|
#coxa-coxsackie a serotype a16
|
$179.32 |
$179.32 |
$179.32 |
$65.36
|
|
C-peptide
|
$367.11 |
$367.11 |
$367.11 |
$100.00
|
|
C-reactive protein
|
$172.40 |
$172.40 |
$172.40 |
$63.00
|
|
C-reactive protein high sensitivity
|
$385.82 |
$385.82 |
$385.82 |
$91.65
|
|
Creatine kinase
|
$181.16 |
$181.16 |
$181.16 |
$59.78
|
|
Creatine kinase isoenzymes
|
$150.75 |
$150.75 |
$150.75 |
$46.34
|
|
Creatine kinase mb
|
$329.42 |
$329.42 |
$329.42 |
$111.00
|
|
Creatine - sendout
|
$139.30 |
$139.30 |
$139.30 |
$39.00
|
|
Creatinine
|
$160.61 |
$160.61 |
$160.61 |
$44.10
|
|
Creatinine 24 hour urine
|
$160.61 |
$160.61 |
$160.61 |
$59.80
|
|
Creatinine clearance urine
|
$347.57 |
$347.57 |
$347.57 |
$87.50
|
|
#creutz-prot.,western blot
|
$297.31 |
$297.31 |
$297.31 |
$173.00
|
|
Critical care 30-74 minutes
|
$4,793.82 |
$4,793.82 |
$4,793.82 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,347.78 |
$1,347.78 |
$1,347.78 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$150.75 |
$150.75 |
$150.75 |
$50.88
|
|
Cryoprecipitate each unit
|
$1,578.54 |
$1,578.54 |
$1,578.54 |
$185.64
|
|
Crystal identification light microscopy
|
$251.34 |
$251.34 |
$251.34 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,421.14 |
$1,421.14 |
$1,421.14 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,084.86 |
$2,084.86 |
$2,084.86 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,377.84 |
$2,377.84 |
$2,377.84 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,781.67 |
$5,781.67 |
$5,781.67 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$5,257.18 |
$5,257.18 |
$5,257.18 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,030.75 |
$8,030.75 |
$8,030.75 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,356.30 |
$5,356.30 |
$5,356.30 |
$1,955.80
|
|
CT Angiogram of the Head
|
$5,257.18 |
$5,257.18 |
$5,257.18 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$4,946.13 |
$4,946.13 |
$4,946.13 |
$1,588.60
|
|
CT angio pelvis
|
$5,781.67 |
$5,781.67 |
$5,781.67 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$5,781.67 |
$5,781.67 |
$5,781.67 |
$1,652.25
|
|
CT bone density axial
|
$2,035.75 |
$2,035.75 |
$2,035.75 |
$326.30
|
|
CT guidance for needle placement
|
$2,462.12 |
$2,462.12 |
$2,462.12 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,284.39 |
$3,284.39 |
$3,284.39 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,868.21 |
$1,868.21 |
$1,868.21 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$1,355.75 |
$1,355.75 |
$1,355.75 |
$192.00
|
|
CT hrt w/3d image
|
$2,482.78 |
$2,482.78 |
$2,482.78 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$2,262.51 |
$2,262.51 |
$2,262.51 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$5,361.89 |
$5,361.89 |
$5,361.89 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$4,966.64 |
$4,966.64 |
$4,966.64 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$10,437.63 |
$10,437.63 |
$10,437.63 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$4,421.83 |
$4,421.83 |
$4,421.83 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$3,495.03 |
$3,495.03 |
$3,495.03 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$5,243.76 |
$5,243.76 |
$5,243.76 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$7,282.73 |
$7,282.73 |
$7,282.73 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,341.32 |
$5,341.32 |
$5,341.32 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$4,854.76 |
$4,854.76 |
$4,854.76 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$1,557.29 |
$1,557.29 |
$1,557.29 |
$456.00
|
|
CT scan for therapy guide
|
$565.00 |
$565.00 |
$565.00 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$9,436.55 |
$9,436.55 |
$9,436.55 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$8,865.00 |
$8,865.00 |
$8,865.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$6,814.94 |
$6,814.94 |
$6,814.94 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$5,897.70 |
$5,897.70 |
$5,897.70 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$4,800.46 |
$4,800.46 |
$4,800.46 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,035.75 |
$2,035.75 |
$2,035.75 |
$400.20
|
|
CT t-spine w /wo contrast
|
$6,137.72 |
$6,137.72 |
$6,137.72 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$5,331.12 |
$5,331.12 |
$5,331.12 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$4,578.88 |
$4,578.88 |
$4,578.88 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$5,560.06 |
$5,560.06 |
$5,560.06 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$168.15 |
$168.15 |
$168.15 |
$63.75
|
|
Culture afb any source
|
$336.85 |
$336.85 |
$336.85 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$406.20 |
$406.20 |
$406.20 |
$77.31
|
|
Culture anaerobic except blood
|
$277.64 |
$277.64 |
$277.64 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$324.17 |
$324.17 |
$324.17 |
$52.80
|
|
Culture body fluid
|
$520.91 |
$520.91 |
$520.91 |
$130.50
|
|
Culture fungi definitive id mold
|
$193.80 |
$193.80 |
$193.80 |
$70.00
|
|
Culture fungi definitive id yeast
|
$347.30 |
$347.30 |
$347.30 |
$80.60
|
|
Culture fungi other (except blood)
|
$300.22 |
$300.22 |
$300.22 |
$105.60
|
|
Culture mycobacteria definitive id each isolate
|
$113.50 |
$113.50 |
$113.50 |
$84.75
|
|
Culture mycoplasma any source
|
$344.18 |
$344.18 |
$344.18 |
$90.37
|
|
Culture screening strep group a
|
$689.21 |
$689.21 |
$689.21 |
$81.60
|
|
Culture typing added method
|
$106.70 |
$106.70 |
$106.70 |
$34.45
|
|
Culture typing immunologic
|
$99.21 |
$99.21 |
$99.21 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$495.59 |
$495.59 |
$495.59 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$201.54 |
$201.54 |
$201.54 |
$124.40
|
|
Cv line/pic reposition
|
$6,388.98 |
$6,388.98 |
$6,388.98 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$221.95 |
$221.95 |
$221.95 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$119.29 |
$119.29 |
$119.29 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$280.76 |
$280.76 |
$280.76 |
$80.05
|
|
Cyclosporine 2 hour
|
$429.46 |
$429.46 |
$429.46 |
$121.80
|
|
Cyclosporine oral 100 mg
|
$76.72 |
$76.72 |
$76.72 |
$39.04
|
|
Cyp2c19 gene com variants
|
$2,329.77 |
$2,329.77 |
$2,329.77 |
$567.75
|
|
Cystatin c
|
$25.74 |
$25.74 |
$25.74 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,310.27 |
$1,310.27 |
$1,310.27 |
$539.55
|
|
Cystoscopy and treatment
|
$10,296.76 |
$10,296.76 |
$10,296.76 |
$3,174.25
|
|
Cystoscopy and treatment
|
$12,677.64 |
$12,677.64 |
$12,677.64 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$3,517.68 |
$3,517.68 |
$3,517.68 |
$1,610.20
|
|
Cytarabine 20 mg/ml injection solution
|
$146.48 |
$146.48 |
$146.48 |
$89.95
|
|
Cytogenetics 25-99
|
$556.59 |
$556.59 |
$556.59 |
$180.32
|
|
Cytogenom microarray copy nmbr var
|
$10,884.62 |
$10,884.62 |
$10,884.62 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$331.33 |
$331.33 |
$331.33 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$281.51 |
$281.51 |
$281.51 |
$96.80
|
|
Cyto/molecular report
|
$412.73 |
$412.73 |
$412.73 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$469.58 |
$469.58 |
$469.58 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$283.66 |
$283.66 |
$283.66 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$313.99 |
$313.99 |
$313.99 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$506.53 |
$506.53 |
$506.53 |
$142.94
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$389.49 |
$389.49 |
$389.49 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$399.59 |
$399.59 |
$399.59 |
$205.00
|
|
Cytp urine 3-5 probes cmptr
|
$2,640.14 |
$2,640.14 |
$2,640.14 |
$690.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$97,995.45 |
$97,995.45 |
$97,995.45 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$29,647.96 |
$29,647.96 |
$29,647.96 |
$5,546.48
|
|
Dch validity tests
|
$143.21 |
$143.21 |
$143.21 |
$25.20
|