|
Creatinine 24 hour urine
|
$104.95 |
$104.95 |
$104.95 |
$59.80
|
|
Creatinine clearance urine
|
$180.50 |
$180.50 |
$180.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$51.26 |
$51.26 |
$51.26 |
$173.00
|
|
Critical care 30-74 minutes
|
$43,395.66 |
$43,395.66 |
$43,395.66 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$12,138.60 |
$12,138.60 |
$12,138.60 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$2,918.80 |
$2,918.80 |
$2,918.80 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$4.18 |
$4.18 |
$4.18 |
$50.88
|
|
Cryoprecipitate each unit
|
$164.78 |
$164.78 |
$164.78 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$7.61 |
$7.61 |
$7.61 |
$70.00
|
|
Cryptosporidium antigen
|
$42.56 |
$42.56 |
$42.56 |
$56.00
|
|
Crystal identification light microscopy
|
$187.09 |
$187.09 |
$187.09 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$680.40 |
$680.40 |
$680.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,526.19 |
$3,526.19 |
$3,526.19 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,796.93 |
$3,796.93 |
$3,796.93 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$4,725.75 |
$4,725.75 |
$4,725.75 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,966.58 |
$4,966.58 |
$4,966.58 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,522.64 |
$3,522.64 |
$3,522.64 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,606.80 |
$3,606.80 |
$3,606.80 |
$2,021.40
|
|
CT angio pelvis
|
$3,015.64 |
$3,015.64 |
$3,015.64 |
$1,775.28
|
|
CT guidance for needle placement
|
$3,001.44 |
$3,001.44 |
$3,001.44 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,866.08 |
$2,866.08 |
$2,866.08 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,088.53 |
$1,088.53 |
$1,088.53 |
$1,281.75
|
|
CT neck soft tissue w/contrast
|
$3,361.41 |
$3,361.41 |
$3,361.41 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,790.03 |
$2,790.03 |
$2,790.03 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$4,000.23 |
$4,000.23 |
$4,000.23 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,460.67 |
$1,460.67 |
$1,460.67 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,337.98 |
$1,337.98 |
$1,337.98 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,365.36 |
$1,365.36 |
$1,365.36 |
$1,351.20
|
|
CT scan for therapy guide
|
$1,518.47 |
$1,518.47 |
$1,518.47 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,596.07 |
$6,596.07 |
$6,596.07 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,942.04 |
$5,942.04 |
$5,942.04 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,526.30 |
$5,526.30 |
$5,526.30 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$7,606.02 |
$7,606.02 |
$7,606.02 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,860.81 |
$3,860.81 |
$3,860.81 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$184.55 |
$184.55 |
$184.55 |
$400.20
|
|
CT t-spine w /wo contrast
|
$8,571.35 |
$8,571.35 |
$8,571.35 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$109.52 |
$109.52 |
$109.52 |
$63.75
|
|
Culture afb any source
|
$111.54 |
$111.54 |
$111.54 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$114.59 |
$114.59 |
$114.59 |
$77.31
|
|
Culture anaerobic except blood
|
$268.21 |
$268.21 |
$268.21 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$10.14 |
$10.14 |
$10.14 |
$52.80
|
|
Culture body fluid
|
$194.69 |
$194.69 |
$194.69 |
$130.50
|
|
Culture fungi definitive id mold
|
$112.05 |
$112.05 |
$112.05 |
$70.00
|
|
Culture fungi definitive id yeast
|
$93.80 |
$93.80 |
$93.80 |
$80.60
|
|
Culture fungi other (except blood)
|
$99.88 |
$99.88 |
$99.88 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$104.45 |
$104.45 |
$104.45 |
$77.40
|
|
Culture mycoplasma any source
|
$18.26 |
$18.26 |
$18.26 |
$90.37
|
|
Culture quantitative aerobic other source
|
$91.26 |
$91.26 |
$91.26 |
$87.02
|
|
Culture screening strep group a
|
$124.22 |
$124.22 |
$124.22 |
$81.60
|
|
Culture typing immunologic
|
$39.55 |
$39.55 |
$39.55 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$348.31 |
$348.31 |
$348.31 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$86.34 |
$86.34 |
$86.34 |
$124.40
|
|
Cutter lead
|
$5,538.98 |
$5,538.98 |
$5,538.98 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,157.99 |
$1,157.99 |
$1,157.99 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$684.45 |
$684.45 |
$684.45 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$55.77 |
$55.77 |
$55.77 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,005.70 |
$2,005.70 |
$2,005.70 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$40.56 |
$40.56 |
$40.56 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$179.10
|
|
Cyclosporine 2 hour
|
$7.61 |
$7.61 |
$7.61 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$7.10 |
$7.10 |
$7.10 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$1,344.57 |
$1,344.57 |
$1,344.57 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$18,784.86 |
$18,784.86 |
$18,784.86 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$45.37 |
$45.37 |
$45.37 |
$567.75
|
|
Cyp2c9 gene com variants
|
$45.37 |
$45.37 |
$45.37 |
$275.10
|
|
Cyp2d6 gene com variants
|
$45.37 |
$45.37 |
$45.37 |
$537.50
|
|
Cyp3a4 gene common variants
|
$45.37 |
$45.37 |
$45.37 |
$230.01
|
|
Cyp3a5 gene common variants
|
$45.37 |
$45.37 |
$45.37 |
$220.50
|
|
Cystatin c
|
$5.07 |
$5.07 |
$5.07 |
$82.26
|
|
Cystic fibrosis cftr
|
$321.10 |
$321.10 |
$321.10 |
$1,041.95
|
|
Cystine urine quantitative
|
$30.36 |
$30.36 |
$30.36 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$913.11 |
$913.11 |
$913.11 |
$539.55
|
|
Cystoscopy (Bladder Scope)
|
$951.64 |
$951.64 |
$951.64 |
$1,610.20
|
|
Cytarabine 20 mg/ml injection solution
|
$58.82 |
$58.82 |
$58.82 |
$89.95
|
|
Cytogenetics 25-99
|
$27.12 |
$27.12 |
$27.12 |
$180.32
|
|
Cytogenomic neo microra alys
|
$735.15 |
$735.15 |
$735.15 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$26.62 |
$26.62 |
$26.62 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$5.07 |
$5.07 |
$5.07 |
$96.80
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$17.94 |
$17.94 |
$17.94 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$95.32 |
$95.32 |
$95.32 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$75.55 |
$75.55 |
$75.55 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$83.15 |
$83.15 |
$83.15 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$187.09 |
$187.09 |
$187.09 |
$205.00
|
|
Cytopath smear other source
|
$69.97 |
$69.97 |
$69.97 |
$85.80
|
|
Dacarbazine 100 mg intravenous solution
|
$63.38 |
$63.38 |
$63.38 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,219.85 |
$1,219.85 |
$1,219.85 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$6,912.44 |
$6,912.44 |
$6,912.44 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$367.58 |
$367.58 |
$367.58 |
$260.95
|
|
Dch validity tests
|
$42.09 |
$42.09 |
$42.09 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$4.93 |
$4.93 |
$4.93 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$574.94 |
$574.94 |
$574.94 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,968.69 |
$1,968.69 |
$1,968.69 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$459.85 |
$459.85 |
$459.85 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$813.74 |
$813.74 |
$813.74 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$621.08 |
$621.08 |
$621.08 |
$810.50
|
|
Debride nail1-5 11720
|
$153.12 |
$153.12 |
$153.12 |
$173.25
|