|
Creatine kinase mb
|
$38.25 |
$38.25 |
$38.25 |
$100.75
|
|
Creatine - sendout
|
$16.50 |
$16.50 |
$16.50 |
$35.10
|
|
Creatinine
|
$12.75 |
$12.75 |
$12.75 |
$40.00
|
|
Creatinine 24 hour urine
|
$21.75 |
$21.75 |
$21.75 |
$54.40
|
|
Creatinine clearance urine
|
$29.25 |
$29.25 |
$29.25 |
$73.86
|
|
Crisis psychotherapy 90839
|
$401.25 |
$401.25 |
$401.25 |
$326.34
|
|
Critical care 30-74 minutes
|
$247.50 |
$247.50 |
$247.50 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$115.50 |
$115.50 |
$115.50 |
$663.00
|
|
Crystal identification light microscopy
|
$29.25 |
$29.25 |
$29.25 |
$56.44
|
|
Cta neck without &/or w/contrast
|
$75.00 |
$75.00 |
$75.00 |
$1,772.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$113.25 |
$113.25 |
$113.25 |
$1,728.80
|
|
CT lower extremity without contrast (both sides)
|
$60.75 |
$60.75 |
$60.75 |
$1,302.00
|
|
CT neck soft tissue w/contrast
|
$81.75 |
$81.75 |
$81.75 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$75.00 |
$75.00 |
$75.00 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$85.50 |
$85.50 |
$85.50 |
$1,752.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$74.25 |
$74.25 |
$74.25 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$115.50 |
$115.50 |
$115.50 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$100.50 |
$100.50 |
$100.50 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$99.00 |
$99.00 |
$99.00 |
$2,240.40
|
|
CT thoracic spine without contrast
|
$60.75 |
$60.75 |
$60.75 |
$1,381.20
|
|
CT upper extremity without contrast (both sides)
|
$60.75 |
$60.75 |
$60.75 |
$1,408.54
|
|
Culture aerobic additional method definitive id each
|
$27.00 |
$27.00 |
$27.00 |
$61.03
|
|
Culture anaerobic additional method definitive id each
|
$33.00 |
$33.00 |
$33.00 |
$73.00
|
|
Culture anaerobic except blood
|
$16.50 |
$16.50 |
$16.50 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$9.00 |
$9.00 |
$9.00 |
$49.40
|
|
Culture body fluid
|
$31.50 |
$31.50 |
$31.50 |
$111.15
|
|
Culture fungi other (except blood)
|
$17.25 |
$17.25 |
$17.25 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$29.25 |
$29.25 |
$29.25 |
$74.75
|
|
Culture screening strep group a
|
$43.50 |
$43.50 |
$43.50 |
$76.00
|
|
Culture urine each isolate
|
$29.25 |
$29.25 |
$29.25 |
$44.80
|
|
Curette/treat cornea
|
$316.50 |
$316.50 |
$316.50 |
$2,582.26
|
|
Cv stress test i&r only 93018
|
$80.25 |
$80.25 |
$80.25 |
$42.00
|
|
Cv stress test/supervision only 93016
|
$35.25 |
$35.25 |
$35.25 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$12.60 |
$12.60 |
$12.60 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$195.75 |
$195.75 |
$195.75 |
$91.20
|
|
Cyclosporine 2 hour
|
$220.50 |
$220.50 |
$220.50 |
$126.10
|
|
Cytomegalovirus (cmv) antibody igg
|
$31.50 |
$31.50 |
$31.50 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$31.50 |
$31.50 |
$31.50 |
$95.00
|
|
Cyto/molecular report
|
$216.00 |
$216.00 |
$216.00 |
$91.65
|
|
Cytopathology cellular enhancement technique non-gyn
|
$171.00 |
$171.00 |
$171.00 |
$163.43
|
|
Cytopath smear oth prep screen & interp
|
$72.00 |
$72.00 |
$72.00 |
$95.00
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$542.25 |
$542.25 |
$542.25 |
$3,627.00
|
|
Dch glucoscan
|
$15.75 |
$15.75 |
$15.75 |
$28.10
|
|
Dch validity tests
|
$12.00 |
$12.00 |
$12.00 |
$25.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$90.00 |
$90.00 |
$90.00 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$30.75 |
$30.75 |
$30.75 |
$313.30
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$125.25 |
$125.25 |
$125.25 |
$779.35
|
|
Debride nail1-5 11720
|
$32.25 |
$32.25 |
$32.25 |
$186.88
|
|
Debride nail6 or more 11721
|
$53.25 |
$53.25 |
$53.25 |
$200.21
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$14.25 |
$14.25 |
$14.25 |
$165.60
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$483.00 |
$483.00 |
$483.00 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$104.32 |
$104.32 |
$104.32 |
$337.07
|
|
Destroy premlg lesns;1st lesn 17000
|
$70.50 |
$70.50 |
$70.50 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$83.25 |
$83.25 |
$83.25 |
$250.20
|
|
Destruction 2-14 lesions 17003
|
$10.50 |
$10.50 |
$10.50 |
$78.61
|
|
Destruction anal lesion(s) smpl chem 46900
|
$278.25 |
$278.25 |
$278.25 |
$496.60
|
|
Destruction benign lesions < 14 lesions
|
$88.50 |
$88.50 |
$88.50 |
$231.52
|
|
Destruction penis lesion(s) chem 54050
|
$423.75 |
$423.75 |
$423.75 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$210.00 |
$210.00 |
$210.00 |
$442.61
|
|
Developmental screen/score/document 96110
|
$21.75 |
$21.75 |
$21.75 |
$126.75
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$86.25 |
$86.25 |
$86.25 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$20.64 |
$20.64 |
$20.64 |
$4.87
|
|
Dhea-s (dehydroepiand sulfate)
|
$69.75 |
$69.75 |
$69.75 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$31.50 |
$31.50 |
$31.50 |
$70.00
|
|
Diabetes training group per 30 min g0109
|
$34.50 |
$34.50 |
$34.50 |
$33.00
|
|
Diagnostic anoscopy spx 46600
|
$57.00 |
$57.00 |
$57.00 |
$252.00
|
|
Diagnostic laryngoscopy 31505
|
$102.75 |
$102.75 |
$102.75 |
$229.07
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$42.12
|
|
Diffusing capacity
|
$123.75 |
$123.75 |
$123.75 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$22.50 |
$22.50 |
$22.50 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$42.75 |
$42.75 |
$42.75 |
$92.95
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.21 |
$2.21 |
$2.21 |
$9.29
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$23.25 |
$23.25 |
$23.25 |
$67.32
|
|
Dna antibody native/double stranded
|
$20.25 |
$20.25 |
$20.25 |
$101.40
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$28.50 |
$28.50 |
$28.50 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$24.75 |
$24.75 |
$24.75 |
$463.20
|
|
Drainage external ear simple 69000
|
$302.25 |
$302.25 |
$302.25 |
$800.00
|
|
Drainage of arm bursa 23931
|
$382.50 |
$382.50 |
$382.50 |
$2,437.50
|
|
Drain blood from under nail 11740
|
$75.00 |
$75.00 |
$75.00 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$231.00 |
$231.00 |
$231.00 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$191.25 |
$191.25 |
$191.25 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$159.75 |
$159.75 |
$159.75 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$393.00 |
$393.00 |
$393.00 |
$515.00
|
|
Drng of finger abscess comp 26011
|
$390.75 |
$390.75 |
$390.75 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$265.50 |
$265.50 |
$265.50 |
$1,997.89
|
|
Ear irrigation 69209
|
$15.75 |
$15.75 |
$15.75 |
$152.50
|
|
Ecg 12 lead tracing only
|
$25.50 |
$25.50 |
$25.50 |
$222.30
|
|
Ecg external < 48 hours scanning analysis w/report
|
$63.75 |
$63.75 |
$63.75 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$162.75 |
$162.75 |
$162.75 |
$2,021.12
|
|
EKG (Electrocardiogram)
|
$52.50 |
$52.50 |
$52.50 |
$128.80
|
|
EKG for initial prevent exam g0403
|
$33.75 |
$33.75 |
$33.75 |
$33.75
|
|
EKG interpret & report preve g0405
|
$15.75 |
$15.75 |
$15.75 |
$8.45
|
|
Elec analys infus pump w/reprog 62368
|
$86.25 |
$86.25 |
$86.25 |
$606.10
|
|
Electrolyte panel
|
$24.00 |
$24.00 |
$24.00 |
$68.56
|
|
Emb without cervical dilation 58100
|
$139.50 |
$139.50 |
$139.50 |
$426.66
|
|
Endome abla/them without hystero guide 58353
|
$2,985.75 |
$2,985.75 |
$2,985.75 |
$4,317.40
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$60.00 |
$60.00 |
$60.00 |
$43.20
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$33.75 |
$33.75 |
$33.75 |
$379.58
|
|
Epstein barr early antigen antibody
|
$18.75 |
$18.75 |
$18.75 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$99.00 |
$99.00 |
$99.00 |
$88.80
|