|
Creatinine
|
$88.51 |
$88.51 |
$88.51 |
$46.20
|
|
Creatinine 24 hour urine
|
$31.54 |
$31.54 |
$31.54 |
$57.85
|
|
Creatinine clearance urine
|
$36.19 |
$36.19 |
$36.19 |
$90.26
|
|
#creutz-prot.,western blot
|
$321.22 |
$321.22 |
$321.22 |
$163.50
|
|
Crisis psychotherapy 90839
|
$267.12 |
$267.12 |
$267.12 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$133.25 |
$133.25 |
$133.25 |
$149.52
|
|
Critical care each additional 30 minutes
|
$489.60 |
$489.60 |
$489.60 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,543.49 |
$1,543.49 |
$1,543.49 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$4,288.58
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,606.06 |
$2,606.06 |
$2,606.06 |
$2,522.88
|
|
Cryoprecipitate each unit
|
$1,336.99 |
$1,336.99 |
$1,336.99 |
$144.78
|
|
Crystal identification light microscopy
|
$93.02 |
$93.02 |
$93.02 |
$66.43
|
|
Csf leakage imaging
|
$1,785.46 |
$1,785.46 |
$1,785.46 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$817.30 |
$817.30 |
$817.30 |
$535.00
|
|
Csf ventriculography
|
$425.18 |
$425.18 |
$425.18 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$728.26 |
$728.26 |
$728.26 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,079.57 |
$1,079.57 |
$1,079.57 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,511.52 |
$1,511.52 |
$1,511.52 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$863.71 |
$863.71 |
$863.71 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$863.71 |
$863.71 |
$863.71 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$431.81 |
$431.81 |
$431.81 |
$1,915.30
|
|
CT Angiogram of the Head
|
$863.71 |
$863.71 |
$863.71 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$647.76 |
$647.76 |
$647.76 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,159.28 |
$2,159.28 |
$2,159.28 |
$1,428.68
|
|
CT angio pelvis
|
$647.76 |
$647.76 |
$647.76 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$863.71 |
$863.71 |
$863.71 |
$1,691.30
|
|
CT colonography dx
|
$1,079.57 |
$1,079.57 |
$1,079.57 |
$811.41
|
|
CT colonography dx w/dye
|
$1,079.57 |
$1,079.57 |
$1,079.57 |
$1,069.25
|
|
CT colonography screening
|
$1,079.57 |
$1,079.57 |
$1,079.57 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,306.37 |
$1,306.37 |
$1,306.37 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,141.82 |
$1,141.82 |
$1,141.82 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$2,039.76 |
$2,039.76 |
$2,039.76 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,727.47 |
$1,727.47 |
$1,727.47 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$431.81 |
$431.81 |
$431.81 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,159.28 |
$2,159.28 |
$2,159.28 |
$1,395.79
|
|
CT hrt w/3d image
|
$359.86 |
$359.86 |
$359.86 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$430.75 |
$430.75 |
$430.75 |
$636.55
|
|
Ctlso a-p-l control molded
|
$3,586.70 |
$3,586.70 |
$3,586.70 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$3,942.77 |
$3,942.77 |
$3,942.77 |
$4,186.78
|
|
Ctlso axilla sling
|
$155.04 |
$155.04 |
$155.04 |
$155.04
|
|
Ctlso milwauke initial model
|
$3,653.38 |
$3,653.38 |
$3,653.38 |
$4,262.27
|
|
CT lwr extremity w/o&w/dye
|
$1,151.62 |
$1,151.62 |
$1,151.62 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$334.90 |
$334.90 |
$334.90 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,079.57 |
$1,079.57 |
$1,079.57 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$863.71 |
$863.71 |
$863.71 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$647.76 |
$647.76 |
$647.76 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$861.41 |
$861.41 |
$861.41 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,079.71 |
$1,079.71 |
$1,079.71 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$1,761.79 |
$1,761.79 |
$1,761.79 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$338.02 |
$338.02 |
$338.02 |
$72.00
|
|
Culture afb any source
|
$45.22 |
$45.22 |
$45.22 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$439.25 |
$439.25 |
$439.25 |
$84.76
|
|
Culture anaerobic except blood
|
$55.10 |
$55.10 |
$55.10 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$30.10 |
$30.10 |
$30.10 |
$52.50
|
|
Culture body fluid
|
$58.18 |
$58.18 |
$58.18 |
$126.75
|
|
Culture fungi definitive id mold
|
$156.77 |
$156.77 |
$156.77 |
$80.00
|
|
Culture fungi definitive id yeast
|
$34.94 |
$34.94 |
$34.94 |
$80.00
|
|
Culture fungi other (except blood)
|
$66.82 |
$66.82 |
$66.82 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$48.05 |
$48.05 |
$48.05 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$345.02 |
$345.02 |
$345.02 |
$100.00
|
|
Culture quantitative aerobic other source
|
$50.93 |
$50.93 |
$50.93 |
$87.02
|
|
Culture screening strep group a
|
$110.16 |
$110.16 |
$110.16 |
$84.60
|
|
Culture typing immunologic
|
$21.12 |
$21.12 |
$21.12 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,693.44 |
$1,693.44 |
$1,693.44 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$289.58 |
$289.58 |
$289.58 |
$140.80
|
|
Culture urine each isolate
|
$23.62 |
$23.62 |
$23.62 |
$55.50
|
|
Custom shape cover ak
|
$2,069.86 |
$2,069.86 |
$2,069.86 |
$1,125.60
|
|
Custom shape cover bk
|
$1,129.01 |
$1,129.01 |
$1,129.01 |
$686.00
|
|
Custom shape cvr hip disart
|
$2,712.43 |
$2,712.43 |
$2,712.43 |
$1,587.60
|
|
Custom shape cvr knee disart
|
$2,018.93 |
$2,018.93 |
$2,018.93 |
$1,117.20
|
|
Cutter lead
|
$14,525.28 |
$14,525.28 |
$14,525.28 |
$6,581.45
|
|
Cv line/pic reposition
|
$650.26 |
$650.26 |
$650.26 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1,134.83 |
$1,134.83 |
$1,134.83 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$46.03 |
$46.03 |
$46.03 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$625.66 |
$625.66 |
$625.66 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$57.51 |
$57.51 |
$57.51 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$137.98 |
$137.98 |
$137.98 |
$140.78
|
|
Cyclosporine 2 hour
|
$112.70 |
$112.70 |
$112.70 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$8.92 |
$8.92 |
$8.92 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,368.25 |
$1,368.25 |
$1,368.25 |
$37.31
|
|
Cyp2c19 gene com variants
|
$200.02 |
$200.02 |
$200.02 |
$524.00
|
|
Cyp2c9 gene com variants
|
$200.02 |
$200.02 |
$200.02 |
$275.10
|
|
Cyp2d6 gene com variants
|
$257.18 |
$257.18 |
$257.18 |
$570.70
|
|
Cystatin c
|
$62.50 |
$62.50 |
$62.50 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$696.43 |
$696.43 |
$696.43 |
$586.95
|
|
Cystometrogram w/up 51727
|
$1,171.97 |
$1,171.97 |
$1,171.97 |
$908.59
|
|
Cystoscopy and treatment
|
$1,962.43 |
$1,962.43 |
$1,962.43 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$899.42 |
$899.42 |
$899.42 |
$1,493.80
|
|
Cystoscopy & ureter catheter
|
$818.35 |
$818.35 |
$818.35 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,825.90 |
$5,825.90 |
$5,825.90 |
$4,129.45
|
|
Cystouretero w/biopsy
|
$3,613.44 |
$3,613.44 |
$3,613.44 |
$6,015.75
|
|
Cystouretero w/stone remove
|
$2,441.52 |
$2,441.52 |
$2,441.52 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,794.45 |
$3,794.45 |
$3,794.45 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,846.59 |
$2,846.59 |
$2,846.59 |
$4,057.50
|
|
Cysto w/ureter stricture tx
|
$4,327.87 |
$4,327.87 |
$4,327.87 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$132.22 |
$132.22 |
$132.22 |
$90.00
|
|
Cytarabine liposome inj
|
$4,529.43 |
$4,529.43 |
$4,529.43 |
$4,529.43
|
|
Cytogenetics 25-99
|
$62.98 |
$62.98 |
$62.98 |
$189.80
|
|
Cytogenetics 3-5
|
$135.22 |
$135.22 |
$135.22 |
$147.36
|
|
Cytogenomic neo microra alys
|
$2,990.69 |
$2,990.69 |
$2,990.69 |
$2,198.00
|