|
C-reactive protein
|
$53.30 |
$53.30 |
$53.30 |
$54.43
|
|
C-reactive protein high sensitivity
|
$110.50 |
$110.50 |
$110.50 |
$91.65
|
|
Creatine kinase
|
$46.80 |
$46.80 |
$46.80 |
$55.00
|
|
Creatine kinase isoenzymes
|
$92.30 |
$92.30 |
$92.30 |
$66.00
|
|
Creatine kinase mb
|
$100.75 |
$100.75 |
$100.75 |
$100.75
|
|
Creatinine
|
$62.40 |
$62.40 |
$62.40 |
$40.00
|
|
Creatinine 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$54.40
|
|
Creatinine clearance urine
|
$85.80 |
$85.80 |
$85.80 |
$73.86
|
|
#creutz-prot.,western blot
|
$247.00 |
$247.00 |
$247.00 |
$178.10
|
|
Critical care 30-74 minutes
|
$1,392.30 |
$1,392.30 |
$1,392.30 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$351.00 |
$351.00 |
$351.00 |
$663.00
|
|
Crotalidae poly immune fab
|
$6,443.97 |
$6,443.97 |
$6,443.97 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$39.00 |
$39.00 |
$39.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$111.80 |
$111.80 |
$111.80 |
$182.25
|
|
Crystal identification light microscopy
|
$55.25 |
$55.25 |
$55.25 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$2,001.35 |
$2,001.35 |
$2,001.35 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,120.30 |
$2,120.30 |
$2,120.30 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,596.40 |
$1,596.40 |
$1,596.40 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$1,890.85 |
$1,890.85 |
$1,890.85 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,225.95 |
$3,225.95 |
$3,225.95 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,428.05 |
$1,428.05 |
$1,428.05 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,047.15 |
$1,047.15 |
$1,047.15 |
$1,951.50
|
|
Cta upper extremity w &/or without contrast left
|
$871.65 |
$871.65 |
$871.65 |
$1,650.60
|
|
CT limited or localized follow-up study
|
$576.55 |
$576.55 |
$576.55 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$787.80 |
$787.80 |
$787.80 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$920.40 |
$920.40 |
$920.40 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$982.15 |
$982.15 |
$982.15 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$1,600.30 |
$1,600.30 |
$1,600.30 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$831.35 |
$831.35 |
$831.35 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$813.80 |
$813.80 |
$813.80 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$770.90 |
$770.90 |
$770.90 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,636.10 |
$3,636.10 |
$3,636.10 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,847.65 |
$2,847.65 |
$2,847.65 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,262.65 |
$2,262.65 |
$2,262.65 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,572.35 |
$1,572.35 |
$1,572.35 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,398.80 |
$1,398.80 |
$1,398.80 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$258.05 |
$258.05 |
$258.05 |
$418.50
|
|
CT t-spine w /wo contrast
|
$1,708.85 |
$1,708.85 |
$1,708.85 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$889.20 |
$889.20 |
$889.20 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,907.10 |
$1,907.10 |
$1,907.10 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$52.00 |
$52.00 |
$52.00 |
$61.03
|
|
Culture afb any source
|
$71.50 |
$71.50 |
$71.50 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$65.65 |
$65.65 |
$65.65 |
$73.00
|
|
Culture anaerobic except blood
|
$112.45 |
$112.45 |
$112.45 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$18.20 |
$18.20 |
$18.20 |
$49.40
|
|
Culture body fluid
|
$141.05 |
$141.05 |
$141.05 |
$111.15
|
|
Culture fungi definitive id mold
|
$58.50 |
$58.50 |
$58.50 |
$70.00
|
|
Culture fungi definitive id yeast
|
$32.50 |
$32.50 |
$32.50 |
$68.00
|
|
Culture fungi other (except blood)
|
$92.30 |
$92.30 |
$92.30 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$89.05 |
$89.05 |
$89.05 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$88.40 |
$88.40 |
$88.40 |
$79.00
|
|
Culture mycoplasma any source
|
$108.55 |
$108.55 |
$108.55 |
$94.00
|
|
Culture screening strep group a
|
$111.15 |
$111.15 |
$111.15 |
$76.00
|
|
Culture typing immunologic
|
$35.75 |
$35.75 |
$35.75 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$733.20 |
$733.20 |
$733.20 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$35.75 |
$35.75 |
$35.75 |
$100.20
|
|
Culture urine each isolate
|
$75.40 |
$75.40 |
$75.40 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$21.59 |
$21.59 |
$21.59 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$72.15 |
$72.15 |
$72.15 |
$91.20
|
|
Cyclosporine 2 hour
|
$156.00 |
$156.00 |
$156.00 |
$126.10
|
|
Cyp2c19 gene com variants
|
$642.20 |
$642.20 |
$642.20 |
$583.20
|
|
Cyp3a4 gene common variants
|
$438.75 |
$438.75 |
$438.75 |
$245.31
|
|
Cystatin c
|
$94.90 |
$94.90 |
$94.90 |
$83.20
|
|
Cystic fibrosis cftr
|
$1,041.95 |
$1,041.95 |
$1,041.95 |
$1,041.95
|
|
Cystine urine quantitative
|
$87.75 |
$87.75 |
$87.75 |
$112.50
|
|
Cytogenetics 25-99
|
$156.00 |
$156.00 |
$156.00 |
$188.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$77.35 |
$77.35 |
$77.35 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$81.25 |
$81.25 |
$81.25 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$117.00 |
$117.00 |
$117.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$42.25 |
$42.25 |
$42.25 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$52.65 |
$52.65 |
$52.65 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$157.95 |
$157.95 |
$157.95 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$95.55 |
$95.55 |
$95.55 |
$129.90
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$96.20 |
$96.20 |
$96.20 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$251.55 |
$251.55 |
$251.55 |
$205.00
|
|
Cytopath smear other source
|
$81.90 |
$81.90 |
$81.90 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$96.20 |
$96.20 |
$96.20 |
$95.00
|
|
Cytopath tbs c/v manual
|
$55.90 |
$55.90 |
$55.90 |
$57.94
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$60.95 |
$60.95 |
$60.95 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,339.41 |
$2,339.41 |
$2,339.41 |
$4,542.99
|
|
Dch pulmonary stress test
|
$710.45 |
$710.45 |
$710.45 |
$964.41
|
|
Dch validity tests
|
$39.00 |
$39.00 |
$39.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$167.05 |
$167.05 |
$167.05 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$215.15 |
$215.15 |
$215.15 |
$313.30
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$206.70 |
$206.70 |
$206.70 |
$779.35
|
|
Decalcification
|
$58.50 |
$58.50 |
$58.50 |
$72.15
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$223.60 |
$223.60 |
$223.60 |
$482.35
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$117.65 |
$117.65 |
$117.65 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,401.10 |
$4,401.10 |
$4,401.10 |
$4,681.80
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$358.80 |
$358.80 |
$358.80 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$463.12 |
$463.12 |
$463.12 |
$37.26
|
|
Desoxycorticosterone
|
$74.10 |
$74.10 |
$74.10 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$100.10 |
$100.10 |
$100.10 |
$199.50
|
|
Developmental screen/score/document 96110
|
$126.75 |
$126.75 |
$126.75 |
$126.75
|
|
Dexamethasone 4 mg tablet
|
$50.39 |
$50.39 |
$50.39 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$8.23
|
