|
Creatine kinase isoenzymes
|
$58.50 |
$58.50 |
$58.50 |
$53.00
|
|
Creatine kinase mb
|
$54.00 |
$54.00 |
$54.00 |
$113.63
|
|
Creatine - sendout
|
$22.50 |
$22.50 |
$22.50 |
$40.30
|
|
Creatinine
|
$24.00 |
$24.00 |
$24.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$27.00 |
$27.00 |
$27.00 |
$59.80
|
|
Creatinine clearance urine
|
$42.00 |
$42.00 |
$42.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$61.50 |
$61.50 |
$61.50 |
$163.50
|
|
Critical care 30-74 minutes
|
$1,125.50 |
$1,125.50 |
$1,125.50 |
$2,535.00
|
|
Critical care each additional 30 minutes
|
$558.50 |
$558.50 |
$558.50 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$74.00 |
$74.00 |
$74.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$109.00 |
$109.00 |
$109.00 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$275.50 |
$275.50 |
$275.50 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$65.00 |
$65.00 |
$65.00 |
$82.80
|
|
Crystal identification light microscopy
|
$14.50 |
$14.50 |
$14.50 |
$61.38
|
|
CT 3d report other modality w/workstation
|
$574.50 |
$574.50 |
$574.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,407.50 |
$1,407.50 |
$1,407.50 |
$2,026.20
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,072.50 |
$2,072.50 |
$2,072.50 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$2,002.00
|
|
Cta neck without &/or w/contrast
|
$1,101.50 |
$1,101.50 |
$1,101.50 |
$1,894.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$1,913.70
|
|
CT Angiogram of the Head
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,944.00
|
|
CT angio hrt w/3d image
|
$412.50 |
$412.50 |
$412.50 |
$1,500.38
|
|
CT angio pelvis
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$1,680.70
|
|
CT colonography dx
|
$322.00 |
$322.00 |
$322.00 |
$791.00
|
|
CT colonography dx w/dye
|
$375.00 |
$375.00 |
$375.00 |
$1,016.80
|
|
CT colonography screening
|
$322.00 |
$322.00 |
$322.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,266.50 |
$2,266.50 |
$2,266.50 |
$1,140.00
|
|
CT guid cryo ablat intramuscular
|
$3,601.50 |
$3,601.50 |
$3,601.50 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,392.50 |
$1,392.50 |
$1,392.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$75.00 |
$75.00 |
$75.00 |
$176.00
|
|
CT hrt c+ strux cgen hrt ds
|
$963.00 |
$963.00 |
$963.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$545.00 |
$545.00 |
$545.00 |
$1,371.50
|
|
CT limited or localized follow-up study
|
$675.50 |
$675.50 |
$675.50 |
$642.00
|
|
CT lower extremity w/contrast (both sides)
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$974.00 |
$974.00 |
$974.00 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$946.00 |
$946.00 |
$946.00 |
$1,617.00
|
|
CT neck soft tissue without contrast
|
$932.00 |
$932.00 |
$932.00 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,321.00 |
$1,321.00 |
$1,321.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$923.00 |
$923.00 |
$923.00 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$255.50 |
$255.50 |
$255.50 |
$422.80
|
|
CT scan for localization
|
$1,909.00 |
$1,909.00 |
$1,909.00 |
$1,202.37
|
|
CT scan for therapy guide
|
$469.00 |
$469.00 |
$469.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,625.50 |
$1,625.50 |
$1,625.50 |
$2,290.20
|
|
CT thoracic spine w/contrast
|
$1,241.50 |
$1,241.50 |
$1,241.50 |
$1,683.20
|
|
CT thoracic spine without contrast
|
$1,010.50 |
$1,010.50 |
$1,010.50 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$478.50 |
$478.50 |
$478.50 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$2,020.20
|
|
CT upper extremity w/contrast (both sides)
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$974.00 |
$974.00 |
$974.00 |
$1,411.00
|
|
CT uppr extremity w/o&w/dye
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$1,841.40
|
|
Cuffs adj lock with active con
|
$723.98 |
$723.98 |
$723.98 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$43.00 |
$43.00 |
$43.00 |
$67.80
|
|
Culture afb any source
|
$54.50 |
$54.50 |
$54.50 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$63.00 |
$63.00 |
$63.00 |
$79.00
|
|
Culture anaerobic except blood
|
$49.00 |
$49.00 |
$49.00 |
$119.40
|
|
Culture bact stool aero addl path ea
|
$7.50 |
$7.50 |
$7.50 |
$52.50
|
|
Culture body fluid
|
$45.50 |
$45.50 |
$45.50 |
$120.50
|
|
Culture fungi definitive id mold
|
$14.00 |
$14.00 |
$14.00 |
$75.75
|
|
Culture fungi definitive id yeast
|
$52.00 |
$52.00 |
$52.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$41.50 |
$41.50 |
$41.50 |
$108.30
|
|
Culture mycoplasma any source
|
$79.50 |
$79.50 |
$79.50 |
$85.26
|
|
Culture of specimen by kit
|
$45.50 |
$45.50 |
$45.50 |
$37.36
|
|
Culture quantitative aerobic other source
|
$10.50 |
$10.50 |
$10.50 |
$86.40
|
|
Culture screening strep group a
|
$35.50 |
$35.50 |
$35.50 |
$82.55
|
|
Culture typing immunologic
|
$27.00 |
$27.00 |
$27.00 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$109.50 |
$109.50 |
$109.50 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.00 |
$105.00 |
$105.00 |
$129.02
|
|
Cutter lead
|
$1,929.76 |
$1,929.76 |
$1,929.76 |
$6,071.35
|
|
Cv line/pic reposition
|
$814.50 |
$814.50 |
$814.50 |
$1,697.72
|
|
Cyanocobalamin unsat binding capacity
|
$66.00 |
$66.00 |
$66.00 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$56.00 |
$56.00 |
$56.00 |
$72.00
|
|
Cyclosporine 2 hour
|
$120.00 |
$120.00 |
$120.00 |
$129.00
|
|
Cylinder pump set 20cm titan zero angl
|
$12,988.40 |
$12,988.40 |
$12,988.40 |
$23,140.82
|
|
Cyp2c19 gene com variants
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$433.00
|
|
Cyp2c9 gene com variants
|
$133.00 |
$133.00 |
$133.00 |
$266.50
|
|
Cyp2d6 gene com variants
|
$1,711.50 |
$1,711.50 |
$1,711.50 |
$525.95
|
|
Cystatin c
|
$57.50 |
$57.50 |
$57.50 |
$76.05
|
|
Cystine urine quantitative
|
$77.00 |
$77.00 |
$77.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$306.00 |
$306.00 |
$306.00 |
$538.40
|
|
Cystoscopy and treatment
|
$1,526.50 |
$1,526.50 |
$1,526.50 |
$4,160.10
|
|
Cystoscopy and treatment
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$3,694.00
|
|
Cystouretero & or pyeloscope
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$4,315.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$3,015.50
|
|
Cysto w/ureter stricture tx
|
$2,785.50 |
$2,785.50 |
$2,785.50 |
$4,081.37
|
|
Cytomegalovirus ag ia
|
$58.50 |
$58.50 |
$58.50 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$65.00 |
$65.00 |
$65.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$15.50 |
$15.50 |
$15.50 |
$96.80
|
|
Cytopath c/v auto in fluid
|
$20.00 |
$20.00 |
$20.00 |
$56.00
|
|
Cytopath c/v manual
|
$20.00 |
$20.00 |
$20.00 |
$30.60
|
