|
Creatinine clearance urine
|
$78.90 |
$78.90 |
$78.90 |
$89.50
|
|
#creutz-prot.,western blot
|
$48.00 |
$48.00 |
$48.00 |
$166.20
|
|
Cricopharyngeal myotomy 43030
|
$546.60 |
$546.60 |
$546.60 |
$6,547.81
|
|
Crisis psychotherapy 90839
|
$113.70 |
$113.70 |
$113.70 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$55.80 |
$55.80 |
$55.80 |
$149.52
|
|
Critical care 30-74 minutes
|
$6,937.20 |
$6,937.20 |
$6,937.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$889.50 |
$889.50 |
$889.50 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$759.00 |
$759.00 |
$759.00 |
$2,423.75
|
|
Crutches underarm other than wood adjustable or e0114
|
$30.60 |
$30.60 |
$30.60 |
$66.64
|
|
Cryocautery of cervix 57511
|
$209.40 |
$209.40 |
$209.40 |
$429.60
|
|
Cryoprecipitate each unit
|
$89.70 |
$89.70 |
$89.70 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$157.80 |
$157.80 |
$157.80 |
$272.50
|
|
Cryotherapy of acne 17340
|
$55.50 |
$55.50 |
$55.50 |
$101.79
|
|
Crystal identification light microscopy
|
$56.40 |
$56.40 |
$56.40 |
$62.50
|
|
C-Section Delivery (full care)
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$2,577.60
|
|
Csf leakage imaging
|
$42.60 |
$42.60 |
$42.60 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$481.50 |
$481.50 |
$481.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,015.10 |
$2,015.10 |
$2,015.10 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,996.10 |
$2,996.10 |
$2,996.10 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,889.70 |
$1,889.70 |
$1,889.70 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$612.30 |
$612.30 |
$612.30 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$133.20 |
$133.20 |
$133.20 |
$1,500.38
|
|
CT angio pelvis
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,501.70 |
$2,501.70 |
$2,501.70 |
$1,698.00
|
|
CT bone density axial
|
$13.80 |
$13.80 |
$13.80 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$204.90 |
$204.90 |
$204.90 |
$803.40
|
|
CT colonography screening
|
$708.90 |
$708.90 |
$708.90 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,305.30 |
$1,305.30 |
$1,305.30 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$64.50 |
$64.50 |
$64.50 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$441.30 |
$441.30 |
$441.30 |
$1,643.20
|
|
CT guid parench tis ablat
|
$212.40 |
$212.40 |
$212.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$32.40 |
$32.40 |
$32.40 |
$171.60
|
|
CT hrt w/3d image
|
$96.60 |
$96.60 |
$96.60 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$520.20 |
$520.20 |
$520.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,565.70 |
$1,565.70 |
$1,565.70 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,391.30 |
$2,391.30 |
$2,391.30 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,005.30 |
$1,005.30 |
$1,005.30 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,200.30 |
$1,200.30 |
$1,200.30 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,412.70 |
$1,412.70 |
$1,412.70 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,311.30 |
$1,311.30 |
$1,311.30 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$992.70 |
$992.70 |
$992.70 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$404.40 |
$404.40 |
$404.40 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,495.50 |
$1,495.50 |
$1,495.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,392.90 |
$1,392.90 |
$1,392.90 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$346.80 |
$346.80 |
$346.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,863.90 |
$1,863.90 |
$1,863.90 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,738.50 |
$1,738.50 |
$1,738.50 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$75.00 |
$75.00 |
$75.00 |
$68.64
|
|
Culture afb any source
|
$11.10 |
$11.10 |
$11.10 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$78.60 |
$78.60 |
$78.60 |
$79.00
|
|
Culture anaerobic except blood
|
$99.30 |
$99.30 |
$99.30 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$67.50 |
$67.50 |
$67.50 |
$51.45
|
|
Culture body fluid
|
$118.50 |
$118.50 |
$118.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$29.83 |
$29.83 |
$29.83 |
$77.28
|
|
Culture fungi definitive id yeast
|
$85.50 |
$85.50 |
$85.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$103.20 |
$103.20 |
$103.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$102.30 |
$102.30 |
$102.30 |
$74.88
|
|
Culture mycoplasma any source
|
$13.16 |
$13.16 |
$13.16 |
$85.26
|
|
Culture screening strep group a
|
$59.10 |
$59.10 |
$59.10 |
$81.00
|
|
Culture typing added method
|
$12.21 |
$12.21 |
$12.21 |
$38.58
|
|
Culture typing immunologic
|
$53.10 |
$53.10 |
$53.10 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$327.00 |
$327.00 |
$327.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$184.50 |
$184.50 |
$184.50 |
$133.90
|
|
Culture urine each isolate
|
$57.90 |
$57.90 |
$57.90 |
$57.00
|
|
Curette/treat cornea
|
$73.20 |
$73.20 |
$73.20 |
$1,345.80
|
|
Curette/treat cornea
|
$410.40 |
$410.40 |
$410.40 |
$2,818.14
|
|
Cv line/pic reposition
|
$60.00 |
$60.00 |
$60.00 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$16.80 |
$16.80 |
$16.80 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$24.60 |
$24.60 |
$24.60 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$3.82 |
$3.82 |
$3.82 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$15.00 |
$15.00 |
$15.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$6.00 |
$6.00 |
$6.00 |
$70.72
|
|
Cyclosporine 2 hour
|
$4.81 |
$4.81 |
$4.81 |
$129.48
|
|
Cyp2c19 gene com variants
|
$39.00 |
$39.00 |
$39.00 |
$504.00
|
|
Cyp2c9 gene com variants
|
$30.00 |
$30.00 |
$30.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$54.00 |
$54.00 |
$54.00 |
$554.00
|
|
Cyp3a4 gene common variants
|
$21.00 |
$21.00 |
$21.00 |
$245.31
|
|
Cyp3a5 gene common variants
|
$21.00 |
$21.00 |
$21.00 |
$245.31
|
|
Cystatin c
|
$4.44 |
$4.44 |
$4.44 |
$77.50
|
|
Cystic fibrosis cftr
|
$264.60 |
$264.60 |
$264.60 |
$1,100.00
|
|
Cysto cgen post urtl valves
|
$488.70 |
$488.70 |
$488.70 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$374.40 |
$374.40 |
$374.40 |
$542.10
|
|
Cystometrogram w/up 51727
|
$369.00 |
$369.00 |
$369.00 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$915.90 |
$915.90 |
$915.90 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$762.90 |
$762.90 |
$762.90 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$166.80 |
$166.80 |
$166.80 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$168.90 |
$168.90 |
$168.90 |
$4,081.37
|
|
Cystoscopy and treatment
|
$175.80 |
$175.80 |
$175.80 |
$4,081.37
|
|
Cystoscopy and treatment
|
$203.10 |
$203.10 |
$203.10 |
$4,160.10
|
