|
Creatine kinase mb
|
$292.07 |
$292.07 |
$292.07 |
$109.47
|
|
Creatine - sendout
|
$195.04 |
$195.04 |
$195.04 |
$39.00
|
|
Creatinine
|
$114.24 |
$114.24 |
$114.24 |
$44.10
|
|
Creatinine 24 hour urine
|
$95.37 |
$95.37 |
$95.37 |
$62.00
|
|
Creatinine clearance urine
|
$230.32 |
$230.32 |
$230.32 |
$87.20
|
|
#creutz-prot.,western blot
|
$86.95 |
$86.95 |
$86.95 |
$178.10
|
|
Critical care 30-74 minutes
|
$5,628.40 |
$5,628.40 |
$5,628.40 |
$2,700.00
|
|
Critical care each additional 30 minutes
|
$989.19 |
$989.19 |
$989.19 |
$757.20
|
|
Cryoprecipitate each unit
|
$195.02 |
$195.02 |
$195.02 |
$195.02
|
|
Crystal identification light microscopy
|
$186.35 |
$186.35 |
$186.35 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,308.18 |
$1,308.18 |
$1,308.18 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,584.28 |
$4,584.28 |
$4,584.28 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,312.41 |
$4,312.41 |
$4,312.41 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,294.56 |
$2,294.56 |
$2,294.56 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,713.70 |
$3,713.70 |
$3,713.70 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,584.28 |
$4,584.28 |
$4,584.28 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,970.98 |
$3,970.98 |
$3,970.98 |
$2,032.54
|
|
CT Angiogram of the Head
|
$4,119.84 |
$4,119.84 |
$4,119.84 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$1,610.08 |
$1,610.08 |
$1,610.08 |
$1,601.60
|
|
CT angio pelvis
|
$4,226.66 |
$4,226.66 |
$4,226.66 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,298.99 |
$2,298.99 |
$2,298.99 |
$1,652.95
|
|
CT guidance for needle placement
|
$3,182.94 |
$3,182.94 |
$3,182.94 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,650.54 |
$1,650.54 |
$1,650.54 |
$1,084.05
|
|
CT guid parench tis ablat
|
$1,688.86 |
$1,688.86 |
$1,688.86 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$133.12 |
$133.12 |
$133.12 |
$193.68
|
|
CT hrt w/3d image
|
$1,610.08 |
$1,610.08 |
$1,610.08 |
$1,450.00
|
|
CT limited or localized follow-up study
|
$1,657.75 |
$1,657.75 |
$1,657.75 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$2,347.99 |
$2,347.99 |
$2,347.99 |
$1,700.00
|
|
CT lower extremity without contrast (both sides)
|
$2,182.80 |
$2,182.80 |
$2,182.80 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$2,524.35 |
$2,524.35 |
$2,524.35 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$4,121.45 |
$4,121.45 |
$4,121.45 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$2,631.12 |
$2,631.12 |
$2,631.12 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$4,558.36 |
$4,558.36 |
$4,558.36 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,072.89 |
$3,072.89 |
$3,072.89 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,946.68 |
$2,946.68 |
$2,946.68 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,265.44 |
$2,265.44 |
$2,265.44 |
$1,379.95
|
|
Ctrl nosebld postir subsq 30906
|
$821.85 |
$821.85 |
$821.85 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,184.63 |
$6,184.63 |
$6,184.63 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,477.48 |
$5,477.48 |
$5,477.48 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,961.28 |
$4,961.28 |
$4,961.28 |
$2,325.05
|
|
CT thoracic spine w/contrast
|
$3,707.23 |
$3,707.23 |
$3,707.23 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,137.63 |
$3,137.63 |
$3,137.63 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,991.50 |
$1,991.50 |
$1,991.50 |
$420.60
|
|
CT t-spine w /wo contrast
|
$5,903.51 |
$5,903.51 |
$5,903.51 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,943.17 |
$1,943.17 |
$1,943.17 |
$1,706.10
|
|
CT upper extremity without contrast (both sides)
|
$1,675.15 |
$1,675.15 |
$1,675.15 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,043.68 |
$2,043.68 |
$2,043.68 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$143.90 |
$143.90 |
$143.90 |
$63.75
|
|
Culture afb any source
|
$197.24 |
$197.24 |
$197.24 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$38.09 |
$38.09 |
$38.09 |
$78.65
|
|
Culture anaerobic except blood
|
$55.01 |
$55.01 |
$55.01 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$236.67 |
$236.67 |
$236.67 |
$52.65
|
|
Culture body fluid
|
$404.06 |
$404.06 |
$404.06 |
$130.50
|
|
Culture fungi definitive id mold
|
$29.18 |
$29.18 |
$29.18 |
$70.00
|
|
Culture fungi definitive id yeast
|
$311.33 |
$311.33 |
$311.33 |
$80.40
|
|
Culture fungi other (except blood)
|
$29.00 |
$29.00 |
$29.00 |
$104.00
|
|
Culture fungi skin/hair/nail
|
$213.46 |
$213.46 |
$213.46 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$39.36 |
$39.36 |
$39.36 |
$88.14
|
|
Culture quantitative aerobic other source
|
$226.07 |
$226.07 |
$226.07 |
$85.80
|
|
Culture screening strep group a
|
$303.24 |
$303.24 |
$303.24 |
$80.60
|
|
Culture typing immunologic
|
$92.00 |
$92.00 |
$92.00 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$631.08 |
$631.08 |
$631.08 |
$408.75
|
|
Cv line/pic reposition
|
$2,597.61 |
$2,597.61 |
$2,597.61 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$37.30 |
$37.30 |
$37.30 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$46.98 |
$46.98 |
$46.98 |
$27.88
|
|
Cyclic citrullinated peptide antibody
|
$29.99 |
$29.99 |
$29.99 |
$82.00
|
|
Cyclosporine 2 hour
|
$92.23 |
$92.23 |
$92.23 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$33.53 |
$33.53 |
$33.53 |
$43.04
|
|
Cystatin c
|
$48.24 |
$48.24 |
$48.24 |
$82.26
|
|
Cystine urine quantitative
|
$71.88 |
$71.88 |
$71.88 |
$103.35
|
|
Cytarabine 20 mg/ml injection solution
|
$111.90 |
$111.90 |
$111.90 |
$79.98
|
|
Cytomegalovirus (cmv) antibody igg
|
$13.64 |
$13.64 |
$13.64 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$58.55 |
$58.55 |
$58.55 |
$98.35
|
|
Cyto/molecular report
|
$253.85 |
$253.85 |
$253.85 |
$144.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$131.71 |
$131.71 |
$131.71 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.35 |
$73.35 |
$73.35 |
$91.20
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$107.92 |
$107.92 |
$107.92 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$205.43 |
$205.43 |
$205.43 |
$142.94
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$47.84 |
$47.84 |
$47.84 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$144.93 |
$144.93 |
$144.93 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$159.00 |
$159.00 |
$159.00 |
$205.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$54,873.72 |
$54,873.72 |
$54,873.72 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,794.04 |
$9,794.04 |
$9,794.04 |
$5,546.48
|
|
Deamidated gliadin antibody iga
|
$31.78 |
$31.78 |
$31.78 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$726.56 |
$726.56 |
$726.56 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,983.93 |
$3,983.93 |
$3,983.93 |
$2,494.27
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,108.44 |
$1,108.44 |
$1,108.44 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,445.07 |
$3,445.07 |
$3,445.07 |
$1,339.77
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,304.25 |
$1,304.25 |
$1,304.25 |
$798.23
|
|
Debride nail1-5 11720
|
$180.21 |
$180.21 |
$180.21 |
$173.25
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$985.46 |
$985.46 |
$985.46 |
$661.09
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,304.25 |
$1,304.25 |
$1,304.25 |
$1,161.05
|
|
Decalcification
|
$77.39 |
$77.39 |
$77.39 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$938.53 |
$938.53 |
$938.53 |
$510.95
|
|
Deferoxamine 500 mg solution for injection
|
$592.59 |
$592.59 |
$592.59 |
$116.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$54.07 |
$54.07 |
$54.07 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,487.25 |
$15,487.25 |
$15,487.25 |
$7,744.96
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$521.05 |
$521.05 |
$521.05 |
$460.50
|
|
Design mlc device for imrt
|
$987.08 |
$987.08 |
$987.08 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,091.63 |
$1,091.63 |
$1,091.63 |
$121.30
|