|
Creatine kinase mb
|
$68.25 |
$68.25 |
$68.25 |
$114.00
|
|
Creatinine
|
$27.00 |
$27.00 |
$27.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$23.50 |
$23.50 |
$23.50 |
$58.85
|
|
Creatinine clearance urine
|
$78.00 |
$78.00 |
$78.00 |
$89.50
|
|
Crisis psychotherapy 90839
|
$56.88 |
$56.88 |
$56.88 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$27.04 |
$27.04 |
$27.04 |
$149.52
|
|
Critical care 30-74 minutes
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$467.25 |
$467.25 |
$467.25 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$6,158.35 |
$6,158.35 |
$6,158.35 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$7,471.95 |
$7,471.95 |
$7,471.95 |
$5,590.35
|
|
Crystal identification light microscopy
|
$65.62 |
$65.62 |
$65.62 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$527.12 |
$527.12 |
$527.12 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$914.75 |
$914.75 |
$914.75 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$513.38 |
$513.38 |
$513.38 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,466.38 |
$1,466.38 |
$1,466.38 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$551.62 |
$551.62 |
$551.62 |
$1,940.00
|
|
CT Angiogram of the Head
|
$513.50 |
$513.50 |
$513.50 |
$1,996.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$1,698.00
|
|
CT colonography dx
|
$472.62 |
$472.62 |
$472.62 |
$791.00
|
|
CT colonography dx w/dye
|
$577.25 |
$577.25 |
$577.25 |
$1,037.00
|
|
CT colonography screening
|
$421.00 |
$421.00 |
$421.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$467.00 |
$467.00 |
$467.00 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$49.50 |
$49.50 |
$49.50 |
$171.60
|
|
CT limited or localized follow-up study
|
$280.00 |
$280.00 |
$280.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$766.12 |
$766.12 |
$766.12 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$819.50 |
$819.50 |
$819.50 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$877.00 |
$877.00 |
$877.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$462.00 |
$462.00 |
$462.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$438.25 |
$438.25 |
$438.25 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$510.75 |
$510.75 |
$510.75 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$528.88 |
$528.88 |
$528.88 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$936.00 |
$936.00 |
$936.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$459.50 |
$459.50 |
$459.50 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$725.25 |
$725.25 |
$725.25 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$668.50 |
$668.50 |
$668.50 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$526.75 |
$526.75 |
$526.75 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$833.00 |
$833.00 |
$833.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$485.62 |
$485.62 |
$485.62 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$49.50 |
$49.50 |
$49.50 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,015.75 |
$1,015.75 |
$1,015.75 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$74.50 |
$74.50 |
$74.50 |
$68.64
|
|
Culture afb any source
|
$56.00 |
$56.00 |
$56.00 |
$109.20
|
|
Culture anaerobic except blood
|
$96.12 |
$96.12 |
$96.12 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$20.00 |
$20.00 |
$20.00 |
$51.45
|
|
Culture body fluid
|
$86.50 |
$86.50 |
$86.50 |
$126.75
|
|
Culture fungi skin/hair/nail
|
$35.88 |
$35.88 |
$35.88 |
$74.88
|
|
Culture mycoplasma any source
|
$48.62 |
$48.62 |
$48.62 |
$85.26
|
|
Culture screening strep group a
|
$47.88 |
$47.88 |
$47.88 |
$81.00
|
|
Culture typing immunologic
|
$19.50 |
$19.50 |
$19.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$272.58 |
$272.58 |
$272.58 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$77.00 |
$77.00 |
$77.00 |
$133.90
|
|
Culture urine each isolate
|
$10.11 |
$10.11 |
$10.11 |
$57.00
|
|
Cutter lead
|
$8,850.00 |
$8,850.00 |
$8,850.00 |
$6,092.06
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$27.70 |
$27.70 |
$27.70 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$27.50 |
$27.50 |
$27.50 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,890.20 |
$1,890.20 |
$1,890.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$3.30 |
$3.30 |
$3.30 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$360.82 |
$360.82 |
$360.82 |
$140.78
|
|
Cyclosporine 2 hour
|
$96.50 |
$96.50 |
$96.50 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$5.52 |
$5.52 |
$5.52 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$145.62 |
$145.62 |
$145.62 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$38,545.26 |
$38,545.26 |
$38,545.26 |
$22,803.38
|
|
Cystatin c
|
$24.50 |
$24.50 |
$24.50 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$382.62 |
$382.62 |
$382.62 |
$542.10
|
|
Cystoscopy and treatment
|
$173.08 |
$173.08 |
$173.08 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$112.00 |
$112.00 |
$112.00 |
$1,493.80
|
|
Cytarabine 20 mg/ml injection solution
|
$69.38 |
$69.38 |
$69.38 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$90.50 |
$90.50 |
$90.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$97.00 |
$97.00 |
$97.00 |
$97.50
|
|
Cytomegalovirus imm IV /vial
|
$5,648.38 |
$5,648.38 |
$5,648.38 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$94.62 |
$94.62 |
$94.62 |
$159.45
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$81.88 |
$81.88 |
$81.88 |
$209.23
|
|
Dacarbazine 100 mg intravenous solution
|
$54.56 |
$54.56 |
$54.56 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$2,024.52 |
$2,024.52 |
$2,024.52 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$3,959.85 |
$3,959.85 |
$3,959.85 |
$3,480.35
|
|
Dalteparin sodium
|
$111.45 |
$111.45 |
$111.45 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$171.19 |
$171.19 |
$171.19 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$22,216.48 |
$22,216.48 |
$22,216.48 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,927.02 |
$6,927.02 |
$6,927.02 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$26,477.15 |
$26,477.15 |
$26,477.15 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$127.58 |
$127.58 |
$127.58 |
$257.10
|
|
Dch validity tests
|
$11.00 |
$11.00 |
$11.00 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$27.88 |
$27.88 |
$27.88 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$175.12 |
$175.12 |
$175.12 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$444.50 |
$444.50 |
$444.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$666.25 |
$666.25 |
$666.25 |
$810.50
|
|
Debride nail1-5 11720
|
$16.80 |
$16.80 |
$16.80 |
$148.80
|
|
Debride nail6 or more 11721
|
$23.98 |
$23.98 |
$23.98 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$409.12 |
$409.12 |
$409.12 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$887.50 |
$887.50 |
$887.50 |
$1,160.00
|
|
Decalcification
|
$60.50 |
$60.50 |
$60.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$410.37 |
$410.37 |
$410.37 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$584.00 |
$584.00 |
$584.00 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$73.98 |
$73.98 |
$73.98 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,807.08 |
$1,807.08 |
$1,807.08 |
$1,807.08
|