|
Crbrospnl fld flw imag cistern
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,330.02
|
|
C-reactive protein
|
$29.40 |
$29.40 |
$29.40 |
$69.36
|
|
C-reactive protein high sensitivity
|
$72.60 |
$72.60 |
$72.60 |
$85.50
|
|
Creatine kinase
|
$33.00 |
$33.00 |
$33.00 |
$66.30
|
|
Creatine kinase mb
|
$58.80 |
$58.80 |
$58.80 |
$113.63
|
|
Creatinine
|
$25.80 |
$25.80 |
$25.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$25.80 |
$25.80 |
$25.80 |
$57.85
|
|
Creatinine clearance urine
|
$48.00 |
$48.00 |
$48.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$147.60 |
$147.60 |
$147.60 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$147.00 |
$147.00 |
$147.00 |
$4,288.58
|
|
Cryoprecipitate each unit
|
$72.60 |
$72.60 |
$72.60 |
$144.78
|
|
Cryptosporidium antigen
|
$66.60 |
$66.60 |
$66.60 |
$52.08
|
|
Crystal identification light microscopy
|
$52.80 |
$52.80 |
$52.80 |
$66.43
|
|
C-Section Delivery (full care)
|
$10,034.40 |
$10,034.40 |
$10,034.40 |
$4,739.20
|
|
Csf leakage imaging
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$607.80 |
$607.80 |
$607.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,428.68
|
|
CT angio pelvis
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,691.30
|
|
CT colonography dx
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$811.41
|
|
CT colonography screening
|
$689.40 |
$689.40 |
$689.40 |
$1,084.20
|
|
CT guidance for needle placement
|
$914.40 |
$914.40 |
$914.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,524.60 |
$1,524.60 |
$1,524.60 |
$1,215.06
|
|
CT guid parench tis ablat
|
$835.80 |
$835.80 |
$835.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$127.20 |
$127.20 |
$127.20 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$624.60 |
$624.60 |
$624.60 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$422.80
|
|
CT scan for localization
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$1,216.80
|
|
CT scan for therapy guide
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$45.60 |
$45.60 |
$45.60 |
$72.00
|
|
Culture afb any source
|
$61.20 |
$61.20 |
$61.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$45.60 |
$45.60 |
$45.60 |
$84.76
|
|
Culture anaerobic except blood
|
$52.80 |
$52.80 |
$52.80 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$52.80 |
$52.80 |
$52.80 |
$52.50
|
|
Culture body fluid
|
$48.00 |
$48.00 |
$48.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$57.00 |
$57.00 |
$57.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$57.00 |
$57.00 |
$57.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$46.80 |
$46.80 |
$46.80 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$43.20 |
$43.20 |
$43.20 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$81.00 |
$81.00 |
$81.00 |
$100.00
|
|
Culture mycoplasma any source
|
$86.40 |
$86.40 |
$86.40 |
$83.21
|
|
Culture screening strep group a
|
$37.80 |
$37.80 |
$37.80 |
$84.60
|
|
Culture typing glc/hplc
|
$45.60 |
$45.60 |
$45.60 |
$53.75
|
|
Culture typing immunologic
|
$29.40 |
$29.40 |
$29.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$459.00 |
$459.00 |
$459.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$195.60 |
$195.60 |
$195.60 |
$140.80
|
|
Culture urine each isolate
|
$45.60 |
$45.60 |
$45.60 |
$55.50
|
|
Curette/treat cornea
|
$1,345.80 |
$1,345.80 |
$1,345.80 |
$1,365.60
|
|
Cv line/pic reposition
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$66.00 |
$66.00 |
$66.00 |
$36.40
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.60 |
$3.60 |
$3.60 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$72.60 |
$72.60 |
$72.60 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$439.20 |
$439.20 |
$439.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$7.80 |
$7.80 |
$7.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$7.80 |
$7.80 |
$7.80 |
$140.78
|
|
Cyclosporine 2 hour
|
$119.40 |
$119.40 |
$119.40 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$2.40 |
$2.40 |
$2.40 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$10.20 |
$10.20 |
$10.20 |
$37.31
|
|
Cystatin c
|
$94.20 |
$94.20 |
$94.20 |
$77.60
|
|
Cystine urine quantitative
|
$116.40 |
$116.40 |
$116.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$896.40 |
$896.40 |
$896.40 |
$586.95
|
|
Cystoscopy and treatment
|
$784.80 |
$784.80 |
$784.80 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$1,493.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$4,730.40 |
$4,730.40 |
$4,730.40 |
$4,315.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$0.60 |
$0.60 |
$0.60 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$81.00 |
$81.00 |
$81.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$94.20 |
$94.20 |
$94.20 |
$100.00
|
|
Cyto/molecular report
|
$57.60 |
$57.60 |
$57.60 |
$144.75
|
|
Cytopath c/v index add-on
|
$34.20 |
$34.20 |
$34.20 |
$34.20
|
|
Cytopath c/v manual
|
$55.20 |
$55.20 |
$55.20 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$116.40 |
$116.40 |
$116.40 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$64.20 |
$64.20 |
$64.20 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$48.60 |
$48.60 |
$48.60 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$78.60 |
$78.60 |
$78.60 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$78.60 |
$78.60 |
$78.60 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$132.00 |
$132.00 |
$132.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$337.20 |
$337.20 |
$337.20 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$116.40 |
$116.40 |
$116.40 |
$213.85
|
|
Cytopath smear other source
|
$54.60 |
$54.60 |
$54.60 |
$92.50
|
|
Cytopath smear other source
|
$116.40 |
$116.40 |
$116.40 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$54.60 |
$54.60 |
$54.60 |
$96.20
|
