|
Creatine kinase isoenzymes
|
$9.23 |
$9.23 |
$9.23 |
$46.34
|
|
Creatine kinase mb
|
$216.28 |
$216.28 |
$216.28 |
$111.00
|
|
Creatine - sendout
|
$40.59 |
$40.59 |
$40.59 |
$39.00
|
|
Creatinine
|
$82.41 |
$82.41 |
$82.41 |
$44.10
|
|
Creatinine 24 hour urine
|
$59.45 |
$59.45 |
$59.45 |
$59.80
|
|
Creatinine clearance urine
|
$59.45 |
$59.45 |
$59.45 |
$87.50
|
|
#creutz-prot.,western blot
|
$103.12 |
$103.12 |
$103.12 |
$173.00
|
|
Critical care 30-74 minutes
|
$1,730.41 |
$1,730.41 |
$1,730.41 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$865.31 |
$865.31 |
$865.31 |
$777.00
|
|
Crotalidae poly immune fab
|
$1,180.19 |
$1,180.19 |
$1,180.19 |
$5,654.46
|
|
Cryoprecipitate each unit
|
$259.33 |
$259.33 |
$259.33 |
$176.99
|
|
Cryopreserve stem cells
|
$2,578.08 |
$2,578.08 |
$2,578.08 |
$2,588.88
|
|
Crystal identification light microscopy
|
$32.19 |
$32.19 |
$32.19 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,133.45 |
$1,133.45 |
$1,133.45 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,076.87 |
$1,076.87 |
$1,076.87 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$671.17 |
$671.17 |
$671.17 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,145.94 |
$2,145.94 |
$2,145.94 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,250.49 |
$2,250.49 |
$2,250.49 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,363.25 |
$1,363.25 |
$1,363.25 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,481.12 |
$2,481.12 |
$2,481.12 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,347.05 |
$2,347.05 |
$2,347.05 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$3,102.68 |
$3,102.68 |
$3,102.68 |
$1,588.60
|
|
CT angio pelvis
|
$953.87 |
$953.87 |
$953.87 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$821.03 |
$821.03 |
$821.03 |
$1,652.25
|
|
CT guidance for needle placement
|
$1,449.76 |
$1,449.76 |
$1,449.76 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,609.25 |
$1,609.25 |
$1,609.25 |
$1,085.05
|
|
CT guid parench tis ablat
|
$611.52 |
$611.52 |
$611.52 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$2,637.33 |
$2,637.33 |
$2,637.33 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,102.68 |
$3,102.68 |
$3,102.68 |
$1,217.45
|
|
CT hrt w/3d image
|
$3,102.68 |
$3,102.68 |
$3,102.68 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$80.57 |
$80.57 |
$80.57 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,616.83 |
$2,616.83 |
$2,616.83 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$2,110.27 |
$2,110.27 |
$2,110.27 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,278.16 |
$3,278.16 |
$3,278.16 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,985.02 |
$1,985.02 |
$1,985.02 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,627.70 |
$1,627.70 |
$1,627.70 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,342.33 |
$2,342.33 |
$2,342.33 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,412.66 |
$1,412.66 |
$1,412.66 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,296.01 |
$1,296.01 |
$1,296.01 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,101.47 |
$1,101.47 |
$1,101.47 |
$1,351.20
|
|
CT scan for therapy guide
|
$153.14 |
$153.14 |
$153.14 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,330.83 |
$4,330.83 |
$4,330.83 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,832.68 |
$3,832.68 |
$3,832.68 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,452.83 |
$2,452.83 |
$2,452.83 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,900.34 |
$2,900.34 |
$2,900.34 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$79.95 |
$79.95 |
$79.95 |
$400.20
|
|
CT upper extremity w/contrast (both sides)
|
$2,773.86 |
$2,773.86 |
$2,773.86 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$2,273.66 |
$2,273.66 |
$2,273.66 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$3,546.91 |
$3,546.91 |
$3,546.91 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$51.66 |
$51.66 |
$51.66 |
$63.75
|
|
Culture afb any source
|
$36.29 |
$36.29 |
$36.29 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$69.29 |
$69.29 |
$69.29 |
$77.31
|
|
Culture anaerobic except blood
|
$340.51 |
$340.51 |
$340.51 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$56.58 |
$56.58 |
$56.58 |
$52.80
|
|
Culture body fluid
|
$330.05 |
$330.05 |
$330.05 |
$130.50
|
|
Culture fungi definitive id mold
|
$16.61 |
$16.61 |
$16.61 |
$70.00
|
|
Culture fungi definitive id yeast
|
$14.15 |
$14.15 |
$14.15 |
$80.60
|
|
Culture fungi other (except blood)
|
$23.37 |
$23.37 |
$23.37 |
$105.60
|
|
Culture mycoplasma any source
|
$27.68 |
$27.68 |
$27.68 |
$90.37
|
|
Culture screening strep group a
|
$160.11 |
$160.11 |
$160.11 |
$81.60
|
|
Culture typing immunologic
|
$29.32 |
$29.32 |
$29.32 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$71.96 |
$71.96 |
$71.96 |
$124.40
|
|
Culture urine each isolate
|
$123.41 |
$123.41 |
$123.41 |
$46.20
|
|
Cutter lead
|
$2,981.93 |
$2,981.93 |
$2,981.93 |
$4,834.73
|
|
Cv line/pic reposition
|
$684.70 |
$684.70 |
$684.70 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$11.07 |
$11.07 |
$11.07 |
$28.00
|
|
Cyclic citrullinated peptide antibody
|
$14.97 |
$14.97 |
$14.97 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$279.62 |
$279.62 |
$279.62 |
$1,348.50
|
|
Cyclophosphamide 25 mg capsule
|
$14.35 |
$14.35 |
$14.35 |
$20.45
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$45.72 |
$45.72 |
$45.72 |
$140.78
|
|
Cyclosporine 2 hour
|
$83.64 |
$83.64 |
$83.64 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$3.08 |
$3.08 |
$3.08 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$564.78 |
$564.78 |
$564.78 |
$34.00
|
|
Cylinder pump set 20cm titan zero angl
|
$12,236.45 |
$12,236.45 |
$12,236.45 |
$24,372.98
|
|
Cyp2c19 gene com variants
|
$103.32 |
$103.32 |
$103.32 |
$567.75
|
|
Cyp2c9 gene com variants
|
$123.00 |
$123.00 |
$123.00 |
$275.10
|
|
Cystatin c
|
$35.47 |
$35.47 |
$35.47 |
$82.26
|
|
Cystic fibrosis cftr
|
$394.63 |
$394.63 |
$394.63 |
$1,041.95
|
|
Cystine urine quantitative
|
$11.69 |
$11.69 |
$11.69 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$520.50 |
$520.50 |
$520.50 |
$539.55
|
|
Cysto, litho, vacuum kidney
|
$6,166.40 |
$6,166.40 |
$6,166.40 |
$10,942.71
|
|
Cystoscopy and treatment
|
$1,204.99 |
$1,204.99 |
$1,204.99 |
$3,970.98
|
|
Cystoscopy and treatment
|
$1,204.99 |
$1,204.99 |
$1,204.99 |
$3,986.00
|
|
Cystoscopy (Bladder Scope)
|
$3,161.51 |
$3,161.51 |
$3,161.51 |
$1,610.20
|
|
Cystouretero w/stone remove
|
$1,204.99 |
$1,204.99 |
$1,204.99 |
$4,724.46
|
|
Cytarabine 20 mg/ml injection solution
|
$12.92 |
$12.92 |
$12.92 |
$104.83
|
|
Cytogenetics 25-99
|
$50.43 |
$50.43 |
$50.43 |
$180.32
|
|
Cytogenomic neo microra alys
|
$688.80 |
$688.80 |
$688.80 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$32.39 |
$32.39 |
$32.39 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$39.16 |
$39.16 |
$39.16 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$1,940.53 |
$1,940.53 |
$1,940.53 |
$3,058.32
|
|
Cytopathology cellular enhancement technique non-gyn
|
$19.27 |
$19.27 |
$19.27 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$15.38 |
$15.38 |
$15.38 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$84.05 |
$84.05 |
$84.05 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$13.33 |
$13.33 |
$13.33 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$11.48 |
$11.48 |
$11.48 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$20.71 |
$20.71 |
$20.71 |
$205.00
|
|
Dacarbazine 100 mg intravenous solution
|
$13.33 |
$13.33 |
$13.33 |
$73.20
|
|
Dactinomycin 0.5 mg intravenous solution
|
$15.58 |
$15.58 |
$15.58 |
$3,019.83
|