|
Crisis psychotherapy additional 30 mins 90840
|
$46.06 |
$46.06 |
$46.06 |
$156.80
|
|
Critical care 30-74 minutes
|
$2,595.34 |
$2,595.34 |
$2,595.34 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$1,056.56 |
$1,056.56 |
$1,056.56 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$12.22 |
$12.22 |
$12.22 |
$52.50
|
|
Cryoprecipitate each unit
|
$47.00 |
$47.00 |
$47.00 |
$182.25
|
|
Crystal identification light microscopy
|
$16.92 |
$16.92 |
$16.92 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$99.64 |
$99.64 |
$99.64 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$770.80 |
$770.80 |
$770.80 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$975.25 |
$975.25 |
$975.25 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,138.81 |
$1,138.81 |
$1,138.81 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$666.93 |
$666.93 |
$666.93 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$1,728.80
|
|
CT Angiogram of the Head
|
$666.93 |
$666.93 |
$666.93 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$433.81 |
$433.81 |
$433.81 |
$1,618.00
|
|
CT angio pelvis
|
$572.46 |
$572.46 |
$572.46 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$1,650.60
|
|
CT guidance for needle placement
|
$420.65 |
$420.65 |
$420.65 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$586.56 |
$586.56 |
$586.56 |
$1,007.29
|
|
CT guid parench tis ablat
|
$541.44 |
$541.44 |
$541.44 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$41.83 |
$41.83 |
$41.83 |
$176.89
|
|
CT hrt c+ strux cgen hrt ds
|
$433.81 |
$433.81 |
$433.81 |
$1,217.45
|
|
CT hrt w/3d image
|
$433.81 |
$433.81 |
$433.81 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$384.93 |
$384.93 |
$384.93 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,270.10 |
$2,270.10 |
$2,270.10 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,633.25 |
$1,633.25 |
$1,633.25 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$4,151.98 |
$4,151.98 |
$4,151.98 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,135.05 |
$1,135.05 |
$1,135.05 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$816.86 |
$816.86 |
$816.86 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,192.39 |
$1,192.39 |
$1,192.39 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,108.73 |
$1,108.73 |
$1,108.73 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$819.21 |
$819.21 |
$819.21 |
$1,250.00
|
|
CT scan for therapy guide
|
$212.44 |
$212.44 |
$212.44 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,135.05 |
$1,135.05 |
$1,135.05 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$770.80 |
$770.80 |
$770.80 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,162.31 |
$1,162.31 |
$1,162.31 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$783.02 |
$783.02 |
$783.02 |
$1,381.20
|
|
CT t-spine w /wo contrast
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$2,130.51 |
$2,130.51 |
$2,130.51 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,538.78 |
$1,538.78 |
$1,538.78 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$2,557.74 |
$2,557.74 |
$2,557.74 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$8.46 |
$8.46 |
$8.46 |
$61.03
|
|
Culture afb any source
|
$18.02 |
$18.02 |
$18.02 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$10.34 |
$10.34 |
$10.34 |
$73.00
|
|
Culture anaerobic except blood
|
$42.77 |
$42.77 |
$42.77 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$9.87 |
$9.87 |
$9.87 |
$49.40
|
|
Culture body fluid
|
$59.69 |
$59.69 |
$59.69 |
$111.15
|
|
Culture fungi definitive id mold
|
$10.81 |
$10.81 |
$10.81 |
$70.00
|
|
Culture fungi definitive id yeast
|
$11.75 |
$11.75 |
$11.75 |
$68.00
|
|
Culture fungi other (except blood)
|
$8.93 |
$8.93 |
$8.93 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$28.67 |
$28.67 |
$28.67 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$13.63 |
$13.63 |
$13.63 |
$79.00
|
|
Culture mycoplasma any source
|
$15.28 |
$15.28 |
$15.28 |
$94.00
|
|
Culture quantitative aerobic other source
|
$40.80 |
$40.80 |
$40.80 |
$63.45
|
|
Culture screening strep group a
|
$19.74 |
$19.74 |
$19.74 |
$76.00
|
|
Culture typing added method
|
$3.76 |
$3.76 |
$3.76 |
$31.00
|
|
Culture typing immunologic
|
$23.97 |
$23.97 |
$23.97 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$44.44 |
$44.44 |
$44.44 |
$100.20
|
|
Culture urine each isolate
|
$19.74 |
$19.74 |
$19.74 |
$44.80
|
|
Cv stress test i&r only 93018
|
$18.80 |
$18.80 |
$18.80 |
$42.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$19.39 |
$19.39 |
$19.39 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$13.63 |
$13.63 |
$13.63 |
$91.20
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2.42 |
$2.42 |
$2.42 |
$2.42
|
|
Cyclophosphamide 25 mg capsule
|
$6.38 |
$6.38 |
$6.38 |
$22.51
|
|
Cyclosporine 2 hour
|
$18.80 |
$18.80 |
$18.80 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$4.42 |
$4.42 |
$4.42 |
$4.42
|
|
Cyclosporine oral 100 mg
|
$35.41 |
$35.41 |
$35.41 |
$19.50
|
|
Cyp2c19 gene com variants
|
$136.77 |
$136.77 |
$136.77 |
$583.20
|
|
Cyp2c9 gene com variants
|
$82.25 |
$82.25 |
$82.25 |
$287.82
|
|
Cyp2d6 gene com variants
|
$211.93 |
$211.93 |
$211.93 |
$644.67
|
|
Cyp3a4 gene common variants
|
$82.25 |
$82.25 |
$82.25 |
$245.31
|
|
Cyp3a5 gene common variants
|
$82.25 |
$82.25 |
$82.25 |
$241.24
|
|
Cystatin c
|
$29.14 |
$29.14 |
$29.14 |
$83.20
|
|
Cystic fibrosis cftr
|
$234.53 |
$234.53 |
$234.53 |
$1,041.95
|
|
Cystine urine quantitative
|
$16.76 |
$16.76 |
$16.76 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$145.23 |
$145.23 |
$145.23 |
$487.04
|
|
Cytogenom microarray copy nmbr var
|
$423.00 |
$423.00 |
$423.00 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$15.60 |
$15.60 |
$15.60 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$17.39 |
$17.39 |
$17.39 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$56.87 |
$56.87 |
$56.87 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$43.71 |
$43.71 |
$43.71 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$33.84 |
$33.84 |
$33.84 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$93.53 |
$93.53 |
$93.53 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$93.53 |
$93.53 |
$93.53 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$8.46 |
$8.46 |
$8.46 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$30.08 |
$30.08 |
$30.08 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$86.95 |
$86.95 |
$86.95 |
$205.00
|
|
Cytopath smear other source
|
$33.84 |
$33.84 |
$33.84 |
$88.13
|
|
Cytopath tbs c/v manual
|
$15.04 |
$15.04 |
$15.04 |
$57.94
|
|
Cytotoxic antibody screening
|
$37.13 |
$37.13 |
$37.13 |
$184.63
|
|
Cytp urine 3-5 probes cmptr
|
$285.76 |
$285.76 |
$285.76 |
$779.00
|
|
Dacarbazine 100 mg intravenous solution
|
$22.06 |
$22.06 |
$22.06 |
$39.53
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.69 |
$0.69 |
$0.69 |
$1.80
|
|
Dch glucoscan
|
$12.69 |
$12.69 |
$12.69 |
$28.10
|
|
Dch validity tests
|
$2.82 |
$2.82 |
$2.82 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$7.99 |
$7.99 |
$7.99 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$225.60 |
$225.60 |
$225.60 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$3,421.13 |
$3,421.13 |
$3,421.13 |
$2,481.05
|