|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,062.01 |
$1,062.01 |
$1,062.01 |
$569.31
|
|
#coxa-coxsackie a serotype a16
|
$184.75 |
$184.75 |
$184.75 |
$65.36
|
|
C-peptide
|
$309.32 |
$309.32 |
$309.32 |
$100.26
|
|
C-reactive protein
|
$176.12 |
$176.12 |
$176.12 |
$61.10
|
|
C-reactive protein high sensitivity
|
$241.49 |
$241.49 |
$241.49 |
$91.65
|
|
Creatine kinase
|
$213.86 |
$213.86 |
$213.86 |
$58.30
|
|
Creatine kinase isoenzymes
|
$213.86 |
$213.86 |
$213.86 |
$49.40
|
|
Creatine kinase mb
|
$229.14 |
$229.14 |
$229.14 |
$106.60
|
|
Creatine - sendout
|
$139.30 |
$139.30 |
$139.30 |
$40.59
|
|
Creatinine
|
$173.76 |
$173.76 |
$173.76 |
$42.50
|
|
Creatinine 24 hour urine
|
$223.41 |
$223.41 |
$223.41 |
$59.80
|
|
Creatinine clearance urine
|
$259.68 |
$259.68 |
$259.68 |
$85.80
|
|
#creutz-prot.,western blot
|
$456.42 |
$456.42 |
$456.42 |
$180.40
|
|
Critical care 30-74 minutes
|
$7,379.79 |
$7,379.79 |
$7,379.79 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$1,597.43 |
$1,597.43 |
$1,597.43 |
$757.20
|
|
Cryofibrinogen qualitative - sendout
|
$150.75 |
$150.75 |
$150.75 |
$50.88
|
|
Cryoprecipitate each unit
|
$112.62 |
$112.62 |
$112.62 |
$190.20
|
|
Crystal identification light microscopy
|
$67.01 |
$67.01 |
$67.01 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$3,831.80 |
$3,831.80 |
$3,831.80 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,351.99 |
$2,351.99 |
$2,351.99 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,118.42 |
$5,118.42 |
$5,118.42 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,532.17 |
$3,532.17 |
$3,532.17 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,210.32 |
$8,210.32 |
$8,210.32 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,925.32 |
$4,925.32 |
$4,925.32 |
$2,017.89
|
|
CT Angiogram of the Head
|
$4,540.19 |
$4,540.19 |
$4,540.19 |
$2,058.65
|
|
CT angio hrt w/3d image
|
$4,038.33 |
$4,038.33 |
$4,038.33 |
$1,601.60
|
|
CT angio pelvis
|
$4,378.56 |
$4,378.56 |
$4,378.56 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$5,118.42 |
$5,118.42 |
$5,118.42 |
$1,661.13
|
|
CT guidance for needle placement
|
$4,142.75 |
$4,142.75 |
$4,142.75 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,114.34 |
$2,114.34 |
$2,114.34 |
$1,058.40
|
|
CT guid parench tis ablat
|
$1,705.77 |
$1,705.77 |
$1,705.77 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$658.76 |
$658.76 |
$658.76 |
$192.00
|
|
CT limited or localized follow-up study
|
$1,466.33 |
$1,466.33 |
$1,466.33 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$3,692.90 |
$3,692.90 |
$3,692.90 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$4,573.84 |
$4,573.84 |
$4,573.84 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$3,662.15 |
$3,662.15 |
$3,662.15 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,886.14 |
$2,886.14 |
$2,886.14 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$3,610.16 |
$3,610.16 |
$3,610.16 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,088.20 |
$4,088.20 |
$4,088.20 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,714.15 |
$3,714.15 |
$3,714.15 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,348.14 |
$3,348.14 |
$3,348.14 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$669.18 |
$669.18 |
$669.18 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$8,083.29 |
$8,083.29 |
$8,083.29 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$9,768.59 |
$9,768.59 |
$9,768.59 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$6,422.46 |
$6,422.46 |
$6,422.46 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$4,079.16 |
$4,079.16 |
$4,079.16 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,708.09 |
$3,708.09 |
$3,708.09 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$1,731.74 |
$1,731.74 |
$1,731.74 |
$420.60
|
|
CT t-spine w /wo contrast
|
$5,294.19 |
$5,294.19 |
$5,294.19 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$4,549.97 |
$4,549.97 |
$4,549.97 |
$1,697.85
|
|
CT upper extremity without contrast (both sides)
|
$3,977.14 |
$3,977.14 |
$3,977.14 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$5,732.50 |
$5,732.50 |
$5,732.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$153.26 |
$153.26 |
$153.26 |
$63.02
|
|
Culture afb any source
|
$206.88 |
$206.88 |
$206.88 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$38.79 |
$38.79 |
$38.79 |
$76.35
|
|
Culture anaerobic except blood
|
$265.91 |
$265.91 |
$265.91 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$288.46 |
$288.46 |
$288.46 |
$52.50
|
|
Culture body fluid
|
$296.54 |
$296.54 |
$296.54 |
$130.40
|
|
Culture fungi definitive id mold
|
$302.28 |
$302.28 |
$302.28 |
$70.00
|
|
Culture fungi definitive id yeast
|
$179.94 |
$179.94 |
$179.94 |
$79.10
|
|
Culture fungi other (except blood)
|
$249.31 |
$249.31 |
$249.31 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$207.13 |
$207.13 |
$207.13 |
$88.14
|
|
Culture mycoplasma any source
|
$306.26 |
$306.26 |
$306.26 |
$90.37
|
|
Culture screening strep group a
|
$216.05 |
$216.05 |
$216.05 |
$78.47
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,783.10 |
$1,783.10 |
$1,783.10 |
$408.75
|
|
Cv line/pic reposition
|
$2,256.08 |
$2,256.08 |
$2,256.08 |
$1,789.77
|
|
Cyanocobalamin unsat binding capacity
|
$221.95 |
$221.95 |
$221.95 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$56.74 |
$56.74 |
$56.74 |
$26.75
|
|
Cyclic citrullinated peptide antibody
|
$280.76 |
$280.76 |
$280.76 |
$85.03
|
|
Cyclosporine 2 hour
|
$432.65 |
$432.65 |
$432.65 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$42.33 |
$42.33 |
$42.33 |
$42.97
|
|
Cyp2c19 gene com variants
|
$1,909.60 |
$1,909.60 |
$1,909.60 |
$553.00
|
|
Cystatin c
|
$116.33 |
$116.33 |
$116.33 |
$82.50
|
|
Cystine urine quantitative
|
$251.24 |
$251.24 |
$251.24 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,457.74 |
$1,457.74 |
$1,457.74 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$46.45 |
$46.45 |
$46.45 |
$67.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$331.33 |
$331.33 |
$331.33 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$281.51 |
$281.51 |
$281.51 |
$102.83
|
|
Cyto/molecular report
|
$519.24 |
$519.24 |
$519.24 |
$150.30
|
|
Cytopathology cellular enhancement technique non-gyn
|
$642.68 |
$642.68 |
$642.68 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.45 |
$87.45 |
$87.45 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$191.37 |
$191.37 |
$191.37 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$224.94 |
$224.94 |
$224.94 |
$124.30
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$368.37 |
$368.37 |
$368.37 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$207.01 |
$207.01 |
$207.01 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$319.88 |
$319.88 |
$319.88 |
$95.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$11,334.49 |
$11,334.49 |
$11,334.49 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11,880.86 |
$11,880.86 |
$11,880.86 |
$5,500.25
|
|
Deamidated gliadin antibody iga
|
$154.94 |
$154.94 |
$154.94 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$942.01 |
$942.01 |
$942.01 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,747.44 |
$3,747.44 |
$3,747.44 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,415.06 |
$1,415.06 |
$1,415.06 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,747.44 |
$3,747.44 |
$3,747.44 |
$1,430.40
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,415.06 |
$1,415.06 |
$1,415.06 |
$810.50
|
|
Debride nail1-5 11720
|
$514.22 |
$514.22 |
$514.22 |
$173.25
|
|
Debride nail6 or more 11721
|
$514.22 |
$514.22 |
$514.22 |
$200.21
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,415.06 |
$1,415.06 |
$1,415.06 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,415.06 |
$1,415.06 |
$1,415.06 |
$1,193.40
|
|
Decalcification
|
$127.58 |
$127.58 |
$127.58 |
$75.38
|