|
Cta upper extremity w &/or without contrast left
|
$1,229.70 |
$1,229.70 |
$1,229.70 |
$1,650.60
|
|
CT guidance for needle placement
|
$584.14 |
$584.14 |
$584.14 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$562.49 |
$562.49 |
$562.49 |
$1,007.29
|
|
CT guid cryo ablat intramuscular
|
$2,614.14 |
$2,614.14 |
$2,614.14 |
$1,056.00
|
|
CT guid parench tis ablat
|
$325.51 |
$325.51 |
$325.51 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$277.50 |
$277.50 |
$277.50 |
$176.89
|
|
CT hrt w/3d image
|
$514.67 |
$514.67 |
$514.67 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$275.00 |
$275.00 |
$275.00 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,978.58 |
$1,978.58 |
$1,978.58 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,646.50 |
$1,646.50 |
$1,646.50 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,581.38 |
$1,581.38 |
$1,581.38 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$917.14 |
$917.14 |
$917.14 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$725.29 |
$725.29 |
$725.29 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$1,042.01 |
$1,042.01 |
$1,042.01 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,023.14 |
$1,023.14 |
$1,023.14 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$753.23 |
$753.23 |
$753.23 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$790.88 |
$790.88 |
$790.88 |
$1,250.00
|
|
Ctrl nosebld postir subsq 30906
|
$239.30 |
$239.30 |
$239.30 |
$449.60
|
|
CT scan for therapy guide
|
$360.75 |
$360.75 |
$360.75 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,216.01 |
$1,216.01 |
$1,216.01 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,187.61 |
$1,187.61 |
$1,187.61 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$920.93 |
$920.93 |
$920.93 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$859.79 |
$859.79 |
$859.79 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$843.69 |
$843.69 |
$843.69 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$952.66 |
$952.66 |
$952.66 |
$418.50
|
|
CT t-spine w /wo contrast
|
$715.30 |
$715.30 |
$715.30 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,771.19 |
$1,771.19 |
$1,771.19 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,476.49 |
$1,476.49 |
$1,476.49 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$27.38 |
$27.38 |
$27.38 |
$61.03
|
|
Culture afb any source
|
$51.34 |
$51.34 |
$51.34 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$35.34 |
$35.34 |
$35.34 |
$73.00
|
|
Culture anaerobic except blood
|
$65.49 |
$65.49 |
$65.49 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$19.43 |
$19.43 |
$19.43 |
$49.40
|
|
Culture body fluid
|
$60.22 |
$60.22 |
$60.22 |
$111.15
|
|
Culture fungi definitive id mold
|
$27.10 |
$27.10 |
$27.10 |
$70.00
|
|
Culture fungi definitive id yeast
|
$41.90 |
$41.90 |
$41.90 |
$68.00
|
|
Culture fungi other (except blood)
|
$45.51 |
$45.51 |
$45.51 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$36.45 |
$36.45 |
$36.45 |
$74.75
|
|
Culture mycoplasma any source
|
$90.37 |
$90.37 |
$90.37 |
$94.00
|
|
Culture screening strep group a
|
$43.29 |
$43.29 |
$43.29 |
$76.00
|
|
Culture typing immunologic
|
$29.32 |
$29.32 |
$29.32 |
$38.58
|
|
Culture urine each isolate
|
$17.48 |
$17.48 |
$17.48 |
$44.80
|
|
Curette/treat cornea
|
$1,317.39 |
$1,317.39 |
$1,317.39 |
$1,175.85
|
|
Cv line/pic reposition
|
$1,516.26 |
$1,516.26 |
$1,516.26 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.71 |
$9.71 |
$9.71 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$65.68 |
$65.68 |
$65.68 |
$91.20
|
|
Cyclophosphamide 25 mg capsule
|
$22.40 |
$22.40 |
$22.40 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$75.74 |
$75.74 |
$75.74 |
$179.92
|
|
Cyclosporine 2 hour
|
$87.88 |
$87.88 |
$87.88 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$1.30 |
$1.30 |
$1.30 |
$4.42
|
|
Cyclosporine oral 100 mg
|
$263.81 |
$263.81 |
$263.81 |
$19.50
|
|
Cyp2c19 gene com variants
|
$657.12 |
$657.12 |
$657.12 |
$583.20
|
|
Cyp2c9 gene com variants
|
$318.85 |
$318.85 |
$318.85 |
$287.82
|
|
Cystatin c
|
$71.23 |
$71.23 |
$71.23 |
$83.20
|
|
Cystic fibrosis cftr
|
$184.63 |
$184.63 |
$184.63 |
$1,041.95
|
|
Cystine urine quantitative
|
$94.26 |
$94.26 |
$94.26 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$265.85 |
$265.85 |
$265.85 |
$487.04
|
|
Cystoscopy and biopsy
|
$4,057.88 |
$4,057.88 |
$4,057.88 |
$3,769.31
|
|
Cystoscopy (Bladder Scope)
|
$605.78 |
$605.78 |
$605.78 |
$1,633.60
|
|
Cystoscopy removal of clots
|
$1,528.84 |
$1,528.84 |
$1,528.84 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$1,757.59 |
$1,757.59 |
$1,757.59 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$976.15 |
$976.15 |
$976.15 |
$3,276.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$999.19 |
$999.19 |
$999.19 |
$2,874.36
|
|
Cysto w/ureter stricture tx
|
$2,708.31 |
$2,708.31 |
$2,708.31 |
$4,074.86
|
|
Cytarabine 20 mg/ml injection solution
|
$28.25 |
$28.25 |
$28.25 |
$59.31
|
|
Cytogenom microarray copy nmbr var
|
$629.65 |
$629.65 |
$629.65 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.03 |
$49.03 |
$49.03 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$49.40 |
$49.40 |
$49.40 |
$95.00
|
|
Cytomegalovirus imm IV /vial
|
$941.58 |
$941.58 |
$941.58 |
$2,635.28
|
|
Cyto/molecular report
|
$235.90 |
$235.90 |
$235.90 |
$91.65
|
|
Cytopathology cellular enhancement technique non-gyn
|
$47.64 |
$47.64 |
$47.64 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$48.56 |
$48.56 |
$48.56 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$40.70 |
$40.70 |
$40.70 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$27.29 |
$27.29 |
$27.29 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$26.92 |
$26.92 |
$26.92 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$73.26 |
$73.26 |
$73.26 |
$205.00
|
|
Cytopath smear other source
|
$41.07 |
$41.07 |
$41.07 |
$88.13
|
|
Cytopath smear other source
|
$55.50 |
$55.50 |
$55.50 |
$145.31
|
|
Cytopath smear oth prep screen & interp
|
$32.75 |
$32.75 |
$32.75 |
$95.00
|
|
Cytotoxic antibody screening
|
$184.63 |
$184.63 |
$184.63 |
$184.63
|
|
Dacarbazine 100 mg intravenous solution
|
$29.80 |
$29.80 |
$29.80 |
$39.53
|
|
Dactinomycin 0.5 mg intravenous solution
|
$803.44 |
$803.44 |
$803.44 |
$1,225.86
|
|
Dalbavancin 500 mg intravenous solution
|
$2,077.81 |
$2,077.81 |
$2,077.81 |
$3,480.61
|
|
Dalteparin sodium
|
$55.19 |
$55.19 |
$55.19 |
$55.19
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.58 |
$0.58 |
$0.58 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$556.33 |
$556.33 |
$556.33 |
$4,542.99
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$11,312.75 |
$11,312.75 |
$11,312.75 |
$14,514.57
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$130.13 |
$130.13 |
$130.13 |
$130.13
|
|
D&c after delivery 59160
|
$3,273.85 |
$3,273.85 |
$3,273.85 |
$3,441.98
|
|
Dch pulmonary stress test
|
$246.61 |
$246.61 |
$246.61 |
$964.41
|
|
Dch validity tests
|
$18.59 |
$18.59 |
$18.59 |
$25.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$555.65 |
$555.65 |
$555.65 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$186.76 |
$186.76 |
$186.76 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$363.80 |
$363.80 |
$363.80 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,283.44 |
$1,283.44 |
$1,283.44 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$406.35 |
$406.35 |
$406.35 |
$779.35
|
|
Debride nail1-5 11720
|
$110.35 |
$110.35 |
$110.35 |
$186.88
|
|
Debride nail6 or more 11721
|
$64.84 |
$64.84 |
$64.84 |
$200.21
|
