|
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 |
$1,205.40
|
|
C-reactive protein
|
$123.90 |
$123.90 |
$123.90 |
$66.79
|
|
C-reactive protein high sensitivity
|
$47.55 |
$47.55 |
$47.55 |
$83.20
|
|
Creatine kinase
|
$236.40 |
$236.40 |
$236.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$49.80
|
|
Creatine kinase mb
|
$317.85 |
$317.85 |
$317.85 |
$113.75
|
|
Creatinine
|
$166.20 |
$166.20 |
$166.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$113.40 |
$113.40 |
$113.40 |
$61.95
|
|
Creatinine clearance urine
|
$135.45 |
$135.45 |
$135.45 |
$87.50
|
|
#creutz-prot.,western blot
|
$603.00 |
$603.00 |
$603.00 |
$168.64
|
|
Critical care 30-74 minutes
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,493.68
|
|
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 |
$62.00
|
|
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 |
$2,848.80
|
|
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 |
$1,971.45
|
|
CT angio hrt w/3d image
|
$835.65 |
$835.65 |
$835.65 |
$1,498.08
|
|
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 |
$1,689.80
|
|
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 |
$1,140.00
|
|
CT heart w/evaluation of calcium without contrast
|
$136.50 |
$136.50 |
$136.50 |
$171.69
|
|
CT hrt w/3d image
|
$835.65 |
$835.65 |
$835.65 |
$1,356.38
|
|
CT limited or localized follow-up study
|
$789.60 |
$789.60 |
$789.60 |
$640.48
|
|
CT lower extremity w/contrast (both sides)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,403.73
|
|
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 |
$1,844.52
|
|
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 |
$1,945.13
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,264.55 |
$2,264.55 |
$2,264.55 |
$1,707.60
|
|
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 |
$425.60
|
|
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 |
$2,928.00
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,356.10 |
$3,356.10 |
$3,356.10 |
$2,325.05
|
|
CT thoracic spine w/contrast
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,689.80
|
|
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 |
$345.28
|
|
CT t-spine w /wo contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$1,991.85 |
$1,991.85 |
$1,991.85 |
$1,687.88
|
|
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 |
$69.55
|
|
Culture afb any source
|
$221.70 |
$221.70 |
$221.70 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$164.55 |
$164.55 |
$164.55 |
$78.82
|
|
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 |
$51.20
|
|
Culture body fluid
|
$239.10 |
$239.10 |
$239.10 |
$120.50
|
|
Culture fungi definitive id mold
|
$129.30 |
$129.30 |
$129.30 |
$74.97
|
|
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 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$311.40 |
$311.40 |
$311.40 |
$88.40
|
|
Culture mycoplasma any source
|
$190.05 |
$190.05 |
$190.05 |
$85.26
|
|
Culture quantitative aerobic other source
|
$206.40 |
$206.40 |
$206.40 |
$87.02
|
|
Culture screening strep group a
|
$223.05 |
$223.05 |
$223.05 |
$81.00
|
|
Culture typing added method
|
$154.95 |
$154.95 |
$154.95 |
$36.78
|
|
Culture typing immunologic
|
$153.90 |
$153.90 |
$153.90 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$163.20 |
$163.20 |
$163.20 |
$130.38
|
|
Cutter lead
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$5,790.00
|
|
Cv line/pic reposition
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$1,629.75
|
|
Cyanocobalamin unsat binding capacity
|
$87.00 |
$87.00 |
$87.00 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.91 |
$18.91 |
$18.91 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$58.80 |
$58.80 |
$58.80 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,450.35 |
$1,450.35 |
$1,450.35 |
$1,299.41
|
|
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 modified 25 mg capsule
|
$5.44 |
$5.44 |
$5.44 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$902.34 |
$902.34 |
$902.34 |
$31.51
|
|
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 |
$22,636.93
|
|
Cymetra injectable
|
$371.46 |
$371.46 |
$371.46 |
$578.24
|
|
Cystic fibrosis cftr
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,060.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$622.35 |
$622.35 |
$622.35 |
$538.40
|
|
Cystoscopy (Bladder Scope)
|
$1,594.35 |
$1,594.35 |
$1,594.35 |
$1,493.80
|
|
Cysto w/ureter stricture tx
|
$3,347.85 |
$3,347.85 |
$3,347.85 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$71.40 |
$71.40 |
$71.40 |
$90.00
|
|
Cytogenetics 25-99
|
$315.90 |
$315.90 |
$315.90 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$128.70 |
$128.70 |
$128.70 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$27.45 |
$27.45 |
$27.45 |
$96.20
|
|
Cyto/molecular report
|
$182.55 |
$182.55 |
$182.55 |
$128.11
|
|
Cytopathology cellular enhancement technique non-gyn
|
$159.45 |
$159.45 |
$159.45 |
$159.45
|
|
Cytopathology concentration technique smears & interpretation
|
$322.35 |
$322.35 |
$322.35 |
$130.40
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$309.90 |
$309.90 |
$309.90 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$590.40 |
$590.40 |
$590.40 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$632.10 |
$632.10 |
$632.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$322.35 |
$322.35 |
$322.35 |
$207.50
|
