|
Critical care each additional 30 minutes
|
$283.66 |
$283.66 |
$283.66 |
$731.40
|
|
Cryocautery of cervix 57511
|
$377.00 |
$377.00 |
$377.00 |
$429.60
|
|
Cryoprecipitate each unit
|
$67.34 |
$67.34 |
$67.34 |
$144.78
|
|
Crystal identification light microscopy
|
$58.76 |
$58.76 |
$58.76 |
$61.20
|
|
CT 3d report other modality w/workstation
|
$495.30 |
$495.30 |
$495.30 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$506.48 |
$506.48 |
$506.48 |
$2,022.72
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$515.32 |
$515.32 |
$515.32 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$521.30 |
$521.30 |
$521.30 |
$2,002.00
|
|
Cta neck without &/or w/contrast
|
$317.46 |
$317.46 |
$317.46 |
$1,894.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$800.02 |
$800.02 |
$800.02 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$509.34 |
$509.34 |
$509.34 |
$1,912.50
|
|
CT Angiogram of the Head
|
$317.46 |
$317.46 |
$317.46 |
$1,944.00
|
|
CT angio hrt w/3d image
|
$324.48 |
$324.48 |
$324.48 |
$1,498.08
|
|
CT angio pelvis
|
$518.44 |
$518.44 |
$518.44 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$462.28 |
$462.28 |
$462.28 |
$1,680.70
|
|
CT guidance for needle placement
|
$722.80 |
$722.80 |
$722.80 |
$1,486.16
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$422.50 |
$422.50 |
$422.50 |
$1,134.24
|
|
CT guid parench tis ablat
|
$276.90 |
$276.90 |
$276.90 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$48.10 |
$48.10 |
$48.10 |
$176.89
|
|
CT limited or localized follow-up study
|
$210.34 |
$210.34 |
$210.34 |
$640.48
|
|
CT lower extremity w/contrast (both sides)
|
$382.72 |
$382.72 |
$382.72 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$302.64 |
$302.64 |
$302.64 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$488.54 |
$488.54 |
$488.54 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$309.14 |
$309.14 |
$309.14 |
$1,617.00
|
|
CT neck soft tissue without contrast
|
$258.18 |
$258.18 |
$258.18 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$317.46 |
$317.46 |
$317.46 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$351.26 |
$351.26 |
$351.26 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$249.08 |
$249.08 |
$249.08 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$214.24 |
$214.24 |
$214.24 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$292.76 |
$292.76 |
$292.76 |
$422.80
|
|
CT scan for therapy guide
|
$222.82 |
$222.82 |
$222.82 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$968.76 |
$968.76 |
$968.76 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$775.32 |
$775.32 |
$775.32 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$619.84 |
$619.84 |
$619.84 |
$2,290.20
|
|
CT thoracic spine w/contrast
|
$379.86 |
$379.86 |
$379.86 |
$1,683.20
|
|
CT thoracic spine without contrast
|
$366.60 |
$366.60 |
$366.60 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$67.60 |
$67.60 |
$67.60 |
$331.50
|
|
CT t-spine w /wo contrast
|
$420.16 |
$420.16 |
$420.16 |
$2,020.20
|
|
CT upper extremity w/contrast (both sides)
|
$340.08 |
$340.08 |
$340.08 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$278.46 |
$278.46 |
$278.46 |
$1,411.00
|
|
CT uppr extremity w/o&w/dye
|
$414.18 |
$414.18 |
$414.18 |
$1,841.40
|
|
Culture aerobic additional method definitive id each
|
$33.02 |
$33.02 |
$33.02 |
$67.80
|
|
Culture afb any source
|
$120.38 |
$120.38 |
$120.38 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$115.18 |
$115.18 |
$115.18 |
$79.00
|
|
Culture anaerobic except blood
|
$129.22 |
$129.22 |
$129.22 |
$119.20
|
|
Culture bact stool aero addl path ea
|
$36.14 |
$36.14 |
$36.14 |
$52.50
|
|
Culture body fluid
|
$93.60 |
$93.60 |
$93.60 |
$120.50
|
|
Culture fungi definitive id mold
|
$49.14 |
$49.14 |
$49.14 |
$74.97
|
|
Culture fungi definitive id yeast
|
$47.06 |
$47.06 |
$47.06 |
$79.10
|
|
Culture fungi other (except blood)
|
$86.84 |
$86.84 |
$86.84 |
$106.80
|
|
Culture fungi skin/hair/nail
|
$13.00 |
$13.00 |
$13.00 |
$75.40
|
|
Culture mycoplasma any source
|
$29.64 |
$29.64 |
$29.64 |
$85.26
|
|
Culture quantitative aerobic other source
|
$37.96 |
$37.96 |
$37.96 |
$86.40
|
|
Culture screening strep group a
|
$73.06 |
$73.06 |
$73.06 |
$82.55
|
|
Culture typing added method
|
$27.82 |
$27.82 |
$27.82 |
$35.86
|
|
Culture typing immunologic
|
$24.70 |
$24.70 |
$24.70 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$368.42 |
$368.42 |
$368.42 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$53.30 |
$53.30 |
$53.30 |
$128.04
|
|
Culture urine each isolate
|
$13.78 |
$13.78 |
$13.78 |
$52.08
|
|
Curette/treat cornea
|
$368.16 |
$368.16 |
$368.16 |
$1,331.61
|
|
Cv line/pic reposition
|
$1,942.72 |
$1,942.72 |
$1,942.72 |
$1,697.72
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$10.87 |
$10.87 |
$10.87 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$104.26 |
$104.26 |
$104.26 |
$72.00
|
|
Cyclosporine 2 hour
|
$22.88 |
$22.88 |
$22.88 |
$128.80
|
|
Cyclosporine modified 25 mg capsule
|
$15.65 |
$15.65 |
$15.65 |
$7.48
|
|
Cystatin c
|
$65.78 |
$65.78 |
$65.78 |
$75.04
|
|
Cystic fibrosis cftr
|
$1,815.58 |
$1,815.58 |
$1,815.58 |
$1,060.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$253.50 |
$253.50 |
$253.50 |
$537.92
|
|
Cystourethroscop/calib/dilat stric 52281
|
$934.18 |
$934.18 |
$934.18 |
$3,015.50
|
|
Cytogenom microarray copy nmbr var
|
$1,829.88 |
$1,829.88 |
$1,829.88 |
$1,341.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$69.68 |
$69.68 |
$69.68 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$41.60 |
$41.60 |
$41.60 |
$96.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$49.14 |
$49.14 |
$49.14 |
$162.50
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$42.90 |
$42.90 |
$42.90 |
$91.84
|
|
Cytopathology concentration technique smears & interpretation
|
$15.86 |
$15.86 |
$15.86 |
$132.68
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$27.56 |
$27.56 |
$27.56 |
$129.28
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$33.28 |
$33.28 |
$33.28 |
$69.09
|
|
Dacarbazine 100 mg intravenous solution
|
$174.47 |
$174.47 |
$174.47 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$14,754.28 |
$14,754.28 |
$14,754.28 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$157.96 |
$157.96 |
$157.96 |
$169.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$29,224.01 |
$29,224.01 |
$29,224.01 |
$21,063.03
|
|
D&c after delivery 59160
|
$2,851.94 |
$2,851.94 |
$2,851.94 |
$3,827.25
|
|
Dch glucoscan
|
$4.94 |
$4.94 |
$4.94 |
$27.50
|
|
Dch validity tests
|
$7.54 |
$7.54 |
$7.54 |
$24.36
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,817.10 |
$2,817.10 |
$2,817.10 |
$4,478.50
|
|
Deamidated gliadin antibody iga
|
$31.98 |
$31.98 |
$31.98 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$179.66 |
$179.66 |
$179.66 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$301.86 |
$301.86 |
$301.86 |
$262.25
|
|
Debridement bone <= 20 sq cm
|
$1,630.98 |
$1,630.98 |
$1,630.98 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,509.82 |
$1,509.82 |
$1,509.82 |
$654.75
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,305.20 |
$1,305.20 |
$1,305.20 |
$1,313.25
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$748.28 |
$748.28 |
$748.28 |
$810.50
|
|
Debride nail1-5 11720
|
$692.64 |
$692.64 |
$692.64 |
$144.95
|
|
Debride nail6 or more 11721
|
$1,386.32 |
$1,386.32 |
$1,386.32 |
$167.00
|
|
Debride skin bone at fx site
|
$1,224.08 |
$1,224.08 |
$1,224.08 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$726.70 |
$726.70 |
$726.70 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,110.20 |
$1,110.20 |
$1,110.20 |
$1,110.20
|
|
Debr inf skin add-on 11001
|
$350.74 |
$350.74 |
$350.74 |
$106.86
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,889.42 |
$1,889.42 |
$1,889.42 |
$1,160.00
|
|
Decalcification
|
$24.70 |
$24.70 |
$24.70 |
$70.40
|