|
Cryofibrinogen qualitative - sendout
|
$3.53 |
$3.53 |
$3.53 |
$50.88
|
|
Cryoprecipitate each unit
|
$178.48 |
$178.48 |
$178.48 |
$185.64
|
|
Crystal identification light microscopy
|
$119.84 |
$119.84 |
$119.84 |
$65.25
|
|
Csf leakage imaging
|
$4,876.64 |
$4,876.64 |
$4,876.64 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$371.08 |
$371.08 |
$371.08 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,778.77 |
$1,778.77 |
$1,778.77 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,630.68 |
$1,630.68 |
$1,630.68 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$2,379.68 |
$2,379.68 |
$2,379.68 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,557.11 |
$3,557.11 |
$3,557.11 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,241.25 |
$3,241.25 |
$3,241.25 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,426.34 |
$2,426.34 |
$2,426.34 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,095.26 |
$1,095.26 |
$1,095.26 |
$1,588.60
|
|
CT angio pelvis
|
$1,827.14 |
$1,827.14 |
$1,827.14 |
$1,775.28
|
|
CT bone density axial
|
$424.58 |
$424.58 |
$424.58 |
$326.30
|
|
CT colonography dx
|
$212.72 |
$212.72 |
$212.72 |
$770.90
|
|
CT colonography dx w/dye
|
$448.55 |
$448.55 |
$448.55 |
$1,009.98
|
|
CT colonography screening
|
$505.90 |
$505.90 |
$505.90 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,071.10 |
$2,071.10 |
$2,071.10 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$766.55 |
$766.55 |
$766.55 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$279.06 |
$279.06 |
$279.06 |
$2,136.75
|
|
CT guid parench tis ablat
|
$217.00 |
$217.00 |
$217.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$266.65 |
$266.65 |
$266.65 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,095.26 |
$1,095.26 |
$1,095.26 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,095.26 |
$1,095.26 |
$1,095.26 |
$1,418.60
|
|
CT neck soft tissue w/contrast
|
$3,052.93 |
$3,052.93 |
$3,052.93 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,198.21 |
$2,198.21 |
$2,198.21 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,449.68 |
$3,449.68 |
$3,449.68 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,197.12 |
$1,197.12 |
$1,197.12 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,296.84 |
$1,296.84 |
$1,296.84 |
$1,351.20
|
|
CT scan for therapy guide
|
$899.23 |
$899.23 |
$899.23 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,666.92 |
$4,666.92 |
$4,666.92 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,274.01 |
$4,274.01 |
$4,274.01 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,263.31 |
$4,263.31 |
$4,263.31 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,130.82 |
$3,130.82 |
$3,130.82 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,010.56 |
$3,010.56 |
$3,010.56 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$91.60 |
$91.60 |
$91.60 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,793.37 |
$3,793.37 |
$3,793.37 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$119.84 |
$119.84 |
$119.84 |
$63.75
|
|
Culture afb any source
|
$42.80 |
$42.80 |
$42.80 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$23.92 |
$23.92 |
$23.92 |
$77.31
|
|
Culture anaerobic except blood
|
$261.51 |
$261.51 |
$261.51 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$65.92 |
$65.92 |
$65.92 |
$52.80
|
|
Culture body fluid
|
$521.74 |
$521.74 |
$521.74 |
$130.50
|
|
Culture fungi definitive id mold
|
$40.24 |
$40.24 |
$40.24 |
$70.00
|
|
Culture fungi definitive id yeast
|
$102.72 |
$102.72 |
$102.72 |
$80.60
|
|
Culture fungi other (except blood)
|
$181.05 |
$181.05 |
$181.05 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$289.33 |
$289.33 |
$289.33 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$67.20 |
$67.20 |
$67.20 |
$84.75
|
|
Culture mycoplasma any source
|
$16.53 |
$16.53 |
$16.53 |
$90.37
|
|
Culture screening strep group a
|
$67.63 |
$67.63 |
$67.63 |
$81.60
|
|
Culture typing added method
|
$64.20 |
$64.20 |
$64.20 |
$34.45
|
|
Culture typing immunologic
|
$102.72 |
$102.72 |
$102.72 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$440.84 |
$440.84 |
$440.84 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$140.39 |
$140.39 |
$140.39 |
$124.40
|
|
Culture urine each isolate
|
$95.88 |
$95.88 |
$95.88 |
$46.20
|
|
Cutter lead
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,574.19 |
$1,574.19 |
$1,574.19 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$23.12 |
$23.12 |
$23.12 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$53.29 |
$53.29 |
$53.29 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,299.41 |
$1,299.41 |
$1,299.41 |
$1,048.28
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$212.72 |
$212.72 |
$212.72 |
$179.10
|
|
Cyclosporine 2 hour
|
$6.42 |
$6.42 |
$6.42 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$8.14 |
$8.14 |
$8.14 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$88.60 |
$88.60 |
$88.60 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$22,428.49 |
$22,428.49 |
$22,428.49 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$55.64 |
$55.64 |
$55.64 |
$567.75
|
|
Cyp2c9 gene com variants
|
$38.30 |
$38.30 |
$38.30 |
$275.10
|
|
Cyp2d6 gene com variants
|
$92.83 |
$92.83 |
$92.83 |
$537.50
|
|
Cyp3a4 gene common variants
|
$38.30 |
$38.30 |
$38.30 |
$230.01
|
|
Cyp3a5 gene common variants
|
$38.30 |
$38.30 |
$38.30 |
$220.50
|
|
Cystatin c
|
$4.28 |
$4.28 |
$4.28 |
$82.26
|
|
Cystic fibrosis cftr
|
$271.07 |
$271.07 |
$271.07 |
$1,041.95
|
|
Cystine urine quantitative
|
$61.53 |
$61.53 |
$61.53 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$927.05 |
$927.05 |
$927.05 |
$539.55
|
|
Cytarabine 20 mg/ml injection solution
|
$34.67 |
$34.67 |
$34.67 |
$89.95
|
|
Cytogenomic neo microra alys
|
$578.15 |
$578.15 |
$578.15 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$34.24 |
$34.24 |
$34.24 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$4.28 |
$4.28 |
$4.28 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$18.03 |
$18.03 |
$18.03 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$85.60 |
$85.60 |
$85.60 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$132.68 |
$132.68 |
$132.68 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$19.38 |
$19.38 |
$19.38 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$62.06 |
$62.06 |
$62.06 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$674.10 |
$674.10 |
$674.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$259.80 |
$259.80 |
$259.80 |
$205.00
|
|
Cytp urine 3-5 probes cmptr
|
$168.36 |
$168.36 |
$168.36 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$61.64 |
$61.64 |
$61.64 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$71.91 |
$71.91 |
$71.91 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$7,652.64 |
$7,652.64 |
$7,652.64 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,285.52 |
$2,285.52 |
$2,285.52 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$689.08 |
$689.08 |
$689.08 |
$260.95
|
|
D&c after delivery 59160
|
$4,237.20 |
$4,237.20 |
$4,237.20 |
$3,762.53
|
|
Dch pulmonary stress test
|
$888.53 |
$888.53 |
$888.53 |
$964.41
|
|
Dch validity tests
|
$62.49 |
$62.49 |
$62.49 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$43.86 |
$43.86 |
$43.86 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$145.10 |
$145.10 |
$145.10 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,248.29 |
$2,248.29 |
$2,248.29 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$201.59 |
$201.59 |
$201.59 |
$688.80
|