|
#creutz-prot.,western blot
|
$13.02 |
$19.68 |
$211.40 |
$163.50
|
|
Critical care each additional 30 minutes
|
$906.07 |
$1,065.96 |
$1,609.70 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,811.89 |
$2,131.64 |
$2,980.80 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$34.09 |
$34.09 |
$34.09 |
$52.50
|
|
Cryoprecipitate each unit
|
$5.44 |
$13.35 |
$24.74 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$11.48 |
$11.48 |
$11.48 |
$89.70
|
|
Cryptosporidium antigen
|
$18.20 |
$24.75 |
$27.08 |
$52.08
|
|
Crystal identification light microscopy
|
$5.62 |
$14.33 |
$43.72 |
$66.43
|
|
Csf leakage imaging
|
$282.87 |
$591.08 |
$662.85 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$91.44 |
$91.44 |
$91.44 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$188.93 |
$236.16 |
$340.12 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$403.65 |
$413.93 |
$595.77 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$626.43 |
$642.39 |
$1,915.98 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$440.23 |
$451.44 |
$1,513.62 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$398.70 |
$474.52 |
$1,032.71 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$580.59 |
$595.38 |
$1,206.85 |
$1,915.30
|
|
CT Angiogram of the Head
|
$297.08 |
$427.69 |
$1,390.61 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$271.44 |
$390.78 |
$1,335.53 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$408.97 |
$486.75 |
$1,101.62 |
$1,428.68
|
|
CT angio pelvis
|
$484.03 |
$496.36 |
$680.24 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$425.94 |
$436.79 |
$529.04 |
$1,691.30
|
|
CT colonography dx
|
$251.81 |
$251.81 |
$251.81 |
$811.41
|
|
CT colonography dx w/dye
|
$314.86 |
$314.86 |
$314.86 |
$1,069.25
|
|
CT guidance for needle placement
|
$297.80 |
$354.44 |
$816.09 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$320.54 |
$461.90 |
$539.70 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$3,586.37 |
$3,586.37 |
$3,586.37 |
$2,039.76
|
|
CT guid parench tis ablat
|
$253.79 |
$302.06 |
$351.88 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$421.84 |
$502.07 |
$802.01 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$389.41 |
$463.47 |
$887.72 |
$1,395.79
|
|
CT hrt w/3d image
|
$372.13 |
$442.90 |
$887.72 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$95.52 |
$113.68 |
$132.44 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$384.34 |
$394.13 |
$934.90 |
$1,818.96
|
|
CT scan for localization
|
$329.26 |
$391.88 |
$456.52 |
$1,216.80
|
|
CT scan for therapy guide
|
$125.67 |
$149.57 |
$174.25 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$596.60 |
$611.80 |
$2,177.31 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$497.22 |
$509.89 |
$1,876.96 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$397.68 |
$407.81 |
$1,295.03 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$619.68 |
$635.47 |
$1,775.19 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$405.53 |
$415.86 |
$503.68 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$16.89 |
$22.97 |
$53.36 |
$72.00
|
|
Culture afb any source
|
$57.07 |
$77.60 |
$89.67 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$9.39 |
$19.35 |
$28.79 |
$84.76
|
|
Culture anaerobic except blood
|
$60.84 |
$70.15 |
$90.52 |
$121.22
|
|
Culture bacteria anaerobic
|
$4.76 |
$6.47 |
$7.08 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$10.33 |
$14.05 |
$30.88 |
$52.50
|
|
Culture body fluid
|
$44.77 |
$60.88 |
$113.62 |
$126.75
|
|
Culture fungi definitive id mold
|
$19.52 |
$22.63 |
$33.67 |
$80.00
|
|
Culture fungi definitive id yeast
|
$22.23 |
$22.30 |
$33.18 |
$80.00
|
|
Culture fungi other (except blood)
|
$12.79 |
$17.39 |
$69.41 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$9.68 |
$13.16 |
$49.90 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$10.50 |
$14.27 |
$15.62 |
$100.00
|
|
Culture mycoplasma any source
|
$10.33 |
$14.05 |
$23.47 |
$83.21
|
|
Culture quantitative aerobic other source
|
$10.00 |
$13.60 |
$73.86 |
$87.02
|
|
Culture screening strep group a
|
$21.48 |
$29.21 |
$58.05 |
$84.60
|
|
Culture typing added method
|
$7.41 |
$7.41 |
$78.05 |
$42.60
|
|
Culture typing glc/hplc
|
$6.23 |
$8.47 |
$9.27 |
$53.75
|
|
Culture typing immunologic
|
$12.35 |
$13.94 |
$20.74 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$34.67 |
$34.67 |
$34.67 |
$140.80
|
|
Culture urine each isolate
|
$4.10 |
$5.58 |
$18.78 |
$55.50
|
|
Cutter lead
|
$5,601.54 |
$5,999.07 |
$8,420.39 |
$6,581.45
|
|
Cv line/pic reposition
|
$559.21 |
$675.79 |
$699.50 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$5.54 |
$8.38 |
$9.90 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$13.34 |
$13.34 |
$13.34 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$5.93 |
$9.91 |
$15.40 |
$72.36
|
|
Cyclosporine 2 hour
|
$4.87 |
$7.37 |
$57.56 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$10,106.95 |
$15,834.66 |
$22,636.93 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$94.07 |
$306.07 |
$617.76 |
$524.00
|
|
Cyp2c9 gene com variants
|
$35.18 |
$114.45 |
$231.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$90.65 |
$294.95 |
$595.32 |
$570.70
|
|
Cyp3a4 gene common variants
|
$35.18 |
$114.45 |
$231.00 |
$241.24
|
|
Cyp3a5 gene common variants
|
$35.18 |
$114.45 |
$231.00 |
$245.31
|
|
Cystatin c
|
$4.70 |
$7.11 |
$17.41 |
$77.60
|
|
Cystic fibrosis cftr
|
$161.14 |
$524.29 |
$1,058.20 |
$1,104.40
|
|
Cystine urine quantitative
|
$7.64 |
$11.56 |
$59.28 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$285.04 |
$293.18 |
$422.47 |
$586.95
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,043.24 |
$1,043.24 |
$1,043.24 |
$4,129.45
|
|
Cytarabine 20 mg/ml injection solution
|
$0.27 |
$0.27 |
$0.27 |
$90.00
|
|
Cytogenetics 25-99
|
$11.07 |
$43.66 |
$57.20 |
$189.80
|
|
Cytogenomic neo microra alys
|
$2,459.16 |
$2,459.16 |
$2,459.16 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$10.08 |
$11.10 |
$70.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$10.25 |
$11.29 |
$71.14 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$10.04 |
$39.62 |
$81.27 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$8.26 |
$32.59 |
$45.45 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$6.32 |
$24.92 |
$56.57 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$17.01 |
$67.10 |
$87.89 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$84.48 |
$84.48 |
$84.48 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$2.54 |
$10.01 |
$42.24 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$19.71 |
$77.75 |
$101.84 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$22.09 |
$87.12 |
$132.40 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$11.77 |
$29.40 |
$60.82 |
$96.20
|
|
Cytotoxic antibody screening
|
$15.12 |
$16.65 |
$23.49 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$468.07 |
$468.07 |
$468.07 |
$664.80
|
|
Dalbavancin 500 mg intravenous solution
|
$3,753.91 |
$3,753.91 |
$3,753.91 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,122.37 |
$1,122.37 |
$1,122.37 |
$171.19
|
|
Darbepoetin alfa, esrd use
|
$0.34 |
$0.34 |
$0.34 |
$7.20
|
|
Dch pulmonary stress test
|
$171.32 |
$333.75 |
$879.42 |
$963.30
|
|
Dch validity tests
|
$1.35 |
$2.49 |
$6.43 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,042.93 |
$2,042.93 |
$2,042.93 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$9.91 |
$10.91 |
$16.80 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$36.03 |
$37.87 |
$176.86 |
$284.00
|
