|
Critical care each additional 30 minutes
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$777.00
|
|
Crotalidae poly immune fab
|
$13,738.75 |
$13,738.75 |
$13,738.75 |
$5,654.46
|
|
Cryofibrinogen qualitative - sendout
|
$109.00 |
$109.00 |
$109.00 |
$50.88
|
|
Cryoprecipitate each unit
|
$501.00 |
$501.00 |
$501.00 |
$176.99
|
|
Cryptosporidium antigen
|
$116.00 |
$116.00 |
$116.00 |
$56.00
|
|
Crystal identification light microscopy
|
$100.00 |
$100.00 |
$100.00 |
$65.25
|
|
Csf leakage imaging
|
$2,287.00 |
$2,287.00 |
$2,287.00 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$561.00 |
$561.00 |
$561.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,304.00 |
$3,304.00 |
$3,304.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,639.00 |
$2,639.00 |
$2,639.00 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$2,687.00 |
$2,687.00 |
$2,687.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,130.00 |
$4,130.00 |
$4,130.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,588.60
|
|
CT angio pelvis
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$1,775.28
|
|
CT guidance for needle placement
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,772.00 |
$1,772.00 |
$1,772.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$728.00 |
$728.00 |
$728.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,987.00 |
$1,987.00 |
$1,987.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,461.00 |
$2,461.00 |
$2,461.00 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$2,389.00 |
$2,389.00 |
$2,389.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,891.00 |
$2,891.00 |
$2,891.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,351.20
|
|
CT scan for localization
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$1,202.37
|
|
CT scan for therapy guide
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,397.00 |
$6,397.00 |
$6,397.00 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,129.00 |
$5,129.00 |
$5,129.00 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,279.00 |
$2,279.00 |
$2,279.00 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$146.00 |
$146.00 |
$146.00 |
$63.75
|
|
Culture afb any source
|
$197.00 |
$197.00 |
$197.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$135.00 |
$135.00 |
$135.00 |
$77.31
|
|
Culture anaerobic except blood
|
$151.00 |
$151.00 |
$151.00 |
$123.20
|
|
Culture bacteria anaerobic
|
$121.00 |
$121.00 |
$121.00 |
$38.58
|
|
Culture bact stool aero addl path ea
|
$125.00 |
$125.00 |
$125.00 |
$52.80
|
|
Culture body fluid
|
$159.00 |
$159.00 |
$159.00 |
$130.50
|
|
Culture fungi definitive id mold
|
$105.00 |
$105.00 |
$105.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$123.00 |
$123.00 |
$123.00 |
$80.60
|
|
Culture fungi other (except blood)
|
$157.00 |
$157.00 |
$157.00 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$74.00 |
$74.00 |
$74.00 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$84.75
|
|
Culture mycoplasma any source
|
$198.00 |
$198.00 |
$198.00 |
$90.37
|
|
Culture quantitative aerobic other source
|
$121.00 |
$121.00 |
$121.00 |
$87.02
|
|
Culture screening strep group a
|
$97.00 |
$97.00 |
$97.00 |
$81.60
|
|
Culture typing immunologic
|
$85.00 |
$85.00 |
$85.00 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$450.00 |
$450.00 |
$450.00 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$508.00 |
$508.00 |
$508.00 |
$124.40
|
|
Culture urine each isolate
|
$148.00 |
$148.00 |
$148.00 |
$46.20
|
|
Cutter lead
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$4,834.73
|
|
Cv line/pic reposition
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$346.00 |
$346.00 |
$346.00 |
$28.00
|
|
Cyclic citrullinated peptide antibody
|
$175.00 |
$175.00 |
$175.00 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$3,147.00 |
$3,147.00 |
$3,147.00 |
$1,348.50
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$300.00 |
$300.00 |
$300.00 |
$140.78
|
|
Cyclosporine 2 hour
|
$216.00 |
$216.00 |
$216.00 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$20.25 |
$20.25 |
$20.25 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$77.00 |
$77.00 |
$77.00 |
$34.00
|
|
Cylinder pump set 20cm titan zero angl
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$24,131.60
|
|
Cyp2c19 gene com variants
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$567.75
|
|
Cyp3a4 gene common variants
|
$539.00 |
$539.00 |
$539.00 |
$230.01
|
|
Cystatin c
|
$174.00 |
$174.00 |
$174.00 |
$82.26
|
|
Cystine urine quantitative
|
$217.00 |
$217.00 |
$217.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$579.00 |
$579.00 |
$579.00 |
$539.55
|
|
Cystoscopy (Bladder Scope)
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,610.20
|
|
Cystouretero w/stone remove
|
$8,574.00 |
$8,574.00 |
$8,574.00 |
$4,724.46
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,242.00 |
$3,242.00 |
$3,242.00 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$104.83
|
|
Cytogenetics 25-99
|
$447.00 |
$447.00 |
$447.00 |
$180.32
|
|
Cytomegalovirus (cmv) antibody igg
|
$195.00 |
$195.00 |
$195.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$227.00 |
$227.00 |
$227.00 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$309.00 |
$309.00 |
$309.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$226.00 |
$226.00 |
$226.00 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$195.00 |
$195.00 |
$195.00 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$216.00 |
$216.00 |
$216.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$260.00 |
$260.00 |
$260.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$870.00 |
$870.00 |
$870.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$309.00 |
$309.00 |
$309.00 |
$205.00
|
|
Cytopath smear other source
|
$109.00 |
$109.00 |
$109.00 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$260.00 |
$260.00 |
$260.00 |
$95.89
|
|
Cytopath tbs c/v manual
|
$136.00 |
$136.00 |
$136.00 |
$57.94
|
|
Dacarbazine 100 mg intravenous solution
|
$55.00 |
$55.00 |
$55.00 |
$73.20
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,704.75 |
$2,704.75 |
$2,704.75 |
$362.16
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$576.50 |
$576.50 |
$576.50 |
$300.73
|
|
Dch pulmonary stress test
|
$973.00 |
$973.00 |
$973.00 |
$964.41
|
|
Dch validity tests
|
$34.00 |
$34.00 |
$34.00 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$147.00 |
$147.00 |
$147.00 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$501.00 |
$501.00 |
$501.00 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$378.00 |
$378.00 |
$378.00 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,613.00 |
$5,613.00 |
$5,613.00 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$1,283.44
|
