|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,431.33 |
$4,431.33 |
$4,431.33 |
$2,792.00
|
|
Cardiolipin antibody iga
|
$967.78 |
$967.78 |
$967.78 |
$114.40
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$932.42 |
$932.42 |
$932.42 |
$634.46
|
|
Ceftazidime and avibactam
|
$1,826.49 |
$1,826.49 |
$1,826.49 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$768.42 |
$768.42 |
$768.42 |
$29.03
|
|
Change g-tube to g-j perc
|
$10,813.39 |
$10,813.39 |
$10,813.39 |
$2,206.00
|
|
Change nephroureteral cath
|
$2,418.22 |
$2,418.22 |
$2,418.22 |
$2,969.25
|
|
Chlamydia culture
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$94.90
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$50.99 |
$50.99 |
$50.99 |
$89.81
|
|
Cholangiogram percutaneous compl
|
$24,268.13 |
$24,268.13 |
$24,268.13 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$3,975.86 |
$3,975.86 |
$3,975.86 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$13,332.78 |
$13,332.78 |
$13,332.78 |
$3,856.84
|
|
Cholesterol body fluid
|
$523.04 |
$523.04 |
$523.04 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$1,502.01 |
$1,502.01 |
$1,502.01 |
$115.70
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$452.33 |
$452.33 |
$452.33 |
$45.27
|
|
Clot factor viii reltd antgn
|
$647.51 |
$647.51 |
$647.51 |
$95.72
|
|
Clot factor xiii fibrin stab
|
$2,033.45 |
$2,033.45 |
$2,033.45 |
$84.27
|
|
Coagulation time activated teg
|
$439.14 |
$439.14 |
$439.14 |
$50.05
|
|
Cold agglutinin titer
|
$644.72 |
$644.72 |
$644.72 |
$49.40
|
|
Colistimethate sodium inj
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$84.22
|
|
Compatibility test each unit electronic
|
$384.91 |
$384.91 |
$384.91 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$369.21 |
$369.21 |
$369.21 |
$159.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,858.23 |
$1,858.23 |
$1,858.23 |
$792.24
|
|
Consultation pathology during surgery frozen section each additional block
|
$706.26 |
$706.26 |
$706.26 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,409.70 |
$1,409.70 |
$1,409.70 |
$210.80
|
|
Contrast exam abdominl aorta 75625-26
|
$21,665.60 |
$21,665.60 |
$21,665.60 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$7,723.06 |
$7,723.06 |
$7,723.06 |
$3,780.00
|
|
Coombs direct
|
$485.28 |
$485.28 |
$485.28 |
$71.74
|
|
Cortisol total am
|
$1,521.58 |
$1,521.58 |
$1,521.58 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$552.84 |
$552.84 |
$552.84 |
$258.83
|
|
Covid-19 lab test non-cdc
|
$89.22 |
$89.22 |
$89.22 |
$56.44
|
|
C-peptide
|
$1,181.75 |
$1,181.75 |
$1,181.75 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$7,539.78 |
$7,539.78 |
$7,539.78 |
$1,409.85
|
|
C-reactive protein
|
$620.95 |
$620.95 |
$620.95 |
$61.10
|
|
C-reactive protein high sensitivity
|
$1,293.63 |
$1,293.63 |
$1,293.63 |
$91.20
|
|
Creatine kinase
|
$983.16 |
$983.16 |
$983.16 |
$58.30
|
|
Creatine kinase isoenzymes
|
$1,675.41 |
$1,675.41 |
$1,675.41 |
$49.40
|
|
Creatine kinase mb
|
$1,243.27 |
$1,243.27 |
$1,243.27 |
$105.95
|
|
Creatinine
|
$783.17 |
$783.17 |
$783.17 |
$42.50
|
|
Creatinine 24 hour urine
|
$718.84 |
$718.84 |
$718.84 |
$59.80
|
|
Creatinine clearance urine
|
$1,418.09 |
$1,418.09 |
$1,418.09 |
$85.80
|
|
Crotalidae poly immune fab
|
$18,065.49 |
$18,065.49 |
$18,065.49 |
$6,208.33
|
|
Cryoprecipitate each unit
|
$161.85 |
$161.85 |
$161.85 |
$190.20
|
|
Crystal identification light microscopy
|
$444.72 |
$444.72 |
$444.72 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$2,235.99 |
$2,235.99 |
$2,235.99 |
$613.47
|
|
CT angio hrt w/3d image
|
$7,518.96 |
$7,518.96 |
$7,518.96 |
$1,601.60
|
|
CT guidance for needle placement
|
$14,782.33 |
$14,782.33 |
$14,782.33 |
$1,506.04
|
|
CT hrt c+ strux cgen hrt ds
|
$807.80 |
$807.80 |
$807.80 |
$1,217.45
|
|
CT hrt w/3d image
|
$629.86 |
$629.86 |
$629.86 |
$1,477.35
|
|
CT thorax low dose for lung screening without contrast
|
$1,133.59 |
$1,133.59 |
$1,133.59 |
$420.60
|
|
Culture afb any source
|
$1,268.45 |
$1,268.45 |
$1,268.45 |
$107.50
|
|
Culture anaerobic except blood
|
$1,643.26 |
$1,643.26 |
$1,643.26 |
$120.00
|
|
Culture fungi definitive id yeast
|
$696.46 |
$696.46 |
$696.46 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,433.48 |
$1,433.48 |
$1,433.48 |
$94.90
|
|
Culture mycoplasma any source
|
$660.10 |
$660.10 |
$660.10 |
$90.37
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$59.52 |
$59.52 |
$59.52 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$545.42 |
$545.42 |
$545.42 |
$85.03
|
|
Cyclophosphamide 25 mg capsule
|
$41.99 |
$41.99 |
$41.99 |
$22.51
|
|
Cyclosporine 2 hour
|
$763.58 |
$763.58 |
$763.58 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$7.87 |
$7.87 |
$7.87 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$87.30 |
$87.30 |
$87.30 |
$42.97
|
|
Cystatin c
|
$997.14 |
$997.14 |
$997.14 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$3,975.86 |
$3,975.86 |
$3,975.86 |
$527.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$918.82 |
$918.82 |
$918.82 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,124.41 |
$1,124.41 |
$1,124.41 |
$101.94
|
|
Cytopathology cellular enhancement technique non-gyn
|
$569.19 |
$569.19 |
$569.19 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$1,581.72 |
$1,581.72 |
$1,581.72 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$583.18 |
$583.18 |
$583.18 |
$122.40
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$420.95 |
$420.95 |
$420.95 |
$185.00
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$5,318.10 |
$5,318.10 |
$5,318.10 |
$544.35
|
|
Decalcification
|
$1,086.64 |
$1,086.64 |
$1,086.64 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$273.77 |
$273.77 |
$273.77 |
$112.87
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,778.50 |
$4,778.50 |
$4,778.50 |
$7,737.00
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$26,388.00 |
$26,388.00 |
$26,388.00 |
$4,240.53
|
|
Dextrose 5 % IV bolus
|
$483.65 |
$483.65 |
$483.65 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,081.06 |
$1,081.06 |
$1,081.06 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$1,241.88 |
$1,241.88 |
$1,241.88 |
$78.03
|
|
Diagnostic Mammogram (both breasts)
|
$3,269.04 |
$3,269.04 |
$3,269.04 |
$403.32
|
|
Diatrizoate meglumine 18 % urethral solution
|
$105.81 |
$105.81 |
$105.81 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$205.01 |
$205.01 |
$205.01 |
$67.89
|
|
Dicyclomine injection
|
$493.32 |
$493.32 |
$493.32 |
$210.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$14,418.81 |
$14,418.81 |
$14,418.81 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$1,390.12 |
$1,390.12 |
$1,390.12 |
$99.35
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,311.88 |
$2,311.88 |
$2,311.88 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$140.19 |
$140.19 |
$140.19 |
$22.58
|
|
Dissolve clot heart vessel
|
$27,054.97 |
$27,054.97 |
$27,054.97 |
$1,274.40
|
|
Dna antibody native/double stranded
|
$868.48 |
$868.48 |
$868.48 |
$101.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1,363.59 |
$1,363.59 |
$1,363.59 |
$64.77
|
|
Doppler intravascular pressure flow initial vessel
|
$3,300.97 |
$3,300.97 |
$3,300.97 |
$3,006.25
|
|
Dornase alfa non-comp unit
|
$793.55 |
$793.55 |
$793.55 |
$500.29
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$533.53 |
$533.53 |
$533.53 |
$89.34
|
|
Drug admin & hemodynmic meas
|
$974.21 |
$974.21 |
$974.21 |
$542.23
|
|
Drug test prsmv instrmnt
|
$1,299.22 |
$1,299.22 |
$1,299.22 |
$78.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$988.75 |
$988.75 |
$988.75 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$2,280.49 |
$2,280.49 |
$2,280.49 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$392.15
|
|
Dx bronchoscope/lavage 31624
|
$11,532.63 |
$11,532.63 |
$11,532.63 |
$2,626.00
|
|
Ecg 12 lead tracing only
|
$1,362.86 |
$1,362.86 |
$1,362.86 |
$243.61
|
|
Echocardiogram (Heart Ultrasound)
|
$9,762.95 |
$9,762.95 |
$9,762.95 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$627.00 |
$627.00 |
$627.00 |
$461.61
|