|
Creatinine 24 hour urine
|
$276.00 |
$276.00 |
$276.00 |
$58.85
|
|
Creatinine clearance urine
|
$63.60 |
$63.60 |
$63.60 |
$89.50
|
|
#creutz-prot.,western blot
|
$136.80 |
$136.80 |
$136.80 |
$166.20
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$12,583.62 |
$12,583.62 |
$12,583.62 |
$4,288.58
|
|
Cryofibrinogen qualitative - sendout
|
$34.20 |
$34.20 |
$34.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$156.00 |
$156.00 |
$156.00 |
$144.78
|
|
Cryptosporidium antigen
|
$128.40 |
$128.40 |
$128.40 |
$52.08
|
|
Crystal identification light microscopy
|
$31.80 |
$31.80 |
$31.80 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$616.80 |
$616.80 |
$616.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,452.60 |
$1,452.60 |
$1,452.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,044.60 |
$4,044.60 |
$4,044.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$1,500.38
|
|
CT angio pelvis
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$3,496.20 |
$3,496.20 |
$3,496.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$324.00 |
$324.00 |
$324.00 |
$171.60
|
|
CT hrt w/3d image
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$246.00 |
$246.00 |
$246.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$822.60 |
$822.60 |
$822.60 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$4,710.32 |
$4,710.32 |
$4,710.32 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$5,177.93 |
$5,177.93 |
$5,177.93 |
$4,186.78
|
|
Ctlso axilla sling
|
$299.77 |
$299.77 |
$299.77 |
$197.97
|
|
Ctlso milwauke initial model
|
$4,797.91 |
$4,797.91 |
$4,797.91 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$2,533.80 |
$2,533.80 |
$2,533.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,174.40 |
$2,174.40 |
$2,174.40 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,941.00 |
$1,941.00 |
$1,941.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,813.20 |
$1,813.20 |
$1,813.20 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$253.80 |
$253.80 |
$253.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$117.60 |
$117.60 |
$1,344.00 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,313.75 |
$2,313.75 |
$2,313.75 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$140.40 |
$140.40 |
$140.40 |
$68.64
|
|
Culture afb any source
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$89.40 |
$89.40 |
$89.40 |
$79.00
|
|
Culture anaerobic except blood
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$19.20 |
$19.20 |
$19.20 |
$51.45
|
|
Culture body fluid
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$126.75
|
|
Culture fungi definitive id mold
|
$139.20 |
$139.20 |
$139.20 |
$77.28
|
|
Culture fungi definitive id yeast
|
$112.80 |
$112.80 |
$112.80 |
$79.10
|
|
Culture fungi other (except blood)
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$128.40 |
$128.40 |
$128.40 |
$74.88
|
|
Culture mycoplasma any source
|
$225.60 |
$225.60 |
$225.60 |
$85.26
|
|
Culture quantitative aerobic other source
|
$86.40 |
$86.40 |
$86.40 |
$90.35
|
|
Culture screening strep group a
|
$81.00 |
$81.00 |
$81.00 |
$81.00
|
|
Culture typing added method
|
$102.60 |
$102.60 |
$102.60 |
$38.58
|
|
Culture typing immunologic
|
$66.00 |
$66.00 |
$66.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$360.60 |
$360.60 |
$360.60 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$221.40 |
$221.40 |
$221.40 |
$133.90
|
|
Culture urine each isolate
|
$82.20 |
$82.20 |
$82.20 |
$57.00
|
|
Cutter lead
|
$9,368.47 |
$9,368.47 |
$9,368.47 |
$6,092.06
|
|
Cyanocobalamin unsat binding capacity
|
$33.60 |
$33.60 |
$33.60 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$64.80 |
$64.80 |
$64.80 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,106.78 |
$2,106.78 |
$2,106.78 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$46.20 |
$46.20 |
$61.86 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$401.52 |
$401.52 |
$401.52 |
$140.78
|
|
Cyclosporine 2 hour
|
$34.80 |
$34.80 |
$34.80 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$15.42 |
$15.42 |
$15.96 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$61.38 |
$61.38 |
$1,061.10 |
$34.88
|
|
Cygnus, per sq cm
|
$17,881.56 |
$17,881.56 |
$17,881.56 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$57,900.69 |
$57,900.69 |
$57,900.69 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$251.40 |
$251.40 |
$251.40 |
$504.00
|
|
Cyp2c9 gene com variants
|
$289.80 |
$289.80 |
$289.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$505.80 |
$505.80 |
$505.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$289.80 |
$289.80 |
$289.80 |
$245.31
|
|
Cyp3a5 gene common variants
|
$289.80 |
$289.80 |
$289.80 |
$245.31
|
|
Cystatin c
|
$45.00 |
$45.00 |
$45.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,100.00
|
|
Cystine urine quantitative
|
$111.00 |
$111.00 |
$111.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$542.10
|
|
Cysto impl 4 or more
|
$20,334.84 |
$20,334.84 |
$33,351.88 |
$6,860.21
|
|
Cysto, litho, vacuum kidney
|
$28,263.09 |
$28,263.09 |
$28,263.09 |
$10,942.71
|
|
Cystorrhaphy wound simple 51860
|
$37,171.31 |
$37,171.31 |
$37,171.31 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$17,162.47 |
$17,162.47 |
$17,162.47 |
$6,015.75
|
|
Cystoscopy and treatment
|
$9,352.52 |
$9,352.52 |
$9,352.52 |
$4,081.37
|
|
Cystoscopy and treatment
|
$11,309.33 |
$11,309.33 |
$11,836.12 |
$4,160.10
|
|
Cystoscopy and treatment
|
$11,182.76 |
$11,182.76 |
$13,992.94 |
$5,162.50
|
|
Cystoscopy and treatment
|
$12,028.42 |
$12,028.42 |
$23,007.62 |
$5,995.60
|
|
Cystoscopy and treatment
|
$16,119.25 |
$16,119.25 |
$17,394.41 |
$6,475.26
|
|
Cystoscopy and treatment
|
$17,162.47 |
$17,162.47 |
$17,162.47 |
$4,045.60
|
|
Cystoscopy and treatment
|
$6,385.85 |
$6,385.85 |
$6,686.09 |
$2,874.36
|
