|
CT Angiogram of the Abdomen and Both Legs
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,916.50
|
|
CT Angiogram of the Head
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,889.70
|
|
CT angio hrt w/3d image
|
$3,640.06 |
$3,640.06 |
$3,640.06 |
$1,428.68
|
|
CT angio pelvis
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,816.50
|
|
Cta upper extremity w &/or without contrast left
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,697.80
|
|
CT bone density axial
|
$8.58 |
$8.58 |
$8.58 |
$385.15
|
|
CT colonography dx
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$811.41
|
|
CT colonography dx w/dye
|
$1,814.48 |
$1,814.48 |
$1,814.48 |
$1,069.25
|
|
CT colonography screening
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,770.56 |
$2,770.56 |
$2,770.56 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$542.42 |
$542.42 |
$542.42 |
$1,215.06
|
|
CT guid parench tis ablat
|
$2,001.70 |
$2,001.70 |
$2,001.70 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$897.62 |
$897.62 |
$897.62 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,640.06 |
$3,640.06 |
$3,640.06 |
$1,395.79
|
|
CT hrt w/3d image
|
$3,640.06 |
$3,640.06 |
$3,640.06 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$897.62 |
$897.62 |
$897.62 |
$640.48
|
|
CT lwr extremity w/o&w/dye
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$653.42 |
$653.42 |
$653.42 |
$425.60
|
|
CT scan for localization
|
$1,841.86 |
$1,841.86 |
$1,841.86 |
$1,216.80
|
|
CT scan for therapy guide
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,550.26 |
$4,550.26 |
$4,550.26 |
$3,472.30
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,640.06 |
$3,640.06 |
$3,640.06 |
$2,872.84
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,982.40
|
|
CT uppr extremity w/o&w/dye
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$680.16 |
$680.16 |
$680.16 |
$1,291.35
|
|
Cult skin graft fnhfg 15155
|
$532.48 |
$532.48 |
$532.48 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$467.48 |
$467.48 |
$467.48 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$51.06 |
$51.06 |
$51.06 |
$72.00
|
|
Culture afb any source
|
$68.08 |
$68.08 |
$68.08 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$51.06 |
$51.06 |
$51.06 |
$84.76
|
|
Culture anaerobic except blood
|
$59.94 |
$59.94 |
$59.94 |
$120.78
|
|
Culture bacteria anaerobic
|
$61.42 |
$61.42 |
$61.42 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$59.94 |
$59.94 |
$59.94 |
$52.50
|
|
Culture body fluid
|
$54.76 |
$54.76 |
$54.76 |
$126.72
|
|
Culture fungi definitive id mold
|
$65.12 |
$65.12 |
$65.12 |
$80.00
|
|
Culture fungi definitive id yeast
|
$65.12 |
$65.12 |
$65.12 |
$80.00
|
|
Culture fungi other (except blood)
|
$53.28 |
$53.28 |
$53.28 |
$111.09
|
|
Culture fungi skin/hair/nail
|
$48.84 |
$48.84 |
$48.84 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$91.76 |
$91.76 |
$91.76 |
$100.00
|
|
Culture mycoplasma any source
|
$97.68 |
$97.68 |
$97.68 |
$83.21
|
|
Culture of specimen by kit
|
$21.32 |
$21.32 |
$21.32 |
$49.00
|
|
Culture quantitative aerobic other source
|
$62.90 |
$62.90 |
$62.90 |
$86.40
|
|
Culture screening strep group a
|
$42.18 |
$42.18 |
$42.18 |
$84.50
|
|
Culture type pulse field gel
|
$6.24 |
$6.24 |
$6.24 |
$38.58
|
|
Culture typing added method
|
$49.58 |
$49.58 |
$49.58 |
$38.70
|
|
Culture typing glc/hplc
|
$9.88 |
$9.88 |
$9.88 |
$53.54
|
|
Culture typing immunologic
|
$33.30 |
$33.30 |
$33.30 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$222.00 |
$222.00 |
$222.00 |
$140.80
|
|
Culture urine each isolate
|
$51.06 |
$51.06 |
$51.06 |
$55.25
|
|
Culture virus isolation
|
$15.08 |
$15.08 |
$15.08 |
$118.50
|
|
Curette/treat cornea
|
$49.92 |
$49.92 |
$49.92 |
$1,370.74
|
|
Curette/treat cornea
|
$265.46 |
$265.46 |
$265.46 |
$2,818.14
|
|
Cv line/pic reposition
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$1,697.72
|
|
Cv stress test i&r only 93018
|
$10.40 |
$10.40 |
$10.40 |
$35.20
|
|
Cv stress test/supervision only 93016
|
$15.08 |
$15.08 |
$15.08 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$10.92 |
$10.92 |
$10.92 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.24 |
$3.24 |
$3.24 |
$25.30
|
|
Cyclic citrullinated peptide antibody
|
$82.14 |
$82.14 |
$82.14 |
$72.50
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$64.77 |
$64.77 |
$64.77 |
$140.78
|
|
Cyclosporine 2 hour
|
$113.96 |
$113.96 |
$113.96 |
$130.02
|
|
Cyp2c19 gene com variants
|
$819.18 |
$819.18 |
$819.18 |
$524.00
|
|
Cyp2c9 gene com variants
|
$491.36 |
$491.36 |
$491.36 |
$275.40
|
|
Cyp2d6 gene com variants
|
$1,268.36 |
$1,268.36 |
$1,268.36 |
$570.70
|
|
Cyp3a4 gene common variants
|
$491.36 |
$491.36 |
$491.36 |
$241.24
|
|
Cyp3a5 gene common variants
|
$491.36 |
$491.36 |
$491.36 |
$245.31
|
|
Cystatin c
|
$117.66 |
$117.66 |
$117.66 |
$78.00
|
|
Cystic fibrosis cftr
|
$1,403.04 |
$1,403.04 |
$1,403.04 |
$1,104.40
|
|
Cystine urine quantitative
|
$145.78 |
$145.78 |
$145.78 |
$100.70
|
|
Cysto cgen post urtl valves
|
$347.88 |
$347.88 |
$347.88 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,380.84 |
$1,380.84 |
$1,380.84 |
$588.77
|
|
Cysto impl 4 or more
|
$2,541.24 |
$2,541.24 |
$2,541.24 |
$6,860.21
|
|
Cysto insj dev ischmc rmdlg
|
$119.60 |
$119.60 |
$119.60 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$76.44 |
$76.44 |
$76.44 |
$857.38
|
|
Cystorrhaphy wound comp 51865
|
$652.08 |
$652.08 |
$652.08 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$542.88 |
$542.88 |
$542.88 |
$6,297.20
|
|
Cystoscopy and biopsy
|
$120.64 |
$120.64 |
$120.64 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$173.16 |
$173.16 |
$173.16 |
$4,846.99
|
|
Cystoscopy and treatment
|
$126.88 |
$126.88 |
$126.88 |
$4,081.37
|
|
Cystoscopy and treatment
|
$146.90 |
$146.90 |
$146.90 |
$4,638.40
|
|
Cystoscopy and treatment
|
$177.84 |
$177.84 |
$177.84 |
$5,304.00
|
|
Cystoscopy and treatment
|
$208.26 |
$208.26 |
$208.26 |
$5,995.60
|
|
Cystoscopy and treatment
|
$282.88 |
$282.88 |
$282.88 |
$6,593.60
|
|
Cystoscopy and treatment
|
$152.36 |
$152.36 |
$152.36 |
$3,320.50
|
|
Cystoscopy and treatment
|
$117.78 |
$117.78 |
$117.78 |
$2,424.12
|
|
Cystoscopy and treatment
|
$191.36 |
$191.36 |
$191.36 |
$4,045.60
|
|
Cystoscopy and treatment
|
$233.48 |
$233.48 |
$233.48 |
$3,986.00
|
|
Cystoscopy and treatment
|
$146.64 |
$146.64 |
$146.64 |
$2,424.12
|
|
Cystoscopy and treatment
|
$142.74 |
$142.74 |
$142.74 |
$936.00
|
|
Cystoscopy and treatment
|
$176.28 |
$176.28 |
$176.28 |
$2,874.36
|
|
Cystoscopy and treatment
|
$202.28 |
$202.28 |
$202.28 |
$4,081.37
|
|
Cystoscopy and treatment
|
$209.56 |
$209.56 |
$209.56 |
$4,081.37
|
|
Cystoscopy and treatment
|
$200.72 |
$200.72 |
$200.72 |
$6,015.75
|
|
Cystoscopy and treatment
|
$109.98 |
$109.98 |
$109.98 |
$2,867.70
|
|
Cystoscopy and treatment
|
$198.38 |
$198.38 |
$198.38 |
$3,203.50
|
|
Cystoscopy and treatment
|
$178.36 |
$178.36 |
$178.36 |
$4,081.37
|
|
Cystoscopy and treatment
|
$190.32 |
$190.32 |
$190.32 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$1,877.38 |
$1,877.38 |
$1,877.38 |
$1,493.80
|