|
CT guidance for needle placement
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$850.40 |
$850.40 |
$850.40 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$517.20 |
$517.20 |
$517.20 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$948.40 |
$948.40 |
$948.40 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$944.40 |
$944.40 |
$944.40 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$751.60 |
$751.60 |
$751.60 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$627.60 |
$627.60 |
$627.60 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$786.00 |
$786.00 |
$786.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$983.20 |
$983.20 |
$983.20 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$939.60 |
$939.60 |
$939.60 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$854.00 |
$854.00 |
$854.00 |
$1,345.05
|
|
CT scan for localization
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,205.14
|
|
CT scan for therapy guide
|
$537.20 |
$537.20 |
$537.20 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$965.60 |
$965.60 |
$965.60 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$852.80 |
$852.80 |
$852.80 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$708.00 |
$708.00 |
$708.00 |
$332.00
|
|
CT t-spine w /wo contrast
|
$979.60 |
$979.60 |
$979.60 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$1,068.80 |
$1,068.80 |
$1,068.80 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$944.40 |
$944.40 |
$944.40 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,085.20 |
$1,085.20 |
$1,085.20 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$199.60 |
$199.60 |
$199.60 |
$71.40
|
|
Culture afb any source
|
$134.80 |
$134.80 |
$134.80 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$104.40 |
$104.40 |
$104.40 |
$84.76
|
|
Culture anaerobic except blood
|
$125.20 |
$125.20 |
$125.20 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$118.80 |
$118.80 |
$118.80 |
$52.50
|
|
Culture body fluid
|
$118.80 |
$118.80 |
$118.80 |
$126.00
|
|
Culture fungi definitive id mold
|
$100.00 |
$100.00 |
$100.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$64.00 |
$64.00 |
$64.00 |
$79.50
|
|
Culture fungi other (except blood)
|
$126.80 |
$126.80 |
$126.80 |
$109.20
|
|
Culture mycobacteria definitive id each isolate
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Culture mycoplasma any source
|
$126.80 |
$126.80 |
$126.80 |
$81.62
|
|
Culture quantitative aerobic other source
|
$16.00 |
$16.00 |
$16.00 |
$90.35
|
|
Culture screening strep group a
|
$210.00 |
$210.00 |
$210.00 |
$83.16
|
|
Culture typing added method
|
$100.00 |
$100.00 |
$100.00 |
$38.70
|
|
Culture typing immunologic
|
$24.00 |
$24.00 |
$24.00 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$349.20 |
$349.20 |
$349.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$109.76 |
$109.76 |
$109.76 |
$138.40
|
|
Cutter lead
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$6,685.72
|
|
Cv line/pic reposition
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$1,608.00
|
|
Cyanocobalamin unsat binding capacity
|
$34.80 |
$34.80 |
$34.80 |
$58.65
|
|
Cyclic citrullinated peptide antibody
|
$75.60 |
$75.60 |
$75.60 |
$72.15
|
|
Cyclosporine 2 hour
|
$134.80 |
$134.80 |
$134.80 |
$129.48
|
|
Cylinder pump set 20cm titan zero angl
|
$14,687.41 |
$14,687.41 |
$14,687.41 |
$24,372.98
|
|
Cyp2c19 gene com variants
|
$861.60 |
$861.60 |
$861.60 |
$502.45
|
|
Cystatin c
|
$151.20 |
$151.20 |
$151.20 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,104.40 |
$1,104.40 |
$1,104.40 |
$1,104.40
|
|
Cystine urine quantitative
|
$40.00 |
$40.00 |
$40.00 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$676.80 |
$676.80 |
$676.80 |
$564.85
|
|
Cytogenetics 25-99
|
$118.80 |
$118.80 |
$118.80 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$72.80 |
$72.80 |
$72.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$79.20 |
$79.20 |
$79.20 |
$100.00
|
|
Cyto/molecular report
|
$327.60 |
$327.60 |
$327.60 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$167.20 |
$167.20 |
$167.20 |
$56.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$298.00 |
$298.00 |
$298.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$145.60 |
$145.60 |
$145.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$90.00 |
$90.00 |
$90.00 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$200.00 |
$200.00 |
$200.00 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$238.40 |
$238.40 |
$238.40 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$76.80 |
$76.80 |
$76.80 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$280.00 |
$280.00 |
$280.00 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$171.20 |
$171.20 |
$171.20 |
$209.92
|
|
Cytopath smear other source
|
$144.80 |
$144.80 |
$144.80 |
$91.20
|
|
Cytopath smear oth prep screen & interp
|
$221.20 |
$221.20 |
$221.20 |
$96.20
|
|
Cytopath tbs c/v manual
|
$158.80 |
$158.80 |
$158.80 |
$59.28
|
|
Dch pulmonary stress test
|
$494.80 |
$494.80 |
$494.80 |
$963.30
|
|
Dch validity tests
|
$6.40 |
$6.40 |
$6.40 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$8,388.00 |
$8,388.00 |
$8,388.00 |
$5,110.00
|
|
Deamidated gliadin antibody iga
|
$16.00 |
$16.00 |
$16.00 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,414.00 |
$1,414.00 |
$1,414.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$471.60 |
$471.60 |
$471.60 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,406.80 |
$1,406.80 |
$1,406.80 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$820.15
|
|
Debride nail1-5 11720
|
$242.40 |
$242.40 |
$242.40 |
$149.04
|
|
Debride nail6 or more 11721
|
$299.60 |
$299.60 |
$299.60 |
$167.63
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$641.52
|
|
Debr inf skin add-on 11001
|
$1,229.60 |
$1,229.60 |
$1,229.60 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,448.40 |
$1,448.40 |
$1,448.40 |
$1,160.00
|
|
Decalcification
|
$145.60 |
$145.60 |
$145.60 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$2,415.60 |
$2,415.60 |
$2,415.60 |
$546.84
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$176.00 |
$176.00 |
$176.00 |
$182.40
|
|
Design mlc device for imrt
|
$472.00 |
$472.00 |
$472.00 |
$1,739.10
|
|
Destroy premlg lesns;1st lesn 17000
|
$202.40 |
$202.40 |
$202.40 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$1,934.80 |
$1,934.80 |
$1,934.80 |
$3,556.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$390.40 |
$390.40 |
$390.40 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$424.00 |
$424.00 |
$424.00 |
$235.13
|
|
Destruction vag lesions simple 57061
|
$2,959.20 |
$2,959.20 |
$2,959.20 |
$3,815.20
|
|
Determine refractive state
|
$82.40 |
$82.40 |
$82.40 |
$21.50
|
|
Device ablt adv novasure
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$4,200.00
|
|
Device sut capio slim opn
|
$821.10 |
$821.10 |
$821.10 |
$1,894.50
|
