|
C-reactive protein, quantitative
|
$109.80 |
$109.80 |
$109.80 |
$71.06
|
|
Creatine kinase
|
$168.60 |
$168.60 |
$168.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$49.20 |
$49.20 |
$49.20 |
$57.50
|
|
Creatine kinase mb
|
$156.60 |
$156.60 |
$156.60 |
$114.00
|
|
Creatinine
|
$75.60 |
$75.60 |
$75.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$58.85
|
|
Creatinine clearance urine
|
$196.20 |
$196.20 |
$196.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$762.60 |
$762.60 |
$762.60 |
$166.20
|
|
Crisis psychotherapy 90839
|
$329.40 |
$329.40 |
$329.40 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$151.20 |
$151.20 |
$151.20 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,584.80 |
$2,584.80 |
$2,584.80 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$629.40 |
$629.40 |
$629.40 |
$731.40
|
|
Cryocautery of cervix 57511
|
$312.00 |
$312.00 |
$312.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$36.60 |
$36.60 |
$36.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$802.20 |
$802.20 |
$802.20 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$249.60 |
$249.60 |
$249.60 |
$89.70
|
|
Crystal identification light microscopy
|
$60.00 |
$60.00 |
$60.00 |
$62.40
|
|
C-section delivery incl p/p care 59515
|
$2,264.40 |
$2,264.40 |
$2,264.40 |
$2,577.60
|
|
Csf leakage imaging
|
$958.80 |
$958.80 |
$958.80 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$372.60 |
$372.60 |
$372.60 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,504.40 |
$2,504.40 |
$2,504.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,504.40 |
$2,504.40 |
$2,504.40 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,476.80 |
$2,476.80 |
$2,476.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,340.60 |
$2,340.60 |
$2,340.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,582.20 |
$1,582.20 |
$1,582.20 |
$1,501.56
|
|
CT angio pelvis
|
$2,505.60 |
$2,505.60 |
$2,505.60 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$1,697.80
|
|
CT bone density axial
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$2,115.60 |
$2,115.60 |
$2,115.60 |
$803.40
|
|
CT colonography dx
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$791.00
|
|
CT colonography dx w/dye
|
$2,440.20 |
$2,440.20 |
$2,440.20 |
$1,037.00
|
|
CT colonography screening
|
$2,487.00 |
$2,487.00 |
$2,487.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,120.40 |
$2,120.40 |
$2,120.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$1,168.20
|
|
CT guid cryo ablat intramuscular
|
$3,610.80 |
$3,610.80 |
$3,610.80 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,717.80 |
$1,717.80 |
$1,717.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,969.80 |
$1,969.80 |
$1,969.80 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,697.40 |
$1,697.40 |
$1,697.40 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,199.80 |
$3,199.80 |
$3,199.80 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$3,127.80 |
$3,127.80 |
$3,127.80 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$3,758.40 |
$3,758.40 |
$3,758.40 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$2,254.20 |
$2,254.20 |
$2,254.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,505.60 |
$2,505.60 |
$2,505.60 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,532.00 |
$2,532.00 |
$2,532.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$477.60 |
$477.60 |
$477.60 |
$444.50
|
|
CT scan for localization
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,380.00 |
$4,380.00 |
$4,380.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,900.60 |
$3,900.60 |
$3,900.60 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,079.20 |
$3,079.20 |
$3,079.20 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$176.40 |
$176.40 |
$176.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,717.40 |
$2,717.40 |
$2,717.40 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$3,286.20 |
$3,286.20 |
$3,286.20 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$3,798.00 |
$3,798.00 |
$3,798.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$63.00 |
$63.00 |
$63.00 |
$68.64
|
|
Culture afb any source
|
$240.00 |
$240.00 |
$240.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$204.60 |
$204.60 |
$204.60 |
$79.00
|
|
Culture anaerobic except blood
|
$180.60 |
$180.60 |
$180.60 |
$120.00
|
|
Culture bacteria anaerobic
|
$372.00 |
$372.00 |
$372.00 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$69.00 |
$69.00 |
$69.00 |
$51.51
|
|
Culture body fluid
|
$142.20 |
$142.20 |
$142.20 |
$126.72
|
|
Culture fungi definitive id mold
|
$123.00 |
$123.00 |
$123.00 |
$76.72
|
|
Culture fungi definitive id yeast
|
$117.60 |
$117.60 |
$117.60 |
$79.10
|
|
Culture fungi other (except blood)
|
$123.00 |
$123.00 |
$123.00 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$108.60 |
$108.60 |
$108.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$434.40 |
$434.40 |
$434.40 |
$89.70
|
|
Culture quantitative aerobic other source
|
$685.20 |
$685.20 |
$685.20 |
$90.35
|
|
Culture screening strep group a
|
$115.80 |
$115.80 |
$115.80 |
$81.00
|
|
Culture type pulse field gel
|
$358.20 |
$358.20 |
$358.20 |
$38.58
|
|
Culture typing immunologic
|
$76.80 |
$76.80 |
$76.80 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$645.00 |
$645.00 |
$645.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$139.80 |
$139.80 |
$139.80 |
$133.90
|
|
Culture urine each isolate
|
$99.00 |
$99.00 |
$99.00 |
$57.00
|
|
Cv line/pic reposition
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,720.93
|
|
Cyclic citrullinated peptide antibody
|
$213.60 |
$213.60 |
$213.60 |
$70.98
|
|
Cyclosporine 2 hour
|
$190.20 |
$190.20 |
$190.20 |
$129.48
|
|
Cyp2c19 gene com variants
|
$1,627.80 |
$1,627.80 |
$1,627.80 |
$504.00
|
|
Cyp2d6 gene com variants
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$554.00
|
|
Cystatin c
|
$296.40 |
$296.40 |
$296.40 |
$77.50
|
|
Cystic fibrosis cftr
|
$3,174.60 |
$3,174.60 |
$3,174.60 |
$1,100.00
|
|
Cystine urine quantitative
|
$725.40 |
$725.40 |
$725.40 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$600.00 |
$600.00 |
$600.00 |
$539.55
|
|
Cystometrogram w/up 51727
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$908.59
|
|
Cystoscopy and treatment
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,483.80 |
$4,483.80 |
$4,483.80 |
$3,065.15
|
|
Cytogenetics 25-99
|
$575.40 |
$575.40 |
$575.40 |
$190.00
|
|
Cytogenetics 3-5
|
$294.00 |
$294.00 |
$294.00 |
$170.27
|
