|
Cta lower extremity without & w/contrast (both sides)
|
$749.00 |
$749.00 |
$749.00 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$791.00 |
$791.00 |
$791.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$863.00 |
$863.00 |
$863.00 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,912.50
|
|
CT Angiogram of the Head
|
$951.50 |
$951.50 |
$951.50 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$1,424.40
|
|
CT angio pelvis
|
$848.00 |
$848.00 |
$848.00 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$803.50 |
$803.50 |
$803.50 |
$1,681.50
|
|
CT colonography dx
|
$347.50 |
$347.50 |
$347.50 |
$797.40
|
|
CT colonography dx w/dye
|
$529.00 |
$529.00 |
$529.00 |
$1,052.16
|
|
CT guidance for needle placement
|
$527.00 |
$527.00 |
$527.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$844.50 |
$844.50 |
$844.50 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$65.00 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$483.50 |
$483.50 |
$483.50 |
$1,371.50
|
|
CT hrt w/3d image
|
$513.00 |
$513.00 |
$513.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$417.00 |
$417.00 |
$417.00 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,787.50 |
$1,787.50 |
$1,787.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$5,776.00 |
$5,776.00 |
$5,776.00 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$5,436.00 |
$5,436.00 |
$5,436.00 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$1,787.50 |
$1,787.50 |
$1,787.50 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$845.50 |
$845.50 |
$845.50 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$565.50 |
$565.50 |
$565.50 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$845.50 |
$845.50 |
$845.50 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$962.00 |
$962.00 |
$962.00 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$962.00 |
$962.00 |
$962.00 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$940.50 |
$940.50 |
$940.50 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$280.50 |
$280.50 |
$280.50 |
$444.50
|
|
CT scan for therapy guide
|
$441.00 |
$441.00 |
$441.00 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,293.50 |
$1,293.50 |
$1,293.50 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$903.00 |
$903.00 |
$903.00 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$662.00 |
$662.00 |
$662.00 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$455.50 |
$455.50 |
$455.50 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$54.50 |
$54.50 |
$54.50 |
$332.00
|
|
CT t-spine w /wo contrast
|
$795.00 |
$795.00 |
$795.00 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$2,601.50 |
$2,601.50 |
$2,601.50 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$125.00 |
$125.00 |
$125.00 |
$71.40
|
|
Culture afb any source
|
$259.50 |
$259.50 |
$259.50 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$196.00 |
$196.00 |
$196.00 |
$84.76
|
|
Culture anaerobic except blood
|
$255.00 |
$255.00 |
$255.00 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$160.50 |
$160.50 |
$160.50 |
$52.50
|
|
Culture body fluid
|
$197.50 |
$197.50 |
$197.50 |
$126.00
|
|
Culture fungi definitive id mold
|
$109.50 |
$109.50 |
$109.50 |
$80.00
|
|
Culture fungi definitive id yeast
|
$210.50 |
$210.50 |
$210.50 |
$79.50
|
|
Culture fungi other (except blood)
|
$157.50 |
$157.50 |
$157.50 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$203.50 |
$203.50 |
$203.50 |
$74.40
|
|
Culture mycoplasma any source
|
$169.50 |
$169.50 |
$169.50 |
$81.62
|
|
Culture quantitative aerobic other source
|
$35.00 |
$35.00 |
$35.00 |
$90.35
|
|
Culture screening strep group a
|
$185.50 |
$185.50 |
$185.50 |
$83.16
|
|
Culture typing added method
|
$123.00 |
$123.00 |
$123.00 |
$38.70
|
|
Culture typing immunologic
|
$165.50 |
$165.50 |
$165.50 |
$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
|
$33.00 |
$33.00 |
$33.00 |
$54.78
|
|
Cutter lead
|
$33,304.00 |
$33,304.00 |
$33,304.00 |
$6,685.72
|
|
Cv line/pic reposition
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,608.00
|
|
Cyclic citrullinated peptide antibody
|
$65.50 |
$65.50 |
$65.50 |
$72.15
|
|
Cyclosporine 2 hour
|
$175.50 |
$175.50 |
$175.50 |
$129.48
|
|
Cylinder pump set 20cm titan zero angl
|
$33,723.00 |
$33,723.00 |
$33,723.00 |
$24,372.98
|
|
Cyp2c19 gene com variants
|
$524.00 |
$524.00 |
$524.00 |
$502.45
|
|
Cyp3a5 gene common variants
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$245.31
|
|
Cystatin c
|
$141.00 |
$141.00 |
$141.00 |
$76.48
|
|
Cystic fibrosis cftr
|
$7,577.00 |
$7,577.00 |
$7,577.00 |
$1,104.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$510.00 |
$510.00 |
$510.00 |
$564.85
|
|
Cystoscopy and treatment
|
$952.00 |
$952.00 |
$952.00 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$495.00 |
$495.00 |
$495.00 |
$1,445.41
|
|
Cytogenetics 25-99
|
$195.00 |
$195.00 |
$195.00 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$98.50 |
$98.50 |
$98.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$155.00 |
$155.00 |
$155.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$106.00 |
$106.00 |
$106.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$149.00 |
$149.00 |
$149.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$42.50 |
$42.50 |
$42.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$56.00 |
$56.00 |
$56.00 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$52.00 |
$52.00 |
$52.00 |
$124.00
|
|
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
|
$133.00 |
$133.00 |
$133.00 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$151.00 |
$151.00 |
$151.00 |
$209.92
|
|
Cytopath smear other source
|
$51.50 |
$51.50 |
$51.50 |
$91.20
|
|
Cytopath tbs c/v manual
|
$70.00 |
$70.00 |
$70.00 |
$59.28
|
|
Dch glucoscan
|
$18.00 |
$18.00 |
$18.00 |
$29.16
|
|
Dch pulmonary stress test
|
$535.50 |
$535.50 |
$535.50 |
$963.30
|
|
Dch validity tests
|
$13.00 |
$13.00 |
$13.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$198.00 |
$198.00 |
$198.00 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$953.50 |
$953.50 |
$953.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$180.00 |
$180.00 |
$180.00 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$168.00 |
$168.00 |
$168.00 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$521.00 |
$521.00 |
$521.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$820.15
|
|
Debride nail1-5 11720
|
$230.50 |
$230.50 |
$230.50 |
$149.04
|
|
Debride nail6 or more 11721
|
$230.50 |
$230.50 |
$230.50 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$653.00 |
$653.00 |
$653.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$4,520.50 |
$4,520.50 |
$4,520.50 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$168.00 |
$168.00 |
$168.00 |
$641.52
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$1,160.00
|
