|
#coxa-coxsackie a serotype a16
|
$71.28 |
$71.28 |
$71.28 |
$60.00
|
|
C-peptide
|
$71.28 |
$71.28 |
$71.28 |
$97.30
|
|
C-reactive protein
|
$144.72 |
$144.72 |
$144.72 |
$68.38
|
|
C-reactive protein high sensitivity
|
$64.80 |
$64.80 |
$64.80 |
$85.00
|
|
Creatine kinase
|
$145.44 |
$145.44 |
$145.44 |
$66.30
|
|
Creatine kinase isoenzymes
|
$44.64 |
$44.64 |
$44.64 |
$56.80
|
|
Creatine kinase mb
|
$203.04 |
$203.04 |
$203.04 |
$114.00
|
|
Creatinine
|
$95.04 |
$95.04 |
$95.04 |
$44.72
|
|
Creatinine 24 hour urine
|
$123.84 |
$123.84 |
$123.84 |
$58.85
|
|
Creatinine clearance urine
|
$208.80 |
$208.80 |
$208.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$201.60 |
$201.60 |
$201.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,993.68 |
$1,993.68 |
$1,993.68 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$650.16 |
$650.16 |
$650.16 |
$731.40
|
|
Cryoprecipitate each unit
|
$137.52 |
$137.52 |
$137.52 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$217.44 |
$217.44 |
$217.44 |
$89.70
|
|
Cryptosporidium antigen
|
$37.44 |
$37.44 |
$37.44 |
$52.08
|
|
Crystal identification light microscopy
|
$74.88 |
$74.88 |
$74.88 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$530.64 |
$530.64 |
$530.64 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,089.52 |
$3,089.52 |
$3,089.52 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,792.08 |
$1,792.08 |
$1,792.08 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,715.12 |
$2,715.12 |
$2,715.12 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,049.36 |
$5,049.36 |
$5,049.36 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,060.72 |
$3,060.72 |
$3,060.72 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,608.56 |
$2,608.56 |
$2,608.56 |
$1,996.80
|
|
CT angio pelvis
|
$2,643.12 |
$2,643.12 |
$2,643.12 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,445.12 |
$2,445.12 |
$2,445.12 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,875.60 |
$1,875.60 |
$1,875.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,760.40 |
$1,760.40 |
$1,760.40 |
$1,178.52
|
|
CT lower extremity w/contrast (both sides)
|
$2,170.80 |
$2,170.80 |
$2,170.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,893.60 |
$1,893.60 |
$1,893.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,912.48 |
$3,912.48 |
$3,912.48 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,121.84 |
$2,121.84 |
$2,121.84 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$3,336.48 |
$3,336.48 |
$3,336.48 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,754.72 |
$2,754.72 |
$2,754.72 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$501.84 |
$501.84 |
$501.84 |
$437.04
|
|
CT scan for therapy guide
|
$1,378.08 |
$1,378.08 |
$1,378.08 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,049.36 |
$5,049.36 |
$5,049.36 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,990.32 |
$4,990.32 |
$4,990.32 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,098.24 |
$4,098.24 |
$4,098.24 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,316.24 |
$2,316.24 |
$2,316.24 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,895.76 |
$1,895.76 |
$1,895.76 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$385.92 |
$385.92 |
$385.92 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,654.64 |
$2,654.64 |
$2,654.64 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,645.28 |
$2,645.28 |
$2,645.28 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,070.72 |
$2,070.72 |
$2,070.72 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,994.48 |
$2,994.48 |
$2,994.48 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$120.24 |
$120.24 |
$120.24 |
$68.64
|
|
Culture afb any source
|
$158.40 |
$158.40 |
$158.40 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$138.96 |
$138.96 |
$138.96 |
$79.00
|
|
Culture anaerobic except blood
|
$493.20 |
$493.20 |
$493.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$26.64 |
$26.64 |
$26.64 |
$51.45
|
|
Culture body fluid
|
$12.96 |
$12.96 |
$12.96 |
$126.75
|
|
Culture fungi definitive id mold
|
$130.32 |
$130.32 |
$130.32 |
$77.28
|
|
Culture fungi definitive id yeast
|
$69.12 |
$69.12 |
$69.12 |
$79.10
|
|
Culture fungi other (except blood)
|
$174.24 |
$174.24 |
$174.24 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$174.24 |
$174.24 |
$174.24 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$190.80 |
$190.80 |
$190.80 |
$89.70
|
|
Culture mycoplasma any source
|
$67.68 |
$67.68 |
$67.68 |
$85.26
|
|
Culture screening strep group a
|
$233.28 |
$233.28 |
$233.28 |
$81.00
|
|
Culture typing immunologic
|
$38.16 |
$38.16 |
$38.16 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$807.84 |
$807.84 |
$807.84 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$456.48 |
$456.48 |
$456.48 |
$133.90
|
|
Culture urine each isolate
|
$74.88 |
$74.88 |
$74.88 |
$57.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$12.96 |
$12.96 |
$12.96 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$136.08 |
$136.08 |
$136.08 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$7.96 |
$7.96 |
$7.96 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$70.56 |
$70.56 |
$70.56 |
$129.48
|
|
Cyp2c19 gene com variants
|
$803.52 |
$803.52 |
$803.52 |
$504.00
|
|
Cystatin c
|
$73.44 |
$73.44 |
$73.44 |
$77.50
|
|
Cystine urine quantitative
|
$38.88 |
$38.88 |
$38.88 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$771.12 |
$771.12 |
$771.12 |
$542.10
|
|
Cystoscopy (Bladder Scope)
|
$5,706.00 |
$5,706.00 |
$5,706.00 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$3,065.15
|
|
Cytomegalovirus (cmv) antibody igg
|
$130.32 |
$130.32 |
$130.32 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$141.12 |
$141.12 |
$141.12 |
$97.50
|
|
Cyto/molecular report
|
$199.44 |
$199.44 |
$199.44 |
$133.20
|
|
Cytopath fl nongyn filter
|
$87.84 |
$87.84 |
$87.84 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$162.00 |
$162.00 |
$162.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$158.40 |
$158.40 |
$158.40 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$141.84 |
$141.84 |
$141.84 |
$87.50
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$93.60 |
$93.60 |
$93.60 |
$129.35
|
|
Cytp urine 3-5 probes cmptr
|
$444.96 |
$444.96 |
$444.96 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$101.89 |
$101.89 |
$101.89 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$13,374.72 |
$13,374.72 |
$13,374.72 |
$6,072.48
|
|
Dch glucoscan
|
$38.16 |
$38.16 |
$38.16 |
$28.10
|
|
Deamidated gliadin antibody iga
|
$91.44 |
$91.44 |
$91.44 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$327.60 |
$327.60 |
$327.60 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$3,043.44 |
$3,043.44 |
$3,043.44 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$734.40 |
$734.40 |
$734.40 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,607.04 |
$1,607.04 |
$1,607.04 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$973.44 |
$973.44 |
$973.44 |
$810.50
|
|
Debride nail1-5 11720
|
$151.92 |
$151.92 |
$151.92 |
$148.80
|
|
Debride nail6 or more 11721
|
$246.24 |
$246.24 |
$246.24 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$678.24 |
$678.24 |
$678.24 |
$639.60
|
