|
C-peptide
|
$79.92 |
$79.92 |
$79.92 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$773.52 |
$773.52 |
$773.52 |
$1,217.60
|
|
C-reactive protein
|
$32.40 |
$32.40 |
$32.40 |
$63.00
|
|
C-reactive protein high sensitivity
|
$54.00 |
$54.00 |
$54.00 |
$81.95
|
|
Creatine kinase
|
$60.48 |
$60.48 |
$60.48 |
$63.00
|
|
Creatine kinase mb
|
$85.68 |
$85.68 |
$85.68 |
$112.79
|
|
Creatine - sendout
|
$26.88 |
$26.88 |
$26.88 |
$39.00
|
|
Creatinine
|
$50.88 |
$50.88 |
$50.88 |
$44.72
|
|
Creatinine 24 hour urine
|
$49.68 |
$49.68 |
$49.68 |
$59.04
|
|
Creatinine clearance urine
|
$121.20 |
$121.20 |
$121.20 |
$87.20
|
|
#creutz-prot.,western blot
|
$52.32 |
$52.32 |
$52.32 |
$166.20
|
|
Crisis psychotherapy 90839
|
$100.80 |
$100.80 |
$100.80 |
$313.30
|
|
Critical care 30-74 minutes
|
$405.84 |
$405.84 |
$405.84 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$405.84 |
$405.84 |
$405.84 |
$731.40
|
|
Cryoprecipitate each unit
|
$66.24 |
$66.24 |
$66.24 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$44.88 |
$44.88 |
$44.88 |
$82.80
|
|
Cryptosporidium antigen
|
$26.16 |
$26.16 |
$26.16 |
$52.08
|
|
Crystal identification light microscopy
|
$29.76 |
$29.76 |
$29.76 |
$61.50
|
|
CT 3d report other modality w/workstation
|
$520.32 |
$520.32 |
$520.32 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$2,026.74
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,027.92 |
$1,027.92 |
$1,027.92 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,013.84 |
$2,013.84 |
$2,013.84 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$979.44 |
$979.44 |
$979.44 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$927.36 |
$927.36 |
$927.36 |
$1,509.00
|
|
CT angio pelvis
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,007.52 |
$1,007.52 |
$1,007.52 |
$1,689.80
|
|
CT guidance for needle placement
|
$820.08 |
$820.08 |
$820.08 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$378.24 |
$378.24 |
$378.24 |
$1,113.84
|
|
CT heart w/evaluation of calcium without contrast
|
$64.56 |
$64.56 |
$64.56 |
$187.72
|
|
CT hrt w/3d image
|
$927.36 |
$927.36 |
$927.36 |
$1,373.40
|
|
CT limited or localized follow-up study
|
$402.96 |
$402.96 |
$402.96 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$777.36 |
$777.36 |
$777.36 |
$1,619.20
|
|
CT lower extremity without contrast (both sides)
|
$711.12 |
$711.12 |
$711.12 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$849.12 |
$849.12 |
$849.12 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$920.16 |
$920.16 |
$920.16 |
$1,630.23
|
|
CT neck soft tissue without contrast
|
$779.28 |
$779.28 |
$779.28 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$925.44 |
$925.44 |
$925.44 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$868.08 |
$868.08 |
$868.08 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$826.08 |
$826.08 |
$826.08 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$68.64 |
$68.64 |
$68.64 |
$425.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,568.40 |
$1,568.40 |
$1,568.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,381.20 |
$1,381.20 |
$1,381.20 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$863.04 |
$863.04 |
$863.04 |
$1,688.40
|
|
CT thoracic spine without contrast
|
$890.16 |
$890.16 |
$890.16 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$53.28 |
$53.28 |
$53.28 |
$331.50
|
|
CT t-spine w /wo contrast
|
$944.40 |
$944.40 |
$944.40 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$777.36 |
$777.36 |
$777.36 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$711.12 |
$711.12 |
$711.12 |
$1,421.20
|
|
CT uppr extremity w/o&w/dye
|
$849.12 |
$849.12 |
$849.12 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$96.48 |
$96.48 |
$96.48 |
$68.80
|
|
Culture afb any source
|
$27.36 |
$27.36 |
$27.36 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$50.88 |
$50.88 |
$50.88 |
$78.60
|
|
Culture anaerobic except blood
|
$65.28 |
$65.28 |
$65.28 |
$117.45
|
|
Culture bact stool aero addl path ea
|
$39.60 |
$39.60 |
$39.60 |
$51.60
|
|
Culture body fluid
|
$77.04 |
$77.04 |
$77.04 |
$121.80
|
|
Culture fungi other (except blood)
|
$88.80 |
$88.80 |
$88.80 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$7.20 |
$7.20 |
$7.20 |
$75.40
|
|
Culture mycoplasma any source
|
$198.72 |
$198.72 |
$198.72 |
$86.40
|
|
Culture quantitative aerobic other source
|
$6.48 |
$6.48 |
$6.48 |
$89.10
|
|
Culture screening strep group a
|
$123.12 |
$123.12 |
$123.12 |
$81.25
|
|
Culture typing immunologic
|
$18.24 |
$18.24 |
$18.24 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$176.40 |
$176.40 |
$176.40 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$26.40 |
$26.40 |
$26.40 |
$130.38
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$178.25 |
$178.25 |
$178.25 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$60.48 |
$60.48 |
$60.48 |
$72.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$772.38 |
$772.38 |
$772.38 |
$1,284.14
|
|
Cyclophosphamide 25 mg capsule
|
$3.82 |
$3.82 |
$3.82 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$65.15 |
$65.15 |
$65.15 |
$140.78
|
|
Cyclosporine 2 hour
|
$160.08 |
$160.08 |
$160.08 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$1.17 |
$1.17 |
$1.17 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$36.02 |
$36.02 |
$36.02 |
$34.51
|
|
Cyp2d6 gene com variants
|
$285.12 |
$285.12 |
$285.12 |
$525.95
|
|
Cystatin c
|
$12.48 |
$12.48 |
$12.48 |
$76.41
|
|
Cystic fibrosis cftr
|
$404.16 |
$404.16 |
$404.16 |
$1,060.00
|
|
Cystine urine quantitative
|
$69.60 |
$69.60 |
$69.60 |
$101.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$145.20 |
$145.20 |
$145.20 |
$539.55
|
|
Cystoscopy and treatment
|
$1,315.92 |
$1,315.92 |
$1,315.92 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$385.92 |
$385.92 |
$385.92 |
$1,510.30
|
|
Cystourethroscop/calib/dilat stric 52281
|
$637.92 |
$637.92 |
$637.92 |
$3,015.50
|
|
Cytarabine 20 mg/ml injection solution
|
$13.33 |
$13.33 |
$13.33 |
$90.00
|
|
Cytogenetics 25-99
|
$93.60 |
$93.60 |
$93.60 |
$189.80
|
|
Cytogenomic neo microra alys
|
$977.28 |
$977.28 |
$977.28 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$1,302.48 |
$1,302.48 |
$1,302.48 |
$1,341.36
|
|
Cytog genom-wid alys hem mal
|
$909.84 |
$909.84 |
$909.84 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.60 |
$63.60 |
$63.60 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$63.60 |
$63.60 |
$63.60 |
$95.55
|
|
Cytomegalovirus dfa
|
$92.88 |
$92.88 |
$92.88 |
$74.88
|
|
Cytopath fl nongyn filter
|
$15.12 |
$15.12 |
$15.12 |
$78.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$45.84 |
$45.84 |
$45.84 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$60.48 |
$60.48 |
$60.48 |
$87.29
|
|
Cytopathology concentration technique smears & interpretation
|
$15.12 |
$15.12 |
$15.12 |
$134.70
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$15.12 |
$15.12 |
$15.12 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$2.40 |
$2.40 |
$2.40 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$58.32 |
$58.32 |
$58.32 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$33.36 |
$33.36 |
$33.36 |
$207.50
|
