|
Creatine kinase isoenzymes
|
$3.87 |
$3.87 |
$3.87 |
$46.34
|
|
Creatine kinase mb
|
$168.13 |
$168.13 |
$168.13 |
$111.00
|
|
Creatinine
|
$50.31 |
$50.31 |
$50.31 |
$44.10
|
|
Creatinine 24 hour urine
|
$67.51 |
$67.51 |
$67.51 |
$59.80
|
|
Creatinine clearance urine
|
$52.89 |
$52.89 |
$52.89 |
$87.50
|
|
#creutz-prot.,western blot
|
$182.75 |
$182.75 |
$182.75 |
$173.00
|
|
Critical care 30-74 minutes
|
$3,157.49 |
$3,157.49 |
$3,157.49 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,578.96 |
$1,578.96 |
$1,578.96 |
$777.00
|
|
Crotalidae poly immune fab
|
$4,250.55 |
$4,250.55 |
$4,250.55 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$182.32 |
$182.32 |
$182.32 |
$185.64
|
|
Cryptosporidium antigen
|
$64.50 |
$64.50 |
$64.50 |
$56.00
|
|
Crystal identification light microscopy
|
$44.29 |
$44.29 |
$44.29 |
$65.25
|
|
Csf leakage imaging
|
$694.45 |
$694.45 |
$694.45 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$97.61 |
$97.61 |
$97.61 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,022.72 |
$2,022.72 |
$2,022.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,162.29 |
$1,162.29 |
$1,162.29 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$1,273.66 |
$1,273.66 |
$1,273.66 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,848.75 |
$2,848.75 |
$2,848.75 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,134.77 |
$1,134.77 |
$1,134.77 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,095.39 |
$2,095.39 |
$2,095.39 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,501.56 |
$1,501.56 |
$1,501.56 |
$1,588.60
|
|
CT angio pelvis
|
$1,726.45 |
$1,726.45 |
$1,726.45 |
$1,775.28
|
|
CT colonography dx
|
$187.91 |
$187.91 |
$187.91 |
$770.90
|
|
CT colonography dx w/dye
|
$308.31 |
$308.31 |
$308.31 |
$1,009.98
|
|
CT guidance for needle placement
|
$1,654.64 |
$1,654.64 |
$1,654.64 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,007.92 |
$1,007.92 |
$1,007.92 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,419.86 |
$1,419.86 |
$1,419.86 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$246.82 |
$246.82 |
$246.82 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,501.56 |
$1,501.56 |
$1,501.56 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,501.56 |
$1,501.56 |
$1,501.56 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$600.71 |
$600.71 |
$600.71 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$2,386.50 |
$2,386.50 |
$2,386.50 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,980.58 |
$1,980.58 |
$1,980.58 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,839.72 |
$2,839.72 |
$2,839.72 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,977.57 |
$1,977.57 |
$1,977.57 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,793.53 |
$1,793.53 |
$1,793.53 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,532.95 |
$1,532.95 |
$1,532.95 |
$1,351.20
|
|
CT scan for therapy guide
|
$855.27 |
$855.27 |
$855.27 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,995.63 |
$1,995.63 |
$1,995.63 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,705.81 |
$1,705.81 |
$1,705.81 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,142.94 |
$1,142.94 |
$1,142.94 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,019.89 |
$3,019.89 |
$3,019.89 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,532.95 |
$1,532.95 |
$1,532.95 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$172.86 |
$172.86 |
$172.86 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,403.45 |
$3,403.45 |
$3,403.45 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$33.97 |
$33.97 |
$33.97 |
$63.75
|
|
Culture afb any source
|
$125.13 |
$125.13 |
$125.13 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$25.37 |
$25.37 |
$25.37 |
$77.31
|
|
Culture anaerobic except blood
|
$10.75 |
$10.75 |
$10.75 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$25.37 |
$25.37 |
$25.37 |
$52.80
|
|
Culture body fluid
|
$107.50 |
$107.50 |
$107.50 |
$130.50
|
|
Culture fungi definitive id mold
|
$15.05 |
$15.05 |
$15.05 |
$70.00
|
|
Culture fungi definitive id yeast
|
$39.13 |
$39.13 |
$39.13 |
$80.60
|
|
Culture fungi other (except blood)
|
$156.52 |
$156.52 |
$156.52 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$100.62 |
$100.62 |
$100.62 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$16.93 |
$16.93 |
$16.93 |
$84.75
|
|
Culture mycoplasma any source
|
$15.48 |
$15.48 |
$15.48 |
$90.37
|
|
Culture screening strep group a
|
$60.63 |
$60.63 |
$60.63 |
$81.60
|
|
Culture typing immunologic
|
$65.36 |
$65.36 |
$65.36 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$73.23 |
$73.23 |
$73.23 |
$124.40
|
|
Cutter lead
|
$7,587.35 |
$7,587.35 |
$7,587.35 |
$5,538.98
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$20.21 |
$20.21 |
$20.21 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$10.75 |
$10.75 |
$10.75 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,287.42 |
$1,287.42 |
$1,287.42 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$65.79 |
$65.79 |
$65.79 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$210.70 |
$210.70 |
$210.70 |
$179.10
|
|
Cyclosporine 2 hour
|
$6.45 |
$6.45 |
$6.45 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$13.76 |
$13.76 |
$13.76 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$2,601.50 |
$2,601.50 |
$2,601.50 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$34,909.55 |
$34,909.55 |
$34,909.55 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$55.90 |
$55.90 |
$55.90 |
$567.75
|
|
Cystatin c
|
$4.30 |
$4.30 |
$4.30 |
$82.26
|
|
Cystine urine quantitative
|
$25.75 |
$25.75 |
$25.75 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$494.07 |
$494.07 |
$494.07 |
$539.55
|
|
Cytogenomic neo microra alys
|
$580.85 |
$580.85 |
$580.85 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$34.40 |
$34.40 |
$34.40 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$4.30 |
$4.30 |
$4.30 |
$96.80
|
|
Cytopath c/v index add-on
|
$25.37 |
$25.37 |
$25.37 |
$29.60
|
|
Cytopath fl nongyn filter
|
$147.92 |
$147.92 |
$147.92 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$113.09 |
$113.09 |
$113.09 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$113.52 |
$113.52 |
$113.52 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$86.86 |
$86.86 |
$86.86 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$39.13 |
$39.13 |
$39.13 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$142.76 |
$142.76 |
$142.76 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$86.43 |
$86.43 |
$86.43 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$172.86 |
$172.86 |
$172.86 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$497.51 |
$497.51 |
$497.51 |
$205.00
|
|
Cytopath smear other source
|
$83.42 |
$83.42 |
$83.42 |
$85.80
|
|
Cytopath smear other source
|
$148.35 |
$148.35 |
$148.35 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$95.89 |
$95.89 |
$95.89 |
$95.89
|
|
Cytopath tbs c/v manual
|
$46.01 |
$46.01 |
$46.01 |
$57.94
|
|
Cytotoxic antibody screening
|
$139.75 |
$139.75 |
$139.75 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$61.06 |
$61.06 |
$61.06 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$71.38 |
$71.38 |
$71.38 |
$2,526.62
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,264.38 |
$2,264.38 |
$2,264.38 |
$315.32
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$682.84 |
$682.84 |
$682.84 |
$260.95
|
|
Dch pulmonary stress test
|
$421.40 |
$421.40 |
$421.40 |
$964.41
|
|
Dch validity tests
|
$24.08 |
$24.08 |
$24.08 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$4.18 |
$4.18 |
$4.18 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$147.49 |
$147.49 |
$147.49 |
$262.60
|