|
Convert nephrostomy catheter
|
$9,238.22 |
$9,238.22 |
$9,238.22 |
$3,569.60
|
|
Coombs direct
|
$123.83 |
$123.83 |
$123.83 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$202.99 |
$202.99 |
$202.99 |
$94.90
|
|
Coombs indirect titer reference
|
$202.99 |
$202.99 |
$202.99 |
$146.00
|
|
Core ndl bx lng/med perq
|
$6,762.78 |
$6,762.78 |
$6,762.78 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,419.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$6,788.83 |
$6,788.83 |
$6,788.83 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$27,418.63 |
$27,418.63 |
$27,418.63 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$23,223.30 |
$23,223.30 |
$23,223.30 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$27,177.71 |
$27,177.71 |
$27,177.71 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$17,759.04 |
$17,759.04 |
$17,759.04 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,972.08 |
$14,972.08 |
$14,972.08 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$835.12 |
$835.12 |
$835.12 |
$489.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Corrj halux rigdus w/implt
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Cortisol total am
|
$261.19 |
$261.19 |
$261.19 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$308.88 |
$308.88 |
$308.88 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$56.89 |
$56.89 |
$56.89 |
$57.85
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,726.81 |
$1,726.81 |
$1,726.81 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,726.81 |
$1,726.81 |
$1,726.81 |
$533.10
|
|
#covid19rsv-rsv
|
$595.82 |
$595.82 |
$595.82 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$181.90 |
$181.90 |
$181.90 |
$65.36
|
|
C-peptide
|
$409.35 |
$409.35 |
$409.35 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$5,433.40 |
$5,433.40 |
$5,433.40 |
$1,466.97
|
|
C-reactive protein
|
$337.86 |
$337.86 |
$337.86 |
$63.00
|
|
C-reactive protein high sensitivity
|
$207.43 |
$207.43 |
$207.43 |
$91.65
|
|
Creatine kinase
|
$105.95 |
$105.95 |
$105.95 |
$59.78
|
|
Creatine kinase isoenzymes
|
$214.52 |
$214.52 |
$214.52 |
$46.34
|
|
Creatine kinase mb
|
$212.77 |
$212.77 |
$212.77 |
$111.00
|
|
Creatine - sendout
|
$73.75 |
$73.75 |
$73.75 |
$39.00
|
|
Creatinine
|
$105.95 |
$105.95 |
$105.95 |
$44.10
|
|
Creatinine 24 hour urine
|
$231.94 |
$231.94 |
$231.94 |
$59.80
|
|
Creatinine clearance urine
|
$364.24 |
$364.24 |
$364.24 |
$87.50
|
|
#creutz-prot.,western blot
|
$256.54 |
$256.54 |
$256.54 |
$173.00
|
|
Crisis psychotherapy 90839
|
$778.02 |
$778.02 |
$778.02 |
$313.30
|
|
Critical care 30-74 minutes
|
$17,343.39 |
$17,343.39 |
$17,343.39 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$6,193.12 |
$6,193.12 |
$6,193.12 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$112.75 |
$112.75 |
$112.75 |
$50.88
|
|
Cryoprecipitate each unit
|
$658.03 |
$658.03 |
$658.03 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$111.05 |
$111.05 |
$111.05 |
$70.00
|
|
Crystal identification light microscopy
|
$291.78 |
$291.78 |
$291.78 |
$65.25
|
|
Csf leakage imaging
|
$3,228.22 |
$3,228.22 |
$3,228.22 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$2,675.84 |
$2,675.84 |
$2,675.84 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$7,787.84 |
$7,787.84 |
$7,787.84 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$8,324.15 |
$8,324.15 |
$8,324.15 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$11,589.01 |
$11,589.01 |
$11,589.01 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$7,778.95 |
$7,778.95 |
$7,778.95 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$15,906.51 |
$15,906.51 |
$15,906.51 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$8,146.87 |
$8,146.87 |
$8,146.87 |
$1,955.80
|
|
CT Angiogram of the Head
|
$7,339.78 |
$7,339.78 |
$7,339.78 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,659.36 |
$1,659.36 |
$1,659.36 |
$1,588.60
|
|
CT angio pelvis
|
$8,118.69 |
$8,118.69 |
$8,118.69 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$5,316.87 |
$5,316.87 |
$5,316.87 |
$1,652.25
|
|
CT colonography dx
|
$938.56 |
$938.56 |
$938.56 |
$770.90
|
|
CT colonography dx w/dye
|
$1,565.59 |
$1,565.59 |
$1,565.59 |
$1,009.98
|
|
CT colonography screening
|
$938.56 |
$938.56 |
$938.56 |
$1,084.20
|
|
CT guidance for needle placement
|
$4,776.38 |
$4,776.38 |
$4,776.38 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,500.73 |
$3,500.73 |
$3,500.73 |
$1,085.05
|
|
CT guid parench tis ablat
|
$5,523.22 |
$5,523.22 |
$5,523.22 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$5,033.88 |
$5,033.88 |
$5,033.88 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,218.74 |
$3,218.74 |
$3,218.74 |
$1,217.45
|
|
CT hrt w/3d image
|
$4,741.02 |
$4,741.02 |
$4,741.02 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$2,956.93 |
$2,956.93 |
$2,956.93 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$7,513.42 |
$7,513.42 |
$7,513.42 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$4,816.27 |
$4,816.27 |
$4,816.27 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$9,016.07 |
$9,016.07 |
$9,016.07 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$6,658.08 |
$6,658.08 |
$6,658.08 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$4,972.71 |
$4,972.71 |
$4,972.71 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$7,470.77 |
$7,470.77 |
$7,470.77 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$6,647.09 |
$6,647.09 |
$6,647.09 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,613.92 |
$5,613.92 |
$5,613.92 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,306.43 |
$5,306.43 |
$5,306.43 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$857.46 |
$857.46 |
$857.46 |
$456.00
|
|
CT scan for therapy guide
|
$2,456.10 |
$2,456.10 |
$2,456.10 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$15,241.02 |
$15,241.02 |
$15,241.02 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$13,197.70 |
$13,197.70 |
$13,197.70 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$10,152.27 |
$10,152.27 |
$10,152.27 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$6,039.22 |
$6,039.22 |
$6,039.22 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$5,800.95 |
$5,800.95 |
$5,800.95 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$934.98 |
$934.98 |
$934.98 |
$400.20
|
|
CT t-spine w /wo contrast
|
$7,247.08 |
$7,247.08 |
$7,247.08 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$6,187.72 |
$6,187.72 |
$6,187.72 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$5,203.16 |
$5,203.16 |
$5,203.16 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$7,527.96 |
$7,527.96 |
$7,527.96 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$419.56 |
$419.56 |
$419.56 |
$63.75
|
|
Culture afb any source
|
$347.95 |
$347.95 |
$347.95 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$253.68 |
$253.68 |
$253.68 |
$77.31
|
|
Culture anaerobic except blood
|
$394.73 |
$394.73 |
$394.73 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$170.82 |
$170.82 |
$170.82 |
$52.80
|
|
Culture body fluid
|
$460.84 |
$460.84 |
$460.84 |
$130.50
|
|
Culture fungi definitive id mold
|
$428.84 |
$428.84 |
$428.84 |
$70.00
|
|
Culture fungi definitive id yeast
|
$165.31 |
$165.31 |
$165.31 |
$80.60
|
|
Culture fungi other (except blood)
|
$510.70 |
$510.70 |
$510.70 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$123.50 |
$123.50 |
$123.50 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$169.01 |
$169.01 |
$169.01 |
$84.75
|
|
Culture mycoplasma any source
|
$256.92 |
$256.92 |
$256.92 |
$90.37
|
|
Culture quantitative aerobic other source
|
$146.28 |
$146.28 |
$146.28 |
$87.02
|
