|
Coombs direct
|
$51.68 |
$51.68 |
$51.68 |
$74.75
|
|
Coombs indirect titer reference
|
$61.18 |
$61.18 |
$61.18 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,196.43 |
$1,196.43 |
$1,196.43 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,338.08 |
$4,338.08 |
$4,338.08 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,251.63 |
$4,251.63 |
$4,251.63 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$4,604.27 |
$4,604.27 |
$4,604.27 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,030.72 |
$2,030.72 |
$2,030.72 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,945.03 |
$1,945.03 |
$1,945.03 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$65.17 |
$65.17 |
$65.17 |
$476.00
|
|
Cortisol total am
|
$17.48 |
$17.48 |
$17.48 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$178.42 |
$178.42 |
$178.42 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$26.41 |
$26.41 |
$26.41 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$22.42 |
$22.42 |
$22.42 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$807.50 |
$807.50 |
$807.50 |
$3,902.40
|
|
Covid-19 administration immunization im inj 1st/only component
|
$24.70 |
$24.70 |
$24.70 |
$49.13
|
|
Covid-19 convalescent plasma
|
$480.89 |
$480.89 |
$480.89 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$300.01 |
$300.01 |
$300.01 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$300.01 |
$300.01 |
$300.01 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$35.34 |
$35.34 |
$35.34 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$23.37 |
$23.37 |
$23.37 |
$60.00
|
|
C-peptide
|
$30.21 |
$30.21 |
$30.21 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$453.34 |
$453.34 |
$453.34 |
$1,240.80
|
|
C-reactive protein
|
$9.50 |
$9.50 |
$9.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$29.07 |
$29.07 |
$29.07 |
$85.00
|
|
Creatine kinase
|
$12.54 |
$12.54 |
$12.54 |
$66.30
|
|
Creatine kinase isoenzymes
|
$15.96 |
$15.96 |
$15.96 |
$57.50
|
|
Creatine kinase mb
|
$24.70 |
$24.70 |
$24.70 |
$114.00
|
|
Creatine - sendout
|
$44.84 |
$44.84 |
$44.84 |
$38.35
|
|
Creatinine
|
$11.21 |
$11.21 |
$11.21 |
$44.72
|
|
Creatinine 24 hour urine
|
$11.21 |
$11.21 |
$11.21 |
$58.85
|
|
Creatinine clearance urine
|
$75.62 |
$75.62 |
$75.62 |
$89.50
|
|
#creutz-prot.,western blot
|
$56.24 |
$56.24 |
$56.24 |
$166.20
|
|
Critical care 30-74 minutes
|
$457.90 |
$457.90 |
$457.90 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$183.16 |
$183.16 |
$183.16 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$657.02 |
$657.02 |
$657.02 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$17.10 |
$17.10 |
$17.10 |
$52.50
|
|
Cryoprecipitate each unit
|
$44.84 |
$44.84 |
$44.84 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$92.53 |
$92.53 |
$92.53 |
$89.70
|
|
Cryptosporidium antigen
|
$20.71 |
$20.71 |
$20.71 |
$52.08
|
|
Crystal identification light microscopy
|
$26.60 |
$26.60 |
$26.60 |
$62.40
|
|
CT 3d report other modality w/workstation
|
$79.80 |
$79.80 |
$79.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$738.72 |
$738.72 |
$738.72 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$705.47 |
$705.47 |
$705.47 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$594.13 |
$594.13 |
$594.13 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,934.58 |
$1,934.58 |
$1,934.58 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$916.56 |
$916.56 |
$916.56 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$895.09 |
$895.09 |
$895.09 |
$1,501.56
|
|
CT angio pelvis
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$705.47 |
$705.47 |
$705.47 |
$1,697.80
|
|
CT guidance for needle placement
|
$687.42 |
$687.42 |
$687.42 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$509.20 |
$509.20 |
$509.20 |
$1,168.20
|
|
CT guid parench tis ablat
|
$313.88 |
$313.88 |
$313.88 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$51.11 |
$51.11 |
$51.11 |
$171.60
|
|
CT hrt w/3d image
|
$792.11 |
$792.11 |
$792.11 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$283.29 |
$283.29 |
$283.29 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$762.47 |
$762.47 |
$762.47 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$610.85 |
$610.85 |
$610.85 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$872.48 |
$872.48 |
$872.48 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$762.47 |
$762.47 |
$762.47 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$427.50 |
$427.50 |
$427.50 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$839.04 |
$839.04 |
$839.04 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$881.22 |
$881.22 |
$881.22 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$733.21 |
$733.21 |
$733.21 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$587.29 |
$587.29 |
$587.29 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$56.24 |
$56.24 |
$56.24 |
$444.50
|
|
CT scan for therapy guide
|
$64.79 |
$64.79 |
$64.79 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,832.36 |
$1,832.36 |
$1,832.36 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,526.46 |
$1,526.46 |
$1,526.46 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,196.24 |
$1,196.24 |
$1,196.24 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$762.47 |
$762.47 |
$762.47 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$693.31 |
$693.31 |
$693.31 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$42.18 |
$42.18 |
$42.18 |
$331.50
|
|
CT t-spine w /wo contrast
|
$916.56 |
$916.56 |
$916.56 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$762.47 |
$762.47 |
$762.47 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$366.32 |
$366.32 |
$366.32 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$872.48 |
$872.48 |
$872.48 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$78.66 |
$78.66 |
$78.66 |
$68.64
|
|
Culture afb any source
|
$21.66 |
$21.66 |
$21.66 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$71.06 |
$71.06 |
$71.06 |
$79.00
|
|
Culture anaerobic except blood
|
$113.24 |
$113.24 |
$113.24 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$114.95 |
$114.95 |
$114.95 |
$51.51
|
|
Culture body fluid
|
$78.66 |
$78.66 |
$78.66 |
$126.72
|
|
Culture fungi other (except blood)
|
$22.42 |
$22.42 |
$22.42 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$5.70 |
$5.70 |
$5.70 |
$74.75
|
|
Culture mycoplasma any source
|
$95.19 |
$95.19 |
$95.19 |
$85.26
|
|
Culture quantitative aerobic other source
|
$6.46 |
$6.46 |
$6.46 |
$90.35
|
|
Culture screening strep group a
|
$94.81 |
$94.81 |
$94.81 |
$81.00
|
|
Culture typing immunologic
|
$7.03 |
$7.03 |
$7.03 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$139.65 |
$139.65 |
$139.65 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$16.15 |
$16.15 |
$16.15 |
$133.90
|
|
Cv line/pic reposition
|
$431.87 |
$431.87 |
$431.87 |
$1,720.93
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$282.24 |
$282.24 |
$282.24 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$19.00 |
$19.00 |
$19.00 |
$70.98
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,019.11 |
$1,019.11 |
$1,019.11 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$7.25 |
$7.25 |
$7.25 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$103.16 |
$103.16 |
$103.16 |
$140.78
|
|
Cyclosporine 2 hour
|
$23.37 |
$23.37 |
$23.37 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$2.23 |
$2.23 |
$2.23 |
$7.48
|