|
Cryopreserve stem cells
|
$2,666.50 |
$2,904.50 |
$3,585.50 |
|
|
Cryosurgery penis lesion(s) 54056
|
$119.00 |
$164.00 |
$164.00 |
|
|
Crystal identification light microscopy
|
$67.00 |
$119.50 |
$245.00 |
|
|
Csf shunt reprogram 62252
|
$289.50 |
$393.00 |
$393.00 |
|
|
CT 3d report other modality w/workstation
|
$150.50 |
$428.00 |
$743.00 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$749.00 |
$1,937.00 |
$4,443.00 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$332.00 |
$2,346.00 |
$9,109.00 |
|
|
CT Angiogram of the Abdomen
|
$887.00 |
$1,548.00 |
$6,296.00 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$250.50 |
$1,819.80 |
$9,678.00 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,072.50 |
$1,599.00 |
$5,400.00 |
|
|
CT Angiogram of the Head
|
$951.50 |
$1,587.50 |
$2,750.50 |
|
|
CT Angiogram of the Neck
|
$791.00 |
$1,371.00 |
$3,279.50 |
|
|
CT angio hrt w/3d image
|
$809.50 |
$1,354.00 |
$4,271.00 |
|
|
CT angio pelvis
|
$756.00 |
$1,806.60 |
$11,121.00 |
|
|
Cta upper extremity w &/or without contrast left
|
$803.50 |
$996.00 |
$4,443.00 |
|
|
CT cerebral perf w cont & prcssng
|
$163.00 |
$163.00 |
$538.00 |
|
|
CT colonography dx
|
$123.50 |
$151.00 |
$1,314.60 |
|
|
CT colonography dx w/dye
|
$187.50 |
$229.00 |
$1,995.60 |
|
|
CT colonography screening
|
$224.00 |
$224.00 |
$585.60 |
|
|
CT guidance for needle placement
|
$506.00 |
$620.00 |
$7,720.00 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$662.00 |
$1,098.00 |
$4,052.50 |
|
|
CT guid cryo ablat intramuscular
|
$10,222.00 |
$13,877.00 |
$24,438.19 |
|
|
CT guid parench tis ablat
|
$647.00 |
$792.50 |
$4,305.00 |
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$957.00 |
|
|
CT hrt c+ strux cgen hrt ds
|
$483.50 |
$1,179.00 |
$4,271.00 |
|
|
CT hrt w/3d image
|
$499.50 |
$1,179.00 |
$2,066.35 |
|
|
CT limited or localized follow-up study
|
$370.00 |
$453.00 |
$2,940.50 |
|
|
Ctlso a-p-l control molded
|
$2,587.00 |
$4,466.50 |
$11,254.27 |
|
|
Ctlso a-p-l control with inter
|
$2,435.50 |
$4,204.00 |
$12,371.53 |
|
|
Ctlso axilla sling
|
$473.01 |
$473.01 |
$473.01 |
|
|
Ctlso milwauke initial model
|
$11,463.56 |
$11,463.56 |
$11,463.56 |
|
|
CT lwr extremity w/o&w/dye
|
$902.00 |
$1,492.00 |
$3,072.50 |
|
|
Ctrl nosebld postir subsq 30906
|
$189.00 |
$273.00 |
$311.50 |
|
|
CT scan for localization
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
|
|
CT scan for therapy guide
|
$228.00 |
$441.00 |
$4,132.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,327.00 |
$3,105.60 |
$16,614.00 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,293.50 |
$2,175.60 |
$12,632.00 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$903.00 |
$2,247.60 |
$12,172.00 |
|
|
CT t-spine w /wo contrast
|
$795.00 |
$1,682.50 |
$8,504.00 |
|
|
CT uppr extremity w/o&w/dye
|
$757.00 |
$1,258.00 |
$3,072.50 |
|
|
Cuffs adj lock with active con
|
$147.50 |
$147.50 |
$5,528.20 |
|
|
Culture aerobic additional method definitive id each
|
$79.00 |
$99.60 |
$125.00 |
|
|
Culture afb any source
|
$157.00 |
$215.50 |
$740.00 |
|
|
Culture anaerobic additional method definitive id each
|
$60.00 |
$92.50 |
$196.00 |
|
|
Culture anaerobic except blood
|
$191.50 |
$245.00 |
$356.50 |
|
|
Culture bact stool aero addl path ea
|
$71.40 |
$102.50 |
$262.50 |
|
|
Culture body fluid
|
$155.35 |
$221.50 |
$363.00 |
|
|
Culture fungi definitive id mold
|
$58.00 |
$89.40 |
$126.50 |
|
|
Culture fungi definitive id yeast
|
$83.00 |
$110.00 |
$210.50 |
|
|
Culture fungi other (except blood)
|
$118.50 |
$162.50 |
$385.50 |
|
|
Culture fungi skin/hair/nail
|
$10.00 |
$131.00 |
$203.50 |
|
|
Culture mycobacteria definitive id each isolate
|
$146.90 |
$361.20 |
$361.20 |
|
|
Culture mycoplasma any source
|
$126.60 |
$165.00 |
$169.50 |
|
|
Culture quantitative aerobic other source
|
$26.00 |
$35.50 |
$230.00 |
|
|
Culture screening strep group a
|
$90.00 |
$138.50 |
$356.00 |
|
|
Culture typing added method
|
$83.00 |
$113.00 |
$123.00 |
|
|
Culture typing immunologic
|
$52.00 |
$67.50 |
$165.50 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$350.00 |
$480.00 |
$654.00 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.00 |
$839.00 |
$923.00 |
|
|
Culture urine each isolate
|
$23.00 |
$85.80 |
$163.00 |
|
|
Curette/treat cornea
|
$435.50 |
$646.00 |
$646.00 |
|
|
Curette/treat cornea
|
$1,444.00 |
$2,140.00 |
$2,140.00 |
|
|
Cutter lead
|
$22,383.90 |
$26,295.00 |
$33,304.00 |
|
|
Cv line/pic reposition
|
$702.00 |
$970.50 |
$4,842.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$45.00 |
$45.00 |
$247.00 |
|
|
Cyclic citrullinated peptide antibody
|
$65.50 |
$119.50 |
$475.00 |
|
|
Cyclophosphamide 100 mg inj
|
$279.00 |
$279.00 |
$279.00 |
|
|
Cyclophosphamide 25 mg capsule
|
$81.65 |
$81.65 |
$101.86 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$499.00 |
$499.00 |
$661.93 |
|
|
Cyclosporine 2 hour
|
$114.50 |
$175.50 |
$684.50 |
|
|
Cyclosporine modified 25 mg capsule
|
$27.18 |
$27.18 |
$33.91 |
|
|
Cygnus, per sq cm
|
$28,215.00 |
$28,215.00 |
$28,215.00 |
|
|
Cylinder pump set 20cm titan zero angl
|
$25,358.50 |
$25,358.50 |
$91,360.48 |
|
|
Cymetra injectable
|
$358.50 |
$358.50 |
$371.00 |
|
|
Cyp2c19 gene com variants
|
$524.00 |
$524.00 |
$568.50 |
|
|
Cyp2d6 gene com variants
|
$284.40 |
$284.40 |
$284.40 |
|
|
Cyp3a4 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
|
|
Cyp3a5 gene common variants
|
$524.40 |
$597.00 |
$2,031.00 |
|
|
Cystatin c
|
$48.50 |
$72.50 |
$206.00 |
|
|
Cystic fibrosis cftr
|
$837.00 |
$1,334.00 |
$7,577.00 |
|
|
Cystine urine quantitative
|
$69.00 |
$69.00 |
$69.00 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$236.00 |
$503.50 |
$1,817.00 |
|
|
Cysto impl 4 or more
|
$48,886.66 |
$48,886.66 |
$48,886.66 |
|
|
Cysto, litho, vacuum kidney
|
$40,963.86 |
$40,963.86 |
$40,963.86 |
|
|
Cystometrogram w/up 51727
|
$345.50 |
$477.50 |
$477.50 |
|
|
Cysto rx balo cath urtl strx
|
$100,990.90 |
$100,990.90 |
$100,990.90 |
|
|
Cystoscopy and biopsy
|
$1,792.50 |
$2,974.50 |
$2,974.50 |
|
|
Cystoscopy and treatment
|
$916.00 |
$1,520.00 |
$1,520.00 |
|
|
Cystoscopy and treatment
|
$9,366.90 |
$9,366.90 |
$35,319.46 |
|
|
Cystoscopy and treatment
|
$21,376.09 |
$21,376.09 |
$21,376.09 |
|
|
Cystoscopy and treatment
|
$23,463.01 |
$23,463.01 |
$23,463.01 |
|
|
Cystoscopy and treatment
|
$1,870.00 |
$3,103.50 |
$14,256.74 |
|
|
Cystoscopy and treatment
|
$10,118.83 |
$10,118.83 |
$11,236.93 |
|
|
Cystoscopy and treatment
|
$663.50 |
$1,101.00 |
$1,101.00 |
|
|
Cystoscopy and treatment
|
$34,724.76 |
$34,724.76 |
$34,724.76 |
|
|
Cystoscopy and treatment
|
$9,008.68 |
$9,008.68 |
$9,008.68 |
|
|
Cystoscopy and treatment
|
$663.50 |
$1,101.00 |
$13,826.53 |
|
|
Cystoscopy and treatment
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
|
|
Cystoscopy and treatment
|
$1,929.50 |
$3,202.00 |
$3,202.00 |
|
|
Cystoscopy (Bladder Scope)
|
$446.00 |
$740.00 |
$9,531.17 |
|
