|
Creatine kinase isoenzymes
|
$26.69 |
$26.69 |
$26.69 |
$46.34
|
|
Creatine kinase mb
|
$630.87 |
$630.87 |
$630.87 |
$111.00
|
|
Creatine - sendout
|
$21.40 |
$21.40 |
$21.40 |
$39.00
|
|
Creatinine
|
$168.81 |
$168.81 |
$168.81 |
$44.10
|
|
Creatinine 24 hour urine
|
$252.96 |
$252.96 |
$252.96 |
$59.80
|
|
Creatinine clearance urine
|
$586.50 |
$586.50 |
$586.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$56.57 |
$56.57 |
$56.57 |
$173.00
|
|
Critical care 30-74 minutes
|
$12,871.38 |
$12,871.38 |
$12,871.38 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,404.03 |
$1,404.03 |
$1,404.03 |
$777.00
|
|
Crotalidae poly immune fab
|
$2,882.23 |
$2,882.23 |
$2,882.23 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$198.90 |
$198.90 |
$198.90 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$23.97 |
$23.97 |
$23.97 |
$70.00
|
|
Cryptosporidium antigen
|
$31.62 |
$31.62 |
$31.62 |
$56.00
|
|
Crystal identification light microscopy
|
$346.80 |
$346.80 |
$346.80 |
$65.25
|
|
Csf shunt reprogram 62252
|
$609.96 |
$609.96 |
$609.96 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$1,805.91 |
$1,805.91 |
$1,805.91 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$6,198.54 |
$6,198.54 |
$6,198.54 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$8,871.45 |
$8,871.45 |
$8,871.45 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,057.96 |
$3,057.96 |
$3,057.96 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,903.94 |
$2,903.94 |
$2,903.94 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,627.96 |
$6,627.96 |
$6,627.96 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,348.99 |
$6,348.99 |
$6,348.99 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,370.59 |
$3,370.59 |
$3,370.59 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$2,701.47 |
$2,701.47 |
$2,701.47 |
$1,588.60
|
|
CT angio pelvis
|
$4,662.93 |
$4,662.93 |
$4,662.93 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$1,652.25
|
|
CT guidance for needle placement
|
$3,626.61 |
$3,626.61 |
$3,626.61 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$486.03 |
$486.03 |
$486.03 |
$192.00
|
|
CT hrt w/3d image
|
$2,701.47 |
$2,701.47 |
$2,701.47 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,546.83 |
$1,546.83 |
$1,546.83 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$4,315.11 |
$4,315.11 |
$4,315.11 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$3,933.63 |
$3,933.63 |
$3,933.63 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$4,672.62 |
$4,672.62 |
$4,672.62 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,458.71 |
$2,458.71 |
$2,458.71 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,444.43 |
$2,444.43 |
$2,444.43 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,344.58 |
$3,344.58 |
$3,344.58 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,101.31 |
$3,101.31 |
$3,101.31 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,532.66 |
$2,532.66 |
$2,532.66 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,435.25 |
$2,435.25 |
$2,435.25 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,068.38 |
$5,068.38 |
$5,068.38 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,750.14 |
$4,750.14 |
$4,750.14 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,458.42 |
$4,458.42 |
$4,458.42 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$5,181.60 |
$5,181.60 |
$5,181.60 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$4,981.68 |
$4,981.68 |
$4,981.68 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$642.09 |
$642.09 |
$642.09 |
$400.20
|
|
CT t-spine w /wo contrast
|
$5,388.15 |
$5,388.15 |
$5,388.15 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$4,782.78 |
$4,782.78 |
$4,782.78 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$3,758.19 |
$3,758.19 |
$3,758.19 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$5,021.46 |
$5,021.46 |
$5,021.46 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$287.64 |
$287.64 |
$287.64 |
$63.75
|
|
Culture afb any source
|
$158.61 |
$158.61 |
$158.61 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$316.20 |
$316.20 |
$316.20 |
$77.31
|
|
Culture anaerobic except blood
|
$290.70 |
$290.70 |
$290.70 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$195.84 |
$195.84 |
$195.84 |
$52.80
|
|
Culture body fluid
|
$200.43 |
$200.43 |
$200.43 |
$130.50
|
|
Culture fungi definitive id mold
|
$199.92 |
$199.92 |
$199.92 |
$70.00
|
|
Culture fungi definitive id yeast
|
$342.72 |
$342.72 |
$342.72 |
$80.60
|
|
Culture fungi other (except blood)
|
$878.22 |
$878.22 |
$878.22 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$728.28 |
$728.28 |
$728.28 |
$77.40
|
|
Culture mycoplasma any source
|
$108.27 |
$108.27 |
$108.27 |
$90.37
|
|
Culture screening strep group a
|
$258.06 |
$258.06 |
$258.06 |
$81.60
|
|
Culture typing immunologic
|
$199.92 |
$199.92 |
$199.92 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$267.24 |
$267.24 |
$267.24 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$204.51 |
$204.51 |
$204.51 |
$124.40
|
|
Curette/treat cornea
|
$2,205.24 |
$2,205.24 |
$2,205.24 |
$1,317.39
|
|
Curette/treat cornea
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$2,818.14
|
|
Cutter lead
|
$28,974.38 |
$28,974.38 |
$28,974.38 |
$5,538.98
|
|
Cyanocobalamin unsat binding capacity
|
$12.34 |
$12.34 |
$12.34 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$45.90 |
$45.90 |
$45.90 |
$80.05
|
|
Cyclophosphamide 25 mg capsule
|
$43.02 |
$43.02 |
$43.02 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$262.33 |
$262.33 |
$262.33 |
$179.10
|
|
Cyclosporine 2 hour
|
$436.05 |
$436.05 |
$436.05 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$15.91 |
$15.91 |
$15.91 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$55.92 |
$55.92 |
$55.92 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$47,254.88 |
$47,254.88 |
$47,254.88 |
$22,594.80
|
|
Cystatin c
|
$57.83 |
$57.83 |
$57.83 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,227.57 |
$1,227.57 |
$1,227.57 |
$539.55
|
|
Cystoscopy and treatment
|
$9,328.92 |
$9,328.92 |
$9,328.92 |
$4,081.37
|
|
Cystoscopy and treatment
|
$6,023.61 |
$6,023.61 |
$6,023.61 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$2,173.62 |
$2,173.62 |
$2,173.62 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$9,328.92 |
$9,328.92 |
$9,328.92 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$5,399.88 |
$5,399.88 |
$5,399.88 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,395.80 |
$5,395.80 |
$5,395.80 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$9,328.92 |
$9,328.92 |
$9,328.92 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$9,328.92 |
$9,328.92 |
$9,328.92 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,297.70 |
$8,297.70 |
$8,297.70 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$225.74 |
$225.74 |
$225.74 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$251.94 |
$251.94 |
$251.94 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.97 |
$45.97 |
$45.97 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$436.56 |
$436.56 |
$436.56 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$115.77 |
$115.77 |
$115.77 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$113.73 |
$113.73 |
$113.73 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$177.99 |
$177.99 |
$177.99 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.84 |
$42.84 |
$42.84 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$321.81 |
$321.81 |
$321.81 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$298.86 |
$298.86 |
$298.86 |
$205.00
|
|
Cytopath smear other source
|
$97.92 |
$97.92 |
$97.92 |
$85.80
|
