|
CT scan for localization
|
$193.84 |
$526.87 |
$614.17 |
|
|
CT scan for therapy guide
|
$254.04 |
$306.32 |
$322.08 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$390.30 |
$745.58 |
$2,570.50 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$390.30 |
$590.85 |
$2,083.50 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$264.17 |
$498.25 |
$1,487.50 |
|
|
CT t-spine w /wo contrast
|
$194.55 |
$573.04 |
$1,135.71 |
|
|
CT uppr extremity w/o&w/dye
|
$194.55 |
$197.04 |
$209.65 |
|
|
Cultr oocyte/embryo <4 days
|
$187.28 |
$189.67 |
$201.80 |
|
|
Cultr oocyte/embryo <4 days
|
$187.28 |
$189.67 |
$201.80 |
|
|
Cult skin graft fnhfg 15155
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Cult skin grft t/arm/leg
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Culture aerobic additional method definitive id each
|
$8.08 |
$8.89 |
$37.00 |
|
|
Culture afb any source
|
$10.80 |
$11.88 |
$101.50 |
|
|
Culture anaerobic additional method definitive id each
|
$8.08 |
$8.89 |
$61.50 |
|
|
Culture anaerobic except blood
|
$9.47 |
$10.42 |
$55.50 |
|
|
Culture bacteria anaerobic
|
$9.66 |
$10.63 |
$10.63 |
|
|
Culture bact stool aero addl path ea
|
$9.44 |
$10.38 |
$20.00 |
|
|
Culture body fluid
|
$8.62 |
$9.48 |
$38.00 |
|
|
Culture fungi definitive id mold
|
$10.32 |
$11.35 |
$11.35 |
|
|
Culture fungi definitive id yeast
|
$10.32 |
$11.35 |
$11.35 |
|
|
Culture fungi other (except blood)
|
$8.41 |
$9.25 |
$9.25 |
|
|
Culture fungi skin/hair/nail
|
$7.71 |
$8.48 |
$8.48 |
|
|
Culture mycobacteria definitive id each isolate
|
$14.61 |
$16.07 |
$16.07 |
|
|
Culture mycoplasma any source
|
$15.39 |
$16.93 |
$104.50 |
|
|
Culture of specimen by kit
|
$27.07 |
$29.78 |
$29.78 |
|
|
Culture quantitative aerobic other source
|
$9.89 |
$10.88 |
$10.88 |
|
|
Culture screening strep group a
|
$6.63 |
$7.29 |
$52.00 |
|
|
Culture type pulse field gel
|
$7.74 |
$8.51 |
$8.51 |
|
|
Culture typing added method
|
$7.74 |
$8.51 |
$8.51 |
|
|
Culture typing glc/hplc
|
$12.52 |
$13.77 |
$13.77 |
|
|
Culture typing immunologic
|
$5.18 |
$5.70 |
$5.70 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$218.06 |
$239.87 |
$239.87 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$35.09 |
$38.60 |
$38.60 |
|
|
Culture urine each isolate
|
$8.09 |
$8.90 |
$42.00 |
|
|
Culture virus isolation
|
$19.56 |
$21.52 |
$21.52 |
|
|
Curette/treat cornea
|
$1,058.50 |
$3,986.00 |
$6,839.00 |
|
|
Curette/treat cornea
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Cv line/pic reposition
|
$1,697.72 |
$3,986.00 |
$6,839.00 |
|
|
Cyanocobalamin unsat binding capacity
|
$14.32 |
$15.75 |
$15.75 |
|
|
Cyclic citrullinated peptide antibody
|
$12.95 |
$14.25 |
$48.50 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$0.62 |
$0.62 |
$1.01 |
|
|
Cyclosporine 2 hour
|
$18.05 |
$19.86 |
$123.50 |
|
|
Cyp2c19 gene com variants
|
$291.36 |
$320.50 |
$320.50 |
|
|
Cyp2c9 gene com variants
|
$174.81 |
$192.29 |
$192.29 |
|
|
Cyp2d6 gene com variants
|
$450.91 |
$496.00 |
$496.00 |
|
|
Cyp3a4 gene common variants
|
$174.81 |
$192.29 |
$192.29 |
|
|
Cyp3a5 gene common variants
|
$174.81 |
$192.29 |
$192.29 |
|
|
Cystatin c
|
$18.52 |
$20.37 |
$183.50 |
|
|
Cystic fibrosis cftr
|
$499.00 |
$548.90 |
$548.90 |
|
|
Cystine urine quantitative
|
$22.98 |
$25.28 |
$25.28 |
|
|
Cysto cgen post urtl valves
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$134.80 |
$292.63 |
$420.58 |
|
|
Cysto impl 4 or more
|
$10,106.03 |
$10,235.30 |
$10,890.00 |
|
|
Cysto insj dev ischmc rmdlg
|
$10,106.03 |
$10,235.30 |
$10,890.00 |
|
|
Cysto, litho, vacuum kidney
|
$10,106.03 |
$10,235.30 |
$10,890.00 |
|
|
Cystometrogram w/up 51727
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Cystorrhaphy wound simple 51860
|
$3,786.00 |
$6,311.00 |
$10,890.00 |
|
|
Cysto rx balo cath urtl strx
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystoscopy and biopsy
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and radiotracer
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy and treatment
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy (Bladder Scope)
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy chemodenervation
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy & duct catheter
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy implant stent
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy inject material
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystoscopy prostatic imp 1-3
|
$5,555.79 |
$5,626.86 |
$5,986.78 |
|
|
Cystoscopy removal of clots
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystoscopy & revise urethra
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy & revise urethra
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystoscopy stone removal
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystoscopy & ureter catheter
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystotomy excise/incise/repair 51535
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystouretero & or pyeloscope
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cysto/uretero stricture tx
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystouretero w/biopsy
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystouretero w/excise tumor
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cysto/uretero w/lithotripsy
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystouretero w/lithotripsy
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Cystouretero w/renal strict
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|