|
Creatine kinase
|
$104.80 |
$104.80 |
$104.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$67.20 |
$67.20 |
$67.20 |
$56.20
|
|
Creatine kinase mb
|
$185.60 |
$185.60 |
$185.60 |
$113.63
|
|
Creatinine
|
$61.60 |
$61.60 |
$61.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$49.60 |
$49.60 |
$49.60 |
$57.85
|
|
Creatinine clearance urine
|
$232.00 |
$232.00 |
$232.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$163.50
|
|
Critical care each additional 30 minutes
|
$648.00 |
$648.00 |
$648.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,663.20 |
$2,663.20 |
$2,663.20 |
$2,535.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$49.60 |
$49.60 |
$49.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$236.80 |
$236.80 |
$236.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$319.20 |
$319.20 |
$319.20 |
$89.70
|
|
Crystal identification light microscopy
|
$90.40 |
$90.40 |
$90.40 |
$66.43
|
|
Csf leakage imaging
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$422.40 |
$422.40 |
$422.40 |
$535.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,085.60 |
$3,085.60 |
$3,085.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,085.60 |
$3,085.60 |
$3,085.60 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,085.60 |
$3,085.60 |
$3,085.60 |
$1,881.75
|
|
CT angio pelvis
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$4,169.60 |
$4,169.60 |
$4,169.60 |
$1,691.30
|
|
CT colonography dx
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$811.41
|
|
CT colonography dx w/dye
|
$1,981.60 |
$1,981.60 |
$1,981.60 |
$1,069.25
|
|
CT guidance for needle placement
|
$2,457.60 |
$2,457.60 |
$2,457.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,964.80 |
$1,964.80 |
$1,964.80 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$88.00 |
$88.00 |
$88.00 |
$150.00
|
|
CT limited or localized follow-up study
|
$741.60 |
$741.60 |
$741.60 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$930.40 |
$930.40 |
$930.40 |
$422.80
|
|
CT scan for localization
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,739.20 |
$4,739.20 |
$4,739.20 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,669.60 |
$2,669.60 |
$2,669.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$3,915.20 |
$3,915.20 |
$3,915.20 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$72.00 |
$72.00 |
$72.00 |
$72.00
|
|
Culture afb any source
|
$253.60 |
$253.60 |
$253.60 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$257.60 |
$257.60 |
$257.60 |
$84.76
|
|
Culture anaerobic except blood
|
$182.40 |
$182.40 |
$182.40 |
$121.22
|
|
Culture bacteria anaerobic
|
$648.00 |
$648.00 |
$648.00 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$108.80 |
$108.80 |
$108.80 |
$52.50
|
|
Culture body fluid
|
$263.20 |
$263.20 |
$263.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$238.40 |
$238.40 |
$238.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$267.20 |
$267.20 |
$267.20 |
$80.00
|
|
Culture fungi other (except blood)
|
$225.60 |
$225.60 |
$225.60 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$276.80 |
$276.80 |
$276.80 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$381.60 |
$381.60 |
$381.60 |
$100.00
|
|
Culture quantitative aerobic other source
|
$349.60 |
$349.60 |
$349.60 |
$87.02
|
|
Culture screening strep group a
|
$155.20 |
$155.20 |
$155.20 |
$84.60
|
|
Culture type pulse field gel
|
$480.80 |
$480.80 |
$480.80 |
$38.58
|
|
Culture typing immunologic
|
$85.60 |
$85.60 |
$85.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$859.20 |
$859.20 |
$859.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$641.60 |
$641.60 |
$641.60 |
$140.80
|
|
Culture urine each isolate
|
$127.20 |
$127.20 |
$127.20 |
$55.50
|
|
Cyclic citrullinated peptide antibody
|
$61.60 |
$61.60 |
$61.60 |
$72.36
|
|
Cyclosporine 2 hour
|
$340.80 |
$340.80 |
$340.80 |
$130.40
|
|
Cyp2c19 gene com variants
|
$2,740.80 |
$2,740.80 |
$2,740.80 |
$524.00
|
|
Cyp2d6 gene com variants
|
$3,441.60 |
$3,441.60 |
$3,441.60 |
$570.70
|
|
Cystatin c
|
$146.40 |
$146.40 |
$146.40 |
$77.60
|
|
Cystic fibrosis cftr
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$812.80 |
$812.80 |
$812.80 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$936.00 |
$936.00 |
$936.00 |
$586.95
|
|
Cystoscopy and treatment
|
$3,026.40 |
$3,026.40 |
$3,026.40 |
$2,867.70
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,131.20 |
$3,131.20 |
$3,131.20 |
$3,245.90
|
|
Cytogenetics 25-99
|
$789.60 |
$789.60 |
$789.60 |
$189.80
|
|
Cytogenetics 3-5
|
$342.40 |
$342.40 |
$342.40 |
$147.36
|
|
Cytogenomic neo microra alys
|
$7,695.20 |
$7,695.20 |
$7,695.20 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$5,864.00 |
$5,864.00 |
$5,864.00 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$248.80 |
$248.80 |
$248.80 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$180.80 |
$180.80 |
$180.80 |
$100.00
|
|
Cyto/molecular report
|
$225.60 |
$225.60 |
$225.60 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$252.80 |
$252.80 |
$252.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$203.20 |
$203.20 |
$203.20 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$249.60 |
$249.60 |
$249.60 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$231.20 |
$231.20 |
$231.20 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$119.20 |
$119.20 |
$119.20 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$257.60 |
$257.60 |
$257.60 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$856.80 |
$856.80 |
$856.80 |
$213.85
|
|
Cytopath smear other source
|
$183.20 |
$183.20 |
$183.20 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$210.40 |
$210.40 |
$210.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$114.40 |
$114.40 |
$114.40 |
$59.28
|
|
Cytotoxic antibody screening
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$133.25
|
|
Dch pulmonary stress test
|
$1,544.80 |
$1,544.80 |
$1,544.80 |
$963.30
|
|
Dch validity tests
|
$46.40 |
$46.40 |
$46.40 |
$25.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$549.60 |
$549.60 |
$549.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$395.20 |
$395.20 |
$395.20 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,935.20 |
$2,935.20 |
$2,935.20 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$547.20 |
$547.20 |
$547.20 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,291.20 |
$1,291.20 |
$1,291.20 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$892.80 |
$892.80 |
$892.80 |
$835.20
|
|
Debride nail1-5 11720
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$104.00 |
$104.00 |
$104.00 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$4,479.20 |
$4,479.20 |
$4,479.20 |
$1,163.24
|
|
Debride skin bone at fx site
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$892.80 |
$892.80 |
$892.80 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$1,165.50
|
