|
Create eardrum opening
|
$5,858.64 |
$5,858.64 |
$5,858.64 |
|
|
Create tear duct drain
|
$10,411.83 |
$10,411.83 |
$10,411.83 |
|
|
Creatine kinase
|
$23.25 |
$76.70 |
$100.10 |
|
|
Creatine kinase isoenzymes
|
$45.75 |
$76.70 |
$107.90 |
|
|
Creatine kinase mb
|
$38.25 |
$118.30 |
$217.75 |
|
|
Creatine - sendout
|
$16.50 |
$16.50 |
$61.10 |
|
|
Creatinine
|
$12.75 |
$54.60 |
$100.10 |
|
|
Creatinine 24 hour urine
|
$21.75 |
$66.95 |
$120.25 |
|
|
Creatinine clearance urine
|
$29.25 |
$114.40 |
$176.15 |
|
|
#creutz-prot.,western blot
|
$130.65 |
$168.35 |
$258.70 |
|
|
Crisis psychotherapy 90839
|
$143.65 |
$193.05 |
$553.15 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$70.85 |
$70.85 |
$152.10 |
|
|
Critical care 30-74 minutes
|
$247.50 |
$1,660.75 |
$2,627.30 |
|
|
Critical care each additional 30 minutes
|
$115.50 |
$488.15 |
$1,334.45 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$5,349.08 |
$5,349.08 |
$5,349.08 |
|
|
Crotalidae poly immune fab
|
$6,236.10 |
$6,236.10 |
$7,795.12 |
|
|
Cryocautery of cervix 57511
|
$10,507.11 |
$10,507.11 |
$10,507.11 |
|
|
Cryofibrinogen qualitative - sendout
|
$37.70 |
$46.15 |
$88.40 |
|
|
Cryoprecipitate each unit
|
$109.85 |
$155.35 |
$317.20 |
|
|
Cryosurgery penis lesion(s) 54056
|
$89.05 |
$89.05 |
$89.05 |
|
|
Cryptosporidium antigen
|
$114.40 |
$114.40 |
$114.40 |
|
|
Crystal identification light microscopy
|
$16.25 |
$64.35 |
$89.05 |
|
|
Csf leakage imaging
|
$1,271.40 |
$1,271.40 |
$2,358.85 |
|
|
Csf ventriculography
|
$1,585.35 |
$1,585.35 |
$1,585.35 |
|
|
CT 3d report other modality w/workstation
|
$582.40 |
$612.95 |
$1,119.95 |
|
|
Cta abdomen without & /or w/contrast
|
$1,185.60 |
$1,948.70 |
$2,393.95 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,181.70 |
$2,328.95 |
$2,710.50 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,385.50 |
$2,681.25 |
$4,275.05 |
|
|
Cta neck without &/or w/contrast
|
$75.00 |
$2,006.55 |
$2,967.90 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,225.25 |
$3,262.35 |
$4,096.30 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$113.25 |
$2,057.90 |
$2,866.50 |
|
|
CT Angiogram of the Head
|
$1,359.80 |
$1,955.20 |
$2,841.15 |
|
|
CT angio hrt w/3d image
|
$1,907.75 |
$2,146.95 |
$2,257.45 |
|
|
CT angio pelvis
|
$772.85 |
$1,419.60 |
$2,361.45 |
|
|
Cta upper extremity w &/or without contrast left
|
$1,834.95 |
$1,964.95 |
$3,523.00 |
|
|
CT cerebral perf w cont & prcssng
|
$585.00 |
$585.00 |
$706.55 |
|
|
CT colonography dx
|
$639.60 |
$639.60 |
$639.60 |
|
|
CT colonography dx w/dye
|
$772.20 |
$772.20 |
$772.20 |
|
|
CT guidance for needle placement
|
$1,801.80 |
$1,805.05 |
$1,858.35 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$887.25 |
$1,201.20 |
$1,223.30 |
|
|
CT guid parench tis ablat
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
|
|
CT heart w/evaluation of calcium without contrast
|
$35.75 |
$84.50 |
$171.60 |
|
|
CT hrt c+ strux cgen hrt ds
|
$1,850.55 |
$1,850.55 |
$2,403.05 |
|
|
CT hrt w/3d image
|
$770.90 |
$770.90 |
$1,575.60 |
|
|
CT limited or localized follow-up study
|
$587.60 |
$695.50 |
$732.55 |
|
|
CT lower extremity w/contrast (both sides)
|
$1,426.75 |
$1,864.85 |
$2,951.65 |
|
|
CT lower extremity without contrast (both sides)
|
$60.75 |
$1,864.85 |
$2,629.25 |
|
|
CT lwr extremity w/o&w/dye
|
$1,732.90 |
$1,817.40 |
$3,358.55 |
|
|
CT neck soft tissue w/contrast
|
$81.75 |
$1,444.30 |
$2,193.75 |
|
|
CT neck soft tissue without contrast
|
$75.00 |
$1,191.45 |
$2,126.80 |
|
|
CT neck soft tissue without & w/contrast
|
$85.50 |
$1,794.00 |
$2,059.85 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,403.35 |
$1,855.10 |
$2,010.45 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,329.90 |
$1,540.50 |
$1,740.05 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$74.25 |
$1,370.85 |
$1,472.90 |
|
|
Ctrl nosebld postir subsq 30906
|
$500.50 |
$500.50 |
$569.40 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$115.50 |
$2,674.10 |
$4,526.60 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$100.50 |
$2,374.45 |
$4,156.75 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$99.00 |
$2,148.25 |
$3,736.20 |
|
|
CT thoracic spine w/contrast
|
$1,329.90 |
$1,832.35 |
$2,143.70 |
|
|
CT thoracic spine without contrast
|
$60.75 |
$1,326.65 |
$1,883.05 |
|
|
CT thorax low dose for lung screening without contrast
|
$237.90 |
$801.45 |
$1,129.70 |
|
|
CT t-spine w /wo contrast
|
$2,059.85 |
$2,174.90 |
$2,994.55 |
|
|
CT upper extremity w/contrast (both sides)
|
$1,203.15 |
$1,448.20 |
$2,260.70 |
|
|
CT upper extremity without contrast (both sides)
|
$60.75 |
$1,291.55 |
$2,946.45 |
|
|
CT uppr extremity w/o&w/dye
|
$1,652.95 |
$1,855.75 |
$2,583.75 |
|
|
Culture aerobic additional method definitive id each
|
$27.00 |
$70.85 |
$81.25 |
|
|
Culture afb any source
|
$70.20 |
$139.75 |
$159.25 |
|
|
Culture anaerobic additional method definitive id each
|
$33.00 |
$79.95 |
$135.85 |
|
|
Culture anaerobic except blood
|
$16.50 |
$172.25 |
$213.20 |
|
|
Culture bact stool aero addl path ea
|
$9.00 |
$54.60 |
$73.45 |
|
|
Culture body fluid
|
$31.50 |
$141.70 |
$180.05 |
|
|
Culture fungi definitive id mold
|
$43.55 |
$60.45 |
$72.15 |
|
|
Culture fungi definitive id yeast
|
$60.45 |
$65.00 |
$111.15 |
|
|
Culture fungi other (except blood)
|
$17.25 |
$131.95 |
$152.75 |
|
|
Culture fungi skin/hair/nail
|
$29.25 |
$74.75 |
$130.65 |
|
|
Culture mycobacteria definitive id each isolate
|
$70.85 |
$83.20 |
$96.85 |
|
|
Culture mycoplasma any source
|
$63.05 |
$101.40 |
$126.10 |
|
|
Culture quantitative aerobic other source
|
$98.15 |
$98.15 |
$137.15 |
|
|
Culture screening strep group a
|
$43.50 |
$88.40 |
$134.55 |
|
|
Culture typing immunologic
|
$16.25 |
$50.70 |
$57.20 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$488.80 |
$634.40 |
$762.45 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$22.75 |
$26.00 |
$37.05 |
|
|
Culture urine each isolate
|
$29.25 |
$51.35 |
$102.70 |
|
|
Curette/treat cornea
|
$13,859.56 |
$13,859.56 |
$13,859.56 |
|
|
Curette/treat cornea
|
$316.50 |
$316.50 |
$2,353.00 |
|
|
Cv line/pic reposition
|
$1,554.15 |
$1,554.15 |
$51,392.17 |
|
|
Cv stress test i&r only 93018
|
$80.25 |
$87.10 |
$96.85 |
|
|
Cv stress test/supervision only 93016
|
$35.25 |
$78.00 |
$91.00 |
|
|
Cyanocobalamin unsat binding capacity
|
$312.65 |
$312.65 |
$312.65 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$14.36 |
|
|
Cyclic citrullinated peptide antibody
|
$60.45 |
$113.75 |
$195.75 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$529.11 |
$1,187.92 |
$2,388.42 |
|
|
Cyclophosphamide 25 mg capsule
|
$35.75 |
$35.75 |
$1,605.21 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$219.42 |
$219.42 |
$219.42 |
|
|
Cyclosporine 2 hour
|
$131.30 |
$220.50 |
$284.70 |
|
|
Cyclosporine modified 25 mg capsule
|
$4.87 |
$4.87 |
$9.88 |
|
|
Cyclosporine oral 100 mg
|
$16.07 |
$16.07 |
$39.04 |
|
|
Cyp2c19 gene com variants
|
$502.45 |
$585.65 |
$770.90 |
|
|
Cyp3a4 gene common variants
|
$360.10 |
$410.80 |
$538.85 |
|
|
Cystatin c
|
$67.60 |
$90.35 |
$115.70 |
|