|
Crystal identification light microscopy
|
$62.00 |
$62.00 |
$62.00 |
$62.50
|
|
C-Section Delivery (full care)
|
$2,946.50 |
$2,946.50 |
$2,946.50 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$2,577.60
|
|
Cta abdomen without & /or w/contrast
|
$954.00 |
$954.00 |
$954.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$879.00 |
$879.00 |
$879.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$750.00 |
$750.00 |
$750.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$982.00 |
$982.00 |
$982.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$750.00 |
$750.00 |
$750.00 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$334.50 |
$334.50 |
$334.50 |
$1,500.38
|
|
CT angio pelvis
|
$992.50 |
$992.50 |
$992.50 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$891.50 |
$891.50 |
$891.50 |
$1,698.00
|
|
CT guidance for needle placement
|
$168.00 |
$168.00 |
$168.00 |
$1,494.00
|
|
CT guid cryo ablat intramuscular
|
$302.50 |
$302.50 |
$302.50 |
$1,643.20
|
|
CT heart w/evaluation of calcium without contrast
|
$99.00 |
$99.00 |
$99.00 |
$171.60
|
|
CT hrt w/3d image
|
$495.50 |
$495.50 |
$495.50 |
$1,383.06
|
|
CT lower extremity w/contrast (both sides)
|
$630.00 |
$630.00 |
$630.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$544.50 |
$544.50 |
$544.50 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$800.00 |
$800.00 |
$800.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$569.00 |
$569.00 |
$569.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$546.00 |
$546.00 |
$546.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$681.00 |
$681.00 |
$681.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$630.50 |
$630.50 |
$630.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$609.50 |
$609.50 |
$609.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$546.00 |
$546.00 |
$546.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$227.00 |
$227.00 |
$227.00 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,706.50 |
$1,706.50 |
$1,706.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,232.50 |
$1,232.50 |
$1,232.50 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$843.00 |
$843.00 |
$843.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$630.00 |
$630.00 |
$630.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.00 |
$120.00 |
$120.00 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$571.50 |
$571.50 |
$571.50 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$492.50 |
$492.50 |
$492.50 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$700.00 |
$700.00 |
$700.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$25.00 |
$25.00 |
$25.00 |
$68.64
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$35.00 |
$35.00 |
$35.00 |
$79.00
|
|
Culture anaerobic except blood
|
$145.50 |
$145.50 |
$145.50 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$51.00 |
$51.00 |
$51.00 |
$51.45
|
|
Culture body fluid
|
$61.00 |
$61.00 |
$61.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$48.50 |
$48.50 |
$48.50 |
$77.28
|
|
Culture fungi definitive id yeast
|
$34.00 |
$34.00 |
$34.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$41.50 |
$41.50 |
$41.50 |
$108.00
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture quantitative aerobic other source
|
$147.00 |
$147.00 |
$147.00 |
$90.35
|
|
Culture screening strep group a
|
$55.00 |
$55.00 |
$55.00 |
$81.00
|
|
Culture typing immunologic
|
$13.00 |
$13.00 |
$13.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$352.00 |
$352.00 |
$352.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$133.90
|
|
Culture urine each isolate
|
$63.00 |
$63.00 |
$63.00 |
$57.00
|
|
Curette/treat cornea
|
$66.00 |
$66.00 |
$66.00 |
$1,345.80
|
|
Curette/treat cornea
|
$348.00 |
$348.00 |
$348.00 |
$2,818.14
|
|
Cv line/pic reposition
|
$61.00 |
$61.00 |
$61.00 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$15.50 |
$15.50 |
$15.50 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$22.50 |
$22.50 |
$22.50 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$157.50 |
$157.50 |
$157.50 |
$70.72
|
|
Cyclosporine 2 hour
|
$91.00 |
$91.00 |
$91.00 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
|
Cystatin c
|
$29.00 |
$29.00 |
$29.00 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$389.50 |
$389.50 |
$389.50 |
$542.10
|
|
Cysto, litho, vacuum kidney
|
$399.00 |
$399.00 |
$399.00 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$121.00 |
$121.00 |
$121.00 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$930.50 |
$930.50 |
$930.50 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$783.00 |
$783.00 |
$783.00 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$169.00 |
$169.00 |
$169.00 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$170.50 |
$170.50 |
$170.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$177.50 |
$177.50 |
$177.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$205.00 |
$205.00 |
$205.00 |
$4,160.10
|
|
Cystoscopy and treatment
|
$255.00 |
$255.00 |
$255.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$294.50 |
$294.50 |
$294.50 |
$5,995.60
|
|
Cystoscopy and treatment
|
$399.00 |
$399.00 |
$399.00 |
$6,475.26
|
|
Cystoscopy and treatment
|
$230.00 |
$230.00 |
$230.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$177.50 |
$177.50 |
$177.50 |
$2,424.12
|
|
Cystoscopy and treatment
|
$270.00 |
$270.00 |
$270.00 |
$4,045.60
|
|
Cystoscopy and treatment
|
$295.50 |
$295.50 |
$295.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$158.00 |
$158.00 |
$158.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$281.00 |
$281.00 |
$281.00 |
$3,203.50
|
|
Cystoscopy and treatment
|
$250.50 |
$250.50 |
$250.50 |
$4,061.71
|
|
Cystoscopy and treatment
|
$268.00 |
$268.00 |
$268.00 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$571.00 |
$571.00 |
$571.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$177.00 |
$177.00 |
$177.00 |
$2,704.80
|
|
Cystoscopy implant stent
|
$345.00 |
$345.00 |
$345.00 |
$4,627.00
|
|
Cystoscopy removal of clots
|
$2,881.00 |
$2,881.00 |
$2,881.00 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$253.50 |
$253.50 |
$253.50 |
$2,874.36
|
|
Cystoscopy stone removal
|
$327.00 |
$327.00 |
$327.00 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$137.00 |
$137.00 |
$137.00 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$303.50 |
$303.50 |
$303.50 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$308.50 |
$308.50 |
$308.50 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$383.50 |
$383.50 |
$383.50 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$425.50 |
$425.50 |
$425.50 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$476.00 |
$476.00 |
$476.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$432.00 |
$432.00 |
$432.00 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$399.00 |
$399.00 |
$399.00 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$454.50 |
$454.50 |
$454.50 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$361.50 |
$361.50 |
$361.50 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$158.00 |
$158.00 |
$158.00 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$154.50 |
$154.50 |
$154.50 |
$4,045.60
|
