|
Cryofibrinogen qualitative - sendout
|
$112.00 |
$112.00 |
$112.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$713.50 |
$713.50 |
$713.50 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$80.00 |
$80.00 |
$80.00 |
$89.70
|
|
Cryptosporidium antigen
|
$26.00 |
$26.00 |
$26.00 |
$52.08
|
|
Crystal identification light microscopy
|
$62.00 |
$62.00 |
$62.00 |
$62.50
|
|
Csf leakage imaging
|
$2,137.00 |
$2,137.00 |
$2,137.00 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$582.00 |
$582.00 |
$582.00 |
$524.81
|
|
Csf ventriculography
|
$729.50 |
$729.50 |
$729.50 |
$836.76
|
|
Cta abdomen without & /or w/contrast
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$997.50 |
$997.50 |
$997.50 |
$1,500.38
|
|
CT angio pelvis
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$803.40
|
|
CT guidance for needle placement
|
$1,038.50 |
$1,038.50 |
$1,038.50 |
$1,494.00
|
|
CT guid cryo ablat intramuscular
|
$338.50 |
$338.50 |
$338.50 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,229.50 |
$1,229.50 |
$1,229.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$99.00 |
$99.00 |
$99.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$997.50 |
$997.50 |
$997.50 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$374.50 |
$374.50 |
$374.50 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$560.00 |
$560.00 |
$560.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$560.00 |
$560.00 |
$560.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,235.50 |
$1,235.50 |
$1,235.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,235.50 |
$1,235.50 |
$1,235.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$560.00 |
$560.00 |
$560.00 |
$1,360.00
|
|
CT scan for localization
|
$1,038.50 |
$1,038.50 |
$1,038.50 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,415.50 |
$1,415.50 |
$1,415.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$849.00 |
$849.00 |
$849.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$560.00 |
$560.00 |
$560.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.00 |
$120.00 |
$120.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$560.00 |
$560.00 |
$560.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$114.00 |
$114.00 |
$114.00 |
$68.64
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$52.00 |
$52.00 |
$52.00 |
$79.00
|
|
Culture anaerobic except blood
|
$67.00 |
$67.00 |
$67.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$51.00 |
$51.00 |
$51.00 |
$51.45
|
|
Culture body fluid
|
$61.00 |
$61.00 |
$61.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$142.00 |
$142.00 |
$142.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$105.50 |
$105.50 |
$105.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$36.50 |
$36.50 |
$36.50 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$59.50 |
$59.50 |
$59.50 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture quantitative aerobic other source
|
$132.50 |
$132.50 |
$132.50 |
$90.35
|
|
Culture screening strep group a
|
$55.00 |
$55.00 |
$55.00 |
$81.00
|
|
Culture typing glc/hplc
|
$159.50 |
$159.50 |
$159.50 |
$54.43
|
|
Culture typing immunologic
|
$44.50 |
$44.50 |
$44.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$133.90
|
|
Culture urine each isolate
|
$46.00 |
$46.00 |
$46.00 |
$57.00
|
|
Curette/treat cornea
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,345.80
|
|
Curette/treat cornea
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,818.14
|
|
Cutter lead
|
$567.00 |
$567.00 |
$567.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,802.50 |
$1,802.50 |
$1,802.50 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$81.00 |
$81.00 |
$81.00 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$115.50 |
$115.50 |
$115.50 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$10.50 |
$10.50 |
$10.50 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$4.50 |
$4.50 |
$4.50 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$193.00 |
$193.00 |
$193.00 |
$70.72
|
|
Cyclosporine 2 hour
|
$132.00 |
$132.00 |
$132.00 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$3,207.50 |
$3,207.50 |
$3,207.50 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$504.00
|
|
Cyp2c9 gene com variants
|
$200.00 |
$200.00 |
$200.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$185.00 |
$185.00 |
$185.00 |
$554.00
|
|
Cystatin c
|
$30.00 |
$30.00 |
$30.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$852.50 |
$852.50 |
$852.50 |
$1,100.00
|
|
Cystine urine quantitative
|
$81.00 |
$81.00 |
$81.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$487.50 |
$487.50 |
$487.50 |
$542.10
|
|
Cystoscopy and treatment
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$4,160.10
|
|
Cystoscopy and treatment
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$5,162.50
|
|
Cystoscopy and treatment
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$801.50 |
$801.50 |
$801.50 |
$958.81
|
|
Cystoscopy and treatment
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$3,203.50
|
|
Cystoscopy and treatment
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$1,019.50 |
$1,019.50 |
$1,019.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$2,704.80
|
|
Cystoscopy removal of clots
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$3,279.50 |
$3,279.50 |
$3,279.50 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,026.00 |
$3,026.00 |
$3,026.00 |
$3,863.60
|
|
Cysto/uretero w/lithotripsy
|
$4,929.00 |
$4,929.00 |
$4,929.00 |
$9,002.88
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,374.50 |
$3,374.50 |
$3,374.50 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$4,045.60
|
|
Cytogenetics 25-99
|
$330.50 |
$330.50 |
$330.50 |
$190.00
|
|
Cytogenetics 3-5
|
$55.00 |
$55.00 |
$55.00 |
$170.27
|