|
Control of nosebleed ant comp 30903
|
$769.60 |
$769.60 |
$769.60 |
$396.00
|
|
Coombs direct
|
$74.75 |
$74.75 |
$74.75 |
$76.80
|
|
Coombs indirect titer reference
|
$136.50 |
$136.50 |
$136.50 |
$156.71
|
|
Cornea 1/2moon str split thick
|
$989.62 |
$989.62 |
$989.62 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,421.00 |
$5,421.00 |
$5,421.00 |
$7,849.80
|
|
Cortisol total am
|
$122.20 |
$122.20 |
$122.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$101.75 |
$101.75 |
$101.75 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$76.05 |
$76.05 |
$76.05 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$8,775.00 |
$8,775.00 |
$8,775.00 |
$4,180.79
|
|
Cover wrist
|
$0.03 |
$0.03 |
$0.03 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$88.00 |
$88.00 |
$88.00 |
$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
|
|
#covid19rsv-rsv
|
$140.40 |
$140.40 |
$140.40 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$641.55 |
$641.55 |
$641.55 |
$584.50
|
|
C-peptide
|
$163.80 |
$163.80 |
$163.80 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$777.71
|
|
Cr-51 sodium chromate
|
$7,028.75 |
$7,028.75 |
$7,028.75 |
$688.80
|
|
C-reactive protein
|
$70.85 |
$70.85 |
$70.85 |
$69.36
|
|
C-reactive protein high sensitivity
|
$129.35 |
$129.35 |
$129.35 |
$85.50
|
|
Creatine kinase
|
$66.30 |
$66.30 |
$66.30 |
$66.30
|
|
Creatine kinase mb
|
$109.20 |
$109.20 |
$109.20 |
$113.63
|
|
Creatinine
|
$42.25 |
$42.25 |
$42.25 |
$46.20
|
|
Creatinine 24 hour urine
|
$63.05 |
$63.05 |
$63.05 |
$57.85
|
|
Creatinine clearance urine
|
$69.55 |
$69.55 |
$69.55 |
$90.26
|
|
Critical care each additional 30 minutes
|
$325.00 |
$325.00 |
$325.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,358.85 |
$7,358.85 |
$7,358.85 |
$4,288.58
|
|
Cryofibrinogen qualitative - sendout
|
$30.55 |
$30.55 |
$30.55 |
$52.50
|
|
Cryoprecipitate each unit
|
$123.50 |
$123.50 |
$123.50 |
$144.78
|
|
Crystal identification light microscopy
|
$83.20 |
$83.20 |
$83.20 |
$66.43
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,206.80 |
$4,206.80 |
$4,206.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$983.45 |
$983.45 |
$983.45 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$1,881.75
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,115.15 |
$4,115.15 |
$4,115.15 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,174.95 |
$4,174.95 |
$4,174.95 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,052.40 |
$3,052.40 |
$3,052.40 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$62.40 |
$62.40 |
$62.40 |
$72.00
|
|
Culture afb any source
|
$76.05 |
$76.05 |
$76.05 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$53.30 |
$53.30 |
$53.30 |
$84.76
|
|
Culture anaerobic except blood
|
$82.55 |
$82.55 |
$82.55 |
$121.22
|
|
Culture body fluid
|
$94.90 |
$94.90 |
$94.90 |
$126.75
|
|
Culture fungi definitive id mold
|
$364.00 |
$364.00 |
$364.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$111.80 |
$111.80 |
$111.80 |
$80.00
|
|
Culture fungi other (except blood)
|
$92.95 |
$92.95 |
$92.95 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$55.25 |
$55.25 |
$55.25 |
$74.75
|
|
Culture quantitative aerobic other source
|
$85.80 |
$85.80 |
$85.80 |
$87.02
|
|
Culture screening strep group a
|
$65.65 |
$65.65 |
$65.65 |
$84.60
|
|
Culture typing immunologic
|
$29.90 |
$29.90 |
$29.90 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$157.30 |
$157.30 |
$157.30 |
$140.80
|
|
Culture urine each isolate
|
$55.25 |
$55.25 |
$55.25 |
$55.50
|
|
Cutter lead
|
$3,162.98 |
$3,162.98 |
$3,162.98 |
$6,581.45
|
|
Cv stress test i&r only 93018
|
$76.70 |
$76.70 |
$76.70 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$80.60 |
$80.60 |
$80.60 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.85 |
$7.85 |
$7.85 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$97.50 |
$97.50 |
$97.50 |
$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
|
$126.10 |
$126.10 |
$126.10 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$16,206.14 |
$16,206.14 |
$16,206.14 |
$24,728.89
|
|
Cystatin c
|
$72.80 |
$72.80 |
$72.80 |
$77.60
|
|
Cystoscopy (Bladder Scope)
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
$1,493.80
|
|
Cytarabine 20 mg/ml injection solution
|
$135.00 |
$135.00 |
$135.00 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$94.90 |
$94.90 |
$94.90 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$109.85 |
$109.85 |
$109.85 |
$100.00
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$79.95 |
$79.95 |
$79.95 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$70.85 |
$70.85 |
$70.85 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$124.80 |
$124.80 |
$124.80 |
$135.20
|
|
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
|
$96.00 |
$96.00 |
$96.00 |
$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
|
$63.70 |
$63.70 |
$63.70 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$191.10 |
$191.10 |
$191.10 |
$284.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$276.90 |
$276.90 |
$276.90 |
$835.20
|
|
Decalcification
|
$72.15 |
$72.15 |
$72.15 |
$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
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,865.45 |
$15,865.45 |
$15,865.45 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$562.00 |
$562.00 |
$562.00 |
$401.60
|
|
Deodorant ostmy adapt lube 8ml
|
$0.26 |
$0.26 |
$0.26 |
$1.98
|
|
Desmopressin 4 mcg/ml injection solution
|
$428.60 |
$428.60 |
$428.60 |
$91.84
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$252.85 |
$252.85 |
$252.85 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$319.80 |
$319.80 |
$319.80 |
$362.58
|
|
Dest mal lesion tal <0.5 17260
|
$277.17 |
$277.17 |
$277.17 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$262.60 |
$262.60 |
$262.60 |
$274.80
|
|
Destroy cervthor facet jnt 64633
|
$4,394.65 |
$4,394.65 |
$4,394.65 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$7,416.45 |
$7,416.45 |
$7,416.45 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$202.40
|
|
Destruction 2-14 lesions 17003
|
$82.55 |
$82.55 |
$82.55 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$3,684.85 |
$3,684.85 |
$3,684.85 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$12,575.06 |
$12,575.06 |
$12,575.06 |
$1,652.35
|