|
Cryo fib comp path redu each
|
$370.00 |
$370.00 |
$370.00 |
$371.30
|
|
Cryofibrinogen qualitative - sendout
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$75.00 |
$75.00 |
$75.00 |
$144.78
|
|
Cryopreserve testicular tiss
|
$60.00 |
$60.00 |
$60.00 |
$71.65
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$55.00 |
$58.51
|
|
Csf leakage imaging
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$725.00 |
$725.00 |
$725.00 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$2,910.00
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,027.35
|
|
CT angio hrt w/3d image
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,555.00
|
|
CT angio pelvis
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,895.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,698.32
|
|
CT guidance for needle placement
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$8,315.00 |
$8,315.00 |
$8,315.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$24.50 |
$24.50 |
$24.50 |
$196.67
|
|
CT hrt w/3d image
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,398.60
|
|
CT limited or localized follow-up study
|
$945.00 |
$945.00 |
$945.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,887.84
|
|
CT neck soft tissue w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,726.40
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,360.45
|
|
CT scan for localization
|
$845.00 |
$845.00 |
$845.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,610.00 |
$4,610.00 |
$4,610.00 |
$3,575.60
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$2,985.60
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$2,418.75
|
|
CT thoracic spine w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,468.80
|
|
CT thorax low dose for lung screening without contrast
|
$162.50 |
$162.50 |
$162.50 |
$359.90
|
|
CT t-spine w /wo contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$80.00 |
$80.00 |
$80.00 |
$68.64
|
|
Culture afb any source
|
$80.00 |
$80.00 |
$80.00 |
$107.92
|
|
Culture anaerobic additional method definitive id each
|
$47.50 |
$47.50 |
$47.50 |
$77.31
|
|
Culture anaerobic except blood
|
$80.00 |
$80.00 |
$80.00 |
$119.20
|
|
Culture bact stool aero addl path ea
|
$80.00 |
$80.00 |
$80.00 |
$52.50
|
|
Culture body fluid
|
$80.00 |
$80.00 |
$80.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$80.00 |
$80.00 |
$80.00 |
$74.83
|
|
Culture fungi definitive id yeast
|
$80.00 |
$80.00 |
$80.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$80.00 |
$80.00 |
$80.00 |
$108.80
|
|
Culture fungi skin/hair/nail
|
$80.00 |
$80.00 |
$80.00 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$80.00 |
$80.00 |
$80.00 |
$88.14
|
|
Culture screening strep group a
|
$142.50 |
$142.50 |
$142.50 |
$85.80
|
|
Culture type pulse field gel
|
$120.00 |
$120.00 |
$120.00 |
$38.58
|
|
Culture typing immunologic
|
$22.50 |
$22.50 |
$22.50 |
$40.86
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.50 |
$392.50 |
$392.50 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$235.00 |
$235.00 |
$235.00 |
$123.76
|
|
Culture urine each isolate
|
$80.00 |
$80.00 |
$80.00 |
$51.35
|
|
Cutter lead
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,752.40
|
|
Cyanocobalamin unsat binding capacity
|
$100.00 |
$100.00 |
$100.00 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$80.00 |
$80.00 |
$80.00 |
$70.98
|
|
Cyclosporine 2 hour
|
$150.00 |
$150.00 |
$150.00 |
$126.10
|
|
Cystatin c
|
$90.00 |
$90.00 |
$90.00 |
$78.75
|
|
Cystic fibrosis cftr
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,060.00
|
|
Cystine urine quantitative
|
$112.50 |
$112.50 |
$112.50 |
$101.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$510.00 |
$510.00 |
$510.00 |
$564.85
|
|
Cystoscopy and treatment
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$2,896.40
|
|
Cytogenetics 25-99
|
$265.00 |
$265.00 |
$265.00 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$95.00 |
$95.00 |
$95.00 |
$95.45
|
|
Cytomegalovirus (cmv) antibody igm
|
$100.00 |
$100.00 |
$100.00 |
$95.00
|
|
Cyto/molecular report
|
$182.50 |
$182.50 |
$182.50 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$80.00 |
$80.00 |
$80.00 |
$162.50
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$95.00 |
$95.00 |
$95.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$152.50 |
$152.50 |
$152.50 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$100.00 |
$100.00 |
$100.00 |
$132.60
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.50 |
$42.50 |
$42.50 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$120.00 |
$120.00 |
$120.00 |
$186.08
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|
|
Cytopath smear other source
|
$92.50 |
$92.50 |
$92.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$85.00 |
$85.00 |
$85.00 |
$100.20
|
|
Cytopath tbs c/v manual
|
$62.50 |
$62.50 |
$62.50 |
$59.28
|
|
Dalbavancin 500 mg intravenous solution
|
$50.07 |
$50.07 |
$50.07 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$267.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$375.43 |
$375.43 |
$375.43 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.28 |
$17.28 |
$17.28 |
$5,546.48
|
|
Dch validity tests
|
$15.00 |
$15.00 |
$15.00 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,500.00 |
$3,500.00 |
$3,500.00 |
$4,478.50
|
|
Deamidated gliadin antibody iga
|
$85.00 |
$85.00 |
$85.00 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$227.50 |
$227.50 |
$227.50 |
$274.56
|
|
Debride nail1-5 11720
|
$67.50 |
$67.50 |
$67.50 |
$164.56
|
|
Debride nail6 or more 11721
|
$90.00 |
$90.00 |
$90.00 |
$179.20
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$470.00 |
$470.00 |
$470.00 |
$1,146.60
|
|
Decalcification
|
$75.00 |
$75.00 |
$75.00 |
$70.40
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$272.50 |
$272.50 |
$272.50 |
$540.00
|