|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$66,372.00 |
$66,372.00 |
$66,372.00 |
$4.22
|
|
Coagulation time activated teg
|
$255.00 |
$255.00 |
$255.00 |
$50.05
|
|
Cold agglutinin titer
|
$324.00 |
$324.00 |
$324.00 |
$49.40
|
|
Colistimethate sodium inj
|
$755.00 |
$755.00 |
$755.00 |
$84.22
|
|
Collection of venous blood by venipuncture
|
$813.00 |
$813.00 |
$813.00 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$540.00 |
$540.00 |
$540.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$321.00 |
$321.00 |
$321.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$347.00 |
$347.00 |
$347.00 |
$159.95
|
|
Compatibility test incubate
|
$416.00 |
$416.00 |
$416.00 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$792.24
|
|
Connect omega .5mm
|
$714.00 |
$714.00 |
$714.00 |
$747.50
|
|
Consultation pathology during surgery
|
$4,677.00 |
$4,677.00 |
$4,677.00 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$123.00 |
$123.00 |
$123.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$5,517.00 |
$5,517.00 |
$5,517.00 |
$210.80
|
|
Contrast exam abdominl aorta 75625-26
|
$39,103.00 |
$39,103.00 |
$39,103.00 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$8,934.00 |
$8,934.00 |
$8,934.00 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$25,720.00 |
$25,720.00 |
$25,720.00 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$329.00 |
$329.00 |
$329.00 |
$100.29
|
|
Coombs indirect titer reference
|
$154.00 |
$154.00 |
$154.00 |
$143.40
|
|
Copper cu 64 dotatate diag
|
$3,526.00 |
$3,526.00 |
$3,526.00 |
$2,083.80
|
|
Cortisol total am
|
$87.00 |
$87.00 |
$87.00 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$598.00 |
$598.00 |
$598.00 |
$110.00
|
|
C-peptide
|
$114.00 |
$114.00 |
$114.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$4,543.00 |
$4,543.00 |
$4,543.00 |
$1,409.85
|
|
C-reactive protein
|
$263.00 |
$263.00 |
$263.00 |
$61.10
|
|
C-reactive protein high sensitivity
|
$263.00 |
$263.00 |
$263.00 |
$91.20
|
|
Creatine kinase
|
$417.00 |
$417.00 |
$417.00 |
$58.30
|
|
Creatinine
|
$471.00 |
$471.00 |
$471.00 |
$42.50
|
|
Creatinine 24 hour urine
|
$92.00 |
$92.00 |
$92.00 |
$59.80
|
|
Creatinine clearance urine
|
$278.00 |
$278.00 |
$278.00 |
$85.80
|
|
Crotalidae poly immune fab
|
$45,166.00 |
$45,166.00 |
$45,166.00 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$145.00 |
$145.00 |
$145.00 |
$50.88
|
|
Crystal identification light microscopy
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$20,334.00 |
$20,334.00 |
$20,334.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$20,334.00 |
$20,334.00 |
$20,334.00 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$12,949.00 |
$12,949.00 |
$12,949.00 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$33,423.00 |
$33,423.00 |
$33,423.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$12,949.00 |
$12,949.00 |
$12,949.00 |
$2,017.89
|
|
CT Angiogram of the Head
|
$12,949.00 |
$12,949.00 |
$12,949.00 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,601.60
|
|
CT angio pelvis
|
$11,800.00 |
$11,800.00 |
$11,800.00 |
$1,778.40
|
|
CT guidance for needle placement
|
$4,837.00 |
$4,837.00 |
$4,837.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$10,156.00 |
$10,156.00 |
$10,156.00 |
$1,058.40
|
|
CT guid parench tis ablat
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$393.00 |
$393.00 |
$393.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$6,056.00 |
$6,056.00 |
$6,056.00 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$16,010.00 |
$16,010.00 |
$16,010.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$14,028.00 |
$14,028.00 |
$14,028.00 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$18,509.00 |
$18,509.00 |
$18,509.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$19,302.00 |
$19,302.00 |
$19,302.00 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$19,204.00 |
$19,204.00 |
$19,204.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$19,204.00 |
$19,204.00 |
$19,204.00 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$42,400.00 |
$42,400.00 |
$42,400.00 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$37,221.00 |
$37,221.00 |
$37,221.00 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$33,005.00 |
$33,005.00 |
$33,005.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$8,729.00 |
$8,729.00 |
$8,729.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$7,920.00 |
$7,920.00 |
$7,920.00 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$16,122.00 |
$16,122.00 |
$16,122.00 |
$420.60
|
|
CT t-spine w /wo contrast
|
$7,238.00 |
$7,238.00 |
$7,238.00 |
$2,030.60
|
|
CT uppr extremity w/o&w/dye
|
$12,696.00 |
$12,696.00 |
$12,696.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$225.00 |
$225.00 |
$225.00 |
$62.65
|
|
Culture afb any source
|
$572.00 |
$572.00 |
$572.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$225.00 |
$225.00 |
$225.00 |
$75.29
|
|
Culture anaerobic except blood
|
$778.00 |
$778.00 |
$778.00 |
$120.00
|
|
Culture fungi definitive id mold
|
$34.00 |
$34.00 |
$34.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$101.00 |
$101.00 |
$101.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$863.00 |
$863.00 |
$863.00 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$199.00 |
$199.00 |
$199.00 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$463.00 |
$463.00 |
$463.00 |
$88.14
|
|
Culture mycoplasma any source
|
$123.00 |
$123.00 |
$123.00 |
$90.37
|
|
Culture quantitative aerobic other source
|
$32.00 |
$32.00 |
$32.00 |
$85.80
|
|
Culture typing immunologic
|
$67.00 |
$67.00 |
$67.00 |
$41.19
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$213.00 |
$213.00 |
$213.00 |
$101.45
|
|
Culture urine each isolate
|
$225.00 |
$225.00 |
$225.00 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$53.00 |
$53.00 |
$53.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$160.00 |
$160.00 |
$160.00 |
$85.03
|
|
Cyclophosphamide 25 mg capsule
|
$82.00 |
$82.00 |
$82.00 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$202.00 |
$202.00 |
$202.00 |
$150.79
|
|
Cyclosporine 2 hour
|
$97.00 |
$97.00 |
$97.00 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$42.00 |
$42.00 |
$42.00 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$139.00 |
$139.00 |
$139.00 |
$42.97
|
|
Cystatin c
|
$255.00 |
$255.00 |
$255.00 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,757.00 |
$2,757.00 |
$2,757.00 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$65.00 |
$65.00 |
$65.00 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$163.00 |
$163.00 |
$163.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$231.00 |
$231.00 |
$231.00 |
$101.94
|
|
Cytopathology cellular enhancement technique non-gyn
|
$710.00 |
$710.00 |
$710.00 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$658.00 |
$658.00 |
$658.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$938.00 |
$938.00 |
$938.00 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$384.00 |
$384.00 |
$384.00 |
$203.08
|
|
Dacarbazine 100 mg intravenous solution
|
$189.00 |
$189.00 |
$189.00 |
$61.64
|
|
Dalbavancin 500 mg intravenous solution
|
$3,855.18 |
$3,855.18 |
$3,855.18 |
$3,753.91
|
|
Daptomycin (xellia) unrefrig
|
$1.27 |
$1.27 |
$1.27 |
$0.04
|
|
Dch pulmonary stress test
|
$3,767.00 |
$3,767.00 |
$3,767.00 |
$964.41
|
