|
Critical care each additional 30 minutes
|
$188.50 |
$188.50 |
$188.50 |
$686.86
|
|
Cryo fib comp path redu each
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$470.50
|
|
Cryoprecipitate each unit
|
$121.00 |
$121.00 |
$121.00 |
$144.78
|
|
Crystal identification light microscopy
|
$119.50 |
$119.50 |
$119.50 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$673.00 |
$673.00 |
$673.00 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$2,018.50 |
$2,018.50 |
$2,018.50 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,881.50 |
$1,881.50 |
$1,881.50 |
$1,912.50
|
|
CT Angiogram of the Head
|
$2,003.00 |
$2,003.00 |
$2,003.00 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$1,424.40
|
|
CT angio pelvis
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$1,681.50
|
|
CT guidance for needle placement
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$1,498.20
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$65.00 |
$156.00
|
|
CT limited or localized follow-up study
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,474.00 |
$1,474.00 |
$1,474.00 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,337.50 |
$1,337.50 |
$1,337.50 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$2,435.50 |
$2,435.50 |
$2,435.50 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$1,761.50 |
$1,761.50 |
$1,761.50 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,511.50 |
$1,511.50 |
$1,511.50 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,987.00 |
$1,987.00 |
$1,987.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,985.00 |
$1,985.00 |
$1,985.00 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,570.50 |
$1,570.50 |
$1,570.50 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$189.00 |
$189.00 |
$189.00 |
$444.50
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,508.50 |
$3,508.50 |
$3,508.50 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,079.50 |
$3,079.50 |
$3,079.50 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,553.50 |
$1,553.50 |
$1,553.50 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$45.50 |
$45.50 |
$45.50 |
$332.00
|
|
CT t-spine w /wo contrast
|
$1,682.50 |
$1,682.50 |
$1,682.50 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$1,589.50 |
$1,589.50 |
$1,589.50 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,322.50 |
$1,322.50 |
$1,322.50 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$79.00 |
$79.00 |
$79.00 |
$71.40
|
|
Culture afb any source
|
$164.00 |
$164.00 |
$164.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$97.00 |
$97.00 |
$97.00 |
$84.76
|
|
Culture anaerobic except blood
|
$193.50 |
$193.50 |
$193.50 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$93.50 |
$93.50 |
$93.50 |
$52.50
|
|
Culture body fluid
|
$221.50 |
$221.50 |
$221.50 |
$126.00
|
|
Culture fungi definitive id mold
|
$123.00 |
$123.00 |
$123.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$93.00 |
$93.00 |
$93.00 |
$79.50
|
|
Culture fungi other (except blood)
|
$182.50 |
$182.50 |
$182.50 |
$109.20
|
|
Culture quantitative aerobic other source
|
$149.50 |
$149.50 |
$149.50 |
$90.35
|
|
Culture screening strep group a
|
$171.00 |
$171.00 |
$171.00 |
$83.16
|
|
Culture typing added method
|
$123.00 |
$123.00 |
$123.00 |
$38.70
|
|
Culture typing immunologic
|
$52.00 |
$52.00 |
$52.00 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$519.00 |
$519.00 |
$519.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$923.00 |
$923.00 |
$923.00 |
$138.40
|
|
Culture urine each isolate
|
$102.00 |
$102.00 |
$102.00 |
$54.78
|
|
Cutter lead
|
$26,295.00 |
$26,295.00 |
$26,295.00 |
$6,685.72
|
|
Cv line/pic reposition
|
$1,810.50 |
$1,810.50 |
$1,810.50 |
$1,608.00
|
|
Cyclic citrullinated peptide antibody
|
$119.50 |
$119.50 |
$119.50 |
$72.15
|
|
Cyclosporine 2 hour
|
$126.00 |
$126.00 |
$126.00 |
$129.48
|
|
Cylinder pump set 20cm titan zero angl
|
$34,427.50 |
$34,427.50 |
$34,427.50 |
$24,372.98
|
|
Cymetra injectable
|
$371.00 |
$371.00 |
$371.00 |
$578.24
|
|
Cyp2c19 gene com variants
|
$524.00 |
$524.00 |
$524.00 |
$502.45
|
|
Cyp3a5 gene common variants
|
$597.00 |
$597.00 |
$597.00 |
$245.31
|
|
Cystatin c
|
$67.00 |
$67.00 |
$67.00 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$1,104.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$503.50 |
$503.50 |
$503.50 |
$564.85
|
|
Cytogenetics 25-99
|
$226.00 |
$226.00 |
$226.00 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$112.00 |
$112.00 |
$112.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$117.00 |
$117.00 |
$117.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$115.50 |
$115.50 |
$115.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$89.50 |
$89.50 |
$89.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$125.50 |
$125.50 |
$125.50 |
$131.36
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$0.50 |
$0.50 |
$0.50 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$123.50 |
$123.50 |
$123.50 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$181.00 |
$181.00 |
$181.00 |
$209.92
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,573.50 |
$2,573.50 |
$2,573.50 |
$3,774.81
|
|
Dch validity tests
|
$14.50 |
$14.50 |
$14.50 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$135.50 |
$135.50 |
$135.50 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$477.50 |
$477.50 |
$477.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$241.00 |
$241.00 |
$241.00 |
$278.50
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$820.15
|
|
Debride nail1-5 11720
|
$144.50 |
$144.50 |
$144.50 |
$149.04
|
|
Debride nail6 or more 11721
|
$148.00 |
$148.00 |
$148.00 |
$167.63
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$673.00 |
$673.00 |
$673.00 |
$1,129.45
|
|
Decalcification
|
$66.50 |
$66.50 |
$66.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$473.50 |
$473.50 |
$473.50 |
$546.84
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$147.50 |
$147.50 |
$147.50 |
$182.40
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$288.00 |
$288.00 |
$288.00 |
$399.93
|
|
Desoxycorticosterone
|
$137.00 |
$137.00 |
$137.00 |
$98.80
|
|
Device ablt adv novasure
|
$3,299.00 |
$3,299.00 |
$3,299.00 |
$6,237.48
|
|
Device sut capio slim opn
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$4,655.00 |
$4,655.00 |
$4,655.00 |
$2,466.14
|
|
Dhea-s (dehydroepiand sulfate)
|
$235.00 |
$235.00 |
$235.00 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$83.50 |
$83.50 |
$83.50 |
$79.20
|
|
Diagnostic laryngoscopy 31575
|
$603.00 |
$603.00 |
$603.00 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$413.50 |
$413.50 |
$413.50 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$358.00 |
$358.00 |
$358.00 |
$312.72
|
|
Diffusing capacity
|
$368.00 |
$368.00 |
$368.00 |
$335.20
|
|
Digital analysis of eeg
|
$660.00 |
$660.00 |
$660.00 |
$551.20
|
