|
C-section delivery incl p/p care 59515
|
$3,523.93 |
$3,523.93 |
$3,523.93 |
$2,884.20
|
|
Csf leakage imaging
|
$1,433.25 |
$1,433.25 |
$1,433.25 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$681.35 |
$681.35 |
$681.35 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,061.80 |
$3,061.80 |
$3,061.80 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,576.98 |
$5,576.98 |
$5,576.98 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,768.15 |
$2,768.15 |
$2,768.15 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,774.58 |
$3,774.58 |
$3,774.58 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,544.24 |
$3,544.24 |
$3,544.24 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,506.47 |
$3,506.47 |
$3,506.47 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,896.81 |
$1,896.81 |
$1,896.81 |
$1,428.68
|
|
CT angio pelvis
|
$3,257.44 |
$3,257.44 |
$3,257.44 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,389.24 |
$3,389.24 |
$3,389.24 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$1,477.48 |
$1,477.48 |
$1,477.48 |
$1,040.00
|
|
CT colonography dx
|
$699.00 |
$699.00 |
$699.00 |
$811.41
|
|
CT colonography screening
|
$1,233.01 |
$1,233.01 |
$1,233.01 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,506.04 |
$1,506.04 |
$1,506.04 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,085.05 |
$1,085.05 |
$1,085.05 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$8,632.80 |
$8,632.80 |
$8,632.80 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,564.92 |
$1,564.92 |
$1,564.92 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$79.00 |
$79.00 |
$79.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$934.40 |
$934.40 |
$2,451.56 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,876.48 |
$1,876.48 |
$2,451.56 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$742.44 |
$742.44 |
$742.44 |
$636.55
|
|
Ctlso a-p-l control molded
|
$3,381.32 |
$3,381.32 |
$3,381.32 |
$3,746.69
|
|
CT lwr extremity w/o&w/dye
|
$2,069.09 |
$2,069.09 |
$2,069.09 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$450.77 |
$450.77 |
$450.77 |
$422.80
|
|
CT scan for localization
|
$798.35 |
$798.35 |
$798.35 |
$1,216.80
|
|
CT scan for therapy guide
|
$656.13 |
$656.13 |
$3,215.21 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,172.12 |
$4,172.12 |
$4,172.12 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,890.61 |
$3,890.61 |
$3,890.61 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,538.08 |
$3,538.08 |
$3,538.08 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,303.95 |
$3,303.95 |
$3,303.95 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,845.36 |
$1,845.36 |
$1,845.36 |
$1,845.36
|
|
Cult skin graft fnhfg 15155
|
$3,528.11 |
$3,528.11 |
$3,528.11 |
$4,052.18
|
|
Culture aerobic additional method definitive id each
|
$88.15 |
$88.15 |
$88.15 |
$72.00
|
|
Culture afb any source
|
$155.04 |
$155.04 |
$155.04 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$136.81 |
$136.81 |
$136.81 |
$84.76
|
|
Culture anaerobic except blood
|
$208.06 |
$208.06 |
$208.06 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$70.01 |
$70.01 |
$70.01 |
$52.50
|
|
Culture body fluid
|
$171.29 |
$171.29 |
$171.29 |
$126.75
|
|
Culture fungi definitive id mold
|
$100.46 |
$100.46 |
$929.52 |
$80.00
|
|
Culture fungi definitive id yeast
|
$103.40 |
$103.40 |
$103.40 |
$80.00
|
|
Culture fungi other (except blood)
|
$163.16 |
$163.16 |
$163.16 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$100.96 |
$100.96 |
$100.96 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$63.70 |
$103.70 |
$103.70 |
$100.00
|
|
Culture mycoplasma any source
|
$121.34 |
$121.34 |
$1,620.71 |
$83.21
|
|
Culture quantitative aerobic other source
|
$43.12 |
$134.31 |
$134.31 |
$87.02
|
|
Culture screening strep group a
|
$107.77 |
$107.77 |
$107.77 |
$84.60
|
|
Culture typing added method
|
$33.62 |
$33.62 |
$33.62 |
$42.60
|
|
Culture typing glc/hplc
|
$82.73 |
$82.73 |
$82.73 |
$53.75
|
|
Culture typing immunologic
|
$86.63 |
$86.63 |
$837.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$146.48 |
$146.48 |
$146.48 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$152.99 |
$152.99 |
$152.99 |
$140.80
|
|
Culture urine each isolate
|
$85.65 |
$85.65 |
$1,629.23 |
$55.50
|
|
Culture virus isolation
|
$205.97 |
$205.97 |
$205.97 |
$162.00
|
|
Cutter lead
|
$3,568.95 |
$3,568.95 |
$3,568.95 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,521.69 |
$1,521.69 |
$1,521.69 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$915.92 |
$915.92 |
$915.92 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.16 |
$25.16 |
$72.12 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$104.07 |
$104.07 |
$706.51 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$19.49 |
$19.49 |
$19.49 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$140.78 |
$140.78 |
$264.20 |
$140.78
|
|
Cyclosporine 2 hour
|
$195.70 |
$195.70 |
$740.57 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$5.34 |
$5.34 |
$5.34 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$376.44 |
$376.44 |
$376.44 |
$295.20
|
|
Cygnus, per sq cm
|
$356.54 |
$356.54 |
$356.54 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$36,554.21 |
$36,554.21 |
$36,554.21 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$1,052.85 |
$1,052.85 |
$1,052.85 |
$524.00
|
|
Cyp2c9 gene com variants
|
$134.22 |
$134.22 |
$1,099.77 |
$275.10
|
|
Cyp2d6 gene com variants
|
$683.87 |
$683.87 |
$683.87 |
$570.70
|
|
Cyp3a4 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$241.24
|
|
Cyp3a5 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$245.31
|
|
Cystatin c
|
$93.16 |
$93.16 |
$93.16 |
$77.60
|
|
Cystic fibrosis cftr
|
$2,245.28 |
$2,245.28 |
$2,245.28 |
$1,104.40
|
|
Cystine urine quantitative
|
$385.97 |
$385.97 |
$385.97 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$326.08 |
$326.08 |
$326.08 |
$586.95
|
|
Cysto impl 4 or more
|
$6,571.50 |
$6,571.50 |
$6,571.50 |
$6,860.21
|
|
Cystoscopy and treatment
|
$2,659.14 |
$2,659.14 |
$2,659.14 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,671.23 |
$1,671.23 |
$1,671.23 |
$1,493.80
|
|
Cystoscopy prostatic imp 1-3
|
$5,741.40 |
$5,741.40 |
$5,741.40 |
$5,741.40
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,747.01 |
$4,747.01 |
$4,747.01 |
$4,129.45
|
|
Cysto/uretero w/lithotripsy
|
$4,748.22 |
$4,748.22 |
$4,748.22 |
$9,430.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,398.11 |
$3,398.11 |
$3,398.11 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$132.06 |
$132.06 |
$132.06 |
$90.00
|
|
Cytogenetics 25-99
|
$246.56 |
$246.56 |
$246.56 |
$189.80
|
|
Cytogenetics 3-5
|
$170.27 |
$170.27 |
$170.27 |
$147.36
|
|
Cytogenomic neo microra alys
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$142.50 |
$142.50 |
$270.68 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$132.75 |
$132.75 |
$243.44 |
$100.00
|
|
Cytomegalovirus dfa
|
$165.40 |
$165.40 |
$165.40 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$2,670.12 |
$2,670.12 |
$2,670.12 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$256.92 |
$256.92 |
$256.92 |
$178.88
|
|
Cyto/molecular report
|
$1,178.85 |
$1,178.85 |
$1,178.85 |
$144.75
|
|
Cytopath fl nongyn filter
|
$354.10 |
$354.10 |
$354.10 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$539.68 |
$640.93 |
$640.93 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$101.64 |
$101.64 |
$101.64 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$102.95 |
$102.95 |
$102.95 |
$87.45
|
