|
Contrast x-ray of knee joint
|
$226.24 |
$226.24 |
$226.24 |
$683.20
|
|
Contrast x-ray of wrist
|
$186.59 |
$186.59 |
$186.59 |
$623.50
|
|
Controller infinity pt dbs
|
$13,370.92 |
$13,370.92 |
$13,370.92 |
$4,487.05
|
|
Control nosebleed pack+caut 30905
|
$97.11 |
$97.11 |
$97.11 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$118.72 |
$118.72 |
$118.72 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$118.72 |
$118.72 |
$118.72 |
$385.45
|
|
Conversion ext bil drg cath
|
$2,001.83 |
$2,001.83 |
$2,001.83 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$471.04 |
$471.04 |
$471.04 |
$3,569.60
|
|
Coombs direct
|
$115.67 |
$115.67 |
$115.67 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$214.30 |
$214.30 |
$214.30 |
$94.90
|
|
Coombs indirect titer reference
|
$212.52 |
$212.52 |
$212.52 |
$146.00
|
|
Core ndl bx lng/med perq
|
$875.98 |
$875.98 |
$875.98 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,499.58 |
$3,499.58 |
$3,499.58 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$3,270.54 |
$3,270.54 |
$3,270.54 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$3,270.54 |
$3,270.54 |
$3,270.54 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$2,996.51 |
$2,996.51 |
$2,996.51 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,628.43 |
$2,628.43 |
$2,628.43 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$285.73 |
$285.73 |
$285.73 |
$489.00
|
|
Correct rectal prolapse
|
$1,641.37 |
$1,641.37 |
$1,641.37 |
$3,722.88
|
|
Cortisol total am
|
$62.28 |
$62.28 |
$62.28 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$171.21 |
$171.21 |
$171.21 |
$249.41
|
|
Coveredge 32 lead kit 40cm 48
|
$1,240.27 |
$1,240.27 |
$1,240.27 |
$3,273.82
|
|
Covid-19 administration immunization im inj 1st/only component
|
$10.68 |
$10.68 |
$10.68 |
$58.61
|
|
Covid-19 convalescent plasma
|
$1,648.24 |
$1,648.24 |
$1,648.24 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$370.63 |
$370.63 |
$370.63 |
$603.65
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$370.63 |
$370.63 |
$370.63 |
$569.31
|
|
Covid-19 lab test non-cdc
|
$50.59 |
$50.59 |
$50.59 |
$58.32
|
|
#covid19rsv-rsv
|
$154.30 |
$154.30 |
$154.30 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$43.47 |
$43.47 |
$43.47 |
$65.36
|
|
C-peptide
|
$61.52 |
$61.52 |
$61.52 |
$100.00
|
|
Cr-51 sodium chromate
|
$300.47 |
$300.47 |
$300.47 |
$2,646.78
|
|
C-reactive protein
|
$25.93 |
$25.93 |
$25.93 |
$63.00
|
|
C-reactive protein high sensitivity
|
$44.24 |
$44.24 |
$44.24 |
$91.65
|
|
Creatine kinase
|
$32.54 |
$32.54 |
$32.54 |
$59.78
|
|
Creatine kinase isoenzymes
|
$44.49 |
$44.49 |
$44.49 |
$46.34
|
|
Creatine kinase mb
|
$55.42 |
$55.42 |
$55.42 |
$111.00
|
|
Creatinine
|
$19.83 |
$19.83 |
$19.83 |
$44.10
|
|
Creatinine 24 hour urine
|
$21.36 |
$21.36 |
$21.36 |
$59.80
|
|
Creatinine clearance urine
|
$44.74 |
$44.74 |
$44.74 |
$87.50
|
|
#creutz-prot.,western blot
|
$75.50 |
$75.50 |
$75.50 |
$173.00
|
|
Critical care 30-74 minutes
|
$1,077.05 |
$1,077.05 |
$1,077.05 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$376.98 |
$376.98 |
$376.98 |
$777.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$3,513.81 |
$3,513.81 |
$3,513.81 |
$2,649.05
|
|
Cryoprecipitate each unit
|
$122.78 |
$122.78 |
$122.78 |
$176.99
|
|
Crystal identification light microscopy
|
$24.66 |
$24.66 |
$24.66 |
$65.25
|
|
Csf leakage imaging
|
$616.44 |
$616.44 |
$616.44 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$92.03 |
$92.03 |
$92.03 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$210.74 |
$210.74 |
$210.74 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$652.54 |
$652.54 |
$652.54 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$622.54 |
$622.54 |
$622.54 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$796.92 |
$796.92 |
$796.92 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$827.68 |
$827.68 |
$827.68 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$973.85 |
$973.85 |
$973.85 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$686.09 |
$686.09 |
$686.09 |
$1,955.80
|
|
CT Angiogram of the Head
|
$680.24 |
$680.24 |
$680.24 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$289.79 |
$289.79 |
$289.79 |
$1,588.60
|
|
CT angio pelvis
|
$839.88 |
$839.88 |
$839.88 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$779.64 |
$779.64 |
$779.64 |
$1,652.25
|
|
CT colonography dx
|
$567.89 |
$567.89 |
$567.89 |
$770.90
|
|
CT colonography dx w/dye
|
$637.79 |
$637.79 |
$637.79 |
$1,009.98
|
|
CT guidance for needle placement
|
$515.01 |
$515.01 |
$515.01 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$306.82 |
$306.82 |
$306.82 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$834.29 |
$834.29 |
$834.29 |
$2,136.75
|
|
CT guid parench tis ablat
|
$820.05 |
$820.05 |
$820.05 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$57.96 |
$57.96 |
$57.96 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$365.29 |
$365.29 |
$365.29 |
$1,217.45
|
|
CT hrt w/3d image
|
$579.58 |
$579.58 |
$579.58 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$314.70 |
$314.70 |
$314.70 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$640.84 |
$640.84 |
$640.84 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$595.85 |
$595.85 |
$595.85 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$769.21 |
$769.21 |
$769.21 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$736.93 |
$736.93 |
$736.93 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$685.33 |
$685.33 |
$685.33 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$854.88 |
$854.88 |
$854.88 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$725.75 |
$725.75 |
$725.75 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$630.68 |
$630.68 |
$630.68 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$594.83 |
$594.83 |
$594.83 |
$1,351.20
|
|
CT scan for therapy guide
|
$508.66 |
$508.66 |
$508.66 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,696.28 |
$1,696.28 |
$1,696.28 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,528.26 |
$1,528.26 |
$1,528.26 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,482.50 |
$1,482.50 |
$1,482.50 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$756.25 |
$756.25 |
$756.25 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$720.41 |
$720.41 |
$720.41 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$72.71 |
$72.71 |
$72.71 |
$400.20
|
|
CT t-spine w /wo contrast
|
$842.68 |
$842.68 |
$842.68 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$669.31 |
$669.31 |
$669.31 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$562.55 |
$562.55 |
$562.55 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$703.12 |
$703.12 |
$703.12 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$40.68 |
$40.68 |
$40.68 |
$63.75
|
|
Culture afb any source
|
$42.20 |
$42.20 |
$42.20 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$37.63 |
$37.63 |
$37.63 |
$77.31
|
|
Culture anaerobic except blood
|
$39.66 |
$39.66 |
$39.66 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$33.31 |
$33.31 |
$33.31 |
$52.80
|
|
Culture body fluid
|
$43.22 |
$43.22 |
$43.22 |
$130.50
|
|
Culture fungi definitive id mold
|
$27.20 |
$27.20 |
$27.20 |
$70.00
|
|
Culture fungi definitive id yeast
|
$27.97 |
$27.97 |
$27.97 |
$80.60
|
|
Culture fungi other (except blood)
|
$45.76 |
$45.76 |
$45.76 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$19.32 |
$19.32 |
$19.32 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$35.85 |
$35.85 |
$35.85 |
$84.75
|
|
Culture mycoplasma any source
|
$51.10 |
$51.10 |
$51.10 |
$90.37
|