|
#creutz-prot.,western blot
|
$356.40 |
$356.40 |
$356.40 |
$166.20
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$21,634.98 |
$21,634.98 |
$21,634.98 |
$4,288.58
|
|
Cromolyn sodium noncomp unit
|
$25.50 |
$25.50 |
$25.50 |
$10.57
|
|
Cryoablate prostate
|
$35,514.02 |
$35,514.02 |
$35,514.02 |
$10,942.71
|
|
Cryofibrinogen qualitative - sendout
|
$38.40 |
$38.40 |
$38.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$412.20 |
$412.20 |
$412.20 |
$144.78
|
|
Cryptosporidium antigen
|
$196.20 |
$196.20 |
$196.20 |
$52.08
|
|
Crystal identification light microscopy
|
$227.40 |
$227.40 |
$227.40 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,192.20 |
$4,192.20 |
$4,192.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,192.20 |
$4,192.20 |
$4,192.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,192.20 |
$4,192.20 |
$4,192.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,369.00 |
$3,369.00 |
$3,369.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,127.40 |
$7,127.40 |
$7,127.40 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,563.40 |
$3,563.40 |
$3,563.40 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,369.00 |
$3,369.00 |
$3,369.00 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$1,500.38
|
|
CT angio pelvis
|
$3,334.20 |
$3,334.20 |
$3,334.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,192.20 |
$4,192.20 |
$4,192.20 |
$1,698.00
|
|
CT colonography screening
|
$899.40 |
$899.40 |
$899.40 |
$1,084.20
|
|
CT guidance for needle placement
|
$3,543.00 |
$3,543.00 |
$3,543.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$1,178.52
|
|
CT guid parench tis ablat
|
$2,011.80 |
$2,011.80 |
$2,011.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$128.00 |
$128.00 |
$128.00 |
$171.60
|
|
CT hrt w/3d image
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,907.60 |
$2,907.60 |
$2,907.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$5,420.25 |
$5,420.25 |
$5,420.25 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$5,958.34 |
$5,958.34 |
$5,958.34 |
$4,186.78
|
|
Ctlso axilla sling
|
$227.81 |
$227.81 |
$227.81 |
$197.97
|
|
Ctlso milwauke initial model
|
$5,521.05 |
$5,521.05 |
$5,521.05 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$1,405.20 |
$1,405.20 |
$1,405.20 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,552.40 |
$2,552.40 |
$2,552.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$845.40 |
$845.40 |
$845.40 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,552.40 |
$2,552.40 |
$2,552.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,218.80 |
$2,218.80 |
$2,218.80 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$405.60 |
$405.60 |
$405.60 |
$437.04
|
|
CT scan for localization
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,017.20 |
$5,017.20 |
$5,017.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,713.40 |
$3,713.40 |
$3,713.40 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,225.00 |
$3,225.00 |
$3,225.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$3,101.40 |
$3,101.40 |
$3,101.40 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$241.80 |
$241.80 |
$241.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,335.40 |
$3,335.40 |
$3,335.40 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,907.60 |
$2,907.60 |
$2,907.60 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,662.48 |
$2,662.48 |
$2,662.48 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$171.00 |
$171.00 |
$171.00 |
$68.64
|
|
Culture afb any source
|
$246.00 |
$246.00 |
$246.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$213.60 |
$213.60 |
$213.60 |
$79.00
|
|
Culture anaerobic except blood
|
$214.80 |
$214.80 |
$214.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$156.60 |
$156.60 |
$156.60 |
$51.45
|
|
Culture body fluid
|
$183.00 |
$183.00 |
$183.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$248.40 |
$248.40 |
$248.40 |
$77.28
|
|
Culture fungi definitive id yeast
|
$248.40 |
$248.40 |
$248.40 |
$79.10
|
|
Culture fungi other (except blood)
|
$208.20 |
$208.20 |
$208.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$148.80 |
$148.80 |
$148.80 |
$74.88
|
|
Culture mycoplasma any source
|
$222.60 |
$222.60 |
$222.60 |
$85.26
|
|
Culture quantitative aerobic other source
|
$100.80 |
$100.80 |
$100.80 |
$90.35
|
|
Culture screening strep group a
|
$172.80 |
$172.80 |
$172.80 |
$81.00
|
|
Culture typing added method
|
$96.60 |
$96.60 |
$96.60 |
$38.58
|
|
Culture typing immunologic
|
$136.80 |
$136.80 |
$136.80 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$397.80 |
$397.80 |
$397.80 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$31.80 |
$31.80 |
$31.80 |
$133.90
|
|
Culture urine each isolate
|
$186.00 |
$186.00 |
$186.00 |
$57.00
|
|
Cutter lead
|
$10,780.47 |
$10,780.47 |
$10,780.47 |
$6,092.06
|
|
Cv line/pic reposition
|
$3,638.40 |
$3,638.40 |
$3,638.40 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$154.20 |
$154.20 |
$154.20 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$10.20 |
$10.20 |
$10.20 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$148.80 |
$148.80 |
$148.80 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$49.50 |
$49.50 |
$49.50 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$1,033.68 |
$1,033.68 |
$1,033.68 |
$140.78
|
|
Cyclosporine 2 hour
|
$202.20 |
$202.20 |
$202.20 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$22.44 |
$22.44 |
$22.44 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$77.46 |
$77.46 |
$77.46 |
$34.88
|
|
Cygnus, per sq cm
|
$13,588.83 |
$13,588.83 |
$13,588.83 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$44,000.78 |
$44,000.78 |
$44,000.78 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$223.20 |
$223.20 |
$223.20 |
$504.00
|
|
Cyp2c9 gene com variants
|
$163.80 |
$163.80 |
$163.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$415.20 |
$415.20 |
$415.20 |
$554.00
|
|
Cyp3a4 gene common variants
|
$132.60 |
$132.60 |
$132.60 |
$245.31
|
|
Cyp3a5 gene common variants
|
$99.60 |
$99.60 |
$99.60 |
$245.31
|
|
Cystatin c
|
$141.00 |
$141.00 |
$141.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,100.00
|
|
Cystine urine quantitative
|
$222.60 |
$222.60 |
$222.60 |
$103.35
|
|
Cysto cgen post urtl valves
|
$24,825.15 |
$24,825.15 |
$24,825.15 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,219.40 |
$2,219.40 |
$2,219.40 |
$542.10
|
|
Cysto rx balo cath urtl strx
|
$22,914.85 |
$22,914.85 |
$22,914.85 |
$6,015.75
|
|
Cystoscopy and treatment
|
$28,091.21 |
$28,091.21 |
$28,091.21 |
$4,081.37
|
|
Cystoscopy and treatment
|
$26,959.20 |
$26,959.20 |
$26,959.20 |
$4,160.10
|
|
Cystoscopy and treatment
|
$24,566.83 |
$24,566.83 |
$24,566.83 |
$5,162.50
|
|
Cystoscopy and treatment
|
$32,199.20 |
$32,199.20 |
$32,199.20 |
$5,995.60
|
|
Cystoscopy and treatment
|
$28,258.43 |
$28,258.43 |
$28,258.43 |
$6,475.26
|
