|
CT guid cryo ablat intramuscular
|
$2,590.50 |
$2,590.50 |
$2,660.00 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,135.00 |
$1,189.32 |
$1,189.32 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$24.50 |
$24.50 |
$24.50 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,259.28 |
$1,259.28 |
$1,259.28 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,448.04 |
$1,448.04 |
$1,675.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$769.56 |
$769.56 |
$945.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,570.00 |
$1,574.76 |
$1,574.76 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,430.88 |
$1,430.88 |
$2,940.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,570.00 |
$1,595.22 |
$1,595.22 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,259.28 |
$1,259.28 |
$1,470.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,091.54 |
$2,091.54 |
$2,305.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,570.00 |
$1,770.12 |
$1,770.12 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,351.02 |
$1,351.02 |
$1,470.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$322.74 |
$322.74 |
$322.74 |
$437.04
|
|
CT scan for localization
|
$845.00 |
$1,189.32 |
$1,189.32 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,189.32 |
$1,189.32 |
$1,445.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,550.14 |
$3,550.14 |
$4,610.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,016.86 |
$3,016.86 |
$3,140.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,544.96 |
$2,544.96 |
$2,940.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,539.12 |
$1,539.12 |
$1,570.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,448.04 |
$1,448.04 |
$1,470.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$445.00 |
$769.56 |
$769.56 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,570.00 |
$1,770.12 |
$1,770.12 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,335.18 |
$1,335.18 |
$1,470.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,846.68 |
$1,846.68 |
$2,305.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$59.40 |
$59.40 |
$80.00 |
$68.64
|
|
Culture afb any source
|
$80.00 |
$143.22 |
$143.22 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$47.50 |
$59.40 |
$59.40 |
$79.00
|
|
Culture anaerobic except blood
|
$80.00 |
$89.10 |
$89.10 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$59.40 |
$59.40 |
$80.00 |
$51.45
|
|
Culture body fluid
|
$80.00 |
$237.60 |
$237.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$68.64 |
$68.64 |
$80.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$80.00 |
$117.48 |
$117.48 |
$79.10
|
|
Culture fungi other (except blood)
|
$68.64 |
$68.64 |
$80.00 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$80.00 |
$118.14 |
$118.14 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$80.00 |
$138.60 |
$138.60 |
$89.70
|
|
Culture mycoplasma any source
|
$79.86 |
$79.86 |
$79.86 |
$85.26
|
|
Culture quantitative aerobic other source
|
$80.00 |
$80.00 |
$80.00 |
$90.35
|
|
Culture screening strep group a
|
$49.50 |
$49.50 |
$142.50 |
$81.00
|
|
Culture type pulse field gel
|
$120.00 |
$120.00 |
$120.00 |
$38.58
|
|
Culture typing glc/hplc
|
$97.68 |
$97.68 |
$97.68 |
$54.43
|
|
Culture typing immunologic
|
$22.50 |
$117.48 |
$117.48 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.50 |
$483.78 |
$483.78 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$219.78 |
$219.78 |
$235.00 |
$133.90
|
|
Culture urine each isolate
|
$59.40 |
$59.40 |
$80.00 |
$57.00
|
|
Cutter lead
|
$390.72 |
$390.72 |
$856.32 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,050.00 |
$1,878.36 |
$1,878.36 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$13.20 |
$13.20 |
$100.00 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$35.51 |
$35.51 |
$35.51 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$80.00 |
$89.10 |
$89.10 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$5.39 |
$5.39 |
$10.85 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$69.96 |
$69.96 |
$150.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$3.09 |
$3.09 |
$5.28 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$12.34 |
$12.34 |
$12.34 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$19,701.80 |
$19,701.80 |
$19,701.80 |
$22,803.38
|
|
Cyp2d6 gene com variants
|
$1,585.32 |
$1,585.32 |
$1,585.32 |
$554.00
|
|
Cystatin c
|
$90.00 |
$99.00 |
$99.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,100.00
|
|
Cystine urine quantitative
|
$112.50 |
$136.62 |
$136.62 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$510.00 |
$785.40 |
$785.40 |
$542.10
|
|
Cystometrogram w/up 51727
|
$775.00 |
$775.00 |
$775.00 |
$908.59
|
|
Cystoscopy and treatment
|
$2,400.00 |
$3,036.66 |
$3,036.66 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$1,171.50 |
$1,171.50 |
$1,171.50 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$6,252.84 |
$6,252.84 |
$6,252.84 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,641.22 |
$3,641.22 |
$3,641.22 |
$3,065.15
|
|
Cytarabine 20 mg/ml injection solution
|
$61.41 |
$61.41 |
$61.41 |
$89.94
|
|
Cytogenetics 25-99
|
$173.58 |
$173.58 |
$265.00 |
$190.00
|
|
Cytogenetics 3-5
|
$262.68 |
$262.68 |
$915.00 |
$170.27
|
|
Cytogenomic neo microra alys
|
$3,093.42 |
$3,093.42 |
$3,093.42 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$2,001.78 |
$2,001.78 |
$2,001.78 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$95.00 |
$99.00 |
$99.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$89.10 |
$89.10 |
$100.00 |
$97.50
|
|
Cytopath c/v index add-on
|
$40.26 |
$40.26 |
$40.26 |
$35.57
|
|
Cytopath c/v manual
|
$71.94 |
$71.94 |
$71.94 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$80.00 |
$168.30 |
$168.30 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$95.00 |
$95.00 |
$95.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.50 |
$139.26 |
$139.26 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$152.50 |
$217.80 |
$217.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$100.00 |
$148.50 |
$148.50 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.50 |
$89.76 |
$89.76 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$120.00 |
$198.00 |
$198.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$207.50 |
$357.72 |
$357.72 |
$209.23
|
|
Cytopath smear other source
|
$92.50 |
$168.30 |
$168.30 |
$88.13
|
|
Cytopath smear other source
|
$248.16 |
$248.16 |
$248.16 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$85.00 |
$85.00 |
$124.08 |
$96.20
|
|
Cytopath tbs c/v manual
|
$61.38 |
$61.38 |
$61.38 |
$59.28
|
|
Cytotoxic antibody screening
|
$357.72 |
$357.72 |
$357.72 |
$189.00
|
|
Cytotoxic antibody screening
|
$76.56 |
$76.56 |
$76.56 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$522.06 |
$522.06 |
$760.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$81.05 |
$81.05 |
$81.05 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$36.30 |
$36.30 |
$36.30 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.22 |
$2.22 |
$2.22 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$110.70 |
$110.70 |
$125.23 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$16.80 |
$1,158.60 |
$9,654.88 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$470.32 |
$470.32 |
$526.40 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$238.19 |
$238.19 |
$238.19 |
$257.10
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,195.42 |
$6,195.42 |
$6,195.42 |
$3,774.81
|