|
Crotalidae poly immune fab
|
$3,423.06 |
$3,423.06 |
$6,655.95 |
$5,205.75
|
|
Cryofibrinogen qualitative - sendout
|
$40.59 |
$44.91 |
$78.93 |
$50.88
|
|
Cryoprecipitate each unit
|
$97.11 |
$97.11 |
$235.55 |
$189.00
|
|
Cryopreserve stem cells
|
$17,367.00 |
$17,367.00 |
$17,367.00 |
$2,588.88
|
|
Cryptococcus abs qn - sendout
|
$97.56 |
$108.27 |
$189.70 |
$76.20
|
|
Cryptosporidium antigen
|
$25.11 |
$25.11 |
$48.83 |
$56.00
|
|
Crystal identification light microscopy
|
$40.86 |
$40.86 |
$93.45 |
$65.25
|
|
Csf leakage imaging
|
$1,564.11 |
$1,564.11 |
$2,644.60 |
$1,444.98
|
|
CT 3d report other modality w/workstation
|
$129.33 |
$129.33 |
$920.68 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,732.41 |
$1,732.41 |
$3,368.58 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,433.88 |
$1,433.88 |
$2,970.28 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,867.67 |
$2,867.67 |
$5,576.03 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$364.59 |
$364.59 |
$2,497.78 |
$1,924.20
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,269.34 |
$3,269.34 |
$6,357.05 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$487.62 |
$487.62 |
$2,431.28 |
$2,015.65
|
|
CT Angiogram of the Head
|
$390.24 |
$390.24 |
$2,497.78 |
$2,032.54
|
|
CT angio hrt w/3d image
|
$655.74 |
$655.74 |
$2,238.25 |
$1,601.60
|
|
CT angio pelvis
|
$530.55 |
$530.55 |
$2,970.28 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$938.79 |
$938.79 |
$2,041.38 |
$1,652.25
|
|
CT bone density axial
|
$532.44 |
$532.44 |
$625.63 |
$343.66
|
|
CT colonography dx
|
$267.12 |
$267.12 |
$519.40 |
$770.90
|
|
CT colonography dx w/dye
|
$321.03 |
$321.03 |
$731.85 |
$1,009.98
|
|
CT colonography screening
|
$391.68 |
$391.68 |
$761.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$467.60 |
$978.03 |
$978.03 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$166.60 |
$870.30 |
$870.30 |
$1,085.05
|
|
CT guid parench tis ablat
|
$801.09 |
$801.09 |
$1,544.73 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$45.18 |
$45.18 |
$87.85 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$803.97 |
$803.97 |
$1,760.33 |
$1,217.45
|
|
CT hrt w/3d image
|
$803.97 |
$803.97 |
$1,760.33 |
$1,424.40
|
|
CT limited or localized follow-up study
|
$139.23 |
$139.23 |
$625.63 |
$626.07
|
|
CT lower extremity w/contrast (both sides)
|
$981.90 |
$981.90 |
$1,909.25 |
$1,700.00
|
|
CT lower extremity without contrast (both sides)
|
$851.49 |
$851.49 |
$1,655.68 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$1,052.28 |
$1,052.28 |
$2,046.10 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$1,293.93 |
$1,293.93 |
$2,515.98 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$798.57 |
$798.57 |
$1,863.93 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$1,389.24 |
$1,389.24 |
$2,701.30 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,192.22 |
$2,192.22 |
$4,262.65 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,261.08 |
$1,261.08 |
$2,452.10 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,121.31 |
$1,121.31 |
$2,180.33 |
$1,370.85
|
|
CT scan for therapy guide
|
$248.76 |
$248.76 |
$729.40 |
$741.78
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,543.57 |
$3,543.57 |
$6,890.28 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,447.00 |
$3,447.00 |
$6,702.50 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,440.26 |
$2,440.26 |
$4,744.95 |
$2,299.15
|
|
CT thoracic spine w/contrast
|
$828.99 |
$828.99 |
$6,303.50 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$547.83 |
$547.83 |
$6,222.48 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$113.85 |
$113.85 |
$221.38 |
$418.50
|
|
CT t-spine w /wo contrast
|
$1,382.31 |
$1,382.31 |
$6,975.50 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,455.39 |
$1,455.39 |
$2,829.93 |
$1,706.10
|
|
CT upper extremity without contrast (both sides)
|
$1,404.36 |
$1,404.36 |
$2,730.70 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$1,595.25 |
$1,595.25 |
$3,101.88 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$60.93 |
$60.93 |
$118.48 |
$63.75
|
|
Culture afb any source
|
$79.92 |
$79.92 |
$155.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$103.50 |
$103.50 |
$201.25 |
$78.65
|
|
Culture anaerobic except blood
|
$178.11 |
$178.11 |
$536.90 |
$123.21
|
|
Culture bact stool aero addl path ea
|
$19.62 |
$19.62 |
$67.03 |
$52.80
|
|
Culture body fluid
|
$131.94 |
$146.70 |
$256.55 |
$130.50
|
|
Culture fungi definitive id mold
|
$42.66 |
$42.66 |
$82.95 |
$70.80
|
|
Culture fungi definitive id yeast
|
$115.56 |
$115.56 |
$224.70 |
$80.40
|
|
Culture fungi other (except blood)
|
$141.21 |
$141.21 |
$274.58 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$36.99 |
$36.99 |
$103.60 |
$78.40
|
|
Culture mycobacteria definitive id each isolate
|
$71.19 |
$71.19 |
$251.13 |
$84.80
|
|
Culture mycoplasma any source
|
$70.02 |
$77.76 |
$311.50 |
$90.37
|
|
Culture quantitative aerobic other source
|
$63.45 |
$63.45 |
$123.38 |
$87.02
|
|
Culture screening strep group a
|
$131.94 |
$131.94 |
$256.55 |
$81.25
|
|
Culture typing added method
|
$25.83 |
$25.83 |
$252.00 |
$34.45
|
|
Culture typing immunologic
|
$40.86 |
$40.86 |
$79.45 |
$42.12
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$99.72 |
$99.72 |
$193.90 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$26.73 |
$26.73 |
$51.98 |
$124.37
|
|
Culture urine each isolate
|
$34.29 |
$34.29 |
$82.43 |
$46.20
|
|
Culture virus isolation
|
$23.76 |
$26.37 |
$46.20 |
$39.20
|
|
Cv line/pic reposition
|
$1,274.85 |
$1,274.85 |
$1,882.48 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$315.35 |
$315.35 |
$315.35 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.33 |
$3.33 |
$27.13 |
$29.35
|
|
Cyclic citrullinated peptide antibody
|
$65.16 |
$72.36 |
$153.65 |
$82.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$58.41 |
$58.41 |
$113.58 |
$884.16
|
|
Cyclophosphamide 25 mg capsule
|
$37.89 |
$37.89 |
$73.68 |
$25.76
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$52.02 |
$52.02 |
$101.15 |
$179.10
|
|
Cyclosporine 2 hour
|
$179.10 |
$179.10 |
$348.25 |
$121.68
|
|
Cyclosporine modified 25 mg capsule
|
$3.15 |
$3.15 |
$6.13 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$12.42 |
$12.42 |
$24.15 |
$42.33
|
|
Cystatin c
|
$82.26 |
$82.26 |
$115.50 |
$81.00
|
|
Cystic fibrosis cftr
|
$534.96 |
$534.96 |
$1,040.20 |
$1,041.95
|
|
Cystine urine quantitative
|
$112.59 |
$125.28 |
$239.23 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$770.85 |
$770.85 |
$1,498.88 |
$533.61
|
|
Cystometrogram w/up 51727
|
$651.51 |
$651.51 |
$1,090.60 |
$857.38
|
|
Cytarabine 20 mg/ml injection solution
|
$53.91 |
$53.91 |
$104.83 |
$84.56
|
|
Cytogenetics 25-99
|
$101.52 |
$101.52 |
$150.15 |
$177.45
|
|
Cytogenomic neo microra alys
|
$1,522.17 |
$1,522.17 |
$2,959.78 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$1,341.36 |
$1,341.36 |
$5,318.95 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$121.14 |
$134.64 |
$704.73 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$101.79 |
$112.95 |
$341.08 |
$98.35
|
|
Cytomegalovirus dfa
|
$105.03 |
$116.64 |
$204.23 |
$51.20
|
|
Cytomegalovirus imm IV /vial
|
$935.10 |
$935.10 |
$1,818.25 |
$3,058.32
|
|
Cyto/molecular report
|
$35.82 |
$35.82 |
$654.15 |
$144.75
|
|
Cytopath c/v index add-on
|
$54.18 |
$54.18 |
$105.35 |
$29.60
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$99.18 |
$99.18 |
$192.85 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$190.71 |
$190.71 |
$370.83 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$116.55 |
$116.55 |
$226.63 |
$129.12
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$153.09 |
$153.09 |
$297.68 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$101.97 |
$101.97 |
$198.28 |
$205.00
|