|
Creatinine clearance urine
|
$43.00 |
$43.00 |
$43.00 |
$90.26
|
|
Critical care each additional 30 minutes
|
$4,414.00 |
$4,414.00 |
$4,414.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$4,708.00 |
$4,708.00 |
$4,708.00 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$30.00 |
$30.00 |
$30.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$345.00 |
$345.00 |
$345.00 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$724.00 |
$724.00 |
$724.00 |
$271.20
|
|
Crystal identification light microscopy
|
$93.00 |
$93.00 |
$93.00 |
$66.43
|
|
Csf leakage imaging
|
$5,076.00 |
$5,076.00 |
$5,076.00 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$959.00 |
$959.00 |
$959.00 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$909.00 |
$909.00 |
$909.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,868.00 |
$3,868.00 |
$3,868.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,758.00 |
$3,758.00 |
$3,758.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,471.00 |
$3,471.00 |
$3,471.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,869.00 |
$2,869.00 |
$2,869.00 |
$1,428.68
|
|
CT angio pelvis
|
$3,868.00 |
$3,868.00 |
$3,868.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$1,691.30
|
|
CT colonography dx
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$811.41
|
|
CT colonography dx w/dye
|
$2,854.00 |
$2,854.00 |
$2,854.00 |
$1,069.25
|
|
CT colonography screening
|
$4,687.00 |
$4,687.00 |
$4,687.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$24,617.00 |
$24,617.00 |
$24,617.00 |
$2,039.76
|
|
CT guid parench tis ablat
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$150.00 |
$150.00 |
$150.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,103.00 |
$1,103.00 |
$1,103.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$3,370.00 |
$3,370.00 |
$3,370.00 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$456.00 |
$456.00 |
$456.00 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,496.00 |
$5,496.00 |
$5,496.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,181.00 |
$5,181.00 |
$5,181.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,803.00 |
$3,803.00 |
$3,803.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,794.00 |
$2,794.00 |
$2,794.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,771.00 |
$2,771.00 |
$2,771.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$86.00 |
$86.00 |
$86.00 |
$72.00
|
|
Culture afb any source
|
$83.00 |
$83.00 |
$83.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$100.00 |
$100.00 |
$100.00 |
$84.76
|
|
Culture anaerobic except blood
|
$73.00 |
$73.00 |
$73.00 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$20.00 |
$20.00 |
$20.00 |
$52.50
|
|
Culture body fluid
|
$156.00 |
$156.00 |
$156.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$105.00 |
$105.00 |
$105.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$79.00 |
$79.00 |
$79.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$65.00 |
$65.00 |
$65.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$58.00 |
$58.00 |
$58.00 |
$74.75
|
|
Culture mycoplasma any source
|
$47.88 |
$47.88 |
$47.88 |
$83.21
|
|
Culture quantitative aerobic other source
|
$37.00 |
$37.00 |
$37.00 |
$87.02
|
|
Culture screening strep group a
|
$51.00 |
$51.00 |
$51.00 |
$84.60
|
|
Culture typing immunologic
|
$36.00 |
$36.00 |
$36.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$606.00 |
$606.00 |
$606.00 |
$408.37
|
|
Curette/treat cornea
|
$3,038.00 |
$3,038.00 |
$3,038.00 |
$1,365.60
|
|
Curette/treat cornea
|
$7,284.00 |
$7,284.00 |
$7,284.00 |
$2,818.14
|
|
Cv line/pic reposition
|
$7,084.00 |
$7,084.00 |
$7,084.00 |
$1,681.20
|
|
Cyclic citrullinated peptide antibody
|
$82.00 |
$82.00 |
$82.00 |
$72.36
|
|
Cyclosporine 2 hour
|
$126.00 |
$126.00 |
$126.00 |
$130.40
|
|
Cyp2c19 gene com variants
|
$140.00 |
$140.00 |
$140.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$136.25 |
$136.25 |
$136.25 |
$275.10
|
|
Cystatin c
|
$62.00 |
$62.00 |
$62.00 |
$77.60
|
|
Cystine urine quantitative
|
$68.73 |
$68.73 |
$68.73 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$586.95
|
|
Cystoscopy and treatment
|
$7,608.00 |
$7,608.00 |
$7,608.00 |
$4,638.40
|
|
Cystoscopy and treatment
|
$7,007.00 |
$7,007.00 |
$7,007.00 |
$2,867.70
|
|
Cystoscopy and treatment
|
$11,795.00 |
$11,795.00 |
$11,795.00 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$2,634.00 |
$2,634.00 |
$2,634.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$7,007.00 |
$7,007.00 |
$7,007.00 |
$2,874.36
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$4,129.45
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,124.00 |
$6,124.00 |
$6,124.00 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$7,007.00 |
$7,007.00 |
$7,007.00 |
$4,057.50
|
|
Cytogenetics 25-99
|
$416.00 |
$416.00 |
$416.00 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$145.21 |
$145.21 |
$145.21 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$155.00 |
$155.00 |
$155.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$337.00 |
$337.00 |
$337.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$56.00 |
$56.00 |
$56.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$165.00 |
$165.00 |
$165.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$171.00 |
$171.00 |
$171.00 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$51.00 |
$51.00 |
$51.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$214.00 |
$214.00 |
$214.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$269.00 |
$269.00 |
$269.00 |
$213.85
|
|
Cytopath smear other source
|
$213.00 |
$213.00 |
$213.00 |
$92.50
|
|
Cytopath tbs c/v manual
|
$33.00 |
$33.00 |
$33.00 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$779.00 |
$779.00 |
$779.00 |
$664.80
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$9,717.00 |
$9,717.00 |
$9,717.00 |
$3,774.81
|
|
Dch pulmonary stress test
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$963.30
|
|
Dch validity tests
|
$29.00 |
$29.00 |
$29.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$37.00 |
$37.00 |
$37.00 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$644.00 |
$644.00 |
$644.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$835.20
|
|
Debride nail1-5 11720
|
$238.00 |
$238.00 |
$238.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$229.00 |
$229.00 |
$229.00 |
$169.80
|
|
Debride skin bone at fx site
|
$8,780.00 |
$8,780.00 |
$8,780.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,165.50
|
|
Decalcification
|
$46.00 |
$46.00 |
$46.00 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$626.00 |
$626.00 |
$626.00 |
$572.95
|
