|
Create eardrum opening
|
$22,745.62 |
$22,745.62 |
$22,745.62 |
$3,062.80
|
|
Creatine kinase
|
$67.20 |
$67.20 |
$67.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$120.60 |
$120.60 |
$120.60 |
$56.80
|
|
Creatine kinase mb
|
$73.20 |
$73.20 |
$73.20 |
$114.00
|
|
Creatine - sendout
|
$128.40 |
$128.40 |
$128.40 |
$39.00
|
|
Creatinine
|
$60.00 |
$60.00 |
$60.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$61.20 |
$61.20 |
$61.20 |
$58.85
|
|
Creatinine clearance urine
|
$120.60 |
$120.60 |
$120.60 |
$89.50
|
|
#creutz-prot.,western blot
|
$408.00 |
$408.00 |
$408.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$2,505.60
|
|
Crotalidae poly immune fab
|
$14,870.70 |
$14,870.70 |
$14,870.70 |
$5,590.35
|
|
Cryoablate prostate
|
$48,587.04 |
$48,587.04 |
$48,587.04 |
$10,942.71
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$141.00 |
$141.00 |
$141.00 |
$144.78
|
|
Crystal identification light microscopy
|
$61.20 |
$61.20 |
$61.20 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$583.20 |
$583.20 |
$583.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,967.60 |
$2,967.60 |
$2,967.60 |
$2,050.23
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,444.80 |
$4,444.80 |
$4,444.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,789.80 |
$1,789.80 |
$1,789.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,808.40 |
$1,808.40 |
$1,808.40 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,811.40 |
$1,811.40 |
$1,811.40 |
$1,500.38
|
|
CT angio pelvis
|
$2,958.60 |
$2,958.60 |
$2,958.60 |
$1,837.80
|
|
CT colonography dx
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$791.00
|
|
CT colonography screening
|
$899.40 |
$899.40 |
$899.40 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,029.20 |
$2,029.20 |
$2,029.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$92,125.19 |
$92,125.19 |
$92,125.19 |
$1,643.20
|
|
CT limited or localized follow-up study
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,558.80 |
$1,558.80 |
$1,558.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,849.80 |
$1,849.80 |
$1,849.80 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$8,314.16 |
$8,314.16 |
$8,314.16 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$9,139.54 |
$9,139.54 |
$9,139.54 |
$4,186.78
|
|
Ctlso axilla sling
|
$349.44 |
$349.44 |
$349.44 |
$197.97
|
|
Ctlso milwauke initial model
|
$8,468.78 |
$8,468.78 |
$8,468.78 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,440.20 |
$2,440.20 |
$2,440.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$1,327.95
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,834.20 |
$1,834.20 |
$1,834.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$289.20 |
$289.20 |
$289.20 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,374.00 |
$4,374.00 |
$4,374.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,589.60 |
$5,589.60 |
$5,589.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,530.00 |
$4,530.00 |
$4,530.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$3,346.80 |
$3,346.80 |
$3,346.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$265.20 |
$265.20 |
$265.20 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$2,314.80 |
$2,314.80 |
$2,314.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$1,430.20
|
|
Cuffs adj lock with active con
|
$4,083.99 |
$4,083.99 |
$4,083.99 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$97.80 |
$97.80 |
$97.80 |
$68.64
|
|
Culture afb any source
|
$178.80 |
$178.80 |
$178.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$109.80 |
$109.80 |
$109.80 |
$79.00
|
|
Culture anaerobic except blood
|
$151.20 |
$151.20 |
$151.20 |
$120.00
|
|
Culture bacteria anaerobic
|
$153.60 |
$153.60 |
$153.60 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$10.20 |
$10.20 |
$10.20 |
$51.45
|
|
Culture body fluid
|
$129.60 |
$129.60 |
$129.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$106.20 |
$106.20 |
$106.20 |
$77.28
|
|
Culture fungi definitive id yeast
|
$96.00 |
$96.00 |
$96.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$142.80 |
$142.80 |
$142.80 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$166.20 |
$166.20 |
$166.20 |
$74.88
|
|
Culture mycoplasma any source
|
$133.80 |
$133.80 |
$133.80 |
$85.26
|
|
Culture screening strep group a
|
$95.40 |
$95.40 |
$95.40 |
$81.00
|
|
Culture typing added method
|
$288.00 |
$288.00 |
$288.00 |
$38.58
|
|
Culture typing immunologic
|
$54.00 |
$54.00 |
$54.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$757.20 |
$757.20 |
$757.20 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$179.40 |
$179.40 |
$179.40 |
$133.90
|
|
Culture urine each isolate
|
$94.80 |
$94.80 |
$94.80 |
$57.00
|
|
Cutter lead
|
$16,536.24 |
$16,536.24 |
$16,536.24 |
$6,092.06
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$77.40 |
$77.40 |
$77.40 |
$70.72
|
|
Cyclophosphamide 25 mg capsule
|
$49.43 |
$49.43 |
$49.43 |
$19.49
|
|
Cyclosporine 2 hour
|
$144.00 |
$144.00 |
$144.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$30.56 |
$30.56 |
$30.56 |
$7.48
|
|
Cygnus, per sq cm
|
$20,844.00 |
$20,844.00 |
$20,844.00 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$67,493.11 |
$67,493.11 |
$67,493.11 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$677.40 |
$677.40 |
$677.40 |
$504.00
|
|
Cyp2d6 gene com variants
|
$175.80 |
$175.80 |
$175.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cyp3a5 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cystatin c
|
$115.20 |
$115.20 |
$115.20 |
$77.50
|
|
Cystine urine quantitative
|
$135.00 |
$135.00 |
$135.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$839.40 |
$839.40 |
$839.40 |
$542.10
|
|
Cysto, litho, vacuum kidney
|
$32,384.37 |
$32,384.37 |
$32,384.37 |
$10,942.71
|
|
Cysto rx balo cath urtl strx
|
$25,946.23 |
$25,946.23 |
$25,946.23 |
$6,015.75
|
|
Cystoscopy and treatment
|
$13,566.59 |
$13,566.59 |
$13,566.59 |
$4,160.10
|
|
Cystoscopy and treatment
|
$23,341.12 |
$23,341.12 |
$23,341.12 |
$5,162.50
|
|
Cystoscopy and treatment
|
$15,561.92 |
$15,561.92 |
$15,561.92 |
$5,995.60
|
|
Cystoscopy and treatment
|
$19,983.40 |
$19,983.40 |
$19,983.40 |
$6,475.26
|
|
Cystoscopy and treatment
|
$9,763.06 |
$9,763.06 |
$9,763.06 |
$3,213.14
|
|
Cystoscopy and treatment
|
$22,385.24 |
$22,385.24 |
$22,385.24 |
$4,045.60
|
|
Cystoscopy and treatment
|
$10,780.91 |
$10,780.91 |
$10,780.91 |
$2,874.36
|
|
Cystoscopy and treatment
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$11,344.91 |
$11,344.91 |
$11,344.91 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$10,520.95 |
$10,520.95 |
$10,520.95 |
$2,704.80
|
|
Cystoscopy & ureter catheter
|
$43,367.33 |
$43,367.33 |
$43,367.33 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$13,125.10 |
$13,125.10 |
$13,125.10 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$27,278.16 |
$27,278.16 |
$27,278.16 |
$4,315.98
|
