|
#creutz-prot.,western blot
|
$225.40 |
$225.40 |
$225.40 |
$178.10
|
|
Critical care 30-74 minutes
|
$2,754.64 |
$2,754.64 |
$2,754.64 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$133.84 |
$133.84 |
$133.84 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$18.48 |
$18.48 |
$18.48 |
$52.50
|
|
Cryoprecipitate each unit
|
$68.32 |
$68.32 |
$68.32 |
$182.25
|
|
Cryptococcus abs qn - sendout
|
$40.96 |
$40.96 |
$40.96 |
$89.70
|
|
Cryptosporidium antigen
|
$56.00 |
$56.00 |
$56.00 |
$65.55
|
|
Crystal identification light microscopy
|
$7.28 |
$7.28 |
$7.28 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$198.24 |
$198.24 |
$198.24 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,352.40 |
$1,352.40 |
$1,352.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,737.12 |
$1,737.12 |
$1,737.12 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$945.84 |
$945.84 |
$945.84 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,414.72 |
$2,414.72 |
$2,414.72 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,255.52 |
$1,255.52 |
$1,255.52 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,659.28 |
$1,659.28 |
$1,659.28 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$441.84 |
$441.84 |
$441.84 |
$1,618.00
|
|
CT angio pelvis
|
$1,184.96 |
$1,184.96 |
$1,184.96 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,911.28 |
$1,911.28 |
$1,911.28 |
$1,650.60
|
|
CT guidance for needle placement
|
$604.80 |
$604.80 |
$604.80 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$218.96 |
$218.96 |
$218.96 |
$1,007.29
|
|
CT guid cryo ablat intramuscular
|
$2,561.44 |
$2,561.44 |
$2,561.44 |
$1,056.00
|
|
CT guid parench tis ablat
|
$320.32 |
$320.32 |
$320.32 |
$1,228.50
|
|
CT hrt w/3d image
|
$441.84 |
$441.84 |
$441.84 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$146.16 |
$146.16 |
$146.16 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$965.44 |
$965.44 |
$965.44 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$844.48 |
$844.48 |
$844.48 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$709.52 |
$709.52 |
$709.52 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$650.16 |
$650.16 |
$650.16 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$770.00 |
$770.00 |
$770.00 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$817.04 |
$817.04 |
$817.04 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$719.04 |
$719.04 |
$719.04 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$579.60 |
$579.60 |
$579.60 |
$1,250.00
|
|
CT scan for therapy guide
|
$327.60 |
$327.60 |
$327.60 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,962.80 |
$1,962.80 |
$1,962.80 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,666.56 |
$1,666.56 |
$1,666.56 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$665.28 |
$665.28 |
$665.28 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$626.64 |
$626.64 |
$626.64 |
$1,381.20
|
|
CT t-spine w /wo contrast
|
$893.20 |
$893.20 |
$893.20 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$877.52 |
$877.52 |
$877.52 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$844.48 |
$844.48 |
$844.48 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$814.24 |
$814.24 |
$814.24 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$40.32 |
$40.32 |
$40.32 |
$61.03
|
|
Culture afb any source
|
$31.36 |
$31.36 |
$31.36 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$68.88 |
$68.88 |
$68.88 |
$73.00
|
|
Culture anaerobic except blood
|
$43.68 |
$43.68 |
$43.68 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$19.60 |
$19.60 |
$19.60 |
$49.40
|
|
Culture body fluid
|
$70.00 |
$70.00 |
$70.00 |
$111.15
|
|
Culture fungi definitive id mold
|
$50.40 |
$50.40 |
$50.40 |
$70.00
|
|
Culture fungi definitive id yeast
|
$56.56 |
$56.56 |
$56.56 |
$68.00
|
|
Culture fungi other (except blood)
|
$51.52 |
$51.52 |
$51.52 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$45.36 |
$45.36 |
$45.36 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$24.08 |
$24.08 |
$24.08 |
$79.00
|
|
Culture mycoplasma any source
|
$148.40 |
$148.40 |
$148.40 |
$94.00
|
|
Culture quantitative aerobic other source
|
$33.60 |
$33.60 |
$33.60 |
$63.45
|
|
Culture screening strep group a
|
$49.84 |
$49.84 |
$49.84 |
$76.00
|
|
Culture urine each isolate
|
$35.84 |
$35.84 |
$35.84 |
$44.80
|
|
Cutter lead
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$5,644.60
|
|
Cv line/pic reposition
|
$1,291.36 |
$1,291.36 |
$1,291.36 |
$1,681.20
|
|
Cyclic citrullinated peptide antibody
|
$29.12 |
$29.12 |
$29.12 |
$91.20
|
|
Cyclophosphamide 25 mg capsule
|
$5.79 |
$5.79 |
$5.79 |
$22.51
|
|
Cyclosporine 2 hour
|
$41.44 |
$41.44 |
$41.44 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$2.42 |
$2.42 |
$2.42 |
$4.42
|
|
Cyclosporine oral 100 mg
|
$6.92 |
$6.92 |
$6.92 |
$19.50
|
|
Cylinder pump set 20cm titan zero angl
|
$12,096.00 |
$12,096.00 |
$12,096.00 |
$25,255.20
|
|
Cyp2c19 gene com variants
|
$202.16 |
$202.16 |
$202.16 |
$583.20
|
|
Cystatin c
|
$34.72 |
$34.72 |
$34.72 |
$83.20
|
|
Cystic fibrosis cftr
|
$642.88 |
$642.88 |
$642.88 |
$1,041.95
|
|
Cystine urine quantitative
|
$36.25 |
$36.25 |
$36.25 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$207.20 |
$207.20 |
$207.20 |
$487.04
|
|
Cytarabine 20 mg/ml injection solution
|
$31.78 |
$31.78 |
$31.78 |
$59.31
|
|
Cytogenetics 25-99
|
$180.32 |
$180.32 |
$180.32 |
$188.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$30.76 |
$30.76 |
$30.76 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$36.11 |
$36.11 |
$36.11 |
$95.00
|
|
Cyto/molecular report
|
$19.86 |
$19.86 |
$19.86 |
$91.65
|
|
Cytopath fl nongyn filter
|
$33.60 |
$33.60 |
$33.60 |
$91.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$124.32 |
$124.32 |
$124.32 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$72.24 |
$72.24 |
$72.24 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$42.00 |
$42.00 |
$42.00 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$30.80 |
$30.80 |
$30.80 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$29.12 |
$29.12 |
$29.12 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$10.08 |
$10.08 |
$10.08 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$29.12 |
$29.12 |
$29.12 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$63.28 |
$63.28 |
$63.28 |
$205.00
|
|
Cytopath smear other source
|
$33.04 |
$33.04 |
$33.04 |
$88.13
|
|
Cytopath smear other source
|
$27.44 |
$27.44 |
$27.44 |
$145.31
|
|
Cytopath smear oth prep screen & interp
|
$37.52 |
$37.52 |
$37.52 |
$95.00
|
|
Cytopath tbs c/v manual
|
$21.84 |
$21.84 |
$21.84 |
$57.94
|
|
Cytotoxic antibody screening
|
$158.48 |
$158.48 |
$158.48 |
$184.63
|
|
Cytp urine 3-5 probes cmptr
|
$252.84 |
$252.84 |
$252.84 |
$779.00
|
|
Dacarbazine 100 mg intravenous solution
|
$11.48 |
$11.48 |
$11.48 |
$39.53
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$137.09 |
$137.09 |
$137.09 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5.42 |
$5.42 |
$5.42 |
$4,542.99
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$39.52 |
$39.52 |
$39.52 |
$130.13
|
|
Dch glucoscan
|
$20.16 |
$20.16 |
$20.16 |
$28.10
|
|
Dch pulmonary stress test
|
$579.04 |
$579.04 |
$579.04 |
$964.41
|
|
Dch validity tests
|
$5.04 |
$5.04 |
$5.04 |
$25.00
|
|
Debridement (>20 cm) charge pt
|
$506.24 |
$506.24 |
$506.24 |
$313.30
|
