|
CT Angiogram of the Head
|
$865.77 |
$1,121.48 |
$4,451.07 |
|
|
CT angio hrt w/3d image
|
$147.02 |
$1,045.81 |
$3,914.56 |
|
|
CT angio pelvis
|
$508.57 |
$857.48 |
$1,231.01 |
|
|
Cta upper extremity w &/or without contrast left
|
$715.39 |
$839.00 |
$3,826.85 |
|
|
CT bone density axial
|
$233.45 |
$233.45 |
$233.45 |
|
|
CT colonography dx w/dye
|
$4,417.35 |
$4,417.35 |
$4,417.35 |
|
|
CT guidance for needle placement
|
$413.33 |
$529.78 |
$3,395.32 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$621.61 |
$705.75 |
$884.86 |
|
|
CT guid parench tis ablat
|
$328.82 |
$328.82 |
$328.82 |
|
|
CT heart w/evaluation of calcium without contrast
|
$122.64 |
$122.64 |
$638.32 |
|
|
CT hrt w/3d image
|
$214.10 |
$214.10 |
$251.09 |
|
|
CT limited or localized follow-up study
|
$297.91 |
$358.06 |
$626.07 |
|
|
CT lower extremity w/contrast (both sides)
|
$660.15 |
$934.27 |
$3,886.67 |
|
|
CT lower extremity without contrast (both sides)
|
$423.25 |
$791.71 |
$3,368.89 |
|
|
CT lwr extremity w/o&w/dye
|
$714.89 |
$918.57 |
$3,841.51 |
|
|
CT neck soft tissue w/contrast
|
$658.49 |
$1,098.34 |
$4,153.95 |
|
|
CT neck soft tissue without contrast
|
$421.32 |
$988.44 |
$3,783.07 |
|
|
CT neck soft tissue without & w/contrast
|
$494.11 |
$1,044.58 |
$4,969.88 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$562.08 |
$969.02 |
$4,781.77 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$634.65 |
$744.32 |
$2,551.16 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$515.80 |
$702.39 |
$2,503.50 |
|
|
Ctrl nosebld postir subsq 30906
|
$145.10 |
$293.56 |
$1,362.63 |
|
|
CT scan for therapy guide
|
$207.67 |
$264.06 |
$487.10 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$973.27 |
$2,276.36 |
$5,531.68 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$954.47 |
$1,780.71 |
$9,768.59 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$935.67 |
$1,638.15 |
$8,907.77 |
|
|
CT thoracic spine w/contrast
|
$680.18 |
$1,147.26 |
$3,649.43 |
|
|
CT thoracic spine without contrast
|
$586.18 |
$1,060.83 |
$3,318.54 |
|
|
CT thorax low dose for lung screening without contrast
|
$439.64 |
$868.21 |
$1,150.32 |
|
|
CT t-spine w /wo contrast
|
$1,010.21 |
$1,164.06 |
$4,829.15 |
|
|
CT upper extremity w/contrast (both sides)
|
$463.74 |
$856.84 |
$4,480.42 |
|
|
CT upper extremity without contrast (both sides)
|
$417.95 |
$758.20 |
$4,229.24 |
|
|
CT uppr extremity w/o&w/dye
|
$610.29 |
$931.23 |
$1,100.45 |
|
|
Culture aerobic additional method definitive id each
|
$26.03 |
$40.68 |
$221.26 |
|
|
Culture afb any source
|
$52.07 |
$70.37 |
$206.88 |
|
|
Culture anaerobic additional method definitive id each
|
$11.42 |
$73.11 |
$314.01 |
|
|
Culture anaerobic except blood
|
$64.14 |
$83.59 |
$261.03 |
|
|
Culture bact stool aero addl path ea
|
$14.30 |
$49.41 |
$169.12 |
|
|
Culture body fluid
|
$59.60 |
$84.36 |
$208.38 |
|
|
Culture fungi definitive id mold
|
$19.99 |
$48.21 |
$570.33 |
|
|
Culture fungi definitive id yeast
|
$19.06 |
$34.23 |
$220.99 |
|
|
Culture fungi other (except blood)
|
$69.09 |
$81.03 |
$228.13 |
|
|
Culture fungi skin/hair/nail
|
$25.71 |
$30.34 |
$83.40 |
|
|
Culture mycobacteria definitive id each isolate
|
$81.72 |
$326.97 |
$409.95 |
|
|
Culture mycoplasma any source
|
$22.36 |
$51.37 |
$114.73 |
|
|
Culture quantitative aerobic other source
|
$50.49 |
$57.37 |
$87.43 |
|
|
Culture screening strep group a
|
$50.32 |
$63.64 |
$197.42 |
|
|
Culture typing added method
|
$94.94 |
$173.13 |
$203.04 |
|
|
Culture typing immunologic
|
$15.71 |
$20.25 |
$32.25 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,783.10 |
$1,783.10 |
$1,783.10 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$199.74 |
$231.24 |
$364.06 |
|
|
Culture urine each isolate
|
$27.84 |
$39.79 |
$114.14 |
|
|
Culture virus isolation
|
$191.98 |
$191.98 |
$191.98 |
|
|
Cutter lead
|
$719.17 |
$809.54 |
$1,015.00 |
|
|
Cv line/pic reposition
|
$1,393.82 |
$1,393.82 |
$1,634.66 |
|
|
Cyanocobalamin unsat binding capacity
|
$23.46 |
$44.99 |
$89.21 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$23.73 |
$28.21 |
$68.01 |
|
|
Cyclic citrullinated peptide antibody
|
$27.72 |
$53.51 |
$147.05 |
|
|
Cyclophosphamide 25 mg capsule
|
$246.14 |
$277.06 |
$347.38 |
|
|
Cyclosporine 2 hour
|
$66.73 |
$127.34 |
$285.97 |
|
|
Cyclosporine modified 25 mg capsule
|
$24.46 |
$27.54 |
$34.52 |
|
|
Cyclosporine oral 100 mg
|
$48.03 |
$1,015.37 |
$1,273.07 |
|
|
Cylinder pump set 20cm titan zero angl
|
$5,421.90 |
$6,103.21 |
$7,652.18 |
|
|
Cyp2c19 gene com variants
|
$194.84 |
$598.90 |
$1,137.93 |
|
|
Cyp2c9 gene com variants
|
$222.09 |
$966.67 |
$1,288.42 |
|
|
Cyp2d6 gene com variants
|
$264.60 |
$270.84 |
$837.02 |
|
|
Cystatin c
|
$34.37 |
$80.56 |
$153.21 |
|
|
Cystic fibrosis cftr
|
$437.86 |
$1,008.94 |
$1,397.55 |
|
|
Cystine urine quantitative
|
$46.25 |
$74.72 |
$443.29 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$108.84 |
$282.15 |
$355.20 |
|
|
Cystoscopy and treatment
|
$556.24 |
$888.11 |
$1,041.57 |
|
|
Cystoscopy and treatment
|
$817.59 |
$1,128.31 |
$1,414.67 |
|
|
Cystoscopy (Bladder Scope)
|
$462.90 |
$930.37 |
$1,510.30 |
|
|
Cystoscopy chemodenervation
|
$926.71 |
$926.71 |
$1,276.00 |
|
|
Cystoscopy removal of clots
|
$1,972.90 |
$1,972.90 |
$1,972.90 |
|
|
Cystoscopy & ureter catheter
|
$626.67 |
$1,102.60 |
$1,338.19 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$739.53 |
$1,017.85 |
$1,193.73 |
|
|
Cysto/uretero stricture tx
|
$897.36 |
$1,198.20 |
$1,654.42 |
|
|
Cysto/uretero w/lithotripsy
|
$1,390.20 |
$4,246.41 |
$5,585.57 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$556.24 |
$1,079.71 |
$1,353.73 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$1,287.77 |
$1,287.77 |
$1,510.30 |
|
|
Cytarabine 20 mg/ml injection solution
|
$137.80 |
$137.80 |
$137.80 |
|
|
Cytogenetics 25-99
|
$108.47 |
$159.47 |
$187.02 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$28.43 |
$69.59 |
$176.49 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$44.25 |
$102.83 |
$206.67 |
|
|
Cyto/molecular report
|
$1,226.48 |
$1,226.48 |
$1,226.48 |
|
|
Cytopath c/v index add-on
|
$56.44 |
$56.44 |
$56.44 |
|
|
Cytopath fl nongyn filter
|
$100.14 |
$100.14 |
$100.14 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$59.01 |
$90.63 |
$642.68 |
|
|
Cytopathology concentration technique smears & interpretation
|
$43.28 |
$63.47 |
$89.06 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$53.04 |
$73.30 |
$152.60 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$16.78 |
$24.19 |
$37.78 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$28.19 |
$125.73 |
$147.70 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$24.19 |
$89.95 |
$207.01 |
|
|
Cytopath smear other source
|
$15.27 |
$32.25 |
$64.51 |
|
|
Cytopath smear other source
|
$23.83 |
$23.83 |
$32.25 |
|
|
Cytopath smear oth prep screen & interp
|
$22.90 |
$28.71 |
$45.82 |
|
|
Cytopath tbs c/v manual
|
$59.01 |
$59.01 |
$63.87 |
|
|
Cytotoxic antibody screening
|
$165.58 |
$187.99 |
$228.02 |
|
|
Cytp urine 3-5 probes cmptr
|
$183.72 |
$183.72 |
$183.72 |
|