|
Crnop w/autograft>5 cm diam
|
$891.88 |
$891.88 |
$891.88 |
$3,375.20
|
|
Cross-over vein graft
|
$601.70 |
$601.70 |
$601.70 |
$5,983.35
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$470.80 |
$470.80 |
$470.80 |
$2,522.88
|
|
Cryoablate prostate
|
$473.00 |
$473.00 |
$473.00 |
$13,016.74
|
|
Cryocautery of cervix 57511
|
$90.64 |
$90.64 |
$90.64 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$74.10 |
$74.10 |
$74.10 |
$52.50
|
|
Cryopreservation embryo(s)
|
$264.00 |
$264.00 |
$264.00 |
$962.03
|
|
Cryopreservation oocyte(s)
|
$264.00 |
$264.00 |
$264.00 |
$368.68
|
|
Cryopreservation sperm
|
$55.00 |
$55.00 |
$55.00 |
$234.27
|
|
Cryopreserve stem cells
|
$29.04 |
$29.04 |
$29.04 |
$2,666.50
|
|
Cryosurg ablate fa each
|
$129.58 |
$129.58 |
$129.58 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$69.74 |
$69.74 |
$69.74 |
$271.20
|
|
Cryotherapy of acne 17340
|
$30.36 |
$30.36 |
$30.36 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$9.68 |
$9.68 |
$9.68 |
$89.70
|
|
Cryptosporidium antigen
|
$63.18 |
$63.18 |
$63.18 |
$52.08
|
|
Crystal identification light microscopy
|
$39.00 |
$39.00 |
$39.00 |
$66.40
|
|
C-Section Delivery (full care)
|
$1,653.74 |
$1,653.74 |
$1,653.74 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$826.98 |
$826.98 |
$826.98 |
$2,577.60
|
|
Csf leakage imaging
|
$14.96 |
$14.96 |
$14.96 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$28.38 |
$28.38 |
$28.38 |
$535.00
|
|
Csf ventriculography
|
$17.82 |
$17.82 |
$17.82 |
$877.00
|
|
Cstb gene detc abnor allele
|
$90.64 |
$90.64 |
$90.64 |
$150.70
|
|
Cstb gene full gene sequence
|
$181.28 |
$181.28 |
$181.28 |
$302.31
|
|
Cstb gene known famil vrnt
|
$122.32 |
$122.32 |
$122.32 |
$304.59
|
|
CT 3d report other modality w/workstation
|
$990.60 |
$990.60 |
$990.60 |
$665.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$2,002.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,029.52 |
$3,029.52 |
$3,029.52 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,916.50
|
|
CT Angiogram of the Head
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,889.70
|
|
CT angio hrt w/3d image
|
$69.74 |
$69.74 |
$69.74 |
$1,428.68
|
|
CT angio pelvis
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,816.50
|
|
Cta upper extremity w &/or without contrast left
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,697.80
|
|
CT bone density axial
|
$7.26 |
$7.26 |
$7.26 |
$385.15
|
|
CT colonography dx
|
$70.40 |
$70.40 |
$70.40 |
$811.41
|
|
CT colonography dx w/dye
|
$73.26 |
$73.26 |
$73.26 |
$1,069.25
|
|
CT colonography screening
|
$69.52 |
$69.52 |
$69.52 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,305.68 |
$2,305.68 |
$2,305.68 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$451.62 |
$451.62 |
$451.62 |
$1,215.06
|
|
CT guid parench tis ablat
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$16.94 |
$16.94 |
$16.94 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$74.36 |
$74.36 |
$74.36 |
$1,395.79
|
|
CT hrt w/3d image
|
$50.60 |
$50.60 |
$50.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$747.24 |
$747.24 |
$747.24 |
$640.48
|
|
CT lwr extremity w/o&w/dye
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$543.66 |
$543.66 |
$543.66 |
$425.60
|
|
CT scan for localization
|
$37.84 |
$37.84 |
$37.84 |
$1,216.80
|
|
CT scan for therapy guide
|
$27.94 |
$27.94 |
$27.94 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,786.90 |
$3,786.90 |
$3,786.90 |
$3,472.30
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,029.52 |
$3,029.52 |
$3,029.52 |
$2,872.84
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,050.62 |
$2,050.62 |
$2,050.62 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,982.40
|
|
CT uppr extremity w/o&w/dye
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$575.52 |
$575.52 |
$575.52 |
$1,291.35
|
|
Cult skin graft fnhfg 15155
|
$450.56 |
$450.56 |
$450.56 |
$4,052.18
|
|
Cult skin grft t/arm/leg
|
$395.56 |
$395.56 |
$395.56 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$42.90 |
$42.90 |
$42.90 |
$72.00
|
|
Culture afb any source
|
$56.94 |
$56.94 |
$56.94 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$42.90 |
$42.90 |
$42.90 |
$84.76
|
|
Culture anaerobic except blood
|
$49.92 |
$49.92 |
$49.92 |
$120.78
|
|
Culture bacteria anaerobic
|
$6.16 |
$6.16 |
$6.16 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$49.92 |
$49.92 |
$49.92 |
$52.50
|
|
Culture body fluid
|
$46.02 |
$46.02 |
$46.02 |
$126.72
|
|
Culture fungi definitive id mold
|
$6.60 |
$6.60 |
$6.60 |
$80.00
|
|
Culture fungi definitive id yeast
|
$54.60 |
$54.60 |
$54.60 |
$80.00
|
|
Culture fungi other (except blood)
|
$44.46 |
$44.46 |
$44.46 |
$111.09
|
|
Culture fungi skin/hair/nail
|
$40.56 |
$40.56 |
$40.56 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$9.68 |
$9.68 |
$9.68 |
$100.00
|
|
Culture mycoplasma any source
|
$10.12 |
$10.12 |
$10.12 |
$83.21
|
|
Culture of specimen by kit
|
$18.04 |
$18.04 |
$18.04 |
$49.00
|
|
Culture quantitative aerobic other source
|
$6.60 |
$6.60 |
$6.60 |
$86.40
|
|
Culture screening strep group a
|
$35.10 |
$35.10 |
$35.10 |
$84.50
|
|
Culture type pulse field gel
|
$5.28 |
$5.28 |
$5.28 |
$38.58
|
|
Culture typing added method
|
$5.28 |
$5.28 |
$5.28 |
$38.70
|
|
Culture typing glc/hplc
|
$8.36 |
$8.36 |
$8.36 |
$53.54
|
|
Culture typing immunologic
|
$27.30 |
$27.30 |
$27.30 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$23.32 |
$23.32 |
$23.32 |
$140.80
|
|
Culture urine each isolate
|
$42.90 |
$42.90 |
$42.90 |
$55.25
|
|
Culture virus isolation
|
$12.76 |
$12.76 |
$12.76 |
$118.50
|
|
Curette/treat cornea
|
$2,266.68 |
$2,266.68 |
$2,266.68 |
$1,370.74
|
|
Curette/treat cornea
|
$224.62 |
$224.62 |
$224.62 |
$2,818.14
|
|
Cv line/pic reposition
|
$3,635.58 |
$3,635.58 |
$3,635.58 |
$1,697.72
|
|
Cv stress test i&r only 93018
|
$8.80 |
$8.80 |
$8.80 |
$35.20
|
|
Cv stress test/supervision only 93016
|
$12.76 |
$12.76 |
$12.76 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$9.24 |
$9.24 |
$9.24 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$5.38 |
$5.38 |
$5.38 |
$25.30
|
|
Cyclic citrullinated peptide antibody
|
$68.64 |
$68.64 |
$68.64 |
$72.50
|
|
Cyclosporine 2 hour
|
$95.16 |
$95.16 |
$95.16 |
$130.02
|
|
Cyp3a4 gene common variants
|
$115.28 |
$115.28 |
$115.28 |
$241.24
|
|
Cyp3a5 gene common variants
|
$115.28 |
$115.28 |
$115.28 |
$245.31
|
|
Cystatin c
|
$97.50 |
$97.50 |
$97.50 |
$78.00
|
|
Cystic fibrosis cftr
|
$329.56 |
$329.56 |
$329.56 |
$1,104.40
|
|
Cystine urine quantitative
|
$14.96 |
$14.96 |
$14.96 |
$100.70
|
|
Cysto cgen post urtl valves
|
$294.36 |
$294.36 |
$294.36 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$588.77
|
|
Cysto impl 4 or more
|
$2,150.28 |
$2,150.28 |
$2,150.28 |
$6,860.21
|
|
Cysto insj dev ischmc rmdlg
|
$101.20 |
$101.20 |
$101.20 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$64.68 |
$64.68 |
$64.68 |
$857.38
|