|
Creatinine
|
$24.86 |
$24.86 |
$32.84 |
$44.10
|
|
Creatinine 24 hour urine
|
$49.71 |
$49.71 |
$65.67 |
$59.80
|
|
Creatinine clearance urine
|
$62.13 |
$62.13 |
$82.08 |
$87.50
|
|
#creutz-prot.,western blot
|
$11.00 |
$11.00 |
$14.53 |
$173.00
|
|
Critical care 30-74 minutes
|
$13,047.52 |
$13,047.52 |
$17,237.09 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,204.67 |
$1,204.67 |
$1,591.49 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$2,541.45 |
$2,541.45 |
$2,541.45 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$3,346.52 |
$3,346.52 |
$4,421.09 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$2.04 |
$2.04 |
$2.69 |
$50.88
|
|
Cryoprecipitate each unit
|
$26.60 |
$26.60 |
$35.14 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$2.21 |
$2.21 |
$2.91 |
$70.00
|
|
Crystal identification light microscopy
|
$38.37 |
$38.37 |
$50.69 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,126.41 |
$1,126.41 |
$1,488.10 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,551.95 |
$1,551.95 |
$2,050.28 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,617.13 |
$1,617.13 |
$2,136.39 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$1,617.13 |
$1,617.13 |
$2,136.39 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,042.01 |
$2,042.01 |
$2,697.70 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,617.13 |
$1,617.13 |
$2,136.39 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,617.13 |
$1,617.13 |
$2,136.39 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,588.60
|
|
CT angio pelvis
|
$1,543.66 |
$1,543.66 |
$2,039.33 |
$1,775.28
|
|
CT guidance for needle placement
|
$940.46 |
$940.46 |
$1,242.44 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$697.17 |
$697.17 |
$921.03 |
$1,085.05
|
|
CT guid parench tis ablat
|
$682.34 |
$682.34 |
$901.44 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$541.73 |
$541.73 |
$715.68 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$516.66 |
$516.66 |
$682.56 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,036.81 |
$1,036.81 |
$1,369.73 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,036.81 |
$1,036.81 |
$1,369.73 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,042.01 |
$2,042.01 |
$2,697.70 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,042.01 |
$2,042.01 |
$2,697.70 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,368.17 |
$1,368.17 |
$1,807.49 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,569.60 |
$1,569.60 |
$2,073.60 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,046.40 |
$1,046.40 |
$1,382.40 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$541.73 |
$541.73 |
$715.68 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,569.60 |
$1,569.60 |
$2,073.60 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$36.19 |
$36.19 |
$47.81 |
$63.75
|
|
Culture afb any source
|
$76.74 |
$76.74 |
$101.38 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$21.59 |
$21.59 |
$28.52 |
$77.31
|
|
Culture anaerobic except blood
|
$49.93 |
$49.93 |
$65.96 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$29.87 |
$29.87 |
$39.46 |
$52.80
|
|
Culture body fluid
|
$84.81 |
$84.81 |
$112.04 |
$130.50
|
|
Culture fungi definitive id mold
|
$26.60 |
$26.60 |
$35.14 |
$70.00
|
|
Culture fungi definitive id yeast
|
$15.05 |
$15.05 |
$19.88 |
$80.60
|
|
Culture fungi other (except blood)
|
$52.54 |
$52.54 |
$69.41 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$41.21 |
$41.21 |
$54.44 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$37.72 |
$37.72 |
$49.83 |
$84.75
|
|
Culture mycoplasma any source
|
$7.85 |
$7.85 |
$10.37 |
$90.37
|
|
Culture quantitative aerobic other source
|
$115.98 |
$115.98 |
$153.22 |
$87.02
|
|
Culture screening strep group a
|
$41.64 |
$41.64 |
$55.01 |
$81.60
|
|
Culture typing added method
|
$1.25 |
$1.25 |
$1.65 |
$34.45
|
|
Culture typing immunologic
|
$31.18 |
$31.18 |
$41.19 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$46.22 |
$46.22 |
$61.06 |
$124.40
|
|
Culture urine each isolate
|
$33.58 |
$33.58 |
$44.36 |
$46.20
|
|
Cutter lead
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,423.98 |
$1,423.98 |
$1,881.22 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$261.60 |
$261.60 |
$345.60 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$5.45 |
$5.45 |
$7.20 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$506.31 |
$506.31 |
$766.49 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$15.48 |
$15.48 |
$20.45 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$41.42 |
$41.42 |
$54.72 |
$179.10
|
|
Cyclosporine 2 hour
|
$3.27 |
$3.27 |
$4.32 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$2.84 |
$2.84 |
$3.75 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$513.83 |
$513.83 |
$678.82 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$17,698.33 |
$17,698.33 |
$23,381.28 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$63.97 |
$63.97 |
$84.50 |
$567.75
|
|
Cyp2c9 gene com variants
|
$38.38 |
$38.38 |
$50.70 |
$275.10
|
|
Cystine urine quantitative
|
$4.01 |
$4.01 |
$5.29 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$263.57 |
$263.57 |
$348.20 |
$539.55
|
|
Cystoscopy and treatment
|
$2,039.83 |
$2,039.83 |
$2,694.82 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$493.56 |
$493.56 |
$652.04 |
$1,610.20
|
|
Cytarabine 20 mg/ml injection solution
|
$22.02 |
$22.02 |
$22.02 |
$89.95
|
|
Cytogenom microarray copy nmbr var
|
$365.11 |
$365.11 |
$482.35 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$6.98 |
$6.98 |
$9.22 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$3.29 |
$3.29 |
$4.35 |
$96.80
|
|
Cytopath fl nongyn filter
|
$41.21 |
$41.21 |
$54.44 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$66.49 |
$66.49 |
$87.84 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$53.63 |
$53.63 |
$70.85 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$23.98 |
$23.98 |
$31.68 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$32.27 |
$32.27 |
$42.63 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$87.20 |
$87.20 |
$115.20 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$89.38 |
$89.38 |
$118.08 |
$205.00
|
|
Cytopath smear other source
|
$11.12 |
$11.12 |
$14.69 |
$85.80
|
|
Cytopath smear other source
|
$32.92 |
$32.92 |
$43.49 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$13.74 |
$13.74 |
$18.15 |
$95.89
|
|
Cytp urine 3-5 probes cmptr
|
$97.45 |
$97.45 |
$128.74 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$18.15 |
$18.15 |
$24.20 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,607.75 |
$1,607.75 |
$2,124.00 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$1,559.14 |
$1,559.14 |
$2,059.78 |
$3,469.30
|
|
Dalteparin sodium
|
$22.89 |
$22.89 |
$22.89 |
$124.09
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$466.31 |
$466.31 |
$616.04 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$7,925.61 |
$7,925.61 |
$7,925.61 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,070.21 |
$1,070.21 |
$1,070.21 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$11,267.12 |
$11,267.12 |
$11,267.12 |
$26,349.55
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$140.40 |
$140.40 |
$185.48 |
$260.95
|