|
Cinacalcet 30 mg tablet
|
$252.51 |
$252.51 |
$252.51 |
$41.25
|
|
Ciprofloxacin otic susp 6 mg
|
$1,467.76 |
$1,467.76 |
$1,467.76 |
$63.31
|
|
Clostridium toxin a w/optic
|
$789.67 |
$789.67 |
$789.67 |
$35.20
|
|
Closure paravalvlr leak pq
|
$2,627.75 |
$2,627.75 |
$2,627.75 |
$7,723.17
|
|
Clot factor fletcher fact
|
$1,032.56 |
$1,032.56 |
$1,032.56 |
$119.50
|
|
Clot factor viii reltd antgn
|
$1,107.82 |
$1,107.82 |
$1,107.82 |
$158.20
|
|
Clot factor xii hageman
|
$1,285.36 |
$1,285.36 |
$1,285.36 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$1,815.13 |
$1,815.13 |
$1,815.13 |
$105.00
|
|
#cmvcul-virus inoculation shell
|
$451.66 |
$451.66 |
$451.66 |
$100.80
|
|
Cmv pcr-sendout
|
$4,384.44 |
$4,384.44 |
$4,384.44 |
$177.50
|
|
Coagulation time activated teg
|
$690.26 |
$690.26 |
$690.26 |
$53.72
|
|
Coagulation time lee & white
|
$426.09 |
$426.09 |
$426.09 |
$11.20
|
|
Cocaine 4 % nasal solution
|
$1,862.71 |
$1,862.71 |
$1,862.71 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$17,034.00 |
$17,034.00 |
$17,034.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$471.54 |
$471.54 |
$471.54 |
$50.00
|
|
Colistimethate sodium inj
|
$1,497.27 |
$1,497.27 |
$1,497.27 |
$68.47
|
|
Collagen dressing <=16 sq in
|
$366.00 |
$366.00 |
$366.00 |
$42.50
|
|
Collar extrication adult univ
|
$6,397.00 |
$6,397.00 |
$6,397.00 |
$764.15
|
|
Collection of venous blood by venipuncture
|
$124.98 |
$124.98 |
$124.98 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$629.19 |
$629.19 |
$629.19 |
$170.05
|
|
Compatibility test each unit electronic
|
$474.60 |
$474.60 |
$474.60 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$1,572.26 |
$1,572.26 |
$1,572.26 |
$169.52
|
|
Complement fixation each
|
$836.55 |
$836.55 |
$836.55 |
$29.12
|
|
Conivaptan hcl
|
$7,773.19 |
$7,773.19 |
$7,773.19 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$3,430.97 |
$3,430.97 |
$3,430.97 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$980.00 |
$980.00 |
$980.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$26.78 |
$26.78 |
$26.78 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,380.52 |
$1,380.52 |
$1,380.52 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$434.60 |
$434.60 |
$434.60 |
$224.80
|
|
Contrast x-ray gallbladder
|
$1,402.43 |
$1,402.43 |
$1,402.43 |
$350.22
|
|
Contrast x-ray of hip
|
$1,516.94 |
$1,516.94 |
$1,516.94 |
$771.12
|
|
Conversion ext bil drg cath
|
$38,036.55 |
$38,036.55 |
$38,036.55 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$5,649.66 |
$5,649.66 |
$5,649.66 |
$2,777.60
|
|
Coombs direct
|
$748.49 |
$748.49 |
$748.49 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$82.77 |
$82.77 |
$82.77 |
$102.90
|
|
Coombs indirect titer reference
|
$1,607.76 |
$1,607.76 |
$1,607.76 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$13,490.90 |
$13,490.90 |
$13,490.90 |
$2,417.86
|
|
Cortisol total am
|
$894.78 |
$894.78 |
$894.78 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$266.24 |
$266.24 |
$266.24 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$90.40 |
$90.40 |
$90.40 |
$55.90
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$750.91 |
$750.91 |
$750.91 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$750.91 |
$750.91 |
$750.91 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$78.90 |
$78.90 |
$78.90 |
$80.50
|
|
C-peptide
|
$1,073.74 |
$1,073.74 |
$1,073.74 |
$97.30
|
|
Cranial cervical torticollis
|
$2,706.00 |
$2,706.00 |
$2,706.00 |
$573.85
|
|
Crbrospnl fld flw imag cistern
|
$6,466.19 |
$6,466.19 |
$6,466.19 |
$1,240.80
|
|
C-reactive protein
|
$616.41 |
$616.41 |
$616.41 |
$68.38
|
|
C-reactive protein high sensitivity
|
$616.41 |
$616.41 |
$616.41 |
$85.00
|
|
Creatine kinase
|
$812.40 |
$812.40 |
$812.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$1,397.56 |
$1,397.56 |
$1,397.56 |
$56.80
|
|
Creatine kinase mb
|
$1,359.21 |
$1,359.21 |
$1,359.21 |
$114.00
|
|
Creatinine
|
$399.10 |
$399.10 |
$399.10 |
$44.72
|
|
Creatinine clearance urine
|
$1,059.53 |
$1,059.53 |
$1,059.53 |
$89.50
|
|
Crotalidae poly immune fab
|
$38,205.86 |
$38,205.86 |
$38,205.86 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$483.00 |
$483.00 |
$483.00 |
$144.78
|
|
Crystal identification light microscopy
|
$656.18 |
$656.18 |
$656.18 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$10,324.45 |
$10,324.45 |
$10,324.45 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$6,537.23 |
$6,537.23 |
$6,537.23 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$20,664.95 |
$20,664.95 |
$20,664.95 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$10,324.45 |
$10,324.45 |
$10,324.45 |
$1,940.00
|
|
CT angio hrt w/3d image
|
$10,608.99 |
$10,608.99 |
$10,608.99 |
$1,500.38
|
|
CT angio pelvis
|
$10,343.16 |
$10,343.16 |
$10,343.16 |
$1,837.80
|
|
CT colonography dx
|
$472.39 |
$472.39 |
$472.39 |
$791.00
|
|
CT heart w/evaluation of calcium without contrast
|
$487.79 |
$487.79 |
$487.79 |
$171.60
|
|
CT hrt w/3d image
|
$4,495.37 |
$4,495.37 |
$4,495.37 |
$1,383.06
|
|
CT neck soft tissue w/contrast
|
$7,630.55 |
$7,630.55 |
$7,630.55 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$6,078.00 |
$6,078.00 |
$6,078.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$8,629.08 |
$8,629.08 |
$8,629.08 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$8,990.86 |
$8,990.86 |
$8,990.86 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$7,662.58 |
$7,662.58 |
$7,662.58 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,993.90 |
$5,993.90 |
$5,993.90 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$16,912.41 |
$16,912.41 |
$16,912.41 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$13,470.93 |
$13,470.93 |
$13,470.93 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$11,907.71 |
$11,907.71 |
$11,907.71 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$7,917.56 |
$7,917.56 |
$7,917.56 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$7,866.83 |
$7,866.83 |
$7,866.83 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,907.06 |
$1,907.06 |
$1,907.06 |
$331.50
|
|
CT t-spine w /wo contrast
|
$9,681.01 |
$9,681.01 |
$9,681.01 |
$2,027.52
|
|
Culture aerobic additional method definitive id each
|
$769.80 |
$769.80 |
$769.80 |
$68.64
|
|
Culture afb any source
|
$855.01 |
$855.01 |
$855.01 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$866.38 |
$866.38 |
$866.38 |
$79.00
|
|
Culture anaerobic except blood
|
$1,414.61 |
$1,414.61 |
$1,414.61 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$561.02 |
$561.02 |
$561.02 |
$51.45
|
|
Culture fungi definitive id mold
|
$711.57 |
$711.57 |
$711.57 |
$77.28
|
|
Culture fungi definitive id yeast
|
$769.80 |
$769.80 |
$769.80 |
$79.10
|
|
Culture fungi other (except blood)
|
$677.48 |
$677.48 |
$677.48 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$866.38 |
$866.38 |
$866.38 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$1,087.94 |
$1,087.94 |
$1,087.94 |
$89.70
|
|
Culture quantitative aerobic other source
|
$49.45 |
$49.45 |
$49.45 |
$90.35
|
|
Culture typing added method
|
$38.70 |
$38.70 |
$38.70 |
$38.58
|
|
Culture typing immunologic
|
$119.31 |
$119.31 |
$119.31 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$154.81 |
$154.81 |
$154.81 |
$133.90
|
|
Culture urine each isolate
|
$711.57 |
$711.57 |
$711.57 |
$57.00
|
|
Cyanocobalamin unsat binding capacity
|
$967.22 |
$967.22 |
$967.22 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$85.09 |
$85.09 |
$85.09 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$1,636.18 |
$1,636.18 |
$1,636.18 |
$70.72
|
|
Cyclophosphamide 100 mg inj
|
$3,605.26 |
$3,605.26 |
$3,605.26 |
$555.25
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$651.89 |
$651.89 |
$651.89 |
$140.78
|
|
Cyclosporine 2 hour
|
$845.08 |
$845.08 |
$845.08 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$27,658.00 |
$27,658.00 |
$27,658.00 |
$295.20
|
