 |
$17,360.25 |
|
|
Cystoscopy and treatment
|
$427.20 |
$816.00 |
$816.00 |
|
|
Cystoscopy and treatment
|
$806.40 |
$806.40 |
$806.40 |
|
|
Cystoscopy and treatment
|
$802.40 |
$802.40 |
$802.40 |
|
|
Cystoscopy and treatment
|
$616.00 |
$616.00 |
$3,147.37 |
|
|
Cystoscopy and treatment
|
$706.40 |
$706.40 |
$706.40 |
|
|
Cystoscopy and treatment
|
$732.00 |
$732.00 |
$732.00 |
|
