|
Covid-19 administration immunization im inj 1st/only component
|
$41.60 |
$41.60 |
$41.60 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$465.40 |
$465.40 |
$465.40 |
$831.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$465.40 |
$465.40 |
$465.40 |
$605.80
|
|
#covid19rsv-rsv
|
$135.85 |
$135.85 |
$135.85 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$53.95 |
$53.95 |
$53.95 |
$65.36
|
|
C-peptide
|
$139.75 |
$139.75 |
$139.75 |
$111.20
|
|
C-reactive protein
|
$83.85 |
$83.85 |
$83.85 |
$54.43
|
|
C-reactive protein high sensitivity
|
$96.85 |
$96.85 |
$96.85 |
$91.65
|
|
C-reactive protein, quantitative
|
$72.15 |
$72.15 |
$72.15 |
$77.50
|
|
Creatine kinase
|
$76.70 |
$76.70 |
$76.70 |
$55.00
|
|
Creatine kinase isoenzymes
|
$76.70 |
$76.70 |
$76.70 |
$66.00
|
|
Creatine kinase mb
|
$124.15 |
$124.15 |
$124.15 |
$100.75
|
|
Creatine - sendout
|
$61.10 |
$61.10 |
$61.10 |
$35.10
|
|
Creatinine
|
$54.60 |
$54.60 |
$54.60 |
$40.00
|
|
Creatinine 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$54.40
|
|
Creatinine clearance urine
|
$98.15 |
$98.15 |
$98.15 |
$73.86
|
|
#creutz-prot.,western blot
|
$168.35 |
$168.35 |
$168.35 |
$178.10
|
|
Critical care 30-74 minutes
|
$1,660.75 |
$1,660.75 |
$1,660.75 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$622.70 |
$622.70 |
$622.70 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$47.45 |
$47.45 |
$47.45 |
$52.50
|
|
Crystal identification light microscopy
|
$73.45 |
$73.45 |
$73.45 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$2,393.95 |
$2,393.95 |
$2,393.95 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,710.50 |
$2,710.50 |
$2,710.50 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,681.25 |
$2,681.25 |
$2,681.25 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$2,006.55 |
$2,006.55 |
$2,006.55 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,262.35 |
$3,262.35 |
$3,262.35 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,351.05 |
$2,351.05 |
$2,351.05 |
$1,728.80
|
|
CT Angiogram of the Head
|
$2,006.55 |
$2,006.55 |
$2,006.55 |
$1,951.50
|
|
CT angio pelvis
|
$1,949.35 |
$1,949.35 |
$1,949.35 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,114.45 |
$2,114.45 |
$2,114.45 |
$1,650.60
|
|
CT limited or localized follow-up study
|
$695.50 |
$695.50 |
$695.50 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,937.65 |
$1,937.65 |
$1,937.65 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,789.45 |
$1,789.45 |
$1,789.45 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,469.65 |
$1,469.65 |
$1,469.65 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,014.35 |
$2,014.35 |
$2,014.35 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,010.45 |
$2,010.45 |
$2,010.45 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$1,250.00
|
|
Ctrl nosebld postir subsq 30906
|
$500.50 |
$500.50 |
$500.50 |
$449.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,906.50 |
$3,906.50 |
$3,906.50 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,069.95 |
$3,069.95 |
$3,069.95 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,574.65 |
$2,574.65 |
$2,574.65 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$2,143.70 |
$2,143.70 |
$2,143.70 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,688.05 |
$1,688.05 |
$1,688.05 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$830.05 |
$830.05 |
$830.05 |
$418.50
|
|
CT upper extremity w/contrast (both sides)
|
$1,417.65 |
$1,417.65 |
$1,417.65 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,262.95 |
$1,262.95 |
$1,262.95 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,855.75 |
$1,855.75 |
$1,855.75 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$54.60 |
$54.60 |
$54.60 |
$61.03
|
|
Culture afb any source
|
$139.75 |
$139.75 |
$139.75 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$65.65 |
$65.65 |
$65.65 |
$73.00
|
|
Culture anaerobic except blood
|
$132.60 |
$132.60 |
$132.60 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$54.60 |
$54.60 |
$54.60 |
$49.40
|
|
Culture body fluid
|
$124.15 |
$124.15 |
$124.15 |
$111.15
|
|
Culture fungi definitive id mold
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$65.00 |
$65.00 |
$65.00 |
$68.00
|
|
Culture fungi other (except blood)
|
$111.15 |
$111.15 |
$111.15 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$68.90 |
$68.90 |
$68.90 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$76.05 |
$76.05 |
$76.05 |
$79.00
|
|
Culture mycoplasma any source
|
$101.40 |
$101.40 |
$101.40 |
$94.00
|
|
Culture screening strep group a
|
$87.75 |
$87.75 |
$87.75 |
$76.00
|
|
Culture typing immunologic
|
$49.40 |
$49.40 |
$49.40 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$762.45 |
$762.45 |
$762.45 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$29.25 |
$29.25 |
$29.25 |
$100.20
|
|
Culture urine each isolate
|
$51.35 |
$51.35 |
$51.35 |
$44.80
|
|
Cv stress test i&r only 93018
|
$96.85 |
$96.85 |
$96.85 |
$42.00
|
|
Cv stress test/supervision only 93016
|
$87.10 |
$87.10 |
$87.10 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$116.35 |
$116.35 |
$116.35 |
$91.20
|
|
Cyclosporine 2 hour
|
$147.55 |
$147.55 |
$147.55 |
$126.10
|
|
Cyp2c19 gene com variants
|
$502.45 |
$502.45 |
$502.45 |
$583.20
|
|
Cyp3a4 gene common variants
|
$360.10 |
$360.10 |
$360.10 |
$245.31
|
|
Cystatin c
|
$90.35 |
$90.35 |
$90.35 |
$83.20
|
|
Cystic fibrosis cftr
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$1,041.95
|
|
Cystine urine quantitative
|
$147.55 |
$147.55 |
$147.55 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$670.15 |
$670.15 |
$670.15 |
$487.04
|
|
Cytogenetics 25-99
|
$107.90 |
$107.90 |
$107.90 |
$188.40
|
|
Cytogenom microarray copy nmbr var
|
$1,077.70 |
$1,077.70 |
$1,077.70 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$96.20 |
$96.20 |
$96.20 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$96.20 |
$96.20 |
$96.20 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$104.00 |
$104.00 |
$104.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$65.65 |
$65.65 |
$65.65 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$65.65 |
$65.65 |
$65.65 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$104.00 |
$104.00 |
$104.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$91.65 |
$91.65 |
$91.65 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$55.25 |
$55.25 |
$55.25 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$135.20 |
$135.20 |
$135.20 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$165.10 |
$165.10 |
$165.10 |
$205.00
|
|
Cytopath smear other source
|
$60.45 |
$60.45 |
$60.45 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$73.45 |
$73.45 |
$73.45 |
$95.00
|
|
Cytopath tbs c/v manual
|
$52.00 |
$52.00 |
$52.00 |
$57.94
|
|
Dalbavancin 500 mg intravenous solution
|
$3,480.87 |
$3,480.87 |
$3,480.87 |
$3,480.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$90.67 |
$90.67 |
$90.67 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,571.65 |
$7,571.65 |
$7,571.65 |
$4,542.99
|
|
Dch validity tests
|
$27.95 |
$27.95 |
$27.95 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$89.05 |
$89.05 |
$89.05 |
$53.95
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$109.20 |
$109.20 |
$109.20 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$185.90 |
$185.90 |
$185.90 |
$313.30
|