|
Cryoablate prostate
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$13,016.74
|
|
Cryocautery of cervix 57511
|
$419.01 |
$419.01 |
$419.01 |
$429.60
|
|
Cryo fib comp path redu each
|
$739.27 |
$739.27 |
$739.27 |
$520.00
|
|
Cryofibrinogen qualitative - sendout
|
$19.51 |
$19.51 |
$19.51 |
$52.50
|
|
Cryoprecipitate each unit
|
$96.83 |
$96.83 |
$96.83 |
$144.78
|
|
Cryopreservation embryo(s)
|
$1,107.84 |
$1,107.84 |
$1,107.84 |
$962.03
|
|
Cryopreservation oocyte(s)
|
$234.27 |
$234.27 |
$234.27 |
$368.68
|
|
Cryopreservation sperm
|
$234.27 |
$234.27 |
$234.27 |
$234.27
|
|
Cryopreserve stem cells
|
$606.63 |
$606.63 |
$606.63 |
$2,666.50
|
|
Cryopreserve testicular tiss
|
$71.65 |
$71.65 |
$71.65 |
$72.08
|
|
Cryosurg ablate fa each
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$275.88 |
$275.88 |
$275.88 |
$271.20
|
|
Cryotherapy of acne 17340
|
$81.12 |
$81.12 |
$81.12 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$19.89 |
$19.89 |
$19.89 |
$89.70
|
|
Cryptosporidium antigen
|
$16.53 |
$16.53 |
$16.53 |
$52.08
|
|
Crystal identification light microscopy
|
$24.48 |
$24.48 |
$24.48 |
$66.40
|
|
C-Section Delivery (full care)
|
$3,792.01 |
$3,792.01 |
$3,792.01 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$1,909.12 |
$1,909.12 |
$1,909.12 |
$2,577.60
|
|
Csf leakage imaging
|
$1,780.19 |
$1,780.19 |
$1,780.19 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$422.32 |
$422.32 |
$422.32 |
$535.00
|
|
Csf ventriculography
|
$746.61 |
$746.61 |
$746.61 |
$877.00
|
|
Cstb gene detc abnor allele
|
$189.06 |
$189.06 |
$189.06 |
$150.70
|
|
Cstb gene full gene sequence
|
$379.27 |
$379.27 |
$379.27 |
$302.31
|
|
Cstb gene known famil vrnt
|
$255.58 |
$255.58 |
$255.58 |
$304.59
|
|
CT 3d report other modality w/workstation
|
$56.26 |
$56.26 |
$56.26 |
$665.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$241.18 |
$241.18 |
$241.18 |
$2,002.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$479.72 |
$479.72 |
$479.72 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$241.18 |
$241.18 |
$241.18 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$241.18 |
$241.18 |
$241.18 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$241.18 |
$241.18 |
$241.18 |
$1,916.50
|
|
CT Angiogram of the Head
|
$241.18 |
$241.18 |
$241.18 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$241.18 |
$241.18 |
$241.18 |
$1,889.70
|
|
CT angio hrt w/3d image
|
$479.72 |
$479.72 |
$479.72 |
$1,428.68
|
|
CT angio pelvis
|
$241.18 |
$241.18 |
$241.18 |
$1,816.50
|
|
Cta upper extremity w &/or without contrast left
|
$241.18 |
$241.18 |
$241.18 |
$1,697.80
|
|
CT bone density axial
|
$119.66 |
$119.66 |
$119.66 |
$385.15
|
|
CT cerebral perf w cont & prcssng
|
$241.18 |
$241.18 |
$241.18 |
$1,040.00
|
|
CT colonography dx
|
$156.11 |
$156.11 |
$156.11 |
$811.41
|
|
CT colonography dx w/dye
|
$241.18 |
$241.18 |
$241.18 |
$1,069.25
|
|
CT colonography screening
|
$328.08 |
$328.08 |
$328.08 |
$1,084.20
|
|
CT guidance for needle placement
|
$94.75 |
$94.75 |
$94.75 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$77.72 |
$77.72 |
$77.72 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$339.18 |
$339.18 |
$339.18 |
$2,039.76
|
|
CT guid parench tis ablat
|
$250.99 |
$250.99 |
$250.99 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$119.66 |
$119.66 |
$119.66 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$479.72 |
$479.72 |
$479.72 |
$1,395.79
|
|
CT hrt w/3d image
|
$479.72 |
$479.72 |
$479.72 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$119.66 |
$119.66 |
$119.66 |
$640.48
|
|
Ctlso a-p-l control molded
|
$3,376.27 |
$3,376.27 |
$3,376.27 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$3,711.40 |
$3,711.40 |
$3,711.40 |
$4,186.78
|
|
Ctlso axilla sling
|
$141.91 |
$141.91 |
$141.91 |
$155.04
|
|
Ctlso milwauke initial model
|
$3,439.02 |
$3,439.02 |
$3,439.02 |
$4,262.27
|
|
CT lwr extremity w/o&w/dye
|
$241.18 |
$241.18 |
$241.18 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$325.68 |
$325.68 |
$325.68 |
$425.60
|
|
CT scan for localization
|
$215.17 |
$215.17 |
$215.17 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$479.72 |
$479.72 |
$479.72 |
$3,472.30
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$479.72 |
$479.72 |
$479.72 |
$2,872.84
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$328.08 |
$328.08 |
$328.08 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$241.18 |
$241.18 |
$241.18 |
$1,982.40
|
|
CT uppr extremity w/o&w/dye
|
$241.18 |
$241.18 |
$241.18 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$1,658.46 |
$1,658.46 |
$1,658.46 |
$1,472.80
|
|
Cultr oocyte/embryo <4 days
|
$234.27 |
$234.27 |
$234.27 |
$1,291.35
|
|
Cultr oocyte/embryo <4 days
|
$234.27 |
$234.27 |
$234.27 |
$441.00
|
|
Cult skin graft fnhfg 15155
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$11.15 |
$11.15 |
$11.15 |
$72.00
|
|
Culture afb any source
|
$14.90 |
$14.90 |
$14.90 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$11.15 |
$11.15 |
$11.15 |
$84.76
|
|
Culture anaerobic except blood
|
$13.07 |
$13.07 |
$13.07 |
$120.78
|
|
Culture bacteria anaerobic
|
$13.33 |
$13.33 |
$13.33 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$13.03 |
$13.03 |
$13.03 |
$52.50
|
|
Culture body fluid
|
$11.90 |
$11.90 |
$11.90 |
$126.72
|
|
Culture fungi definitive id mold
|
$14.24 |
$14.24 |
$14.24 |
$80.00
|
|
Culture fungi definitive id yeast
|
$14.24 |
$14.24 |
$14.24 |
$80.00
|
|
Culture fungi other (except blood)
|
$11.61 |
$11.61 |
$11.61 |
$111.09
|
|
Culture fungi skin/hair/nail
|
$10.64 |
$10.64 |
$10.64 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$20.16 |
$20.16 |
$20.16 |
$100.00
|
|
Culture mycoplasma any source
|
$21.24 |
$21.24 |
$21.24 |
$83.21
|
|
Culture of specimen by kit
|
$37.36 |
$37.36 |
$37.36 |
$49.00
|
|
Culture quantitative aerobic other source
|
$13.65 |
$13.65 |
$13.65 |
$86.40
|
|
Culture screening strep group a
|
$9.15 |
$9.15 |
$9.15 |
$84.50
|
|
Culture type pulse field gel
|
$10.68 |
$10.68 |
$10.68 |
$38.58
|
|
Culture typing added method
|
$10.68 |
$10.68 |
$10.68 |
$38.70
|
|
Culture typing glc/hplc
|
$17.28 |
$17.28 |
$17.28 |
$53.54
|
|
Culture typing immunologic
|
$7.15 |
$7.15 |
$7.15 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$300.92 |
$300.92 |
$300.92 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$48.42 |
$48.42 |
$48.42 |
$140.80
|
|
Culture urine each isolate
|
$11.16 |
$11.16 |
$11.16 |
$55.25
|
|
Culture virus isolation
|
$26.99 |
$26.99 |
$26.99 |
$118.50
|
|
Curette/treat cornea
|
$1,370.74 |
$1,370.74 |
$1,370.74 |
$1,370.74
|
|
Curette/treat cornea
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,818.14
|
|
Cus elbo skt in for con/atyp
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
$1,453.20
|
|
Cus elbo skt in not con/atyp
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
$1,453.20
|
|
Custom glove for term device
|
$1,134.82 |
$1,134.82 |
$1,134.82 |
$630.00
|
|
Custom shape cover ak
|
$1,948.42 |
$1,948.42 |
$1,948.42 |
$1,125.60
|
|
Custom shape cover bk
|
$1,062.75 |
$1,062.75 |
$1,062.75 |
$686.00
|
|
Custom shape cvr hip disart
|
$2,553.29 |
$2,553.29 |
$2,553.29 |
$1,587.60
|
|
Custom shape cvr knee disart
|
$1,900.43 |
$1,900.43 |
$1,900.43 |
$1,117.20
|
|
Cv line/pic reposition
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$1,697.72
|
|
Cv stress test i&r only 93018
|
$19.03 |
$19.03 |
$19.03 |
$35.20
|