|
C motor evoked upr&lwr limbs
|
$10,235.92 |
$10,235.92 |
$10,235.92 |
$1,273.61
|
|
#cmvcul-virus inoculation shell
|
$180.10 |
$180.10 |
$180.10 |
$102.57
|
|
Cmv pcr-sendout
|
$92.00 |
$92.00 |
$92.00 |
$172.25
|
|
Co2 monitor per day
|
$1,429.36 |
$1,429.36 |
$1,429.36 |
$388.85
|
|
Coagulation time activated teg
|
$324.27 |
$324.27 |
$324.27 |
$50.05
|
|
Codeine 15 mg/ml inj 2 ml
|
$35.06 |
$35.06 |
$35.06 |
$43.17
|
|
Cold agglutinin titer
|
$4.07 |
$4.07 |
$4.07 |
$49.40
|
|
Colistimethate sodium inj
|
$962.85 |
$962.85 |
$962.85 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$331.38 |
$331.38 |
$331.38 |
$46.88
|
|
Compatibility test each unit electronic
|
$770.11 |
$770.11 |
$770.11 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,516.57 |
$1,516.57 |
$1,516.57 |
$159.95
|
|
Compatibility test incubate
|
$995.74 |
$995.74 |
$995.74 |
$143.64
|
|
Comp cystometrogram/void presssure 51728
|
$1,345.15 |
$1,345.15 |
$1,345.15 |
$958.81
|
|
Comprehensive hearing test
|
$189.29 |
$189.29 |
$189.29 |
$220.23
|
|
Conditioning play audiometry 92582
|
$189.29 |
$189.29 |
$189.29 |
$185.15
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,101.47 |
$1,101.47 |
$1,101.47 |
$792.24
|
|
Consultation pathology during surgery
|
$161.37 |
$161.37 |
$161.37 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,121.61 |
$2,121.61 |
$2,121.61 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,296.41 |
$1,296.41 |
$1,296.41 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$3,009.35 |
$3,009.35 |
$3,009.35 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$31.51 |
$31.51 |
$31.51 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$445.14 |
$445.14 |
$445.14 |
$176.15
|
|
Consult comp w/report rfrd material
|
$125.00 |
$125.00 |
$125.00 |
$345.71
|
|
Cont intraop neuro monitor
|
$1,152.99 |
$1,152.99 |
$1,152.99 |
$335.25
|
|
Contrast baths charges
|
$207.41 |
$207.41 |
$207.41 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$2,219.36 |
$2,219.36 |
$2,219.36 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$3,446.23 |
$3,446.23 |
$3,446.23 |
$276.65
|
|
Contrast x-ray of ankle
|
$603.85 |
$603.85 |
$603.85 |
$566.28
|
|
Controler lvad heartmate 3 includes ebb
|
$28,333.80 |
$28,333.80 |
$28,333.80 |
$11,723.40
|
|
Coombs indirect qualitative each reagent red cell reference
|
$919.81 |
$919.81 |
$919.81 |
$100.29
|
|
Coombs indirect titer reference
|
$742.47 |
$742.47 |
$742.47 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,250.52 |
$2,250.52 |
$2,250.52 |
$258.83
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
|
Crbrospnl fld flw imag cistern
|
$12,130.20 |
$12,130.20 |
$12,130.20 |
$1,409.85
|
|
C-reactive protein
|
$637.66 |
$637.66 |
$637.66 |
$61.10
|
|
C-reactive protein high sensitivity
|
$394.63 |
$394.63 |
$394.63 |
$91.20
|
|
Creatine kinase
|
$1,385.88 |
$1,385.88 |
$1,385.88 |
$58.30
|
|
Creatine kinase isoenzymes
|
$6.00 |
$6.00 |
$6.00 |
$49.40
|
|
Creatine kinase mb
|
$964.93 |
$964.93 |
$964.93 |
$105.95
|
|
Creatinine clearance urine
|
$1,057.91 |
$1,057.91 |
$1,057.91 |
$85.80
|
|
Critical care 30-74 minutes
|
$3,742.05 |
$3,742.05 |
$3,742.05 |
$2,595.34
|
|
Crotalidae poly immune fab
|
$18,932.35 |
$18,932.35 |
$18,932.35 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$2.00 |
$2.00 |
$2.00 |
$50.88
|
|
Csf leakage imaging
|
$8,282.68 |
$8,282.68 |
$8,282.68 |
$1,433.25
|
|
Csf ventriculography
|
$6,035.82 |
$6,035.82 |
$6,035.82 |
$714.87
|
|
Cta abdomen without & /or w/contrast
|
$4,189.88 |
$4,189.88 |
$4,189.88 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$7,368.39 |
$7,368.39 |
$7,368.39 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$4,189.88 |
$4,189.88 |
$4,189.88 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$22,507.57 |
$22,507.57 |
$22,507.57 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$13,140.56 |
$13,140.56 |
$13,140.56 |
$2,017.89
|
|
CT Angiogram of the Head
|
$4,189.88 |
$4,189.88 |
$4,189.88 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$15,446.33 |
$15,446.33 |
$15,446.33 |
$1,601.60
|
|
CT angio pelvis
|
$3,034.06 |
$3,034.06 |
$3,034.06 |
$1,778.40
|
|
CT guidance for needle placement
|
$11,822.00 |
$11,822.00 |
$11,822.00 |
$1,506.04
|
|
CT guid parench tis ablat
|
$11,822.00 |
$11,822.00 |
$11,822.00 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$15,116.56 |
$15,116.56 |
$15,116.56 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$16,563.36 |
$16,563.36 |
$16,563.36 |
$1,217.45
|
|
CT hrt w/3d image
|
$15,116.56 |
$15,116.56 |
$15,116.56 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$6,200.78 |
$6,200.78 |
$6,200.78 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$3,044.26 |
$3,044.26 |
$3,044.26 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$5,560.56 |
$5,560.56 |
$5,560.56 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$5,055.12 |
$5,055.12 |
$5,055.12 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$10,022.07 |
$10,022.07 |
$10,022.07 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$9,148.55 |
$9,148.55 |
$9,148.55 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$12,082.76 |
$12,082.76 |
$12,082.76 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$11,984.76 |
$11,984.76 |
$11,984.76 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$7,618.58 |
$7,618.58 |
$7,618.58 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$9,020.77 |
$9,020.77 |
$9,020.77 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$20,840.35 |
$20,840.35 |
$20,840.35 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$17,783.09 |
$17,783.09 |
$17,783.09 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$16,321.89 |
$16,321.89 |
$16,321.89 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$8,212.14 |
$8,212.14 |
$8,212.14 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$7,485.07 |
$7,485.07 |
$7,485.07 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$10,883.16 |
$10,883.16 |
$10,883.16 |
$420.60
|
|
CT t-spine w /wo contrast
|
$14,166.19 |
$14,166.19 |
$14,166.19 |
$2,030.60
|
|
Culture anaerobic except blood
|
$2,415.02 |
$2,415.02 |
$2,415.02 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$890.03 |
$890.03 |
$890.03 |
$52.50
|
|
Culture mycoplasma any source
|
$11.92 |
$11.92 |
$11.92 |
$90.37
|
|
Culture typing immunologic
|
$58.47 |
$58.47 |
$58.47 |
$41.19
|
|
Culture urine each isolate
|
$906.81 |
$906.81 |
$906.81 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$30.41 |
$30.41 |
$30.41 |
$26.73
|
|
Cyclophosphamide 25 mg capsule
|
$60.11 |
$60.11 |
$60.11 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$92.91 |
$92.91 |
$92.91 |
$150.79
|
|
Cyclosporine modified 25 mg capsule
|
$24.68 |
$24.68 |
$24.68 |
$9.79
|
|
Cystatin c
|
$10.00 |
$10.00 |
$10.00 |
$82.50
|
|
Cystine urine quantitative
|
$13.48 |
$13.48 |
$13.48 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,632.33 |
$2,632.33 |
$2,632.33 |
$527.50
|
|
Cystometrogram w/up 51727
|
$2,410.95 |
$2,410.95 |
$2,410.95 |
$857.38
|
|
Cytarabine 20 mg/ml injection solution
|
$374.61 |
$374.61 |
$374.61 |
$66.95
|
|
Cytomegalovirus imm IV /vial
|
$3,373.92 |
$3,373.92 |
$3,373.92 |
$2,635.28
|
|
Cytopath c/v index add-on
|
$911.15 |
$911.15 |
$911.15 |
$29.60
|
|
Cytopath fl nongyn filter
|
$27.59 |
$27.59 |
$27.59 |
$66.61
|
|
Cytopathology cellular enhancement technique non-gyn
|
$217.54 |
$217.54 |
$217.54 |
$163.43
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$520.65 |
$520.65 |
$520.65 |
$75.60
|
|
Cytopath smear other source
|
$18.14 |
$18.14 |
$18.14 |
$135.27
|
|
Cytopath smear oth prep screen & interp
|
$11.59 |
$11.59 |
$11.59 |
$95.00
|
|
Cytopath tbs c/v manual
|
$74.53 |
$74.53 |
$74.53 |
$57.94
|
|
Cytotoxic antibody screening
|
$183.00 |
$183.00 |
$183.00 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$124.87 |
$124.87 |
$124.87 |
$61.64
|
