|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,181.35 |
$7,181.35 |
$7,181.35 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$8,522.67 |
$8,522.67 |
$8,522.67 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$50.70 |
$50.70 |
$50.70 |
$52.50
|
|
Cryoprecipitate each unit
|
$237.25 |
$237.25 |
$237.25 |
$182.25
|
|
Cryptosporidium antigen
|
$143.00 |
$143.00 |
$143.00 |
$65.55
|
|
Crystal identification light microscopy
|
$31.85 |
$31.85 |
$31.85 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$2,614.30 |
$2,614.30 |
$2,614.30 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,414.45 |
$3,414.45 |
$3,414.45 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,097.25 |
$3,097.25 |
$3,097.25 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$3,065.40 |
$3,065.40 |
$3,065.40 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,195.05 |
$2,195.05 |
$2,195.05 |
$1,728.80
|
|
CT Angiogram of the Head
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$1,951.50
|
|
CT angio pelvis
|
$2,367.95 |
$2,367.95 |
$2,367.95 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,307.50 |
$2,307.50 |
$2,307.50 |
$1,650.60
|
|
CT bone density axial
|
$828.10 |
$828.10 |
$828.10 |
$321.75
|
|
CT guidance for needle placement
|
$1,748.50 |
$1,748.50 |
$1,748.50 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,266.85 |
$1,266.85 |
$1,266.85 |
$1,007.29
|
|
CT guid parench tis ablat
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$32.50 |
$32.50 |
$32.50 |
$176.89
|
|
CT limited or localized follow-up study
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,752.75 |
$2,752.75 |
$2,752.75 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,590.55 |
$1,590.55 |
$1,590.55 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$3,537.30 |
$3,537.30 |
$3,537.30 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$2,335.45 |
$2,335.45 |
$2,335.45 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,557.10 |
$2,557.10 |
$2,557.10 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,138.15 |
$1,138.15 |
$1,138.15 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,087.55 |
$5,087.55 |
$5,087.55 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,124.90 |
$4,124.90 |
$4,124.90 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,697.50 |
$2,697.50 |
$2,697.50 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$431.60 |
$431.60 |
$431.60 |
$418.50
|
|
CT t-spine w /wo contrast
|
$2,020.85 |
$2,020.85 |
$2,020.85 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$2,667.60 |
$2,667.60 |
$2,667.60 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$2,137.85 |
$2,137.85 |
$2,137.85 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$2,826.20 |
$2,826.20 |
$2,826.20 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$80.60 |
$80.60 |
$80.60 |
$61.03
|
|
Culture afb any source
|
$191.10 |
$191.10 |
$191.10 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$109.85 |
$109.85 |
$109.85 |
$73.00
|
|
Culture anaerobic except blood
|
$302.25 |
$302.25 |
$302.25 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$33.80 |
$33.80 |
$33.80 |
$49.40
|
|
Culture body fluid
|
$284.70 |
$284.70 |
$284.70 |
$111.15
|
|
Culture fungi definitive id mold
|
$61.10 |
$61.10 |
$61.10 |
$70.00
|
|
Culture fungi definitive id yeast
|
$37.05 |
$37.05 |
$37.05 |
$68.00
|
|
Culture fungi other (except blood)
|
$248.30 |
$248.30 |
$248.30 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$95.55 |
$95.55 |
$95.55 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$67.60 |
$67.60 |
$67.60 |
$79.00
|
|
Culture mycoplasma any source
|
$237.25 |
$237.25 |
$237.25 |
$94.00
|
|
Culture quantitative aerobic other source
|
$52.00 |
$52.00 |
$52.00 |
$63.45
|
|
Culture screening strep group a
|
$298.35 |
$298.35 |
$298.35 |
$76.00
|
|
Culture typing added method
|
$74.75 |
$74.75 |
$74.75 |
$31.00
|
|
Culture typing immunologic
|
$50.05 |
$50.05 |
$50.05 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$755.95 |
$755.95 |
$755.95 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$22.10 |
$22.10 |
$22.10 |
$100.20
|
|
Culture urine each isolate
|
$94.90 |
$94.90 |
$94.90 |
$44.80
|
|
Cutter lead
|
$1,920.10 |
$1,920.10 |
$1,920.10 |
$5,644.60
|
|
Cv line/pic reposition
|
$3,829.15 |
$3,829.15 |
$3,829.15 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$85.80 |
$85.80 |
$85.80 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$92.95 |
$92.95 |
$92.95 |
$91.20
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,983.36 |
$1,983.36 |
$1,983.36 |
$2.42
|
|
Cyclophosphamide 25 mg capsule
|
$35.75 |
$35.75 |
$35.75 |
$22.51
|
|
Cyclosporine 2 hour
|
$239.20 |
$239.20 |
$239.20 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$10.01 |
$10.01 |
$10.01 |
$4.42
|
|
Cyclosporine oral 100 mg
|
$39.95 |
$39.95 |
$39.95 |
$19.50
|
|
Cylinder pump set 20cm titan zero angl
|
$13,988.00 |
$13,988.00 |
$13,988.00 |
$25,255.20
|
|
Cyp2c19 gene com variants
|
$731.25 |
$731.25 |
$731.25 |
$583.20
|
|
Cyp3a4 gene common variants
|
$481.65 |
$481.65 |
$481.65 |
$245.31
|
|
Cystatin c
|
$79.95 |
$79.95 |
$79.95 |
$83.20
|
|
Cystic fibrosis cftr
|
$1,499.55 |
$1,499.55 |
$1,499.55 |
$1,041.95
|
|
Cystine urine quantitative
|
$84.50 |
$84.50 |
$84.50 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$458.90 |
$458.90 |
$458.90 |
$487.04
|
|
Cysto rx balo cath urtl strx
|
$12,776.67 |
$12,776.67 |
$12,776.67 |
$6,853.60
|
|
Cystoscopy and treatment
|
$7,092.49 |
$7,092.49 |
$7,092.49 |
$4,160.10
|
|
Cystoscopy and treatment
|
$8,606.99 |
$8,606.99 |
$8,606.99 |
$4,846.99
|
|
Cystoscopy and treatment
|
$8,788.09 |
$8,788.09 |
$8,788.09 |
$4,846.99
|
|
Cystoscopy and treatment
|
$8,754.45 |
$8,754.45 |
$8,754.45 |
$2,355.42
|
|
Cystoscopy and treatment
|
$12,776.67 |
$12,776.67 |
$12,776.67 |
$2,331.55
|
|
Cystoscopy and treatment
|
$11,347.24 |
$11,347.24 |
$11,347.24 |
$2,874.36
|
|
Cystoscopy and treatment
|
$7,841.96 |
$7,841.96 |
$7,841.96 |
$3,219.80
|
|
Cystoscopy and treatment
|
$8,227.84 |
$8,227.84 |
$8,227.84 |
$3,820.84
|
|
Cystoscopy and treatment
|
$13,760.95 |
$13,760.95 |
$13,760.95 |
$3,769.20
|
|
Cystoscopy (Bladder Scope)
|
$7,708.64 |
$7,708.64 |
$7,708.64 |
$1,633.60
|
|
Cystoscopy chemodenervation
|
$8,047.62 |
$8,047.62 |
$8,047.62 |
$2,412.45
|
|
Cystoscopy & ureter catheter
|
$6,034.65 |
$6,034.65 |
$6,034.65 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,202.53 |
$6,202.53 |
$6,202.53 |
$3,276.00
|
|
Cystouretero & or pyeloscope
|
$6,318.95 |
$6,318.95 |
$6,318.95 |
$4,061.71
|
|
Cysto/uretero stricture tx
|
$7,283.66 |
$7,283.66 |
$7,283.66 |
$3,820.84
|
|
Cystouretero w/biopsy
|
$10,303.88 |
$10,303.88 |
$10,303.88 |
$4,447.24
|
|
Cysto/uretero w/lithotripsy
|
$14,369.17 |
$14,369.17 |
$14,369.17 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$8,003.60 |
$8,003.60 |
$8,003.60 |
$4,846.99
|
|
Cystourethro cut ejacul duct
|
$6,541.54 |
$6,541.54 |
$6,541.54 |
$3,734.33
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,935.81 |
$6,935.81 |
$6,935.81 |
$2,874.36
|
|
Cysto w/up stricture tx
|
$6,255.24 |
$6,255.24 |
$6,255.24 |
$2,564.93
|
|
Cysto w/ureter stricture tx
|
$8,227.84 |
$8,227.84 |
$8,227.84 |
$4,074.86
|