|
Create tear duct drain
|
$4,788.20 |
$4,788.20 |
$4,788.20 |
$4,788.20
|
|
Create tear sac drain
|
$3,732.12 |
$3,732.12 |
$3,732.12 |
$4,350.00
|
|
Creatine isoforms
|
$17.58 |
$17.58 |
$17.58 |
$30.40
|
|
Creatine kinase
|
$98.11 |
$98.11 |
$98.11 |
$66.30
|
|
Creatine kinase isoenzymes
|
$92.02 |
$92.02 |
$92.02 |
$56.20
|
|
Creatine kinase mb
|
$113.63 |
$113.63 |
$113.63 |
$113.63
|
|
Creatine - sendout
|
$90.60 |
$90.60 |
$90.60 |
$41.25
|
|
Creatinine
|
$66.61 |
$66.61 |
$66.61 |
$46.20
|
|
Creatinine 24 hour urine
|
$385.97 |
$385.97 |
$385.97 |
$57.85
|
|
Creatinine clearance urine
|
$73.86 |
$73.86 |
$73.86 |
$90.26
|
|
#creutz-prot.,western blot
|
$446.73 |
$446.73 |
$446.73 |
$163.50
|
|
Cricopharyngeal myotomy 43030
|
$4,832.78 |
$4,832.78 |
$4,832.78 |
$6,547.81
|
|
Cricotracheal resection
|
$5,413.19 |
$5,413.19 |
$5,413.19 |
$6,547.81
|
|
Crisis psychotherapy 90839
|
$254.59 |
$254.59 |
$254.59 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$113.87 |
$113.87 |
$113.87 |
$149.52
|
|
Critical care each additional 30 minutes
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$3,595.72 |
$3,595.72 |
$3,595.72 |
$2,535.00
|
|
Cross-over vein graft
|
$4,809.64 |
$4,809.64 |
$4,809.64 |
$5,988.54
|
|
Crotalidae poly immune fab
|
$5,760.00 |
$5,760.00 |
$5,760.00 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,522.88 |
$2,522.88 |
$2,522.88 |
$2,522.88
|
|
Cryoablate prostate
|
$8,919.23 |
$8,919.23 |
$8,919.23 |
$13,016.74
|
|
Cryocautery of cervix 57511
|
$431.16 |
$431.16 |
$431.16 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$112.26 |
$112.26 |
$112.26 |
$52.50
|
|
Cryoprecipitate each unit
|
$176.99 |
$176.99 |
$176.99 |
$144.78
|
|
Cryopreservation embryo(s)
|
$326.15 |
$326.15 |
$326.15 |
$966.69
|
|
Cryopreservation oocyte(s)
|
$890.12 |
$890.12 |
$890.12 |
$368.68
|
|
Cryopreservation sperm
|
$127.01 |
$127.01 |
$127.01 |
$234.27
|
|
Cryopreserve stem cells
|
$3,521.57 |
$3,521.57 |
$3,521.57 |
$2,666.50
|
|
Cryosurg ablate fa each
|
$3,778.34 |
$3,778.34 |
$3,778.34 |
$5,383.86
|
|
Cryosurgery penis lesion(s) 54056
|
$288.05 |
$288.05 |
$288.05 |
$271.20
|
|
Cryotherapy of acne 17340
|
$163.96 |
$163.96 |
$163.96 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$98.95 |
$98.95 |
$98.95 |
$89.70
|
|
Cryptosporidium antigen
|
$65.55 |
$65.55 |
$65.55 |
$52.08
|
|
Crystal identification light microscopy
|
$55.71 |
$55.71 |
$55.71 |
$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
|
$3,040.89 |
$3,040.89 |
$3,040.89 |
$2,884.20
|
|
Csf leakage imaging
|
$1,405.38 |
$1,405.38 |
$1,405.38 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$479.81 |
$479.81 |
$479.81 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$681.35 |
$681.35 |
$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
|
$5,068.40 |
$5,068.40 |
$5,068.40 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,136.30 |
$3,136.30 |
$3,136.30 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,424.96 |
$2,424.96 |
$2,424.96 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,579.30 |
$2,579.30 |
$2,579.30 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,381.40 |
$2,381.40 |
$2,381.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,381.40 |
$2,381.40 |
$2,381.40 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$1,428.68
|
|
CT angio pelvis
|
$1,983.85 |
$1,983.85 |
$1,983.85 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,213.55 |
$2,213.55 |
$2,213.55 |
$1,691.30
|
|
CT bone density axial
|
$343.66 |
$343.66 |
$343.66 |
$385.15
|
|
CT cerebral perf w cont & prcssng
|
$1,188.65 |
$1,188.65 |
$1,188.65 |
$1,040.00
|
|
CT colonography dx
|
$665.89 |
$665.89 |
$665.89 |
$811.41
|
|
CT colonography dx w/dye
|
$1,009.98 |
$1,009.98 |
$1,009.98 |
$1,069.25
|
|
CT colonography screening
|
$2,809.07 |
$2,809.07 |
$2,809.07 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,981.41 |
$1,981.41 |
$1,981.41 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$979.93 |
$979.93 |
$979.93 |
$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
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$218.90 |
$218.90 |
$218.90 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,055.98 |
$1,055.98 |
$1,055.98 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,876.48 |
$1,876.48 |
$1,876.48 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$769.75 |
$769.75 |
$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
|
$2,192.20 |
$2,192.20 |
$2,192.20 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$330.43 |
$330.43 |
$330.43 |
$422.80
|
|
CT scan for localization
|
$1,205.14 |
$1,205.14 |
$1,205.14 |
$1,216.80
|
|
CT scan for therapy guide
|
$694.60 |
$694.60 |
$694.60 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,135.82 |
$4,135.82 |
$4,135.82 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,842.06 |
$3,842.06 |
$3,842.06 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,629.39 |
$3,629.39 |
$3,629.39 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,381.40 |
$2,381.40 |
$2,381.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,841.10 |
$1,841.10 |
$1,841.10 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$326.15 |
$326.15 |
$326.15 |
$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
|
$89.14 |
$89.14 |
$89.14 |
$72.00
|
|
Culture afb any source
|
$164.73 |
$164.73 |
$164.73 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$130.29 |
$130.29 |
$130.29 |
$84.76
|
|
Culture anaerobic except blood
|
$188.95 |
$188.95 |
$188.95 |
$121.22
|
|
Culture bacteria anaerobic
|
$99.31 |
$99.31 |
$99.31 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$64.82 |
$64.82 |
$64.82 |
$52.50
|
|
Culture body fluid
|
$165.55 |
$165.55 |
$165.55 |
$126.75
|
|
Culture fungi definitive id mold
|
$95.10 |
$95.10 |
$95.10 |
$80.00
|
|
Culture fungi definitive id yeast
|
$96.64 |
$96.64 |
$96.64 |
$80.00
|
|
Culture fungi other (except blood)
|
$128.74 |
$128.74 |
$128.74 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$106.22 |
$106.22 |
$106.22 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$120.56 |
$120.56 |
$120.56 |
$100.00
|
|
Culture mycoplasma any source
|
$121.04 |
$121.04 |
$121.04 |
$83.21
|
|
Culture of specimen by kit
|
$36.88 |
$36.88 |
$36.88 |
$49.00
|
|
Culture quantitative aerobic other source
|
$134.06 |
$134.06 |
$134.06 |
$87.02
|
|
Culture screening strep group a
|
$104.31 |
$104.31 |
$104.31 |
$84.60
|
|
Culture typing immunologic
|
$82.50 |
$82.50 |
$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
|
$80.45 |
$80.45 |
$80.45 |
$55.50
|
|
Culture virus isolation
|
$163.70 |
$163.70 |
$163.70 |
$162.00
|
|
Curette/treat cornea
|
$1,090.57 |
$1,090.57 |
$1,090.57 |
$1,365.60
|
|
Curette/treat cornea
|
$1,901.92 |
$1,901.92 |
$1,901.92 |
$2,818.14
|
|
Cutter lead
|
$5,790.00 |
$5,790.00 |
$5,790.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,061.20 |
$2,061.20 |
$2,061.20 |
$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
|
$25.16 |
$25.16 |
$25.16 |
$25.32
|
