|
C-reactive protein high sensitivity
|
$128.40 |
$128.40 |
$128.40 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$21,016.31 |
$21,016.31 |
$21,016.31 |
$6,396.89
|
|
Create eardrum opening
|
$9,296.69 |
$9,296.69 |
$9,296.69 |
$3,062.80
|
|
Creatine kinase
|
$67.20 |
$67.20 |
$67.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$142.20 |
$142.20 |
$142.20 |
$54.60
|
|
Creatine kinase mb
|
$73.20 |
$73.20 |
$73.20 |
$112.50
|
|
Creatine - sendout
|
$122.40 |
$122.40 |
$122.40 |
$39.00
|
|
Creatinine
|
$60.00 |
$60.00 |
$60.00 |
$45.60
|
|
Creatinine 24 hour urine
|
$61.20 |
$61.20 |
$61.20 |
$58.00
|
|
Creatinine clearance urine
|
$97.20 |
$97.20 |
$97.20 |
$89.28
|
|
#creutz-prot.,western blot
|
$408.00 |
$408.00 |
$408.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$2,534.35
|
|
Critical care each additional 30 minutes
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$690.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,198.53 |
$9,198.53 |
$9,198.53 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$11,992.50 |
$11,992.50 |
$11,992.50 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$54.06
|
|
Cryoprecipitate each unit
|
$141.00 |
$141.00 |
$141.00 |
$144.78
|
|
Crystal identification light microscopy
|
$74.40 |
$74.40 |
$74.40 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$722.40 |
$722.40 |
$722.40 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$2,967.60 |
$2,967.60 |
$2,967.60 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,210.60 |
$3,210.60 |
$3,210.60 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,853.00 |
$2,853.00 |
$2,853.00 |
$2,019.00
|
|
Cta neck without &/or w/contrast
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$1,890.85
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,444.80 |
$4,444.80 |
$4,444.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,789.80 |
$1,789.80 |
$1,789.80 |
$1,907.85
|
|
CT Angiogram of the Head
|
$1,808.40 |
$1,808.40 |
$1,808.40 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$1,498.08
|
|
Cta upper extremity w &/or without contrast left
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,689.80
|
|
CT guidance for needle placement
|
$2,029.20 |
$2,029.20 |
$2,029.20 |
$1,476.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,178.52
|
|
CT guid parench tis ablat
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$109.00 |
$109.00 |
$109.00 |
$172.80
|
|
CT hrt w/3d image
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,849.80 |
$1,849.80 |
$1,849.80 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$7,748.75 |
$7,748.75 |
$7,748.75 |
$3,586.70
|
|
Ctlso a-p-l control with inter
|
$8,518.00 |
$8,518.00 |
$8,518.00 |
$4,186.78
|
|
Ctlso axilla sling
|
$325.67 |
$325.67 |
$325.67 |
$155.04
|
|
Ctlso milwauke initial model
|
$7,892.86 |
$7,892.86 |
$7,892.86 |
$4,262.27
|
|
CT neck soft tissue w/contrast
|
$2,440.20 |
$2,440.20 |
$2,440.20 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$2,482.80 |
$2,482.80 |
$2,482.80 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,707.60
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,834.20 |
$1,834.20 |
$1,834.20 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$289.20 |
$289.20 |
$289.20 |
$444.50
|
|
CT scan for localization
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,374.00 |
$4,374.00 |
$4,374.00 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,589.60 |
$5,589.60 |
$5,589.60 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,530.00 |
$4,530.00 |
$4,530.00 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,346.80 |
$3,346.80 |
$3,346.80 |
$1,667.05
|
|
CT thoracic spine without contrast
|
$3,122.40 |
$3,122.40 |
$3,122.40 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$265.20 |
$265.20 |
$265.20 |
$341.04
|
|
CT upper extremity w/contrast (both sides)
|
$2,314.80 |
$2,314.80 |
$2,314.80 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$1,407.00
|
|
CT uppr extremity w/o&w/dye
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$3,806.26 |
$3,806.26 |
$3,806.26 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$97.80 |
$97.80 |
$97.80 |
$69.60
|
|
Culture afb any source
|
$178.80 |
$178.80 |
$178.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$109.80 |
$109.80 |
$109.80 |
$82.80
|
|
Culture anaerobic except blood
|
$151.20 |
$151.20 |
$151.20 |
$119.40
|
|
Culture bacteria anaerobic
|
$153.60 |
$153.60 |
$153.60 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$10.20 |
$10.20 |
$10.20 |
$51.20
|
|
Culture body fluid
|
$129.60 |
$129.60 |
$129.60 |
$125.45
|
|
Culture fungi definitive id mold
|
$106.20 |
$106.20 |
$106.20 |
$78.12
|
|
Culture fungi definitive id yeast
|
$96.00 |
$96.00 |
$96.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$142.80 |
$142.80 |
$142.80 |
$105.95
|
|
Culture fungi skin/hair/nail
|
$166.20 |
$166.20 |
$166.20 |
$73.60
|
|
Culture mycobacteria definitive id each isolate
|
$379.20 |
$379.20 |
$379.20 |
$96.00
|
|
Culture mycoplasma any source
|
$124.20 |
$124.20 |
$124.20 |
$82.50
|
|
Culture screening strep group a
|
$95.40 |
$95.40 |
$95.40 |
$82.17
|
|
Culture typing added method
|
$288.00 |
$288.00 |
$288.00 |
$38.25
|
|
Culture typing immunologic
|
$54.00 |
$54.00 |
$54.00 |
$43.20
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$757.20 |
$757.20 |
$757.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$179.40 |
$179.40 |
$179.40 |
$134.16
|
|
Culture urine each isolate
|
$94.80 |
$94.80 |
$94.80 |
$55.25
|
|
Cutter lead
|
$15,411.69 |
$15,411.69 |
$15,411.69 |
$6,152.59
|
|
Cv line/pic reposition
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$77.40 |
$77.40 |
$77.40 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$994.29 |
$994.29 |
$994.29 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$79.18 |
$79.18 |
$79.18 |
$19.49
|
|
Cyclosporine 2 hour
|
$158.40 |
$158.40 |
$158.40 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$9.00 |
$9.00 |
$9.00 |
$7.48
|
|
Cygnus, per sq cm
|
$19,426.50 |
$19,426.50 |
$19,426.50 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$62,903.22 |
$62,903.22 |
$62,903.22 |
$24,131.60
|
|
Cyp2c19 gene com variants
|
$677.40 |
$677.40 |
$677.40 |
$483.00
|
|
Cyp2d6 gene com variants
|
$175.80 |
$175.80 |
$175.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cyp3a5 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cystatin c
|
$115.20 |
$115.20 |
$115.20 |
$76.48
|
|
Cystine urine quantitative
|
$135.00 |
$135.00 |
$135.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$839.40 |
$839.40 |
$839.40 |
$565.61
|
|
Cysto impl 4 or more
|
$41,300.20 |
$41,300.20 |
$41,300.20 |
$6,860.21
|
|
Cysto, litho, vacuum kidney
|
$56,031.68 |
$56,031.68 |
$56,031.68 |
$10,942.71
|
|
Cysto rx balo cath urtl strx
|
$15,287.86 |
$15,287.86 |
$15,287.86 |
$6,311.00
|
|
Cystoscopy and treatment
|
$14,369.56 |
$14,369.56 |
$14,369.56 |
$4,160.10
|
|
Cystoscopy and treatment
|
$32,696.15 |
$32,696.15 |
$32,696.15 |
$5,162.50
|
|
Cystoscopy and treatment
|
$24,784.73 |
$24,784.73 |
$24,784.73 |
$5,995.60
|
