|
C-peptide
|
$67.95 |
$67.95 |
$67.95 |
$93.60
|
|
Cranial cervical torticollis
|
$573.85 |
$573.85 |
$573.85 |
$573.85
|
|
Crbrospnl fld flw imag cistern
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,205.40
|
|
C-reactive protein
|
$123.90 |
$123.90 |
$123.90 |
$65.07
|
|
C-reactive protein high sensitivity
|
$47.55 |
$47.55 |
$47.55 |
$82.60
|
|
Creatine kinase
|
$236.40 |
$236.40 |
$236.40 |
$65.60
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$53.00
|
|
Creatine kinase mb
|
$317.85 |
$317.85 |
$317.85 |
$113.63
|
|
Creatine - sendout
|
$213.15 |
$213.15 |
$213.15 |
$40.30
|
|
Creatinine
|
$166.20 |
$166.20 |
$166.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$113.40 |
$113.40 |
$113.40 |
$59.80
|
|
Creatinine clearance urine
|
$135.45 |
$135.45 |
$135.45 |
$87.50
|
|
#creutz-prot.,western blot
|
$326.40 |
$326.40 |
$326.40 |
$163.50
|
|
Critical care 30-74 minutes
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,535.00
|
|
Critical care each additional 30 minutes
|
$731.40 |
$731.40 |
$731.40 |
$731.40
|
|
Crotalidae poly immune fab
|
$12,664.08 |
$12,664.08 |
$12,664.08 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$55.65 |
$55.65 |
$55.65 |
$52.50
|
|
Cryoprecipitate each unit
|
$122.40 |
$122.40 |
$122.40 |
$144.78
|
|
Crystal identification light microscopy
|
$84.00 |
$84.00 |
$84.00 |
$61.38
|
|
Cta abdomen without & /or w/contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,026.20
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$2,002.00
|
|
Cta neck without &/or w/contrast
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,894.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,878.20 |
$5,878.20 |
$5,878.20 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,913.70
|
|
CT Angiogram of the Head
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,944.00
|
|
CT angio pelvis
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$1,680.70
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,221.45 |
$1,221.45 |
$1,221.45 |
$1,140.00
|
|
CT limited or localized follow-up study
|
$789.60 |
$789.60 |
$789.60 |
$642.00
|
|
CT lower extremity w/contrast (both sides)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$3,746.69 |
$3,746.69 |
$3,746.69 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$4,186.78 |
$4,186.78 |
$4,186.78 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,617.00
|
|
CT neck soft tissue without contrast
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$2,927.85 |
$2,927.85 |
$2,927.85 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,264.55 |
$2,264.55 |
$2,264.55 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,046.60 |
$2,046.60 |
$2,046.60 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,046.60 |
$2,046.60 |
$2,046.60 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$284.40 |
$284.40 |
$284.40 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,407.45 |
$4,407.45 |
$4,407.45 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,920.40 |
$3,920.40 |
$3,920.40 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,356.10 |
$3,356.10 |
$3,356.10 |
$2,290.20
|
|
CT thoracic spine w/contrast
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,683.20
|
|
CT thoracic spine without contrast
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$231.00 |
$231.00 |
$231.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,020.20
|
|
CT upper extremity w/contrast (both sides)
|
$1,991.85 |
$1,991.85 |
$1,991.85 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,991.85 |
$1,991.85 |
$1,991.85 |
$1,411.00
|
|
CT uppr extremity w/o&w/dye
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,841.40
|
|
Culture aerobic additional method definitive id each
|
$145.80 |
$145.80 |
$145.80 |
$67.80
|
|
Culture afb any source
|
$221.70 |
$221.70 |
$221.70 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$164.55 |
$164.55 |
$164.55 |
$79.00
|
|
Culture anaerobic except blood
|
$273.45 |
$273.45 |
$273.45 |
$119.40
|
|
Culture bact stool aero addl path ea
|
$24.45 |
$24.45 |
$24.45 |
$52.50
|
|
Culture body fluid
|
$239.10 |
$239.10 |
$239.10 |
$120.50
|
|
Culture fungi definitive id mold
|
$129.30 |
$129.30 |
$129.30 |
$75.75
|
|
Culture fungi definitive id yeast
|
$138.00 |
$138.00 |
$138.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$185.70 |
$185.70 |
$185.70 |
$108.30
|
|
Culture fungi skin/hair/nail
|
$185.70 |
$185.70 |
$185.70 |
$75.40
|
|
Culture mycobacteria definitive id each isolate
|
$311.40 |
$311.40 |
$311.40 |
$88.40
|
|
Culture screening strep group a
|
$223.05 |
$223.05 |
$223.05 |
$82.55
|
|
Culture typing added method
|
$154.95 |
$154.95 |
$154.95 |
$35.86
|
|
Culture typing immunologic
|
$153.90 |
$153.90 |
$153.90 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$163.20 |
$163.20 |
$163.20 |
$129.02
|
|
Cutter lead
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$6,071.35
|
|
Cyanocobalamin unsat binding capacity
|
$87.00 |
$87.00 |
$87.00 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.91 |
$18.91 |
$18.91 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$58.80 |
$58.80 |
$58.80 |
$72.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,450.35 |
$1,450.35 |
$1,450.35 |
$1,211.81
|
|
Cyclophosphamide 25 mg capsule
|
$18.05 |
$18.05 |
$18.05 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$98.55 |
$98.55 |
$98.55 |
$140.78
|
|
Cyclosporine 2 hour
|
$200.40 |
$200.40 |
$200.40 |
$129.00
|
|
Cyclosporine modified 25 mg capsule
|
$5.44 |
$5.44 |
$5.44 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$902.34 |
$902.34 |
$902.34 |
$34.88
|
|
Cygnus matrix, per sq cm
|
$295.20 |
$295.20 |
$295.20 |
$295.20
|
|
Cygnus, per sq cm
|
$295.20 |
$295.20 |
$295.20 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$29,220.00 |
$29,220.00 |
$29,220.00 |
$23,140.82
|
|
Cymetra injectable
|
$371.46 |
$371.46 |
$371.46 |
$578.24
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,179.50 |
$5,179.50 |
$5,179.50 |
$3,863.60
|
|
Cytarabine 20 mg/ml injection solution
|
$71.40 |
$71.40 |
$71.40 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$165.15 |
$165.15 |
$165.15 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$27.45 |
$27.45 |
$27.45 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$159.45 |
$159.45 |
$159.45 |
$163.09
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$147.00 |
$147.00 |
$147.00 |
$86.56
|
|
Cytopathology concentration technique smears & interpretation
|
$114.90 |
$114.90 |
$114.90 |
$133.01
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$148.20 |
$148.20 |
$148.20 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$590.40 |
$590.40 |
$590.40 |
$69.09
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$632.10 |
$632.10 |
$632.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$322.35 |
$322.35 |
$322.35 |
$207.50
|
|
Cytopath smear oth prep screen & interp
|
$193.05 |
$193.05 |
$193.05 |
$95.00
|
|
Dacarbazine 100 mg intravenous solution
|
$45.00 |
$45.00 |
$45.00 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,362.91 |
$5,362.91 |
$5,362.91 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$3,522.68 |
$3,522.68 |
$3,522.68 |
$3,480.87
|
|
Dalteparin sodium
|
$469.55 |
$469.55 |
$469.55 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$140.40 |
$140.40 |
$140.40 |
$169.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$19,192.29 |
$19,192.29 |
$19,192.29 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,597.56 |
$4,597.56 |
$4,597.56 |
$5,546.48
|
