|
Cryptosporidium antigen
|
$29.07 |
$29.07 |
$29.07 |
$56.00
|
|
Crystal identification light microscopy
|
$18.81 |
$18.81 |
$18.81 |
$65.25
|
|
Csf leakage imaging
|
$973.56 |
$973.56 |
$973.56 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$76.38 |
$76.38 |
$76.38 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$594.51 |
$594.51 |
$594.51 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$653.79 |
$653.79 |
$653.79 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$530.10 |
$530.10 |
$530.10 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$714.78 |
$714.78 |
$714.78 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,023.15 |
$1,023.15 |
$1,023.15 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$713.07 |
$713.07 |
$713.07 |
$1,955.80
|
|
CT Angiogram of the Head
|
$714.78 |
$714.78 |
$714.78 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$509.01 |
$509.01 |
$509.01 |
$1,588.60
|
|
CT angio pelvis
|
$649.23 |
$649.23 |
$649.23 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$477.66 |
$477.66 |
$477.66 |
$1,652.25
|
|
CT colonography dx
|
$552.90 |
$552.90 |
$552.90 |
$770.90
|
|
CT colonography screening
|
$893.76 |
$893.76 |
$893.76 |
$1,084.20
|
|
CT guidance for needle placement
|
$397.86 |
$397.86 |
$397.86 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$263.34 |
$263.34 |
$263.34 |
$1,085.05
|
|
CT guid parench tis ablat
|
$570.57 |
$570.57 |
$570.57 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$27.93 |
$27.93 |
$27.93 |
$192.00
|
|
CT hrt w/3d image
|
$509.01 |
$509.01 |
$509.01 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$195.51 |
$195.51 |
$195.51 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$338.01 |
$338.01 |
$338.01 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$270.18 |
$270.18 |
$270.18 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$448.59 |
$448.59 |
$448.59 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$380.76 |
$380.76 |
$380.76 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$268.47 |
$268.47 |
$268.47 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$418.38 |
$418.38 |
$418.38 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$471.39 |
$471.39 |
$471.39 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$411.54 |
$411.54 |
$411.54 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$348.27 |
$348.27 |
$348.27 |
$1,351.20
|
|
CT scan for therapy guide
|
$217.17 |
$217.17 |
$217.17 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$855.57 |
$855.57 |
$855.57 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$808.26 |
$808.26 |
$808.26 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$713.07 |
$713.07 |
$713.07 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$357.39 |
$357.39 |
$357.39 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$286.14 |
$286.14 |
$286.14 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$700.53 |
$700.53 |
$700.53 |
$400.20
|
|
CT t-spine w /wo contrast
|
$452.01 |
$452.01 |
$452.01 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$334.59 |
$334.59 |
$334.59 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$269.61 |
$269.61 |
$269.61 |
$1,468.83
|
|
Culture aerobic additional method definitive id each
|
$19.95 |
$19.95 |
$19.95 |
$63.75
|
|
Culture afb any source
|
$27.93 |
$27.93 |
$27.93 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$39.33 |
$39.33 |
$39.33 |
$77.31
|
|
Culture anaerobic except blood
|
$64.41 |
$64.41 |
$64.41 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$19.95 |
$19.95 |
$19.95 |
$52.80
|
|
Culture body fluid
|
$47.88 |
$47.88 |
$47.88 |
$130.50
|
|
Culture fungi definitive id mold
|
$25.65 |
$25.65 |
$25.65 |
$70.00
|
|
Culture fungi definitive id yeast
|
$25.65 |
$25.65 |
$25.65 |
$80.60
|
|
Culture fungi other (except blood)
|
$19.38 |
$19.38 |
$19.38 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$19.95 |
$19.95 |
$19.95 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$64.98 |
$64.98 |
$64.98 |
$84.75
|
|
Culture mycoplasma any source
|
$62.70 |
$62.70 |
$62.70 |
$90.37
|
|
Culture quantitative aerobic other source
|
$23.37 |
$23.37 |
$23.37 |
$87.02
|
|
Culture screening strep group a
|
$35.34 |
$35.34 |
$35.34 |
$81.60
|
|
Culture typing immunologic
|
$16.53 |
$16.53 |
$16.53 |
$41.60
|
|
Culture urine each isolate
|
$21.09 |
$21.09 |
$21.09 |
$46.20
|
|
Cv line/pic reposition
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$16.53 |
$16.53 |
$16.53 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$19.12 |
$19.12 |
$19.12 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$32.49 |
$32.49 |
$32.49 |
$80.05
|
|
Cyclophosphamide 25 mg capsule
|
$4.23 |
$4.23 |
$4.23 |
$23.49
|
|
Cyclosporine 2 hour
|
$43.89 |
$43.89 |
$43.89 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$3.23 |
$3.23 |
$3.23 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$4.69 |
$4.69 |
$4.69 |
$39.04
|
|
Cyp2d6 gene com variants
|
$669.75 |
$669.75 |
$669.75 |
$537.50
|
|
Cystatin c
|
$46.17 |
$46.17 |
$46.17 |
$82.26
|
|
Cystine urine quantitative
|
$26.79 |
$26.79 |
$26.79 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$257.07 |
$257.07 |
$257.07 |
$539.55
|
|
Cystoscopy removal of clots
|
$4,567.41 |
$4,567.41 |
$4,567.41 |
$3,970.98
|
|
Cytarabine 20 mg/ml injection solution
|
$15.91 |
$15.91 |
$15.91 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$29.07 |
$29.07 |
$29.07 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$14.82 |
$14.82 |
$14.82 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$83.22 |
$83.22 |
$83.22 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$138.51 |
$138.51 |
$138.51 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$72.39 |
$72.39 |
$72.39 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$38.19 |
$38.19 |
$38.19 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$57.00 |
$57.00 |
$57.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$71.25 |
$71.25 |
$71.25 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$157.89 |
$157.89 |
$157.89 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$136.23 |
$136.23 |
$136.23 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$38.19 |
$38.19 |
$38.19 |
$95.89
|
|
Cytp urine 3-5 probes cmptr
|
$501.60 |
$501.60 |
$501.60 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$14.83 |
$14.83 |
$14.83 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$31.84 |
$31.84 |
$31.84 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1.57 |
$1.57 |
$1.57 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$83.19 |
$83.19 |
$83.19 |
$28,415.40
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$125.60 |
$125.60 |
$125.60 |
$260.95
|
|
Dch validity tests
|
$3.99 |
$3.99 |
$3.99 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,241.85 |
$7,241.85 |
$7,241.85 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$27.93 |
$27.93 |
$27.93 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$132.24 |
$132.24 |
$132.24 |
$262.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$634.98 |
$634.98 |
$634.98 |
$810.50
|
|
Debride nail1-5 11720
|
$137.94 |
$137.94 |
$137.94 |
$173.25
|
|
Debride nail6 or more 11721
|
$214.89 |
$214.89 |
$214.89 |
$195.20
|
|
Decalcification
|
$26.79 |
$26.79 |
$26.79 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$23.67 |
$23.67 |
$23.67 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$350.55 |
$350.55 |
$350.55 |
$545.90
|
|
Delivery of placenta 59414
|
$1,782.96 |
$1,782.96 |
$1,782.96 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$7,763.47
|