|
Computed tomographic angiography head and neck with contrast
|
$1,914.25 |
$1,914.25 |
$1,914.25 |
$2,247.00
|
|
Concentration infection agents any type
|
$44.85 |
$44.85 |
$44.85 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,352.21 |
$3,352.21 |
$3,352.21 |
$3,352.21
|
|
Connect omega .5mm
|
$20,722.49 |
$20,722.49 |
$20,722.49 |
$1,260.00
|
|
Connector tis 2x10mm
|
$6,756.42 |
$6,756.42 |
$6,756.42 |
$4,024.34
|
|
Consultation pathology during surgery
|
$213.85 |
$213.85 |
$213.85 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,145.30 |
$1,145.30 |
$1,145.30 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$184.60 |
$184.60 |
$184.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$274.95 |
$274.95 |
$274.95 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$301.60 |
$301.60 |
$301.60 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$213.85 |
$213.85 |
$213.85 |
$176.28
|
|
Contrast x-ray of hip
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$796.38
|
|
Contrast x-ray of wrist
|
$950.95 |
$950.95 |
$950.95 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$9,782.99 |
$9,782.99 |
$9,782.99 |
$12,355.20
|
|
Controller infinity pt dbs
|
$27,497.09 |
$27,497.09 |
$27,497.09 |
$4,836.44
|
|
Coombs direct
|
$114.40 |
$114.40 |
$114.40 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$34.45 |
$34.45 |
$34.45 |
$107.25
|
|
Coombs indirect titer reference
|
$136.50 |
$136.50 |
$136.50 |
$156.71
|
|
Cornea 1/2moon str split thick
|
$794.53 |
$794.53 |
$794.53 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,705.60 |
$5,705.60 |
$5,705.60 |
$7,849.80
|
|
Cortisol total am
|
$159.25 |
$159.25 |
$159.25 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$101.75 |
$101.75 |
$101.75 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$9,235.69 |
$9,235.69 |
$9,235.69 |
$4,180.79
|
|
Cover wrist
|
$0.01 |
$0.01 |
$0.01 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.50 |
$71.50 |
$71.50 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$443.95 |
$443.95 |
$443.95 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$443.95 |
$443.95 |
$443.95 |
$540.00
|
|
CPAP or BiPAP Setup (first day)
|
$681.85 |
$681.85 |
$681.85 |
$584.50
|
|
C-peptide
|
$134.55 |
$134.55 |
$134.55 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$326.95 |
$326.95 |
$326.95 |
$777.71
|
|
Cr-51 sodium chromate
|
$7,028.75 |
$7,028.75 |
$7,028.75 |
$688.80
|
|
C-reactive protein
|
$693.00 |
$693.00 |
$693.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$149.50 |
$149.50 |
$149.50 |
$85.50
|
|
Creatine kinase
|
$44.20 |
$44.20 |
$44.20 |
$66.30
|
|
Creatine kinase mb
|
$95.55 |
$95.55 |
$95.55 |
$113.63
|
|
Creatinine
|
$3,055.50 |
$3,055.50 |
$3,055.50 |
$46.20
|
|
Creatinine 24 hour urine
|
$695.00 |
$695.00 |
$695.00 |
$57.85
|
|
Creatinine clearance urine
|
$60.45 |
$60.45 |
$60.45 |
$90.26
|
|
#creutz-prot.,western blot
|
$45.50 |
$45.50 |
$45.50 |
$163.50
|
|
Critical care each additional 30 minutes
|
$469.30 |
$469.30 |
$469.30 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,358.85 |
$7,358.85 |
$7,358.85 |
$4,288.58
|
|
Cryoprecipitate each unit
|
$123.50 |
$123.50 |
$123.50 |
$144.78
|
|
Crystal identification light microscopy
|
$36.40 |
$36.40 |
$36.40 |
$66.43
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,553.55 |
$3,553.55 |
$3,553.55 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,099.50 |
$2,099.50 |
$2,099.50 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,223.65 |
$2,223.65 |
$2,223.65 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,375.75 |
$2,375.75 |
$2,375.75 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,914.25 |
$1,914.25 |
$1,914.25 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,914.25 |
$1,914.25 |
$1,914.25 |
$1,881.75
|
|
Cta upper extremity w &/or without contrast left
|
$1,914.25 |
$1,914.25 |
$1,914.25 |
$1,691.30
|
|
CT heart w/evaluation of calcium without contrast
|
$102.70 |
$102.70 |
$102.70 |
$150.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,669.25 |
$3,669.25 |
$3,669.25 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,553.55 |
$3,553.55 |
$3,553.55 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,266.90 |
$3,266.90 |
$3,266.90 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$36.40 |
$36.40 |
$36.40 |
$72.00
|
|
Culture afb any source
|
$48.75 |
$48.75 |
$48.75 |
$110.60
|
|
Culture anaerobic except blood
|
$60.45 |
$60.45 |
$60.45 |
$121.22
|
|
Culture body fluid
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$98.15 |
$98.15 |
$98.15 |
$80.00
|
|
Culture fungi definitive id yeast
|
$46.15 |
$46.15 |
$46.15 |
$80.00
|
|
Culture fungi other (except blood)
|
$55.25 |
$55.25 |
$55.25 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$60.45 |
$60.45 |
$60.45 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$89.70 |
$89.70 |
$89.70 |
$100.00
|
|
Culture quantitative aerobic other source
|
$90.35 |
$90.35 |
$90.35 |
$87.02
|
|
Culture screening strep group a
|
$54.60 |
$54.60 |
$54.60 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$354.25 |
$354.25 |
$354.25 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$97.50 |
$97.50 |
$97.50 |
$140.80
|
|
Cutter lead
|
$3,329.03 |
$3,329.03 |
$3,329.03 |
$6,581.45
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$115.05 |
$115.05 |
$115.05 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$5,154.25 |
$5,154.25 |
$5,154.25 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$17.10 |
$17.10 |
$17.10 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$137.50 |
$137.50 |
$137.50 |
$140.78
|
|
Cyclosporine 2 hour
|
$194.35 |
$194.35 |
$194.35 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$1.00 |
$1.00 |
$1.00 |
$7.48
|
|
Cylinder pump set 20cm titan zero angl
|
$15,794.15 |
$15,794.15 |
$15,794.15 |
$24,728.89
|
|
Cystatin c
|
$163.80 |
$163.80 |
$163.80 |
$77.60
|
|
Cytarabine 20 mg/ml injection solution
|
$135.00 |
$135.00 |
$135.00 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$119.60 |
$119.60 |
$119.60 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$153.40 |
$153.40 |
$153.40 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$162.50 |
$162.50 |
$162.50 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$220.35 |
$220.35 |
$220.35 |
$92.40
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$139.75 |
$139.75 |
$139.75 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$162.50 |
$162.50 |
$162.50 |
$213.85
|
|
Dacarbazine 100 mg intravenous solution
|
$56.45 |
$56.45 |
$56.45 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$13,542.70 |
$13,542.70 |
$13,542.70 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$7,773.10 |
$7,773.10 |
$7,773.10 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$127.00 |
$127.00 |
$127.00 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$33,713.70 |
$33,713.70 |
$33,713.70 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$18,648.65 |
$18,648.65 |
$18,648.65 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,410.00 |
$34,410.00 |
$34,410.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$308.50 |
$308.50 |
$308.50 |
$259.58
|
|
Deamidated gliadin antibody iga
|
$141.70 |
$141.70 |
$141.70 |
$43.35
|
|
Decalcification
|
$75.40 |
$75.40 |
$75.40 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$224.90 |
$224.90 |
$224.90 |
$1,073.52
|
|
Deferoxamine 500 mg solution for injection
|
$159.70 |
$159.70 |
$159.70 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$4,556.35 |
$4,556.35 |
$4,556.35 |
$1,856.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$184.60 |
$184.60 |
$184.60 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,865.45 |
$15,865.45 |
$15,865.45 |
$6,324.98
|