|
Cryosurg ablate fa each
|
$2,436.42 |
$2,436.42 |
$2,436.42 |
$5,383.86
|
|
Crystal identification light microscopy
|
$45.78 |
$45.78 |
$45.78 |
$62.50
|
|
Csf leakage imaging
|
$438.48 |
$438.48 |
$438.48 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$581.28 |
$581.28 |
$581.28 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,661.52 |
$1,661.52 |
$1,661.52 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,529.22 |
$1,529.22 |
$1,529.22 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,132.32 |
$1,132.32 |
$1,132.32 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,260.42 |
$1,260.42 |
$1,260.42 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,408.26 |
$1,408.26 |
$1,408.26 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,198.68 |
$1,198.68 |
$1,198.68 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,309.56 |
$1,309.56 |
$1,309.56 |
$1,500.38
|
|
CT angio pelvis
|
$660.24 |
$660.24 |
$660.24 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,288.56 |
$1,288.56 |
$1,288.56 |
$1,698.00
|
|
CT colonography dx
|
$1,223.88 |
$1,223.88 |
$1,223.88 |
$791.00
|
|
CT colonography dx w/dye
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$1,037.00
|
|
CT colonography screening
|
$1,062.18 |
$1,062.18 |
$1,062.18 |
$1,084.20
|
|
CT guidance for needle placement
|
$898.80 |
$898.80 |
$898.80 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,178.52 |
$1,178.52 |
$1,178.52 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$171.36 |
$171.36 |
$171.36 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,080.24 |
$1,080.24 |
$1,080.24 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$109.20 |
$109.20 |
$109.20 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,204.98 |
$1,204.98 |
$1,204.98 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,257.48 |
$1,257.48 |
$1,257.48 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$437.22 |
$437.22 |
$437.22 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,039.92 |
$1,039.92 |
$1,039.92 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$805.98 |
$805.98 |
$805.98 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,128.54 |
$1,128.54 |
$1,128.54 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,388.10 |
$1,388.10 |
$1,388.10 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,368.36 |
$1,368.36 |
$1,368.36 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,152.48 |
$1,152.48 |
$1,152.48 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$188.16 |
$188.16 |
$188.16 |
$437.04
|
|
CT scan for therapy guide
|
$495.60 |
$495.60 |
$495.60 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,933.70 |
$2,933.70 |
$2,933.70 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,051.28 |
$2,051.28 |
$2,051.28 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,559.04 |
$1,559.04 |
$1,559.04 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,102.50 |
$1,102.50 |
$1,102.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$958.44 |
$958.44 |
$958.44 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$99.96 |
$99.96 |
$99.96 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,112.16 |
$1,112.16 |
$1,112.16 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,045.38 |
$1,045.38 |
$1,045.38 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$893.34 |
$893.34 |
$893.34 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,259.58 |
$1,259.58 |
$1,259.58 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$38.64 |
$38.64 |
$38.64 |
$68.64
|
|
Culture afb any source
|
$144.48 |
$144.48 |
$144.48 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$113.40 |
$113.40 |
$113.40 |
$79.00
|
|
Culture anaerobic except blood
|
$186.48 |
$186.48 |
$186.48 |
$120.00
|
|
Culture bacteria anaerobic
|
$340.20 |
$340.20 |
$340.20 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$71.40 |
$71.40 |
$71.40 |
$51.45
|
|
Culture body fluid
|
$105.00 |
$105.00 |
$105.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$93.24 |
$93.24 |
$93.24 |
$77.28
|
|
Culture fungi definitive id yeast
|
$47.46 |
$47.46 |
$47.46 |
$79.10
|
|
Culture fungi other (except blood)
|
$221.34 |
$221.34 |
$221.34 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$42.42 |
$42.42 |
$42.42 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$5.46 |
$5.46 |
$5.46 |
$89.70
|
|
Culture mycoplasma any source
|
$85.26 |
$85.26 |
$85.26 |
$85.26
|
|
Culture quantitative aerobic other source
|
$50.82 |
$50.82 |
$50.82 |
$90.35
|
|
Culture screening strep group a
|
$83.16 |
$83.16 |
$83.16 |
$81.00
|
|
Culture typing immunologic
|
$104.58 |
$104.58 |
$104.58 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$57.96 |
$57.96 |
$57.96 |
$133.90
|
|
Culture urine each isolate
|
$47.46 |
$47.46 |
$47.46 |
$57.00
|
|
Cutter lead
|
$7,202.58 |
$7,202.58 |
$7,202.58 |
$6,092.06
|
|
Cv line/pic reposition
|
$755.16 |
$755.16 |
$755.16 |
$1,720.93
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$41.79 |
$41.79 |
$41.79 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$51.66 |
$51.66 |
$51.66 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$732.76 |
$732.76 |
$732.76 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$134.03 |
$134.03 |
$134.03 |
$140.78
|
|
Cyclosporine 2 hour
|
$161.28 |
$161.28 |
$161.28 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$206.80 |
$206.80 |
$206.80 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,210.53 |
$1,210.53 |
$1,210.53 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$11,167.89 |
$11,167.89 |
$11,167.89 |
$22,803.38
|
|
Cystatin c
|
$37.80 |
$37.80 |
$37.80 |
$77.50
|
|
Cystine urine quantitative
|
$146.16 |
$146.16 |
$146.16 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$352.38 |
$352.38 |
$352.38 |
$542.10
|
|
Cystoscopy and biopsy
|
$2,276.82 |
$2,276.82 |
$2,276.82 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,304.10 |
$1,304.10 |
$1,304.10 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$513.66 |
$513.66 |
$513.66 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$1,706.46 |
$1,706.46 |
$1,706.46 |
$3,786.00
|
|
Cystouretero & or pyeloscope
|
$1,894.62 |
$1,894.62 |
$1,894.62 |
$4,315.98
|
|
Cytarabine 20 mg/ml injection solution
|
$120.02 |
$120.02 |
$120.02 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$73.50 |
$73.50 |
$73.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$139.44 |
$139.44 |
$139.44 |
$97.50
|
|
Cytopath c/v index add-on
|
$2.94 |
$2.94 |
$2.94 |
$35.57
|
|
Cytopath fl nongyn filter
|
$138.60 |
$138.60 |
$138.60 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$174.30 |
$174.30 |
$174.30 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$76.86 |
$76.86 |
$76.86 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$68.04 |
$68.04 |
$68.04 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$103.32 |
$103.32 |
$103.32 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$107.10 |
$107.10 |
$107.10 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$64.68 |
$64.68 |
$64.68 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$101.64 |
$101.64 |
$101.64 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$241.50 |
$241.50 |
$241.50 |
$209.23
|
|
Cytopath smear other source
|
$52.50 |
$52.50 |
$52.50 |
$88.13
|
|
Cytopath smear other source
|
$43.68 |
$43.68 |
$43.68 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$58.38 |
$58.38 |
$58.38 |
$96.20
|