|
Creatinine clearance urine
|
$91.18 |
$91.18 |
$91.18 |
$90.26
|
|
#creutz-prot.,western blot
|
$268.68 |
$268.68 |
$268.68 |
$163.50
|
|
Crisis psychotherapy 90839
|
$109.70 |
$109.70 |
$109.70 |
$313.30
|
|
Critical care each additional 30 minutes
|
$413.88 |
$413.88 |
$413.88 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,808.93 |
$2,808.93 |
$2,808.93 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$4,918.40 |
$4,918.40 |
$4,918.40 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$2,660.90 |
$2,660.90 |
$2,660.90 |
$5,760.00
|
|
Cryo fib comp path redu each
|
$1,179.03 |
$1,179.03 |
$1,179.03 |
$520.00
|
|
Cryofibrinogen qualitative - sendout
|
$68.53 |
$68.53 |
$68.53 |
$52.50
|
|
Cryoprecipitate each unit
|
$90.90 |
$90.90 |
$90.90 |
$144.78
|
|
Cryopreservation embryo(s)
|
$368.68 |
$368.68 |
$368.68 |
$966.69
|
|
Cryopreservation oocyte(s)
|
$368.68 |
$368.68 |
$368.68 |
$368.68
|
|
Cryopreservation sperm
|
$197.38 |
$197.38 |
$197.38 |
$234.27
|
|
Cryopreserve stem cells
|
$2,588.88 |
$2,588.88 |
$2,588.88 |
$2,666.50
|
|
Cryopreserve testicular tiss
|
$72.08 |
$72.08 |
$72.08 |
$72.08
|
|
Cryosurgery penis lesion(s) 54056
|
$388.70 |
$388.70 |
$388.70 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$113.28 |
$113.28 |
$113.28 |
$89.70
|
|
Crystal identification light microscopy
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$599.13 |
$599.13 |
$599.13 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,075.53 |
$2,075.53 |
$2,075.53 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,839.85 |
$2,839.85 |
$2,839.85 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,092.73 |
$2,092.73 |
$2,092.73 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,092.73 |
$2,092.73 |
$2,092.73 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,094.23 |
$2,094.23 |
$2,094.23 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,094.23 |
$2,094.23 |
$2,094.23 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,326.75 |
$2,326.75 |
$2,326.75 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,765.68 |
$1,765.68 |
$1,765.68 |
$1,428.68
|
|
CT angio pelvis
|
$2,092.73 |
$2,092.73 |
$2,092.73 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,599.35 |
$1,599.35 |
$1,599.35 |
$1,691.30
|
|
CT colonography dx
|
$1,975.88 |
$1,975.88 |
$1,975.88 |
$811.41
|
|
CT colonography screening
|
$1,747.40 |
$1,747.40 |
$1,747.40 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,425.85 |
$1,425.85 |
$1,425.85 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$567.78 |
$567.78 |
$567.78 |
$2,039.76
|
|
CT guid parench tis ablat
|
$720.65 |
$720.65 |
$720.65 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$99.58 |
$99.58 |
$99.58 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,998.15 |
$1,998.15 |
$1,998.15 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,350.03 |
$1,350.03 |
$1,350.03 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$659.45 |
$659.45 |
$659.45 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,861.85 |
$2,861.85 |
$2,861.85 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$203.60 |
$203.60 |
$203.60 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,810.23 |
$3,810.23 |
$3,810.23 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,217.18 |
$3,217.18 |
$3,217.18 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,874.83 |
$2,874.83 |
$2,874.83 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,056.85 |
$2,056.85 |
$2,056.85 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$1,291.35 |
$1,291.35 |
$1,291.35 |
$1,291.35
|
|
Culture aerobic additional method definitive id each
|
$61.03 |
$61.03 |
$61.03 |
$72.00
|
|
Culture afb any source
|
$176.08 |
$176.08 |
$176.08 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$73.50 |
$73.50 |
$73.50 |
$84.76
|
|
Culture anaerobic except blood
|
$151.78 |
$151.78 |
$151.78 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$68.10 |
$68.10 |
$68.10 |
$52.50
|
|
Culture body fluid
|
$170.65 |
$170.65 |
$170.65 |
$126.75
|
|
Culture fungi definitive id mold
|
$74.83 |
$74.83 |
$74.83 |
$80.00
|
|
Culture fungi definitive id yeast
|
$93.38 |
$93.38 |
$93.38 |
$80.00
|
|
Culture fungi other (except blood)
|
$170.20 |
$170.20 |
$170.20 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$107.10 |
$107.10 |
$107.10 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$40.55 |
$40.55 |
$40.55 |
$100.00
|
|
Culture mycoplasma any source
|
$119.30 |
$119.30 |
$119.30 |
$83.21
|
|
Culture screening strep group a
|
$76.78 |
$76.78 |
$76.78 |
$84.60
|
|
Culture typing immunologic
|
$36.90 |
$36.90 |
$36.90 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$384.85 |
$384.85 |
$384.85 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.10 |
$32.10 |
$32.10 |
$140.80
|
|
Culture urine each isolate
|
$34.33 |
$34.33 |
$34.33 |
$55.50
|
|
Cutter lead
|
$927.50 |
$927.50 |
$927.50 |
$6,581.45
|
|
Cv line/pic reposition
|
$568.00 |
$568.00 |
$568.00 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$47.45 |
$47.45 |
$47.45 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$93.10 |
$93.10 |
$93.10 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$970.23 |
$970.23 |
$970.23 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$1,829.80 |
$1,829.80 |
$1,829.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$173.78 |
$173.78 |
$173.78 |
$140.78
|
|
Cyclosporine 2 hour
|
$168.30 |
$168.30 |
$168.30 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$311.03 |
$311.03 |
$311.03 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,545.50 |
$1,545.50 |
$1,545.50 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$937.50 |
$937.50 |
$937.50 |
$295.20
|
|
Cygnus, per sq cm
|
$855.00 |
$855.00 |
$855.00 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$5,413.00 |
$5,413.00 |
$5,413.00 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$308.43 |
$308.43 |
$308.43 |
$524.00
|
|
Cystatin c
|
$128.63 |
$128.63 |
$128.63 |
$77.60
|
|
Cystic fibrosis cftr
|
$667.28 |
$667.28 |
$667.28 |
$1,104.40
|
|
Cystine urine quantitative
|
$225.75 |
$225.75 |
$225.75 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$424.25 |
$424.25 |
$424.25 |
$586.95
|
|
Cysto insj dev ischmc rmdlg
|
$4,555.88 |
$4,555.88 |
$4,555.88 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$857.38 |
$857.38 |
$857.38 |
$908.59
|
|
Cystoscopy and treatment
|
$3,944.80 |
$3,944.80 |
$3,944.80 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,160.10 |
$4,160.10 |
$4,160.10 |
$4,638.40
|
|
Cystoscopy and treatment
|
$4,078.65 |
$4,078.65 |
$4,078.65 |
$5,304.00
|
|
Cystoscopy and treatment
|
$1,029.25 |
$1,029.25 |
$1,029.25 |
$2,867.70
|
|
Cystoscopy and treatment
|
$3,219.80 |
$3,219.80 |
$3,219.80 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$404.00 |
$404.00 |
$404.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$2,005.55 |
$2,005.55 |
$2,005.55 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$1,494.90 |
$1,494.90 |
$1,494.90 |
$3,728.50
|
|
Cystouretero & or pyeloscope
|
$4,315.98 |
$4,315.98 |
$4,315.98 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$4,317.10 |
$4,317.10 |
$4,317.10 |
$6,015.75
|
|
Cystourethroscop/calib/dilat stric 52281
|
$360.05 |
$360.05 |
$360.05 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,213.03 |
$3,213.03 |
$3,213.03 |
$4,057.50
|
|
Cysto w/ureter stricture tx
|
$4,616.05 |
$4,616.05 |
$4,616.05 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$225.00 |
$225.00 |
$225.00 |
$90.00
|
|
Cytog alys chrml abnr lw-ps
|
$1,569.53 |
$1,569.53 |
$1,569.53 |
$1,317.73
|
|
Cytogenetics 25-99
|
$270.78 |
$270.78 |
$270.78 |
$189.80
|
