|
Cold agglutinin screen (arc)
|
$3.72 |
$3.72 |
$3.72 |
$48.10
|
|
Cold agglutinin titer
|
$3.72 |
$3.72 |
$3.72 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$5,299.98 |
$5,299.98 |
$5,299.98 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$81.92 |
$81.92 |
$81.92 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$80.06 |
$80.06 |
$80.06 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$104.36 |
$104.36 |
$104.36 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$76.28 |
$76.28 |
$76.28 |
$173.50
|
|
Compatibility test each unit electronic
|
$76.28 |
$76.28 |
$76.28 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$76.28 |
$76.28 |
$76.28 |
$169.52
|
|
Complement antigen each component c3
|
$43.51 |
$43.51 |
$43.51 |
$110.00
|
|
Complement fixation each
|
$4.62 |
$4.62 |
$4.62 |
$29.12
|
|
Concentration infection agents any type
|
$32.38 |
$32.38 |
$32.38 |
$51.32
|
|
Connector tis 2x10mm
|
$1,605.62 |
$1,605.62 |
$1,605.62 |
$4,024.34
|
|
Consultation pathology during surgery
|
$50.96 |
$50.96 |
$50.96 |
$100.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$26.46 |
$26.46 |
$26.46 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$89.42 |
$89.42 |
$89.42 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$79.38 |
$79.38 |
$79.38 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$119.80 |
$119.80 |
$119.80 |
$176.28
|
|
Consult comp w/report rfrd material
|
$188.40 |
$188.40 |
$188.40 |
$374.40
|
|
Contrast baths charges
|
$17.36 |
$17.36 |
$17.36 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,250.44 |
$1,250.44 |
$1,250.44 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$1,603.25 |
$1,603.25 |
$1,603.25 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$1,292.61 |
$1,292.61 |
$1,292.61 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$188.67 |
$188.67 |
$188.67 |
$341.00
|
|
Contrast x-ray of ankle
|
$345.98 |
$345.98 |
$345.98 |
$684.00
|
|
Contrast x-ray of brain
|
$139.26 |
$139.26 |
$139.26 |
$735.93
|
|
Contrast x-ray of brain
|
$375.81 |
$375.81 |
$375.81 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$345.98 |
$345.98 |
$345.98 |
$708.00
|
|
Contrast x-ray of hip
|
$389.66 |
$389.66 |
$389.66 |
$796.38
|
|
Contrast x-ray of knee joint
|
$345.98 |
$345.98 |
$345.98 |
$790.50
|
|
Contrast x-ray of wrist
|
$342.52 |
$342.52 |
$342.52 |
$667.50
|
|
Controller infinity pt dbs
|
$3,654.39 |
$3,654.39 |
$3,654.39 |
$4,836.44
|
|
Conversion ext bil drg cath
|
$1,641.95 |
$1,641.95 |
$1,641.95 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,903.13 |
$1,903.13 |
$1,903.13 |
$2,777.60
|
|
Coombs direct
|
$18.92 |
$18.92 |
$18.92 |
$76.80
|
|
Coombs indirect titer reference
|
$54.38 |
$54.38 |
$54.38 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,540.64 |
$2,540.64 |
$2,540.64 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,132.38 |
$4,132.38 |
$4,132.38 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$5,723.29 |
$5,723.29 |
$5,723.29 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$4,549.44 |
$4,549.44 |
$4,549.44 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,840.04 |
$2,840.04 |
$2,840.04 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,771.58 |
$2,771.58 |
$2,771.58 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$198.66 |
$198.66 |
$198.66 |
$484.37
|
|
Cortisol total am
|
$51.03 |
$51.03 |
$51.03 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$40.22 |
$40.22 |
$40.22 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$21.37 |
$21.37 |
$21.37 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$2,497.45 |
$2,497.45 |
$2,497.45 |
$4,180.79
|
|
#covid19rsv-rsv
|
$53.38 |
$53.38 |
$53.38 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$7.90 |
$7.90 |
$7.90 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$388.87 |
$388.87 |
$388.87 |
$584.50
|
|
C-peptide
|
$9.95 |
$9.95 |
$9.95 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$355.50 |
$355.50 |
$355.50 |
$777.71
|
|
Cr-51 sodium chromate
|
$191.16 |
$191.16 |
$191.16 |
$688.80
|
|
Crbrospnl fld flw imag cistern
|
$406.46 |
$406.46 |
$406.46 |
$1,330.02
|
|
C-reactive protein
|
$16.99 |
$16.99 |
$16.99 |
$69.36
|
|
C-reactive protein high sensitivity
|
$19.52 |
$19.52 |
$19.52 |
$85.50
|
|
C-reactive protein, quantitative
|
$12.07 |
$12.07 |
$12.07 |
$65.16
|
|
Creatine kinase
|
$33.18 |
$33.18 |
$33.18 |
$66.30
|
|
Creatine kinase isoenzymes
|
$9.32 |
$9.32 |
$9.32 |
$56.20
|
|
Creatine kinase mb
|
$10.43 |
$10.43 |
$10.43 |
$113.63
|
|
Creatine - sendout
|
$9.48 |
$9.48 |
$9.48 |
$41.25
|
|
Creatinine
|
$18.96 |
$18.96 |
$18.96 |
$46.20
|
|
Creatinine 24 hour urine
|
$24.81 |
$24.81 |
$24.81 |
$57.85
|
|
Creatinine clearance urine
|
$4.58 |
$4.58 |
$4.58 |
$90.26
|
|
#creutz-prot.,western blot
|
$24.49 |
$24.49 |
$24.49 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,031.70 |
$1,031.70 |
$1,031.70 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,063.12 |
$2,063.12 |
$2,063.12 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$26.25 |
$26.25 |
$26.25 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$6.56 |
$6.56 |
$6.56 |
$89.70
|
|
Cryptosporidium antigen
|
$28.08 |
$28.08 |
$28.08 |
$52.08
|
|
Crystal identification light microscopy
|
$15.05 |
$15.05 |
$15.05 |
$66.43
|
|
Csf leakage imaging
|
$517.19 |
$517.19 |
$517.19 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$305.53 |
$305.53 |
$305.53 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$496.20 |
$496.20 |
$496.20 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$770.07 |
$770.07 |
$770.07 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$541.17 |
$541.17 |
$541.17 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$474.52 |
$474.52 |
$474.52 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$713.71 |
$713.71 |
$713.71 |
$1,915.30
|
|
CT Angiogram of the Head
|
$499.40 |
$499.40 |
$499.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$456.30 |
$456.30 |
$456.30 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$486.75 |
$486.75 |
$486.75 |
$1,428.68
|
|
CT angio pelvis
|
$595.02 |
$595.02 |
$595.02 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$523.61 |
$523.61 |
$523.61 |
$1,691.30
|
|
CT bone density axial
|
$69.29 |
$69.29 |
$69.29 |
$385.15
|
|
CT guidance for needle placement
|
$354.44 |
$354.44 |
$354.44 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$460.78 |
$460.78 |
$460.78 |
$1,215.06
|
|
CT guid parench tis ablat
|
$302.06 |
$302.06 |
$302.06 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$502.07 |
$502.07 |
$502.07 |
$150.00
|
|
CT hrt w/3d image
|
$442.90 |
$442.90 |
$442.90 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$113.68 |
$113.68 |
$113.68 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$472.46 |
$472.46 |
$472.46 |
$1,818.96
|
|
CT scan for localization
|
$391.88 |
$391.88 |
$391.88 |
$1,216.80
|
|
CT scan for therapy guide
|
$149.57 |
$149.57 |
$149.57 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$733.40 |
$733.40 |
$733.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$611.23 |
$611.23 |
$611.23 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$488.87 |
$488.87 |
$488.87 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$761.77 |
$761.77 |
$761.77 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$498.52 |
$498.52 |
$498.52 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$26.06 |
$26.06 |
$26.06 |
$72.00
|
|
Culture afb any source
|
$88.04 |
$88.04 |
$88.04 |
$110.60
|