|
Crnop w/autograft>5 cm diam
|
$5,374.20 |
$5,374.20 |
$5,374.20 |
$3,375.20
|
|
Cross-over vein graft
|
$4,986.80 |
$4,986.80 |
$4,986.80 |
$5,988.54
|
|
Crotalidae poly immune fab
|
$7,483.32 |
$7,483.32 |
$7,483.32 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$7,231.25 |
$7,231.25 |
$7,231.25 |
$2,522.88
|
|
Crutches underarm other than wood adjustable or e0114
|
$37.70 |
$37.70 |
$37.70 |
$66.64
|
|
Cryoablate prostate
|
$3,536.00 |
$3,536.00 |
$3,536.00 |
$13,016.74
|
|
Cryocautery of cervix 57511
|
$507.00 |
$507.00 |
$507.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$40.95 |
$40.95 |
$40.95 |
$52.50
|
|
Cryoprecipitate each unit
|
$122.85 |
$122.85 |
$122.85 |
$144.78
|
|
Cryopreservation sperm
|
$405.60 |
$405.60 |
$405.60 |
$234.27
|
|
Cryopreserve stem cells
|
$1,420.90 |
$1,420.90 |
$1,420.90 |
$2,666.50
|
|
Cryosurg ablate fa each
|
$959.40 |
$959.40 |
$959.40 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$742.95 |
$742.95 |
$742.95 |
$271.20
|
|
Cryotherapy of acne 17340
|
$200.20 |
$200.20 |
$200.20 |
$101.79
|
|
Crystal identification light microscopy
|
$104.00 |
$104.00 |
$104.00 |
$66.43
|
|
Csf leakage imaging
|
$7,477.60 |
$7,477.60 |
$7,477.60 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,470.95 |
$1,470.95 |
$1,470.95 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,621.75 |
$1,621.75 |
$1,621.75 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,498.25 |
$1,498.25 |
$1,498.25 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,498.25 |
$1,498.25 |
$1,498.25 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$1,428.68
|
|
CT angio pelvis
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$1,290.25 |
$1,290.25 |
$1,290.25 |
$1,040.00
|
|
CT colonography dx
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$811.41
|
|
CT colonography dx w/dye
|
$1,712.75 |
$1,712.75 |
$1,712.75 |
$1,069.25
|
|
CT colonography screening
|
$1,948.05 |
$1,948.05 |
$1,948.05 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,171.65 |
$2,171.65 |
$2,171.65 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$48,089.60 |
$48,089.60 |
$48,089.60 |
$2,039.76
|
|
CT guid parench tis ablat
|
$3,144.05 |
$3,144.05 |
$3,144.05 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$644.80 |
$644.80 |
$644.80 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$748.80 |
$748.80 |
$748.80 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$867.75 |
$867.75 |
$867.75 |
$422.80
|
|
CT scan for localization
|
$1,555.45 |
$1,555.45 |
$1,555.45 |
$1,216.80
|
|
CT scan for therapy guide
|
$237.90 |
$237.90 |
$237.90 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,524.60 |
$2,524.60 |
$2,524.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,522.65 |
$2,522.65 |
$2,522.65 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,853.15 |
$1,853.15 |
$1,853.15 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$1,363.70 |
$1,363.70 |
$1,363.70 |
$1,472.80
|
|
Cult skin graft fnhfg 15155
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$41.60 |
$41.60 |
$41.60 |
$72.00
|
|
Culture afb any source
|
$37.05 |
$37.05 |
$37.05 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$56.55 |
$56.55 |
$56.55 |
$84.76
|
|
Culture anaerobic except blood
|
$164.45 |
$164.45 |
$164.45 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$76.05 |
$76.05 |
$76.05 |
$52.50
|
|
Culture body fluid
|
$139.75 |
$139.75 |
$139.75 |
$126.75
|
|
Culture fungi definitive id mold
|
$22.10 |
$22.10 |
$22.10 |
$80.00
|
|
Culture fungi definitive id yeast
|
$85.15 |
$85.15 |
$85.15 |
$80.00
|
|
Culture fungi other (except blood)
|
$15.60 |
$15.60 |
$15.60 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$15.60 |
$15.60 |
$15.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$64.35 |
$64.35 |
$64.35 |
$100.00
|
|
Culture mycoplasma any source
|
$111.80 |
$111.80 |
$111.80 |
$83.21
|
|
Culture of specimen by kit
|
$13.00 |
$13.00 |
$13.00 |
$49.00
|
|
Culture quantitative aerobic other source
|
$57.85 |
$57.85 |
$57.85 |
$87.02
|
|
Culture screening strep group a
|
$118.30 |
$118.30 |
$118.30 |
$84.60
|
|
Culture typing added method
|
$116.35 |
$116.35 |
$116.35 |
$42.60
|
|
Culture typing immunologic
|
$36.40 |
$36.40 |
$36.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$228.15 |
$228.15 |
$228.15 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$278.20 |
$278.20 |
$278.20 |
$140.80
|
|
Culture urine each isolate
|
$65.65 |
$65.65 |
$65.65 |
$55.50
|
|
Curette/treat cornea
|
$3,619.85 |
$3,619.85 |
$3,619.85 |
$1,365.60
|
|
Curette/treat cornea
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$2,818.14
|
|
Cutter lead
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$6,581.45
|
|
Cv line/pic reposition
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$85.80 |
$85.80 |
$85.80 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$128.70 |
$128.70 |
$128.70 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$22.10 |
$22.10 |
$22.10 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$16.36 |
$16.36 |
$16.36 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$14.95 |
$14.95 |
$14.95 |
$72.36
|
|
Cyclophosphamide 100 mg inj
|
$35.75 |
$35.75 |
$35.75 |
$287.88
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,285.14 |
$4,285.14 |
$4,285.14 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$21.44 |
$21.44 |
$21.44 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$33.31 |
$33.31 |
$33.31 |
$140.78
|
|
Cyclosporine 2 hour
|
$169.65 |
$169.65 |
$169.65 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$7.48 |
$7.48 |
$7.48 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$28.48 |
$28.48 |
$28.48 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$11,726.00 |
$11,726.00 |
$11,726.00 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$237.90 |
$237.90 |
$237.90 |
$275.10
|
|
Cyp2d6 gene com variants
|
$400.40 |
$400.40 |
$400.40 |
$570.70
|
|
Cyp3a5 gene common variants
|
$237.90 |
$237.90 |
$237.90 |
$245.31
|
|
Cystatin c
|
$178.75 |
$178.75 |
$178.75 |
$77.60
|
|
Cystic fibrosis cftr
|
$806.65 |
$806.65 |
$806.65 |
$1,104.40
|
|
Cystine urine quantitative
|
$50.05 |
$50.05 |
$50.05 |
$100.70
|
|
Cysto cgen post urtl valves
|
$2,259.40 |
$2,259.40 |
$2,259.40 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,093.65 |
$2,093.65 |
$2,093.65 |
$586.95
|
|
Cysto insj dev ischmc rmdlg
|
$27,235.65 |
$27,235.65 |
$27,235.65 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$908.59
|
