|
C-peptide
|
$43.46 |
$54.59 |
$54.59 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,919.66 |
$1,919.66 |
$3,318.86 |
$1,466.97
|
|
C-reactive protein
|
$36.57 |
$36.57 |
$54.06 |
$63.00
|
|
C-reactive protein high sensitivity
|
$45.58 |
$45.58 |
$103.35 |
$91.65
|
|
C-reactive protein, quantitative
|
$35.51 |
$35.51 |
$63.07 |
$62.50
|
|
Creatine kinase
|
$32.33 |
$32.33 |
$53.53 |
$59.78
|
|
Creatine kinase isoenzymes
|
$71.02 |
$71.02 |
$106.00 |
$46.34
|
|
Creatine kinase mb
|
$51.94 |
$61.48 |
$61.48 |
$111.00
|
|
Creatine - sendout
|
$23.32 |
$23.32 |
$30.21 |
$39.00
|
|
Creatinine
|
$20.67 |
$20.67 |
$40.81 |
$44.10
|
|
Creatinine 24 hour urine
|
$22.79 |
$22.79 |
$41.87 |
$59.80
|
|
Creatinine clearance urine
|
$49.82 |
$49.82 |
$100.70 |
$87.50
|
|
#creutz-prot.,western blot
|
$395.38 |
$396.44 |
$396.44 |
$173.00
|
|
Crisis psychotherapy 90839
|
$223.66 |
$223.66 |
$338.14 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$115.54 |
$115.54 |
$169.07 |
$152.10
|
|
Critical care 30-74 minutes
|
$1,385.42 |
$1,385.42 |
$4,488.57 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$308.99 |
$308.99 |
$868.67 |
$777.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$6,467.06 |
$6,467.06 |
$6,467.06 |
$2,649.05
|
|
Cryofibrinogen qualitative - sendout
|
$30.21 |
$30.21 |
$52.47 |
$50.88
|
|
Cryoprecipitate each unit
|
$156.88 |
$156.88 |
$156.88 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$42.40 |
$42.40 |
$42.40 |
$70.00
|
|
Cryptosporidium antigen
|
$74.73 |
$74.73 |
$77.91 |
$56.00
|
|
Crystal identification light microscopy
|
$31.80 |
$31.80 |
$50.88 |
$65.25
|
|
Csf leakage imaging
|
$1,203.10 |
$1,203.10 |
$1,203.10 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$455.80 |
$455.80 |
$558.62 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$885.10 |
$885.10 |
$1,586.82 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$885.10 |
$885.10 |
$1,702.36 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,007.53 |
$1,007.53 |
$1,634.52 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$885.10 |
$885.10 |
$1,456.97 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,292.67 |
$1,292.67 |
$2,856.70 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$885.10 |
$885.10 |
$1,692.29 |
$1,955.80
|
|
CT Angiogram of the Head
|
$845.35 |
$845.35 |
$1,124.13 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$845.35 |
$845.35 |
$1,878.85 |
$1,588.60
|
|
CT angio pelvis
|
$1,007.53 |
$1,007.53 |
$1,557.14 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$885.10 |
$885.10 |
$1,474.99 |
$1,652.25
|
|
CT colonography dx
|
$487.60 |
$569.75 |
$569.75 |
$770.90
|
|
CT colonography screening
|
$481.77 |
$481.77 |
$553.32 |
$1,084.20
|
|
CT guidance for needle placement
|
$683.70 |
$683.70 |
$1,231.72 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$334.96 |
$650.84 |
$650.84 |
$1,085.05
|
|
CT guid parench tis ablat
|
$744.65 |
$744.65 |
$853.83 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$25.97 |
$25.97 |
$25.97 |
$192.00
|
|
CT hrt w/3d image
|
$744.65 |
$744.65 |
$2,523.86 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$493.43 |
$516.22 |
$516.22 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$867.61 |
$867.61 |
$1,007.00 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$841.64 |
$841.64 |
$902.59 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,007.53 |
$1,007.53 |
$1,216.88 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$850.12 |
$850.12 |
$1,230.13 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$841.64 |
$841.64 |
$881.92 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$876.09 |
$876.09 |
$1,644.59 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$876.62 |
$876.62 |
$1,448.49 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$867.61 |
$867.61 |
$1,137.38 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$858.60 |
$858.60 |
$1,009.65 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$431.95 |
$431.95 |
$431.95 |
$456.00
|
|
CT scan for therapy guide
|
$546.43 |
$546.43 |
$1,428.35 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,274.65 |
$1,274.65 |
$2,227.06 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,274.65 |
$1,274.65 |
$1,898.46 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,212.11 |
$1,212.11 |
$1,497.25 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$894.64 |
$894.64 |
$1,122.01 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$841.64 |
$841.64 |
$926.97 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$328.60 |
$595.72 |
$595.72 |
$400.20
|
|
CT t-spine w /wo contrast
|
$947.64 |
$947.64 |
$1,396.02 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$867.61 |
$867.61 |
$978.91 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$838.46 |
$850.12 |
$850.12 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$885.10 |
$885.10 |
$1,212.11 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$30.74 |
$30.74 |
$57.77 |
$63.75
|
|
Culture afb any source
|
$67.84 |
$67.84 |
$115.01 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$38.69 |
$38.69 |
$74.73 |
$77.31
|
|
Culture anaerobic except blood
|
$62.54 |
$62.54 |
$87.98 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$36.04 |
$36.04 |
$71.55 |
$52.80
|
|
Culture body fluid
|
$54.06 |
$54.06 |
$91.69 |
$130.50
|
|
Culture fungi definitive id mold
|
$38.16 |
$38.16 |
$58.83 |
$70.00
|
|
Culture fungi definitive id yeast
|
$39.22 |
$39.22 |
$59.89 |
$80.60
|
|
Culture fungi other (except blood)
|
$64.66 |
$64.66 |
$77.91 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$47.70 |
$47.70 |
$71.55 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$79.50 |
$79.50 |
$115.54 |
$84.75
|
|
Culture mycoplasma any source
|
$81.62 |
$81.62 |
$83.21 |
$90.37
|
|
Culture quantitative aerobic other source
|
$46.64 |
$46.64 |
$66.78 |
$87.02
|
|
Culture screening strep group a
|
$36.04 |
$36.04 |
$61.48 |
$81.60
|
|
Culture typing added method
|
$49.29 |
$49.29 |
$49.29 |
$34.45
|
|
Culture typing immunologic
|
$20.67 |
$20.67 |
$43.46 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$124.02 |
$130.38 |
$130.38 |
$124.40
|
|
Culture urine each isolate
|
$36.57 |
$36.57 |
$66.78 |
$46.20
|
|
Cv line/pic reposition
|
$948.70 |
$1,228.54 |
$1,228.54 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$46.64 |
$46.64 |
$100.17 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$15.10 |
$15.10 |
$17.58 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$56.18 |
$56.18 |
$88.51 |
$80.05
|
|
Cyclophosphamide 25 mg capsule
|
$678.72 |
$678.72 |
$678.72 |
$23.49
|
|
Cyclosporine 2 hour
|
$89.04 |
$89.04 |
$151.05 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$1.82 |
$3.64 |
$3.67 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$9.59 |
$9.59 |
$12.51 |
$39.04
|
|
Cystatin c
|
$73.67 |
$73.67 |
$266.59 |
$82.26
|
|
Cystic fibrosis cftr
|
$3,576.44 |
$3,576.44 |
$3,733.32 |
$1,041.95
|
|
Cystine urine quantitative
|
$100.70 |
$100.70 |
$142.04 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$194.51 |
$194.51 |
$471.70 |
$539.55
|
|
Cystoscopy removal of clots
|
$5,945.54 |
$5,945.54 |
$7,134.86 |
$3,970.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,800.10 |
$3,800.10 |
$3,800.10 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$1.90 |
$1.90 |
$10.91 |
$89.95
|
|
Cytogenetics 25-99
|
$119.25 |
$119.25 |
$645.01 |
$180.32
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.82 |
$49.82 |
$104.94 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$51.94 |
$51.94 |
$61.48 |
$96.80
|