|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$641.50 |
$641.50 |
$641.50 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$399.50 |
$399.50 |
$399.50 |
$1,643.20
|
|
CT heart w/evaluation of calcium without contrast
|
$99.00 |
$99.00 |
$99.00 |
$171.69
|
|
CT limited or localized follow-up study
|
$418.50 |
$418.50 |
$418.50 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$733.50 |
$733.50 |
$733.50 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,645.15
|
|
CT neck soft tissue without contrast
|
$735.00 |
$735.00 |
$735.00 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,302.50 |
$1,302.50 |
$1,302.50 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,726.50
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$735.00 |
$735.00 |
$735.00 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,043.50 |
$2,043.50 |
$2,043.50 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,689.80
|
|
CT thoracic spine without contrast
|
$735.00 |
$735.00 |
$735.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.00 |
$120.00 |
$120.00 |
$345.00
|
|
CT t-spine w /wo contrast
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$730.00 |
$730.00 |
$730.00 |
$1,426.80
|
|
CT uppr extremity w/o&w/dye
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$192.00 |
$192.00 |
$192.00 |
$70.20
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$111.54
|
|
Culture anaerobic additional method definitive id each
|
$70.50 |
$70.50 |
$70.50 |
$82.00
|
|
Culture anaerobic except blood
|
$88.00 |
$88.00 |
$88.00 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$72.50 |
$72.50 |
$72.50 |
$52.50
|
|
Culture body fluid
|
$154.00 |
$154.00 |
$154.00 |
$129.00
|
|
Culture fungi definitive id mold
|
$135.00 |
$135.00 |
$135.00 |
$78.12
|
|
Culture fungi definitive id yeast
|
$121.00 |
$121.00 |
$121.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$77.50 |
$77.50 |
$77.50 |
$111.09
|
|
Culture fungi skin/hair/nail
|
$71.00 |
$71.00 |
$71.00 |
$75.40
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$96.00
|
|
Culture mycoplasma any source
|
$177.26 |
$177.26 |
$177.26 |
$85.26
|
|
Culture screening strep group a
|
$79.50 |
$79.50 |
$79.50 |
$82.55
|
|
Culture typing immunologic
|
$93.00 |
$93.00 |
$93.00 |
$44.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$135.00
|
|
Culture urine each isolate
|
$62.00 |
$62.00 |
$62.00 |
$58.50
|
|
Curette/treat cornea
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,345.80
|
|
Curette/treat cornea
|
$3,996.50 |
$3,996.50 |
$3,996.50 |
$2,818.14
|
|
Cutter lead
|
$556.50 |
$556.50 |
$556.50 |
$6,092.06
|
|
Cv line/pic reposition
|
$592.00 |
$592.00 |
$592.00 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$10.50 |
$10.50 |
$10.50 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$6.15 |
$6.15 |
$6.15 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$54.00 |
$54.00 |
$54.00 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$240.39 |
$240.39 |
$240.39 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$73.50 |
$73.50 |
$73.50 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$2,500.38 |
$2,500.38 |
$2,500.38 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$3,138.00 |
$3,138.00 |
$3,138.00 |
$23,802.06
|
|
Cyp2c19 gene com variants
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$504.00
|
|
Cyp2c9 gene com variants
|
$200.00 |
$200.00 |
$200.00 |
$286.80
|
|
Cyp2d6 gene com variants
|
$185.00 |
$185.00 |
$185.00 |
$554.00
|
|
Cystatin c
|
$34.00 |
$34.00 |
$34.00 |
$78.75
|
|
Cystic fibrosis cftr
|
$905.50 |
$905.50 |
$905.50 |
$1,100.00
|
|
Cystine urine quantitative
|
$81.00 |
$81.00 |
$81.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$338.50 |
$338.50 |
$338.50 |
$569.40
|
|
Cystometrogram w/up 51727
|
$985.00 |
$985.00 |
$985.00 |
$908.59
|
|
Cystoscopy and treatment
|
$6,058.00 |
$6,058.00 |
$6,058.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$7,198.00 |
$7,198.00 |
$7,198.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$13,613.25 |
$13,613.25 |
$13,613.25 |
$6,475.26
|
|
Cystoscopy and treatment
|
$3,320.50 |
$3,320.50 |
$3,320.50 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$790.00 |
$790.00 |
$790.00 |
$958.81
|
|
Cystoscopy and treatment
|
$3,572.50 |
$3,572.50 |
$3,572.50 |
$2,873.00
|
|
Cystoscopy (Bladder Scope)
|
$6,221.13 |
$6,221.13 |
$6,221.13 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$3,505.50 |
$3,505.50 |
$3,505.50 |
$2,704.80
|
|
Cystoscopy removal of clots
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$4,170.50 |
$4,170.50 |
$4,170.50 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,572.50 |
$3,572.50 |
$3,572.50 |
$3,929.90
|
|
Cystouretero & or pyeloscope
|
$3,046.17 |
$3,046.17 |
$3,046.17 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$3,049.34 |
$3,049.34 |
$3,049.34 |
$4,846.99
|
|
Cysto/uretero w/lithotripsy
|
$12,470.50 |
$12,470.50 |
$12,470.50 |
$8,966.17
|
|
Cystouretero w/lithotripsy
|
$5,061.00 |
$5,061.00 |
$5,061.00 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$2,530.50 |
$2,530.50 |
$2,530.50 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,572.50 |
$3,572.50 |
$3,572.50 |
$3,015.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$4,031.00 |
$4,031.00 |
$4,031.00 |
$4,045.60
|
|
Cytogenetics 25-99
|
$401.50 |
$401.50 |
$401.50 |
$191.52
|
|
Cytogenetics 3-5
|
$35.00 |
$35.00 |
$35.00 |
$170.27
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.00 |
$63.00 |
$63.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$24.50 |
$24.50 |
$24.50 |
$99.00
|
|
Cytomegalovirus dfa
|
$65.50 |
$65.50 |
$65.50 |
$94.08
|
|
Cytopathology cellular enhancement technique non-gyn
|
$114.50 |
$114.50 |
$114.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$126.00 |
$126.00 |
$126.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$80.50 |
$80.50 |
$80.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$175.50 |
$175.50 |
$175.50 |
$129.28
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$68.50 |
$68.50 |
$68.50 |
$129.28
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$65.00 |
$65.00 |
$65.00 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$41.50 |
$41.50 |
$41.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$170.00 |
$170.00 |
$170.00 |
$208.60
|
|
Cytopath smear other source
|
$40.50 |
$40.50 |
$40.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$56.50 |
$56.50 |
$56.50 |
$96.20
|
|
Cytopath tbs c/v manual
|
$45.00 |
$45.00 |
$45.00 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$193.20 |
$193.20 |
$193.20 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$6,201.23 |
$6,201.23 |
$6,201.23 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$40.02 |
$40.02 |
$40.02 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$19,945.05 |
$19,945.05 |
$19,945.05 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,036.61 |
$5,036.61 |
$5,036.61 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
D&c after delivery 59160
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$3,827.25
|
