|
CPAP or BiPAP Setup (first day)
|
$512.25 |
$512.25 |
$512.25 |
$584.50
|
|
C-peptide
|
$171.00 |
$171.00 |
$171.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$843.00 |
$843.00 |
$843.00 |
$777.71
|
|
Cptr ophth dx img post segmt
|
$97.50 |
$97.50 |
$97.50 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$1,859.25 |
$1,859.25 |
$1,859.25 |
$1,330.02
|
|
C-reactive protein
|
$126.00 |
$126.00 |
$126.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$129.00 |
$129.00 |
$129.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$177.00 |
$177.00 |
$177.00 |
$65.16
|
|
Creatine kinase
|
$80.25 |
$80.25 |
$80.25 |
$66.30
|
|
Creatine kinase isoenzymes
|
$81.75 |
$81.75 |
$81.75 |
$56.20
|
|
Creatine kinase mb
|
$112.50 |
$112.50 |
$112.50 |
$113.63
|
|
Creatine - sendout
|
$78.75 |
$78.75 |
$78.75 |
$41.25
|
|
Creatinine
|
$45.00 |
$45.00 |
$45.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$335.25 |
$335.25 |
$335.25 |
$57.85
|
|
Creatinine clearance urine
|
$213.00 |
$213.00 |
$213.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$1,085.25 |
$1,085.25 |
$1,085.25 |
$163.50
|
|
Critical care each additional 30 minutes
|
$747.00 |
$747.00 |
$747.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,085.75 |
$2,085.75 |
$2,085.75 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,069.75 |
$9,069.75 |
$9,069.75 |
$4,288.58
|
|
Cromolyn sodium noncomp unit
|
$48.14 |
$48.14 |
$48.14 |
$10.57
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$4,747.50 |
$4,747.50 |
$4,747.50 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$56.25 |
$56.25 |
$56.25 |
$52.50
|
|
Cryoprecipitate each unit
|
$291.75 |
$291.75 |
$291.75 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$192.00 |
$192.00 |
$192.00 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$242.25 |
$242.25 |
$242.25 |
$89.70
|
|
Crystal identification light microscopy
|
$58.50 |
$58.50 |
$58.50 |
$66.43
|
|
Csf leakage imaging
|
$1,319.25 |
$1,319.25 |
$1,319.25 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$599.25 |
$599.25 |
$599.25 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,212.50 |
$2,212.50 |
$2,212.50 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,834.25 |
$2,834.25 |
$2,834.25 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,851.50 |
$2,851.50 |
$2,851.50 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,384.25 |
$2,384.25 |
$2,384.25 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,464.50 |
$2,464.50 |
$2,464.50 |
$1,428.68
|
|
CT angio pelvis
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$599.25 |
$599.25 |
$599.25 |
$1,040.00
|
|
CT colonography dx
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$811.41
|
|
CT guidance for needle placement
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,645.50 |
$1,645.50 |
$1,645.50 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$846.00 |
$846.00 |
$846.00 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,185.75 |
$1,185.75 |
$1,185.75 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$2,629.50 |
$2,629.50 |
$2,629.50 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$3,303.75 |
$3,303.75 |
$3,303.75 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$728.25 |
$728.25 |
$728.25 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$226.50 |
$226.50 |
$226.50 |
$422.80
|
|
CT scan for localization
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,399.25 |
$2,399.25 |
$2,399.25 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,346.75 |
$2,346.75 |
$2,346.75 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,222.25 |
$2,222.25 |
$2,222.25 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,060.25 |
$2,060.25 |
$2,060.25 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,424.75 |
$2,424.75 |
$2,424.75 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$77.25 |
$77.25 |
$77.25 |
$72.00
|
|
Culture afb any source
|
$139.50 |
$139.50 |
$139.50 |
$110.60
|
|
Culture anaerobic except blood
|
$126.00 |
$126.00 |
$126.00 |
$121.22
|
|
Culture body fluid
|
$151.50 |
$151.50 |
$151.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$81.75 |
$81.75 |
$81.75 |
$80.00
|
|
Culture fungi definitive id yeast
|
$70.50 |
$70.50 |
$70.50 |
$80.00
|
|
Culture fungi other (except blood)
|
$125.25 |
$125.25 |
$125.25 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$112.50 |
$112.50 |
$112.50 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$110.25 |
$110.25 |
$110.25 |
$100.00
|
|
Culture mycoplasma any source
|
$162.00 |
$162.00 |
$162.00 |
$83.21
|
|
Culture quantitative aerobic other source
|
$96.75 |
$96.75 |
$96.75 |
$87.02
|
|
Culture screening strep group a
|
$105.75 |
$105.75 |
$105.75 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.75 |
$408.75 |
$408.75 |
$408.37
|
|
Cutter lead
|
$22,020.89 |
$22,020.89 |
$22,020.89 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,100.75 |
$2,100.75 |
$2,100.75 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$84.75 |
$84.75 |
$84.75 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.86 |
$25.86 |
$25.86 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$222.00 |
$222.00 |
$222.00 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,143.90 |
$4,143.90 |
$4,143.90 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$2,769.06 |
$2,769.06 |
$2,769.06 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$243.99 |
$243.99 |
$243.99 |
$140.78
|
|
Cyclosporine 2 hour
|
$113.25 |
$113.25 |
$113.25 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$470.55 |
$470.55 |
$470.55 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$2,865.39 |
$2,865.39 |
$2,865.39 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$42,849.57 |
$42,849.57 |
$42,849.57 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$567.75 |
$567.75 |
$567.75 |
$524.00
|
|
Cyp2c9 gene com variants
|
$340.50 |
$340.50 |
$340.50 |
$275.10
|
|
Cyp2d6 gene com variants
|
$877.50 |
$877.50 |
$877.50 |
$570.70
|
|
Cyp3a4 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$241.24
|
|
Cyp3a5 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$245.31
|
|
Cystatin c
|
$73.50 |
$73.50 |
$73.50 |
$77.60
|
|
Cystic fibrosis cftr
|
$8,053.50 |
$8,053.50 |
$8,053.50 |
$1,104.40
|
|
Cystine urine quantitative
|
$167.25 |
$167.25 |
$167.25 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$738.75 |
$738.75 |
$738.75 |
$586.95
|
|
Cystoscopy (Bladder Scope)
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$902.25 |
$902.25 |
$902.25 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$1,997.25 |
$1,997.25 |
$1,997.25 |
$3,728.50
|
|
Cystouretero w/lithotripsy
|
$10,899.75 |
$10,899.75 |
$10,899.75 |
$7,372.68
|
|
Cytarabine 20 mg/ml injection solution
|
$64.71 |
$64.71 |
$64.71 |
$90.00
|
|
Cytogenetics 25-99
|
$133.50 |
$133.50 |
$133.50 |
$189.80
|
|
Cytog genom-wid alys hem mal
|
$2,368.50 |
$2,368.50 |
$2,368.50 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$195.00 |
$195.00 |
$195.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$135.00 |
$135.00 |
$135.00 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$6,333.64 |
$6,333.64 |
$6,333.64 |
$3,072.34
|
