|
Collection blood specimen from completely implantable venous access device
|
$188.80 |
$188.80 |
$188.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$168.80 |
$168.80 |
$168.80 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$138.40 |
$138.40 |
$138.40 |
$173.50
|
|
Compatibility test each unit electronic
|
$117.60 |
$117.60 |
$117.60 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$120.80 |
$120.80 |
$120.80 |
$169.52
|
|
Compatibility test incubate
|
$145.60 |
$145.60 |
$145.60 |
$156.24
|
|
Complement antigen each component c3
|
$74.40 |
$74.40 |
$74.40 |
$110.00
|
|
Complx repair fccmnaxghf 13131
|
$611.20 |
$611.20 |
$611.20 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$896.00 |
$896.00 |
$896.00 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$508.44
|
|
Computed tomographic angiography head and neck with contrast
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$2,247.00
|
|
Concentration infection agents any type
|
$39.20 |
$39.20 |
$39.20 |
$51.32
|
|
Condylomata destruction 56420
|
$356.00 |
$356.00 |
$356.00 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$546.28 |
$546.28 |
$546.28 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$101.60 |
$101.60 |
$101.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$53.60 |
$53.60 |
$53.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$89.60 |
$89.60 |
$89.60 |
$226.50
|
|
Contrast baths charges
|
$84.80 |
$84.80 |
$84.80 |
$75.60
|
|
Control nosebleed pack+caut 30905
|
$450.40 |
$450.40 |
$450.40 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$425.60 |
$425.60 |
$425.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$392.80 |
$392.80 |
$392.80 |
$352.80
|
|
Coombs direct
|
$51.20 |
$51.20 |
$51.20 |
$76.80
|
|
Coombs indirect titer reference
|
$54.40 |
$54.40 |
$54.40 |
$156.71
|
|
Copper intrauterine device
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$1,953.00
|
|
Cortisol total am
|
$84.80 |
$84.80 |
$84.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$74.84 |
$74.84 |
$74.84 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$79.20 |
$79.20 |
$79.20 |
$112.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$909.60 |
$909.60 |
$909.60 |
$584.50
|
|
C-peptide
|
$86.40 |
$86.40 |
$86.40 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$777.71
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$70.40 |
$70.40 |
$70.40 |
$85.50
|
|
Creatine kinase
|
$48.80 |
$48.80 |
$48.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$56.80 |
$56.80 |
$56.80 |
$56.20
|
|
Creatine - sendout
|
$52.00 |
$52.00 |
$52.00 |
$41.25
|
|
Creatinine
|
$33.60 |
$33.60 |
$33.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$42.40 |
$42.40 |
$42.40 |
$57.85
|
|
Creatinine clearance urine
|
$65.60 |
$65.60 |
$65.60 |
$90.26
|
|
#creutz-prot.,western blot
|
$97.60 |
$97.60 |
$97.60 |
$163.50
|
|
Critical care each additional 30 minutes
|
$672.80 |
$672.80 |
$672.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,622.40 |
$2,622.40 |
$2,622.40 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Crystal identification light microscopy
|
$46.40 |
$46.40 |
$46.40 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$661.13
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,961.60 |
$3,961.60 |
$3,961.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$1,994.52
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$1,881.75
|
|
CT angio pelvis
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$982.40 |
$982.40 |
$982.40 |
$636.55
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,421.60 |
$4,421.60 |
$4,421.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,324.00 |
$4,324.00 |
$4,324.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,812.80 |
$3,812.80 |
$3,812.80 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$48.80 |
$48.80 |
$48.80 |
$72.00
|
|
Culture afb any source
|
$86.40 |
$86.40 |
$86.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$124.80 |
$124.80 |
$124.80 |
$84.76
|
|
Culture anaerobic except blood
|
$84.00 |
$84.00 |
$84.00 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$52.80 |
$52.80 |
$52.80 |
$52.50
|
|
Culture body fluid
|
$74.40 |
$74.40 |
$74.40 |
$126.75
|
|
Culture fungi definitive id mold
|
$51.20 |
$51.20 |
$51.20 |
$80.00
|
|
Culture fungi definitive id yeast
|
$75.20 |
$75.20 |
$75.20 |
$80.00
|
|
Culture fungi other (except blood)
|
$77.60 |
$77.60 |
$77.60 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$58.40 |
$58.40 |
$58.40 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$84.80 |
$84.80 |
$84.80 |
$100.00
|
|
Culture mycoplasma any source
|
$158.40 |
$158.40 |
$158.40 |
$83.21
|
|
Culture screening strep group a
|
$49.60 |
$49.60 |
$49.60 |
$84.60
|
|
Culture typing immunologic
|
$29.60 |
$29.60 |
$29.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$493.60 |
$493.60 |
$493.60 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$140.80 |
$140.80 |
$140.80 |
$140.80
|
|
Culture urine each isolate
|
$43.20 |
$43.20 |
$43.20 |
$55.50
|
|
Cyanocobalamin unsat binding capacity
|
$75.20 |
$75.20 |
$75.20 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$62.16 |
$62.16 |
$62.16 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$62.40 |
$62.40 |
$62.40 |
$72.36
|
|
Cyclosporine 2 hour
|
$97.60 |
$97.60 |
$97.60 |
$130.40
|
|
Cyp2c19 gene com variants
|
$256.00 |
$256.00 |
$256.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$256.00 |
$256.00 |
$256.00 |
$275.10
|
|
Cystatin c
|
$99.20 |
$99.20 |
$99.20 |
$77.60
|
|
Cystine urine quantitative
|
$70.40 |
$70.40 |
$70.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$536.00 |
$536.00 |
$536.00 |
$586.95
|
|
Cytogenetics 25-99
|
$103.20 |
$103.20 |
$103.20 |
$189.80
|
|
Cytogenetics 3-5
|
$99.20 |
$99.20 |
$99.20 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.20 |
$63.20 |
$63.20 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$66.40 |
$66.40 |
$66.40 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$113.60 |
$113.60 |
$113.60 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$103.20 |
$103.20 |
$103.20 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$160.80 |
$160.80 |
$160.80 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$147.20 |
$147.20 |
$147.20 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$192.80 |
$192.80 |
$192.80 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$215.20 |
$215.20 |
$215.20 |
$213.85
|
|
Cytopath smear other source
|
$124.80 |
$124.80 |
$124.80 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$106.40 |
$106.40 |
$106.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$42.40 |
$42.40 |
$42.40 |
$59.28
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$10,207.40 |
$10,207.40 |
$10,207.40 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,265.88 |
$1,265.88 |
$1,265.88 |
$6,281.29
|
|
Dch validity tests
|
$17.60 |
$17.60 |
$17.60 |
$25.00
|