|
Convert nephrostomy catheter
|
$3,054.10 |
$3,054.10 |
$3,054.10 |
$3,569.60
|
|
Coombs direct
|
$87.85 |
$87.85 |
$87.85 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$3.85 |
$3.85 |
$3.85 |
$94.90
|
|
Coombs indirect titer reference
|
$117.25 |
$117.25 |
$117.25 |
$146.00
|
|
Copper intrauterine device
|
$1,609.55 |
$1,609.55 |
$1,609.55 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$861.00 |
$861.00 |
$861.00 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,570.50 |
$7,570.50 |
$7,570.50 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$16,279.90 |
$16,279.90 |
$16,279.90 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$12,544.35 |
$12,544.35 |
$12,544.35 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$14,018.20 |
$14,018.20 |
$14,018.20 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$13,084.40 |
$13,084.40 |
$13,084.40 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,682.75 |
$9,682.75 |
$9,682.75 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$463.05 |
$463.05 |
$463.05 |
$489.00
|
|
Correct finger deformity
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$4,108.00
|
|
Correct rectal prolapse
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$3,722.88
|
|
Cortisol total am
|
$211.75 |
$211.75 |
$211.75 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$320.36 |
$320.36 |
$320.36 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$140.00 |
$140.00 |
$140.00 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$136.15 |
$136.15 |
$136.15 |
$57.85
|
|
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
|
$30.45 |
$30.45 |
$30.45 |
$58.61
|
|
C-peptide
|
$74.90 |
$74.90 |
$74.90 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$1,466.97
|
|
C-reactive protein
|
$122.85 |
$122.85 |
$122.85 |
$63.00
|
|
C-reactive protein high sensitivity
|
$59.15 |
$59.15 |
$59.15 |
$91.65
|
|
C-reactive protein, quantitative
|
$105.00 |
$105.00 |
$105.00 |
$62.50
|
|
Creatine kinase
|
$109.20 |
$109.20 |
$109.20 |
$59.78
|
|
Creatine kinase mb
|
$197.75 |
$197.75 |
$197.75 |
$111.00
|
|
Creatinine
|
$89.60 |
$89.60 |
$89.60 |
$44.10
|
|
Creatinine 24 hour urine
|
$127.75 |
$127.75 |
$127.75 |
$59.80
|
|
Creatinine clearance urine
|
$147.35 |
$147.35 |
$147.35 |
$87.50
|
|
Critical care 30-74 minutes
|
$2,053.10 |
$2,053.10 |
$2,053.10 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$620.20 |
$620.20 |
$620.20 |
$777.00
|
|
Cromolyn sodium noncomp unit
|
$2.46 |
$2.46 |
$2.46 |
$10.57
|
|
Crotalidae poly immune fab
|
$4,596.26 |
$4,596.26 |
$4,596.26 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$157.50 |
$157.50 |
$157.50 |
$185.64
|
|
Cryptosporidium antigen
|
$178.15 |
$178.15 |
$178.15 |
$56.00
|
|
Crystal identification light microscopy
|
$185.15 |
$185.15 |
$185.15 |
$65.25
|
|
Csf shunt reprogram 62252
|
$199.15 |
$199.15 |
$199.15 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$203.35 |
$203.35 |
$203.35 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,920.10 |
$1,920.10 |
$1,920.10 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,802.15 |
$1,802.15 |
$1,802.15 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,399.95 |
$2,399.95 |
$2,399.95 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,802.15 |
$1,802.15 |
$1,802.15 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,588.60
|
|
CT angio pelvis
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,652.25
|
|
CT cerebral perf w cont & prcssng
|
$415.10 |
$415.10 |
$415.10 |
$803.40
|
|
CT colonography dx
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$770.90
|
|
CT colonography dx w/dye
|
$1,802.15 |
$1,802.15 |
$1,802.15 |
$1,009.98
|
|
CT guidance for needle placement
|
$1,059.45 |
$1,059.45 |
$1,059.45 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,539.65 |
$1,539.65 |
$1,539.65 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,050.35 |
$1,050.35 |
$1,050.35 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$450.80 |
$450.80 |
$450.80 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$550.55 |
$550.55 |
$550.55 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,762.25 |
$1,762.25 |
$1,762.25 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,425.90 |
$1,425.90 |
$1,425.90 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,806.30 |
$2,806.30 |
$2,806.30 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,408.70 |
$2,408.70 |
$2,408.70 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,968.35 |
$2,968.35 |
$2,968.35 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,291.45 |
$2,291.45 |
$2,291.45 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,794.10 |
$1,794.10 |
$1,794.10 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$275.80 |
$275.80 |
$275.80 |
$456.00
|
|
CT scan for therapy guide
|
$506.80 |
$506.80 |
$506.80 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,879.80 |
$2,879.80 |
$2,879.80 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,703.40 |
$2,703.40 |
$2,703.40 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,299.15 |
$2,299.15 |
$2,299.15 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,081.10 |
$2,081.10 |
$2,081.10 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$540.75 |
$540.75 |
$540.75 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,403.45 |
$2,403.45 |
$2,403.45 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$996.80 |
$996.80 |
$996.80 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,494.85 |
$1,494.85 |
$1,494.85 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$167.65 |
$167.65 |
$167.65 |
$63.75
|
|
Culture afb any source
|
$283.85 |
$283.85 |
$283.85 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$178.15 |
$178.15 |
$178.15 |
$77.31
|
|
Culture anaerobic except blood
|
$315.70 |
$315.70 |
$315.70 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$449.75 |
$449.75 |
$449.75 |
$52.80
|
|
Culture body fluid
|
$450.10 |
$450.10 |
$450.10 |
$130.50
|
|
Culture fungi definitive id mold
|
$170.45 |
$170.45 |
$170.45 |
$70.00
|
|
Culture fungi definitive id yeast
|
$280.00 |
$280.00 |
$280.00 |
$80.60
|
|
Culture fungi other (except blood)
|
$478.45 |
$478.45 |
$478.45 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$453.25 |
$453.25 |
$453.25 |
$77.40
|
|
Culture screening strep group a
|
$450.10 |
$450.10 |
$450.10 |
$81.60
|
|
Culture typing immunologic
|
$114.45 |
$114.45 |
$114.45 |
$41.60
|
|
Culture urine each isolate
|
$167.65 |
$167.65 |
$167.65 |
$46.20
|
|
Curette/treat cornea
|
$503.65 |
$503.65 |
$503.65 |
$1,317.39
|
|
Curette/treat cornea
|
$1,729.35 |
$1,729.35 |
$1,729.35 |
$2,818.14
|
|
Cutter lead
|
$13,715.63 |
$13,715.63 |
$13,715.63 |
$5,538.98
|
|
Cv line/pic reposition
|
$2,317.00 |
$2,317.00 |
$2,317.00 |
$1,829.42
|