|
Cta upper extremity w &/or without contrast left
|
$505.92 |
$505.92 |
$505.92 |
$1,698.00
|
|
CT colonography dx
|
$229.98 |
$229.98 |
$229.98 |
$791.00
|
|
CT colonography dx w/dye
|
$412.80 |
$412.80 |
$412.80 |
$1,037.00
|
|
CT guidance for needle placement
|
$1,073.76 |
$1,073.76 |
$1,073.76 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$171.47 |
$171.47 |
$171.47 |
$1,178.52
|
|
CT limited or localized follow-up study
|
$586.56 |
$586.56 |
$586.56 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$780.96 |
$780.96 |
$780.96 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$693.60 |
$693.60 |
$693.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,297.44 |
$1,297.44 |
$1,297.44 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,212.96 |
$1,212.96 |
$1,212.96 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,362.72 |
$1,362.72 |
$1,362.72 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,362.72 |
$1,362.72 |
$1,362.72 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,066.08 |
$1,066.08 |
$1,066.08 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$574.08 |
$574.08 |
$574.08 |
$437.04
|
|
CT scan for therapy guide
|
$568.80 |
$568.80 |
$568.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,930.40 |
$2,930.40 |
$2,930.40 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,343.36 |
$2,343.36 |
$2,343.36 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$653.76 |
$653.76 |
$653.76 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,199.04 |
$1,199.04 |
$1,199.04 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$954.72 |
$954.72 |
$954.72 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$217.77 |
$217.77 |
$217.77 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,253.76 |
$1,253.76 |
$1,253.76 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,061.76 |
$1,061.76 |
$1,061.76 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$912.00 |
$912.00 |
$912.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$1,845.36
|
|
Cult skin graft fnhfg 15155
|
$5,850.72 |
$5,850.72 |
$5,850.72 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$50.88 |
$50.88 |
$50.88 |
$68.64
|
|
Culture afb any source
|
$60.04 |
$60.04 |
$60.04 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$18.32 |
$18.32 |
$18.32 |
$79.00
|
|
Culture anaerobic except blood
|
$72.25 |
$72.25 |
$72.25 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$73.27 |
$73.27 |
$73.27 |
$51.45
|
|
Culture body fluid
|
$59.53 |
$59.53 |
$59.53 |
$126.75
|
|
Culture fungi definitive id mold
|
$19.69 |
$19.69 |
$19.69 |
$77.28
|
|
Culture fungi definitive id yeast
|
$52.92 |
$52.92 |
$52.92 |
$79.10
|
|
Culture fungi other (except blood)
|
$98.20 |
$98.20 |
$98.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$32.56 |
$32.56 |
$32.56 |
$74.88
|
|
Culture mycoplasma any source
|
$29.36 |
$29.36 |
$29.36 |
$85.26
|
|
Culture screening strep group a
|
$66.14 |
$66.14 |
$66.14 |
$81.00
|
|
Culture typing glc/hplc
|
$23.89 |
$23.89 |
$23.89 |
$54.43
|
|
Culture typing immunologic
|
$9.89 |
$9.89 |
$9.89 |
$44.00
|
|
Culture urine each isolate
|
$21.37 |
$21.37 |
$21.37 |
$57.00
|
|
Curette/treat cornea
|
$125.28 |
$125.28 |
$125.28 |
$1,345.80
|
|
Cv line/pic reposition
|
$2,235.36 |
$2,235.36 |
$2,235.36 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$21.12 |
$21.12 |
$21.12 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$31.68 |
$31.68 |
$31.68 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$63.44 |
$63.44 |
$63.44 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$76.32 |
$76.32 |
$76.32 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$821.76 |
$821.76 |
$821.76 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$91.58 |
$91.58 |
$91.58 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$217.68 |
$217.68 |
$217.68 |
$7.48
|
|
Cyp2c19 gene com variants
|
$291.84 |
$291.84 |
$291.84 |
$504.00
|
|
Cystatin c
|
$36.39 |
$36.39 |
$36.39 |
$77.50
|
|
Cystine urine quantitative
|
$206.57 |
$206.57 |
$206.57 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$459.84 |
$459.84 |
$459.84 |
$542.10
|
|
Cystorrhaphy wound comp 51865
|
$1,361.28 |
$1,361.28 |
$1,361.28 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$1,137.12 |
$1,137.12 |
$1,137.12 |
$5,855.00
|
|
Cystoscopy and radiotracer
|
$359.04 |
$359.04 |
$359.04 |
$4,846.99
|
|
Cystoscopy and treatment
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,186.08 |
$1,186.08 |
$1,186.08 |
$4,160.10
|
|
Cystoscopy and treatment
|
$369.12 |
$369.12 |
$369.12 |
$5,162.50
|
|
Cystoscopy and treatment
|
$433.44 |
$433.44 |
$433.44 |
$5,995.60
|
|
Cystoscopy and treatment
|
$588.00 |
$588.00 |
$588.00 |
$6,475.26
|
|
Cystoscopy and treatment
|
$316.80 |
$316.80 |
$316.80 |
$3,213.14
|
|
Cystoscopy and treatment
|
$568.80 |
$568.80 |
$568.80 |
$2,424.12
|
|
Cystoscopy and treatment
|
$396.48 |
$396.48 |
$396.48 |
$4,045.60
|
|
Cystoscopy and treatment
|
$540.00 |
$540.00 |
$540.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$535.20 |
$535.20 |
$535.20 |
$958.81
|
|
Cystoscopy and treatment
|
$420.00 |
$420.00 |
$420.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$435.36 |
$435.36 |
$435.36 |
$4,081.37
|
|
Cystoscopy and treatment
|
$417.12 |
$417.12 |
$417.12 |
$6,015.75
|
|
Cystoscopy and treatment
|
$487.68 |
$487.68 |
$487.68 |
$2,874.36
|
|
Cystoscopy and treatment
|
$716.64 |
$716.64 |
$716.64 |
$3,203.50
|
|
Cystoscopy and treatment
|
$369.12 |
$369.12 |
$369.12 |
$4,061.71
|
|
Cystoscopy and treatment
|
$918.24 |
$918.24 |
$918.24 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$1,155.84 |
$1,155.84 |
$1,155.84 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$591.36 |
$591.36 |
$591.36 |
$2,704.80
|
|
Cystoscopy implant stent
|
$505.92 |
$505.92 |
$505.92 |
$4,627.00
|
|
Cystoscopy inject material
|
$387.84 |
$387.84 |
$387.84 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$669.12 |
$669.12 |
$669.12 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$821.28 |
$821.28 |
$821.28 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$463.20 |
$463.20 |
$463.20 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$447.84 |
$447.84 |
$447.84 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$454.56 |
$454.56 |
$454.56 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$554.40 |
$554.40 |
$554.40 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$624.96 |
$624.96 |
$624.96 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$700.32 |
$700.32 |
$700.32 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$623.04 |
$623.04 |
$623.04 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$587.52 |
$587.52 |
$587.52 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$530.88 |
$530.88 |
$530.88 |
$5,110.00
|
|
Cysto/uretero w/up stricture
|
$591.36 |
$591.36 |
$591.36 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$397.44 |
$397.44 |
$397.44 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,481.92 |
$3,481.92 |
$3,481.92 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$575.52 |
$575.52 |
$575.52 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$464.16 |
$464.16 |
$464.16 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$426.72 |
$426.72 |
$426.72 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$60.18 |
$60.18 |
$60.18 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.09 |
$63.09 |
$63.09 |
$95.00
|