|
#covid19rsv-rsv
|
$1,083.54 |
$1,083.54 |
$1,083.54 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$201.12 |
$201.12 |
$201.12 |
$65.36
|
|
C-peptide
|
$103.33 |
$103.33 |
$103.33 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$4,191.86 |
$4,191.86 |
$4,191.86 |
$1,410.04
|
|
C-reactive protein
|
$195.89 |
$195.89 |
$195.89 |
$63.00
|
|
C-reactive protein high sensitivity
|
$195.89 |
$195.89 |
$195.89 |
$91.20
|
|
C-reactive protein, quantitative
|
$52.79 |
$52.79 |
$52.79 |
$63.07
|
|
Create eardrum opening
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$3,006.50
|
|
Creatine kinase
|
$332.49 |
$332.49 |
$332.49 |
$58.30
|
|
Creatine kinase isoenzymes
|
$206.67 |
$206.67 |
$206.67 |
$47.25
|
|
Creatine kinase mb
|
$350.06 |
$350.06 |
$350.06 |
$111.00
|
|
Creatine - sendout
|
$71.62 |
$71.62 |
$71.62 |
$39.00
|
|
Creatinine
|
$196.17 |
$196.17 |
$196.17 |
$43.80
|
|
Creatinine 24 hour urine
|
$226.60 |
$226.60 |
$226.60 |
$61.95
|
|
Creatinine clearance urine
|
$290.79 |
$290.79 |
$290.79 |
$86.40
|
|
#creutz-prot.,western blot
|
$450.86 |
$450.86 |
$450.86 |
$178.10
|
|
Critical care 30-74 minutes
|
$7,182.44 |
$7,182.44 |
$7,182.44 |
$2,722.30
|
|
Critical care each additional 30 minutes
|
$1,714.57 |
$1,714.57 |
$1,714.57 |
$756.00
|
|
Cryofibrinogen qualitative - sendout
|
$218.25 |
$218.25 |
$218.25 |
$50.88
|
|
Cryoprecipitate each unit
|
$317.32 |
$317.32 |
$317.32 |
$190.20
|
|
Crystal identification light microscopy
|
$148.96 |
$148.96 |
$148.96 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$2,064.98 |
$2,064.98 |
$2,064.98 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$10,680.65 |
$10,680.65 |
$10,680.65 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$14,101.57 |
$14,101.57 |
$14,101.57 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,707.05 |
$5,707.05 |
$5,707.05 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$13,196.26 |
$13,196.26 |
$13,196.26 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$14,348.12 |
$14,348.12 |
$14,348.12 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$9,984.31 |
$9,984.31 |
$9,984.31 |
$2,015.65
|
|
CT Angiogram of the Head
|
$10,926.81 |
$10,926.81 |
$10,926.81 |
$2,032.54
|
|
CT angio hrt w/3d image
|
$2,372.05 |
$2,372.05 |
$2,372.05 |
$1,601.60
|
|
CT angio pelvis
|
$7,279.87 |
$7,279.87 |
$7,279.87 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$6,197.28 |
$6,197.28 |
$6,197.28 |
$1,652.25
|
|
CT colonography dx
|
$1,477.19 |
$1,477.19 |
$1,477.19 |
$770.90
|
|
CT colonography screening
|
$3,401.46 |
$3,401.46 |
$3,401.46 |
$1,084.20
|
|
CT guidance for needle placement
|
$5,508.26 |
$5,508.26 |
$5,508.26 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,856.98 |
$2,856.98 |
$2,856.98 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,961.93 |
$1,961.93 |
$1,961.93 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$1,150.55 |
$1,150.55 |
$1,150.55 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,808.35 |
$1,808.35 |
$1,808.35 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,147.56 |
$2,147.56 |
$2,147.56 |
$1,424.40
|
|
CT limited or localized follow-up study
|
$2,572.71 |
$2,572.71 |
$2,572.71 |
$626.07
|
|
CT lower extremity w/contrast (both sides)
|
$7,902.23 |
$7,902.23 |
$7,902.23 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$6,771.08 |
$6,771.08 |
$6,771.08 |
$1,400.00
|
|
CT lwr extremity w/o&w/dye
|
$9,027.48 |
$9,027.48 |
$9,027.48 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$8,657.33 |
$8,657.33 |
$8,657.33 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$7,022.49 |
$7,022.49 |
$7,022.49 |
$1,357.54
|
|
CT neck soft tissue without & w/contrast
|
$9,292.69 |
$9,292.69 |
$9,292.69 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$9,665.73 |
$9,665.73 |
$9,665.73 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$8,461.54 |
$8,461.54 |
$8,461.54 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$7,225.50 |
$7,225.50 |
$7,225.50 |
$1,370.85
|
|
Ctrl nosebld postir subsq 30906
|
$2,553.81 |
$2,553.81 |
$2,553.81 |
$470.73
|
|
CT scan for therapy guide
|
$2,103.83 |
$2,103.83 |
$2,103.83 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$15,632.01 |
$15,632.01 |
$15,632.01 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$14,185.64 |
$14,185.64 |
$14,185.64 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$13,573.71 |
$13,573.71 |
$13,573.71 |
$2,299.15
|
|
CT thoracic spine w/contrast
|
$8,266.23 |
$8,266.23 |
$8,266.23 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$7,653.92 |
$7,653.92 |
$7,653.92 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,046.32 |
$2,046.32 |
$2,046.32 |
$420.60
|
|
CT t-spine w /wo contrast
|
$8,980.80 |
$8,980.80 |
$8,980.80 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$8,338.78 |
$8,338.78 |
$8,338.78 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$6,646.48 |
$6,646.48 |
$6,646.48 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$8,831.99 |
$8,831.99 |
$8,831.99 |
$1,841.10
|
|
Culture aerobic additional method definitive id each
|
$160.98 |
$160.98 |
$160.98 |
$63.60
|
|
Culture afb any source
|
$261.14 |
$261.14 |
$261.14 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$91.84 |
$91.84 |
$91.84 |
$77.31
|
|
Culture anaerobic except blood
|
$447.53 |
$447.53 |
$447.53 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$145.71 |
$145.71 |
$145.71 |
$52.80
|
|
Culture body fluid
|
$270.31 |
$270.31 |
$270.31 |
$130.50
|
|
Culture fungi definitive id mold
|
$78.12 |
$78.12 |
$78.12 |
$70.00
|
|
Culture fungi definitive id yeast
|
$130.96 |
$130.96 |
$130.96 |
$79.10
|
|
Culture fungi other (except blood)
|
$240.94 |
$240.94 |
$240.94 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$119.01 |
$119.01 |
$119.01 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$225.51 |
$225.51 |
$225.51 |
$84.80
|
|
Culture mycoplasma any source
|
$237.54 |
$237.54 |
$237.54 |
$90.37
|
|
Culture quantitative aerobic other source
|
$152.65 |
$152.65 |
$152.65 |
$87.02
|
|
Culture screening strep group a
|
$192.83 |
$192.83 |
$192.83 |
$79.20
|
|
Culture typing added method
|
$119.47 |
$119.47 |
$119.47 |
$34.45
|
|
Culture typing immunologic
|
$79.96 |
$79.96 |
$79.96 |
$42.12
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$3,365.75 |
$3,365.75 |
$3,365.75 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$541.61 |
$541.61 |
$541.61 |
$124.02
|
|
Culture urine each isolate
|
$124.87 |
$124.87 |
$124.87 |
$46.20
|
|
Cv line/pic reposition
|
$3,994.42 |
$3,994.42 |
$3,994.42 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$71.05 |
$71.05 |
$71.05 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$173.48 |
$173.48 |
$173.48 |
$28.08
|
|
Cyclic citrullinated peptide antibody
|
$95.32 |
$95.32 |
$95.32 |
$81.60
|
|
Cyclosporine 2 hour
|
$261.42 |
$261.42 |
$261.42 |
$120.20
|
|
Cyclosporine oral 100 mg
|
$89.59 |
$89.59 |
$89.59 |
$43.04
|
|
Cyp2c19 gene com variants
|
$4,497.14 |
$4,497.14 |
$4,497.14 |
$553.00
|
|
Cystatin c
|
$285.85 |
$285.85 |
$285.85 |
$81.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,241.87 |
$1,241.87 |
$1,241.87 |
$527.50
|
|
Cystoscopy and treatment
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,070.20
|
|
Cystoscopy and treatment
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$6,913.16 |
$6,913.16 |
$6,913.16 |
$1,610.20
|
|
Cystourethroscop/calib/dilat stric 52281
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$2,849.55
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,970.98
|
|
Cytarabine 20 mg/ml injection solution
|
$95.38 |
$95.38 |
$95.38 |
$80.18
|
|
Cytogenetics 3-5
|
$628.20 |
$628.20 |
$628.20 |
$127.64
|
|
Cytomegalovirus (cmv) antibody igg
|
$222.11 |
$222.11 |
$222.11 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$260.09 |
$260.09 |
$260.09 |
$96.80
|
|
Cyto/molecular report
|
$192.76 |
$192.76 |
$192.76 |
$144.75
|