|
Coombs indirect titer reference
|
$32.87 |
$32.87 |
$32.87 |
$143.40
|
|
Core ndl bx lng/med perq
|
$4,986.28 |
$4,986.28 |
$4,986.28 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$22,728.52 |
$22,728.52 |
$22,728.52 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$17,852.04 |
$17,852.04 |
$17,852.04 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$21,427.83 |
$21,427.83 |
$21,427.83 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$11,197.44 |
$11,197.44 |
$11,197.44 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,958.93 |
$8,958.93 |
$8,958.93 |
$7,697.25
|
|
Cortisol total am
|
$262.93 |
$262.93 |
$262.93 |
$122.00
|
|
Counseling smoke cess interm >10mins
|
$115.05 |
$115.05 |
$115.05 |
$57.60
|
|
#coxa-coxsackie a serotype a16
|
$221.52 |
$221.52 |
$221.52 |
$65.36
|
|
C-peptide
|
$60.23 |
$60.23 |
$60.23 |
$100.26
|
|
C-reactive protein
|
$207.50 |
$207.50 |
$207.50 |
$61.10
|
|
C-reactive protein high sensitivity
|
$204.65 |
$204.65 |
$204.65 |
$91.65
|
|
C-reactive protein, quantitative
|
$15.36 |
$15.36 |
$15.36 |
$63.07
|
|
Creatine kinase
|
$160.13 |
$160.13 |
$160.13 |
$58.30
|
|
Creatine kinase isoenzymes
|
$18.89 |
$18.89 |
$18.89 |
$49.40
|
|
Creatine kinase mb
|
$340.75 |
$340.75 |
$340.75 |
$106.60
|
|
Creatine - sendout
|
$259.62 |
$259.62 |
$259.62 |
$40.59
|
|
Creatinine
|
$133.28 |
$133.28 |
$133.28 |
$42.50
|
|
Creatinine 24 hour urine
|
$434.13 |
$434.13 |
$434.13 |
$59.80
|
|
Creatinine clearance urine
|
$268.71 |
$268.71 |
$268.71 |
$85.80
|
|
#creutz-prot.,western blot
|
$101.44 |
$101.44 |
$101.44 |
$180.40
|
|
Critical care 30-74 minutes
|
$4,226.94 |
$4,226.94 |
$4,226.94 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$2,283.26 |
$2,283.26 |
$2,283.26 |
$757.20
|
|
Cryoprecipitate each unit
|
$171.02 |
$171.02 |
$171.02 |
$190.20
|
|
Crystal identification light microscopy
|
$217.41 |
$217.41 |
$217.41 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$1,111.77 |
$1,111.77 |
$1,111.77 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,486.72 |
$4,486.72 |
$4,486.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,929.55 |
$4,929.55 |
$4,929.55 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,486.72 |
$4,486.72 |
$4,486.72 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$4,492.07 |
$4,492.07 |
$4,492.07 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$10,816.28 |
$10,816.28 |
$10,816.28 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,286.58 |
$6,286.58 |
$6,286.58 |
$2,017.89
|
|
CT Angiogram of the Head
|
$4,492.07 |
$4,492.07 |
$4,492.07 |
$2,058.65
|
|
CT angio hrt w/3d image
|
$2,315.05 |
$2,315.05 |
$2,315.05 |
$1,601.60
|
|
CT angio pelvis
|
$6,329.53 |
$6,329.53 |
$6,329.53 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$4,091.75 |
$4,091.75 |
$4,091.75 |
$1,661.13
|
|
CT guidance for needle placement
|
$5,072.04 |
$5,072.04 |
$5,072.04 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,551.32 |
$3,551.32 |
$3,551.32 |
$1,058.40
|
|
CT heart w/evaluation of calcium without contrast
|
$243.15 |
$243.15 |
$243.15 |
$192.00
|
|
CT hrt w/3d image
|
$1,740.15 |
$1,740.15 |
$1,740.15 |
$1,477.35
|
|
CT lower extremity w/contrast (both sides)
|
$5,144.54 |
$5,144.54 |
$5,144.54 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$4,246.15 |
$4,246.15 |
$4,246.15 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$5,296.82 |
$5,296.82 |
$5,296.82 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$4,510.04 |
$4,510.04 |
$4,510.04 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$3,864.30 |
$3,864.30 |
$3,864.30 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$5,122.46 |
$5,122.46 |
$5,122.46 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$5,832.28 |
$5,832.28 |
$5,832.28 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$4,579.24 |
$4,579.24 |
$4,579.24 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,816.82 |
$3,816.82 |
$3,816.82 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$750.38 |
$750.38 |
$750.38 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$11,648.22 |
$11,648.22 |
$11,648.22 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$10,249.02 |
$10,249.02 |
$10,249.02 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$8,774.12 |
$8,774.12 |
$8,774.12 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,293.26 |
$2,293.26 |
$2,293.26 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$4,246.15 |
$4,246.15 |
$4,246.15 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$1,627.66 |
$1,627.66 |
$1,627.66 |
$420.60
|
|
CT t-spine w /wo contrast
|
$5,385.09 |
$5,385.09 |
$5,385.09 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$5,144.54 |
$5,144.54 |
$5,144.54 |
$1,697.85
|
|
CT upper extremity without contrast (both sides)
|
$4,458.57 |
$4,458.57 |
$4,458.57 |
$1,473.75
|
|
Culture aerobic additional method definitive id each
|
$154.61 |
$154.61 |
$154.61 |
$63.02
|
|
Culture afb any source
|
$211.92 |
$211.92 |
$211.92 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$44.53 |
$44.53 |
$44.53 |
$76.35
|
|
Culture anaerobic except blood
|
$179.75 |
$179.75 |
$179.75 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$254.29 |
$254.29 |
$254.29 |
$52.50
|
|
Culture body fluid
|
$434.13 |
$434.13 |
$434.13 |
$130.40
|
|
Culture fungi definitive id mold
|
$28.26 |
$28.26 |
$28.26 |
$70.00
|
|
Culture fungi definitive id yeast
|
$334.50 |
$334.50 |
$334.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$29.00 |
$29.00 |
$29.00 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$55.84 |
$55.84 |
$55.84 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$43.16 |
$43.16 |
$43.16 |
$88.14
|
|
Culture quantitative aerobic other source
|
$277.15 |
$277.15 |
$277.15 |
$85.80
|
|
Culture screening strep group a
|
$325.80 |
$325.80 |
$325.80 |
$78.47
|
|
Culture typing immunologic
|
$92.00 |
$92.00 |
$92.00 |
$41.19
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$631.08 |
$631.08 |
$631.08 |
$408.75
|
|
Cyanocobalamin unsat binding capacity
|
$23.89 |
$23.89 |
$23.89 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$37.27 |
$37.27 |
$37.27 |
$26.75
|
|
Cyclic citrullinated peptide antibody
|
$25.61 |
$25.61 |
$25.61 |
$85.03
|
|
Cyclosporine 2 hour
|
$215.81 |
$215.81 |
$215.81 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$23.32 |
$23.32 |
$23.32 |
$42.97
|
|
Cystatin c
|
$75.04 |
$75.04 |
$75.04 |
$82.50
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,350.67 |
$6,350.67 |
$6,350.67 |
$2,845.50
|
|
Cytarabine 20 mg/ml injection solution
|
$66.95 |
$66.95 |
$66.95 |
$67.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$41.65 |
$41.65 |
$41.65 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$20.62 |
$20.62 |
$20.62 |
$102.83
|
|
Cyto/molecular report
|
$47.59 |
$47.59 |
$47.59 |
$150.30
|
|
Cytopathology cellular enhancement technique non-gyn
|
$263.73 |
$263.73 |
$263.73 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$226.50 |
$226.50 |
$226.50 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$121.05 |
$121.05 |
$121.05 |
$124.30
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$110.16 |
$110.16 |
$110.16 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$372.42 |
$372.42 |
$372.42 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$145.82 |
$145.82 |
$145.82 |
$203.08
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$23,789.22 |
$23,789.22 |
$23,789.22 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,055.66 |
$5,055.66 |
$5,055.66 |
$5,500.25
|
|
Deamidated gliadin antibody iga
|
$33.37 |
$33.37 |
$33.37 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$656.32 |
$656.32 |
$656.32 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$537.27 |
$537.27 |
$537.27 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$4,745.00 |
$4,745.00 |
$4,745.00 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,463.20 |
$1,463.20 |
$1,463.20 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$4,745.00 |
$4,745.00 |
$4,745.00 |
$1,430.40
|