|
Crotalidae poly immune fab
|
$1,634.42 |
$7,471.95 |
$31,535.48 |
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$6,592.79 |
$6,592.79 |
$6,592.79 |
|
|
Cryofibrinogen qualitative - sendout
|
$25.80 |
$33.60 |
$356.00 |
|
|
Cryoprecipitate each unit
|
$153.60 |
$198.60 |
$1,596.50 |
|
|
Cryopreserve stem cells
|
$3,344.40 |
$3,344.40 |
$3,344.40 |
|
|
Cryptococcus abs qn - sendout
|
$180.00 |
$180.59 |
$189.60 |
|
|
Cryptosporidium antigen
|
$61.20 |
$121.20 |
$143.36 |
|
|
Crystal identification light microscopy
|
$52.80 |
$99.60 |
$172.80 |
|
|
Csf leakage imaging
|
$1,087.80 |
$1,584.00 |
$5,067.86 |
|
|
CT 3d report other modality w/workstation
|
$305.00 |
$525.60 |
$2,120.65 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$914.75 |
$1,141.00 |
$6,153.45 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$542.40 |
$1,891.50 |
$5,671.28 |
|
|
CT Angiogram of the Abdomen
|
$527.12 |
$851.50 |
$3,411.27 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$542.40 |
$1,231.50 |
$3,695.89 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$542.40 |
$950.50 |
$3,329.48 |
|
|
CT Angiogram of the Head
|
$513.50 |
$1,206.00 |
$3,946.19 |
|
|
CT Angiogram of the Neck
|
$513.38 |
$796.00 |
$2,857.80 |
|
|
CT angio hrt w/3d image
|
$542.40 |
$822.50 |
$3,425.07 |
|
|
CT angio pelvis
|
$542.40 |
$900.00 |
$3,100.09 |
|
|
Cta upper extremity w &/or without contrast left
|
$542.40 |
$1,207.50 |
$5,157.25 |
|
|
CT bone density axial
|
$252.60 |
$252.60 |
$279.00 |
|
|
CT cerebral perf w cont & prcssng
|
$458.50 |
$467.00 |
$4,480.73 |
|
|
CT colonography dx
|
$472.62 |
$521.00 |
$961.20 |
|
|
CT colonography dx w/dye
|
$577.25 |
$1,038.50 |
$1,281.00 |
|
|
CT colonography screening
|
$421.00 |
$521.00 |
$1,320.00 |
|
|
CT guidance for needle placement
|
$467.00 |
$651.50 |
$2,842.00 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$459.00 |
$1,017.50 |
$1,536.35 |
|
|
CT guid parench tis ablat
|
$542.40 |
$1,006.00 |
$1,632.35 |
|
|
CT heart w/evaluation of calcium without contrast
|
$49.50 |
$256.80 |
$366.60 |
|
|
CT hrt c+ strux cgen hrt ds
|
$542.40 |
$791.50 |
$3,425.07 |
|
|
CT hrt w/3d image
|
$542.40 |
$542.40 |
$3,425.07 |
|
|
CT limited or localized follow-up study
|
$255.00 |
$273.00 |
$1,252.15 |
|
|
Ctlso a-p-l control with inter
|
$6,114.00 |
$6,114.00 |
$6,114.00 |
|
|
CT lwr extremity w/o&w/dye
|
$542.40 |
$1,084.80 |
$8,927.48 |
|
|
CT scan for localization
|
$542.40 |
$774.00 |
$1,736.40 |
|
|
CT scan for therapy guide
|
$542.40 |
$542.40 |
$929.40 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$542.40 |
$1,649.50 |
$8,935.98 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$542.40 |
$1,421.50 |
$5,455.68 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$526.75 |
$850.00 |
$5,009.63 |
|
|
CT t-spine w /wo contrast
|
$542.40 |
$1,060.00 |
$4,290.63 |
|
|
CT uppr extremity w/o&w/dye
|
$542.40 |
$1,707.60 |
$7,880.32 |
|
|
Cuffs adj lock with active con
|
$380.76 |
$380.76 |
$380.76 |
|
|
Culture aerobic additional method definitive id each
|
$58.00 |
$82.80 |
$267.37 |
|
|
Culture afb any source
|
$55.50 |
$174.00 |
$325.20 |
|
|
Culture anaerobic additional method definitive id each
|
$74.50 |
$129.60 |
$272.44 |
|
|
Culture anaerobic except blood
|
$96.12 |
$146.00 |
$334.20 |
|
|
Culture bacteria anaerobic
|
$99.08 |
$99.08 |
$99.08 |
|
|
Culture bact stool aero addl path ea
|
$20.00 |
$107.40 |
$185.40 |
|
|
Culture body fluid
|
$86.50 |
$159.00 |
$269.40 |
|
|
Culture fungi definitive id mold
|
$74.00 |
$129.00 |
$272.44 |
|
|
Culture fungi definitive id yeast
|
$59.00 |
$129.60 |
$272.44 |
|
|
Culture fungi other (except blood)
|
$77.50 |
$194.40 |
$418.34 |
|
|
Culture fungi skin/hair/nail
|
$35.88 |
$123.60 |
$194.40 |
|
|
Culture mycobacteria definitive id each isolate
|
$70.20 |
$117.00 |
$332.57 |
|
|
Culture mycoplasma any source
|
$48.62 |
$159.60 |
$365.40 |
|
|
Culture quantitative aerobic other source
|
$89.40 |
$215.40 |
$235.20 |
|
|
Culture screening strep group a
|
$47.88 |
$120.60 |
$1,726.83 |
|
|
Culture typing added method
|
$42.60 |
$42.60 |
$267.37 |
|
|
Culture typing glc/hplc
|
$51.60 |
$102.00 |
$174.60 |
|
|
Culture typing immunologic
|
$19.50 |
$69.00 |
$118.20 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$272.58 |
$392.40 |
$2,654.43 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$63.00 |
$76.50 |
$2,439.80 |
|
|
Culture urine each isolate
|
$10.11 |
$92.40 |
$160.80 |
|
|
Cutter lead
|
$8,850.00 |
$8,850.00 |
$26,392.50 |
|
|
Cv line/pic reposition
|
$1,681.20 |
$1,801.20 |
$4,838.95 |
|
|
Cyanocobalamin unsat binding capacity
|
$119.40 |
$145.20 |
$179.43 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$27.70 |
$42.47 |
$82.54 |
|
|
Cyclic citrullinated peptide antibody
|
$27.50 |
$164.33 |
$244.80 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.27 |
$1.27 |
$6,630.54 |
|
|
Cyclophosphamide 25 mg capsule
|
$3.30 |
$3.30 |
$22.51 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$179.92 |
$360.82 |
$719.65 |
|
|
Cyclosporine 2 hour
|
$95.00 |
$255.00 |
$371.40 |
|
|
Cyclosporine modified 25 mg capsule
|
$2.46 |
$5.52 |
$9.79 |
|
|
Cyclosporine oral 100 mg
|
$19.50 |
$145.62 |
$1,187.49 |
|
|
Cygnus matrix, per sq cm
|
$4,061.40 |
$4,061.40 |
$4,061.40 |
|
|
Cylinder pump set 20cm titan zero angl
|
$38,545.26 |
$38,545.26 |
$121,370.31 |
|
|
Cyp2c19 gene com variants
|
$480.00 |
$489.00 |
$2,374.94 |
|
|
Cyp2c9 gene com variants
|
$377.59 |
$377.59 |
$377.59 |
|
|
Cyp2d6 gene com variants
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
|
|
Cyp3a4 gene common variants
|
$534.89 |
$534.89 |
$534.89 |
|
|
Cyp3a5 gene common variants
|
$534.89 |
$534.89 |
$534.89 |
|
|
Cystatin c
|
$24.50 |
$135.00 |
$159.64 |
|
|
Cystic fibrosis cftr
|
$3,331.69 |
$3,331.69 |
$3,331.69 |
|
|
Cystine urine quantitative
|
$60.60 |
$547.20 |
$746.40 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$315.60 |
$484.00 |
$1,041.04 |
|
|
Cystometrogram w/up 51727
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
|
|
Cystoscopy and treatment
|
$173.08 |
$173.08 |
$1,400.40 |
|
|
Cystoscopy (Bladder Scope)
|
$112.00 |
$112.00 |
$4,519.20 |
|
|
Cystoscopy chemodenervation
|
$4,836.60 |
$4,836.60 |
$4,836.60 |
|
|
Cystoscopy removal of clots
|
$3,409.80 |
$3,409.80 |
$3,409.80 |
|
|
Cysto/uretero stricture tx
|
$5,379.60 |
$5,379.60 |
$5,379.60 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$223.12 |
$223.12 |
$223.12 |
|
|
Cytarabine 20 mg/ml injection solution
|
$69.38 |
$178.54 |
$197.47 |
|
|
Cytarabine liposome inj
|
$120.50 |
$120.50 |
$120.50 |
|
|
Cytogenetics 25-99
|
$267.60 |
$419.40 |
$587.35 |
|
|
Cytogenetics 3-5
|
$232.80 |
$277.80 |
$277.80 |
|
|
Cytogenomic neo microra alys
|
$7,742.83 |
$7,742.83 |
$7,742.83 |
|
|
Cytogenom microarray copy nmbr var
|
$1,632.60 |
$2,056.80 |
$4,099.64 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$90.00 |
$150.00 |
$1,052.00 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$96.00 |
$212.10 |
$381.60 |
|