|
#creutz-prot.,western blot
|
$859.60 |
$859.60 |
$859.60 |
$163.50
|
|
Crisis psychotherapy 90839
|
$438.90 |
$438.90 |
$438.90 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$191.10 |
$191.10 |
$191.10 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,433.20 |
$2,433.20 |
$2,433.20 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$618.80 |
$618.80 |
$618.80 |
$686.86
|
|
Crnec exc tum/bone les skull
|
$12,388.16 |
$12,388.16 |
$12,388.16 |
$2,870.40
|
|
Crotalidae poly immune fab
|
$12,226.02 |
$12,226.02 |
$12,226.02 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$40.60 |
$40.60 |
$40.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$338.80 |
$338.80 |
$338.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$73.50 |
$73.50 |
$73.50 |
$89.70
|
|
Crystal identification light microscopy
|
$90.30 |
$90.30 |
$90.30 |
$65.50
|
|
Csf leakage imaging
|
$4,918.90 |
$4,918.90 |
$4,918.90 |
$1,564.11
|
|
Cstb gene full gene sequence
|
$634.20 |
$634.20 |
$634.20 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$791.00 |
$791.00 |
$791.00 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$4,312.70 |
$4,312.70 |
$4,312.70 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,889.90 |
$3,889.90 |
$3,889.90 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,359.30 |
$3,359.30 |
$3,359.30 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,420.10 |
$5,420.10 |
$5,420.10 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,502.80 |
$3,502.80 |
$3,502.80 |
$1,912.50
|
|
CT Angiogram of the Head
|
$3,656.10 |
$3,656.10 |
$3,656.10 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
$1,424.40
|
|
CT angio pelvis
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$3,026.10 |
$3,026.10 |
$3,026.10 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$2,937.20 |
$2,937.20 |
$2,937.20 |
$1,040.00
|
|
CT guidance for needle placement
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,484.70 |
$1,484.70 |
$1,484.70 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$7,770.70 |
$7,770.70 |
$7,770.70 |
$1,643.20
|
|
CT guid parench tis ablat
|
$2,307.90 |
$2,307.90 |
$2,307.90 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$539.70 |
$539.70 |
$539.70 |
$156.00
|
|
CT hrt w/3d image
|
$3,439.10 |
$3,439.10 |
$3,439.10 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,053.50 |
$1,053.50 |
$1,053.50 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,622.90 |
$2,622.90 |
$2,622.90 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,378.90 |
$3,378.90 |
$3,378.90 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$3,250.80 |
$3,250.80 |
$3,250.80 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$3,704.40 |
$3,704.40 |
$3,704.40 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,813.60 |
$3,813.60 |
$3,813.60 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,572.10 |
$3,572.10 |
$3,572.10 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,287.90 |
$3,287.90 |
$3,287.90 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$573.30 |
$573.30 |
$573.30 |
$444.50
|
|
CT scan for localization
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,496.60 |
$1,496.60 |
$1,496.60 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,105.70 |
$7,105.70 |
$7,105.70 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$6,049.40 |
$6,049.40 |
$6,049.40 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,802.00 |
$4,802.00 |
$4,802.00 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$2,947.00 |
$2,947.00 |
$2,947.00 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$2,811.90 |
$2,811.90 |
$2,811.90 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$781.20 |
$781.20 |
$781.20 |
$332.00
|
|
CT t-spine w /wo contrast
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$2,812.60 |
$2,812.60 |
$2,812.60 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$2,563.40 |
$2,563.40 |
$2,563.40 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$3,768.10 |
$3,768.10 |
$3,768.10 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$441.00 |
$441.00 |
$441.00 |
$441.00
|
|
Culture aerobic additional method definitive id each
|
$78.40 |
$78.40 |
$78.40 |
$71.40
|
|
Culture afb any source
|
$179.20 |
$179.20 |
$179.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$88.20 |
$88.20 |
$88.20 |
$84.76
|
|
Culture anaerobic except blood
|
$222.60 |
$222.60 |
$222.60 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$55.30 |
$55.30 |
$55.30 |
$52.50
|
|
Culture body fluid
|
$181.30 |
$181.30 |
$181.30 |
$126.00
|
|
Culture fungi definitive id mold
|
$352.80 |
$352.80 |
$352.80 |
$80.00
|
|
Culture fungi definitive id yeast
|
$94.50 |
$94.50 |
$94.50 |
$79.50
|
|
Culture fungi other (except blood)
|
$137.90 |
$137.90 |
$137.90 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$73.50 |
$73.50 |
$73.50 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$112.70 |
$112.70 |
$112.70 |
$100.00
|
|
Culture quantitative aerobic other source
|
$168.00 |
$168.00 |
$168.00 |
$90.35
|
|
Culture screening strep group a
|
$114.80 |
$114.80 |
$114.80 |
$83.16
|
|
Culture typing added method
|
$75.60 |
$75.60 |
$75.60 |
$38.70
|
|
Culture typing immunologic
|
$42.70 |
$42.70 |
$42.70 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$529.20 |
$529.20 |
$529.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$135.80 |
$135.80 |
$135.80 |
$138.40
|
|
Culture urine each isolate
|
$107.10 |
$107.10 |
$107.10 |
$54.78
|
|
Cutter lead
|
$5,127.15 |
$5,127.15 |
$5,127.15 |
$6,685.72
|
|
Cv line/pic reposition
|
$1,851.50 |
$1,851.50 |
$1,851.50 |
$1,608.00
|
|
Cyanocobalamin unsat binding capacity
|
$84.70 |
$84.70 |
$84.70 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.85 |
$3.85 |
$3.85 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$198.10 |
$198.10 |
$198.10 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,415.05 |
$1,415.05 |
$1,415.05 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$13.12 |
$13.12 |
$13.12 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$1,107.92 |
$1,107.92 |
$1,107.92 |
$140.78
|
|
Cyclosporine 2 hour
|
$233.10 |
$233.10 |
$233.10 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$17.50 |
$17.50 |
$17.50 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$2,450.35 |
$2,450.35 |
$2,450.35 |
$35.57
|
|
Cylinder pump set 20cm titan zero angl
|
$25,401.99 |
$25,401.99 |
$25,401.99 |
$24,372.98
|
|
Cyp2c19 gene com variants
|
$656.60 |
$656.60 |
$656.60 |
$502.45
|
|
Cyp2c9 gene com variants
|
$403.20 |
$403.20 |
$403.20 |
$266.50
|
|
Cyp2d6 gene com variants
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$573.65
|
|
Cyp3a5 gene common variants
|
$403.20 |
$403.20 |
$403.20 |
$245.31
|
|
Cystatin c
|
$78.40 |
$78.40 |
$78.40 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,877.40 |
$1,877.40 |
$1,877.40 |
$1,104.40
|
|
Cystine urine quantitative
|
$121.10 |
$121.10 |
$121.10 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$921.20 |
$921.20 |
$921.20 |
$564.85
|
|
Cysto rx balo cath urtl strx
|
$24,774.87 |
$24,774.87 |
$24,774.87 |
$6,853.60
|
|
Cystoscopy and treatment
|
$23,090.83 |
$23,090.83 |
$23,090.83 |
$4,081.37
|
|
Cystoscopy and treatment
|
$17,297.94 |
$17,297.94 |
$17,297.94 |
$4,350.00
|
|
Cystoscopy and treatment
|
$19,452.26 |
$19,452.26 |
$19,452.26 |
$5,304.00
|
|
Cystoscopy and treatment
|
$23,090.83 |
$23,090.83 |
$23,090.83 |
$5,995.60
|
|
Cystoscopy and treatment
|
$26,695.42 |
$26,695.42 |
$26,695.42 |
$6,593.60
|
|
Cystoscopy and treatment
|
$22,044.57 |
$22,044.57 |
$22,044.57 |
$4,045.60
|