|
Crnop skull defect>5 cm diam
|
$2,706.40 |
$2,706.40 |
$2,706.40 |
$2,706.40
|
|
Crnop w/autograft>5 cm diam
|
$3,375.20 |
$3,375.20 |
$3,375.20 |
$3,375.20
|
|
Cross-over vein graft
|
$4,812.80 |
$4,812.80 |
$4,812.80 |
$5,988.54
|
|
Crotalidae poly immune fab
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$2,522.88
|
|
Crutches underarm other than wood adjustable or e0114
|
$124.80 |
$124.80 |
$124.80 |
$66.64
|
|
Cryoablate prostate
|
$15,011.20 |
$15,011.20 |
$15,011.20 |
$13,016.74
|
|
Cryocautery of cervix 57511
|
$429.60 |
$429.60 |
$429.60 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$64.28 |
$64.28 |
$64.28 |
$52.50
|
|
Cryoprecipitate each unit
|
$682.10 |
$682.10 |
$682.10 |
$144.78
|
|
Cryopreservation embryo(s)
|
$262.40 |
$262.40 |
$262.40 |
$966.69
|
|
Cryopreservation oocyte(s)
|
$200.00 |
$200.00 |
$200.00 |
$368.68
|
|
Cryopreservation sperm
|
$90.40 |
$90.40 |
$90.40 |
$234.27
|
|
Cryopreserve testicular tiss
|
$304.80 |
$304.80 |
$304.80 |
$72.08
|
|
Cryosurg ablate fa each
|
$13,220.80 |
$13,220.80 |
$13,220.80 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$346.40 |
$346.40 |
$346.40 |
$271.20
|
|
Cryotherapy of acne 17340
|
$131.20 |
$131.20 |
$131.20 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$48.57 |
$48.57 |
$48.57 |
$89.70
|
|
Cryptosporidium antigen
|
$38.58 |
$38.58 |
$38.58 |
$52.08
|
|
Crystal identification light microscopy
|
$56.44 |
$56.44 |
$56.44 |
$66.43
|
|
C-Section Delivery (full care)
|
$4,739.20 |
$4,739.20 |
$4,739.20 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$2,556.80 |
$2,556.80 |
$2,556.80 |
$2,884.20
|
|
Csf leakage imaging
|
$730.40 |
$730.40 |
$730.40 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$192.00 |
$192.00 |
$192.00 |
$535.00
|
|
Csf ventriculography
|
$756.00 |
$756.00 |
$756.00 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$578.93 |
$578.93 |
$578.93 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,474.96 |
$2,474.96 |
$2,474.96 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,953.68 |
$4,953.68 |
$4,953.68 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,007.43 |
$3,007.43 |
$3,007.43 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$5,201.36 |
$5,201.36 |
$5,201.36 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,914.68 |
$2,914.68 |
$2,914.68 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,882.41 |
$2,882.41 |
$2,882.41 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,891.67 |
$2,891.67 |
$2,891.67 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,357.12 |
$2,357.12 |
$2,357.12 |
$1,428.68
|
|
CT angio pelvis
|
$2,981.67 |
$2,981.67 |
$2,981.67 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,474.96 |
$2,474.96 |
$2,474.96 |
$1,691.30
|
|
CT bone density axial
|
$271.88 |
$271.88 |
$271.88 |
$385.15
|
|
CT colonography dx
|
$972.80 |
$972.80 |
$972.80 |
$811.41
|
|
CT colonography dx w/dye
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$1,069.25
|
|
CT colonography screening
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$797.24 |
$797.24 |
$797.24 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$515.17 |
$515.17 |
$515.17 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$166.40 |
$166.40 |
$166.40 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$192.00 |
$192.00 |
$192.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$720.80 |
$720.80 |
$720.80 |
$1,395.79
|
|
CT hrt w/3d image
|
$526.40 |
$526.40 |
$526.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$487.85 |
$487.85 |
$487.85 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,191.90 |
$2,191.90 |
$2,191.90 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$860.80 |
$860.80 |
$860.80 |
$422.80
|
|
CT scan for localization
|
$512.80 |
$512.80 |
$512.80 |
$1,216.80
|
|
CT scan for therapy guide
|
$1,048.88 |
$1,048.88 |
$1,048.88 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,310.47 |
$4,310.47 |
$4,310.47 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,256.17 |
$4,256.17 |
$4,256.17 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,573.57 |
$3,573.57 |
$3,573.57 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,920.60 |
$2,920.60 |
$2,920.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,919.76 |
$1,919.76 |
$1,919.76 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$1,291.35
|
|
Cultr oocyte/embryo <4 days
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$441.00
|
|
Cult skin graft fnhfg 15155
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$1,709.60 |
$1,709.60 |
$1,709.60 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$38.58 |
$38.58 |
$38.58 |
$72.00
|
|
Culture afb any source
|
$38.58 |
$38.58 |
$38.58 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$38.58 |
$38.58 |
$38.58 |
$84.76
|
|
Culture anaerobic except blood
|
$38.58 |
$38.58 |
$38.58 |
$121.22
|
|
Culture bacteria anaerobic
|
$38.58 |
$38.58 |
$38.58 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$38.58 |
$38.58 |
$38.58 |
$52.50
|
|
Culture body fluid
|
$38.58 |
$38.58 |
$38.58 |
$126.75
|
|
Culture fungi definitive id mold
|
$38.58 |
$38.58 |
$38.58 |
$80.00
|
|
Culture fungi definitive id yeast
|
$38.58 |
$38.58 |
$38.58 |
$80.00
|
|
Culture fungi other (except blood)
|
$38.58 |
$38.58 |
$38.58 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$38.58 |
$38.58 |
$38.58 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$38.58 |
$38.58 |
$38.58 |
$100.00
|
|
Culture mycoplasma any source
|
$38.58 |
$38.58 |
$38.58 |
$83.21
|
|
Culture of specimen by kit
|
$54.40 |
$54.40 |
$54.40 |
$49.00
|
|
Culture quantitative aerobic other source
|
$38.58 |
$38.58 |
$38.58 |
$87.02
|
|
Culture screening strep group a
|
$38.58 |
$38.58 |
$38.58 |
$84.60
|
|
Culture type pulse field gel
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Culture typing added method
|
$38.58 |
$38.58 |
$38.58 |
$42.60
|
|
Culture typing glc/hplc
|
$38.58 |
$38.58 |
$38.58 |
$53.75
|
|
Culture typing immunologic
|
$38.58 |
$38.58 |
$38.58 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$209.34 |
$209.34 |
$209.34 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$88.80 |
$88.80 |
$88.80 |
$140.80
|
|
Culture urine each isolate
|
$38.58 |
$38.58 |
$38.58 |
$55.50
|
|
Culture virus isolation
|
$39.20 |
$39.20 |
$39.20 |
$162.00
|
|
Curette/treat cornea
|
$1,141.56 |
$1,141.56 |
$1,141.56 |
$1,365.60
|
|
Curette/treat cornea
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$2,818.14
|
|
Cutter lead
|
$928.56 |
$928.56 |
$928.56 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,318.73 |
$2,318.73 |
$2,318.73 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$35.20 |
$35.20 |
$35.20 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$51.20 |
$51.20 |
$51.20 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$64.28 |
$64.28 |
$64.28 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$81.08 |
$81.08 |
$81.08 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$48.57 |
$48.57 |
$48.57 |
$72.36
|
|
Cyclosporine 2 hour
|
$66.43 |
$66.43 |
$66.43 |
$130.40
|
|
Cyp2c19 gene com variants
|
$583.20 |
$583.20 |
$583.20 |
$524.00
|
|
Cyp2c9 gene com variants
|
$350.40 |
$350.40 |
$350.40 |
$275.10
|
|
Cyp2d6 gene com variants
|
$902.40 |
$902.40 |
$902.40 |
$570.70
|
|
Cyp3a4 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
$241.24
|
|
Cyp3a5 gene common variants
|
$350.40 |
$350.40 |
$350.40 |
$245.31
|