|
Cryofibrinogen qualitative - sendout
|
$112.26 |
$112.26 |
$112.26 |
$52.50
|
|
Cryoprecipitate each unit
|
$168.57 |
$168.57 |
$1,065.05 |
$144.78
|
|
Cryopreservation embryo(s)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$966.69
|
|
Cryopreservation oocyte(s)
|
$1,091.66 |
$1,091.66 |
$1,091.66 |
$368.68
|
|
Cryopreservation sperm
|
$425.00 |
$425.00 |
$425.00 |
$234.27
|
|
Cryopreserve stem cells
|
$3,521.57 |
$3,521.57 |
$3,521.57 |
$2,666.50
|
|
Cryosurg ablate fa each
|
$511.00 |
$511.00 |
$3,778.34 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$287.63 |
$287.63 |
$287.63 |
$271.20
|
|
Cryotherapy of acne 17340
|
$11.38 |
$11.38 |
$180.35 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$49.70 |
$49.70 |
$110.08 |
$89.70
|
|
Cryptosporidium antigen
|
$65.55 |
$65.55 |
$65.55 |
$52.08
|
|
Crystal identification light microscopy
|
$26.08 |
$26.08 |
$58.24 |
$66.43
|
|
C-Section Delivery (full care)
|
$4,155.91 |
$4,155.91 |
$4,155.91 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$3,134.88 |
$3,134.88 |
$3,134.88 |
$2,884.20
|
|
Csf leakage imaging
|
$1,391.99 |
$1,391.99 |
$1,391.99 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$19.08 |
$19.08 |
$502.78 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$295.40 |
$295.40 |
$681.35 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,061.80 |
$3,061.80 |
$3,061.80 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,050.35 |
$1,050.35 |
$4,082.40 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$766.85 |
$766.85 |
$2,824.48 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$657.65 |
$657.65 |
$2,424.96 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$670.60 |
$670.60 |
$2,815.20 |
$1,915.30
|
|
CT Angiogram of the Head
|
$587.83 |
$587.83 |
$2,381.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$617.75 |
$617.75 |
$2,381.40 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$711.03 |
$711.03 |
$2,133.91 |
$1,428.68
|
|
CT angio pelvis
|
$499.28 |
$499.28 |
$3,224.53 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,859.32 |
$2,859.32 |
$2,859.32 |
$1,691.30
|
|
CT bone density axial
|
$360.85 |
$360.85 |
$360.85 |
$385.15
|
|
CT cerebral perf w cont & prcssng
|
$1,279.66 |
$1,279.66 |
$1,279.66 |
$1,040.00
|
|
CT colonography dx
|
$699.19 |
$699.19 |
$699.19 |
$811.41
|
|
CT colonography dx w/dye
|
$1,009.98 |
$1,009.98 |
$1,009.98 |
$1,069.25
|
|
CT colonography screening
|
$2,062.97 |
$2,062.97 |
$2,062.97 |
$1,084.20
|
|
CT guidance for needle placement
|
$487.90 |
$487.90 |
$1,650.56 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$492.98 |
$492.98 |
$1,007.29 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$8,632.80 |
$8,632.80 |
$8,632.80 |
$2,039.76
|
|
CT guid parench tis ablat
|
$535.50 |
$535.50 |
$1,564.92 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$76.13 |
$76.13 |
$217.63 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$147.70 |
$147.70 |
$934.40 |
$1,395.79
|
|
CT hrt w/3d image
|
$147.70 |
$147.70 |
$2,111.03 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$294.53 |
$294.53 |
$769.75 |
$636.55
|
|
Ctlso a-p-l control molded
|
$1,795.20 |
$1,795.20 |
$1,795.20 |
$3,746.69
|
|
CT lwr extremity w/o&w/dye
|
$1,887.84 |
$1,887.84 |
$1,887.84 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$64.40 |
$64.40 |
$444.50 |
$422.80
|
|
CT scan for localization
|
$1,202.37 |
$1,202.37 |
$1,202.37 |
$1,216.80
|
|
CT scan for therapy guide
|
$988.58 |
$988.58 |
$1,391.04 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,489.25 |
$1,489.25 |
$3,788.88 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,474.38 |
$1,474.38 |
$3,806.96 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,400.70 |
$1,400.70 |
$2,837.26 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$613.38 |
$613.38 |
$2,381.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,688.20 |
$1,688.20 |
$1,688.20 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$503.57 |
$503.57 |
$503.57 |
$1,291.35
|
|
Cult skin graft fnhfg 15155
|
$3,413.59 |
$3,413.59 |
$3,413.59 |
$4,052.18
|
|
Culture aerobic additional method definitive id each
|
$51.28 |
$51.28 |
$92.93 |
$72.00
|
|
Culture afb any source
|
$45.33 |
$45.33 |
$152.68 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$40.43 |
$40.43 |
$130.29 |
$84.76
|
|
Culture anaerobic except blood
|
$155.83 |
$155.83 |
$155.83 |
$121.22
|
|
Culture bacteria anaerobic
|
$99.31 |
$99.31 |
$99.31 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$42.18 |
$42.18 |
$45.37 |
$52.50
|
|
Culture body fluid
|
$69.48 |
$69.48 |
$145.35 |
$126.75
|
|
Culture fungi definitive id mold
|
$41.13 |
$41.13 |
$95.10 |
$80.00
|
|
Culture fungi definitive id yeast
|
$22.40 |
$22.40 |
$98.10 |
$80.00
|
|
Culture fungi other (except blood)
|
$57.05 |
$57.05 |
$167.36 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$15.75 |
$15.75 |
$120.13 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$124.18 |
$124.18 |
$124.18 |
$100.00
|
|
Culture mycoplasma any source
|
$134.65 |
$134.65 |
$134.65 |
$83.21
|
|
Culture of specimen by kit
|
$36.88 |
$36.88 |
$36.88 |
$49.00
|
|
Culture quantitative aerobic other source
|
$12.60 |
$12.60 |
$148.28 |
$87.02
|
|
Culture screening strep group a
|
$68.95 |
$68.95 |
$109.97 |
$84.60
|
|
Culture typing immunologic
|
$23.45 |
$23.45 |
$82.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$146.48 |
$146.48 |
$146.48 |
$408.37
|
|
Culture urine each isolate
|
$46.03 |
$46.03 |
$62.77 |
$55.50
|
|
Culture virus isolation
|
$163.70 |
$163.70 |
$163.70 |
$162.00
|
|
Curette/treat cornea
|
$385.00 |
$385.00 |
$1,465.28 |
$1,365.60
|
|
Curette/treat cornea
|
$2,571.03 |
$2,571.03 |
$2,571.03 |
$2,818.14
|
|
Cutter lead
|
$2,205.00 |
$2,205.00 |
$5,790.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$248.15 |
$248.15 |
$2,632.29 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$58.20 |
$58.20 |
$58.20 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1.40 |
$1.40 |
$25.16 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$39.03 |
$39.03 |
$112.33 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$31.59 |
$31.59 |
$1,348.50 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$1.71 |
$1.71 |
$19.49 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$9.81 |
$9.81 |
$140.78 |
$140.78
|
|
Cyclosporine 2 hour
|
$61.25 |
$61.25 |
$207.80 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$0.07 |
$0.07 |
$5.34 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1.82 |
$1.82 |
$1,002.60 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$376.44 |
$376.44 |
$376.44 |
$295.20
|
|
Cygnus, per sq cm
|
$356.54 |
$356.54 |
$356.54 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$18,273.85 |
$18,273.85 |
$36,554.21 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$205.63 |
$205.63 |
$1,052.85 |
$524.00
|
|
Cyp2c9 gene com variants
|
$308.23 |
$308.23 |
$308.23 |
$275.10
|
|
Cyp2d6 gene com variants
|
$525.95 |
$525.95 |
$525.95 |
$570.70
|
|
Cyp3a4 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$241.24
|
|
Cyp3a5 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$245.31
|
|
Cystatin c
|
$26.08 |
$26.08 |
$116.88 |
$77.60
|
|
Cystic fibrosis cftr
|
$2,653.56 |
$2,653.56 |
$2,653.56 |
$1,104.40
|
|
Cystine urine quantitative
|
$385.97 |
$385.97 |
$385.97 |
$100.70
|
|
Cysto cgen post urtl valves
|
$4,832.10 |
$4,832.10 |
$4,832.10 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$199.50 |
$199.50 |
$728.84 |
$586.95
|
|
Cysto impl 4 or more
|
$6,900.08 |
$6,900.08 |
$6,900.08 |
$6,860.21
|
|
Cystometrogram w/up 51727
|
$77.00 |
$77.00 |
$908.59 |
$908.59
|