|
Collection blood specimen from completely implantable venous access device
|
$133.89 |
$133.89 |
$133.89 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$150.67 |
$150.67 |
$150.67 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$47.90 |
$47.90 |
$47.90 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$214.75 |
$214.75 |
$214.75 |
$172.00
|
|
Compatibility test each unit electronic
|
$155.88 |
$155.88 |
$155.88 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$174.60 |
$174.60 |
$174.60 |
$167.17
|
|
Compatibility test incubate
|
$309.00 |
$309.00 |
$309.00 |
$149.60
|
|
Complx repair fccmnaxghf 13131
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$789.60
|
|
Conjugated estrogens 25 mg solution for injection
|
$830.18 |
$830.18 |
$830.18 |
$839.07
|
|
Consultation pathology during surgery cytological exam initial site
|
$186.93 |
$186.93 |
$186.93 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$151.40 |
$151.40 |
$151.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$616.45 |
$616.45 |
$616.45 |
$224.87
|
|
Consultation/report referred slides prepared elsewhere
|
$888.37 |
$888.37 |
$888.37 |
$176.15
|
|
Coombs indirect qualitative each reagent red cell reference
|
$39.10 |
$39.10 |
$39.10 |
$102.90
|
|
Cortisol acth stimulation test - sendout
|
$134.43 |
$134.43 |
$134.43 |
$146.25
|
|
Cortisol total am
|
$296.64 |
$296.64 |
$296.64 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,029.23 |
$1,029.23 |
$1,029.23 |
$189.02
|
|
Covid-19 lab test non-cdc
|
$64.71 |
$64.71 |
$64.71 |
$81.00
|
|
C-peptide
|
$630.38 |
$630.38 |
$630.38 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$4,452.44 |
$4,452.44 |
$4,452.44 |
$1,281.00
|
|
C-reactive protein
|
$444.96 |
$444.96 |
$444.96 |
$68.38
|
|
C-reactive protein high sensitivity
|
$815.77 |
$815.77 |
$815.77 |
$85.00
|
|
Creatine kinase
|
$461.96 |
$461.96 |
$461.96 |
$65.60
|
|
Creatine kinase isoenzymes
|
$165.31 |
$165.31 |
$165.31 |
$54.60
|
|
Creatine kinase mb
|
$588.65 |
$588.65 |
$588.65 |
$113.63
|
|
Creatinine
|
$214.75 |
$214.75 |
$214.75 |
$45.65
|
|
Creatinine clearance urine
|
$644.28 |
$644.28 |
$644.28 |
$89.28
|
|
#creutz-prot.,western blot
|
$83.44 |
$83.44 |
$83.44 |
$163.50
|
|
Critical care 30-74 minutes
|
$8,149.46 |
$8,149.46 |
$8,149.46 |
$2,519.00
|
|
Crotalidae poly immune fab
|
$10,352.41 |
$10,352.41 |
$10,352.41 |
$5,760.00
|
|
Cryptococcus abs qn - sendout
|
$440.33 |
$440.33 |
$440.33 |
$89.70
|
|
Crystal identification light microscopy
|
$205.48 |
$205.48 |
$205.48 |
$65.50
|
|
Cta abdomen without & /or w/contrast
|
$5,941.84 |
$5,941.84 |
$5,941.84 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$6,650.16 |
$6,650.16 |
$6,650.16 |
$1,916.50
|
|
Cta neck without &/or w/contrast
|
$7,331.75 |
$7,331.75 |
$7,331.75 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,158.35 |
$6,158.35 |
$6,158.35 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,872.35 |
$5,872.35 |
$5,872.35 |
$1,912.50
|
|
CT Angiogram of the Head
|
$6,807.87 |
$6,807.87 |
$6,807.87 |
$1,946.10
|
|
CT guidance for needle placement
|
$5,464.72 |
$5,464.72 |
$5,464.72 |
$1,498.20
|
|
CT heart w/evaluation of calcium without contrast
|
$54.08 |
$54.08 |
$54.08 |
$156.00
|
|
CT limited or localized follow-up study
|
$3,498.81 |
$3,498.81 |
$3,498.81 |
$633.60
|
|
CT neck soft tissue w/contrast
|
$6,166.36 |
$6,166.36 |
$6,166.36 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$5,841.62 |
$5,841.62 |
$5,841.62 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$8,571.97 |
$8,571.97 |
$8,571.97 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$8,407.58 |
$8,407.58 |
$8,407.58 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,662.52 |
$5,662.52 |
$5,662.52 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,355.16 |
$5,355.16 |
$5,355.16 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$14,690.22 |
$14,690.22 |
$14,690.22 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$8,855.29 |
$8,855.29 |
$8,855.29 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$8,562.63 |
$8,562.63 |
$8,562.63 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$5,841.62 |
$5,841.62 |
$5,841.62 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$5,772.12 |
$5,772.12 |
$5,772.12 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$3,498.81 |
$3,498.81 |
$3,498.81 |
$332.00
|
|
CT t-spine w /wo contrast
|
$8,584.00 |
$8,584.00 |
$8,584.00 |
$1,968.47
|
|
Culture afb any source
|
$321.36 |
$321.36 |
$321.36 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$383.16 |
$383.16 |
$383.16 |
$84.76
|
|
Culture anaerobic except blood
|
$270.38 |
$270.38 |
$270.38 |
$120.54
|
|
Culture fungi definitive id mold
|
$383.16 |
$383.16 |
$383.16 |
$80.00
|
|
Culture fungi definitive id yeast
|
$54.60 |
$54.60 |
$54.60 |
$79.50
|
|
Culture mycobacteria definitive id each isolate
|
$150.64 |
$150.64 |
$150.64 |
$100.00
|
|
Culture mycoplasma any source
|
$604.08 |
$604.08 |
$604.08 |
$81.62
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$27.82 |
$27.82 |
$27.82 |
$138.40
|
|
Culture urine each isolate
|
$383.16 |
$383.16 |
$383.16 |
$54.78
|
|
Cyanocobalamin unsat binding capacity
|
$461.96 |
$461.96 |
$461.96 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$125.61 |
$125.61 |
$125.61 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$31.57 |
$31.57 |
$31.57 |
$72.15
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$140.78
|
|
Cyclosporine 2 hour
|
$954.80 |
$954.80 |
$954.80 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$0.10 |
$0.10 |
$0.10 |
$7.48
|
|
Cystatin c
|
$32.45 |
$32.45 |
$32.45 |
$76.48
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,217.19 |
$2,217.19 |
$2,217.19 |
$564.85
|
|
Cytarabine 20 mg/ml injection solution
|
$31.96 |
$31.96 |
$31.96 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$134.43 |
$134.43 |
$134.43 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,049.06 |
$1,049.06 |
$1,049.06 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$268.82 |
$268.82 |
$268.82 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$468.14 |
$468.14 |
$468.14 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$604.08 |
$604.08 |
$604.08 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$512.94 |
$512.94 |
$512.94 |
$124.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$373.89 |
$373.89 |
$373.89 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$452.67 |
$452.67 |
$452.67 |
$209.92
|
|
Cytopath smear oth prep screen & interp
|
$730.78 |
$730.78 |
$730.78 |
$96.20
|
|
Cytopath tbs c/v manual
|
$440.33 |
$440.33 |
$440.33 |
$59.28
|
|
Cytopath tbs c/v redo
|
$497.49 |
$497.49 |
$497.49 |
$84.80
|
|
Dacarbazine 100 mg intravenous solution
|
$5.91 |
$5.91 |
$5.91 |
$62.70
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$31,755.54 |
$31,755.54 |
$31,755.54 |
$21,063.03
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$208.00 |
$208.00 |
$208.00 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$2,293.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$633.00 |
$633.00 |
$633.00 |
$820.15
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,699.00 |
$1,699.00 |
$1,699.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$2,921.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$939.00 |
$939.00 |
$939.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$114.00 |
$114.00 |
$114.00 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,160.00
|
|
Decalcification
|
$270.38 |
$270.38 |
$270.38 |
$68.90
|
|
Deferoxamine 500 mg solution for injection
|
$146.55 |
$146.55 |
$146.55 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$203.52 |
$203.52 |
$203.52 |
$182.40
|
|
Desmopressin 4 mcg/ml injection solution
|
$159.39 |
$159.39 |
$159.39 |
$93.84
|
|
Dextrose 5 % IV bolus
|
$81.49 |
$81.49 |
$81.49 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$957.90 |
$957.90 |
$957.90 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$245.67 |
$245.67 |
$245.67 |
$79.20
|
