|
Creatine kinase isoenzymes
|
$14.73 |
$14.73 |
$14.73 |
$46.34
|
|
Creatine kinase mb
|
$12.71 |
$12.71 |
$12.71 |
$111.00
|
|
Creatine - sendout
|
$5.10 |
$5.10 |
$5.10 |
$39.00
|
|
Creatinine
|
$5.63 |
$5.63 |
$5.63 |
$44.10
|
|
Creatinine 24 hour urine
|
$5.70 |
$5.70 |
$5.70 |
$59.80
|
|
Creatinine clearance urine
|
$10.41 |
$10.41 |
$10.41 |
$87.50
|
|
#creutz-prot.,western blot
|
$32.13 |
$32.13 |
$32.13 |
$173.00
|
|
Cricopharyngeal myotomy 43030
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,419.00
|
|
Cricotracheal resection
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,741.00
|
|
Crisis psychotherapy 90839
|
$158.54 |
$158.54 |
$158.54 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,323.03 |
$1,323.03 |
$1,323.03 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$423.10 |
$423.10 |
$423.10 |
$777.00
|
|
Cross-over vein graft
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,339.00
|
|
Cryoablate prostate
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$10,890.00
|
|
Cryocautery of cervix 57511
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$15.55 |
$15.55 |
$15.55 |
$50.88
|
|
Cryoprecipitate each unit
|
$217.49 |
$217.49 |
$217.49 |
$185.64
|
|
Cryopreserve stem cells
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,588.88
|
|
Cryosurg ablate fa each
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,531.42
|
|
Cryosurgery penis lesion(s) 54056
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$288.05
|
|
Cryotherapy of acne 17340
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$97.80
|
|
Cryptococcus abs qn - sendout
|
$15.85 |
$15.85 |
$15.85 |
$70.00
|
|
Cryptosporidium antigen
|
$13.18 |
$13.18 |
$13.18 |
$56.00
|
|
Crystal identification light microscopy
|
$8.06 |
$8.06 |
$8.06 |
$65.25
|
|
Csf leakage imaging
|
$1,111.24 |
$1,111.24 |
$1,111.24 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$497.60
|
|
Cta abdomen without & /or w/contrast
|
$1,011.65 |
$1,011.65 |
$1,011.65 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$983.36 |
$983.36 |
$983.36 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$772.76 |
$772.76 |
$772.76 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,024.01 |
$1,024.01 |
$1,024.01 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$954.84 |
$954.84 |
$954.84 |
$1,955.80
|
|
CT Angiogram of the Head
|
$619.92 |
$619.92 |
$619.92 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$543.14 |
$543.14 |
$543.14 |
$1,588.60
|
|
CT angio pelvis
|
$618.02 |
$618.02 |
$618.02 |
$1,775.28
|
|
CT guidance for needle placement
|
$642.02 |
$642.02 |
$642.02 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$373.18 |
$373.18 |
$373.18 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$540.05 |
$540.05 |
$540.05 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$13.31 |
$13.31 |
$13.31 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$479.44 |
$479.44 |
$479.44 |
$1,217.45
|
|
CT hrt w/3d image
|
$378.41 |
$378.41 |
$378.41 |
$1,418.60
|
|
CT neck soft tissue w/contrast
|
$714.28 |
$714.28 |
$714.28 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$510.81 |
$510.81 |
$510.81 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$735.68 |
$735.68 |
$735.68 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$593.29 |
$593.29 |
$593.29 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$563.11 |
$563.11 |
$563.11 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$478.49 |
$478.49 |
$478.49 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,081.29 |
$1,081.29 |
$1,081.29 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$856.90 |
$856.90 |
$856.90 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$722.60 |
$722.60 |
$722.60 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$588.30 |
$588.30 |
$588.30 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$477.30 |
$477.30 |
$477.30 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$488.94 |
$488.94 |
$488.94 |
$400.20
|
|
CT t-spine w /wo contrast
|
$725.69 |
$725.69 |
$725.69 |
$2,030.60
|
|
Cult skin graft fnhfg 15155
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,528.11
|
|
Cult skin grft t/arm/leg
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,164.64
|
|
Culture aerobic additional method definitive id each
|
$8.89 |
$8.89 |
$8.89 |
$63.75
|
|
Culture afb any source
|
$11.88 |
$11.88 |
$11.88 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$8.89 |
$8.89 |
$8.89 |
$77.31
|
|
Culture anaerobic except blood
|
$10.42 |
$10.42 |
$10.42 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$10.38 |
$10.38 |
$10.38 |
$52.80
|
|
Culture body fluid
|
$9.48 |
$9.48 |
$9.48 |
$130.50
|
|
Culture fungi definitive id mold
|
$11.35 |
$11.35 |
$11.35 |
$70.00
|
|
Culture fungi definitive id yeast
|
$11.35 |
$11.35 |
$11.35 |
$80.60
|
|
Culture fungi other (except blood)
|
$9.25 |
$9.25 |
$9.25 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$8.48 |
$8.48 |
$8.48 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$16.07 |
$16.07 |
$16.07 |
$84.75
|
|
Culture mycoplasma any source
|
$16.93 |
$16.93 |
$16.93 |
$90.37
|
|
Culture quantitative aerobic other source
|
$10.88 |
$10.88 |
$10.88 |
$87.02
|
|
Culture screening strep group a
|
$7.29 |
$7.29 |
$7.29 |
$81.60
|
|
Culture typing added method
|
$8.51 |
$8.51 |
$8.51 |
$34.45
|
|
Culture typing immunologic
|
$5.70 |
$5.70 |
$5.70 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$239.87 |
$239.87 |
$239.87 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$38.60 |
$38.60 |
$38.60 |
$124.40
|
|
Culture urine each isolate
|
$8.90 |
$8.90 |
$8.90 |
$46.20
|
|
Culture virus isolation
|
$21.52 |
$21.52 |
$21.52 |
$39.20
|
|
Curette/treat cornea
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,317.39
|
|
Curette/treat cornea
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,818.14
|
|
Cv line/pic reposition
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$15.75 |
$15.75 |
$15.75 |
$60.00
|
|
Cyclic citrullinated peptide antibody
|
$14.25 |
$14.25 |
$14.25 |
$80.05
|
|
Cyclosporine 2 hour
|
$19.86 |
$19.86 |
$19.86 |
$121.80
|
|
Cyp2c19 gene com variants
|
$320.50 |
$320.50 |
$320.50 |
$567.75
|
|
Cyp2c9 gene com variants
|
$192.29 |
$192.29 |
$192.29 |
$275.10
|
|
Cyp2d6 gene com variants
|
$496.00 |
$496.00 |
$496.00 |
$537.50
|
|
Cyp3a4 gene common variants
|
$192.29 |
$192.29 |
$192.29 |
$230.01
|
|
Cyp3a5 gene common variants
|
$192.29 |
$192.29 |
$192.29 |
$220.50
|
|
Cystatin c
|
$20.37 |
$20.37 |
$20.37 |
$82.26
|
|
Cystic fibrosis cftr
|
$548.90 |
$548.90 |
$548.90 |
$1,041.95
|
|
Cystine urine quantitative
|
$25.28 |
$25.28 |
$25.28 |
$103.35
|
|
Cysto cgen post urtl valves
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,081.37
|
|
Cystogram >= 3 views supervision & interpretation
|
$289.99 |
$289.99 |
$289.99 |
$539.55
|
|
Cystometrogram w/up 51727
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$857.38
|
|
Cystorrhaphy wound simple 51860
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,627.00
|
|
Cysto rx balo cath urtl strx
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,061.71
|
|
Cystoscopy and radiotracer
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,081.37
|
