|
C-peptide
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
Cptrz oph img pst sg rta oct
|
$510.00 |
$510.00 |
$510.00 |
$357.00
|
|
Crbrospnl fld flw imag cistern
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,210.30
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$61.20
|
|
C-reactive protein high sensitivity
|
$77.50 |
$77.50 |
$77.50 |
$79.77
|
|
C-reactive protein, quantitative
|
$57.50 |
$57.50 |
$57.50 |
$62.50
|
|
Creatine kinase
|
$62.50 |
$62.50 |
$62.50 |
$64.35
|
|
Creatine kinase isoenzymes
|
$57.50 |
$57.50 |
$57.50 |
$49.40
|
|
Creatine kinase mb
|
$130.00 |
$130.00 |
$130.00 |
$114.66
|
|
Creatinine
|
$37.50 |
$37.50 |
$37.50 |
$44.25
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$56.45
|
|
Creatinine clearance urine
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$400.00 |
$400.00 |
$400.00 |
$163.50
|
|
Crisis psychotherapy 90839
|
$305.00 |
$305.00 |
$305.00 |
$326.34
|
|
Crisis psychotherapy additional 30 mins 90840
|
$152.50 |
$152.50 |
$152.50 |
$151.84
|
|
Critical care 30-74 minutes
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$2,549.60
|
|
Critical care each additional 30 minutes
|
$530.00 |
$530.00 |
$530.00 |
$741.00
|
|
Cryo fib comp path redu each
|
$370.00 |
$370.00 |
$370.00 |
$371.30
|
|
Cryofibrinogen qualitative - sendout
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$75.00 |
$75.00 |
$75.00 |
$144.78
|
|
Cryopreserve testicular tiss
|
$60.00 |
$60.00 |
$60.00 |
$71.65
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$55.00 |
$59.15
|
|
CT 3d report other modality w/workstation
|
$590.00 |
$590.00 |
$590.00 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$2,910.00
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,027.35
|
|
CT angio hrt w/3d image
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,555.00
|
|
CT angio pelvis
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,895.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$1,698.32
|
|
CT guidance for needle placement
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$8,315.00 |
$8,315.00 |
$8,315.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,282.50
|
|
CT limited or localized follow-up study
|
$945.00 |
$945.00 |
$945.00 |
$649.38
|
|
CT lower extremity w/contrast (both sides)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,409.58
|
|
CT lwr extremity w/o&w/dye
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,857.80
|
|
CT neck soft tissue w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,740.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,373.25
|
|
CT scan for localization
|
$845.00 |
$845.00 |
$845.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,610.00 |
$4,610.00 |
$4,610.00 |
$3,580.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$2,985.60
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$2,418.75
|
|
CT thoracic spine w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,468.80
|
|
CT thorax low dose for lung screening without contrast
|
$445.00 |
$445.00 |
$445.00 |
$362.70
|
|
CT t-spine w /wo contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,470.00
|
|
CT uppr extremity w/o&w/dye
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$80.00 |
$80.00 |
$80.00 |
$67.80
|
|
Culture afb any source
|
$80.00 |
$80.00 |
$80.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$47.50 |
$47.50 |
$47.50 |
$77.31
|
|
Culture anaerobic except blood
|
$80.00 |
$80.00 |
$80.00 |
$119.20
|
|
Culture bact stool aero addl path ea
|
$80.00 |
$80.00 |
$80.00 |
$52.50
|
|
Culture body fluid
|
$80.00 |
$80.00 |
$80.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$80.00 |
$80.00 |
$80.00 |
$74.83
|
|
Culture fungi definitive id yeast
|
$80.00 |
$80.00 |
$80.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$80.00 |
$80.00 |
$80.00 |
$105.95
|
|
Culture fungi skin/hair/nail
|
$80.00 |
$80.00 |
$80.00 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$80.00 |
$80.00 |
$80.00 |
$88.14
|
|
Culture quantitative aerobic other source
|
$80.00 |
$80.00 |
$80.00 |
$89.10
|
|
Culture screening strep group a
|
$142.50 |
$142.50 |
$142.50 |
$85.40
|
|
Culture type pulse field gel
|
$120.00 |
$120.00 |
$120.00 |
$38.58
|
|
Culture typing immunologic
|
$22.50 |
$22.50 |
$22.50 |
$40.80
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.50 |
$392.50 |
$392.50 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$235.00 |
$235.00 |
$235.00 |
$123.76
|
|
Culture urine each isolate
|
$80.00 |
$80.00 |
$80.00 |
$51.35
|
|
Cutter lead
|
$1,151.49 |
$1,151.49 |
$1,151.49 |
$5,999.07
|
|
Cv line/pic reposition
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,727.41
|
|
Cyanocobalamin unsat binding capacity
|
$100.00 |
$100.00 |
$100.00 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$80.00 |
$80.00 |
$80.00 |
$71.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$6.11 |
$6.11 |
$6.11 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$150.00 |
$150.00 |
$150.00 |
$126.10
|
|
Cylinder pump set 20cm titan zero angl
|
$21,019.65 |
$21,019.65 |
$21,019.65 |
$24,131.60
|
|
Cystatin c
|
$90.00 |
$90.00 |
$90.00 |
$78.75
|
|
Cystic fibrosis cftr
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,060.00
|
|
Cystine urine quantitative
|
$112.50 |
$112.50 |
$112.50 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$510.00 |
$510.00 |
$510.00 |
$561.96
|
|
Cystoscopy and treatment
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$2,896.40
|
|
Cytogenetics 25-99
|
$265.00 |
$265.00 |
$265.00 |
$189.80
|
|
Cytogenetics 3-5
|
$915.00 |
$915.00 |
$915.00 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$95.00 |
$95.00 |
$95.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$100.00 |
$100.00 |
$100.00 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$80.00 |
$80.00 |
$80.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$95.00 |
$95.00 |
$95.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$152.50 |
$152.50 |
$152.50 |
$141.25
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$100.00 |
$100.00 |
$100.00 |
$132.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.50 |
$42.50 |
$42.50 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$120.00 |
$120.00 |
$120.00 |
$186.08
|