|
Creatinine clearance urine
|
$364.24 |
$364.24 |
$1,599.29 |
$87.50
|
|
#creutz-prot.,western blot
|
$256.54 |
$256.54 |
$256.54 |
$173.00
|
|
Crisis psychotherapy 90839
|
$778.02 |
$778.02 |
$778.02 |
$313.30
|
|
Critical care 30-74 minutes
|
$17,343.39 |
$17,343.39 |
$17,343.39 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$6,193.12 |
$6,193.12 |
$6,193.12 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$23,137.00 |
$23,137.00 |
$23,137.00 |
$1,026.00
|
|
Cromolyn sodium noncomp unit
|
$44.00 |
$44.00 |
$44.00 |
$10.57
|
|
Crotalidae poly immune fab
|
$40,843.60 |
$40,843.60 |
$40,843.60 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$112.75 |
$112.75 |
$718.27 |
$50.88
|
|
Cryoprecipitate each unit
|
$658.03 |
$658.03 |
$1,213.85 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$111.05 |
$111.05 |
$1,633.47 |
$70.00
|
|
Cryptosporidium antigen
|
$992.78 |
$992.78 |
$992.78 |
$56.00
|
|
Crystal identification light microscopy
|
$285.00 |
$285.00 |
$291.78 |
$65.25
|
|
Csf leakage imaging
|
$3,228.22 |
$3,228.22 |
$6,805.00 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$2,675.84 |
$2,675.84 |
$2,675.84 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$7,787.84 |
$7,787.84 |
$7,787.84 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$8,324.15 |
$8,324.15 |
$8,324.15 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$11,589.01 |
$11,589.01 |
$11,589.01 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$7,778.95 |
$7,778.95 |
$7,778.95 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$15,906.51 |
$15,906.51 |
$15,906.51 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$8,146.87 |
$8,146.87 |
$8,146.87 |
$1,955.80
|
|
CT Angiogram of the Head
|
$7,339.78 |
$7,339.78 |
$7,339.78 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,659.36 |
$1,659.36 |
$24,140.60 |
$1,588.60
|
|
CT angio pelvis
|
$5,690.00 |
$5,690.00 |
$8,118.69 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$5,316.87 |
$5,316.87 |
$5,316.87 |
$1,652.25
|
|
CT colonography dx
|
$938.56 |
$938.56 |
$938.56 |
$770.90
|
|
CT colonography dx w/dye
|
$1,565.59 |
$1,565.59 |
$1,565.59 |
$1,009.98
|
|
CT colonography screening
|
$938.56 |
$938.56 |
$938.56 |
$1,084.20
|
|
CT guidance for needle placement
|
$4,776.38 |
$4,776.38 |
$10,043.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,500.73 |
$3,500.73 |
$3,500.73 |
$1,085.05
|
|
CT guid parench tis ablat
|
$3,485.00 |
$3,485.00 |
$5,523.22 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$5,033.88 |
$5,033.88 |
$5,304.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,218.74 |
$3,218.74 |
$3,218.74 |
$1,217.45
|
|
CT hrt w/3d image
|
$4,741.02 |
$4,741.02 |
$5,304.00 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$2,956.93 |
$2,956.93 |
$3,941.00 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$7,513.42 |
$7,513.42 |
$7,513.42 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$4,816.27 |
$4,816.27 |
$4,816.27 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$9,016.07 |
$9,016.07 |
$9,016.07 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$6,658.08 |
$6,658.08 |
$6,658.08 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$4,972.71 |
$4,972.71 |
$4,972.71 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$7,470.77 |
$7,470.77 |
$7,470.77 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$6,647.09 |
$6,647.09 |
$6,647.09 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,613.92 |
$5,613.92 |
$5,613.92 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,306.43 |
$5,306.43 |
$5,306.43 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$857.46 |
$857.46 |
$857.46 |
$456.00
|
|
CT scan for therapy guide
|
$2,456.10 |
$2,456.10 |
$2,456.10 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$15,241.02 |
$15,241.02 |
$15,241.02 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$13,197.70 |
$13,197.70 |
$13,197.70 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$10,152.27 |
$10,152.27 |
$10,152.27 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$6,039.22 |
$6,039.22 |
$6,039.22 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$5,800.95 |
$5,800.95 |
$5,800.95 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$934.98 |
$934.98 |
$11,551.00 |
$400.20
|
|
CT t-spine w /wo contrast
|
$7,247.08 |
$7,247.08 |
$7,247.08 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$6,187.72 |
$6,187.72 |
$6,187.72 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$5,203.16 |
$5,203.16 |
$5,203.16 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$7,527.96 |
$7,527.96 |
$7,527.96 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$419.56 |
$419.56 |
$573.00 |
$63.75
|
|
Culture afb any source
|
$347.95 |
$347.95 |
$1,585.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$253.68 |
$253.68 |
$746.48 |
$77.31
|
|
Culture anaerobic except blood
|
$394.73 |
$394.73 |
$1,626.00 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$170.82 |
$170.82 |
$170.82 |
$52.80
|
|
Culture body fluid
|
$460.84 |
$460.84 |
$460.84 |
$130.50
|
|
Culture fungi definitive id mold
|
$428.84 |
$428.84 |
$804.53 |
$70.00
|
|
Culture fungi definitive id yeast
|
$165.31 |
$165.31 |
$804.53 |
$80.60
|
|
Culture fungi other (except blood)
|
$510.70 |
$510.70 |
$1,137.62 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$123.50 |
$123.50 |
$198.00 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$169.01 |
$169.01 |
$2,421.18 |
$84.75
|
|
Culture mycoplasma any source
|
$256.92 |
$256.92 |
$704.00 |
$90.37
|
|
Culture quantitative aerobic other source
|
$146.28 |
$146.28 |
$3,217.57 |
$87.02
|
|
Culture screening strep group a
|
$140.68 |
$140.68 |
$140.68 |
$81.60
|
|
Culture typing added method
|
$408.37 |
$408.37 |
$2,570.91 |
$34.45
|
|
Culture typing immunologic
|
$107.00 |
$107.00 |
$265.75 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.37 |
$408.37 |
$408.37 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$259.50 |
$259.50 |
$510.21 |
$124.40
|
|
Culture urine each isolate
|
$132.49 |
$132.49 |
$746.48 |
$46.20
|
|
Cv line/pic reposition
|
$4,341.50 |
$4,341.50 |
$4,341.50 |
$1,829.42
|
|
Cv stress test/supervision only 93016
|
$4,879.91 |
$4,879.91 |
$4,879.91 |
$59.25
|
|
Cyanocobalamin unsat binding capacity
|
$224.60 |
$224.60 |
$746.48 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$173.21 |
$173.21 |
$505.68 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$219.04 |
$219.04 |
$1,294.41 |
$80.05
|
|
Cyclophosphamide 25 mg capsule
|
$93.00 |
$93.00 |
$93.00 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$1,942.64 |
$1,942.64 |
$1,942.64 |
$179.10
|
|
Cyclosporine 2 hour
|
$461.38 |
$461.38 |
$1,547.21 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$25.76 |
$25.76 |
$25.76 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$62.92 |
$62.92 |
$62.92 |
$39.04
|
|
Cyp2c19 gene com variants
|
$811.51 |
$811.51 |
$811.51 |
$567.75
|
|
Cyp2c9 gene com variants
|
$389.07 |
$389.07 |
$389.07 |
$275.10
|
|
Cystatin c
|
$90.19 |
$90.19 |
$1,387.72 |
$82.26
|
|
Cystic fibrosis cftr
|
$2,143.61 |
$2,143.61 |
$17,594.90 |
$1,041.95
|
|
Cystine urine quantitative
|
$507.67 |
$507.67 |
$507.67 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,074.88 |
$2,074.88 |
$2,751.00 |
$539.55
|
|
Cystoscopy removal of clots
|
$3,455.51 |
$3,455.51 |
$3,455.51 |
$3,970.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$783.15 |
$783.15 |
$783.15 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$165.51 |
$165.51 |
$165.51 |
$89.95
|
|
Cytogenetics 25-99
|
$505.06 |
$505.06 |
$505.06 |
$180.32
|
|
Cytogenetics 3-5
|
$425.91 |
$425.91 |
$425.91 |
$127.64
|
|
Cytogenomic neo microra alys
|
$1,523.47 |
$1,523.47 |
$1,523.47 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$15,989.10 |
$15,989.10 |
$15,989.10 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$230.09 |
$230.09 |
$343.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$322.19 |
$322.19 |
$1,066.01 |
$96.80
|
