|
Cryoprecipitate each unit
|
$832.32 |
$832.32 |
$832.32 |
$144.78
|
|
Cryptosporidium antigen
|
$96.48 |
$96.48 |
$96.48 |
$52.08
|
|
Crystal identification light microscopy
|
$122.40 |
$122.40 |
$122.40 |
$65.50
|
|
Csf leakage imaging
|
$3,103.92 |
$3,103.92 |
$3,103.92 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$563.04 |
$563.04 |
$563.04 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$3,845.52 |
$3,845.52 |
$3,845.52 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,578.40 |
$3,578.40 |
$3,578.40 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$6,305.76 |
$6,305.76 |
$6,305.76 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,711.04 |
$5,711.04 |
$5,711.04 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,619.44 |
$3,619.44 |
$3,619.44 |
$1,912.50
|
|
CT Angiogram of the Head
|
$3,368.88 |
$3,368.88 |
$3,368.88 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,641.76 |
$3,641.76 |
$3,641.76 |
$1,424.40
|
|
CT angio pelvis
|
$3,322.08 |
$3,322.08 |
$3,322.08 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$4,144.32 |
$4,144.32 |
$4,144.32 |
$1,681.50
|
|
CT guidance for needle placement
|
$3,548.16 |
$3,548.16 |
$3,548.16 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,689.28 |
$3,689.28 |
$3,689.28 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$3,314.88 |
$3,314.88 |
$3,314.88 |
$1,643.20
|
|
CT guid parench tis ablat
|
$2,886.48 |
$2,886.48 |
$2,886.48 |
$1,282.50
|
|
CT hrt w/3d image
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$2,108.16 |
$2,108.16 |
$2,108.16 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,467.44 |
$2,467.44 |
$2,467.44 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,381.76 |
$2,381.76 |
$2,381.76 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,864.16 |
$2,864.16 |
$2,864.16 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$2,507.76 |
$2,507.76 |
$2,507.76 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$3,538.80 |
$3,538.80 |
$3,538.80 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,066.48 |
$3,066.48 |
$3,066.48 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,219.12 |
$3,219.12 |
$3,219.12 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,903.04 |
$2,903.04 |
$2,903.04 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$444.50
|
|
CT scan for localization
|
$6,297.84 |
$6,297.84 |
$6,297.84 |
$1,205.14
|
|
CT scan for therapy guide
|
$786.24 |
$786.24 |
$786.24 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,861.52 |
$5,861.52 |
$5,861.52 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,456.16 |
$5,456.16 |
$5,456.16 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,839.12 |
$4,839.12 |
$4,839.12 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$2,591.28 |
$2,591.28 |
$2,591.28 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$2,381.76 |
$2,381.76 |
$2,381.76 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$380.16 |
$380.16 |
$380.16 |
$332.00
|
|
CT t-spine w /wo contrast
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$2,875.68 |
$2,875.68 |
$2,875.68 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$2,748.96 |
$2,748.96 |
$2,748.96 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$2,912.40 |
$2,912.40 |
$2,912.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$244.08 |
$244.08 |
$244.08 |
$71.40
|
|
Culture afb any source
|
$192.24 |
$192.24 |
$192.24 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$86.40 |
$86.40 |
$86.40 |
$84.76
|
|
Culture anaerobic except blood
|
$203.76 |
$203.76 |
$203.76 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$131.76 |
$131.76 |
$131.76 |
$52.50
|
|
Culture body fluid
|
$208.08 |
$208.08 |
$208.08 |
$126.00
|
|
Culture fungi definitive id mold
|
$315.36 |
$315.36 |
$315.36 |
$80.00
|
|
Culture fungi definitive id yeast
|
$315.36 |
$315.36 |
$315.36 |
$79.50
|
|
Culture fungi other (except blood)
|
$192.24 |
$192.24 |
$192.24 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$100.08 |
$100.08 |
$100.08 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$259.20 |
$259.20 |
$259.20 |
$100.00
|
|
Culture mycoplasma any source
|
$31.68 |
$31.68 |
$31.68 |
$81.62
|
|
Culture of specimen by kit
|
$123.84 |
$123.84 |
$123.84 |
$49.00
|
|
Culture quantitative aerobic other source
|
$177.84 |
$177.84 |
$177.84 |
$90.35
|
|
Culture screening strep group a
|
$126.72 |
$126.72 |
$126.72 |
$83.16
|
|
Culture typing glc/hplc
|
$138.96 |
$138.96 |
$138.96 |
$53.75
|
|
Culture typing immunologic
|
$154.80 |
$154.80 |
$154.80 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$807.84 |
$807.84 |
$807.84 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$456.48 |
$456.48 |
$456.48 |
$138.40
|
|
Culture urine each isolate
|
$100.08 |
$100.08 |
$100.08 |
$54.78
|
|
Cutter lead
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$6,685.72
|
|
Cv line/pic reposition
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$1,608.00
|
|
Cyanocobalamin unsat binding capacity
|
$92.88 |
$92.88 |
$92.88 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$138.24 |
$138.24 |
$138.24 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$9.48 |
$9.48 |
$9.48 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$9.94 |
$9.94 |
$9.94 |
$19.49
|
|
Cyclosporine 2 hour
|
$325.44 |
$325.44 |
$325.44 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$14.62 |
$14.62 |
$14.62 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$14.36 |
$14.36 |
$14.36 |
$35.57
|
|
Cylinder pump set 20cm titan zero angl
|
$25,020.00 |
$25,020.00 |
$25,020.00 |
$24,372.98
|
|
Cymetra injectable
|
$648.00 |
$648.00 |
$648.00 |
$578.24
|
|
Cyp2c19 gene com variants
|
$936.00 |
$936.00 |
$936.00 |
$502.45
|
|
Cystatin c
|
$199.44 |
$199.44 |
$199.44 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,768.32 |
$1,768.32 |
$1,768.32 |
$1,104.40
|
|
Cystine urine quantitative
|
$37.44 |
$37.44 |
$37.44 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$785.52 |
$785.52 |
$785.52 |
$564.85
|
|
Cystoscopy and treatment
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$1,676.16 |
$1,676.16 |
$1,676.16 |
$1,445.41
|
|
Cystoscopy & ureter catheter
|
$4,430.88 |
$4,430.88 |
$4,430.88 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$3,863.60
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$3,131.20
|
|
Cytarabine 20 mg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$90.00
|
|
Cytogenetics 25-99
|
$275.04 |
$275.04 |
$275.04 |
$189.80
|
|
Cytogenomic neo microra alys
|
$3,465.36 |
$3,465.36 |
$3,465.36 |
$2,156.05
|
|
Cytogenom microarray copy nmbr var
|
$1,490.40 |
$1,490.40 |
$1,490.40 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$98.64 |
$98.64 |
$98.64 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$110.88 |
$110.88 |
$110.88 |
$100.00
|
|
Cyto/molecular report
|
$252.00 |
$252.00 |
$252.00 |
$144.75
|
|
Cytopath fl nongyn filter
|
$267.12 |
$267.12 |
$267.12 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$301.68 |
$301.68 |
$301.68 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$192.96 |
$192.96 |
$192.96 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$156.24 |
$156.24 |
$156.24 |
$86.86
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$255.60 |
$255.60 |
$255.60 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$164.16 |
$164.16 |
$164.16 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$552.96 |
$552.96 |
$552.96 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$313.20 |
$313.20 |
$313.20 |
$209.92
|