|
Creatinine clearance urine
|
$169.95 |
$169.95 |
$169.95 |
$87.50
|
|
#creutz-prot.,western blot
|
$59.05 |
$59.05 |
$59.05 |
$173.00
|
|
Critical care 30-74 minutes
|
$16,544.14 |
$16,544.14 |
$16,544.14 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,288.89 |
$1,288.89 |
$1,288.89 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$4.81 |
$4.81 |
$4.81 |
$50.88
|
|
Cryoprecipitate each unit
|
$140.75 |
$140.75 |
$140.75 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$8.76 |
$8.76 |
$8.76 |
$70.00
|
|
Cryptosporidium antigen
|
$49.02 |
$49.02 |
$49.02 |
$56.00
|
|
Crystal identification light microscopy
|
$155.35 |
$155.35 |
$155.35 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$432.16 |
$432.16 |
$432.16 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,007.21 |
$2,007.21 |
$2,007.21 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,582.64 |
$1,582.64 |
$1,582.64 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$3,236.53 |
$3,236.53 |
$3,236.53 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,540.99 |
$2,540.99 |
$2,540.99 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,005.08 |
$4,005.08 |
$4,005.08 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,236.53 |
$3,236.53 |
$3,236.53 |
$2,021.40
|
|
CT angio pelvis
|
$1,950.56 |
$1,950.56 |
$1,950.56 |
$1,775.28
|
|
CT guidance for needle placement
|
$1,276.63 |
$1,276.63 |
$1,276.63 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,761.93 |
$1,761.93 |
$1,761.93 |
$1,085.05
|
|
CT guid parench tis ablat
|
$690.88 |
$690.88 |
$690.88 |
$1,281.75
|
|
CT neck soft tissue w/contrast
|
$1,737.40 |
$1,737.40 |
$1,737.40 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,424.38 |
$1,424.38 |
$1,424.38 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,049.84 |
$2,049.84 |
$2,049.84 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,629.56 |
$3,629.56 |
$3,629.56 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,329.97 |
$3,329.97 |
$3,329.97 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,830.07 |
$2,830.07 |
$2,830.07 |
$1,351.20
|
|
CT scan for therapy guide
|
$1,755.51 |
$1,755.51 |
$1,755.51 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,482.99 |
$6,482.99 |
$6,482.99 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,737.22 |
$5,737.22 |
$5,737.22 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,990.87 |
$4,990.87 |
$4,990.87 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$6,200.33 |
$6,200.33 |
$6,200.33 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,084.69 |
$3,084.69 |
$3,084.69 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$191.56 |
$191.56 |
$191.56 |
$400.20
|
|
CT t-spine w /wo contrast
|
$6,940.84 |
$6,940.84 |
$6,940.84 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$96.95 |
$96.95 |
$96.95 |
$63.75
|
|
Culture afb any source
|
$108.63 |
$108.63 |
$108.63 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$105.71 |
$105.71 |
$105.71 |
$77.31
|
|
Culture anaerobic except blood
|
$216.08 |
$216.08 |
$216.08 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$11.68 |
$11.68 |
$11.68 |
$52.80
|
|
Culture body fluid
|
$182.80 |
$182.80 |
$182.80 |
$130.50
|
|
Culture fungi definitive id mold
|
$110.96 |
$110.96 |
$110.96 |
$70.00
|
|
Culture fungi definitive id yeast
|
$110.38 |
$110.38 |
$110.38 |
$80.60
|
|
Culture fungi other (except blood)
|
$94.03 |
$94.03 |
$94.03 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$103.37 |
$103.37 |
$103.37 |
$77.40
|
|
Culture mycoplasma any source
|
$21.03 |
$21.03 |
$21.03 |
$90.37
|
|
Culture quantitative aerobic other source
|
$87.02 |
$87.02 |
$87.02 |
$87.02
|
|
Culture screening strep group a
|
$112.72 |
$112.72 |
$112.72 |
$81.60
|
|
Culture typing added method
|
$8.18 |
$8.18 |
$8.18 |
$34.45
|
|
Culture typing immunologic
|
$49.64 |
$49.64 |
$49.64 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$402.38 |
$402.38 |
$402.38 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$99.45 |
$99.45 |
$99.45 |
$124.40
|
|
Culture urine each isolate
|
$10.52 |
$10.52 |
$10.52 |
$46.20
|
|
Cutter lead
|
$4,906.77 |
$4,906.77 |
$4,906.77 |
$5,538.98
|
|
Cv line/pic reposition
|
$327.04 |
$327.04 |
$327.04 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$64.24 |
$64.24 |
$64.24 |
$80.05
|
|
Cyclosporine 2 hour
|
$8.76 |
$8.76 |
$8.76 |
$121.80
|
|
Cylinder pump set 20cm titan zero angl
|
$21,637.79 |
$21,637.79 |
$21,637.79 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$52.26 |
$52.26 |
$52.26 |
$567.75
|
|
Cyp2c9 gene com variants
|
$52.26 |
$52.26 |
$52.26 |
$275.10
|
|
Cyp2d6 gene com variants
|
$52.26 |
$52.26 |
$52.26 |
$537.50
|
|
Cyp3a4 gene common variants
|
$52.26 |
$52.26 |
$52.26 |
$230.01
|
|
Cyp3a5 gene common variants
|
$52.26 |
$52.26 |
$52.26 |
$220.50
|
|
Cystatin c
|
$5.84 |
$5.84 |
$5.84 |
$82.26
|
|
Cystic fibrosis cftr
|
$369.87 |
$369.87 |
$369.87 |
$1,041.95
|
|
Cystine urine quantitative
|
$34.97 |
$34.97 |
$34.97 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$612.04 |
$612.04 |
$612.04 |
$539.55
|
|
Cystoscopy (Bladder Scope)
|
$954.84 |
$954.84 |
$954.84 |
$1,610.20
|
|
Cytogenetics 25-99
|
$31.24 |
$31.24 |
$31.24 |
$180.32
|
|
Cytogenomic neo microra alys
|
$846.80 |
$846.80 |
$846.80 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$30.66 |
$30.66 |
$30.66 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$5.84 |
$5.84 |
$5.84 |
$96.80
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$20.67 |
$20.67 |
$20.67 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$106.29 |
$106.29 |
$106.29 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$79.43 |
$79.43 |
$79.43 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$148.92 |
$148.92 |
$148.92 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$169.95 |
$169.95 |
$169.95 |
$205.00
|
|
Cytopath smear other source
|
$69.50 |
$69.50 |
$69.50 |
$85.80
|
|
Dacarbazine 100 mg intravenous solution
|
$93.44 |
$93.44 |
$93.44 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,795.22 |
$1,795.22 |
$1,795.22 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$7,962.26 |
$7,962.26 |
$7,962.26 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,068.15 |
$4,068.15 |
$4,068.15 |
$5,546.48
|
|
Dch glucoscan
|
$5.26 |
$5.26 |
$5.26 |
$24.85
|
|
Dch validity tests
|
$30.96 |
$30.96 |
$30.96 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$5.68 |
$5.68 |
$5.68 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$220.76 |
$220.76 |
$220.76 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,494.27 |
$2,494.27 |
$2,494.27 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$584.00 |
$584.00 |
$584.00 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,030.18 |
$1,030.18 |
$1,030.18 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$656.42 |
$656.42 |
$656.42 |
$810.50
|
|
Debride nail1-5 11720
|
$161.77 |
$161.77 |
$161.77 |
$173.25
|
|
Debride nail6 or more 11721
|
$161.77 |
$161.77 |
$161.77 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$282.08 |
$282.08 |
$282.08 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,666.74 |
$1,666.74 |
$1,666.74 |
$1,193.40
|
|
Decalcification
|
$50.23 |
$50.23 |
$50.23 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$330.55 |
$330.55 |
$330.55 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$108.63 |
$108.63 |
$108.63 |
$110.82
|