|
CT heart w/evaluation of calcium without contrast
|
$48.00 |
$104.19 |
$286.85 |
|
|
CT hrt c+ strux cgen hrt ds
|
$422.61 |
$422.61 |
$2,074.00 |
|
|
CT hrt w/3d image
|
$422.61 |
$422.61 |
$3,271.00 |
|
|
CT limited or localized follow-up study
|
$104.19 |
$104.19 |
$1,741.00 |
|
|
CT lwr extremity w/o&w/dye
|
$210.66 |
$210.66 |
$5,108.00 |
|
|
Ctrl nosebld postir subsq 30906
|
$274.80 |
$274.80 |
$663.57 |
|
|
CT scan for localization
|
$1,798.00 |
$1,798.00 |
$2,617.00 |
|
|
CT scan for therapy guide
|
$109.43 |
$762.19 |
$3,190.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$422.61 |
$422.61 |
$9,203.00 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$422.61 |
$422.61 |
$7,672.00 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$249.60 |
$286.04 |
$6,675.00 |
|
|
CT t-spine w /wo contrast
|
$210.66 |
$210.66 |
$4,797.00 |
|
|
CT uppr extremity w/o&w/dye
|
$210.66 |
$210.66 |
$4,600.00 |
|
|
Cultr oocyte/embryo <4 days
|
$202.78 |
$202.78 |
$202.78 |
|
|
Cultr oocyte/embryo <4 days
|
$202.78 |
$202.78 |
$202.78 |
|
|
Cult skin graft fnhfg 15155
|
$4,332.25 |
$4,332.25 |
$7,355.00 |
|
|
Cult skin grft t/arm/leg
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
|
|
Culture aerobic additional method definitive id each
|
$8.08 |
$8.08 |
$227.00 |
|
|
Culture afb any source
|
$10.80 |
$10.80 |
$193.00 |
|
|
Culture anaerobic additional method definitive id each
|
$8.08 |
$8.08 |
$158.00 |
|
|
Culture anaerobic except blood
|
$9.47 |
$9.47 |
$263.00 |
|
|
Culture bacteria anaerobic
|
$9.66 |
$9.66 |
$192.00 |
|
|
Culture bact stool aero addl path ea
|
$9.44 |
$9.44 |
$134.43 |
|
|
Culture body fluid
|
$8.62 |
$8.62 |
$233.00 |
|
|
Culture fungi definitive id mold
|
$10.32 |
$10.32 |
$158.00 |
|
|
Culture fungi definitive id yeast
|
$10.32 |
$10.32 |
$158.00 |
|
|
Culture fungi other (except blood)
|
$8.41 |
$8.41 |
$300.00 |
|
|
Culture fungi skin/hair/nail
|
$7.71 |
$7.71 |
$288.00 |
|
|
Culture mycobacteria definitive id each isolate
|
$14.61 |
$14.61 |
$151.00 |
|
|
Culture mycoplasma any source
|
$15.39 |
$15.39 |
$410.00 |
|
|
Culture of specimen by kit
|
$27.07 |
$27.07 |
$27.07 |
|
|
Culture quantitative aerobic other source
|
$9.89 |
$9.89 |
$339.00 |
|
|
Culture screening strep group a
|
$6.63 |
$6.63 |
$300.00 |
|
|
Culture type pulse field gel
|
$7.74 |
$7.74 |
$7.74 |
|
|
Culture typing added method
|
$7.74 |
$7.74 |
$149.00 |
|
|
Culture typing glc/hplc
|
$12.52 |
$12.52 |
$12.52 |
|
|
Culture typing immunologic
|
$5.18 |
$5.18 |
$62.00 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$218.06 |
$218.06 |
$652.00 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$35.09 |
$35.09 |
$490.80 |
|
|
Culture urine each isolate
|
$8.09 |
$8.09 |
$52.99 |
|
|
Culture virus isolation
|
$19.56 |
$19.56 |
$19.56 |
|
|
Curette/treat cornea
|
$1,146.13 |
$1,146.13 |
$2,693.73 |
|
|
Curette/treat cornea
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
|
|
Cutter lead
|
$706.80 |
$1,278.37 |
$3,462.25 |
|
|
Cv line/pic reposition
|
$666.60 |
$1,838.28 |
$2,722.00 |
|
|
Cyanocobalamin unsat binding capacity
|
$14.32 |
$14.32 |
$338.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.40 |
$4.80 |
$17.19 |
|
|
Cyclic citrullinated peptide antibody
|
$8.00 |
$12.95 |
$382.65 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.01 |
$1.01 |
$254.49 |
|
|
Cyclophosphamide 25 mg capsule
|
$7.20 |
$44.74 |
$44.74 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$44.78 |
$44.78 |
$44.78 |
|
|
Cyclosporine 2 hour
|
$18.05 |
$18.05 |
$667.00 |
|
|
Cyclosporine modified 25 mg capsule
|
$8.40 |
$14.39 |
$14.39 |
|
|
Cyclosporine oral 100 mg
|
$57.44 |
$57.44 |
$73.20 |
|
|
Cygnus matrix, per sq cm
|
$127.14 |
$127.14 |
$4,500.00 |
|
|
Cygnus, per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Cylinder pump set 20cm titan zero angl
|
$10,723.20 |
$10,723.20 |
$10,723.20 |
|
|
Cyp2c19 gene com variants
|
$291.36 |
$291.36 |
$1,195.80 |
|
|
Cyp2c9 gene com variants
|
$79.00 |
$174.81 |
$1,764.60 |
|
|
Cyp2d6 gene com variants
|
$254.40 |
$450.91 |
$1,990.00 |
|
|
Cyp3a4 gene common variants
|
$174.81 |
$174.81 |
$900.00 |
|
|
Cyp3a5 gene common variants
|
$174.81 |
$174.81 |
$900.00 |
|
|
Cystatin c
|
$18.52 |
$18.52 |
$130.20 |
|
|
Cystic fibrosis cftr
|
$499.00 |
$499.00 |
$1,800.25 |
|
|
Cystine urine quantitative
|
$22.98 |
$22.98 |
$117.48 |
|
|
Cysto cgen post urtl valves
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$228.60 |
$422.61 |
$1,975.00 |
|
|
Cysto impl 4 or more
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
|
|
Cysto insj dev ischmc rmdlg
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
|
|
Cysto, litho, vacuum kidney
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
|
|
Cystometrogram w/up 51727
|
$789.86 |
$789.86 |
$2,192.00 |
|
|
Cystorrhaphy wound simple 51860
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
|
|
Cysto rx balo cath urtl strx
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cystoscopy and biopsy
|
$4,081.37 |
$4,081.37 |
$8,076.85 |
|
|
Cystoscopy and radiotracer
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$5,191.40 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,981.78 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$5,509.97 |
|
|
Cystoscopy and treatment
|
$5,751.25 |
$6,015.75 |
$6,015.75 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$3,885.46 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy and treatment
|
$789.86 |
$789.86 |
$789.86 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$5,405.98 |
|
|
Cystoscopy and treatment
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy and treatment
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy (Bladder Scope)
|
$755.86 |
$789.86 |
$2,992.80 |
|
|
Cystoscopy chemodenervation
|
$2,424.12 |
$2,424.12 |
$5,191.40 |
|
|
Cystoscopy & duct catheter
|
$789.86 |
$789.86 |
$789.86 |
|
|
Cystoscopy implant stent
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy inject material
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cystoscopy prostatic imp 1-3
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
