|
Crbrospnl fld flw imag cistern
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$1,281.00
|
|
C-reactive protein
|
$22.80 |
$22.80 |
$22.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$56.80 |
$56.80 |
$56.80 |
$85.00
|
|
C-reactive protein, quantitative
|
$47.20 |
$47.20 |
$47.20 |
$62.50
|
|
Creatine kinase
|
$28.80 |
$28.80 |
$28.80 |
$65.60
|
|
Creatine kinase mb
|
$51.20 |
$51.20 |
$51.20 |
$113.63
|
|
Creatinine
|
$22.80 |
$22.80 |
$22.80 |
$45.65
|
|
Creatinine 24 hour urine
|
$22.80 |
$22.80 |
$22.80 |
$57.60
|
|
Creatinine clearance urine
|
$42.00 |
$42.00 |
$42.00 |
$89.28
|
|
#creutz-prot.,western blot
|
$104.80 |
$104.80 |
$104.80 |
$163.50
|
|
Critical care 30-74 minutes
|
$3,798.80 |
$3,798.80 |
$3,798.80 |
$2,519.00
|
|
Crutches underarm other than wood adjustable or e0114
|
$20.00 |
$20.00 |
$20.00 |
$66.64
|
|
Cryoprecipitate each unit
|
$107.20 |
$107.20 |
$107.20 |
$144.78
|
|
Cryopreserve stem cells
|
$855.60 |
$855.60 |
$855.60 |
$2,588.88
|
|
Cryptococcus abs qn - sendout
|
$64.00 |
$64.00 |
$64.00 |
$89.70
|
|
Crystal identification light microscopy
|
$32.80 |
$32.80 |
$32.80 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$992.40 |
$992.40 |
$992.40 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,912.50
|
|
CT Angiogram of the Head
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,424.40
|
|
CT angio pelvis
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$1,714.00 |
$1,714.00 |
$1,714.00 |
$1,040.00
|
|
CT guidance for needle placement
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$1,178.52
|
|
CT guid parench tis ablat
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$44.40 |
$44.40 |
$44.40 |
$156.00
|
|
CT hrt w/3d image
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$330.40 |
$330.40 |
$330.40 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$630.80 |
$630.80 |
$630.80 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$4,186.78
|
|
Ctlso axilla sling
|
$40.80 |
$40.80 |
$40.80 |
$155.04
|
|
CT lwr extremity w/o&w/dye
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$630.80 |
$630.80 |
$630.80 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$630.80 |
$630.80 |
$630.80 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$332.40 |
$332.40 |
$332.40 |
$444.50
|
|
CT scan for localization
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,302.80 |
$1,302.80 |
$1,302.80 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$630.80 |
$630.80 |
$630.80 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$130.80 |
$130.80 |
$130.80 |
$332.00
|
|
CT upper extremity w/contrast (both sides)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$630.80 |
$630.80 |
$630.80 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$615.20 |
$615.20 |
$615.20 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$36.00 |
$36.00 |
$36.00 |
$71.40
|
|
Culture afb any source
|
$48.00 |
$48.00 |
$48.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$36.00 |
$36.00 |
$36.00 |
$84.76
|
|
Culture anaerobic except blood
|
$42.00 |
$42.00 |
$42.00 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$42.00 |
$42.00 |
$42.00 |
$52.50
|
|
Culture body fluid
|
$37.60 |
$37.60 |
$37.60 |
$126.00
|
|
Culture fungi definitive id mold
|
$46.00 |
$46.00 |
$46.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$46.00 |
$46.00 |
$46.00 |
$79.50
|
|
Culture fungi other (except blood)
|
$37.20 |
$37.20 |
$37.20 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$34.00 |
$34.00 |
$34.00 |
$74.40
|
|
Culture mycoplasma any source
|
$67.60 |
$67.60 |
$67.60 |
$81.62
|
|
Culture screening strep group a
|
$29.20 |
$29.20 |
$29.20 |
$83.16
|
|
Culture typing added method
|
$5.20 |
$5.20 |
$5.20 |
$38.70
|
|
Culture typing immunologic
|
$12.40 |
$12.40 |
$12.40 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$22.00 |
$22.00 |
$22.00 |
$138.40
|
|
Culture urine each isolate
|
$36.00 |
$36.00 |
$36.00 |
$54.78
|
|
Custom shape cover bk
|
$380.40 |
$380.40 |
$380.40 |
$686.00
|
|
Cutter lead
|
$16,117.60 |
$16,117.60 |
$16,117.60 |
$6,685.72
|
|
Cv line/pic reposition
|
$1,400.40 |
$1,400.40 |
$1,400.40 |
$1,608.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$2.80 |
$2.80 |
$2.80 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$56.80 |
$56.80 |
$56.80 |
$72.15
|
|
Cyclosporine 2 hour
|
$80.00 |
$80.00 |
$80.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$3.08 |
$3.08 |
$3.08 |
$7.48
|
|
Cylinder pump set 20cm titan zero angl
|
$31,089.60 |
$31,089.60 |
$31,089.60 |
$24,372.98
|
|
Cymetra injectable
|
$883.60 |
$883.60 |
$883.60 |
$578.24
|
|
Cyp2c19 gene com variants
|
$416.80 |
$416.80 |
$416.80 |
$502.45
|
|
Cyp2c9 gene com variants
|
$1,475.60 |
$1,475.60 |
$1,475.60 |
$266.50
|
|
Cystatin c
|
$66.80 |
$66.80 |
$66.80 |
$76.48
|
|
Cystic fibrosis cftr
|
$774.00 |
$774.00 |
$774.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$82.80 |
$82.80 |
$82.80 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$904.40 |
$904.40 |
$904.40 |
$564.85
|
|
Cystoscopy (Bladder Scope)
|
$1,104.80 |
$1,104.80 |
$1,104.80 |
$1,445.41
|
|
Cystoscopy & ureter catheter
|
$2,856.40 |
$2,856.40 |
$2,856.40 |
$3,688.80
|
|
Cytogenetics 25-99
|
$80.00 |
$80.00 |
$80.00 |
$189.80
|
|
Cytogenetics 3-5
|
$145.60 |
$145.60 |
$145.60 |
$147.36
|
|
Cytogenomic neo microra alys
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,156.05
|
|
Cytogenom microarray copy nmbr var
|
$3,220.40 |
$3,220.40 |
$3,220.40 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$64.00 |
$64.00 |
$64.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$74.40 |
$74.40 |
$74.40 |
$100.00
|
|
Cyto/molecular report
|
$58.40 |
$58.40 |
$58.40 |
$144.75
|
|
Cytopath fl nongyn filter
|
$39.20 |
$39.20 |
$39.20 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$90.00 |
$90.00 |
$90.00 |
$159.45
|
