|
#creutz-prot.,western blot
|
$45.85 |
$45.85 |
$45.85 |
$178.61
|
|
Critical care 30-74 minutes
|
$2,335.20 |
$2,335.20 |
$2,335.20 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$70.35 |
$70.35 |
$70.35 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$6,154.92 |
$6,154.92 |
$6,154.92 |
$858.53
|
|
Cromolyn sodium noncomp unit
|
$4.83 |
$4.83 |
$4.83 |
$11.95
|
|
Crotalidae poly immune fab
|
$11,925.85 |
$11,925.85 |
$34,070.06 |
$5,572.50
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,423.75 |
$2,423.75 |
$2,423.75 |
$2,649.05
|
|
Cryocautery of cervix 57511
|
$116.55 |
$116.55 |
$116.55 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$21.35 |
$21.35 |
$21.35 |
$50.88
|
|
Cryoprecipitate each unit
|
$122.15 |
$122.15 |
$122.15 |
$198.60
|
|
Cryopreservation embryo(s)
|
$1,710.47 |
$1,710.47 |
$1,710.47 |
$892.77
|
|
Cryptococcus abs qn - sendout
|
$318.78 |
$318.78 |
$318.78 |
$76.20
|
|
Crystal identification light microscopy
|
$56.00 |
$56.00 |
$56.00 |
$65.25
|
|
Csf leakage imaging
|
$564.55 |
$564.55 |
$564.55 |
$1,433.25
|
|
CT 3d report other modality w/workstation
|
$833.35 |
$833.35 |
$833.35 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,101.00 |
$3,101.00 |
$3,101.00 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,274.55 |
$4,274.55 |
$4,274.55 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,600.80 |
$3,600.80 |
$3,600.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,027.10 |
$4,027.10 |
$4,027.10 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,421.25 |
$3,421.25 |
$3,421.25 |
$2,032.54
|
|
CT Angiogram of the Head
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$2,075.26
|
|
CT angio hrt w/3d image
|
$1,514.10 |
$1,603.66 |
$26,932.00 |
$1,601.60
|
|
CT angio pelvis
|
$1,253.00 |
$1,253.00 |
$23,583.00 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$3,546.90 |
$3,546.90 |
$3,546.90 |
$1,661.13
|
|
CT colonography dx
|
$409.85 |
$409.85 |
$409.85 |
$770.90
|
|
CT colonography dx w/dye
|
$471.45 |
$471.45 |
$471.45 |
$1,009.98
|
|
CT colonography screening
|
$962.50 |
$962.50 |
$962.50 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,570.80 |
$1,570.80 |
$10,564.05 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,502.90 |
$1,502.90 |
$1,502.90 |
$1,077.80
|
|
CT guid parench tis ablat
|
$1,290.80 |
$1,290.80 |
$1,290.80 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$469.70 |
$818.66 |
$17,727.00 |
$196.67
|
|
CT hrt c+ strux cgen hrt ds
|
$1,423.45 |
$1,423.45 |
$24,752.70 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,075.20 |
$24,558.62 |
$26,932.00 |
$1,481.04
|
|
CT limited or localized follow-up study
|
$562.80 |
$562.80 |
$14,011.00 |
$630.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,280.25 |
$2,280.25 |
$2,280.25 |
$1,728.39
|
|
CT lower extremity without contrast (both sides)
|
$1,767.50 |
$1,767.50 |
$1,767.50 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$2,669.10 |
$2,669.10 |
$2,669.10 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$1,986.95 |
$1,986.95 |
$1,986.95 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$2,943.50 |
$2,943.50 |
$2,943.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,569.05 |
$1,569.05 |
$18,597.46 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,344.70 |
$1,344.70 |
$23,026.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,179.50 |
$1,179.50 |
$15,775.75 |
$1,379.95
|
|
CT scan for therapy guide
|
$1,665.65 |
$1,665.65 |
$1,665.65 |
$771.10
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,343.00 |
$7,343.00 |
$7,343.00 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$6,736.45 |
$6,736.45 |
$6,736.45 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,658.80 |
$5,658.80 |
$5,658.80 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$4,334.05 |
$4,334.05 |
$4,334.05 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,308.20 |
$3,308.20 |
$3,308.20 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$127.05 |
$127.05 |
$127.05 |
$427.43
|
|
CT t-spine w /wo contrast
|
$5,094.95 |
$5,094.95 |
$18,636.36 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,965.95 |
$1,965.95 |
$1,965.95 |
$1,714.05
|
|
CT upper extremity without contrast (both sides)
|
$1,572.55 |
$1,572.55 |
$1,572.55 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,437.75 |
$2,437.75 |
$2,437.75 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$139.65 |
$139.65 |
$197.55 |
$66.00
|
|
Culture afb any source
|
$110.60 |
$110.60 |
$731.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$93.10 |
$93.10 |
$848.00 |
$78.82
|
|
Culture anaerobic except blood
|
$143.50 |
$143.50 |
$1,299.11 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$97.65 |
$97.65 |
$886.00 |
$52.50
|
|
Culture body fluid
|
$263.55 |
$263.55 |
$263.55 |
$130.50
|
|
Culture fungi definitive id mold
|
$115.15 |
$115.15 |
$882.27 |
$72.15
|
|
Culture fungi definitive id yeast
|
$79.10 |
$79.10 |
$870.00 |
$80.60
|
|
Culture fungi other (except blood)
|
$135.80 |
$135.80 |
$940.00 |
$100.20
|
|
Culture fungi skin/hair/nail
|
$16.20 |
$886.00 |
$964.04 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$298.00 |
$1,038.68 |
$1,208.01 |
$88.14
|
|
Culture mycoplasma any source
|
$40.25 |
$40.25 |
$1,413.00 |
$90.75
|
|
Culture quantitative aerobic other source
|
$14.00 |
$906.00 |
$1,978.00 |
$85.80
|
|
Culture screening strep group a
|
$110.60 |
$110.60 |
$110.60 |
$81.25
|
|
Culture typing added method
|
$97.00 |
$97.00 |
$886.00 |
$34.45
|
|
Culture typing immunologic
|
$77.70 |
$77.70 |
$77.70 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$437.15 |
$437.15 |
$1,804.00 |
$124.02
|
|
Culture urine each isolate
|
$26.21 |
$721.00 |
$1,090.00 |
$46.20
|
|
Cutter lead
|
$6,829.20 |
$6,829.20 |
$6,829.20 |
$3,154.46
|
|
Cv line/pic reposition
|
$1,410.50 |
$1,410.50 |
$3,486.25 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$25.90 |
$25.90 |
$25.90 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$19.46 |
$47.07 |
$86.00 |
$27.22
|
|
Cyclic citrullinated peptide antibody
|
$119.70 |
$119.70 |
$456.00 |
$82.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$779.37 |
$779.37 |
$779.37 |
$779.37
|
|
Cyclophosphamide 25 mg capsule
|
$1.81 |
$1.81 |
$102.69 |
$26.35
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$101.89 |
$101.89 |
$334.59 |
$171.65
|
|
Cyclosporine 2 hour
|
$143.50 |
$143.50 |
$219.00 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$1.50 |
$1.50 |
$1.50 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$938.25 |
$938.25 |
$938.25 |
$42.97
|
|
Cylinder pump set 20cm titan zero angl
|
$55,839.42 |
$55,839.42 |
$55,839.42 |
$20,966.02
|
|
Cyp2c9 gene com variants
|
$275.10 |
$275.10 |
$275.10 |
$275.10
|
|
Cystatin c
|
$36.05 |
$36.05 |
$556.00 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$480.90 |
$480.90 |
$5,359.91 |
$527.50
|
|
Cystometrogram w/up 51727
|
$306.25 |
$306.25 |
$306.25 |
$857.38
|
|
Cystoscopy and treatment
|
$2,703.05 |
$2,703.05 |
$2,703.05 |
$3,018.60
|
|
Cystoscopy (Bladder Scope)
|
$1,101.80 |
$1,101.80 |
$1,101.80 |
$1,619.67
|
|
Cystoscopy removal of clots
|
$2,499.35 |
$2,499.35 |
$2,499.35 |
$3,820.84
|
|
Cystourethroscop/calib/dilat stric 52281
|
$968.45 |
$968.45 |
$968.45 |
$2,849.55
|
|
Cytarabine 20 mg/ml injection solution
|
$58.30 |
$177.55 |
$177.55 |
$71.71
|
|
Cytogenetics 25-99
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$177.45
|
|
Cytogenomic neo microra alys
|
$4,096.66 |
$4,096.66 |
$4,096.66 |
$1,742.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$217.00 |
$217.00 |
$981.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$217.70 |
$217.70 |
$981.00 |
$100.75
|
|
Cytomegalovirus imm IV /vial
|
$3,857.81 |
$3,857.81 |
$3,857.81 |
$2,635.28
|
|
Cytopath c/v index add-on
|
$1,001.00 |
$1,001.00 |
$1,020.74 |
$29.60
|
