|
Creatine kinase
|
$157.89 |
$157.89 |
$157.89 |
$58.30
|
|
Creatine kinase isoenzymes
|
$143.27 |
$143.27 |
$143.27 |
$47.25
|
|
Creatine - sendout
|
$49.65 |
$49.65 |
$49.65 |
$39.00
|
|
Creatinine
|
$103.34 |
$103.34 |
$103.34 |
$43.80
|
|
Creatinine 24 hour urine
|
$120.58 |
$120.58 |
$120.58 |
$61.95
|
|
Creatinine clearance urine
|
$229.40 |
$229.40 |
$229.40 |
$86.40
|
|
#creutz-prot.,western blot
|
$312.55 |
$312.55 |
$312.55 |
$178.10
|
|
Critical care 30-74 minutes
|
$8,217.30 |
$8,217.30 |
$8,217.30 |
$2,722.30
|
|
Critical care each additional 30 minutes
|
$2,215.34 |
$2,215.34 |
$2,215.34 |
$756.00
|
|
Cryoprecipitate each unit
|
$1,134.08 |
$1,134.08 |
$1,134.08 |
$190.20
|
|
Crystal identification light microscopy
|
$172.37 |
$172.37 |
$172.37 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$13,832.56 |
$13,832.56 |
$13,832.56 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$14,712.29 |
$14,712.29 |
$14,712.29 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$6,262.20 |
$6,262.20 |
$6,262.20 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$10,625.42 |
$10,625.42 |
$10,625.42 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$17,735.25 |
$17,735.25 |
$17,735.25 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$13,811.11 |
$13,811.11 |
$13,811.11 |
$2,015.65
|
|
CT Angiogram of the Head
|
$10,729.17 |
$10,729.17 |
$10,729.17 |
$2,032.54
|
|
CT angio hrt w/3d image
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$1,601.60
|
|
CT angio pelvis
|
$13,182.41 |
$13,182.41 |
$13,182.41 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$11,158.96 |
$11,158.96 |
$11,158.96 |
$1,652.25
|
|
CT guidance for needle placement
|
$10,000.87 |
$10,000.87 |
$10,000.87 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$4,365.08 |
$4,365.08 |
$4,365.08 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$1,244.33 |
$1,244.33 |
$1,244.33 |
$192.00
|
|
CT lower extremity w/contrast (both sides)
|
$10,427.19 |
$10,427.19 |
$10,427.19 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$9,277.15 |
$9,277.15 |
$9,277.15 |
$1,400.00
|
|
CT lwr extremity w/o&w/dye
|
$12,832.05 |
$12,832.05 |
$12,832.05 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$9,331.98 |
$9,331.98 |
$9,331.98 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$7,710.50 |
$7,710.50 |
$7,710.50 |
$1,357.54
|
|
CT neck soft tissue without & w/contrast
|
$10,681.28 |
$10,681.28 |
$10,681.28 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,284.82 |
$2,284.82 |
$2,284.82 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$8,733.88 |
$8,733.88 |
$8,733.88 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$7,843.83 |
$7,843.83 |
$7,843.83 |
$1,370.85
|
|
Ctrl nosebld postir subsq 30906
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$470.73
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$17,362.99 |
$17,362.99 |
$17,362.99 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$15,167.34 |
$15,167.34 |
$15,167.34 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$13,479.23 |
$13,479.23 |
$13,479.23 |
$2,299.15
|
|
CT thoracic spine w/contrast
|
$12,103.26 |
$12,103.26 |
$12,103.26 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$10,543.22 |
$10,543.22 |
$10,543.22 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,366.06 |
$2,366.06 |
$2,366.06 |
$420.60
|
|
CT t-spine w /wo contrast
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$10,379.85 |
$10,379.85 |
$10,379.85 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$9,046.04 |
$9,046.04 |
$9,046.04 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$1,841.10
|
|
Culture aerobic additional method definitive id each
|
$206.29 |
$206.29 |
$206.29 |
$63.60
|
|
Culture afb any source
|
$115.56 |
$115.56 |
$115.56 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$154.06 |
$154.06 |
$154.06 |
$77.31
|
|
Culture anaerobic except blood
|
$109.14 |
$109.14 |
$109.14 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$101.01 |
$101.01 |
$101.01 |
$52.80
|
|
Culture body fluid
|
$227.81 |
$227.81 |
$227.81 |
$130.50
|
|
Culture fungi definitive id mold
|
$150.34 |
$150.34 |
$150.34 |
$70.00
|
|
Culture fungi definitive id yeast
|
$152.69 |
$152.69 |
$152.69 |
$79.10
|
|
Culture fungi other (except blood)
|
$258.49 |
$258.49 |
$258.49 |
$105.60
|
|
Culture mycobacteria definitive id each isolate
|
$156.33 |
$156.33 |
$156.33 |
$84.80
|
|
Culture quantitative aerobic other source
|
$105.82 |
$105.82 |
$105.82 |
$87.02
|
|
Culture screening strep group a
|
$70.94 |
$70.94 |
$70.94 |
$79.20
|
|
Culture typing added method
|
$82.82 |
$82.82 |
$82.82 |
$34.45
|
|
Culture typing immunologic
|
$55.43 |
$55.43 |
$55.43 |
$42.12
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$2,333.24 |
$2,333.24 |
$2,333.24 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$375.46 |
$375.46 |
$375.46 |
$124.02
|
|
Cv line/pic reposition
|
$3,994.42 |
$3,994.42 |
$3,994.42 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$153.22 |
$153.22 |
$153.22 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$110.10 |
$110.10 |
$110.10 |
$28.08
|
|
Cyclic citrullinated peptide antibody
|
$45.33 |
$45.33 |
$45.33 |
$81.60
|
|
Cyclosporine 2 hour
|
$63.18 |
$63.18 |
$63.18 |
$120.20
|
|
Cyclosporine oral 100 mg
|
$68.08 |
$68.08 |
$68.08 |
$43.04
|
|
Cyp2c19 gene com variants
|
$3,117.55 |
$3,117.55 |
$3,117.55 |
$553.00
|
|
Cystatin c
|
$198.16 |
$198.16 |
$198.16 |
$81.00
|
|
Cystic fibrosis cftr
|
$1,746.50 |
$1,746.50 |
$1,746.50 |
$1,041.95
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,624.23 |
$1,624.23 |
$1,624.23 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$161.74 |
$161.74 |
$161.74 |
$80.18
|
|
Cytomegalovirus (cmv) antibody igg
|
$153.97 |
$153.97 |
$153.97 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$180.30 |
$180.30 |
$180.30 |
$96.80
|
|
Cyto/molecular report
|
$234.88 |
$234.88 |
$234.88 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$702.04 |
$702.04 |
$702.04 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$705.64 |
$705.64 |
$705.64 |
$142.94
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$531.02 |
$531.02 |
$531.02 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$190.05 |
$190.05 |
$190.05 |
$205.00
|
|
Cytopath smear other source
|
$349.42 |
$349.42 |
$349.42 |
$85.80
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$90,358.41 |
$90,358.41 |
$90,358.41 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$21,522.34 |
$21,522.34 |
$21,522.34 |
$5,546.48
|
|
Dch validity tests
|
$37.24 |
$37.24 |
$37.24 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$80.87 |
$80.87 |
$80.87 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,104.06 |
$2,104.06 |
$2,104.06 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$555.16 |
$555.16 |
$555.16 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,510.89
|
|
Debridement/bone/20 sq cm or less 11046
|
$887.81 |
$887.81 |
$887.81 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,922.80 |
$1,922.80 |
$1,922.80 |
$1,339.77
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,386.25 |
$2,386.25 |
$2,386.25 |
$810.50
|
|
Debride nail6 or more 11721
|
$768.81 |
$768.81 |
$768.81 |
$199.32
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$831.98 |
$831.98 |
$831.98 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,275.68 |
$2,275.68 |
$2,275.68 |
$1,176.57
|
|
Decalcification
|
$175.69 |
$175.69 |
$175.69 |
$74.73
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,075.49 |
$1,075.49 |
$1,075.49 |
$534.48
|
|
Deferoxamine 500 mg solution for injection
|
$1,365.45 |
$1,365.45 |
$1,365.45 |
$112.87
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$556.14 |
$556.14 |
$556.14 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$34,032.75 |
$34,032.75 |
$34,032.75 |
$7,756.62
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,399.45 |
$2,399.45 |
$2,399.45 |
$112.85
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,464.03 |
$1,464.03 |
$1,464.03 |
$220.43
|