|
Correct rectal prolapse
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$3,722.88
|
|
Cortisol acth stimulation test - sendout
|
$110.25 |
$110.25 |
$110.25 |
$123.73
|
|
Cortisol total am
|
$148.40 |
$148.40 |
$148.40 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$116.81 |
$116.81 |
$116.81 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$119.70 |
$119.70 |
$119.70 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$2,413.39 |
$2,413.39 |
$2,413.39 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$31.85 |
$31.85 |
$31.85 |
$58.61
|
|
C-peptide
|
$127.75 |
$127.75 |
$127.75 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$570.50 |
$570.50 |
$570.50 |
$1,466.97
|
|
C-reactive protein
|
$45.50 |
$45.50 |
$45.50 |
$63.00
|
|
C-reactive protein high sensitivity
|
$47.95 |
$47.95 |
$47.95 |
$91.65
|
|
C-reactive protein, quantitative
|
$182.35 |
$182.35 |
$182.35 |
$62.50
|
|
Creatine kinase
|
$166.60 |
$166.60 |
$166.60 |
$59.78
|
|
Creatine kinase mb
|
$168.70 |
$168.70 |
$168.70 |
$111.00
|
|
Creatinine
|
$64.75 |
$64.75 |
$64.75 |
$44.10
|
|
Creatinine 24 hour urine
|
$237.65 |
$237.65 |
$237.65 |
$59.80
|
|
Creatinine clearance urine
|
$237.65 |
$237.65 |
$237.65 |
$87.50
|
|
Critical care 30-74 minutes
|
$2,722.30 |
$2,722.30 |
$2,722.30 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$694.75 |
$694.75 |
$694.75 |
$777.00
|
|
Crotalidae poly immune fab
|
$4,596.26 |
$4,596.26 |
$4,596.26 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$9,135.35 |
$9,135.35 |
$9,135.35 |
$2,649.05
|
|
Cryoprecipitate each unit
|
$320.25 |
$320.25 |
$320.25 |
$185.64
|
|
Crystal identification light microscopy
|
$123.90 |
$123.90 |
$123.90 |
$65.25
|
|
Csf leakage imaging
|
$874.30 |
$874.30 |
$874.30 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$178.50 |
$178.50 |
$178.50 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$530.95 |
$530.95 |
$530.95 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,338.00 |
$2,338.00 |
$2,338.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,711.15 |
$1,711.15 |
$1,711.15 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,492.05 |
$1,492.05 |
$1,492.05 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,754.45 |
$3,754.45 |
$3,754.45 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,922.15 |
$2,922.15 |
$2,922.15 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,711.15 |
$1,711.15 |
$1,711.15 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,754.45 |
$3,754.45 |
$3,754.45 |
$2,021.40
|
|
CT angio pelvis
|
$1,564.85 |
$1,564.85 |
$1,564.85 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,528.10 |
$1,528.10 |
$1,528.10 |
$1,652.25
|
|
CT guidance for needle placement
|
$779.45 |
$779.45 |
$779.45 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$952.70 |
$952.70 |
$952.70 |
$1,085.05
|
|
CT guid parench tis ablat
|
$2,218.65 |
$2,218.65 |
$2,218.65 |
$1,281.75
|
|
CT limited or localized follow-up study
|
$779.45 |
$779.45 |
$779.45 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$843.50 |
$843.50 |
$843.50 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$649.60 |
$649.60 |
$649.60 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,492.05 |
$1,492.05 |
$1,492.05 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,987.95 |
$2,987.95 |
$2,987.95 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,520.70 |
$2,520.70 |
$2,520.70 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,452.05 |
$3,452.05 |
$3,452.05 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,112.90 |
$3,112.90 |
$3,112.90 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,945.30 |
$1,945.30 |
$1,945.30 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,869.35 |
$1,869.35 |
$1,869.35 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$189.00 |
$189.00 |
$189.00 |
$456.00
|
|
CT scan for therapy guide
|
$329.35 |
$329.35 |
$329.35 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,352.60 |
$4,352.60 |
$4,352.60 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,238.25 |
$2,238.25 |
$2,238.25 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,655.85 |
$1,655.85 |
$1,655.85 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,556.10 |
$1,556.10 |
$1,556.10 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,800.05 |
$1,800.05 |
$1,800.05 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$843.50 |
$843.50 |
$843.50 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$649.60 |
$649.60 |
$649.60 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,492.05 |
$1,492.05 |
$1,492.05 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$99.75 |
$99.75 |
$99.75 |
$63.75
|
|
Culture afb any source
|
$204.75 |
$204.75 |
$204.75 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$152.60 |
$152.60 |
$152.60 |
$77.31
|
|
Culture anaerobic except blood
|
$223.30 |
$223.30 |
$223.30 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$51.45 |
$51.45 |
$51.45 |
$52.80
|
|
Culture body fluid
|
$105.00 |
$105.00 |
$105.00 |
$130.50
|
|
Culture fungi definitive id mold
|
$139.65 |
$139.65 |
$139.65 |
$70.00
|
|
Culture fungi definitive id yeast
|
$99.75 |
$99.75 |
$99.75 |
$80.60
|
|
Culture fungi other (except blood)
|
$137.20 |
$137.20 |
$137.20 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$137.20 |
$137.20 |
$137.20 |
$77.40
|
|
Culture quantitative aerobic other source
|
$115.50 |
$115.50 |
$115.50 |
$87.02
|
|
Culture screening strep group a
|
$85.40 |
$85.40 |
$85.40 |
$81.60
|
|
Culture typing immunologic
|
$126.70 |
$126.70 |
$126.70 |
$41.60
|
|
Culture urine each isolate
|
$29.40 |
$29.40 |
$29.40 |
$46.20
|
|
Curette/treat cornea
|
$551.95 |
$551.95 |
$551.95 |
$1,317.39
|
|
Curette/treat cornea
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$2,818.14
|
|
Cutter lead
|
$13,715.63 |
$13,715.63 |
$13,715.63 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,563.45 |
$1,563.45 |
$1,563.45 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$33.37 |
$33.37 |
$33.37 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$31.50 |
$31.50 |
$31.50 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,587.77 |
$1,587.77 |
$1,587.77 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$6.71 |
$6.71 |
$6.71 |
$23.49
|
|
Cyclosporine 2 hour
|
$36.55 |
$36.55 |
$36.55 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$2.48 |
$2.48 |
$2.48 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$5.66 |
$5.66 |
$5.66 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$22,282.07 |
$22,282.07 |
$22,282.07 |
$22,594.80
|
|
Cystogram >= 3 views supervision & interpretation
|
$604.80 |
$604.80 |
$604.80 |
$539.55
|
|
Cystoscopy and treatment
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$256.55 |
$256.55 |
$256.55 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,671.90 |
$2,671.90 |
$2,671.90 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$110.49 |
$110.49 |
$110.49 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$14.28 |
$14.28 |
$14.28 |
$101.25
|
|
Cytomegalovirus imm IV /vial
|
$5,923.71 |
$5,923.71 |
$5,923.71 |
$3,113.07
|
|
Cytopathology cellular enhancement technique non-gyn
|
$102.90 |
$102.90 |
$102.90 |
$163.43
|