|
Critical care each additional 30 minutes
|
$540.00 |
$540.00 |
$540.00 |
$777.00
|
|
Crotalidae poly immune fab
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$12,468.00 |
$12,468.00 |
$12,468.00 |
$2,649.05
|
|
Cryoprecipitate each unit
|
$235.68 |
$235.68 |
$235.68 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$22.56 |
$22.56 |
$22.56 |
$70.00
|
|
Cryptosporidium antigen
|
$9.60 |
$9.60 |
$9.60 |
$56.00
|
|
Crystal identification light microscopy
|
$61.92 |
$61.92 |
$61.92 |
$65.25
|
|
Csf leakage imaging
|
$1,800.48 |
$1,800.48 |
$1,800.48 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$457.44 |
$457.44 |
$457.44 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$1,471.68 |
$1,471.68 |
$1,471.68 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,060.16 |
$2,060.16 |
$2,060.16 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,620.96 |
$1,620.96 |
$1,620.96 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,675.68 |
$1,675.68 |
$1,675.68 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,965.44 |
$2,965.44 |
$2,965.44 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,135.52 |
$2,135.52 |
$2,135.52 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,675.68 |
$1,675.68 |
$1,675.68 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$585.12 |
$585.12 |
$585.12 |
$1,588.60
|
|
CT angio pelvis
|
$2,135.52 |
$2,135.52 |
$2,135.52 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,620.96 |
$1,620.96 |
$1,620.96 |
$1,652.25
|
|
CT guidance for needle placement
|
$2,269.92 |
$2,269.92 |
$2,269.92 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,877.76 |
$1,877.76 |
$1,877.76 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,305.12 |
$1,305.12 |
$1,305.12 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$95.52 |
$95.52 |
$95.52 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$542.40 |
$542.40 |
$542.40 |
$1,217.45
|
|
CT hrt w/3d image
|
$542.40 |
$542.40 |
$542.40 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$770.88 |
$770.88 |
$770.88 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,225.44 |
$1,225.44 |
$1,225.44 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,717.44 |
$1,717.44 |
$1,717.44 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,273.92 |
$1,273.92 |
$1,273.92 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,382.88 |
$1,382.88 |
$1,382.88 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,273.92 |
$1,273.92 |
$1,273.92 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$336.96 |
$336.96 |
$336.96 |
$456.00
|
|
CT scan for therapy guide
|
$729.12 |
$729.12 |
$729.12 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,144.48 |
$3,144.48 |
$3,144.48 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,742.72 |
$2,742.72 |
$2,742.72 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,679.36 |
$2,679.36 |
$2,679.36 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,551.36 |
$1,551.36 |
$1,551.36 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,499.04 |
$1,499.04 |
$1,499.04 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$108.00 |
$108.00 |
$108.00 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,384.32 |
$1,384.32 |
$1,384.32 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,330.08 |
$1,330.08 |
$1,330.08 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,554.72 |
$1,554.72 |
$1,554.72 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$39.36 |
$39.36 |
$39.36 |
$63.75
|
|
Culture afb any source
|
$199.20 |
$199.20 |
$199.20 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$55.68 |
$55.68 |
$55.68 |
$77.31
|
|
Culture anaerobic except blood
|
$138.24 |
$138.24 |
$138.24 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$70.08 |
$70.08 |
$70.08 |
$52.80
|
|
Culture body fluid
|
$203.52 |
$203.52 |
$203.52 |
$130.50
|
|
Culture fungi definitive id mold
|
$43.20 |
$43.20 |
$43.20 |
$70.00
|
|
Culture fungi definitive id yeast
|
$47.52 |
$47.52 |
$47.52 |
$80.60
|
|
Culture fungi other (except blood)
|
$198.72 |
$198.72 |
$198.72 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$153.12 |
$153.12 |
$153.12 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$146.88 |
$146.88 |
$146.88 |
$84.75
|
|
Culture mycoplasma any source
|
$101.90 |
$101.90 |
$101.90 |
$90.37
|
|
Culture screening strep group a
|
$81.60 |
$81.60 |
$81.60 |
$81.60
|
|
Culture typing immunologic
|
$19.68 |
$19.68 |
$19.68 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$42.24 |
$42.24 |
$42.24 |
$124.40
|
|
Curette/treat cornea
|
$1,633.44 |
$1,633.44 |
$1,633.44 |
$1,317.39
|
|
Curette/treat cornea
|
$3,747.36 |
$3,747.36 |
$3,747.36 |
$2,818.14
|
|
Cutter lead
|
$16,020.00 |
$16,020.00 |
$16,020.00 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,357.92 |
$1,357.92 |
$1,357.92 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$11.62 |
$11.62 |
$11.62 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$43.20 |
$43.20 |
$43.20 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$834.30 |
$834.30 |
$834.30 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$22.06 |
$22.06 |
$22.06 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$227.62 |
$227.62 |
$227.62 |
$179.10
|
|
Cyclosporine 2 hour
|
$293.76 |
$293.76 |
$293.76 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$13.29 |
$13.29 |
$13.29 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$53.04 |
$53.04 |
$53.04 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$24,372.98 |
$24,372.98 |
$24,372.98 |
$22,594.80
|
|
Cystatin c
|
$54.43 |
$54.43 |
$54.43 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$595.20 |
$595.20 |
$595.20 |
$539.55
|
|
Cystoscopy and treatment
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,852.00 |
$3,852.00 |
$3,852.00 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,494.24 |
$1,494.24 |
$1,494.24 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$4,429.92 |
$4,429.92 |
$4,429.92 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,188.64 |
$6,188.64 |
$6,188.64 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,429.92 |
$4,429.92 |
$4,429.92 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$154.62 |
$154.62 |
$154.62 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$113.76 |
$113.76 |
$113.76 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$43.26 |
$43.26 |
$43.26 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$4,096.32 |
$4,096.32 |
$4,096.32 |
$3,113.07
|
|
Cyto/molecular report
|
$10.27 |
$10.27 |
$10.27 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$82.56 |
$82.56 |
$82.56 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$263.52 |
$263.52 |
$263.52 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$345.60 |
$345.60 |
$345.60 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$98.88 |
$98.88 |
$98.88 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$342.24 |
$342.24 |
$342.24 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$416.16 |
$416.16 |
$416.16 |
$205.00
|