|
#creutz-prot.,western blot
|
$110.00 |
$110.00 |
$603.00 |
$163.50
|
|
Crisis psychotherapy 90839
|
$326.34 |
$326.34 |
$326.34 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$136.98 |
$136.98 |
$136.98 |
$149.52
|
|
Critical care each additional 30 minutes
|
$731.40 |
$845.09 |
$3,891.06 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,929.60 |
$2,327.00 |
$2,540.23 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$4,029.50 |
$5,760.00 |
$33,116.74 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$3,161.89 |
$3,161.89 |
$3,161.89 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$27.50 |
$55.65 |
$475.99 |
$52.50
|
|
Cryoprecipitate each unit
|
$122.40 |
$144.78 |
$442.00 |
$144.78
|
|
Cryopreserve stem cells
|
$3,521.57 |
$3,521.57 |
$3,521.57 |
$2,666.50
|
|
Cryptococcus abs qn - sendout
|
$120.20 |
$120.20 |
$1,029.41 |
$89.70
|
|
Crystal identification light microscopy
|
$60.00 |
$84.00 |
$740.60 |
$66.43
|
|
C-section delivery incl p/p care 59515
|
$3,523.93 |
$3,523.93 |
$3,523.93 |
$2,884.20
|
|
Csf leakage imaging
|
$850.00 |
$850.00 |
$4,239.97 |
$1,564.11
|
|
Csf ventriculography
|
$877.00 |
$877.00 |
$3,916.77 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$681.35 |
$1,067.10 |
$1,908.50 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,061.80 |
$3,210.00 |
$4,135.20 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,656.46 |
$4,607.50 |
$5,878.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,111.50 |
$3,264.90 |
$5,849.82 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,229.10 |
$2,431.00 |
$3,980.59 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,835.50 |
$3,264.90 |
$6,259.81 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,824.50 |
$2,824.50 |
$3,544.24 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,830.05 |
$2,883.00 |
$3,506.47 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$835.65 |
$1,130.00 |
$1,896.81 |
$1,428.68
|
|
CT angio pelvis
|
$2,612.85 |
$2,808.50 |
$6,259.81 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,126.75 |
$3,730.50 |
$4,135.20 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$1,477.48 |
$1,783.00 |
$1,783.00 |
$1,040.00
|
|
CT colonography dx
|
$606.30 |
$606.30 |
$699.00 |
$811.41
|
|
CT colonography dx w/dye
|
$922.35 |
$922.35 |
$922.35 |
$1,069.25
|
|
CT colonography screening
|
$1,233.01 |
$1,233.01 |
$1,233.01 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,506.04 |
$1,664.50 |
$4,279.11 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$869.50 |
$869.50 |
$1,221.45 |
$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
|
$1,564.92 |
$1,783.50 |
$6,449.42 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$79.00 |
$129.00 |
$285.71 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$835.65 |
$1,130.00 |
$1,693.70 |
$1,395.79
|
|
CT hrt w/3d image
|
$835.65 |
$1,130.00 |
$1,876.48 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$742.44 |
$1,422.50 |
$2,081.92 |
$636.55
|
|
Ctlso a-p-l control molded
|
$3,381.32 |
$3,381.32 |
$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
|
$2,069.09 |
$2,365.00 |
$3,264.90 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$284.40 |
$284.40 |
$450.77 |
$422.80
|
|
CT scan for localization
|
$798.35 |
$798.35 |
$4,959.41 |
$1,216.80
|
|
CT scan for therapy guide
|
$656.13 |
$2,356.06 |
$3,038.85 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,172.12 |
$5,006.00 |
$12,691.28 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,890.61 |
$4,335.00 |
$10,324.95 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,356.10 |
$3,769.50 |
$9,136.03 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,912.50 |
$3,264.90 |
$5,410.38 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,845.36 |
$2,177.00 |
$3,264.90 |
$1,845.36
|
|
Cult skin graft fnhfg 15155
|
$3,528.11 |
$3,528.11 |
$3,528.11 |
$4,052.18
|
|
Culture aerobic additional method definitive id each
|
$88.15 |
$188.00 |
$253.39 |
$72.00
|
|
Culture afb any source
|
$33.50 |
$155.04 |
$1,356.97 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$85.15 |
$164.55 |
$271.07 |
$84.76
|
|
Culture anaerobic except blood
|
$208.06 |
$286.08 |
$1,779.71 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$24.45 |
$99.38 |
$316.24 |
$52.50
|
|
Culture body fluid
|
$171.29 |
$195.50 |
$239.10 |
$126.75
|
|
Culture fungi definitive id mold
|
$100.46 |
$195.50 |
$848.71 |
$80.00
|
|
Culture fungi definitive id yeast
|
$103.40 |
$138.00 |
$345.30 |
$80.00
|
|
Culture fungi other (except blood)
|
$163.16 |
$186.00 |
$1,394.08 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$100.96 |
$185.70 |
$186.00 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$103.70 |
$103.70 |
$311.40 |
$100.00
|
|
Culture mycoplasma any source
|
$18.00 |
$121.34 |
$573.30 |
$83.21
|
|
Culture quantitative aerobic other source
|
$134.31 |
$201.00 |
$311.41 |
$87.02
|
|
Culture screening strep group a
|
$101.00 |
$101.00 |
$223.05 |
$84.60
|
|
Culture typing added method
|
$54.00 |
$54.00 |
$154.95 |
$42.60
|
|
Culture typing glc/hplc
|
$82.73 |
$82.73 |
$82.73 |
$53.75
|
|
Culture typing immunologic
|
$86.63 |
$153.90 |
$195.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$146.48 |
$146.48 |
$146.48 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$163.20 |
$165.00 |
$522.77 |
$140.80
|
|
Culture urine each isolate
|
$43.00 |
$85.28 |
$271.07 |
$55.50
|
|
Culture virus isolation
|
$205.97 |
$205.97 |
$205.97 |
$162.00
|
|
Cutter lead
|
$3,568.95 |
$3,568.95 |
$7,740.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,069.50 |
$1,521.69 |
$8,302.16 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$87.00 |
$276.19 |
$2,736.52 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$13.12 |
$18.91 |
$168.08 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$12.00 |
$58.80 |
$432.43 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$270.50 |
$826.00 |
$1,450.35 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$14.37 |
$18.05 |
$30.12 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$98.55 |
$135.12 |
$399.40 |
$140.78
|
|
Cyclosporine 2 hour
|
$195.70 |
$711.00 |
$2,139.52 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$5.34 |
$5.75 |
$9.00 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$775.00 |
$902.34 |
$1,002.60 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$60.94 |
$60.94 |
$376.44 |
$295.20
|
|
Cygnus, per sq cm
|
$295.20 |
$295.20 |
$356.54 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$29,220.00 |
$29,220.00 |
$36,554.21 |
$24,728.89
|
|
Cymetra injectable
|
$371.46 |
$371.46 |
$371.46 |
$578.24
|
|
Cyp2c19 gene com variants
|
$169.00 |
$393.60 |
$3,178.61 |
$524.00
|
|
Cyp2c9 gene com variants
|
$60.00 |
$60.00 |
$134.22 |
$275.10
|
|
Cyp2d6 gene com variants
|
$683.87 |
$683.87 |
$683.87 |
$570.70
|
|
Cyp3a4 gene common variants
|
$134.22 |
$240.00 |
$240.00 |
$241.24
|
|
Cyp3a5 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$245.31
|
|
Cystatin c
|
$55.50 |
$93.16 |
$351.74 |
$77.60
|
|
Cystic fibrosis cftr
|
$690.00 |
$900.00 |
$15,492.95 |
$1,104.40
|
|
Cystine urine quantitative
|
$12.50 |
$12.50 |
$385.97 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$326.08 |
$536.00 |
$1,795.77 |
$586.95
|
|
Cysto impl 4 or more
|
$6,571.50 |
$6,571.50 |
$6,571.50 |
$6,860.21
|
|
Cystometrogram w/up 51727
|
$774.00 |
$774.00 |
$774.00 |
$908.59
|
|
Cystoscopy and treatment
|
$2,659.14 |
$2,659.14 |
$2,659.14 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,594.35 |
$1,594.35 |
$1,671.23 |
$1,493.80
|
|
Cystoscopy prostatic imp 1-3
|
$5,741.40 |
$5,741.40 |
$5,741.40 |
$5,741.40
|
