|
Crisis psychotherapy additional 30 mins 90840
|
$219.00 |
$219.00 |
$219.00 |
$149.52
|
|
Critical care each additional 30 minutes
|
$663.00 |
$663.00 |
$663.00 |
$692.25
|
|
Critical Care (first 30 to 74 minutes)
|
$2,937.75 |
$2,937.75 |
$2,937.75 |
$2,540.23
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,069.75 |
$9,069.75 |
$9,069.75 |
$4,288.58
|
|
Cromolyn sodium noncomp unit
|
$48.14 |
$48.14 |
$48.14 |
$10.57
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$5,697.75 |
$5,697.75 |
$5,697.75 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$69.00 |
$69.00 |
$69.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$219.00 |
$219.00 |
$219.00 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$231.00 |
$231.00 |
$231.00 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$206.25 |
$206.25 |
$206.25 |
$89.70
|
|
Crystal identification light microscopy
|
$65.25 |
$65.25 |
$65.25 |
$66.43
|
|
Csf leakage imaging
|
$1,645.50 |
$1,645.50 |
$1,645.50 |
$1,584.00
|
|
CT 3d report other modality w/workstation
|
$633.00 |
$633.00 |
$633.00 |
$664.80
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,807.50 |
$1,807.50 |
$1,807.50 |
$1,984.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,605.50 |
$2,605.50 |
$2,605.50 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,422.50 |
$2,422.50 |
$2,422.50 |
$1,981.74
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,718.75 |
$2,718.75 |
$2,718.75 |
$1,907.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,150.25 |
$2,150.25 |
$2,150.25 |
$1,903.63
|
|
CT Angiogram of the Head
|
$2,237.25 |
$2,237.25 |
$2,237.25 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$1,856.40
|
|
CT angio hrt w/3d image
|
$2,243.25 |
$2,243.25 |
$2,243.25 |
$1,464.10
|
|
CT angio pelvis
|
$2,418.75 |
$2,418.75 |
$2,418.75 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$1,652.25 |
$1,652.25 |
$1,652.25 |
$1,697.80
|
|
CT cerebral perf w cont & prcssng
|
$633.00 |
$633.00 |
$633.00 |
$938.50
|
|
CT colonography dx
|
$2,139.00 |
$2,139.00 |
$2,139.00 |
$848.40
|
|
CT guidance for needle placement
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$1,486.16
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,693.00
|
|
CT guid parench tis ablat
|
$1,282.50 |
$1,282.50 |
$1,282.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$2,051.25 |
$2,051.25 |
$2,051.25 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,418.75 |
$2,418.75 |
$2,418.75 |
$1,395.79
|
|
CT hrt w/3d image
|
$2,883.00 |
$2,883.00 |
$2,883.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$642.75 |
$642.75 |
$642.75 |
$642.75
|
|
CT lwr extremity w/o&w/dye
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$1,817.40
|
|
Ctrl nosebld postir subsq 30906
|
$271.50 |
$271.50 |
$271.50 |
$431.95
|
|
CT scan for localization
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,605.50 |
$2,605.50 |
$2,605.50 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,493.75 |
$2,493.75 |
$2,493.75 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,418.75 |
$2,418.75 |
$2,418.75 |
$2,261.70
|
|
CT t-spine w /wo contrast
|
$1,817.25 |
$1,817.25 |
$1,817.25 |
$1,972.80
|
|
CT uppr extremity w/o&w/dye
|
$2,224.50 |
$2,224.50 |
$2,224.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$78.75 |
$78.75 |
$78.75 |
$72.00
|
|
Culture afb any source
|
$132.75 |
$132.75 |
$132.75 |
$110.00
|
|
Culture anaerobic except blood
|
$127.50 |
$127.50 |
$127.50 |
$120.00
|
|
Culture body fluid
|
$130.50 |
$130.50 |
$130.50 |
$124.15
|
|
Culture fungi definitive id mold
|
$63.75 |
$63.75 |
$63.75 |
$80.00
|
|
Culture fungi definitive id yeast
|
$66.00 |
$66.00 |
$66.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$126.00 |
$126.00 |
$126.00 |
$109.85
|
|
Culture fungi skin/hair/nail
|
$126.00 |
$126.00 |
$126.00 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$96.00 |
$96.00 |
$96.00 |
$97.60
|
|
Culture mycoplasma any source
|
$145.50 |
$145.50 |
$145.50 |
$82.50
|
|
Culture quantitative aerobic other source
|
$99.75 |
$99.75 |
$99.75 |
$85.80
|
|
Culture screening strep group a
|
$115.50 |
$115.50 |
$115.50 |
$82.80
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.75 |
$408.75 |
$408.75 |
$408.75
|
|
Curette/treat cornea
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$1,370.74
|
|
Cutter lead
|
$22,020.89 |
$22,020.89 |
$22,020.89 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,100.75 |
$2,100.75 |
$2,100.75 |
$1,719.44
|
|
Cyanocobalamin unsat binding capacity
|
$76.50 |
$76.50 |
$76.50 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.86 |
$25.86 |
$25.86 |
$25.30
|
|
Cyclic citrullinated peptide antibody
|
$249.75 |
$249.75 |
$249.75 |
$72.50
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,143.90 |
$4,143.90 |
$4,143.90 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$2,769.06 |
$2,769.06 |
$2,769.06 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$243.99 |
$243.99 |
$243.99 |
$140.78
|
|
Cyclosporine 2 hour
|
$115.50 |
$115.50 |
$115.50 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$470.55 |
$470.55 |
$470.55 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$2,865.39 |
$2,865.39 |
$2,865.39 |
$37.40
|
|
Cylinder pump set 20cm titan zero angl
|
$42,849.57 |
$42,849.57 |
$42,849.57 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$613.50 |
$613.50 |
$613.50 |
$524.00
|
|
Cyp2c9 gene com variants
|
$368.25 |
$368.25 |
$368.25 |
$275.10
|
|
Cyp2d6 gene com variants
|
$949.50 |
$949.50 |
$949.50 |
$570.70
|
|
Cyp3a4 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$241.24
|
|
Cyp3a5 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$245.31
|
|
Cystatin c
|
$78.75 |
$78.75 |
$78.75 |
$77.60
|
|
Cystic fibrosis cftr
|
$6,969.00 |
$6,969.00 |
$6,969.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$239.25 |
$239.25 |
$239.25 |
$96.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$919.50 |
$919.50 |
$919.50 |
$589.60
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$4,638.40
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$5,304.00
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$5,949.75 |
$5,949.75 |
$5,949.75 |
$6,593.60
|
|
Cystoscopy and treatment
|
$4,587.75 |
$4,587.75 |
$4,587.75 |
$2,873.00
|
|
Cystoscopy (Bladder Scope)
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$975.75 |
$975.75 |
$975.75 |
$2,980.25
|
|
Cystoscopy & ureter catheter
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$3,881.90
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,396.25 |
$2,396.25 |
$2,396.25 |
$4,159.74
|
|
Cystouretero w/lithotripsy
|
$11,789.25 |
$11,789.25 |
$11,789.25 |
$7,372.68
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,360.25 |
$2,360.25 |
$2,360.25 |
$3,277.80
|
|
Cytarabine 20 mg/ml injection solution
|
$64.71 |
$64.71 |
$64.71 |
$90.00
|
|
Cytogenetics 25-99
|
$143.25 |
$143.25 |
$143.25 |
$189.80
|
|
Cytog genom-wid alys hem mal
|
$2,368.50 |
$2,368.50 |
$2,368.50 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$101.25 |
$101.25 |
$101.25 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$131.25 |
$131.25 |
$131.25 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$6,333.64 |
$6,333.64 |
$6,333.64 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$197.25 |
$197.25 |
$197.25 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$198.75 |
$198.75 |
$198.75 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$173.25 |
$173.25 |
$173.25 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$225.00 |
$225.00 |
$225.00 |
$137.40
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$111.00 |
$111.00 |
$111.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$131.25 |
$131.25 |
$131.25 |
$191.66
|
