|
Creatine kinase isoenzymes
|
$89.20 |
$89.20 |
$89.20 |
$54.60
|
|
Creatinine
|
$36.80 |
$36.80 |
$36.80 |
$45.65
|
|
Creatinine 24 hour urine
|
$35.20 |
$35.20 |
$35.20 |
$57.60
|
|
Creatinine clearance urine
|
$79.20 |
$79.20 |
$79.20 |
$89.28
|
|
#creutz-prot.,western blot
|
$44.40 |
$44.40 |
$44.40 |
$163.50
|
|
Critical care 30-74 minutes
|
$3,524.40 |
$3,524.40 |
$3,524.40 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$905.20 |
$905.20 |
$905.20 |
$686.86
|
|
Cryofibrinogen qualitative - sendout
|
$17.20 |
$17.20 |
$17.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$242.00 |
$242.00 |
$242.00 |
$144.78
|
|
Crystal identification light microscopy
|
$21.20 |
$21.20 |
$21.20 |
$65.50
|
|
Csf leakage imaging
|
$1,658.80 |
$1,658.80 |
$1,658.80 |
$1,564.11
|
|
Cta abdomen without & /or w/contrast
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$836.80 |
$836.80 |
$836.80 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,415.60 |
$1,415.60 |
$1,415.60 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$976.00 |
$976.00 |
$976.00 |
$1,912.50
|
|
CT Angiogram of the Head
|
$863.60 |
$863.60 |
$863.60 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$304.40 |
$304.40 |
$304.40 |
$1,424.40
|
|
CT angio pelvis
|
$976.80 |
$976.80 |
$976.80 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$742.00 |
$742.00 |
$742.00 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$1,040.00
|
|
CT guidance for needle placement
|
$843.60 |
$843.60 |
$843.60 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$696.80 |
$696.80 |
$696.80 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$102.80 |
$102.80 |
$102.80 |
$156.00
|
|
CT hrt w/3d image
|
$304.40 |
$304.40 |
$304.40 |
$1,350.03
|
|
CT lower extremity w/contrast (both sides)
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$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
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$486.40 |
$486.40 |
$486.40 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$403.60 |
$403.60 |
$403.60 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$588.40 |
$588.40 |
$588.40 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$807.60 |
$807.60 |
$807.60 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$738.80 |
$738.80 |
$738.80 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$626.00 |
$626.00 |
$626.00 |
$1,345.05
|
|
CT scan for localization
|
$501.60 |
$501.60 |
$501.60 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,725.20 |
$2,725.20 |
$2,725.20 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,411.60 |
$2,411.60 |
$2,411.60 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,518.80 |
$1,518.80 |
$1,518.80 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$628.00 |
$628.00 |
$628.00 |
$332.00
|
|
CT t-spine w /wo contrast
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$1,345.60 |
$1,345.60 |
$1,345.60 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,212.40 |
$1,212.40 |
$1,212.40 |
$1,404.36
|
|
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
|
$72.00 |
$72.00 |
$72.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$28.80 |
$28.80 |
$28.80 |
$84.76
|
|
Culture anaerobic except blood
|
$66.40 |
$66.40 |
$66.40 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$23.20 |
$23.20 |
$23.20 |
$52.50
|
|
Culture body fluid
|
$62.40 |
$62.40 |
$62.40 |
$126.00
|
|
Culture fungi definitive id mold
|
$41.20 |
$41.20 |
$41.20 |
$80.00
|
|
Culture fungi definitive id yeast
|
$41.20 |
$41.20 |
$41.20 |
$79.50
|
|
Culture fungi other (except blood)
|
$95.60 |
$95.60 |
$95.60 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$84.40 |
$84.40 |
$84.40 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$41.60 |
$41.60 |
$41.60 |
$100.00
|
|
Culture mycoplasma any source
|
$32.00 |
$32.00 |
$32.00 |
$81.62
|
|
Culture screening strep group a
|
$67.60 |
$67.60 |
$67.60 |
$83.16
|
|
Culture typing immunologic
|
$12.40 |
$12.40 |
$12.40 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$39.20 |
$39.20 |
$39.20 |
$138.40
|
|
Culture urine each isolate
|
$16.00 |
$16.00 |
$16.00 |
$54.78
|
|
Culture virus isolation
|
$64.00 |
$64.00 |
$64.00 |
$162.00
|
|
Cutter lead
|
$10,400.40 |
$10,400.40 |
$10,400.40 |
$6,685.72
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$37.38 |
$37.38 |
$37.38 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$35.60 |
$35.60 |
$35.60 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$12.64 |
$12.64 |
$12.64 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$35.60 |
$35.60 |
$35.60 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$5.23 |
$5.23 |
$5.23 |
$7.48
|
|
Cylinder pump set 20cm titan zero angl
|
$21,038.40 |
$21,038.40 |
$21,038.40 |
$24,372.98
|
|
Cyp2c19 gene com variants
|
$466.00 |
$466.00 |
$466.00 |
$502.45
|
|
Cystatin c
|
$33.20 |
$33.20 |
$33.20 |
$76.48
|
|
Cystic fibrosis cftr
|
$774.00 |
$774.00 |
$774.00 |
$1,104.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$467.60 |
$467.60 |
$467.60 |
$564.85
|
|
Cysto insj dev ischmc rmdlg
|
$13,885.60 |
$13,885.60 |
$13,885.60 |
$10,942.71
|
|
Cystoscopy and treatment
|
$3,751.60 |
$3,751.60 |
$3,751.60 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$4,350.00
|
|
Cystoscopy and treatment
|
$3,478.00 |
$3,478.00 |
$3,478.00 |
$5,304.00
|
|
Cystoscopy and treatment
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$5,995.60
|
|
Cystoscopy and treatment
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$835.60 |
$835.60 |
$835.60 |
$1,445.41
|
|
Cystoscopy removal of clots
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$6,031.60 |
$6,031.60 |
$6,031.60 |
$3,688.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$3,131.20
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,210.00 |
$3,210.00 |
$3,210.00 |
$4,045.60
|
|
Cytarabine 20 mg/ml injection solution
|
$511.16 |
$511.16 |
$511.16 |
$90.00
|
|
Cytogenetics 25-99
|
$21.20 |
$21.20 |
$21.20 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$33.60 |
$33.60 |
$33.60 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$24.40 |
$24.40 |
$24.40 |
$100.00
|
|
Cyto/molecular report
|
$165.60 |
$165.60 |
$165.60 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$63.20 |
$63.20 |
$63.20 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$42.00 |
$42.00 |
$42.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$31.60 |
$31.60 |
$31.60 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$42.80 |
$42.80 |
$42.80 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$42.80 |
$42.80 |
$42.80 |
$124.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$120.40 |
$120.40 |
$120.40 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$63.20 |
$63.20 |
$63.20 |
$209.92
|