|
Cryptosporidium antigen
|
$29.07 |
$74.73 |
$89.10 |
|
|
Crystal identification light microscopy
|
$18.81 |
$55.00 |
$130.90 |
|
|
C-Section Delivery (full care)
|
$7,655.20 |
$7,655.20 |
$7,655.20 |
|
|
C-section delivery incl p/p care 59515
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
|
|
Csf leakage imaging
|
$973.56 |
$1,828.86 |
$5,646.39 |
|
|
Csf shunt reprogram 62252
|
$462.50 |
$462.50 |
$462.50 |
|
|
Cstb gene full gene sequence
|
$317.46 |
$317.46 |
$317.46 |
|
|
CT 3d report other modality w/workstation
|
$76.38 |
$585.00 |
$1,980.55 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$265.65 |
$1,940.00 |
$5,539.32 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,023.15 |
$2,910.00 |
$6,323.51 |
|
|
CT Angiogram of the Abdomen
|
$594.51 |
$1,940.00 |
$6,323.51 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$653.79 |
$1,940.00 |
$6,323.51 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$713.07 |
$1,940.00 |
$5,555.61 |
|
|
CT Angiogram of the Head
|
$714.78 |
$1,940.00 |
$6,323.51 |
|
|
CT Angiogram of the Neck
|
$714.78 |
$1,940.00 |
$6,323.51 |
|
|
CT angio hrt w/3d image
|
$509.01 |
$1,675.00 |
$4,396.71 |
|
|
CT angio pelvis
|
$649.23 |
$1,940.00 |
$5,539.32 |
|
|
Cta upper extremity w &/or without contrast left
|
$477.66 |
$1,818.96 |
$5,539.32 |
|
|
CT colonography dx
|
$487.60 |
$1,119.36 |
$1,877.70 |
|
|
CT colonography dx w/dye
|
$1,570.00 |
$1,648.35 |
$1,824.35 |
|
|
CT colonography screening
|
$481.77 |
$893.76 |
$3,035.39 |
|
|
CT guidance for needle placement
|
$397.86 |
$1,300.00 |
$1,870.55 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$263.34 |
$1,215.06 |
$1,261.40 |
|
|
CT guid cryo ablat intramuscular
|
$18.70 |
$2,764.85 |
$8,315.00 |
|
|
CT guid parench tis ablat
|
$570.57 |
$1,135.00 |
$1,939.30 |
|
|
CT heart w/evaluation of calcium without contrast
|
$13.75 |
$25.97 |
$171.60 |
|
|
CT hrt c+ strux cgen hrt ds
|
$1,259.28 |
$1,543.85 |
$1,675.00 |
|
|
CT hrt w/3d image
|
$509.01 |
$1,543.85 |
$4,446.20 |
|
|
CT limited or localized follow-up study
|
$195.51 |
$769.56 |
$2,322.88 |
|
|
CT lwr extremity w/o&w/dye
|
$448.59 |
$1,818.96 |
$5,043.37 |
|
|
Ctrl nosebld postir subsq 30906
|
$299.98 |
$400.40 |
$532.80 |
|
|
CT scan for localization
|
$583.68 |
$845.00 |
$4,248.75 |
|
|
CT scan for therapy guide
|
$217.17 |
$1,189.32 |
$1,699.18 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$855.57 |
$3,550.14 |
$6,442.34 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$808.26 |
$3,052.50 |
$5,871.84 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$713.07 |
$2,693.35 |
$4,968.48 |
|
|
CT t-spine w /wo contrast
|
$452.01 |
$1,818.96 |
$5,086.29 |
|
|
CT uppr extremity w/o&w/dye
|
$449.73 |
$1,846.68 |
$5,207.77 |
|
|
Cuffs adj lock with active con
|
$770.09 |
$770.09 |
$770.09 |
|
|
Culture aerobic additional method definitive id each
|
$19.95 |
$80.00 |
$256.30 |
|
|
Culture afb any source
|
$27.93 |
$80.00 |
$242.00 |
|
|
Culture anaerobic additional method definitive id each
|
$38.69 |
$47.50 |
$474.65 |
|
|
Culture anaerobic except blood
|
$62.54 |
$80.00 |
$301.43 |
|
|
Culture bacteria anaerobic
|
$64.13 |
$64.13 |
$66.78 |
|
|
Culture bact stool aero addl path ea
|
$19.95 |
$80.00 |
$203.94 |
|
|
Culture body fluid
|
$47.88 |
$80.00 |
$246.95 |
|
|
Culture fungi definitive id mold
|
$25.65 |
$80.00 |
$139.15 |
|
|
Culture fungi definitive id yeast
|
$25.65 |
$80.00 |
$245.03 |
|
|
Culture fungi other (except blood)
|
$19.38 |
$80.00 |
$219.47 |
|
|
Culture fungi skin/hair/nail
|
$19.95 |
$80.00 |
$163.90 |
|
|
Culture mycobacteria definitive id each isolate
|
$51.20 |
$80.00 |
$243.65 |
|
|
Culture mycoplasma any source
|
$62.70 |
$81.62 |
$167.20 |
|
|
Culture of specimen by kit
|
$23.32 |
$23.32 |
$23.32 |
|
|
Culture quantitative aerobic other source
|
$23.37 |
$80.00 |
$125.80 |
|
|
Culture screening strep group a
|
$35.34 |
$106.70 |
$427.30 |
|
|
Culture type pulse field gel
|
$22.99 |
$120.00 |
$120.00 |
|
|
Culture typing added method
|
$49.29 |
$89.10 |
$119.35 |
|
|
Culture typing glc/hplc
|
$97.68 |
$97.68 |
$474.65 |
|
|
Culture typing immunologic
|
$14.31 |
$22.50 |
$138.05 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$290.40 |
$392.50 |
$1,783.10 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$92.40 |
$235.00 |
$367.40 |
|
|
Culture urine each isolate
|
$9.90 |
$80.00 |
$187.00 |
|
|
Culture virus isolation
|
$144.16 |
$144.16 |
$144.16 |
|
|
Custom shape cover bk
|
$1,600.60 |
$1,600.60 |
$1,721.40 |
|
|
Cutter lead
|
$390.72 |
$1,151.49 |
$10,992.12 |
|
|
Cv line/pic reposition
|
$948.70 |
$1,228.54 |
$3,012.35 |
|
|
Cv stress test i&r only 93018
|
$53.01 |
$157.08 |
$303.20 |
|
|
Cv stress test/supervision only 93016
|
$58.71 |
$149.16 |
$291.20 |
|
|
Cyanocobalamin unsat binding capacity
|
$13.20 |
$100.00 |
$100.17 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$4.75 |
$19.12 |
$81.20 |
|
|
Cyclic citrullinated peptide antibody
|
$32.49 |
$80.00 |
$371.50 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$5.39 |
$6.11 |
$10.85 |
|
|
Cyclophosphamide 25 mg capsule
|
$1.55 |
$4.23 |
$678.72 |
|
|
Cyclosporine 2 hour
|
$30.25 |
$135.85 |
$222.91 |
|
|
Cyclosporine modified 25 mg capsule
|
$1.82 |
$3.23 |
$5.28 |
|
|
Cyclosporine oral 100 mg
|
$4.69 |
$12.34 |
$55.68 |
|
|
Cylinder pump set 20cm titan zero angl
|
$130.00 |
$20,811.78 |
$37,081.60 |
|
|
Cymetra injectable
|
$615.00 |
$615.00 |
$615.00 |
|
|
Cyp2c19 gene com variants
|
$822.25 |
$822.25 |
$917.87 |
|
|
Cyp2c9 gene com variants
|
$550.70 |
$550.70 |
$550.70 |
|
|
Cyp2d6 gene com variants
|
$423.50 |
$806.66 |
$1,585.32 |
|
|
Cyp3a4 gene common variants
|
$519.28 |
$519.28 |
$519.28 |
|
|
Cystatin c
|
$39.05 |
$90.00 |
$266.59 |
|
|
Cystic fibrosis cftr
|
$60.00 |
$1,100.00 |
$3,733.32 |
|
|
Cystine urine quantitative
|
$26.79 |
$112.50 |
$284.90 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$194.51 |
$510.00 |
$2,192.59 |
|
|
Cystometrogram w/up 51727
|
$486.54 |
$775.00 |
$775.00 |
|
|
Cystorrhaphy wound simple 51860
|
$3,736.00 |
$3,736.00 |
$3,736.00 |
|
|
Cysto rx balo cath urtl strx
|
$6,312.18 |
$6,312.18 |
$6,862.40 |
|
|
Cystoscopy and biopsy
|
$788.64 |
$788.64 |
$788.64 |
|
|
Cystoscopy and treatment
|
$1,708.29 |
$1,718.26 |
$2,191.20 |
|
|
Cystoscopy and treatment
|
$1,706.07 |
$1,706.07 |
$3,776.80 |
|
|
Cystoscopy and treatment
|
$819.66 |
$1,076.46 |
$3,576.80 |
|
|
Cystoscopy and treatment
|
$673.17 |
$673.17 |
$3,576.80 |
|
|
Cystoscopy and treatment
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
|
|
Cystoscopy and treatment
|
$546.43 |
$546.43 |
$546.43 |
|
|
Cystoscopy and treatment
|
$3,626.40 |
$3,626.40 |
$3,626.40 |
|
|
Cystoscopy and treatment
|
$176.49 |
$176.49 |
$176.49 |
|
|
Cystoscopy and treatment
|
$225.78 |
$225.78 |
$225.78 |
|
|
Cystoscopy and treatment
|
$231.61 |
$2,400.00 |
$5,918.83 |
|
