|
Creatinine clearance urine
|
$40.30 |
$40.30 |
$40.30 |
$90.26
|
|
#creutz-prot.,western blot
|
$45.50 |
$45.50 |
$45.50 |
$163.50
|
|
Crisis psychotherapy 90839
|
$393.00 |
$393.00 |
$393.00 |
$313.30
|
|
Critical care each additional 30 minutes
|
$374.40 |
$374.40 |
$374.40 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$5,215.60 |
$5,215.60 |
$5,215.60 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,358.85 |
$7,358.85 |
$7,358.85 |
$4,288.58
|
|
Crnop skull defect>5 cm diam
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$2,706.40
|
|
Crutches underarm other than wood adjustable or e0114
|
$44.20 |
$44.20 |
$44.20 |
$66.64
|
|
Cryofibrinogen qualitative - sendout
|
$33.15 |
$33.15 |
$33.15 |
$52.50
|
|
Cryoprecipitate each unit
|
$131.30 |
$131.30 |
$131.30 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$403.00 |
$403.00 |
$403.00 |
$271.20
|
|
Crystal identification light microscopy
|
$54.60 |
$54.60 |
$54.60 |
$66.43
|
|
C-Section Delivery (full care)
|
$8,236.00 |
$8,236.00 |
$8,236.00 |
$4,739.20
|
|
Csf shunt reprogram 62252
|
$272.11 |
$272.11 |
$272.11 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$805.35 |
$805.35 |
$805.35 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,272.45 |
$4,272.45 |
$4,272.45 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,727.70 |
$1,727.70 |
$1,727.70 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,488.85 |
$2,488.85 |
$2,488.85 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,944.50 |
$2,944.50 |
$2,944.50 |
$1,915.30
|
|
CT Angiogram of the Head
|
$7,849.50 |
$7,849.50 |
$7,849.50 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,690.35 |
$2,690.35 |
$2,690.35 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$938.60 |
$938.60 |
$938.60 |
$1,428.68
|
|
CT angio pelvis
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$471.25 |
$471.25 |
$471.25 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$349.70 |
$349.70 |
$349.70 |
$1,040.00
|
|
CT guidance for needle placement
|
$10,799.68 |
$10,799.68 |
$10,799.68 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$11,156.23 |
$11,156.23 |
$11,156.23 |
$1,215.06
|
|
CT guid parench tis ablat
|
$1,093.30 |
$1,093.30 |
$1,093.30 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$68.25 |
$68.25 |
$68.25 |
$150.00
|
|
CT hrt w/3d image
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$689.65 |
$689.65 |
$689.65 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,243.80 |
$2,243.80 |
$2,243.80 |
$1,818.96
|
|
CT scan for therapy guide
|
$365.00 |
$365.00 |
$365.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,542.00 |
$7,542.00 |
$7,542.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,436.90 |
$4,436.90 |
$4,436.90 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,993.00 |
$4,993.00 |
$4,993.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,646.45 |
$1,646.45 |
$1,646.45 |
$1,975.00
|
|
Culture aerobic additional method definitive id each
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$72.00
|
|
Culture afb any source
|
$76.05 |
$76.05 |
$76.05 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$42.25 |
$42.25 |
$42.25 |
$84.76
|
|
Culture anaerobic except blood
|
$146.25 |
$146.25 |
$146.25 |
$121.22
|
|
Culture body fluid
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$364.00 |
$364.00 |
$364.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$55.25 |
$55.25 |
$55.25 |
$80.00
|
|
Culture fungi other (except blood)
|
$104.00 |
$104.00 |
$104.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$60.45 |
$60.45 |
$60.45 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$74.10 |
$74.10 |
$74.10 |
$100.00
|
|
Culture mycoplasma any source
|
$120.25 |
$120.25 |
$120.25 |
$83.21
|
|
Culture quantitative aerobic other source
|
$92.30 |
$92.30 |
$92.30 |
$87.02
|
|
Culture screening strep group a
|
$461.00 |
$461.00 |
$461.00 |
$84.60
|
|
Culture typing immunologic
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$7,526.75 |
$7,526.75 |
$7,526.75 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$251.55 |
$251.55 |
$251.55 |
$140.80
|
|
Culture urine each isolate
|
$46.15 |
$46.15 |
$46.15 |
$55.50
|
|
Cutter lead
|
$3,329.03 |
$3,329.03 |
$3,329.03 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,742.65 |
$1,742.65 |
$1,742.65 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$112.45 |
$112.45 |
$112.45 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$5,154.25 |
$5,154.25 |
$5,154.25 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$25.30 |
$25.30 |
$25.30 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$137.50 |
$137.50 |
$137.50 |
$140.78
|
|
Cyclosporine 2 hour
|
$87.75 |
$87.75 |
$87.75 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$3.35 |
$3.35 |
$3.35 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$12.10 |
$12.10 |
$12.10 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$15,794.15 |
$15,794.15 |
$15,794.15 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$880.75 |
$880.75 |
$880.75 |
$524.00
|
|
Cystatin c
|
$72.80 |
$72.80 |
$72.80 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$619.45 |
$619.45 |
$619.45 |
$586.95
|
|
Cysto rx balo cath urtl strx
|
$35,655.08 |
$35,655.08 |
$35,655.08 |
$6,853.60
|
|
Cystoscopy and treatment
|
$49,254.64 |
$49,254.64 |
$49,254.64 |
$5,995.60
|
|
Cystoscopy and treatment
|
$43,383.60 |
$43,383.60 |
$43,383.60 |
$6,593.60
|
|
Cystoscopy and treatment
|
$33,151.24 |
$33,151.24 |
$33,151.24 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$34,646.78 |
$34,646.78 |
$34,646.78 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$35,619.95 |
$35,619.95 |
$35,619.95 |
$2,874.36
|
|
Cystoscopy removal of clots
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$4,081.37
|
|
Cysto/uretero w/lithotripsy
|
$44,099.04 |
$44,099.04 |
$44,099.04 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$39,062.21 |
$39,062.21 |
$39,062.21 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$37,607.01 |
$37,607.01 |
$37,607.01 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$40,472.54 |
$40,472.54 |
$40,472.54 |
$3,245.90
|
|
Cystourethro w/addl implant 52442
|
$60,275.55 |
$60,275.55 |
$60,275.55 |
$2,161.60
|
|
Cystourethro w/implant
|
$60,275.55 |
$60,275.55 |
$60,275.55 |
$2,777.60
|
|
Cytarabine 20 mg/ml injection solution
|
$96.20 |
$96.20 |
$96.20 |
$90.00
|
|
Cytogenetics 25-99
|
$135.20 |
$135.20 |
$135.20 |
$189.80
|
|
Cytogenomic neo microra alys
|
$3,591.90 |
$3,591.90 |
$3,591.90 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$102.70 |
$102.70 |
$102.70 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$112.45 |
$112.45 |
$112.45 |
$100.00
|
|
Cyto/molecular report
|
$5,584.00 |
$5,584.00 |
$5,584.00 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$78.00 |
$78.00 |
$78.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$78.00 |
$78.00 |
$78.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$182.65 |
$182.65 |
$182.65 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$6,839.50 |
$6,839.50 |
$6,839.50 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$42,219.70 |
$42,219.70 |
$42,219.70 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$155.35 |
$155.35 |
$155.35 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$34,880.95 |
$34,880.95 |
$34,880.95 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$5,417.01 |
$5,417.01 |
$5,417.01 |
$213.85
|
|
Cytopath smear other source
|
$81.90 |
$81.90 |
$81.90 |
$92.50
|
|
Cytopath smear other source
|
$100.10 |
$100.10 |
$100.10 |
$140.00
|
|
Cytopath tbs c/v manual
|
$53.95 |
$53.95 |
$53.95 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$56.45 |
$56.45 |
$56.45 |
$62.41
|
