|
Creatine kinase
|
$36.33 |
$36.33 |
$36.33 |
$66.30
|
|
Creatine kinase isoenzymes
|
$10.21 |
$10.21 |
$10.21 |
$56.20
|
|
Creatine kinase mb
|
$11.42 |
$11.42 |
$11.42 |
$113.63
|
|
Creatine - sendout
|
$10.38 |
$10.38 |
$10.38 |
$41.25
|
|
Creatinine
|
$20.76 |
$20.76 |
$20.76 |
$46.20
|
|
Creatinine 24 hour urine
|
$27.16 |
$27.16 |
$27.16 |
$57.85
|
|
Creatinine clearance urine
|
$5.02 |
$5.02 |
$5.02 |
$90.26
|
|
#creutz-prot.,western blot
|
$26.81 |
$26.81 |
$26.81 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,050.73 |
$1,050.73 |
$1,050.73 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,101.19 |
$2,101.19 |
$2,101.19 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$24.12 |
$24.12 |
$24.12 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$9.15 |
$9.15 |
$9.15 |
$89.70
|
|
Cryptosporidium antigen
|
$29.75 |
$29.75 |
$29.75 |
$52.08
|
|
Crystal identification light microscopy
|
$17.28 |
$17.28 |
$17.28 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$309.96 |
$309.96 |
$309.96 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$465.35 |
$465.35 |
$465.35 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$722.19 |
$722.19 |
$722.19 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$507.52 |
$507.52 |
$507.52 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$379.13 |
$379.13 |
$379.13 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$669.34 |
$669.34 |
$669.34 |
$1,915.30
|
|
CT Angiogram of the Head
|
$450.74 |
$450.74 |
$450.74 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$411.84 |
$411.84 |
$411.84 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$388.90 |
$388.90 |
$388.90 |
$1,428.68
|
|
CT angio pelvis
|
$558.02 |
$558.02 |
$558.02 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$491.05 |
$491.05 |
$491.05 |
$1,691.30
|
|
CT bone density axial
|
$64.98 |
$64.98 |
$64.98 |
$385.15
|
|
CT guidance for needle placement
|
$283.18 |
$283.18 |
$283.18 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$467.46 |
$467.46 |
$467.46 |
$1,215.06
|
|
CT guid parench tis ablat
|
$241.34 |
$241.34 |
$241.34 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$401.14 |
$401.14 |
$401.14 |
$150.00
|
|
CT hrt w/3d image
|
$353.86 |
$353.86 |
$353.86 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$90.83 |
$90.83 |
$90.83 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$443.09 |
$443.09 |
$443.09 |
$1,818.96
|
|
CT scan for localization
|
$313.10 |
$313.10 |
$313.10 |
$1,216.80
|
|
CT scan for therapy guide
|
$119.50 |
$119.50 |
$119.50 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$687.80 |
$687.80 |
$687.80 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$573.23 |
$573.23 |
$573.23 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$458.47 |
$458.47 |
$458.47 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$714.41 |
$714.41 |
$714.41 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$467.52 |
$467.52 |
$467.52 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$27.60 |
$27.60 |
$27.60 |
$72.00
|
|
Culture afb any source
|
$93.26 |
$93.26 |
$93.26 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$31.62 |
$31.62 |
$31.62 |
$84.76
|
|
Culture anaerobic except blood
|
$99.43 |
$99.43 |
$99.43 |
$121.22
|
|
Culture bacteria anaerobic
|
$7.77 |
$7.77 |
$7.77 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$16.88 |
$16.88 |
$16.88 |
$52.50
|
|
Culture body fluid
|
$73.16 |
$73.16 |
$73.16 |
$126.75
|
|
Culture fungi definitive id mold
|
$36.98 |
$36.98 |
$36.98 |
$80.00
|
|
Culture fungi definitive id yeast
|
$36.45 |
$36.45 |
$36.45 |
$80.00
|
|
Culture fungi other (except blood)
|
$20.90 |
$20.90 |
$20.90 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$15.81 |
$15.81 |
$15.81 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$17.15 |
$17.15 |
$17.15 |
$100.00
|
|
Culture mycoplasma any source
|
$16.88 |
$16.88 |
$16.88 |
$83.21
|
|
Culture quantitative aerobic other source
|
$16.35 |
$16.35 |
$16.35 |
$87.02
|
|
Culture screening strep group a
|
$35.11 |
$35.11 |
$35.11 |
$84.60
|
|
Culture typing glc/hplc
|
$10.18 |
$10.18 |
$10.18 |
$53.75
|
|
Culture typing immunologic
|
$22.78 |
$22.78 |
$22.78 |
$44.00
|
|
Culture urine each isolate
|
$6.70 |
$6.70 |
$6.70 |
$55.50
|
|
Cutter lead
|
$5,176.72 |
$5,176.72 |
$5,176.72 |
$6,581.45
|
|
Cv line/pic reposition
|
$762.74 |
$762.74 |
$762.74 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$11.42 |
$11.42 |
$11.42 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$12.27 |
$12.27 |
$12.27 |
$72.36
|
|
Cyclosporine 2 hour
|
$10.03 |
$10.03 |
$10.03 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$17,805.78 |
$17,805.78 |
$17,805.78 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$343.98 |
$343.98 |
$343.98 |
$524.00
|
|
Cyp2c9 gene com variants
|
$128.62 |
$128.62 |
$128.62 |
$275.10
|
|
Cyp2d6 gene com variants
|
$331.48 |
$331.48 |
$331.48 |
$570.70
|
|
Cyp3a4 gene common variants
|
$128.62 |
$128.62 |
$128.62 |
$241.24
|
|
Cyp3a5 gene common variants
|
$128.62 |
$128.62 |
$128.62 |
$245.31
|
|
Cystatin c
|
$9.69 |
$9.69 |
$9.69 |
$77.60
|
|
Cystic fibrosis cftr
|
$589.22 |
$589.22 |
$589.22 |
$1,104.40
|
|
Cystine urine quantitative
|
$15.74 |
$15.74 |
$15.74 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$239.23 |
$239.23 |
$239.23 |
$586.95
|
|
Cytogenetics 25-99
|
$57.40 |
$57.40 |
$57.40 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$12.48 |
$12.48 |
$12.48 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$12.69 |
$12.69 |
$12.69 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$52.08 |
$52.08 |
$52.08 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$42.84 |
$42.84 |
$42.84 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$32.76 |
$32.76 |
$32.76 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$88.20 |
$88.20 |
$88.20 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$13.16 |
$13.16 |
$13.16 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$102.20 |
$102.20 |
$102.20 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$114.52 |
$114.52 |
$114.52 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$61.04 |
$61.04 |
$61.04 |
$96.20
|
|
Cytotoxic antibody screening
|
$18.72 |
$18.72 |
$18.72 |
$133.25
|
|
Dch pulmonary stress test
|
$153.55 |
$153.55 |
$153.55 |
$963.30
|
|
Dch validity tests
|
$3.99 |
$3.99 |
$3.99 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$12.27 |
$12.27 |
$12.27 |
$43.35
|
|
Decalcification
|
$11.78 |
$11.78 |
$11.78 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$203.04 |
$203.04 |
$203.04 |
$572.95
|
|
Delivery of placenta 59414
|
$3,040.38 |
$3,040.38 |
$3,040.38 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$77.70 |
$77.70 |
$77.70 |
$185.17
|
|
Desoxycorticosterone
|
$16.09 |
$16.09 |
$16.09 |
$109.28
|
|
Developmental screen/score/document 96110
|
$38.26 |
$38.26 |
$38.26 |
$142.38
|
|
Device ablt adv novasure
|
$1,887.54 |
$1,887.54 |
$1,887.54 |
$6,237.48
|
|
Device sut capio slim opn
|
$3,138.18 |
$3,138.18 |
$3,138.18 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,264.89 |
$2,264.89 |
$2,264.89 |
$2,515.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$11.59 |
$11.59 |
$11.59 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$30.62 |
$30.62 |
$30.62 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$178.72 |
$178.72 |
$178.72 |
$338.00
|
