|
Crnop skull defect>5 cm diam
|
$2,419.80 |
$2,419.80 |
$33,873.19 |
|
|
Crnop w/autograft>5 cm diam
|
$3,375.20 |
$3,375.20 |
$3,375.20 |
|
|
Cromolyn sodium noncomp unit
|
$4.71 |
$4.71 |
$4.71 |
|
|
Cross-over vein graft
|
$4,812.80 |
$4,812.80 |
$4,812.80 |
|
|
Crotalidae poly immune fab
|
$1,067.70 |
$1,067.70 |
$17,294.72 |
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,215.00 |
$1,876.80 |
$2,474.40 |
|
|
Crutches underarm other than wood adjustable or e0114
|
$48.60 |
$48.60 |
$124.80 |
|
|
Cryoablate prostate
|
$15,011.20 |
$15,011.20 |
$44,269.32 |
|
|
Cryocautery of cervix 57511
|
$282.00 |
$312.00 |
$429.60 |
|
|
Cryo fib comp path redu each
|
$550.00 |
$550.00 |
$550.00 |
|
|
Cryofibrinogen qualitative - sendout
|
$34.20 |
$41.30 |
$235.20 |
|
|
Cryoprecipitate each unit
|
$31.25 |
$189.60 |
$985.80 |
|
|
Cryopreservation embryo(s)
|
$262.40 |
$262.40 |
$262.40 |
|
|
Cryopreservation oocyte(s)
|
$200.00 |
$200.00 |
$200.00 |
|
|
Cryopreservation sperm
|
$90.40 |
$90.40 |
$90.40 |
|
|
Cryopreserve stem cells
|
$2,650.00 |
$2,650.00 |
$52,017.16 |
|
|
Cryopreserve testicular tiss
|
$304.80 |
$304.80 |
$304.80 |
|
|
Cryosurg ablate fa each
|
$13,220.80 |
$13,220.80 |
$13,220.80 |
|
|
Cryosurgery penis lesion(s) 54056
|
$271.20 |
$272.50 |
$19,295.65 |
|
|
Cryotherapy of acne 17340
|
$97.80 |
$97.80 |
$131.20 |
|
|
Cryptococcus abs qn - sendout
|
$18.00 |
$90.72 |
$370.40 |
|
|
Cryptosporidium antigen
|
$33.99 |
$50.40 |
$136.08 |
|
|
Crystal identification light microscopy
|
$20.46 |
$79.92 |
$284.35 |
|
|
C-Section Delivery (full care)
|
$4,721.40 |
$4,721.40 |
$4,739.20 |
|
|
C-section delivery incl p/p care 59515
|
$2,264.40 |
$2,556.80 |
$2,577.60 |
|
|
Csf leakage imaging
|
$730.40 |
$2,916.60 |
$4,918.90 |
|
|
Csf shunt reprogram 62252
|
$167.40 |
$372.60 |
$192,528.00 |
|
|
Csf ventriculography
|
$756.00 |
$756.00 |
$756.00 |
|
|
Cstb gene full gene sequence
|
$634.20 |
$634.20 |
$634.20 |
|
|
CT 3d report other modality w/workstation
|
$225.39 |
$791.00 |
$5,487.00 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$750.00 |
$2,868.00 |
$6,305.76 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,327.26 |
$3,623.40 |
$7,108.56 |
|
|
CT Angiogram of the Abdomen
|
$700.00 |
$2,504.40 |
$5,082.00 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$557.04 |
$2,736.60 |
$5,236.56 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$995.28 |
$2,736.60 |
$4,502.88 |
|
|
CT Angiogram of the Head
|
$693.99 |
$2,508.00 |
$4,348.00 |
|
|
CT Angiogram of the Neck
|
$825.66 |
$2,439.00 |
$4,360.00 |
|
|
CT angio hrt w/3d image
|
$398.88 |
$2,074.80 |
$3,765.00 |
|
|
CT angio pelvis
|
$520.74 |
$2,505.60 |
$4,276.80 |
|
|
Cta upper extremity w &/or without contrast left
|
$534.24 |
$2,547.36 |
$5,365.80 |
|
|
CT bone density axial
|
$135.63 |
$473.04 |
$1,881.00 |
|
|
CT cerebral perf w cont & prcssng
|
$1,599.60 |
$2,937.20 |
$3,577.20 |
|
|
CT colonography dx
|
$275.88 |
$2,205.60 |
$3,577.20 |
|
|
CT colonography dx w/dye
|
$368.61 |
$2,205.60 |
$3,577.20 |
|
|
CT colonography screening
|
$275.22 |
$1,289.60 |
$2,487.00 |
|
|
CT guidance for needle placement
|
$610.17 |
$2,042.40 |
$3,738.96 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$118.20 |
$1,484.70 |
$4,214.40 |
|
|
CT guid cryo ablat intramuscular
|
$157.80 |
$4,538.40 |
$7,770.70 |
|
|
CT guid parench tis ablat
|
$250.00 |
$1,694.40 |
$3,577.20 |
|
|
CT heart w/evaluation of calcium without contrast
|
$18.75 |
$156.00 |
$660.00 |
|
|
CT hrt c+ strux cgen hrt ds
|
$609.84 |
$1,615.00 |
$3,577.20 |
|
|
CT hrt w/3d image
|
$175.00 |
$1,969.80 |
$3,577.20 |
|
|
CT limited or localized follow-up study
|
$180.72 |
$1,053.50 |
$3,577.20 |
|
|
CT lwr extremity w/o&w/dye
|
$750.00 |
$2,781.35 |
$5,365.80 |
|
|
Ctrl nosebld postir subsq 30906
|
$130.00 |
$483.12 |
$4,847.20 |
|
|
CT scan for localization
|
$512.80 |
$1,456.00 |
$6,297.84 |
|
|
CT scan for therapy guide
|
$425.52 |
$1,345.02 |
$1,496.60 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,575.00 |
$4,669.00 |
$7,193.52 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,525.00 |
$4,249.70 |
$6,049.40 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,288.32 |
$3,633.00 |
$5,098.40 |
|
|
CT t-spine w /wo contrast
|
$664.95 |
$2,729.30 |
$5,196.96 |
|
|
CT uppr extremity w/o&w/dye
|
$951.72 |
$3,144.90 |
$5,365.80 |
|
|
Cultr oocyte/embryo <4 days
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
|
|
Cultr oocyte/embryo <4 days
|
$441.00 |
$441.00 |
$2,200.00 |
|
|
Cult skin graft fnhfg 15155
|
$1,345.80 |
$1,345.80 |
$1,972.80 |
|
|
Cult skin grft t/arm/leg
|
$1,709.60 |
$1,709.60 |
$1,709.60 |
|
|
Culture aerobic additional method definitive id each
|
$16.50 |
$64.20 |
$244.08 |
|
|
Culture afb any source
|
$38.58 |
$119.40 |
$364.80 |
|
|
Culture anaerobic additional method definitive id each
|
$24.00 |
$89.28 |
$263.90 |
|
|
Culture anaerobic except blood
|
$12.60 |
$155.65 |
$493.20 |
|
|
Culture bacteria anaerobic
|
$38.58 |
$244.20 |
$610.40 |
|
|
Culture bact stool aero addl path ea
|
$12.24 |
$55.44 |
$201.60 |
|
|
Culture body fluid
|
$12.96 |
$140.80 |
$585.20 |
|
|
Culture fungi definitive id mold
|
$5.40 |
$84.00 |
$507.00 |
|
|
Culture fungi definitive id yeast
|
$17.82 |
$90.60 |
$315.36 |
|
|
Culture fungi other (except blood)
|
$38.58 |
$137.90 |
$364.80 |
|
|
Culture fungi skin/hair/nail
|
$38.58 |
$100.08 |
$233.80 |
|
|
Culture mycobacteria definitive id each isolate
|
$19.47 |
$112.70 |
$528.60 |
|
|
Culture mycoplasma any source
|
$23.43 |
$102.96 |
$217.00 |
|
|
Culture of specimen by kit
|
$54.40 |
$54.40 |
$123.84 |
|
|
Culture quantitative aerobic other source
|
$38.58 |
$177.84 |
$1,074.40 |
|
|
Culture screening strep group a
|
$17.82 |
$117.60 |
$812.70 |
|
|
Culture type pulse field gel
|
$38.58 |
$355.20 |
$951.30 |
|
|
Culture typing added method
|
$20.00 |
$75.60 |
$101.50 |
|
|
Culture typing glc/hplc
|
$38.58 |
$42.00 |
$138.96 |
|
|
Culture typing immunologic
|
$13.86 |
$45.00 |
$187.92 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$136.25 |
$529.20 |
$1,222.90 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$27.50 |
$187.50 |
$859.20 |
|
|
Culture urine each isolate
|
$10.56 |
$75.20 |
$378.72 |
|
|
Culture virus isolation
|
$39.20 |
$97.20 |
$246.60 |
|
|
Curette/treat cornea
|
$406.40 |
$406.40 |
$26,247.12 |
|
|
Curette/treat cornea
|
$1,921.60 |
$1,921.60 |
$17,031.08 |
|
|
Cutter lead
|
$582.96 |
$2,610.75 |
$25,128.81 |
|
|
Cv line/pic reposition
|
$217.80 |
$1,470.00 |
$20,896.11 |
|
|
Cv stress test i&r only 93018
|
$35.20 |
$42.00 |
$42.00 |
|
|
Cv stress test/supervision only 93016
|
$51.00 |
$51.00 |
$75.20 |
|
|
Cyanocobalamin unsat binding capacity
|
$20.16 |
$92.88 |
$199.10 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.85 |
$30.14 |
$234.50 |
|
|
Cyclic citrullinated peptide antibody
|
$35.00 |
$99.20 |
$308.70 |
|
|
Cyclophosphamide 100 mg inj
|
$1,051.51 |
$1,051.51 |
$1,051.51 |
|
