|
Consultation pathology during surgery cytological exam initial site
|
$60.80 |
$60.80 |
$60.80 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$57.20 |
$57.20 |
$355.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$119.60 |
$119.60 |
$709.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$96.90 |
$96.90 |
$114.80 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$120.00 |
$120.00 |
$120.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$192.80 |
$192.80 |
$192.80 |
$337.44
|
|
Contrast exam abdominl aorta 75625-26
|
$1,895.20 |
$1,895.20 |
$13,233.85 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$3,393.60 |
$3,393.60 |
$3,393.60 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$3,704.00 |
$3,704.00 |
$14,684.35 |
$3,865.46
|
|
Contrast x-ray gallbladder
|
$628.00 |
$628.00 |
$3,675.20 |
$295.80
|
|
Contrast x-ray of ankle
|
$539.20 |
$539.20 |
$539.20 |
$575.82
|
|
Contrast x-ray of brain
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$445.20
|
|
Contrast x-ray of elbow
|
$539.20 |
$539.20 |
$539.20 |
$625.35
|
|
Contrast x-ray of hip
|
$622.40 |
$622.40 |
$622.40 |
$766.40
|
|
Contrast x-ray of knee joint
|
$648.00 |
$648.00 |
$648.00 |
$669.24
|
|
Contrast x-ray of wrist
|
$477.60 |
$477.60 |
$477.60 |
$598.13
|
|
Conv gtube to jtube
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$2,133.54
|
|
Coombs direct
|
$41.22 |
$41.22 |
$41.22 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$63.20 |
$63.20 |
$63.20 |
$100.29
|
|
Coombs indirect titer reference
|
$63.20 |
$63.20 |
$63.20 |
$144.30
|
|
Copper cu 64 dotatate diag
|
$3,123.05 |
$3,123.05 |
$3,123.05 |
$2,083.80
|
|
Cortisol total am
|
$146.37 |
$146.37 |
$146.37 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$91.16 |
$91.16 |
$91.16 |
$233.75
|
|
Co-treatment - group 15 mins, st
|
$281.70 |
$281.70 |
$281.70 |
$108.81
|
|
Covid-19 lab test non-cdc
|
$56.25 |
$56.25 |
$56.25 |
$56.44
|
|
#covid19rsv-rsv
|
$80.50 |
$80.50 |
$80.50 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$17.73 |
$17.73 |
$17.73 |
$65.36
|
|
C-peptide
|
$108.21 |
$108.21 |
$108.21 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$4,001.35 |
$4,001.35 |
$4,001.35 |
$1,410.04
|
|
C-reactive protein
|
$185.09 |
$185.09 |
$185.09 |
$61.60
|
|
C-reactive protein high sensitivity
|
$101.94 |
$101.94 |
$101.94 |
$91.65
|
|
C-reactive protein, quantitative
|
$10.42 |
$10.42 |
$10.42 |
$63.07
|
|
Creatine kinase
|
$107.38 |
$107.38 |
$107.38 |
$60.39
|
|
Creatine kinase isoenzymes
|
$6.60 |
$6.60 |
$6.60 |
$48.48
|
|
Creatine kinase mb
|
$221.80 |
$221.80 |
$272.30 |
$109.47
|
|
Creatinine
|
$43.85 |
$43.85 |
$43.85 |
$44.10
|
|
Creatinine 24 hour urine
|
$53.20 |
$53.20 |
$122.16 |
$62.00
|
|
Creatinine clearance urine
|
$127.00 |
$127.00 |
$613.00 |
$87.20
|
|
#creutz-prot.,western blot
|
$20.18 |
$20.18 |
$20.18 |
$178.10
|
|
Cromolyn sodium noncomp unit
|
$11.95 |
$11.95 |
$11.95 |
$11.95
|
|
Crotalidae poly immune fab
|
$8,817.71 |
$8,817.71 |
$16,416.00 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$79.63 |
$79.63 |
$79.63 |
$50.88
|
|
Cryptosporidium antigen
|
$123.02 |
$123.02 |
$123.02 |
$56.00
|
|
Crystal identification light microscopy
|
$37.59 |
$37.59 |
$363.00 |
$65.25
|
|
Csf leakage imaging
|
$4,593.45 |
$4,593.45 |
$4,593.45 |
$1,433.25
|
|
CT 3d report other modality w/workstation
|
$266.80 |
$266.80 |
$266.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,717.60 |
$2,717.60 |
$2,717.60 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,115.20 |
$3,115.20 |
$3,115.20 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,901.20 |
$2,901.20 |
$2,901.20 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,209.20 |
$7,209.20 |
$7,209.20 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,218.00 |
$3,218.00 |
$3,218.00 |
$2,032.54
|
|
CT Angiogram of the Head
|
$2,901.20 |
$2,901.20 |
$2,901.20 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$1,601.60
|
|
CT angio pelvis
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,652.95
|
|
CT bone density axial
|
$2,862.25 |
$2,862.25 |
$2,862.25 |
$338.69
|
|
CT guidance for needle placement
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$1,084.05
|
|
CT hrt c+ strux cgen hrt ds
|
$16,089.70 |
$16,089.70 |
$16,089.70 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,013.20 |
$1,013.20 |
$16,089.70 |
$1,450.00
|
|
CT limited or localized follow-up study
|
$726.80 |
$726.80 |
$726.80 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$1,934.00 |
$1,934.00 |
$1,934.00 |
$1,700.00
|
|
CT lower extremity without contrast (both sides)
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$1,924.80 |
$1,924.80 |
$1,924.80 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$1,441.60 |
$1,441.60 |
$1,441.60 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,379.95
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,395.60 |
$4,395.60 |
$4,395.60 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,033.20 |
$3,033.20 |
$3,033.20 |
$2,325.05
|
|
CT thoracic spine w/contrast
|
$2,147.20 |
$2,147.20 |
$2,147.20 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,031.60 |
$2,031.60 |
$2,031.60 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,313.20 |
$1,313.20 |
$1,313.20 |
$420.60
|
|
CT t-spine w /wo contrast
|
$2,618.80 |
$2,618.80 |
$2,618.80 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,956.80 |
$1,956.80 |
$1,956.80 |
$1,706.10
|
|
CT upper extremity without contrast (both sides)
|
$1,956.80 |
$1,956.80 |
$1,956.80 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$43.85 |
$43.85 |
$43.85 |
$63.75
|
|
Culture afb any source
|
$130.42 |
$130.42 |
$130.42 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$43.85 |
$43.85 |
$43.85 |
$78.65
|
|
Culture anaerobic except blood
|
$114.48 |
$114.48 |
$114.48 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$9.90 |
$9.90 |
$32.46 |
$52.65
|
|
Culture body fluid
|
$304.43 |
$304.43 |
$304.43 |
$130.50
|
|
Culture fungi definitive id mold
|
$66.63 |
$66.63 |
$300.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$66.63 |
$66.63 |
$101.45 |
$80.40
|
|
Culture fungi other (except blood)
|
$129.28 |
$129.28 |
$129.28 |
$104.00
|
|
Culture fungi skin/hair/nail
|
$8.10 |
$8.10 |
$27.91 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$15.35 |
$15.35 |
$46.37 |
$88.14
|
|
Culture quantitative aerobic other source
|
$10.40 |
$10.40 |
$10.40 |
$85.80
|
|
Culture screening strep group a
|
$117.33 |
$117.33 |
$117.33 |
$80.60
|
|
Culture typing added method
|
$8.15 |
$8.15 |
$8.15 |
$34.45
|
|
Culture typing immunologic
|
$19.36 |
$19.36 |
$19.36 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$129.02 |
$129.02 |
$129.02 |
$124.02
|
|
Cyanocobalamin unsat binding capacity
|
$6.82 |
$6.82 |
$12.15 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1.48 |
$1.48 |
$28.00 |
$27.88
|
|
Cyclic citrullinated peptide antibody
|
$13.60 |
$13.60 |
$24.18 |
$82.00
|
