|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$683.00 |
$683.00 |
$683.00 |
$540.00
|
|
CPAP or BiPAP Setup (first day)
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$584.50
|
|
C-peptide
|
$281.00 |
$281.00 |
$281.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$15,698.50 |
$15,698.50 |
$15,698.50 |
$777.71
|
|
Cr-51 sodium chromate
|
$7,028.75 |
$7,028.75 |
$7,028.75 |
$688.80
|
|
C-reactive protein
|
$302.00 |
$302.00 |
$302.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$217.00 |
$217.00 |
$217.00 |
$85.50
|
|
Creatine kinase
|
$221.00 |
$221.00 |
$221.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$133.00 |
$133.00 |
$133.00 |
$56.20
|
|
Creatine kinase mb
|
$228.00 |
$228.00 |
$228.00 |
$113.63
|
|
Creatinine
|
$39,842.13 |
$39,842.13 |
$39,842.13 |
$46.20
|
|
Creatinine 24 hour urine
|
$164.00 |
$164.00 |
$164.00 |
$57.85
|
|
Creatinine clearance urine
|
$193.00 |
$193.00 |
$193.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$70.00 |
$70.00 |
$70.00 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$5,117.00 |
$5,117.00 |
$5,117.00 |
$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
|
$190.00 |
$190.00 |
$190.00 |
$144.78
|
|
Crystal identification light microscopy
|
$137.00 |
$137.00 |
$137.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$546.00 |
$546.00 |
$546.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$6,179.00 |
$6,179.00 |
$6,179.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,567.00 |
$8,567.00 |
$8,567.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$4,665.00 |
$4,665.00 |
$4,665.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,619.50 |
$4,619.50 |
$4,619.50 |
$1,915.30
|
|
CT Angiogram of the Head
|
$5,210.00 |
$5,210.00 |
$5,210.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,657.00 |
$3,657.00 |
$3,657.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,428.68
|
|
CT angio pelvis
|
$4,181.00 |
$4,181.00 |
$4,181.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$4,381.00 |
$4,381.00 |
$4,381.00 |
$1,691.30
|
|
CT guidance for needle placement
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$1,215.06
|
|
CT limited or localized follow-up study
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$636.55
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$9,207.00 |
$9,207.00 |
$9,207.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,902.00 |
$5,902.00 |
$5,902.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,603.00 |
$4,603.00 |
$4,603.00 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$146.00 |
$146.00 |
$146.00 |
$72.00
|
|
Culture afb any source
|
$447.00 |
$447.00 |
$447.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$129.00 |
$129.00 |
$129.00 |
$84.76
|
|
Culture anaerobic except blood
|
$25,040.03 |
$25,040.03 |
$25,040.03 |
$121.22
|
|
Culture body fluid
|
$25,040.03 |
$25,040.03 |
$25,040.03 |
$126.75
|
|
Culture fungi definitive id mold
|
$560.00 |
$560.00 |
$560.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$188.00 |
$188.00 |
$188.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$277.00 |
$277.00 |
$277.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$93.00 |
$93.00 |
$93.00 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$114.00 |
$114.00 |
$114.00 |
$100.00
|
|
Culture quantitative aerobic other source
|
$142.00 |
$142.00 |
$142.00 |
$87.02
|
|
Culture screening strep group a
|
$140.00 |
$140.00 |
$140.00 |
$84.60
|
|
Culture typing immunologic
|
$39.00 |
$39.00 |
$39.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$545.00 |
$545.00 |
$545.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$206.00 |
$206.00 |
$206.00 |
$140.80
|
|
Culture urine each isolate
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$55.50
|
|
Cutter lead
|
$5,121.59 |
$5,121.59 |
$5,121.59 |
$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
|
$143.00 |
$143.00 |
$143.00 |
$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
|
$258.00 |
$258.00 |
$258.00 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$3.35 |
$3.35 |
$3.35 |
$7.48
|
|
Cylinder pump set 20cm titan zero angl
|
$24,298.69 |
$24,298.69 |
$24,298.69 |
$24,728.89
|
|
Cystatin c
|
$117.00 |
$117.00 |
$117.00 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$586.95
|
|
Cystoscopy and treatment
|
$19,922.35 |
$19,922.35 |
$19,922.35 |
$4,081.37
|
|
Cystoscopy and treatment
|
$21,115.93 |
$21,115.93 |
$21,115.93 |
$4,638.40
|
|
Cystoscopy and treatment
|
$21,730.34 |
$21,730.34 |
$21,730.34 |
$5,304.00
|
|
Cystoscopy and treatment
|
$17,360.25 |
$17,360.25 |
$17,360.25 |
$4,045.60
|
|
Cystoscopy (Bladder Scope)
|
$25,734.44 |
$25,734.44 |
$25,734.44 |
$1,493.80
|
|
Cystoscopy & ureter catheter
|
$37,825.14 |
$37,825.14 |
$37,825.14 |
$3,728.50
|
|
Cystouretero w/biopsy
|
$22,122.12 |
$22,122.12 |
$22,122.12 |
$6,015.75
|
|
Cysto/uretero w/lithotripsy
|
$22,367.80 |
$22,367.80 |
$22,367.80 |
$9,430.00
|
|
Cystouretero w/stone remove
|
$18,818.67 |
$18,818.67 |
$18,818.67 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,896.00 |
$5,896.00 |
$5,896.00 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$135.00 |
$135.00 |
$135.00 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$137.00 |
$137.00 |
$137.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$278.00 |
$278.00 |
$278.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$348.00 |
$348.00 |
$348.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$266.00 |
$266.00 |
$266.00 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$171.00 |
$171.00 |
$171.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$215.00 |
$215.00 |
$215.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$217.00 |
$217.00 |
$217.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$319.00 |
$319.00 |
$319.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$460.00 |
$460.00 |
$460.00 |
$213.85
|
|
Cytopath smear other source
|
$150.00 |
$150.00 |
$150.00 |
$92.50
|
|
Cytopath tbs c/v manual
|
$98.00 |
$98.00 |
$98.00 |
$59.28
|
|
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
|
|
D&c after delivery 59160
|
$16,102.00 |
$16,102.00 |
$16,102.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$27,722.06 |
$27,722.06 |
$27,722.06 |
$3,774.81
|
|
Deamidated gliadin antibody iga
|
$196.00 |
$196.00 |
$196.00 |
$43.35
|
|
Debridement bone <= 20 sq cm
|
$13,838.05 |
$13,838.05 |
$13,838.05 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$178.00 |
$178.00 |
$178.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$314.00 |
$314.00 |
$314.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$17,324.90 |
$17,324.90 |
$17,324.90 |
$835.20
|
