|
Cptr ophth dx img post segmt
|
$31.20 |
$31.20 |
$31.20 |
$105.00
|
|
C-reactive protein
|
$64.00 |
$64.00 |
$64.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$12.80 |
$12.80 |
$12.80 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$1,380.80 |
$1,380.80 |
$1,380.80 |
$6,396.89
|
|
Create tear duct drain
|
$5,297.60 |
$5,297.60 |
$5,297.60 |
$4,627.00
|
|
Create tear sac drain
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$4,121.25
|
|
Creatine kinase
|
$20.00 |
$20.00 |
$20.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$20.00 |
$20.00 |
$20.00 |
$56.80
|
|
Creatine kinase mb
|
$26.40 |
$26.40 |
$26.40 |
$114.00
|
|
Creatine - sendout
|
$153.60 |
$153.60 |
$153.60 |
$39.00
|
|
Creatinine
|
$153.60 |
$153.60 |
$153.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$136.80 |
$136.80 |
$136.80 |
$58.85
|
|
Creatinine clearance urine
|
$33.60 |
$33.60 |
$33.60 |
$89.50
|
|
#creutz-prot.,western blot
|
$342.40 |
$342.40 |
$342.40 |
$166.20
|
|
Crisis psychotherapy 90839
|
$236.00 |
$236.00 |
$236.00 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$113.60 |
$113.60 |
$113.60 |
$149.52
|
|
Critical care 30-74 minutes
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$464.80 |
$464.80 |
$464.80 |
$731.40
|
|
Crnec exc tum/bone les skull
|
$2,249.60 |
$2,249.60 |
$2,249.60 |
$2,733.60
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,391.20 |
$1,391.20 |
$1,391.20 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$179.20 |
$179.20 |
$179.20 |
$52.50
|
|
Cryosurgery penis lesion(s) 54056
|
$172.80 |
$172.80 |
$172.80 |
$272.50
|
|
Crystal identification light microscopy
|
$8.00 |
$8.00 |
$8.00 |
$62.50
|
|
C-Section Delivery (full care)
|
$4,714.40 |
$4,714.40 |
$4,714.40 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$2,382.40 |
$2,382.40 |
$2,382.40 |
$2,577.60
|
|
Cta abdomen without & /or w/contrast
|
$729.60 |
$729.60 |
$729.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$766.40 |
$766.40 |
$766.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$897.60 |
$897.60 |
$897.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$817.60 |
$817.60 |
$817.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,957.60 |
$1,957.60 |
$1,957.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$817.60 |
$817.60 |
$817.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$402.40 |
$402.40 |
$402.40 |
$1,500.38
|
|
Cta upper extremity w &/or without contrast left
|
$766.40 |
$766.40 |
$766.40 |
$1,698.00
|
|
CT guidance for needle placement
|
$154.40 |
$154.40 |
$154.40 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$172.80 |
$172.80 |
$172.80 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,532.80 |
$1,532.80 |
$1,532.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$472.00 |
$472.00 |
$472.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$766.40 |
$766.40 |
$766.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$817.60 |
$817.60 |
$817.60 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$502.40 |
$502.40 |
$502.40 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$817.60 |
$817.60 |
$817.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$778.40 |
$778.40 |
$778.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$502.40 |
$502.40 |
$502.40 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$363.20 |
$363.20 |
$363.20 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$980.00 |
$980.00 |
$980.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$729.60 |
$729.60 |
$729.60 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$472.00 |
$472.00 |
$472.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$192.00 |
$192.00 |
$192.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$729.60 |
$729.60 |
$729.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$472.00 |
$472.00 |
$472.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$766.40 |
$766.40 |
$766.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$50.40 |
$50.40 |
$50.40 |
$68.64
|
|
Culture afb any source
|
$312.00 |
$312.00 |
$312.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$112.00 |
$112.00 |
$112.00 |
$79.00
|
|
Culture anaerobic except blood
|
$24.00 |
$24.00 |
$24.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$81.60 |
$81.60 |
$81.60 |
$51.45
|
|
Culture body fluid
|
$25.60 |
$25.60 |
$25.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$87.20 |
$87.20 |
$87.20 |
$77.28
|
|
Culture fungi definitive id yeast
|
$88.80 |
$88.80 |
$88.80 |
$79.10
|
|
Culture fungi other (except blood)
|
$36.80 |
$36.80 |
$36.80 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$19.20 |
$19.20 |
$19.20 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$224.00 |
$224.00 |
$224.00 |
$89.70
|
|
Culture screening strep group a
|
$20.00 |
$20.00 |
$20.00 |
$81.00
|
|
Culture typing immunologic
|
$22.40 |
$22.40 |
$22.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$563.20 |
$563.20 |
$563.20 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$328.80 |
$328.80 |
$328.80 |
$133.90
|
|
Culture urine each isolate
|
$60.80 |
$60.80 |
$60.80 |
$57.00
|
|
Curette/treat cornea
|
$105.60 |
$105.60 |
$105.60 |
$1,345.80
|
|
Curette/treat cornea
|
$556.80 |
$556.80 |
$556.80 |
$2,818.14
|
|
Cv line/pic reposition
|
$97.60 |
$97.60 |
$97.60 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$24.80 |
$24.80 |
$24.80 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$36.80 |
$36.80 |
$36.80 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$36.36 |
$36.36 |
$36.36 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$43.20 |
$43.20 |
$43.20 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$806.38 |
$806.38 |
$806.38 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$33.60 |
$33.60 |
$33.60 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$3,894.40 |
$3,894.40 |
$3,894.40 |
$295.20
|
|
Cystatin c
|
$165.60 |
$165.60 |
$165.60 |
$77.50
|
|
Cystic fibrosis cftr
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$1,100.00
|
|
Cystine urine quantitative
|
$129.60 |
$129.60 |
$129.60 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$27.20 |
$27.20 |
$27.20 |
$542.10
|
|
Cysto, litho, vacuum kidney
|
$638.40 |
$638.40 |
$638.40 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$193.60 |
$193.60 |
$193.60 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$1,488.80 |
$1,488.80 |
$1,488.80 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$270.40 |
$270.40 |
$270.40 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$272.80 |
$272.80 |
$272.80 |
$4,081.37
|
|
Cystoscopy and treatment
|
$284.00 |
$284.00 |
$284.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$328.00 |
$328.00 |
$328.00 |
$4,160.10
|
|
Cystoscopy and treatment
|
$400.80 |
$400.80 |
$400.80 |
$5,162.50
|
|
Cystoscopy and treatment
|
$471.20 |
$471.20 |
$471.20 |
$5,995.60
|
|
Cystoscopy and treatment
|
$638.40 |
$638.40 |
$638.40 |
$6,475.26
|
|
Cystoscopy and treatment
|
$344.00 |
$344.00 |
$344.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$267.20 |
$267.20 |
$267.20 |
$2,424.12
|
|
Cystoscopy and treatment
|
$432.00 |
$432.00 |
$432.00 |
$4,045.60
|
