|
Critical care each additional 30 minutes
|
$773.44 |
$773.44 |
$773.44 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$586.24 |
$586.24 |
$586.24 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$8.64 |
$8.64 |
$8.64 |
$52.50
|
|
Cryoprecipitate each unit
|
$54.40 |
$54.40 |
$54.40 |
$144.78
|
|
Cryotherapy of acne 17340
|
$23.68 |
$23.68 |
$23.68 |
$101.79
|
|
Cryptosporidium antigen
|
$27.84 |
$27.84 |
$27.84 |
$52.08
|
|
Crystal identification light microscopy
|
$25.60 |
$25.60 |
$25.60 |
$62.50
|
|
C-Section Delivery (full care)
|
$2,090.56 |
$2,090.56 |
$2,090.56 |
$4,721.40
|
|
CT 3d report other modality w/workstation
|
$572.16 |
$572.16 |
$572.16 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$829.44 |
$829.44 |
$829.44 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$884.16 |
$884.16 |
$884.16 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,198.08 |
$1,198.08 |
$1,198.08 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$780.80 |
$780.80 |
$780.80 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$937.92 |
$937.92 |
$937.92 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$737.28 |
$737.28 |
$737.28 |
$1,940.00
|
|
CT Angiogram of the Head
|
$930.88 |
$930.88 |
$930.88 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$343.68 |
$343.68 |
$343.68 |
$1,500.38
|
|
CT angio pelvis
|
$885.12 |
$885.12 |
$885.12 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$786.88 |
$786.88 |
$786.88 |
$1,698.00
|
|
CT bone density axial
|
$94.72 |
$94.72 |
$94.72 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$408.96 |
$408.96 |
$408.96 |
$803.40
|
|
CT guidance for needle placement
|
$596.16 |
$596.16 |
$596.16 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$707.20 |
$707.20 |
$707.20 |
$1,178.52
|
|
CT guid parench tis ablat
|
$544.00 |
$544.00 |
$544.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$61.76 |
$61.76 |
$61.76 |
$171.60
|
|
CT hrt w/3d image
|
$343.68 |
$343.68 |
$343.68 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$303.68 |
$303.68 |
$303.68 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,119.36 |
$1,119.36 |
$1,119.36 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$910.08 |
$910.08 |
$910.08 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$835.20 |
$835.20 |
$835.20 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$731.84 |
$731.84 |
$731.84 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$688.32 |
$688.32 |
$688.32 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$823.36 |
$823.36 |
$823.36 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$884.16 |
$884.16 |
$884.16 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$738.56 |
$738.56 |
$738.56 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$629.12 |
$629.12 |
$629.12 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,458.24 |
$1,458.24 |
$1,458.24 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,238.08 |
$1,238.08 |
$1,238.08 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,109.12 |
$1,109.12 |
$1,109.12 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$728.32 |
$728.32 |
$728.32 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$669.12 |
$669.12 |
$669.12 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$456.00 |
$456.00 |
$456.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$818.88 |
$818.88 |
$818.88 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$717.44 |
$717.44 |
$717.44 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$882.24 |
$882.24 |
$882.24 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$794.88 |
$794.88 |
$794.88 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$24.00 |
$24.00 |
$24.00 |
$68.64
|
|
Culture afb any source
|
$24.00 |
$24.00 |
$24.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$24.00 |
$24.00 |
$24.00 |
$79.00
|
|
Culture anaerobic except blood
|
$52.80 |
$52.80 |
$52.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$29.76 |
$29.76 |
$29.76 |
$51.45
|
|
Culture body fluid
|
$39.04 |
$39.04 |
$39.04 |
$126.75
|
|
Culture fungi definitive id mold
|
$24.00 |
$24.00 |
$24.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$24.00 |
$24.00 |
$24.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$36.80 |
$36.80 |
$36.80 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$21.12 |
$21.12 |
$21.12 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$46.08 |
$46.08 |
$46.08 |
$89.70
|
|
Culture mycoplasma any source
|
$24.00 |
$24.00 |
$24.00 |
$85.26
|
|
Culture quantitative aerobic other source
|
$15.36 |
$15.36 |
$15.36 |
$90.35
|
|
Culture screening strep group a
|
$90.56 |
$90.56 |
$90.56 |
$81.00
|
|
Culture typing immunologic
|
$5.44 |
$5.44 |
$5.44 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$55.04 |
$55.04 |
$55.04 |
$133.90
|
|
Culture urine each isolate
|
$24.00 |
$24.00 |
$24.00 |
$57.00
|
|
Cutter lead
|
$802.24 |
$802.24 |
$802.24 |
$6,092.06
|
|
Cv line/pic reposition
|
$814.08 |
$814.08 |
$814.08 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$15.36 |
$15.36 |
$15.36 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$23.36 |
$23.36 |
$23.36 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$15.68 |
$15.68 |
$15.68 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$12.16 |
$12.16 |
$12.16 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$14.08 |
$14.08 |
$14.08 |
$70.72
|
|
Cyclosporine 2 hour
|
$104.64 |
$104.64 |
$104.64 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$1.94 |
$1.94 |
$1.94 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$7.04 |
$7.04 |
$7.04 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$35,848.00 |
$35,848.00 |
$35,848.00 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$194.24 |
$194.24 |
$194.24 |
$504.00
|
|
Cyp2c9 gene com variants
|
$117.12 |
$117.12 |
$117.12 |
$275.10
|
|
Cyp2d6 gene com variants
|
$299.52 |
$299.52 |
$299.52 |
$554.00
|
|
Cyp3a4 gene common variants
|
$32.64 |
$32.64 |
$32.64 |
$245.31
|
|
Cyp3a5 gene common variants
|
$112.64 |
$112.64 |
$112.64 |
$245.31
|
|
Cystatin c
|
$24.00 |
$24.00 |
$24.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$332.80 |
$332.80 |
$332.80 |
$1,100.00
|
|
Cystine urine quantitative
|
$15.36 |
$15.36 |
$15.36 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$267.52 |
$267.52 |
$267.52 |
$542.10
|
|
Cystorrhaphy wound comp 51865
|
$710.08 |
$710.08 |
$710.08 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$588.16 |
$588.16 |
$588.16 |
$5,855.00
|
|
Cystoscopy and treatment
|
$135.04 |
$135.04 |
$135.04 |
$4,081.37
|
|
Cystoscopy and treatment
|
$156.16 |
$156.16 |
$156.16 |
$4,160.10
|
|
Cystoscopy and treatment
|
$191.68 |
$191.68 |
$191.68 |
$5,162.50
|
|
Cystoscopy and treatment
|
$224.64 |
$224.64 |
$224.64 |
$5,995.60
|
|
Cystoscopy and treatment
|
$304.32 |
$304.32 |
$304.32 |
$6,475.26
|
|
Cystoscopy and treatment
|
$118.40 |
$118.40 |
$118.40 |
$2,874.36
|
|
Cystoscopy and treatment
|
$162.88 |
$162.88 |
$162.88 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$632.96 |
$632.96 |
$632.96 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$131.20 |
$131.20 |
$131.20 |
$2,704.80
|
|
Cystoscopy removal of clots
|
$223.36 |
$223.36 |
$223.36 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$105.28 |
$105.28 |
$105.28 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$238.72 |
$238.72 |
$238.72 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$2,184.32 |
$2,184.32 |
$2,184.32 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$323.20 |
$323.20 |
$323.20 |
$5,986.78
|
