|
Creatine kinase isoenzymes
|
$6.00 |
$6.00 |
$6.00 |
$46.34
|
|
Creatine kinase mb
|
$183.15 |
$183.15 |
$183.15 |
$111.00
|
|
Creatine - sendout
|
$35.24 |
$35.24 |
$35.24 |
$39.00
|
|
Creatinine
|
$61.28 |
$61.28 |
$61.28 |
$44.10
|
|
Creatinine 24 hour urine
|
$83.92 |
$83.92 |
$83.92 |
$59.80
|
|
Creatinine clearance urine
|
$9.33 |
$9.33 |
$9.33 |
$87.50
|
|
#creutz-prot.,western blot
|
$45.20 |
$45.20 |
$45.20 |
$173.00
|
|
Critical care 30-74 minutes
|
$3,850.15 |
$3,850.15 |
$3,850.15 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,193.48 |
$1,193.48 |
$1,193.48 |
$777.00
|
|
Cryoablate prostate
|
$1,389.28 |
$1,389.28 |
$1,389.28 |
$10,890.00
|
|
Cryofibrinogen qualitative - sendout
|
$5.49 |
$5.49 |
$5.49 |
$50.88
|
|
Cryoprecipitate each unit
|
$64.61 |
$64.61 |
$64.61 |
$185.64
|
|
Cryotherapy of acne 17340
|
$80.59 |
$80.59 |
$80.59 |
$97.80
|
|
Crystal identification light microscopy
|
$104.57 |
$104.57 |
$104.57 |
$65.25
|
|
Csf leakage imaging
|
$5,729.60 |
$5,729.60 |
$5,729.60 |
$1,446.24
|
|
Csf ventriculography
|
$5,810.85 |
$5,810.85 |
$5,810.85 |
$746.61
|
|
CT 3d report other modality w/workstation
|
$991.01 |
$991.01 |
$991.01 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$8,650.68 |
$8,650.68 |
$8,650.68 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$7,661.67 |
$7,661.67 |
$7,661.67 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$10,217.78 |
$10,217.78 |
$10,217.78 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,032.96 |
$7,032.96 |
$7,032.96 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$8,476.19 |
$8,476.19 |
$8,476.19 |
$1,955.80
|
|
CT Angiogram of the Head
|
$11,570.42 |
$11,570.42 |
$11,570.42 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$7,634.36 |
$7,634.36 |
$7,634.36 |
$1,588.60
|
|
CT angio pelvis
|
$7,674.32 |
$7,674.32 |
$7,674.32 |
$1,775.28
|
|
CT bone density axial
|
$2,709.96 |
$2,709.96 |
$2,709.96 |
$326.30
|
|
CT colonography dx
|
$9,276.05 |
$9,276.05 |
$9,276.05 |
$770.90
|
|
CT colonography dx w/dye
|
$12,362.96 |
$12,362.96 |
$12,362.96 |
$1,009.98
|
|
CT guidance for needle placement
|
$1,890.78 |
$1,890.78 |
$1,890.78 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,798.20 |
$1,798.20 |
$1,798.20 |
$1,085.05
|
|
CT guid parench tis ablat
|
$156.51 |
$156.51 |
$156.51 |
$1,281.75
|
|
CT hrt w/3d image
|
$5,708.96 |
$5,708.96 |
$5,708.96 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$3,086.91 |
$3,086.91 |
$3,086.91 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$5,575.76 |
$5,575.76 |
$5,575.76 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$4,460.21 |
$4,460.21 |
$4,460.21 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$5,854.14 |
$5,854.14 |
$5,854.14 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$7,540.46 |
$7,540.46 |
$7,540.46 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$6,719.94 |
$6,719.94 |
$6,719.94 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,129.54 |
$5,129.54 |
$5,129.54 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$9,570.42 |
$9,570.42 |
$9,570.42 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$7,250.08 |
$7,250.08 |
$7,250.08 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,770.23 |
$3,770.23 |
$3,770.23 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$5,665.67 |
$5,665.67 |
$5,665.67 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$4,496.84 |
$4,496.84 |
$4,496.84 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$561.44 |
$561.44 |
$561.44 |
$400.20
|
|
CT t-spine w /wo contrast
|
$5,935.40 |
$5,935.40 |
$5,935.40 |
$2,030.60
|
|
Cult skin grft t/arm/leg
|
$1,053.62 |
$1,053.62 |
$1,053.62 |
$2,164.64
|
|
Culture aerobic additional method definitive id each
|
$57.28 |
$57.28 |
$57.28 |
$63.75
|
|
Culture afb any source
|
$17.99 |
$17.99 |
$17.99 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$70.60 |
$70.60 |
$70.60 |
$77.31
|
|
Culture anaerobic except blood
|
$123.21 |
$123.21 |
$123.21 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$55.95 |
$55.95 |
$55.95 |
$52.80
|
|
Culture body fluid
|
$129.21 |
$129.21 |
$129.21 |
$130.50
|
|
Culture fungi definitive id yeast
|
$89.25 |
$89.25 |
$89.25 |
$80.60
|
|
Culture fungi other (except blood)
|
$84.59 |
$84.59 |
$84.59 |
$105.60
|
|
Culture mycobacteria definitive id each isolate
|
$24.33 |
$24.33 |
$24.33 |
$84.75
|
|
Culture mycoplasma any source
|
$23.98 |
$23.98 |
$23.98 |
$90.37
|
|
Culture screening strep group a
|
$147.86 |
$147.86 |
$147.86 |
$81.60
|
|
Culture typing added method
|
$19.98 |
$19.98 |
$19.98 |
$34.45
|
|
Culture typing immunologic
|
$8.63 |
$8.63 |
$8.63 |
$41.60
|
|
Culture urine each isolate
|
$115.22 |
$115.22 |
$115.22 |
$46.20
|
|
Cyclic citrullinated peptide antibody
|
$67.27 |
$67.27 |
$67.27 |
$80.05
|
|
Cyclosporine 2 hour
|
$30.06 |
$30.06 |
$30.06 |
$121.80
|
|
Cyp2c19 gene com variants
|
$86.58 |
$86.58 |
$86.58 |
$567.75
|
|
Cyp2c9 gene com variants
|
$43.29 |
$43.29 |
$43.29 |
$275.10
|
|
Cyp2d6 gene com variants
|
$33.30 |
$33.30 |
$33.30 |
$537.50
|
|
Cyp3a4 gene common variants
|
$33.30 |
$33.30 |
$33.30 |
$230.01
|
|
Cyp3a5 gene common variants
|
$33.30 |
$33.30 |
$33.30 |
$220.50
|
|
Cystatin c
|
$6.66 |
$6.66 |
$6.66 |
$82.26
|
|
Cystic fibrosis cftr
|
$421.80 |
$421.80 |
$421.80 |
$1,041.95
|
|
Cystine urine quantitative
|
$39.89 |
$39.89 |
$39.89 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$478.19 |
$478.19 |
$478.19 |
$539.55
|
|
Cystoscopy and treatment
|
$335.00 |
$335.00 |
$335.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$447.56 |
$447.56 |
$447.56 |
$4,081.37
|
|
Cystoscopy and treatment
|
$524.15 |
$524.15 |
$524.15 |
$4,846.99
|
|
Cystoscopy and treatment
|
$711.29 |
$711.29 |
$711.29 |
$5,949.75
|
|
Cystoscopy and treatment
|
$382.29 |
$382.29 |
$382.29 |
$2,424.12
|
|
Cystoscopy and treatment
|
$480.19 |
$480.19 |
$480.19 |
$2,424.12
|
|
Cystoscopy and treatment
|
$289.71 |
$289.71 |
$289.71 |
$3,174.25
|
|
Cystoscopy and treatment
|
$498.84 |
$498.84 |
$498.84 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$223.78 |
$223.78 |
$223.78 |
$1,610.20
|
|
Cystoscopy & revise urethra
|
$331.01 |
$331.01 |
$331.01 |
$2,412.45
|
|
Cystoscopy & ureter catheter
|
$242.43 |
$242.43 |
$242.43 |
$3,416.48
|
|
Cystouretero & or pyeloscope
|
$550.12 |
$550.12 |
$550.12 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$757.25 |
$757.25 |
$757.25 |
$4,881.00
|
|
Cysto/uretero w/lithotripsy
|
$754.58 |
$754.58 |
$754.58 |
$5,844.61
|
|
Cystouretero w/stone remove
|
$642.69 |
$642.69 |
$642.69 |
$4,724.46
|
|
Cystourethroscop/calib/dilat stric 52281
|
$290.38 |
$290.38 |
$290.38 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$257.75 |
$257.75 |
$257.75 |
$3,970.98
|
|
Cysto w/ureter stricture tx
|
$516.15 |
$516.15 |
$516.15 |
$4,081.37
|
|
Cytogenomic neo microra alys
|
$899.64 |
$899.64 |
$899.64 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$382.29 |
$382.29 |
$382.29 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$382.29 |
$382.29 |
$382.29 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$35.97 |
$35.97 |
$35.97 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$34.03 |
$34.03 |
$34.03 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$37.21 |
$37.21 |
$37.21 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$6.13 |
$6.13 |
$6.13 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$164.51 |
$164.51 |
$164.51 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$73.01 |
$73.01 |
$73.01 |
$205.00
|
|
Cytopath smear other source
|
$40.98 |
$40.98 |
$40.98 |
$85.80
|
