|
CT cerebral perf w cont & prcssng
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$1,040.00
|
|
CT guidance for needle placement
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,691.95 |
$1,691.95 |
$1,691.95 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$38,471.55 |
$38,471.55 |
$38,471.55 |
$2,039.76
|
|
CT guid parench tis ablat
|
$2,722.85 |
$2,722.85 |
$2,722.85 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$546.00 |
$546.00 |
$546.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$650.00 |
$650.00 |
$650.00 |
$636.55
|
|
Ctlso a-p-l control molded
|
$7,874.10 |
$7,874.10 |
$7,874.10 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$7,619.30 |
$7,619.30 |
$7,619.30 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$798.20 |
$798.20 |
$798.20 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$700.70 |
$700.70 |
$700.70 |
$422.80
|
|
CT scan for localization
|
$1,307.15 |
$1,307.15 |
$1,307.15 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,124.20 |
$2,124.20 |
$2,124.20 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,122.25 |
$2,122.25 |
$2,122.25 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$798.20 |
$798.20 |
$798.20 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$3,248.70 |
$3,248.70 |
$3,248.70 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$36.40 |
$36.40 |
$36.40 |
$72.00
|
|
Culture afb any source
|
$48.75 |
$48.75 |
$48.75 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$36.40 |
$36.40 |
$36.40 |
$84.76
|
|
Culture anaerobic except blood
|
$42.25 |
$42.25 |
$42.25 |
$121.22
|
|
Culture bacteria anaerobic
|
$43.55 |
$43.55 |
$43.55 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$42.25 |
$42.25 |
$42.25 |
$52.50
|
|
Culture body fluid
|
$38.35 |
$38.35 |
$38.35 |
$126.75
|
|
Culture fungi definitive id mold
|
$46.15 |
$46.15 |
$46.15 |
$80.00
|
|
Culture fungi definitive id yeast
|
$46.15 |
$46.15 |
$46.15 |
$80.00
|
|
Culture fungi other (except blood)
|
$37.70 |
$37.70 |
$37.70 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$34.45 |
$34.45 |
$34.45 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$65.65 |
$65.65 |
$65.65 |
$100.00
|
|
Culture mycoplasma any source
|
$68.90 |
$68.90 |
$68.90 |
$83.21
|
|
Culture quantitative aerobic other source
|
$44.20 |
$44.20 |
$44.20 |
$87.02
|
|
Culture screening strep group a
|
$29.90 |
$29.90 |
$29.90 |
$84.60
|
|
Culture typing added method
|
$34.45 |
$34.45 |
$34.45 |
$42.60
|
|
Culture typing immunologic
|
$23.40 |
$23.40 |
$23.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$978.25 |
$978.25 |
$978.25 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$157.30 |
$157.30 |
$157.30 |
$140.80
|
|
Culture urine each isolate
|
$36.40 |
$36.40 |
$36.40 |
$55.50
|
|
Cutter lead
|
$8,152.95 |
$8,152.95 |
$8,152.95 |
$6,581.45
|
|
Cv line/pic reposition
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$524.55 |
$524.55 |
$524.55 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$128.70 |
$128.70 |
$128.70 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$64.35 |
$64.35 |
$64.35 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$16.36 |
$16.36 |
$16.36 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$57.85 |
$57.85 |
$57.85 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,285.14 |
$4,285.14 |
$4,285.14 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$21.44 |
$21.44 |
$21.44 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$33.31 |
$33.31 |
$33.31 |
$140.78
|
|
Cyclosporine 2 hour
|
$81.25 |
$81.25 |
$81.25 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$7.48 |
$7.48 |
$7.48 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$28.48 |
$28.48 |
$28.48 |
$37.31
|
|
Cyp2c19 gene com variants
|
$1,306.50 |
$1,306.50 |
$1,306.50 |
$524.00
|
|
Cyp2d6 gene com variants
|
$2,022.15 |
$2,022.15 |
$2,022.15 |
$570.70
|
|
Cystatin c
|
$83.20 |
$83.20 |
$83.20 |
$77.60
|
|
Cystic fibrosis cftr
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,104.40
|
|
Cystine urine quantitative
|
$103.35 |
$103.35 |
$103.35 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,693.25 |
$1,693.25 |
$1,693.25 |
$586.95
|
|
Cysto insj dev ischmc rmdlg
|
$21,788.65 |
$21,788.65 |
$21,788.65 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$6,297.20
|
|
Cysto rx balo cath urtl strx
|
$886.60 |
$886.60 |
$886.60 |
$6,853.60
|
|
Cystoscopy and biopsy
|
$785.20 |
$785.20 |
$785.20 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$1,167.40 |
$1,167.40 |
$1,167.40 |
$4,846.99
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,638.40
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,304.00
|
|
Cystoscopy and treatment
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$5,995.60
|
|
Cystoscopy and treatment
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$6,593.60
|
|
Cystoscopy and treatment
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$3,320.50
|
|
Cystoscopy and treatment
|
$764.40 |
$764.40 |
$764.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$4,045.60
|
|
Cystoscopy and treatment
|
$969.80 |
$969.80 |
$969.80 |
$2,424.12
|
|
Cystoscopy and treatment
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$958.81
|
|
Cystoscopy and treatment
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$2,874.36
|
|
Cystoscopy and treatment
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,867.70
|
|
Cystoscopy and treatment
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,203.50
|
|
Cystoscopy and treatment
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,874.36
|
|
Cystoscopy inject material
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$873.60 |
$873.60 |
$873.60 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$3,032.64
|
|
Cystoscopy & ureter catheter
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,167.40 |
$1,167.40 |
$1,167.40 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$1,644.50 |
$1,644.50 |
$1,644.50 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$4,081.37
|
