|
Cortisol total am
|
$247.78 |
$247.78 |
$247.78 |
$122.00
|
|
Counseling smoke cess interm >10mins
|
$32.40 |
$32.40 |
$32.40 |
$57.60
|
|
C-peptide
|
$367.11 |
$367.11 |
$367.11 |
$100.26
|
|
C-reactive protein
|
$176.12 |
$176.12 |
$176.12 |
$61.10
|
|
C-reactive protein high sensitivity
|
$385.82 |
$385.82 |
$385.82 |
$91.20
|
|
Creatine kinase
|
$213.86 |
$213.86 |
$213.86 |
$58.30
|
|
Creatinine
|
$173.76 |
$173.76 |
$173.76 |
$42.50
|
|
Creatinine 24 hour urine
|
$215.58 |
$215.58 |
$215.58 |
$59.80
|
|
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 |
$756.00
|
|
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 |
$1,944.00
|
|
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 |
$2,041.78
|
|
Cta upper extremity w &/or without contrast left
|
$5,118.42 |
$5,118.42 |
$5,118.42 |
$1,652.95
|
|
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 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$699.18 |
$699.18 |
$699.18 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$8,083.29 |
$8,083.29 |
$8,083.29 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$7,414.63 |
$7,414.63 |
$7,414.63 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$6,422.46 |
$6,422.46 |
$6,422.46 |
$2,370.63
|
|
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 |
$2,030.60
|
|
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 |
$62.65
|
|
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 |
$75.29
|
|
Culture anaerobic except blood
|
$265.91 |
$265.91 |
$265.91 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$160.44 |
$160.44 |
$160.44 |
$52.50
|
|
Culture body fluid
|
$456.65 |
$456.65 |
$456.65 |
$129.21
|
|
Culture fungi definitive id yeast
|
$179.94 |
$179.94 |
$179.94 |
$79.00
|
|
Culture fungi other (except blood)
|
$249.31 |
$249.31 |
$249.31 |
$94.90
|
|
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
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$56.74 |
$56.74 |
$56.74 |
$26.73
|
|
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
|
|
Cystatin c
|
$116.33 |
$116.33 |
$116.33 |
$82.50
|
|
Cytarabine 20 mg/ml injection solution
|
$46.45 |
$46.45 |
$46.45 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$176.49 |
$176.49 |
$176.49 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$206.67 |
$206.67 |
$206.67 |
$101.94
|
|
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 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,747.44 |
$3,747.44 |
$3,747.44 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,415.06 |
$1,415.06 |
$1,415.06 |
$798.23
|
|
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
|
|
Deferoxamine 500 mg solution for injection
|
$703.27 |
$703.27 |
$703.27 |
$112.87
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$254.71 |
$254.71 |
$254.71 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$18,783.57 |
$18,783.57 |
$18,783.57 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$996.66 |
$996.66 |
$996.66 |
$448.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,329.65 |
$1,329.65 |
$1,329.65 |
$172.46
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$40.07 |
$40.07 |
$40.07 |
$23.27
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$137.39 |
$137.39 |
$137.39 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$137.39 |
$137.39 |
$137.39 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$39.88 |
$39.88 |
$39.88 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$137.39 |
$137.39 |
$137.39 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$349.42 |
$349.42 |
$349.42 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$193.18 |
$193.18 |
$193.18 |
$78.03
|
|
Diagnostic digital breast tomosynthesis bil
|
$298.70 |
$298.70 |
$298.70 |
$117.94
|
|
Diagnostic Mammogram (both breasts)
|
$981.60 |
$981.60 |
$981.60 |
$403.32
|
|
Diatrizoate meglumine 18 % urethral solution
|
$510.98 |
$510.98 |
$510.98 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$70.99 |
$70.99 |
$70.99 |
$67.89
|
|
Dicyclomine injection
|
$287.82 |
$287.82 |
$287.82 |
$210.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$39.16 |
$39.16 |
$39.16 |
$53.00
|
|
Digoxin total therapeutic drug level
|
$229.53 |
$229.53 |
$229.53 |
$99.35
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$31.58 |
$31.58 |
$31.58 |
$22.58
|
|
Dna antibody native/double stranded
|
$505.14 |
$505.14 |
$505.14 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$554.84 |
$554.84 |
$554.84 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$225.82 |
$225.82 |
$225.82 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$173.84 |
$173.84 |
$173.84 |
$64.77
|
|
Doppler echo complete
|
$943.47 |
$943.47 |
$943.47 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,410.47 |
$1,410.47 |
$1,410.47 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$954.58 |
$954.58 |
$954.58 |
$490.82
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,330.89 |
$12,330.89 |
$12,330.89 |
$33,342.33
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$79.40 |
$79.40 |
$79.40 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,855.35 |
$1,855.35 |
$1,855.35 |
$2,469.31
|
|
Drainage external ear complex 69005
|
$8,856.88 |
$8,856.88 |
$8,856.88 |
$2,996.52
|