|
Creatine kinase
|
$33.00 |
$33.00 |
$33.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$209.40 |
$209.40 |
$209.40 |
$56.20
|
|
Creatine kinase mb
|
$155.40 |
$155.40 |
$155.40 |
$113.63
|
|
Creatine - sendout
|
$41.40 |
$41.40 |
$41.40 |
$41.25
|
|
Creatinine
|
$21.00 |
$21.00 |
$21.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$27.60 |
$27.60 |
$27.60 |
$57.85
|
|
Creatinine clearance urine
|
$18.00 |
$18.00 |
$18.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$406.20 |
$406.20 |
$406.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$807.60 |
$807.60 |
$807.60 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,794.80 |
$2,794.80 |
$2,794.80 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$3,138.28 |
$3,138.28 |
$3,138.28 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$29.40 |
$29.40 |
$29.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$178.80 |
$178.80 |
$178.80 |
$144.78
|
|
Cryptosporidium antigen
|
$88.80 |
$88.80 |
$88.80 |
$52.08
|
|
Crystal identification light microscopy
|
$52.80 |
$52.80 |
$52.80 |
$66.43
|
|
Csf leakage imaging
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$541.20 |
$541.20 |
$541.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,745.40 |
$1,745.40 |
$1,745.40 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,428.68
|
|
CT angio pelvis
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,691.30
|
|
CT colonography dx
|
$961.20 |
$961.20 |
$961.20 |
$811.41
|
|
CT colonography dx w/dye
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,069.25
|
|
CT colonography screening
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,800.60 |
$1,800.60 |
$1,800.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$467.40 |
$467.40 |
$467.40 |
$1,215.06
|
|
CT guid parench tis ablat
|
$955.80 |
$955.80 |
$955.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$225.00 |
$225.00 |
$225.00 |
$150.00
|
|
CT hrt w/3d image
|
$1,773.60 |
$1,773.60 |
$1,773.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$481.20 |
$481.20 |
$481.20 |
$636.55
|
|
Ctlso a-p-l control with inter
|
$6,114.00 |
$6,114.00 |
$6,114.00 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,818.96
|
|
CT scan for therapy guide
|
$929.40 |
$929.40 |
$929.40 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$69.60 |
$69.60 |
$69.60 |
$72.00
|
|
Culture afb any source
|
$189.60 |
$189.60 |
$189.60 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$105.00 |
$105.00 |
$105.00 |
$84.76
|
|
Culture anaerobic except blood
|
$141.60 |
$141.60 |
$141.60 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$62.40 |
$62.40 |
$62.40 |
$52.50
|
|
Culture body fluid
|
$145.80 |
$145.80 |
$145.80 |
$126.75
|
|
Culture fungi definitive id mold
|
$82.20 |
$82.20 |
$82.20 |
$80.00
|
|
Culture fungi definitive id yeast
|
$81.60 |
$81.60 |
$81.60 |
$80.00
|
|
Culture fungi other (except blood)
|
$133.80 |
$133.80 |
$133.80 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$123.60 |
$123.60 |
$123.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$117.00 |
$117.00 |
$117.00 |
$100.00
|
|
Culture mycoplasma any source
|
$150.60 |
$150.60 |
$150.60 |
$83.21
|
|
Culture quantitative aerobic other source
|
$89.40 |
$89.40 |
$89.40 |
$87.02
|
|
Culture screening strep group a
|
$63.60 |
$63.60 |
$63.60 |
$84.60
|
|
Culture typing immunologic
|
$61.20 |
$61.20 |
$61.20 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$63.00 |
$63.00 |
$63.00 |
$140.80
|
|
Culture urine each isolate
|
$36.60 |
$36.60 |
$36.60 |
$55.50
|
|
Cv line/pic reposition
|
$1,681.20 |
$1,681.20 |
$1,681.20 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$119.40 |
$119.40 |
$119.40 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$42.47 |
$42.47 |
$42.47 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$133.80 |
$133.80 |
$133.80 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.27 |
$1.27 |
$1.27 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$22.51 |
$22.51 |
$22.51 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$179.92 |
$179.92 |
$179.92 |
$140.78
|
|
Cyclosporine 2 hour
|
$205.20 |
$205.20 |
$205.20 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$9.79 |
$9.79 |
$9.79 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,187.49 |
$1,187.49 |
$1,187.49 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$4,061.40 |
$4,061.40 |
$4,061.40 |
$295.20
|
|
Cystatin c
|
$106.20 |
$106.20 |
$106.20 |
$77.60
|
|
Cystine urine quantitative
|
$187.80 |
$187.80 |
$187.80 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$920.40 |
$920.40 |
$920.40 |
$586.95
|
|
Cystometrogram w/up 51727
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
$908.59
|
|
Cystoscopy (Bladder Scope)
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$4,836.60 |
$4,836.60 |
$4,836.60 |
$2,874.36
|
|
Cysto/uretero stricture tx
|
$5,379.60 |
$5,379.60 |
$5,379.60 |
$5,110.00
|
|
Cytarabine 20 mg/ml injection solution
|
$188.36 |
$188.36 |
$188.36 |
$90.00
|
|
Cytarabine liposome inj
|
$120.50 |
$120.50 |
$120.50 |
$4,529.43
|
|
Cytogenetics 25-99
|
$349.20 |
$349.20 |
$349.20 |
$189.80
|
|
Cytogenetics 3-5
|
$232.80 |
$232.80 |
$232.80 |
$147.36
|
|
Cytogenom microarray copy nmbr var
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$126.00 |
$126.00 |
$126.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$258.60 |
$258.60 |
$258.60 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$2,635.28 |
$2,635.28 |
$2,635.28 |
$3,072.34
|
|
Cyto/molecular report
|
$202.20 |
$202.20 |
$202.20 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$195.00 |
$195.00 |
$195.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$175.20 |
$175.20 |
$175.20 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$156.00 |
$156.00 |
$156.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$212.40 |
$212.40 |
$212.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$189.00 |
$189.00 |
$189.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$197.40 |
$197.40 |
$197.40 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$228.00 |
$228.00 |
$228.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$330.00 |
$330.00 |
$330.00 |
$213.85
|
|
Cytopath smear other source
|
$202.20 |
$202.20 |
$202.20 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$126.60 |
$126.60 |
$126.60 |
$96.20
|
|
Cytopath tbs c/v manual
|
$75.00 |
$75.00 |
$75.00 |
$59.28
|
|
Cytotoxic antibody screening
|
$412.20 |
$412.20 |
$412.20 |
$133.25
|
