|
Cranial cervical torticollis
|
$573.85 |
$573.85 |
$573.85 |
$573.85
|
|
Crbrospnl fld flw imag cistern
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,240.80
|
|
C-reactive protein
|
$123.90 |
$123.90 |
$123.90 |
$68.38
|
|
C-reactive protein high sensitivity
|
$47.55 |
$47.55 |
$47.55 |
$85.00
|
|
Creatine kinase
|
$236.40 |
$236.40 |
$236.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$56.80
|
|
Creatine kinase mb
|
$317.85 |
$317.85 |
$317.85 |
$114.00
|
|
Creatine - sendout
|
$213.15 |
$213.15 |
$213.15 |
$39.00
|
|
Creatinine
|
$166.20 |
$166.20 |
$166.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$113.40 |
$113.40 |
$113.40 |
$58.85
|
|
Creatinine clearance urine
|
$135.45 |
$135.45 |
$135.45 |
$89.50
|
|
#creutz-prot.,western blot
|
$603.00 |
$603.00 |
$798.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$731.40 |
$731.40 |
$731.40 |
$731.40
|
|
Crotalidae poly immune fab
|
$12,664.08 |
$12,664.08 |
$12,664.08 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$55.65 |
$55.65 |
$55.65 |
$52.50
|
|
Cryoprecipitate each unit
|
$122.40 |
$122.40 |
$122.40 |
$144.78
|
|
Crystal identification light microscopy
|
$84.00 |
$84.00 |
$84.00 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$1,067.10 |
$1,067.10 |
$1,067.10 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,878.20 |
$5,878.20 |
$5,878.20 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$835.65 |
$835.65 |
$835.65 |
$1,500.38
|
|
CT angio pelvis
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$2,155.95 |
$2,155.95 |
$2,155.95 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,221.45 |
$1,221.45 |
$1,221.45 |
$1,178.52
|
|
CT guid parench tis ablat
|
$2,178.75 |
$2,178.75 |
$2,178.75 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$136.50 |
$136.50 |
$136.50 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$835.65 |
$835.65 |
$835.65 |
$1,371.50
|
|
CT hrt w/3d image
|
$835.65 |
$835.65 |
$835.65 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$789.60 |
$789.60 |
$789.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$3,746.69 |
$3,746.69 |
$3,746.69 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$4,186.78 |
$4,186.78 |
$4,186.78 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,927.85 |
$2,927.85 |
$2,927.85 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,264.55 |
$2,264.55 |
$2,264.55 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,046.60 |
$2,046.60 |
$2,046.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,046.60 |
$2,046.60 |
$2,046.60 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$284.40 |
$284.40 |
$284.40 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,407.45 |
$4,407.45 |
$4,407.45 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,920.40 |
$3,920.40 |
$3,920.40 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,356.10 |
$3,356.10 |
$3,356.10 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$231.00 |
$231.00 |
$231.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,991.85 |
$1,991.85 |
$1,991.85 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,991.85 |
$1,991.85 |
$1,991.85 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$145.80 |
$145.80 |
$145.80 |
$68.64
|
|
Culture afb any source
|
$221.70 |
$221.70 |
$221.70 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$164.55 |
$164.55 |
$164.55 |
$79.00
|
|
Culture anaerobic except blood
|
$273.45 |
$273.45 |
$273.45 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$24.45 |
$24.45 |
$24.45 |
$51.45
|
|
Culture body fluid
|
$239.10 |
$239.10 |
$239.10 |
$126.75
|
|
Culture fungi definitive id mold
|
$129.30 |
$129.30 |
$129.30 |
$77.28
|
|
Culture fungi definitive id yeast
|
$138.00 |
$138.00 |
$138.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$185.70 |
$185.70 |
$185.70 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$185.70 |
$185.70 |
$185.70 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$311.40 |
$311.40 |
$311.40 |
$89.70
|
|
Culture mycoplasma any source
|
$190.05 |
$190.05 |
$190.05 |
$85.26
|
|
Culture quantitative aerobic other source
|
$206.40 |
$206.40 |
$206.40 |
$90.35
|
|
Culture screening strep group a
|
$223.05 |
$223.05 |
$223.05 |
$81.00
|
|
Culture typing added method
|
$166.05 |
$166.05 |
$166.05 |
$38.58
|
|
Culture typing immunologic
|
$153.90 |
$153.90 |
$153.90 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$541.20 |
$541.20 |
$541.20 |
$133.90
|
|
Cutter lead
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$87.00 |
$87.00 |
$87.00 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.91 |
$18.91 |
$18.91 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$58.80 |
$58.80 |
$58.80 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,450.35 |
$1,450.35 |
$1,450.35 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$18.05 |
$18.05 |
$18.05 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$98.55 |
$98.55 |
$98.55 |
$140.78
|
|
Cyclosporine 2 hour
|
$200.40 |
$200.40 |
$200.40 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$5.44 |
$5.44 |
$5.44 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$902.34 |
$902.34 |
$902.34 |
$34.88
|
|
Cygnus matrix, per sq cm
|
$295.20 |
$295.20 |
$295.20 |
$295.20
|
|
Cygnus, per sq cm
|
$295.20 |
$295.20 |
$295.20 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$29,220.00 |
$29,220.00 |
$29,220.00 |
$22,803.38
|
|
Cymetra injectable
|
$371.46 |
$371.46 |
$371.46 |
$578.24
|
|
Cyp2c9 gene com variants
|
$295.20 |
$295.20 |
$295.20 |
$275.10
|
|
Cystatin c
|
$106.80 |
$106.80 |
$106.80 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,100.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$622.35 |
$622.35 |
$622.35 |
$542.10
|
|
Cytarabine 20 mg/ml injection solution
|
$71.40 |
$71.40 |
$71.40 |
$89.94
|
|
Cytogenetics 25-99
|
$315.90 |
$315.90 |
$315.90 |
$190.00
|
|
Cytogenomic neo microra alys
|
$5,238.00 |
$5,238.00 |
$5,238.00 |
$2,020.20
|
|
Cytomegalovirus (cmv) antibody igg
|
$165.15 |
$165.15 |
$165.15 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$27.45 |
$27.45 |
$27.45 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$159.45 |
$159.45 |
$159.45 |
$159.45
|