|
C-reactive protein high sensitivity
|
$77.55 |
$77.55 |
$77.55 |
$91.65
|
|
Creatine kinase
|
$58.30 |
$58.30 |
$58.30 |
$59.78
|
|
Creatine kinase isoenzymes
|
$100.10 |
$100.10 |
$100.10 |
$46.34
|
|
Creatine kinase mb
|
$21.45 |
$21.45 |
$21.45 |
$111.00
|
|
Creatinine
|
$45.10 |
$45.10 |
$45.10 |
$44.10
|
|
Creatinine 24 hour urine
|
$45.65 |
$45.65 |
$45.65 |
$59.80
|
|
Creatinine clearance urine
|
$85.80 |
$85.80 |
$85.80 |
$87.50
|
|
#creutz-prot.,western blot
|
$54.45 |
$54.45 |
$54.45 |
$173.00
|
|
Crisis psychotherapy 90839
|
$130.90 |
$130.90 |
$130.90 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$102.30 |
$102.30 |
$102.30 |
$152.10
|
|
Critical care 30-74 minutes
|
$1,657.15 |
$1,657.15 |
$1,657.15 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$827.75 |
$827.75 |
$827.75 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$25.30 |
$25.30 |
$25.30 |
$50.88
|
|
Cryoprecipitate each unit
|
$205.15 |
$205.15 |
$205.15 |
$185.64
|
|
Crystal identification light microscopy
|
$66.55 |
$66.55 |
$66.55 |
$65.25
|
|
Csf leakage imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$574.20 |
$574.20 |
$574.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,693.45 |
$1,693.45 |
$1,693.45 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,693.45 |
$1,693.45 |
$1,693.45 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,693.45 |
$1,693.45 |
$1,693.45 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,693.45 |
$1,693.45 |
$1,693.45 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,588.60
|
|
CT angio pelvis
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$1,652.25
|
|
CT colonography dx
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$770.90
|
|
CT colonography dx w/dye
|
$1,648.35 |
$1,648.35 |
$1,648.35 |
$1,009.98
|
|
CT colonography screening
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$533.50 |
$533.50 |
$533.50 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$13.75 |
$13.75 |
$13.75 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$536.25 |
$536.25 |
$536.25 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,558.15 |
$1,558.15 |
$1,558.15 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,484.45 |
$1,484.45 |
$1,484.45 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,636.25 |
$1,636.25 |
$1,636.25 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,314.50 |
$1,314.50 |
$1,314.50 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,449.80 |
$1,449.80 |
$1,449.80 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,455.30 |
$1,455.30 |
$1,455.30 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,351.20
|
|
CT scan for therapy guide
|
$596.75 |
$596.75 |
$596.75 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,799.05 |
$1,799.05 |
$1,799.05 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,713.25 |
$1,713.25 |
$1,713.25 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,631.85 |
$1,631.85 |
$1,631.85 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,570.25 |
$1,570.25 |
$1,570.25 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,495.45 |
$1,495.45 |
$1,495.45 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$113.30 |
$113.30 |
$113.30 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,648.90 |
$1,648.90 |
$1,648.90 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,558.15 |
$1,558.15 |
$1,558.15 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,484.45 |
$1,484.45 |
$1,484.45 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,636.25 |
$1,636.25 |
$1,636.25 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$27.50 |
$27.50 |
$27.50 |
$63.75
|
|
Culture afb any source
|
$123.75 |
$123.75 |
$123.75 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$107.25 |
$107.25 |
$107.25 |
$77.31
|
|
Culture anaerobic except blood
|
$123.20 |
$123.20 |
$123.20 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$85.80 |
$85.80 |
$85.80 |
$52.80
|
|
Culture body fluid
|
$103.40 |
$103.40 |
$103.40 |
$130.50
|
|
Culture fungi definitive id mold
|
$110.55 |
$110.55 |
$110.55 |
$70.00
|
|
Culture fungi definitive id yeast
|
$112.20 |
$112.20 |
$112.20 |
$80.60
|
|
Culture fungi other (except blood)
|
$111.10 |
$111.10 |
$111.10 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$125.95 |
$125.95 |
$125.95 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$159.50 |
$159.50 |
$159.50 |
$84.75
|
|
Culture mycoplasma any source
|
$107.80 |
$107.80 |
$107.80 |
$90.37
|
|
Culture quantitative aerobic other source
|
$100.65 |
$100.65 |
$100.65 |
$87.02
|
|
Culture screening strep group a
|
$106.70 |
$106.70 |
$106.70 |
$81.60
|
|
Culture typing added method
|
$89.10 |
$89.10 |
$89.10 |
$34.45
|
|
Culture typing immunologic
|
$36.30 |
$36.30 |
$36.30 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$486.75 |
$486.75 |
$486.75 |
$408.75
|
|
Culture urine each isolate
|
$60.50 |
$60.50 |
$60.50 |
$46.20
|
|
Cutter lead
|
$1,021.81 |
$1,021.81 |
$1,021.81 |
$5,538.98
|
|
Cv line/pic reposition
|
$3,012.35 |
$3,012.35 |
$3,012.35 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$26.40 |
$26.40 |
$26.40 |
$60.00
|
|
Cyclic citrullinated peptide antibody
|
$108.35 |
$108.35 |
$108.35 |
$80.05
|
|
Cyclosporine 2 hour
|
$135.85 |
$135.85 |
$135.85 |
$121.80
|
|
Cystatin c
|
$60.50 |
$60.50 |
$60.50 |
$82.26
|
|
Cystic fibrosis cftr
|
$1,327.70 |
$1,327.70 |
$1,327.70 |
$1,041.95
|
|
Cystogram >= 3 views supervision & interpretation
|
$471.90 |
$471.90 |
$471.90 |
$539.55
|
|
Cystoscopy and treatment
|
$1,076.46 |
$1,076.46 |
$1,076.46 |
$4,081.37
|
|
Cystoscopy and treatment
|
$2,867.70 |
$2,867.70 |
$2,867.70 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$851.40 |
$851.40 |
$851.40 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$882.83 |
$882.83 |
$882.83 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$856.68 |
$856.68 |
$856.68 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$2,695.55 |
$2,695.55 |
$2,695.55 |
$3,416.48
|
|
Cystouretero & or pyeloscope
|
$1,306.14 |
$1,306.14 |
$1,306.14 |
$4,315.98
|
|
Cysto/uretero w/lithotripsy
|
$2,807.97 |
$2,807.97 |
$2,807.97 |
$5,844.61
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,727.45 |
$2,727.45 |
$2,727.45 |
$2,874.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$83.60 |
$83.60 |
$83.60 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$695.75 |
$695.75 |
$695.75 |
$96.80
|
|
Cyto/molecular report
|
$79.20 |
$79.20 |
$79.20 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$248.60 |
$248.60 |
$248.60 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$212.30 |
$212.30 |
$212.30 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$172.15 |
$172.15 |
$172.15 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$177.10 |
$177.10 |
$177.10 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$239.80 |
$239.80 |
$239.80 |
$124.80
|