|
Cryopreserve stem cells
|
$606.63 |
$2,958.00 |
$2,958.00 |
|
|
Cryopreserve testicular tiss
|
$71.65 |
$71.65 |
$71.65 |
|
|
Cryosurg ablate fa each
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
|
|
Cryosurgery penis lesion(s) 54056
|
$275.88 |
$664.00 |
$724.00 |
|
|
Cryotherapy of acne 17340
|
$81.12 |
$81.12 |
$81.12 |
|
|
Cryptococcus abs qn - sendout
|
$14.00 |
$19.89 |
$319.20 |
|
|
Cryptosporidium antigen
|
$16.53 |
$16.53 |
$56.00 |
|
|
Crystal identification light microscopy
|
$6.50 |
$90.40 |
$104.00 |
|
|
C-Section Delivery (full care)
|
$3,792.01 |
$3,792.01 |
$3,792.01 |
|
|
C-section delivery incl p/p care 59515
|
$1,909.12 |
$1,909.12 |
$1,909.12 |
|
|
Csf leakage imaging
|
$545.44 |
$1,780.19 |
$5,076.00 |
|
|
Csf shunt reprogram 62252
|
$422.32 |
$535.00 |
$959.00 |
|
|
Csf ventriculography
|
$746.61 |
$746.61 |
$746.61 |
|
|
Cstb gene detc abnor allele
|
$189.06 |
$189.06 |
$189.06 |
|
|
Cstb gene full gene sequence
|
$379.27 |
$379.27 |
$379.27 |
|
|
Cstb gene known famil vrnt
|
$255.58 |
$255.58 |
$255.58 |
|
|
CT 3d report other modality w/workstation
|
$56.26 |
$909.00 |
$1,162.00 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$241.18 |
$3,718.00 |
$5,789.00 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$479.72 |
$2,483.00 |
$4,289.00 |
|
|
CT Angiogram of the Abdomen
|
$241.18 |
$2,808.00 |
$3,868.00 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$241.18 |
$2,080.00 |
$3,978.00 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$241.18 |
$2,080.00 |
$3,942.00 |
|
|
CT Angiogram of the Head
|
$241.18 |
$1,944.00 |
$3,780.00 |
|
|
CT Angiogram of the Neck
|
$241.18 |
$1,944.00 |
$3,471.00 |
|
|
CT angio hrt w/3d image
|
$379.12 |
$1,555.00 |
$2,869.00 |
|
|
CT angio pelvis
|
$241.18 |
$2,080.00 |
$3,868.00 |
|
|
Cta upper extremity w &/or without contrast left
|
$241.18 |
$2,080.00 |
$4,169.60 |
|
|
CT bone density axial
|
$119.66 |
$119.66 |
$119.66 |
|
|
CT cerebral perf w cont & prcssng
|
$241.18 |
$241.18 |
$241.18 |
|
|
CT colonography dx
|
$156.11 |
$791.00 |
$2,324.00 |
|
|
CT colonography dx w/dye
|
$241.18 |
$1,981.60 |
$2,854.00 |
|
|
CT colonography screening
|
$328.08 |
$1,360.00 |
$4,687.00 |
|
|
CT guidance for needle placement
|
$94.75 |
$2,271.00 |
$2,732.00 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$77.72 |
$782.00 |
$1,964.80 |
|
|
CT guid cryo ablat intramuscular
|
$339.18 |
$2,561.44 |
$24,617.00 |
|
|
CT guid parench tis ablat
|
$250.99 |
$2,541.00 |
$3,426.00 |
|
|
CT heart w/evaluation of calcium without contrast
|
$41.83 |
$150.00 |
$150.00 |
|
|
CT hrt c+ strux cgen hrt ds
|
$433.81 |
$1,103.00 |
$1,664.00 |
|
|
CT hrt w/3d image
|
$433.81 |
$1,907.00 |
$2,316.00 |
|
|
CT limited or localized follow-up study
|
$119.66 |
$881.00 |
$1,138.00 |
|
|
Ctlso a-p-l control molded
|
$3,376.27 |
$3,376.27 |
$3,376.27 |
|
|
Ctlso a-p-l control with inter
|
$3,711.40 |
$3,711.40 |
$3,711.40 |
|
|
Ctlso axilla sling
|
$141.91 |
$141.91 |
$141.91 |
|
|
Ctlso milwauke initial model
|
$3,439.02 |
$3,439.02 |
$3,439.02 |
|
|
CT lwr extremity w/o&w/dye
|
$241.18 |
$2,511.00 |
$4,151.98 |
|
|
Ctrl nosebld postir subsq 30906
|
$314.00 |
$325.68 |
$930.40 |
|
|
CT scan for localization
|
$215.17 |
$215.17 |
$1,836.80 |
|
|
CT scan for therapy guide
|
$212.44 |
$1,727.00 |
$1,848.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$479.72 |
$4,497.00 |
$5,496.00 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$479.72 |
$3,767.00 |
$5,181.00 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$328.08 |
$2,431.00 |
$3,803.00 |
|
|
CT t-spine w /wo contrast
|
$241.18 |
$2,131.00 |
$4,121.00 |
|
|
CT uppr extremity w/o&w/dye
|
$241.18 |
$2,131.00 |
$3,915.20 |
|
|
Cuffs adj lock with active con
|
$1,658.46 |
$1,658.46 |
$1,658.46 |
|
|
Cultr oocyte/embryo <4 days
|
$234.27 |
$234.27 |
$234.27 |
|
|
Cultr oocyte/embryo <4 days
|
$234.27 |
$234.27 |
$234.27 |
|
|
Cult skin graft fnhfg 15155
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Cult skin grft t/arm/leg
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Culture aerobic additional method definitive id each
|
$8.46 |
$75.00 |
$87.00 |
|
|
Culture afb any source
|
$14.90 |
$72.00 |
$253.60 |
|
|
Culture anaerobic additional method definitive id each
|
$10.34 |
$86.00 |
$257.60 |
|
|
Culture anaerobic except blood
|
$13.07 |
$63.00 |
$182.40 |
|
|
Culture bacteria anaerobic
|
$13.33 |
$13.33 |
$648.00 |
|
|
Culture bact stool aero addl path ea
|
$9.87 |
$19.60 |
$108.80 |
|
|
Culture body fluid
|
$11.90 |
$58.00 |
$263.20 |
|
|
Culture fungi definitive id mold
|
$10.81 |
$91.00 |
$238.40 |
|
|
Culture fungi definitive id yeast
|
$11.75 |
$68.00 |
$267.20 |
|
|
Culture fungi other (except blood)
|
$8.93 |
$57.00 |
$225.60 |
|
|
Culture fungi skin/hair/nail
|
$10.64 |
$50.00 |
$276.80 |
|
|
Culture mycobacteria definitive id each isolate
|
$13.63 |
$20.16 |
$381.60 |
|
|
Culture mycoplasma any source
|
$12.35 |
$94.00 |
$148.40 |
|
|
Culture of specimen by kit
|
$37.36 |
$37.36 |
$37.36 |
|
|
Culture quantitative aerobic other source
|
$13.65 |
$37.00 |
$349.60 |
|
|
Culture screening strep group a
|
$9.15 |
$51.00 |
$155.20 |
|
|
Culture type pulse field gel
|
$3.76 |
$10.68 |
$480.80 |
|
|
Culture typing added method
|
$3.76 |
$10.68 |
$10.68 |
|
|
Culture typing glc/hplc
|
$6.58 |
$17.28 |
$17.28 |
|
|
Culture typing immunologic
|
$7.15 |
$32.00 |
$85.60 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$300.92 |
$526.00 |
$859.20 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$44.44 |
$48.42 |
$641.60 |
|
|
Culture urine each isolate
|
$11.16 |
$19.74 |
$127.20 |
|
|
Culture virus isolation
|
$26.99 |
$26.99 |
$26.99 |
|
|
Curette/treat cornea
|
$1,370.74 |
$3,038.00 |
$3,038.00 |
|
|
Curette/treat cornea
|
$3,269.14 |
$7,284.00 |
$7,284.00 |
|
|
Cus elbo skt in for con/atyp
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
|
|
Cus elbo skt in not con/atyp
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
|
|
Custom glove for term device
|
$1,134.82 |
$1,134.82 |
$1,134.82 |
|
|
Custom shape cover ak
|
$1,948.42 |
$1,948.42 |
$1,948.42 |
|
|
Custom shape cover bk
|
$1,062.75 |
$1,062.75 |
$1,062.75 |
|
|
Custom shape cvr hip disart
|
$2,553.29 |
$2,553.29 |
$2,553.29 |
|
|
Custom shape cvr knee disart
|
$1,900.43 |
$1,900.43 |
$1,900.43 |
|
|
Cutter lead
|
$2,122.40 |
$2,122.40 |
$7,834.40 |
|
|
Cv line/pic reposition
|
$1,286.88 |
$1,608.00 |
$7,084.00 |
|
|
Cv stress test i&r only 93018
|
$18.80 |
$19.03 |
$145.60 |
|
|
Cv stress test/supervision only 93016
|
$28.62 |
$28.62 |
$43.12 |
|
|
Cyanocobalamin unsat binding capacity
|
$7.16 |
$19.76 |
$22.96 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$0.88 |
$0.88 |
$19.39 |
|
|
Cyclic citrullinated peptide antibody
|
$9.52 |
$82.00 |
$91.00 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$0.81 |
$0.81 |
$2.42 |
|
|
Cyclophosphamide 25 mg capsule
|
$2.51 |
$5.64 |
$11.93 |
|
