|
Creatinine clearance urine
|
$6.67 |
$6.67 |
$6.67 |
$90.26
|
|
#creutz-prot.,western blot
|
$35.65 |
$35.65 |
$35.65 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,458.08 |
$1,458.08 |
$1,458.08 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,915.78 |
$2,915.78 |
$2,915.78 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$15.87 |
$15.87 |
$15.87 |
$52.50
|
|
Cryoprecipitate each unit
|
$32.66 |
$32.66 |
$32.66 |
$144.78
|
|
Cryosurg ablate fa each
|
$5,840.06 |
$5,840.06 |
$5,840.06 |
$5,383.86
|
|
Cryptosporidium antigen
|
$30.97 |
$30.97 |
$30.97 |
$52.08
|
|
Crystal identification light microscopy
|
$9.31 |
$9.31 |
$9.31 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$107.84 |
$107.84 |
$107.84 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$466.26 |
$466.26 |
$466.26 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$569.14 |
$569.14 |
$569.14 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$392.45 |
$392.45 |
$392.45 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$759.34 |
$759.34 |
$759.34 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$482.96 |
$482.96 |
$482.96 |
$1,915.30
|
|
CT Angiogram of the Head
|
$574.78 |
$574.78 |
$574.78 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$479.84 |
$479.84 |
$479.84 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$611.94 |
$611.94 |
$611.94 |
$1,428.68
|
|
CT angio pelvis
|
$536.74 |
$536.74 |
$536.74 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$481.96 |
$481.96 |
$481.96 |
$1,691.30
|
|
CT colonography dx
|
$643.56 |
$643.56 |
$643.56 |
$811.41
|
|
CT colonography dx w/dye
|
$804.45 |
$804.45 |
$804.45 |
$1,069.25
|
|
CT guidance for needle placement
|
$467.79 |
$467.79 |
$467.79 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,077.80 |
$1,077.80 |
$1,077.80 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$3,893.37 |
$3,893.37 |
$3,893.37 |
$2,039.76
|
|
CT guid parench tis ablat
|
$712.38 |
$712.38 |
$712.38 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$55.80 |
$55.80 |
$55.80 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$582.64 |
$582.64 |
$582.64 |
$1,395.79
|
|
CT hrt w/3d image
|
$459.89 |
$459.89 |
$459.89 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$218.55 |
$218.55 |
$218.55 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$443.89 |
$443.89 |
$443.89 |
$1,818.96
|
|
CT scan for localization
|
$834.68 |
$834.68 |
$834.68 |
$1,216.80
|
|
CT scan for therapy guide
|
$247.84 |
$247.84 |
$247.84 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$541.75 |
$541.75 |
$541.75 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$451.57 |
$451.57 |
$451.57 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$361.05 |
$361.05 |
$361.05 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$571.81 |
$571.81 |
$571.81 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$458.92 |
$458.92 |
$458.92 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$28.74 |
$28.74 |
$28.74 |
$72.00
|
|
Culture afb any source
|
$18.14 |
$18.14 |
$18.14 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$32.92 |
$32.92 |
$32.92 |
$84.76
|
|
Culture anaerobic except blood
|
$8.09 |
$8.09 |
$8.09 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$22.04 |
$22.04 |
$22.04 |
$52.50
|
|
Culture body fluid
|
$31.25 |
$31.25 |
$31.25 |
$126.75
|
|
Culture fungi definitive id mold
|
$38.50 |
$38.50 |
$38.50 |
$80.00
|
|
Culture fungi definitive id yeast
|
$37.94 |
$37.94 |
$37.94 |
$80.00
|
|
Culture fungi other (except blood)
|
$24.55 |
$24.55 |
$24.55 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$16.46 |
$16.46 |
$16.46 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$17.86 |
$17.86 |
$17.86 |
$100.00
|
|
Culture mycoplasma any source
|
$17.58 |
$17.58 |
$17.58 |
$83.21
|
|
Culture quantitative aerobic other source
|
$17.02 |
$17.02 |
$17.02 |
$87.02
|
|
Culture screening strep group a
|
$18.41 |
$18.41 |
$18.41 |
$84.60
|
|
Culture typing glc/hplc
|
$10.60 |
$10.60 |
$10.60 |
$53.75
|
|
Culture typing immunologic
|
$23.72 |
$23.72 |
$23.72 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$38.22 |
$38.22 |
$38.22 |
$140.80
|
|
Culture urine each isolate
|
$6.98 |
$6.98 |
$6.98 |
$55.50
|
|
Cutter lead
|
$10,661.00 |
$10,661.00 |
$10,661.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,371.84 |
$1,371.84 |
$1,371.84 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$15.18 |
$15.18 |
$15.18 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$16.02 |
$16.02 |
$16.02 |
$72.36
|
|
Cyclosporine 2 hour
|
$13.34 |
$13.34 |
$13.34 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$27,626.14 |
$27,626.14 |
$27,626.14 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$378.00 |
$378.00 |
$378.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$226.80 |
$226.80 |
$226.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$584.50 |
$584.50 |
$584.50 |
$570.70
|
|
Cyp3a4 gene common variants
|
$226.80 |
$226.80 |
$226.80 |
$241.24
|
|
Cyp3a5 gene common variants
|
$226.80 |
$226.80 |
$226.80 |
$245.31
|
|
Cystatin c
|
$12.88 |
$12.88 |
$12.88 |
$77.60
|
|
Cystic fibrosis cftr
|
$646.70 |
$646.70 |
$646.70 |
$1,104.40
|
|
Cystine urine quantitative
|
$20.93 |
$20.93 |
$20.93 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$206.62 |
$206.62 |
$206.62 |
$586.95
|
|
Cysto rx balo cath urtl strx
|
$3,735.58 |
$3,735.58 |
$3,735.58 |
$6,853.60
|
|
Cytogenetics 25-99
|
$58.75 |
$58.75 |
$58.75 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$16.02 |
$16.02 |
$16.02 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$16.29 |
$16.29 |
$16.29 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$109.70 |
$109.70 |
$109.70 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$74.36 |
$74.36 |
$74.36 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$28.00 |
$28.00 |
$28.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$124.85 |
$124.85 |
$124.85 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$129.90 |
$129.90 |
$129.90 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$41.31 |
$41.31 |
$41.31 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$157.90 |
$157.90 |
$157.90 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$265.30 |
$265.30 |
$265.30 |
$213.85
|
|
Cytopath smear other source
|
$145.96 |
$145.96 |
$145.96 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$151.01 |
$151.01 |
$151.01 |
$96.20
|
|
Cytotoxic antibody screening
|
$137.50 |
$137.50 |
$137.50 |
$193.80
|
|
Dalbavancin 500 mg intravenous solution
|
$2.32 |
$2.32 |
$2.32 |
$3,493.11
|
|
Dch pulmonary stress test
|
$542.68 |
$542.68 |
$542.68 |
$963.30
|
|
Dch validity tests
|
$1.96 |
$1.96 |
$1.96 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$15.75 |
$15.75 |
$15.75 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$374.22 |
$374.22 |
$374.22 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$138.52 |
$138.52 |
$138.52 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$954.18 |
$954.18 |
$954.18 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$207.36 |
$207.36 |
$207.36 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$260.01 |
$260.01 |
$260.01 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$269.54 |
$269.54 |
$269.54 |
$835.20
|
|
Debride nail1-5 11720
|
$57.11 |
$57.11 |
$57.11 |
$149.60
|
|
Debride nail6 or more 11721
|
$63.18 |
$63.18 |
$63.18 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$169.29 |
$169.29 |
$169.29 |
$663.30
|
|
Debr inf skin add-on 11001
|
$205.74 |
$205.74 |
$205.74 |
$124.08
|
