|
#creutz-prot.,western blot
|
$45.85 |
$45.85 |
$45.85 |
$173.00
|
|
Critical care 30-74 minutes
|
$2,335.20 |
$2,335.20 |
$2,335.20 |
$2,745.69
|
|
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 |
$1,026.00
|
|
Cromolyn sodium noncomp unit
|
$4.83 |
$4.83 |
$4.83 |
$10.57
|
|
Crotalidae poly immune fab
|
$11,925.85 |
$11,925.85 |
$11,925.85 |
$5,160.00
|
|
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 |
$185.64
|
|
Crystal identification light microscopy
|
$56.00 |
$56.00 |
$56.00 |
$65.25
|
|
Csf leakage imaging
|
$564.55 |
$564.55 |
$564.55 |
$1,446.24
|
|
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 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,274.55 |
$4,274.55 |
$4,274.55 |
$2,080.00
|
|
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 |
$1,908.00
|
|
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 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,514.10 |
$1,514.10 |
$1,514.10 |
$1,588.60
|
|
CT angio pelvis
|
$1,253.00 |
$1,253.00 |
$1,253.00 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,546.90 |
$3,546.90 |
$3,546.90 |
$1,652.25
|
|
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 |
$1,570.80 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,502.90 |
$1,502.90 |
$1,502.90 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,290.80 |
$1,290.80 |
$1,290.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$469.70 |
$469.70 |
$469.70 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,423.45 |
$1,423.45 |
$1,423.45 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$562.80 |
$562.80 |
$562.80 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,280.25 |
$2,280.25 |
$2,280.25 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,767.50 |
$1,767.50 |
$1,767.50 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,669.10 |
$2,669.10 |
$2,669.10 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,986.95 |
$1,986.95 |
$1,986.95 |
$1,332.50
|
|
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 |
$1,569.05 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,344.70 |
$1,344.70 |
$1,344.70 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,179.50 |
$1,179.50 |
$1,179.50 |
$1,351.20
|
|
CT scan for therapy guide
|
$1,665.65 |
$1,665.65 |
$1,665.65 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,343.00 |
$7,343.00 |
$7,343.00 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$6,736.45 |
$6,736.45 |
$6,736.45 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,658.80 |
$5,658.80 |
$5,658.80 |
$2,284.15
|
|
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 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$127.05 |
$127.05 |
$127.05 |
$400.20
|
|
CT t-spine w /wo contrast
|
$5,094.95 |
$5,094.95 |
$5,094.95 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,965.95 |
$1,965.95 |
$1,965.95 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,572.55 |
$1,572.55 |
$1,572.55 |
$1,468.83
|
|
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 |
$139.65 |
$63.75
|
|
Culture afb any source
|
$110.60 |
$110.60 |
$110.60 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$93.10 |
$93.10 |
$93.10 |
$77.31
|
|
Culture anaerobic except blood
|
$143.50 |
$143.50 |
$143.50 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$97.65 |
$97.65 |
$97.65 |
$52.80
|
|
Culture body fluid
|
$263.55 |
$263.55 |
$263.55 |
$130.50
|
|
Culture fungi definitive id mold
|
$115.15 |
$115.15 |
$115.15 |
$70.00
|
|
Culture fungi definitive id yeast
|
$79.10 |
$79.10 |
$79.10 |
$80.60
|
|
Culture fungi other (except blood)
|
$135.80 |
$135.80 |
$135.80 |
$105.60
|
|
Culture mycoplasma any source
|
$40.25 |
$40.25 |
$40.25 |
$90.37
|
|
Culture quantitative aerobic other source
|
$14.00 |
$14.00 |
$14.00 |
$87.02
|
|
Culture screening strep group a
|
$110.60 |
$110.60 |
$110.60 |
$81.60
|
|
Culture typing immunologic
|
$77.70 |
$77.70 |
$77.70 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$437.15 |
$437.15 |
$437.15 |
$124.40
|
|
Cutter lead
|
$6,829.20 |
$6,829.20 |
$6,829.20 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$25.90 |
$25.90 |
$25.90 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$19.46 |
$19.46 |
$19.46 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$119.70 |
$119.70 |
$119.70 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$779.37 |
$779.37 |
$779.37 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$1.81 |
$1.81 |
$1.81 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$101.89 |
$101.89 |
$101.89 |
$179.10
|
|
Cyclosporine 2 hour
|
$143.50 |
$143.50 |
$143.50 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$1.50 |
$1.50 |
$1.50 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$938.25 |
$938.25 |
$938.25 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$55,839.42 |
$55,839.42 |
$55,839.42 |
$22,594.80
|
|
Cyp2c9 gene com variants
|
$275.10 |
$275.10 |
$275.10 |
$275.10
|
|
Cystatin c
|
$36.05 |
$36.05 |
$36.05 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$480.90 |
$480.90 |
$480.90 |
$539.55
|
|
Cystometrogram w/up 51727
|
$306.25 |
$306.25 |
$306.25 |
$857.38
|
|
Cystoscopy and treatment
|
$2,703.05 |
$2,703.05 |
$2,703.05 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,101.80 |
$1,101.80 |
$1,101.80 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$2,499.35 |
$2,499.35 |
$2,499.35 |
$3,970.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$968.45 |
$968.45 |
$968.45 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$177.55 |
$177.55 |
$177.55 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$217.00 |
$217.00 |
$217.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$217.70 |
$217.70 |
$217.70 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$3,857.81 |
$3,857.81 |
$3,857.81 |
$3,113.07
|
|
Cytopathology concentration technique smears & interpretation
|
$160.65 |
$160.65 |
$160.65 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$68.95 |
$68.95 |
$68.95 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$120.75 |
$120.75 |
$120.75 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$249.55 |
$249.55 |
$249.55 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$186.20 |
$186.20 |
$186.20 |
$205.00
|
|
Cytotoxic antibody screening
|
$180.95 |
$180.95 |
$180.95 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$160.26 |
$160.26 |
$160.26 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,912.84 |
$5,912.84 |
$5,912.84 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$4,021.94 |
$4,021.94 |
$4,021.94 |
$3,469.30
|